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      Waystar Reports Third Quarter 2025 Results

      Waystar's logo (PRNewsfoto/Waystar)

      News provided by

      Waystar

      Oct 29, 2025, 16:05 ET

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      Q3 revenue growth of 12% year-over-year

      Q3 net income of $30.6 million and non-GAAP net income of $67.8 million

      Q3 net income margin of 11%; adjusted EBITDA margin of 42%

      Raising revenue and adjusted EBITDA guidance for 2025

      LEHI, Utah and LOUISVILLE, Ky., Oct. 29, 2025 /PRNewswire/ -- Waystar Holding Corp. (Nasdaq: WAY), a provider of leading healthcare payment software, today reported results for the third quarter ended September 30, 2025.

      "Waystar delivered another quarter of double-digit revenue growth and strong margins, outpacing our guidance on both measures," said Matt Hawkins, Chief Executive Officer of Waystar. "Our integration of Iodine Software is well underway, enhancing Waystar's AI-powered platform and unlocking new opportunities to drive profitable growth. Continuing demand and focused execution reinforce our confidence in raising our full-year guidance."

      Third Quarter 2025 Financial Highlights

      • Revenue of $268.7 million, up 12% year-over-year
      • Net income of $30.6 million, GAAP net income per diluted share of $0.17, and net income margin of 11%
      • Non-GAAP net income of $67.8 million and non-GAAP net income per diluted share of $0.37
      • Adjusted EBITDA of $112.7 million and adjusted EBITDA margin of 42%
      • Cash flow from operations of $82 million and unlevered free cash flow of $96 million

      Key Metrics and Revenue Disaggregation

      • 1,306 clients contributed over $100,000 in LTM revenue, up 11% year-over-year
      • Net revenue retention rate (NRR) of 113%
      • Subscription revenue of $134.5 million, up 14% year-over-year
      • Volume-based revenue of $132.3 million, up 10% year-over-year

      Financial Outlook

      As of October 29, 2025, Waystar provides the following guidance for its full fiscal year 2025.1

      • Total revenue is expected to be between $1.085 billion and $1.093 billion
      • Adjusted EBITDA is expected to be between $451 million and $455 million
      • Non-GAAP net income is expected to be between $271 million and $274 million
      • Diluted non-GAAP net income per share is expected to be between $1.46 and $1.47

      Webcast Information

      Waystar's financial results will be discussed on a conference call scheduled at 4:30 p.m. Eastern Daylight Time today, October 29, 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 October 29, 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 Offerings, 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 (including the acquisition of Iodine Software); 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; our status as an "emerging growth company" and whether the reduced disclosure requirements applicable to "emerging growth companies" will make our common stock less attractive to investors; 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 17 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.

      1We 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
      September 30,


      Nine months ended
      September 30,


      2025


      2024


      2025


      2024

      Revenue

      268,651


      240,112


      795,740


      699,447

      Operating expenses








      Cost of revenue (exclusive of depreciation and amortization expenses)

      85,136


      80,545


      255,525


      236,188

      Sales and marketing

      45,158


      38,450


      128,805


      117,945

      General and administrative

      32,422


      22,704


      84,914


      88,794

      Research and development

      12,403


      11,082


      36,103


      37,303

      Depreciation and amortization

      33,300


      60,185


      100,106


      148,635

      Total operating expenses

      208,419


      212,966


      605,453


      628,865

      Income from operations

      60,232


      27,146


      190,287


      70,582

      Other expense








      Interest expense

      (16,613)


      (17,752)


      (52,195)


      (122,759)

      Related party interest expense

      (902)


      (707)


      (2,475)


      (3,425)

      Income/(loss) before income taxes

      42,717


      8,687


      135,617


      (55,602)

      Income tax expense/(benefit)

      12,069


      3,274


      43,516


      (17,398)

      Net income/(loss)

      30,648


      5,413


      92,101


      (38,204)

      Net income/(loss) per share:








      Basic

      0.18


      0.03


      0.53


      (0.27)

      Diluted

      0.17


      0.03


      0.51


      (0.27)

      Weighted-average shares outstanding:








      Basic

      174,352,079


      171,578,311


      173,388,077


      142,367,458

      Diluted

      181,240,033


      176,181,511


      181,165,738


      142,367,458

      Waystar Holding Corp.

