10-Q: Waystar Holding Corp. Reports Strong Q1 2025 Results, Driven by Revenue Growth and Reduced Debt

• Waystar Holding Corp. reported a revenue of $256.4 million for the three months ended March 31, 2025, reflecting a 14.1% increase compared to the same period in the prior year.
• Net income for the quarter was $29.3 million, a significant improvement from the net loss of $15.9 million reported for the same period in 2024.
• Adjusted EBITDA increased by 16.2% to $107.7 million, compared to $92.8 million in the prior year.
• The company's Net Revenue Retention Rate for the twelve months ended March 31, 2025, was 113.5%.
• Waystar had 1,244 clients generating over $100,000 in revenue for the twelve months ended March 31, 2025.
• Interest expenses decreased significantly due to debt repayments made using proceeds from the IPO.
• The company capitalized $4.5 million in software development costs during the quarter.
• The company entered into two new interest rate swaps on April 1, 2025 and April 9, 2025 to further mitigate the risk of a rise in interest rates on our First Lien Credit Facility.

Score: 8

Explanation: The document presents a positive outlook with strong financial results, revenue growth, and improved profitability. The company is actively managing its debt and interest rate risk, and its Net Revenue Retention Rate indicates high customer satisfaction. However, increased costs of revenue and sales and marketing expenses are areas to monitor.

• Significant revenue growth of 14.1% indicates strong market demand for Waystar's solutions.
• The return to profitability with a net income of $29.3 million is a positive sign for the company's financial health.
• The high Net Revenue Retention Rate of 113.5% demonstrates strong customer loyalty and the effectiveness of upselling and cross-selling strategies.
• The decrease in interest expense due to debt repayment improves the company's financial flexibility.
• The company is actively managing interest rate risk by entering into interest rate swaps.
• The company amended the Stockholders Agreement in order to permit the expansion of the Board of Directors of the Company to twelve directors and to revise the director resignation notice requirements applicable to EQT Director Nominees, CPPIB Director Nominees and Bain Director Nominees under certain circumstances.

• Cost of revenue increased by 10.8%, driven by higher transaction volumes and associated third-party costs.
• Sales and marketing expenses increased by 18.8%, driven by an increase in channel partner fees and amortization of the internal sales commission deferred contract costs assets associated with revenue growth.

• The company operates in a highly competitive industry.
• The company's ability to retain existing clients and attract new clients is crucial for future growth.
• The company's growth depends on the growth and success of its clients and overall healthcare transaction volumes.
• The company is subject to risks related to cybersecurity and data protection.
• The company is subject to a complex and evolving healthcare regulatory and political framework.
• Interest rate fluctuations could impact the company's financial performance.

The company expects provider solutions will continue to generate the substantial majority of total revenue, although the revenue mix attributable to patient payment solutions is expected to increase slightly over time. The company believes that its existing unrestricted cash on hand, expected future cash flows from operations, and additional borrowings will provide sufficient resources to fund its operating requirements, as well as future capital expenditures, debt service requirements, and investments in future growth for at least the next 12 months.

• The company leverages AI as well as proprietary, advanced algorithms to automate payment-related workflow tasks and drive continuous improvement.
• The company's business model is designed such that as our clients grow to serve more patients, their claims and transactional volumes increase, resulting in corresponding growth in our business.

The company benefited from a competitor's cybersecurity incident, gaining new clients and accelerating implementation timelines. The company's platform benefits from powerful network effects, with each transaction providing additional data insights across providers, patients, and payers.

• The company's Net Revenue Retention Rate of 113.5% is strong compared to industry standards for SaaS companies, indicating high customer satisfaction and effective upselling.
• Comparable companies in the healthcare technology sector include R1 RCM, Change Healthcare (now part of Optum), and athenahealth.
• The company's focus on AI and automation aligns with industry trends towards improving efficiency and accuracy in healthcare payments.
• The company's growth in both subscription and volume-based revenue is a positive indicator of its ability to capture market share and expand its customer base.

• Shareholders: The strong financial results and improved profitability are positive for shareholders.
• Employees: The company's growth and success create opportunities for employees.
• Customers: The company's focus on innovation and customer satisfaction benefits its clients.
• Suppliers: The company's growth and success create opportunities for its suppliers.
• Creditors: The company's strong financial position reduces credit risk for its lenders.

• The company will continue to focus on expanding its relationship with existing clients.
• The company will continue to grow its client base.
• The company will continue to invest in research and development to maintain its product leadership.

• At March 31, 2025 and December 31, 2024, we had $43.8 million and $35.6 million, respectively, of outstanding debt as part of the first lien term loan facility from Bain Affiliated Funds and CPPIB Credit Investments III Inc., affiliates of Bain Capital LP and Canada Pension Plan Investment Board (Affiliated Debtholders).
• Canada Pension Plan Investment Board has an ownership interest in us and a significant interest in the landlord that leases us office space under an operating lease agreement in Houston, Texas.
• Bain Capital LP has an ownership interest in us and a significant interest in some clients for whom we provide software solutions. They also have an ownership interest in us and a significant interest in two vendors that provide us with software solutions.

• October 22, 2019: Board of Directors approved the Waystar Holding Corp. 2019 Stock Incentive Plan
• August 13, 2021: Receivables financing agreement date
• January 13, 2023: Entered into an interest rate swap
• February 2024: Cybersecurity incident involving one of Waystar's competitors
• February 18, 2025: 2024 Form 10-K filed with the SEC
• February 24, 2025: Institutional Investors closed an underwritten public offering of 23,000,000 shares of our common stock
• March 1, 2025: Initial offering period for the ESPP
• March 31, 2025: End of Q1 2025
• April 1, 2025: Entered into a new interest rate swap
• April 9, 2025: Entered into a new interest rate swap
• April 10, 2025: Amendment No. 1 to the Stockholders Agreement
• April 21, 2025: The registrant had outstanding 173,018,999 shares of common stock
• April 30, 2025: Date of report filing
• June 6, 2024: Effective date of the Waystar Holding Corp. 2024 Equity Incentive Plan and Employee Stock Purchase Plan
• June 10, 2024: Company's amended and restated certificate of incorporation became effective
• June 30, 2025: Purchase date for the initial offering period for the ESPP
• October 31, 2026: All principal under the Receivables Facility is due
• October 22, 2029: Remaining balance on the First Lien Credit Facility is to be paid