Record Revenue and Adjusted EBITDA
Full-year 2025 revenue of $1.29 billion and adjusted EBITDA of $222 million, both up double digits versus 2024; results were nearly $90 million (revenue) and $28 million (adjusted EBITDA) above the midpoint of original 2025 guidance.
Strong Operating Cash Flow and Balance Sheet
Record operating cash flow of $210 million in 2025, an increase of ~17% year-over-year (Mark cited a $31 million increase); total working capital approx. $350 million including $310 million in cash and marketable securities; no debt and no borrowings on $200 million revolver.
Revenue Growth Trends (Reported and Adjusted)
Q4 revenue growth was 7% as-reported (or 21% excluding a large former client). Full-year revenue grew 10% as-reported (or 20% excluding the transition client). 2026 revenue guidance of $1.355B–$1.405B implies +5.1% to +9% growth (or +9.3% to +13.3% excluding the transition client).
Gross Margin and Profitability Expansion
Nearly 200 basis points expansion in full-year gross margin versus 2024, reflecting care-management and scale efficiencies. Adjusted EBITDA margins modestly improved in both Q4 and FY 2025 despite continued investments.
High Client Retention, Upsells and Member Access Expansion
Near 100% client retention including all largest employers; 30% of the client base expanded benefits for 2026 via upsells and service enhancements; over 2.7 million members will have access to new pregnancy, postpartum and menopause services in 2026.
Capital Allocation — Share Repurchases
Repurchased >3.3 million shares (~$84 million) during the quarter and ~6.5 million shares total to date, with >$40 million remaining under a $200 million authorization.
Product and Market Expansion Initiatives
Announced Progyny Select targeting the 50 million fully insured lives market (pricing designed with guardrails); Progyny Rx continues to include point-of-sale rebates and management sees no employer pushback to date. Select is expected to contribute financially starting in 2027.