      Unaudited Condensed Consolidated Balance Sheets

      (in thousands, except for share and per share data)






      September 30, 2025


      December 31, 2024





      Assets




      Current assets




      Cash and cash equivalents

      $              421,056


      $                      182,133

      Restricted cash

      24,301


      22,449

      Accounts receivable, net of allowance of $5,895 at September 30, 2025
      and $5,885 at December 31, 2024

      145,675


      145,235

      Income tax receivable

      —


      2,838

      Prepaid expenses

      20,557


      14,414

      Other current assets

      1,993


      3,972

      Total current assets

      613,582


      371,041

      Property, plant and equipment, net

      48,172


      46,731

      Operating lease right-of-use assets, net

      11,026


      10,820

      Intangible assets, net

      954,967


      1,039,049

      Goodwill

      3,019,999


      3,019,999

      Deferred costs

      90,131


      82,815

      Other long-term assets

      8,479


      6,549

      Total assets

      $          4,746,356


      $                4,577,004

      Liabilities and stockholders' equity




      Current liabilities




      Accounts payable

      $                 51,401


      $                      47,365

      Accrued compensation

      28,300


      31,589

      Aggregated funds payable

      23,848


      22,059

      Other accrued expenses

      26,757


      15,930

      Deferred revenue

      9,018


      10,527

      Current portion of long-term debt

      11,099


      11,311

      Related party current portion of long-term debt

      569


      357

      Current portion of operating lease liabilities

      5,687


      5,591

      Current portion of finance lease liabilities

      973


      904

      Total current liabilities

      157,652


      145,633

      Long-term liabilities




      Deferred tax liability

      123,034


      100,523

      Long-term debt, net, less current portion

      1,158,411


      1,185,411

      Related party long-term debt, net, less current portion

      55,783


      35,211

      Operating lease liabilities, net of current portion

      11,855


      13,133

      Finance lease liabilities, net of current portion

      10,549


      11,290

      Deferred revenue - long-term

      5,385


      5,739

      Other long-term liabilities

      1,091


      278

      Total liabilities

      1,523,760


      1,497,218

      Commitments and contingencies (Note 19)




      Stockholders' equity




      Preferred stock $0.01 par value - 100,000,000 and 100,000,000 shares
         authorized as of September 30, 2025 and December 31, 2024, respectively;
         zero shares issued or outstanding as of September 30, 2025 and December 31,
         2024, respectively

      —


      —

      Common stock $0.01 par value - 2,500,000,000 and 2,500,000,000 shares
         authorized at September 30, 2025 and December 31, 2024, respectively;
         174,667,840 and 172,108,240 shares issued and outstanding at September 30,
         2025 and December 31, 2024, respectively

      1,747


      1,722

      Additional paid-in capital

      3,350,190


      3,298,083

      Accumulated other comprehensive income (loss)

      (542)


      881

      Accumulated deficit

      (128,799)


      (220,900)

      Total stockholders' equity

      3,222,596


      3,079,786

      Total liabilities and stockholders' equity

      $          4,746,356


      $                4,577,004

      Waystar

      Unaudited Condensed Consolidated Statements of Cash Flows

      (in thousands)




      Nine months ended September 30,


      2025


      2024

      Cash flows from operating activities




      Net income/(loss)

      $                   92,101


      $               (38,204)

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




      Depreciation and amortization

      100,106


      148,635

      Stock-based compensation

      29,871


      47,400

      Provision for bad debt expense

      2,605


      1,642

      Loss on extinguishment of debt

      711


      20,277

      Deferred income taxes

      22,959


      (57,984)

