Waystar Reports First Quarter 2025 Results

Q1 revenue growth of 14% year-over-year

Q1 net income of $29.3 million and non-GAAP net income of $58.7 million

Q1 net income margin of 11%; adjusted EBITDA margin of 42%

Raising revenue and adjusted EBITDA guidance for 2025

LEHI, Utah and LOUISVILLE, Ky., April 30, 2025 /PRNewswire/ -- Waystar Holding Corp. (Nasdaq: WAY), a provider of leading healthcare payment software, today reported results for the first quarter ended March 31, 2025.

"Waystar sustained strong momentum in the first quarter of 2025, delivering net income margins exceeding 10%, adjusted EBITDA margins exceeding 40%, and our fourth consecutive quarter of double-digit revenue growth as a public company," said Matt Hawkins, Chief Executive Officer of Waystar. "We also advanced our innovation roadmap with the launch of Waystar AltitudeAI, equipping clients with powerful AI capabilities that streamline workflows and improve financial performance. With a resilient foundation and durable growth model, we have the visibility and confidence to raise our full-year revenue and adjusted EBITDA guidance."

First Quarter 2025 Financial Highlights

    --  Revenue of $256.4 million, up 14% year-over-year
    --  Net income of $29.3 million, GAAP net income per diluted share of $0.16,
        and net income margin of 11%
    --  Non-GAAP net income of $58.7 million and non-GAAP net income per diluted
        share of $0.32
    --  Adjusted EBITDA of $107.7 million and adjusted EBITDA margin of 42%
    --  Cash flow from operations of $64 million and unlevered free cash flow of
        $79 million

Key Metrics and Revenue Disaggregation

    --  1,244 clients contributed over $100,000 in LTM revenue, up 15%
        year-over-year
    --  Net revenue retention rate (NRR) of 114% over LTM ending March 31, 2025
    --  Subscription revenue of $125.0 million, up 18% year-over-year
    --  Volume-based revenue of $129.9 million, up 11% year-over-year

Financial Outlook

As of April 30, 2025, Waystar provides the following guidance for its full fiscal year 2025.(1)

    --  Total revenue is expected to be between $1.006 billion and $1.022
        billion
    --  Adjusted EBITDA is expected to be between $406 million and $414 million
    --  Non-GAAP net income is expected to be between $241 million and $247
        million
    --  Diluted non-GAAP net income per share is expected to be between $1.31
        and $1.34

Webcast Information

Waystar's financial results will be discussed on a conference call scheduled at 4:30 p.m. Eastern Daylight Time today, April 30, 2025. A live audio conference call will be available on Waystar's website at https://investors.waystar.com/news-events/events. The webcast will be archived on the site for those unable to listen in real time. This earnings release and the related Current Report on Form 8-K filed April 30, 2025, can be accessed on the Investor Relations page of the company's website. We routinely post important information on our website, including corporate and investor presentations and financial information. We intend to use our website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Such disclosures will be included in the Investor Relations section of our website. Accordingly, investors should monitor this portion of our website, in addition to following our press releases, U.S. Securities and Exchange Commission ("SEC") filings, and public conference calls and webcasts.

Non-GAAP Financial Measures

To supplement the consolidated financial statements prepared and presented in accordance with U.S. generally accepted accounting principles ("GAAP"), this press release contains certain non-GAAP financial measures as defined below. We present non-GAAP financial measures as supplemental measures of financial performance that are not required by, or presented in accordance with, GAAP. We believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. Management believes these non-GAAP financial measures are useful to investors in highlighting trends in our operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate, and capital investments. Management uses adjusted EBITDA and adjusted EBITDA margin to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish discretionary annual incentive compensation, and to compare our performance against that of other peer companies using similar measures. Management supplements GAAP results with non-GAAP financial measures to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone provide.

Adjusted EBITDA, adjusted EBITDA margin, non-GAAP net income, non-GAAP net income per share and unlevered free cash flow are not recognized terms under GAAP and should not be considered as an alternative to net income (loss) or net income (loss) margin as measures of financial performance or cash provided by operating activities as a measure of liquidity, or any other performance measure derived in accordance with GAAP. Additionally, these measures are not intended to be a measure of free cash flow available for management's discretionary use, as they do not consider certain cash requirements such as interest payments, tax payments, and debt service requirements. The presentations of these measures have limitations as analytical tools and should not be considered in isolation, or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentations of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company. A reconciliation is provided below for our non-GAAP financial measures to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business.

