Health Catalyst Reports First Quarter 2022 Results

Rhea-AI Summary

Health Catalyst, Inc. (HCAT) reported Q1 2022 financial results, showing a 22% year-over-year revenue increase to $68.1 million, exceeding guidance. Adjusted EBITDA reached $671,000, a significant turnaround from a $(837,000) loss a year prior. Technology revenue rose 25% to $42.2 million, while professional services revenue grew 17% to $25.9 million. The net loss decreased by 21% to $22.5 million, highlighting improved operational efficiency amid labor market challenges. The company aims for continued growth and stability as it marks its third year as a public entity.

Positive

• Total revenue increased by 22% year-over-year to $68.1 million.
• Technology revenue grew by 25% to $42.2 million.
• Adjusted EBITDA improved to $671,000, reversing a $(837,000) loss from the previous year.
• Net loss reduced by 21% to $22.5 million.
• Achieved Adjusted EBITDA breakeven as committed during the IPO.

Negative

• Loss from operations remained stable at $(24.3 million), indicating ongoing operational costs.

SALT LAKE CITY, May 10, 2022 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq: HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today reported financial results for the quarter ended March 31, 2022.

“In the first quarter of 2022, I am pleased to share that we began the year by achieving strong performance across our business, including exceeding the mid-point of our quarterly guidance for both revenue and Adjusted EBITDA,” said Dan Burton, CEO of Health Catalyst. “Stepping back, we have now reported as a public company for twelve quarters following our IPO in July 2019. As I reflect on this experience, I am extremely proud of the track record we have demonstrated related to our actual quarterly revenue and Adjusted EBITDA performance over this time period relative to the guidance we have provided. This consistency of performance was something we as a management team set as an objective, several years before going public, and we are pleased to have delivered this level of consistency during our first three years as a public company. Likewise, I want to acknowledge how proud I am of our company for achieving positive Q1 2022 Adjusted EBITDA. At the time of our IPO, almost three years ago, we made a commitment to our investors to reach Adjusted EBITDA breakeven entering the year 2022. Despite a global pandemic and realizing meaningful wage pressure within a tightening labor market, we delivered on this milestone, due to our team members’ hard work and unrelenting commitment to our mission.”

Financial Highlights for the Three Months Ended March 31, 2022

Key Financial Metrics
	Three Months Ended March 31,								Year over Year Change
		2022				2021
GAAP Financial Data:	(in thousands, except percentages, unaudited)
Technology revenue	$	42,230			$	33,839			25%
Professional services revenue	$	25,857			$	22,007			17%
Total revenue	$	68,087			$	55,846			22%
Loss from operations	$	(24,347	)		$	(24,317	)		—%
Net loss	$	(22,458	)		$	(28,370	)		21%
Other Non-GAAP Financial Data:(1)
Adjusted Technology Gross Profit	$	29,598			$	23,388			27%
Adjusted Technology Gross Margin		70	%			69	%
Adjusted Professional Services Gross Profit	$	7,574			$	6,929			9%
Adjusted Professional Services Gross Margin		29	%			31	%
Total Adjusted Gross Profit	$	37,172			$	30,317			23%
Total Adjusted Gross Margin		55	%			54	%
Adjusted EBITDA	$	671			$	(837	)		180%

 ________________________

(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP). See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial measures, including the limitations of such measures, and for a reconciliation of each measure to the most directly comparable measure calculated in accordance with GAAP.

Financial Outlook

Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure.

For the second quarter of 2022, we expect:

• Total revenue between $68.0 million and $71.0 million, and

• Adjusted EBITDA between $(1.5) million and $0.5 million

For the full year of 2022, we expect:

• Total revenue between $287.8 million and $292.8 million, and

• Adjusted EBITDA between $(4.0) million and $(2.0) million

We have not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and have not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably forecasted.

Quarterly Conference Call Details

The company will host a conference call to review the results today, Tuesday, May 10, 2022, at 5:00 p.m. E.T. The conference call can be accessed by dialing 1-877-295-1104 for U.S. participants, or 1-470-495-9486 for international participants, and referencing participant code 2480316. A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Health Catalyst

Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.