      Amortization of debt discount and issuance costs

      2,021


      3,301

      Other

      —


      (99)

      Changes in:




      Accounts receivable

      (3,045)


      (13,445)

      Income tax refundable

      2,838


      2,227

      Prepaid expenses and other current assets

      (4,980)


      (1,714)

      Deferred costs

      (7,116)


      (14,389)

      Other long-term assets

      (2,362)


      (515)

      Accounts payable and accrued expenses

      10,580


      9,366

      Deferred revenue

      (1,863)


      (1,256)

      Operating lease right-of-use assets and lease liabilities

      (1,387)


      (244)

      Net cash provided by operating activities

      243,039


      104,998

      Cash flows from investing activities




      Purchase of property and equipment and capitalization of internally developed
         software costs

      (17,069)


      (21,044)

      Purchase of investment securities

      (206,444)


      —

      Proceeds from sale of investment securities

      206,444


      —

      Net cash used in investing activities

      (17,069)


      (21,044)

      Cash flows from financing activities




      Change in aggregated funds liability

      1,789


      7,433

      Proceeds from equity offering, net of underwriting discounts

      —


      1,017,074

      Payments of third-party IPO issuance costs

      —


      (3,372)

      Repurchase of shares

      —


      (844)

      Proceeds from issuance of common stock from employee equity plans

      22,439


      1,488

      Proceeds from issuances of debt, net of creditor fees

      —


      545,209

      Payments on debt

      (8,751)


      (1,550,002)

      Third-party fees paid in connection with issuance of new debt

      —


      (1,410)

      Finance lease liabilities paid

      (672)


      (611)

      Net cash provided by financing activities

      14,805


      14,965

      Increase in cash and cash equivalents during the period

      240,775


      98,919

      Cash and cash equivalents and restricted cash–beginning of period

      204,582


      45,428

      Cash and cash equivalents and restricted cash–end of period

      $               445,357


      $                144,347

      Supplemental disclosures of cash flow information




      Interest paid

      $                 59,303


      $                 101,189

      Cash taxes paid (refunds received), net

      9,439


      38,558

      Non-cash investing and financing activities




      Fixed asset purchases in accounts payable

      539


      586

      Unpaid third-party IPO issuance costs

      —


      50

      Reconciliation of Balance Sheet Cash Accounts to Cash Flow Statement




      Balance sheet




      Cash and cash equivalents

      421,056


      127,125

      Restricted cash

      24,301


      17,222

      Total

      445,357


      144,347

      Waystar

      Reconciliation of Adjusted EBITDA

      (in thousands) 

      (unaudited)








      Three months ended
      September 30,


      Nine months ended
      September 30,

      ($ in thousands)


      2025


      2024


      2025


      2024

      Net income/(loss)


      $   30,648


      $       5,413


      $     92,101


      $ (38,204)

      Interest expense


      17,515


      18,459


      54,670


      126,184

      Income tax expense/(benefit)


      12,069


      3,274


      43,516


      (17,398)

      Depreciation and amortization


      33,300


      60,185


      100,106


      148,635

      Stock-based compensation expense


      11,597


      7,903


      29,871


      47,400

      Acquisition and integration costs


      5,313


      188


      6,197


      696

      Costs related to amended debt agreements


      649


      106


      649


      12,876

      IPO related and Secondary Offering expenses


      1,372


      109


      4,571


      2,114

      Other (a)


      240


      1,040


      1,320


      1,040

      Adjusted EBITDA


      $   112,703


      $   96,677


      $ 333,001


      $ 283,343

      Revenue


      $  268,651


      $  240,112


      $ 795,740


      $ 699,447

      Net income/(loss) margin


      11.4 %


      2.3 %


      11.6 %


      (5.5) %

      Adjusted EBITDA margin


      42.0 %


      40.3 %


      41.8 %


      40.5 %



      (a)

      Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and $0.7 million, respectively, and executive severance totaling $0.0 million and $0.6 million, respectively, for the three and nine months ended September 30, 2025. For the three and nine months ended September 30, 2024, adjustments relate to additional lease costs due to the relocation of our Louisville office.