The following non-GAAP financial measures and key performance metrics are defined below:

Adjusted EBITDA and adjusted EBITDA Margin
We define adjusted EBITDA as net income / (loss) before interest expense, net, income tax expense / (benefit), depreciation and amortization, and as further adjusted for stock-based compensation expense, acquisition and integration costs, asset and lease impairments, costs related to amended debt agreements and IPO and secondary offering costs. Adjusted EBITDA margin represents adjusted EBITDA as a percentage of revenue.

Non-GAAP Net Income / (loss) and Non-GAAP Net Income / (loss) Per Share
We define non-GAAP net income as GAAP net income / (loss) excluding the impact of stock-based compensation, acquisition and integration costs, asset and lease impairments, costs related to our IPO, and the Secondary Offering, and costs related to amended debt agreements and amortization of intangibles. The tax effects of the adjustments are calculated using a management estimated annual effective non-GAAP tax rate of 21%, which is based on our statutory federal tax rate and provides consistency across interim reporting periods by eliminating the effects of non-recurring and period specific items. Due to the differences in the tax treatment of items excluded from non-GAAP net income, our estimate tax rate on non-GAAP net income may differ from our GAAP tax rate. Non-GAAP net income per share is shown on both a basic and diluted basis and is defined as non-GAAP net income divided by the basic or diluted weighted-average shares, respectively.

Unlevered Free Cash Flow
We define unlevered free cash flow as cash from operations plus cash interest paid less capital expenses.

Net Debt
We define net debt as the sum of the current portion of long-term debt, long-term debt, and accounts receivable securitization less cash and equivalents and investment securities.

Adjusted Net Leverage Ratio
We define adjusted net leverage ratio as net debt divided by adjusted EBITDA over the preceding twelve months.

Key Performance Metrics

Net Revenue Retention Rate
Our Net Revenue Retention Rate compares twelve months of client invoices for our solutions at two period end dates. To calculate our Net Revenue Retention Rate, we first accumulate the total amount invoiced during the twelve months ending with the prior period-end or Prior Period Invoices. We then calculate the total amount invoiced to those same clients for the twelve months ending with the current period-end, or Current Period Invoices. Current Period Invoices are inclusive of upsell, downsell, pricing changes, clients that cancel or chose not to renew, and discontinued solutions with continuing clients. The Net Revenue Retention Rate is then calculated by dividing the Current Period Invoices by the Prior Period Invoices. Our total invoices included in the analysis are greater than 98% of reported revenue. We use Net Revenue Retention Rate to evaluate our ongoing operations and for internal planning and forecasting purposes. Acquired businesses are included in the last-twelve-month Net Revenue Retention Rate in the ninth quarter after acquisition, which is the earliest point that comparable post-acquisition invoices are available for both the current and prior twelve-month period.

Customer Count with >$100,000 of Revenue
We regularly monitor and review our count of clients who generate more than $100,000 of revenue.

Our count of clients who generate more than $100,000 of revenue is based on an accumulation of the amounts invoiced to clients over the preceding twelve months. The invoices for acquired clients are included starting in the first full calendar quarter after the date of acquisition.

Forward-Looking Statements

This press release contains forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995, that reflect our current views with respect to, among other things, statements regarding Waystar's expectations relating to future operating results and financial position, including full year 2025, and future periods; the performance of our new product offerings; our industry and market opportunities, business strategy, goals, and expectations concerning our market position, future operations, margins and profitability, capital expenditures, liquidity, and capital resources and other financial and operating information. Forward-looking statements include all statements that are not historical facts. These statements may include words such as "anticipate," "assume," "believe," "continue," "could," "estimate," "expect," "intend," "may," "plan," "potential," "predict," "project," "future," "will," "seek," "foreseeable," "outlook," the negative version of these words or similar terms and phrases to identify forward-looking statements in this press release, including the discussion of outlook for full fiscal year 2025.

