Healthequity Inc ((HQY)) has held its Q3 earnings call. Read on for the main highlights of the call.
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HealthEquity Inc. recently held its earnings call, showcasing a robust financial performance and strategic growth initiatives. The overall sentiment was positive, with the company expressing optimism about future growth despite facing some macroeconomic challenges and potential pricing pressures. HealthEquity remains confident in its ability to navigate these challenges and benefit from legislative support.
Impressive Financial Growth
HealthEquity reported a remarkable financial performance with a 7% increase in revenue, an 806% surge in net income, and a 20% rise in adjusted EBITDA year over year. The company achieved a gross margin of 71% and an adjusted EBITDA margin of 40%, highlighting its strong operational efficiency.
HSA and Account Growth
The company ended the third quarter with over 17 million total accounts, including more than 10 million Health Savings Accounts (HSAs). HSA balances grew by 8%, contributing to a 15% increase in HSA assets, underscoring HealthEquity’s success in expanding its account base.
Successful Launch of New Platforms
HealthEquity launched a new direct HSA enrollment platform and expanded its HealthEquity Marketplace platform. These initiatives aim to provide more accessible and affordable healthcare solutions, further solidifying the company’s market position.
Strong Balance Sheet and Cash Flow
With $309 million in cash on hand and $339 million generated from operations in the first nine months of fiscal ’26, HealthEquity demonstrates a strong financial foundation. The company also repurchased $94 million of shares, with $259 million remaining on the repurchase authorization.
Positive Legislative Environment
The company is optimistic about the legislative environment, as policymakers in Washington are considering expanding HSA availability. This aligns with HealthEquity’s mission to empower healthcare consumers and could provide additional growth opportunities.
Investment in Security and AI
HealthEquity has invested in fraud prevention, AI service technologies, and secure mobile experiences. These investments have resulted in fraud costs below targets and improved service margins, enhancing the company’s operational resilience.
Challenges in Macro Environment
Despite its strong performance, HealthEquity acknowledges macroeconomic uncertainties, such as a soft labor market, which could impact new member growth and overall industry dynamics.
Potential Pricing Pressure
The company anticipates pricing pressure at the high end of the market, which may affect revenue profiles for certain account types. HealthEquity is actively working to mitigate these potential impacts.
Forward-Looking Guidance
Looking ahead, HealthEquity has raised its outlook for fiscal 2026, anticipating revenue between $1.302 billion and $1.312 billion. The company expects GAAP net income between $197 million and $205 million and adjusted EBITDA between $555 million and $565 million. HealthEquity remains focused on helping members save, spend, and invest more effectively for their health while addressing rising healthcare costs.
In summary, HealthEquity’s earnings call reflected a strong financial performance and strategic growth initiatives, with an optimistic outlook for the future. Despite macroeconomic challenges and potential pricing pressures, the company is well-positioned to continue its growth trajectory, supported by legislative developments and strategic investments.