      Waystar

      Reconciliation of Non-GAAP Operating Expenses

      (in thousands)

      (unaudited)






      Three months ended
      September 30,


      Nine months ended 
      September  30,


      2025


      2024


      2025


      2024

      Cost of revenue (exclusive of depreciation and amortization expenses)

      85,136


      80,545


      255,525


      236,188

      Less Stock-based compensation expense

      (418)


      (300)


      (1,064)


      (2,161)

      Less Acquisition and integration costs

      (3)


      -


      (3)


      (31)

      Less IPO and Secondary Offering expenses

      -


      (4)


      -


      (9)

      Cost of revenue (exclusive of depreciation and amortization expenses), adjusted

      84,715


      80,241


      254,458


      233,987









      Sales and marketing

      45,158


      38,450


      128,805


      117,945

      Less Stock-based compensation expense

      (2,392)


      (1,587)


      (6,198)


      (10,958)

      Less Acquisition and integration costs

      (79)


      -


      (79)



      Less IPO and Secondary Offering expenses

      -


      94


      -


      (141)

      Sales and marketing, adjusted

      42,687


      36,957


      122,528


      106,846









      General and administrative

      32,422


      22,704


      84,914


      88,794

      Less Stock-based compensation expense

      (7,218)


      (4,832)


      (18,418)


      (27,043)

      Less Acquisition and integration costs

      (5,119)


      (86)


      (5,778)


      (272)

      Less Costs related to amended debt agreements

      (649)


      (106)


      (649)


      (12,876)

      Less IPO and Secondary Offering expenses

      (1,372)


      (200)


      (4,571)


      (1,956)

      Less Other (a)

      (240)


      (1,040)


      (1,320)


      (1,040)

      General and administrative, adjusted

      17,824


      16,440


      54,178


      45,607









      Research and development

      12,403


      11,082


      36,103


      37,303

      Less Stock-based compensation expense

      (1,569)


      (1,184)


      (4,191)


      (7,238)

      Less Acquisition and integration costs

      (112)


      (102)


      (337)


      (393)

      Less IPO and Secondary Offering expenses

      -


      1


      -


      (8)

      Research and development, adjusted

      10,722


      9,797


      31,575


      29,664









      Depreciation and amortization

      33,300


      60,185


      100,106


      148,635

      Less Other (a)

      -


      (15,776)


      -


      (15,776)

      Less Intangible amortization

      (27,851)


      (39,080)


      (84,081)


      (117,240)

      Depreciation and amortization, adjusted

      5,449


      5,329


      16,025


      15,619









      Income tax expense/(benefit)

      12,069


      3,274


      43,516


      (17,398)

      Plus Tax effect of adjustments

      9,875


      13,482


      26,605


      41,400

      Income tax expense/(benefit), adjusted

      21,944


      16,756


      70,121


      24,002



      (a)

      Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and $0.7 million, respectively, and executive severance totaling $0.0 million and $0.6 million, respectively, for the three and nine months ended September 30, 2025. For the three and nine months ended September 30, 2024, adjustments relate to additional lease costs due to the relocation of our Louisville office.