The forward-looking statements contained in this press release are based on management's current expectations and are not guarantees of future performance. The forward-looking statements are subject to various risks, uncertainties, assumptions, or changes in circumstances that are difficult to predict or quantify. Our expectations, beliefs, and projections are expressed in good faith, and we believe there is a reasonable basis for them. However, there can be no assurance that management's expectations, beliefs, and projections will result or be achieved. The following factors are among those that may cause actual results to differ materially from the forward-looking statements: our operation in a highly competitive industry; our ability to retain our existing clients and attract new clients; our ability to successfully execute on our business strategies in order to grow; our ability to accurately assess the risks related to acquisitions and successfully integrate acquired businesses; our ability to establish and maintain strategic relationships; the growth and success of our clients and overall healthcare transaction volumes; consolidation in the healthcare industry; our selling cycle of variable length to secure new client agreements; our implementation cycle that is dependent on our clients' timing and resources; our dependence on our senior management team and certain key employees, and our ability to attract and retain highly skilled employees; the accuracy of the estimates and assumptions we use to determine the size of our total addressable market; our ability to develop and market new solutions, or enhance our existing solutions, to respond to technological changes, or evolving industry standards; the interoperability, connectivity, and integration of our solutions with our clients' and their vendors' networks and infrastructures; the performance and reliability of internet, mobile, and other infrastructure; the consequences if we cannot obtain, process, use, disclose, or distribute the highly regulated data we require to provide our solutions; our reliance on certain third-party vendors and providers; any errors or malfunctions in our products and solutions; failure by our clients to obtain proper permissions or provide us with accurate and appropriate information; the potential for embezzlement, identity theft, or other similar illegal behavior by our employees or vendors, and a failure of our employees or vendors to observe quality standards or adhere to environmental, social, and governance standards; our compliance with the applicable rules of the National Automated Clearing House Association and the applicable requirements of card networks; increases in card network fees and other changes to fee arrangements; the effect of payer and provider conduct which we cannot control; privacy concerns and security breaches or incidents relating to our platform; the complex and evolving laws and regulations regarding privacy, data protection, and cybersecurity; our ability to adequately protect and enforce our intellectual property rights; our ability to use or license data and integrate third-party technologies; our use of "open source" software; legal proceedings initiated by third parties alleging that we are infringing or otherwise violating their intellectual property rights; claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties; the heavily regulated industry in which we conduct business; the uncertain and evolving healthcare regulatory and political framework; healthcare laws and data privacy and security laws and regulations governing our processing of personal information; reduced revenues in response to changes to the healthcare regulatory landscape; legal, regulatory, and other proceedings that could result in adverse outcomes; consumer protection laws and regulations; contractual obligations requiring compliance with certain provisions of the Bank Secrecy Act and anti-money laundering laws and regulations; existing laws that regulate our ability to engage in certain marketing activities; our full compliance with website accessibility standards; any changes in our tax rates, the adoption of new tax legislation, or exposure to additional tax liabilities; limitations on our ability to use our net operating losses to offset future taxable income; losses due to asset impairment charges; restrictive covenants in the agreements governing our credit facilities; interest rate fluctuations; unavailability of additional capital on acceptable terms or at all; the impact of general macroeconomic conditions; actions of certain of our significant investors, who may have different interests than the interests of other holders of our securities; and each of the other factors discussed under the heading of "Risk Factors" in the Company's 10K filed with the Securities and Exchange Commission (the "SEC") on February 18, 2025, and in other reports filed with the SEC, all of which are available on the Investor Relations page of our website at investors.waystar.com.

Any forward-looking statements made by us in this press release speak only as of the date of this press release and are expressly qualified in their entirety by the cautionary statements included in this press release. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. You should not place undue reliance on our forward-looking statements. We undertake no obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments, or otherwise, except as may be required by any applicable securities laws.

About Waystar

Waystar's mission-critical software is purpose-built to simplify healthcare payments so providers can prioritize patient care and optimize their financial performance. Waystar serves approximately 30,000 clients, representing over 1 million distinct providers, including 16 of 20 institutions on the U.S. News Best Hospitals list. Waystar's enterprise-grade platform annually processes over 6 billion healthcare payment transactions, including over $1.8 trillion in annual gross claims and spanning approximately 50% of U.S. patients. Waystar strives to transform healthcare payments so providers can focus on what matters most: their patients and communities. Discover the way forward at waystar.com.