Available Information

Health Catalyst intends to use its Investor Relations website as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth, and our financial outlook for Q2 and fiscal year 2022. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market or industry conditions, regulatory environment and receptivity to our technology and services; (iii) results of litigation or a security incident; (iv) the loss of one or more key customers or partners; (v) the impact of COVID-19 on our business and results of operations; and (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2022 expected to be filed with the SEC on or about May 10, 2022 and the Annual Report on Form 10-K for the year ended December 31, 2021 filed with the SEC on March 1, 2022. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

Condensed Consolidated Balance Sheets
(in thousands, except share and per share data, unaudited)

	As of March 31,				As of December 31,
		2022				2021
	(unaudited)
Assets
Current assets:
Cash and cash equivalents	$	198,428			$	193,227
Short-term investments		226,991				251,754
Accounts receivable, net		42,627				48,801
Prepaid expenses and other assets		14,448				14,609
Total current assets		482,494				508,391
Property and equipment, net		24,889				23,316
Intangible assets, net		112,169				104,788
Operating lease right-of-use assets		20,610				21,133
Goodwill		180,336				169,972
Other assets		4,421				4,496
Total assets	$	824,919			$	832,096
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable	$	5,865			$	4,693
Accrued liabilities		20,226				23,725
Deferred revenue		61,799				56,632
Operating lease liabilities		3,384				3,425
Contingent consideration liabilities		1,379				4,576
Total current liabilities		92,653				93,051
Convertible senior notes, net of current portion		225,397				180,942
Deferred revenue, net of current portion		631				929
Operating lease liabilities, net of current portion		19,699				20,244
Contingent consideration liabilities, net of current portion		5,515				14,719
Other liabilities		115				113
Total liabilities		344,010				309,998
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.001 par value per share; 25,000,000 shares authorized and no shares issued and outstanding as of March 31, 2022 and December 31, 2021		—				—
Common stock, $0.001 par value per share; 500,000,000 shares authorized as of March 31, 2022 and December 31, 2021; 53,493,683 and 52,622,080 shares issued and outstanding as of March 31, 2022 and December 31, 2021, respectively		53				53
Additional paid-in capital		1,365,197				1,400,972
Accumulated deficit		(884,078	)			(878,860	)
Accumulated other comprehensive loss		(263	)			(67	)
Total stockholders’ equity		480,909				522,098
Total liabilities and stockholders’ equity	$	824,919			$	832,096

Condensed Consolidated Statements of Operations
(in thousands, except per share data, unaudited)

	Three Months Ended March 31,
		2022				2021
	(in thousands)
Revenue:
Technology	$	42,230			$	33,839
Professional services		25,857				22,007
Total revenue		68,087				55,846
Cost of revenue, excluding depreciation and amortization shown below:
Technology(1)(2)		13,327				10,825
Professional services(1)(2)		20,669				16,513
Total cost of revenue, excluding depreciation and amortization		33,996				27,338
Operating expenses:
Sales and marketing(1)(2)		20,818				15,651
Research and development(1)(2)		17,148				14,345
General and administrative(1)(2)		8,823				15,015
Depreciation and amortization		11,649				7,814
Total operating expenses		58,438				52,825
Loss from operations		(24,347	)			(24,317	)
Interest and other expense, net		(1,662	)			(3,952	)
Loss before income taxes		(26,009	)			(28,269	)
Income tax provision (benefit)(2)		(3,551	)			101
Net loss	$	(22,458	)		$	(28,370	)
Net loss per share, basic	$	(0.42	)		$	(0.65	)
Net loss per share, diluted	$	(0.54	)		$	(0.65	)
Weighted-average shares outstanding used in calculating net loss per share, basic		53,007				43,870
Weighted-average shares outstanding used in calculating net loss per share, diluted		53,215				43,870
Adjusted net loss	$	(2,967	)		$	(2,753	)
Adjusted net loss per share, basic and diluted(3)	$	(0.06	)		$	(0.06	)

