Waystar Holding Corp. is dedicated to developing a cloud-based software platform designed to streamline financial transactions within the healthcare industry. Their comprehensive ...
Waystar Holding Corp. (Nasdaq: WAY) is a leading provider of mission-critical cloud-based software for healthcare payments and revenue cycle management. Founded in 2017 through the merger of Navicure and Zirmed, and headquartered in Lehi, Utah, Waystar combines the strengths of established healthcare payment companies to deliver an enterprise-grade platform that ...Waystar Holding Corp. (Nasdaq: WAY) is a leading provider of mission-critical cloud-based software for healthcare payments and revenue cycle management. Founded in 2017 through the merger of Navicure and Zirmed, and headquartered in Lehi, Utah, Waystar combines the strengths of established healthcare payment companies to deliver an enterprise-grade platform that simplifies financial transactions across the healthcare ecosystem. The company serves a diverse clientele, including providers, health systems, and payers, with a footprint that spans the country and processes billions of transactions annually.
Waystar's suite of products addresses the full revenue cycle, enhancing operational efficiency and financial performance for its clients. Key offerings include financial clearance for pre-approvals, patient financial care tools for billing and payment plans, claims management and payment posting, denials prevention and recovery, revenue capture optimization, and advanced analytics and reporting. These solutions help reduce administrative burdens, improve claim accuracy, accelerate reimbursements, and increase revenue.
Financially, Waystar has demonstrated robust performance. Its business model is characterized by recurring revenue from long-term contracts, contributing to high gross margins. For the trailing twelve months, the company reported a gross profit margin of approximately 69.1%, an EBITDA margin of 35.9%, and a net profit margin of 11.2%. Revenue per share stands at $6.28, with strong free cash flow conversion. The company maintains a solid balance sheet with manageable leverage, and its investment in research and development (5.6% of revenue) underscores its commitment to innovation.
Under the leadership of CEO Matthew (Matt) Hawkins, who has been with the company since its inception and previously served at Navicure, Waystar has successfully navigated a public listing in June 2024. The leadership team includes experienced executives such as CFO Alpana Wegner and Chief Transformation Officer Craig Bridge.
As part of its strategic focus, Waystar leverages artificial intelligence to enhance its offerings, aiming to provide even greater value to clients. The company's mission is to simplify healthcare payments, and with over 1,700 employees, it continues to expand its market presence and product capabilities. By reducing friction in the revenue cycle, Waystar enables healthcare providers to focus on patient care, ultimately improving the overall healthcare experience.
YoYYoY means Year-over-Year. It compares the latest annual value with the previous annual value to show long-term trend strength.
QoQQoQ means Quarter-over-Quarter. It compares the latest quarter with the immediately previous quarter to show short-term momentum changes.
RevenueThe total money that came through the front door from selling things, before paying a single bill. Think of it as the grand total of every credit card swipe from customers. (YoY compares this year to last year's performance, while QoQ compares the current three months to the previous three).
$1.1B
+16.5%
+1.8%
Net IncomeThe absolute bottom line. If the company paid every single supplier, employee, banker, and tax collector, this is the actual money left in their pocket at the end of the day.
$112.1M
+686.1%
-5.6%
Gross MarginThe basic markup. If they sell a $100 pair of sneakers, this percentage tells you how much of that price tag is profit right after paying for the rubber and shoelaces, but before paying for things like store rent or TV commercials.
+68.3%
+2.7%
+0.5%
Operating MarginThe 'day job' efficiency score. Out of every dollar a customer spends, this shows how many cents the company keeps after making the product AND paying for all the everyday corporate overhead (like salaries, marketing, and keeping the lights on).
+22.7%
+73.0%
-7.2%
Net MarginThe final take-home percentage. When you strip away every conceivable cost, tax, and interest payment, this is the exact number of cents the company truly gets to keep from every dollar in sales.
+10.2%
+603.1%
-7.3%
Free Cash FlowThe holy grail of corporate cash. It's the spendable, physical money left over after the business pays for its daily operations AND buys the big, expensive upgrades (like new factories or servers) it needs to survive. This is the 'free' money they can use to pay dividends or buy back stock.
$283.2M
+98.7%
-37.8%
FCF MarginThe ultimate cash conversion rate. It shows how good the company is at turning regular sales directly into cold, hard, spendable cash. A high percentage means the business is an absolute cash-printing machine.
+25.8%
+70.6%
-38.9%
Debt / EquityThe financial risk gauge. It compares how much of the company's empire was built using borrowed money (loans) versus the owners' own money (shareholders). A high number means they are heavily leveraged and playing a riskier game; a low number means they are playing it safe.
38.4%
-6.3%
-1.5%
Current RatioThe 12-month survival check. It simply compares the cash they have right now (plus things they can quickly turn into cash) against the immediate bills they absolutely must pay this year. A score above 1 means they have enough in the wallet to cover the upcoming bills without panicking.
1.41x
-44.5%
+5.1%
Total AssetsThe absolute size of the company's empire. It bundles together absolutely everything of value they own—from the cash in the register and the inventory in the warehouse, to the software patents in the vault and the factories on the ground.
Operator: Good day, and thank you for standing by. Welcome to the Waystar Second Quarter 2026 Earnings Conference Call. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your speaker today, Edward Parker, Head of Investor Relations. Please go ahead. Edward Parker Thank you, operator. Good afternoon, everyone, and thank you for joining Waystar's Second Quarter 2026 Earnings Call. Joining me today are Matt Hawkins, Waystar's Chief Executive Officer; and Steven Oreskovich, Waystar's Chief Financial Officer. This afternoon, we issued a press release announcing our financial results and published an accompanying presentation deck. You can find these materials at investors.waystar.com. Before we begin, I would like to remind you that this call contains forward-looking statements, which are predictions or beliefs about future events or performance. Examples of these statements include expectations of future financial results, growth and margins. These statements involve a number of risks and uncertainties that may cause actual results to differ materially from those expressed in these statements. For a full discussion of the risks and other factors that may impact these forward-looking statements, please refer to this afternoon's press release and the reports we file with the SEC, all of which are available on the Investor Relations page of our website. Any forward-looking statements made on this call are only as of today and will not be updated unless required by law. We will also discuss certain non-GAAP financial measures. These measures are intended to provide additional insight into our performance and should not be considered in isolation or as a substitute for financial information prepared in accordance with GAAP. We have provided reconciliations of the non-GAAP financial measures included in our remarks to the most directly comparable GAAP measures, together with explanations of these measures in the appendix of the presentation slide deck and our earnings release. With that, I'd like to turn the call over to Matt.
Matthew Hawkins: Thank you, Edward, and good afternoon, everyone. Thank you for joining our Q2 2026 earnings call. We delivered another solid quarter as we executed our strategy, supported our clients and advanced the Waystar platform toward a more autonomous revenue cycle. During the quarter, we delivered revenue of $320 million, representing 18% year-over-year growth and adjusted EBITDA of $137 million, resulting in an adjusted EBITDA margin of 43%, which exceeded consensus expectations for the quarter. We also delivered another strong quarter of bookings, supported by ongoing momentum with larger provider organizations, expansion across our client base and sustained demand for Waystar's AI-powered solutions. While the operating environment continues to evolve, the breadth of our platform, the diversity of our client base and the mission-critical nature of our solutions …