     (1) We have not reconciled the forward-looking adjusted EBITDA, non- GAAP net income, and non-GAAP net income per share guidance included above to the most directly comparable GAAP measure because this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain costs, the most significant of which are incentive compensation (including stock-based compensation), transaction-related expenses, and certain fair value measurements, which are potential
      adjustments to future earnings. We expect the variability of these items to have a potentially unpredictable, and a potentially significant, impact on our future GAAP financial results.


                                                           
              
                Waystar Holding Corp.

                                         
              
                Unaudited Condensed Consolidated Statements of Operations

                                            
              
                (in Thousands, Except for Share and Per Share Data)




                                                                                                                                            Three months ended March 31,


                                                                                                                                      2025                           2024



     Revenue                                                                                                              $
            256,435              $
              224,792



     Operating expenses



     Cost of revenue (exclusive of depreciation and amortization expenses)                                                           83,345                           75,192



     Sales and marketing                                                                                                             40,123                           33,780



     General and administrative                                                                                                      23,300                           26,135



     Research and development                                                                                                        11,078                           10,320



     Depreciation and amortization                                                                                                   33,380                           44,174



     Total operating expenses                                                                                                       191,226                          189,601



     Income from operations                                                                                                          65,209                           35,191



     Other expense



     Interest expense                                                                                                              (18,257)                        (55,812)



     Related party interest expense                                                                                                   (643)                         (1,372)



     Income/(loss) before income taxes                                                                                               46,309                         (21,993)



     Income tax expense/(benefit)                                                                                                    17,040                          (6,061)



     Net income/(loss)                                                                                                     $
            29,269             $
              (15,932)



     Net income/(loss) per share:



     Basic                                                                                                                   $
            0.17               $
              (0.13)



     Diluted                                                                                                                 $
            0.16               $
              (0.13)



     Weighted-average shares outstanding:



     Basic                                                                                                                      172,188,237                      121,675,298



     Diluted                                                                                                                    180,691,994                      121,675,298


                                                                          
              
                Waystar Holding Corp.

                                                             
              
                Unaudited Condensed Consolidated Balance Sheets

                                                           
              
                (in Thousands, Except for Share and Per Share Data)




                                                                                                                                                                         March 31,
                                                                                                                                                                          2025                    December 31, 2024



              
                Assets



              Current assets



              Cash and cash equivalents                                                                                                                       $
        223,995         $
         182,133



              Restricted cash                                                                                                                                        25,723                 22,449



              Investment securities                                                                                                                                  24,419



              Accounts receivable, net of allowance of $5,897 at March 31, 2025 and                                                                                 147,264                145,235
                                                                                                                                 $5,885 at December 31, 2024



              Income tax receivable                                                                                                                                                         2,838



              Prepaid expenses                                                                                                                                       16,900                 14,414



              Other current assets                                                                                                                                    2,249                  3,972



              Total current assets                                                                                                                                  440,550                371,041



              Property, plant and equipment, net                                                                                                                     46,645                 46,731



              Operating lease right-of-use assets, net                                                                                                                9,896                 10,820



              Intangible assets, net                                                                                                                              1,010,933              1,039,049



              Goodwill                                                                                                                                            3,019,999              3,019,999



              Deferred costs                                                                                                                                         85,088                 82,815



              Other long-term assets                                                                                                                                  6,067                  6,549



              Total assets                                                                                                                                  $
        4,619,178       $
         4,577,004



              
                Liabilities and stockholders' equity



              Current liabilities



              Accounts payable                                                                                                                                 $
        45,064          $
         47,365



              Accrued compensation                                                                                                                                   15,857                 31,589



              Aggregated funds payable                                                                                                                               25,253                 22,059



              Other accrued expenses                                                                                                                                 25,646                 15,930



              Deferred revenue                                                                                                                                       11,348                 10,527



              Current portion of long-term debt                                                                                                                      11,228                 11,311



              Related party current portion of long-term debt                                                                                                           440                    357



