Earnings Releases·Nov 2, 2026, 4:01 PM ET

Waystar Holding Corp. — Third Quarter 2026 Earnings Summary

Q3 2026 revenue rose 21% year-over-year to $325.6 million, driven by a 34% increase in subscription revenue and a 28% rise in provider revenue, while GAAP net income reached $31.0 million ($0.16 per share) and Non-GAAP net income was $87.1 million ($0.44 per share).
The company reaffirmed full-year 2026 guidance, projecting total revenue between $1.277 billion and $1.287 billion, Adjusted EBITDA between $543 million and $549 million, and Non-GAAP net income between $322 million and $337 million.
Net revenue retention remained strong at 108% with 1,488 clients contributing over $100,000 in trailing twelve-month revenue, as the firm deepens platform adoption through AI capabilities and serves approximately 60% of U.S. patients.
Capital allocation included $33.5 million in common stock repurchases over the first nine months, while net debt increased to $1.19 billion and adjusted net leverage rose to 2.2x compared to 1.9x in the prior year period.
Financial results were impacted by a cybersecurity incident costing $1.4 million in Q3 and $3.0 million year-to-date, alongside executive severance costs of $1.1 million in the quarter, though management cited robust bookings and healthy demand.