_______________
(1)   Includes stock-based compensation expense as follows:

	Three Months Ended March 31,
		2022			2021
Stock-Based Compensation Expense:	(in thousands)
Cost of revenue, excluding depreciation and amortization:
Technology	$	589		$	374
Professional services		2,167			1,435
Sales and marketing		7,013			4,818
Research and development		3,090			2,257
General and administrative		5,261			4,626
Total	$	18,120		$	13,510

(2)   Includes acquisition-related costs (benefit), net, as follows:

	Three Months Ended March 31,
		2022				2021
Acquisition-related costs (benefit), net:	(in thousands)
Cost of revenue, excluding depreciation and amortization:
Technology	$	106			$	—
Professional services		219				—
Sales and marketing		397				—
Research and development		558				—
General and administrative		(6,031	)			2,156
Income tax provision (benefit)		(3,600	)			—
Total	$	(8,351	)		$	2,156

(3)   Includes non-GAAP adjustments to net loss. Refer to the "Non-GAAP Financial Measures—Adjusted Net Loss Per Share" section below for further details.

Condensed Consolidated Statements of Cash Flows
(in thousands, unaudited)

	Three Months Ended March 31,
		2022				2021
Cash flows from operating activities
Net loss	$	(22,458	)		$	(28,370	)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense		18,120				13,510
Depreciation and amortization		11,649				7,814
Non-cash operating lease expense		819				965
Investment discount and premium amortization		398				417
Amortization of debt discount and issuance costs		374				2,870
Provision for expected credit losses		200				300
Deferred tax provision (benefit)		(3,598	)			2
Payment of acquisition-related contingent consideration		(741	)			—
Change in fair value of contingent consideration liabilities		(8,424	)			2,156
Other		(49	)			(34	)
Change in operating assets and liabilities:
Accounts receivable, net		6,019				2,090
Prepaid expenses and other assets		437				(2,173	)
Accounts payable, accrued liabilities, and other liabilities		(4,812	)			(5,352	)
Deferred revenue		4,106				3,745
Operating lease liabilities		(882	)			(1,083	)
Net cash provided by (used) in operating activities		1,158				(3,143	)
Cash flows from investing activities
Proceeds from the sale and maturity of short-term investments		80,960				53,240
Purchase of short-term investments		(56,719	)			(8,621	)
Acquisition of business, net of cash acquired		(18,509	)			—
Capitalization of internal-use software		(3,261	)			(887	)
Purchase of intangible assets		(463	)			(480	)
Purchase of property and equipment		(356	)			(5,882	)
Proceeds from the sale of property and equipment		4				6
Net cash provided by investing activities		1,656				37,376
Cash flows from financing activities
Proceeds from exercise of stock options		1,809				6,488
Proceeds from employee stock purchase plan		1,509				1,349
Payments of acquisition-related consideration		(930	)			(1,391	)
Net cash provided by financing activities		2,388				6,446
Effect of exchange rate changes on cash and cash equivalents		(1	)			(6	)
Net increase in cash and cash equivalents		5,201				40,673
Cash and cash equivalents at beginning of period		193,227				91,954
Cash and cash equivalents at end of period	$	198,428			$	132,627

Non-GAAP Financial Measures

To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Net Loss, and Adjusted Net Loss per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies. We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes.

We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure 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 these 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.

Adjusted Gross Profit and Adjusted Gross Margin

Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization, adding back stock-based compensation, and acquisition-related costs, net. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three months ended March 31, 2022 and 2021:

	Three Months Ended March 31, 2022
	(in thousands, except percentages)
	Technology				Professional Services				Total
Revenue	$	42,230			$	25,857			$	68,087
Cost of revenue, excluding depreciation and amortization		(13,327	)			(20,669	)			(33,996	)
Gross profit, excluding depreciation and amortization		28,903				5,188				34,091
Add:
Stock-based compensation		589				2,167				2,756
Acquisition-related costs, net		106				219				325
Adjusted Gross Profit	$	29,598			$	7,574			$	37,172
Gross margin, excluding depreciation and amortization		68	%			20	%			50	%
Adjusted Gross Margin		70	%			29	%			55	%