              Current portion of operating lease liabilities                                                                                                          5,538                  5,591



              Current portion of finance lease liabilities                                                                                                              926                    904



              Total current liabilities                                                                                                                             141,300                145,633



              Long-term liabilities



              Deferred tax liability                                                                                                                                104,927                100,523



              Long-term debt, net, less current portion                                                                                                           1,174,879              1,185,411



              Related party long-term debt, net, less current portion                                                                                                43,356                 35,211



              Operating lease liabilities, net of current portion                                                                                                    11,785                 13,133



              Finance lease liabilities, net of current portion                                                                                                      11,049                 11,290



              Deferred revenue-LT                                                                                                                                     5,692                  5,739



              Other long-term liabilities                                                                                                                               278                    278



              Total liabilities                                                                                                                                   1,493,266              1,497,218



              Commitments and contingencies (Note 20)



              Stockholders' equity



              Preferred stock $0.01 par value - 100,000,000 shares authorized as of
    March 31, 2025 and December 31, 2024, respectively; zero shares issued
    or outstanding as of March 31, 2025 and December 31, 2024, respectively



              Common stock $0.01 par value - 2,500,000,000 shares authorized at                                                                                       1,730                  1,722
    March 31, 2025 and December 31, 2024, respectively; 172,963,709 and
    172,108,240 shares issued and outstanding at March 31, 2025 and
    December 31, 2024, respectively



              Additional paid-in capital                                                                                                                          3,315,497              3,298,083



              Accumulated other comprehensive income                                                                                                                    316                    881



              Accumulated deficit                                                                                                                                 (191,631)             (220,900)



              Total stockholders' equity                                                                                                                          3,125,912              3,079,786



              Total liabilities and stockholders' equity                                                                                                    $
        4,619,178       $
         4,577,004


                                                                                   
              
                Waystar Holding Corp.

                                                                 
              
                Unaudited Condensed Consolidated Statements of Cash Flows

                                                                                      
              
                (in Thousands)




                                                                                                                                                              Three months ended March 31,


                                                                                                                                                         2025                             2024



     
                Cash flows from operating activities



     Net income/(loss)                                                                                                                             $
       29,269               $
              (15,932)



     Adjustments to reconcile net income/(loss) to net cash provided by operating activities



     Depreciation and amortization                                                                                                                      33,380                             44,174



     Stock-based compensation                                                                                                                            6,744                              2,528



     Provision for bad debt expense                                                                                                                      1,255                                556



     Loss on extinguishment of debt                                                                                                                                                        8,869



     Deferred income taxes                                                                                                                               4,569                           (19,591)



     Amortization of debt discount and issuance costs                                                                                                      667                              1,680



     Changes in:



     Accounts receivable                                                                                                                               (3,284)                          (10,274)



     Income tax refundable                                                                                                                               2,838                              6,811



     Prepaid expenses and other current assets                                                                                                         (1,460)                           (3,538)



     Deferred costs                                                                                                                                    (2,222)                           (4,230)



     Other long-term assets                                                                                                                                324                              (325)



     Accounts payable and accrued expenses                                                                                                             (8,130)                           (1,280)



     Deferred revenue                                                                                                                                      775                              1,711



     Operating lease right-of-use assets and lease liabilities                                                                                           (476)                             (429)



     Net cash provided by operating activities                                                                                                          64,249                             10,730



     
                Cash flows from investing activities



     Purchase of property and equipment and capitalization of internally developed software costs                                                      (5,426)                           (5,560)



     Purchase of investment securities                                                                                                                (24,431)



     Net cash used in investing activities                                                                                                            (29,857)                           (5,560)



     
                Cash flows from financing activities



     Change in aggregated funds liability                                                                                                                3,194                              3,538



     Repurchase of shares                                                                                                                                                                  (225)



     Proceeds from exercise of common stock options                                                                                                     10,686                                 71



     Proceeds from issuances of debt, net of creditor fees                                                                                                                               535,209



     Payments on debt                                                                                                                                  (2,917)                         (516,774)



     Third-party fees paid in connection with issuance of new debt                                                                                                                       (1,410)



     Finance lease liabilities paid                                                                                                                      (219)                             (199)



