Revenue and EBITDA Outperformance
Total revenue of $244.7M in Q1, up 5.8% year-over-year; adjusted EBITDA of $146.9M, up 3.4% year-over-year, representing a 60% EBITDA margin. Management raised the bottom end of full-year revenue guide to $985M–$1.0B and maintained full-year adjusted EBITDA guidance of $605M–$615M (61%–62% margins).
Strong ACV Bookings and Sales Momentum
Q1 ACV bookings of $44.1M toward a $80M–$100M 2026 ACV target (20%–50% growth vs. last year). Pipeline growth +70% year-over-year; closed 19 deals >$100K ACV and 9 deals >$1M ACV (350% increase in 7-figure deals). Average deal size more than doubled, with 73% of bookings from cross-sell/upsell and 27% from net-new clients; pipeline coverage improved to ~4.8x.
Material Cash Flow Improvement
Generated $36.8M of unlevered free cash flow in Q1, up 181% year-over-year (+$23.7M). Company reiterates positive free cash flow for the year and capital spending guidance of $160M–$170M.
Core Product Strength and Mix Benefits
Claims intelligence flagship (Data iSight) contributed to growth, with that service line up 8.4% in the quarter. Network and payment integrity lines performed at or slightly above expectations. Management notes PSAV modest volume declines were more than offset by favorable rate/mix and higher-acuity claims driving savings per claim.
Strategic Customer Wins and Market Expansion
Signed agreement with GDIT to provide a custom network for the World Trade Center Health Program (entry into public sector) and closed a contract with a top-5 health system (operator of >700 facilities). The top-5 health system win was enabled by the Q4 acquisition of OPCG, supporting the newly launched services offering.
AI-Driven Operational Efficiency and Automation Wins
AI/code tools nearly doubled engineering coding capacity without headcount increase. Built a provider contact agent that reduces process time by >50% and saved >2,000 hours. Automated invoice extraction/reconciliation to handle thousands of invoices daily with nearly 100% accuracy, freeing resources and reducing costs.
Improving Visibility into Future Revenue
Management expects ACV conversion to revenue in ~6–12 months; Q1 pipeline provides visibility to hit bookings and revenue targets. Forecasts sequentially flat Q2, and 3%–5% growth in the second half as new ACV ramps into revenue, supporting the full-year guide.