	Three Months Ended March 31, 2021
	(in thousands, except percentages)
	Technology				Professional Services				Total
Revenue	$	33,839			$	22,007			$	55,846
Cost of revenue, excluding depreciation and amortization		(10,825	)			(16,513	)			(27,338	)
Gross profit, excluding depreciation and amortization		23,014				5,494				28,508
Add:
Stock-based compensation		374				1,435				1,809
Adjusted Gross Profit	$	23,388			$	6,929			$	30,317
Gross margin, excluding depreciation and amortization		68	%			25	%			51	%
Adjusted Gross Margin		69	%			31	%			54	%

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other expense, net, (ii) income tax (benefit) provision, (iii) depreciation and amortization, (iv) stock-based compensation, and (v) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three months ended March 31, 2022 and 2021:

	Three Months Ended March 31,
		2022				2021
	(in thousands)
Net loss	$	(22,458	)		$	(28,370	)
Add:
Interest and other expense, net		1,662				3,952
Income tax provision (benefit)		(3,551	)			101
Depreciation and amortization		11,649				7,814
Stock-based compensation		18,120				13,510
Acquisition-related costs, net(1)		(4,751	)			2,156
Adjusted EBITDA	$	671			$	(837	)

_______________
(1)   Acquisition-related costs, net includes third party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments. For additional details refer to Note 2 in our condensed consolidated financial statements.

Adjusted Net Loss Per Share

Adjusted Net Loss is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities and the deferred tax valuation allowance release from the acquisition of KPI Ninja, and (iv) non-cash interest expense related to our convertible senior notes. We believe Adjusted Net Loss provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance.

	Three Months Ended March 31,
		2022				2021
Numerator:	(in thousands, except share and per share amounts)
Net loss attributable to common stockholders	$	(22,458	)		$	(28,370	)
Add:
Stock-based compensation		18,120				13,510
Amortization of acquired intangibles		9,348				7,081
Acquisition-related costs, net(1)		(8,351	)			2,156
Non-cash interest expense related to convertible senior notes		374				2,870
Adjusted Net Loss	$	(2,967	)		$	(2,753	)
Denominator:
Weighted-average number of shares used in calculating net loss, basic		53,006,704				43,870,288
Weighted-average number of shares used in calculating net loss, diluted		53,215,030				43,870,288
Adjusted net loss per share, basic and diluted	$	(0.06	)		$	(0.06	)

______________
(1)   Acquisition-related costs, net includes third party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, changes in fair value of contingent consideration liabilities for potential earn-out payments, and the deferred tax valuation allowance release from the acquisition of KPI Ninja. For additional details refer to Note 2 in our condensed consolidated financial statements.

Health Catalyst Investor Relations Contact:
Adam Brown
Senior Vice President, Investor Relations and FP&A
+1 (855)-309-6800
ir@healthcatalyst.com

Health Catalyst Media Contact:
Amanda Hundt
Vice President, Corporate Communications
amanda.hundt@healthcatalyst.com
+1 (575) 491-0974

FAQ

What were Health Catalyst's Q1 2022 revenue results?

Health Catalyst reported Q1 2022 revenue of $68.1 million, a 22% increase year-over-year.

How did Health Catalyst's Adjusted EBITDA perform in Q1 2022?

Adjusted EBITDA for Q1 2022 was $671,000, a significant improvement from a $837,000 loss in Q1 2021.

What is the stock symbol for Health Catalyst?

Health Catalyst's stock symbol is HCAT.

How did the net loss change for Health Catalyst in Q1 2022?

The net loss in Q1 2022 was $22.5 million, down 21% from $28.4 million in Q1 2021.

What was the year-over-year change in professional services revenue for Health Catalyst?

Professional services revenue increased by 17% year-over-year to $25.9 million in Q1 2022.