     Net cash provided by financing activities                                                                                                          10,744                             20,210



     Increase in cash and cash equivalents during the period                                                                                            45,136                             25,380



     Cash and cash equivalents and restricted cash-beginning of period                                                                                 204,582                             45,428



     Cash and cash equivalents and restricted cash-end of period                                                                                  $
       249,718                 $
              70,808



     
                Supplemental disclosures of cash flow information



     Interest paid                                                                                                                                 $
       19,960                 $
              40,513



     Cash taxes paid (refunds received), net                                                                                                               532                               (54)



     
                Non-cash investing and financing activities



     Fixed asset purchases in accounts payable                                                                                                              56                                518



     
                Reconciliation of Balance Sheet Cash Accounts to Cash Flow Statement



     Balance sheet



     Cash and cash equivalents                                                                                                                         223,995                             57,337



     Restricted cash                                                                                                                                    25,723                             13,471



     Total                                                                                                                                             249,718                             70,808


                           
              
                Waystar Holding Corp.

                     
              
                Reconciliation of Adjusted EBITDA

                               
              
                (in Thousands)

                                
              
                (Unaudited)




                                                                                       Three months ended March
                                                                                             31,


                                                                                  2025             2024



     Net income/(loss)                                                         29,269         (15,932)



     Interest expense                                                          18,900           57,184



     Income tax expense/(benefit)                                              17,040          (6,061)



     Depreciation and amortization                                             33,380           44,174



     Stock-based compensation expense                                           6,744            2,528



     Acquisition and integration costs                                            229              302



     Costs related to amended debt agreements                                       -          10,402



     IPO and Secondary Offering expenses                                        1,430              164



     Other (a)                                                                    754



     Adjusted EBITDA                                                          107,746           92,761



     Revenue                                                                  256,435          224,792



     Net income/(loss) margin                                                  11.4 %         (7.1 %)



     Adjusted EBITDA margin                                                    42.0 %          41.3 %




     (a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.


                                                                     
              
                Waystar Holding Corp.

                                                         
              
                Reconciliation of Non-GAAP Operating Expenses

                                                                        
              
                (in Thousands)

                                                                          
              
                (Unaudited)




                                                                                                                                        Three months ended March
                                                                                                                                          31,


                                                                                                                                   2025      2024



     
                Cost of revenue (exclusive of depreciation and amortization expenses)                                         83,345    75,192



     Less: Stock-based compensation expense                                                                                      (231)    (122)



     Less: Acquisition and integration costs                                                                                         -     (31)



     
                Cost of revenue (exclusive of depreciation and amortization expenses), adjusted                               83,114    75,039





     
                Sales and marketing                                                                                           40,123    33,780



     Less: Stock-based compensation expense                                                                                    (1,392)    (478)



     
                Sales and marketing, adjusted                                                                                 38,731    33,302





     
                General and administrative                                                                                    23,300    26,135



     Less: Stock-based compensation expense                                                                                    (4,106)  (1,540)



     Less: Acquisition and integration costs                                                                                     (107)     (83)



     Less: Costs related to amended debt agreements                                                                                  - (10,402)



     Less: IPO and Secondary Offering expenses                                                                                 (1,430)    (164)



     Less: Other (a)                                                                                                             (754)



     
                General and administrative, adjusted                                                                          16,903    13,946





     
                Research and development                                                                                      11,078    10,320



     Less: Stock-based compensation expense                                                                                    (1,015)    (388)



     Less: Acquisition and integration costs                                                                                     (122)    (188)



     
                Research and development, adjusted                                                                             9,941     9,744





     
                Depreciation and amortization                                                                                 33,380    44,174



     Less: Intangible amortization                                                                                            (28,115) (39,080)



     
                Depreciation and amortization, adjusted                                                                        5,265     5,094





     
                Income tax expense/(benefit)                                                                                  17,040   (6,061)



     Plus: Tax effect of adjustments                                                                                             7,827    11,020



     
                Income tax expense, adjusted                                                                                  24,867     4,959




     (a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.


                                                                    
              
                Waystar Holding Corp.