      Waystar

      Reconciliation of Non-GAAP Net Income 

      (in thousands, except share and per share amounts)

      (unaudited)








      Three months ended
      September 30,


      Nine months ended
      September 30,

      ($ in thousands)


      2025


      2024


      2025


      2024

      Net income/(loss)


      $          30,648


      $              5,413


      $            92,101


      $        (38,204)

      Stock based compensation


      11,597


      7,903


      29,871


      47,400

      Acquisition and integration costs


      5,313


      188


      6,197


      696

      Costs related to amended debt agreements


      649


      106


      649


      12,876

      IPO and Secondary Offering expenses


      1,372


      109


      4,571


      2,114

      Other (a)


      240


      16,816


      1,320


      16,816

      Intangible amortization


      27,851


      39,080


      84,081


      117,240

      Tax effect of adjustments


      (9,875)


      (13,482)


      (26,605)


      (41,400)

      Non-GAAP net income/(loss)


      $           67,795


      $            56,133


      $          192,185


      $         117,538










      Non-GAAP net income/(loss) per share:









      Basic


      $                0.39


      $                0.33


      $                 1.11


      $               0.83

      Diluted


      $                0.37


      $                0.32


      $                 1.06


      $               0.80

      Weighted-average shares outstanding:









      Basic


      174,352,079


      171,578,311


      173,388,077


      142,367,458

      Diluted


      181,240,033


      176,181,511


      181,165,738


      146,843,861



      (a)

      Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and $0.7 million, respectively, and executive severance totaling $0.0 million and $0.6 million, respectively, for the three and nine months ended September 30, 2025. For the three and nine months ended September 30, 2024, adjustments relate to additional lease costs due to the relocation of our Louisville office.

      Waystar

      Reconciliation of Unlevered Free Cash Flow

      (in thousands)

      (unaudited)





      Three months ended
      September 30,

      Nine months ended
      September 30,


      2025


      2024

      2025


      2024

      Net cash provided by operating activities

      82,030


      78,818

      243,039


      104,998

      Interest paid

      19,558


      18,925

      59,303


      101,189

      Purchase of PP&E and capitalization of internally developed software costs

      (5,876)


      (8,616)

      (17,069)


      (21,044)

      Unlevered free cash flow

      95,712


      89,127

      285,273


      185,143

      Waystar

      Reconciliation of Net Debt

      (in thousands)

      (unaudited)




      September 30,


      2025


      2024

      First lien term loan facility outstanding debt, current

      11,668


      12,909

      First lien term loan facility outstanding debt, net of current portion

      1,143,127


      1,153,864

      Receivables facility outstanding debt

      80,000


      80,000

      Cash and cash equivalents

      (421,056)


      (127,125)

      Net debt

      813,739


      1,119,648





      Trailing Twelve Months Adjusted EBITDA

      433,154


      369,587





      Adjusted Gross leverage ratio

      2.9x


      3.4x

      Adjusted Net leverage ratio

      1.9x


      3.0x

      Waystar

      Reconciliation of Trailing Twelve Months (TTM) Adjusted EBITDA

      (in thousands)

      (unaudited)






      Three Months Ended


      TTM


      September 30,
      2025


      June 30,
      2025


      March 31,
      2025


      December 31,
      2024


      September 30,
      2025

      Net income/(loss)

      30,648


      32,184


      29,269


      19,079


      111,180

      Interest expense

      17,515


      18,255


      18,900


      20,086


      74,756

      Income tax expense/(benefit)

      12,069


      14,407


      17,040


      13,978


      57,494

      Depreciation and amortization

      33,300


      33,426


      33,380


      37,996


      138,102

      Stock-based compensation expense

      11,597


      11,530


      6,744


      7,037


      36,908

      Acquisition and integration costs

      5,313


      655


      229


      163


      6,360

      Costs related to amended debt agreements

      649


      -


      -


      1,262


      1,911

      IPO and Secondary Offering expenses

      1,372


      1,769


      1,430


      26


      4,597

      Other (a)

      240


      326


      754


      526


      1,846

      Adjusted EBITDA

      112,703


      112,552


      107,746


      100,153


      433,154



      (a)

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

      Media Contact
      Kristin Lee
      [email protected]

      Investor Contact
      Sue Dooley
      [email protected]

      SOURCE Waystar

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