                                                            
              
                Reconciliation of Non-GAAP Net Income

                                                      
              
                (in Thousands, Except Share and Per Share Amounts)

                                                                         
              
                (Unaudited)




                                                                                                                                               Three months ended March
                                                                                                                                                 31,


                                                                                                                                        2025        2024



     Net income/(loss)                                                                                                               29,269    (15,932)



     Stock based compensation expense                                                                                                 6,744       2,528



     Acquisition and integration costs                                                                                                  229         302



     Costs related to amended debt agreements                                                                                             -     10,402



     IPO and Secondary Offering expenses                                                                                              1,430         164



     Other (a)                                                                                                                          754



     Intangible amortization                                                                                                         28,115      39,080



     Tax effect of adjustments                                                                                                      (7,827)   (11,020)



     Non-GAAP net income                                                                                                             58,714      25,524





     Non-GAAP net income per share, basic                                                                                              0.34        0.21



     Non-GAAP net income per share, diluted                                                                                            0.32        0.20





     Weighted average shares used in computing basic Non-GAAP net income per share                                              172,188,237 121,675,298



     Weighted average shares used in computing diluted Non-GAAP net income per share                                            180,691,994 127,095,087




     (a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.


                                                                            
              
                Waystar Holding Corp.

                                                                 
              
                Reconciliation of Unlevered Free Cash Flow

                                                                               
              
                (in Thousands)

                                                                                 
              
                (Unaudited)




                                                                                                                                            Three months ended March
                                                                                                                                               31,


                                                                                                                                       2025       2024



     Net cash provided by operating activities                                                                                      64,249     10,730



     Interest paid                                                                                                                  19,960     40,513



     Purchase of property and equipment and capitalization of internally developed software costs                                  (5,426)   (5,560)



     Unlevered free cash flow                                                                                                       78,783     45,683


                                                     
               Waystar Holding Corp.

                                            
              
                Reconciliation of Net Debt

                                                  
              
                (in Thousands)

                                                    
              
                (Unaudited)




                                                                                                         March 31,


                                                                                                    2025           2024



     First lien term loan facility outstanding debt, current                                     11,668         22,000



     First lien term loan facility outstanding debt, net of current portion                   1,148,960      2,178,000



     Receivables facility outstanding debt                                                       80,000         70,000



     Cash and cash equivalents                                                                (223,995)      (57,337)



     Investment securities                                                                     (24,419)



     Net debt                                                                                   992,214      2,212,663





     Trailing Twelve Months Adjusted EBITDA                                                     398,481        343,753





     Adjusted Gross leverage ratio                                                                 3.1x          6.6x



     Adjusted Net leverage ratio                                                                   2.5x          6.4x


                                                   
      
        
                  Waystar
                 Holding Corp.

                                               
     
       
          Reconciliation of Trailing Twelve Months (TTM) Adjusted EBITDA

                                                     
      
                
                  (in Thousands)

                                                      
      
                
                  (Unaudited)




                                                                                                 
              
                Three Months Ended                             TTM


                                                                    March 31,                               December 31,                    September 30,   June 30,        March 31,


                                                                         2025                                        2024                              2024        2024              2025



     Net income/(loss)                                                29,269                                      19,079                             5,413    (27,685)           26,076



     Interest expense                                                 18,900                                      20,086                            18,459      50,541           107,986



     Income tax expense/(benefit)                                     17,040                                      13,978                             3,274    (14,611)           19,681



     Depreciation and amortization                                    33,380                                      37,996                            60,185      44,276           175,837



     Stock-based compensation expense                                  6,744                                       7,037                             7,903      36,969            58,653



     Acquisition and integration costs                                   229                                         163                               188         206               786



     Costs related to amended debt agreements                              -                                      1,262                               106       2,368             3,736



     IPO and Secondary Offering expenses                               1,430                                          26                               109       1,841             3,406



     Other (a)                                                           754                                         526                             1,040                        2,320



     
                Adjusted EBITDA                                    107,746                                     100,153                            96,677      93,905           398,481




     (a) Adjustments relate to additional lease costs due to the relocation of our Louisville office and executive severance.

Media Contact
Kristin Lee
kristin.lee@waystar.com

Investor Contact
Sandy Draper
investors@waystar.com
502-238-9511

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SOURCE Waystar