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Health Catalyst (HCAT)
NASDAQ:HCAT
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Health Catalyst (HCAT) AI Stock Analysis

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HCAT

Health Catalyst

(NASDAQ:HCAT)

Rating:49Neutral
Price Target:
$3.50
▲(3.55% Upside)
Health Catalyst's overall stock score reflects significant challenges in financial performance, with ongoing profitability issues and negative cash flows. The technical analysis indicates a bearish trend, while the valuation is unattractive due to a negative P/E ratio. Despite positive strategic initiatives and earnings call highlights, macroeconomic challenges and funding cuts weigh heavily on the company's outlook.
Positive Factors
Corporate Culture
Conversations with Health Catalyst employees reinforced the view of the company’s unique corporate culture, which is seen as core to the company’s long-term growth model.
Leadership
CEO Dan Burton is an excellent leader who has built a good company.
Technology and AI
Health Catalyst is shifting the business to high-margin technology and integrating AI more heavily into its offerings, reducing reliance on lower-margin professional services.
Negative Factors
CEO Transition
CEO Dan Burton, the founder, will be stepping down, which has contributed to the stock pulling back significantly.
Revenue Guidance
Health Catalyst cut its revenue guidance for the year, removing all organic growth from its outlook.
Revenue Performance
Health Catalyst's bookings for the first half of the year were disappointing, impacting its financial outlook.

Health Catalyst (HCAT) vs. SPDR S&P 500 ETF (SPY)

Health Catalyst Business Overview & Revenue Model

Company DescriptionHealth Catalyst, Inc. provides data and analytics technology and services to healthcare organizations. Its offerings include data and analytics platform, a commercial-grade data and analytics platform for the healthcare sector; AI and data science, providing integration of AI into existing business intelligence tools, increasing analytics accuracy; population health management identifies improvement across the care continuum as well as actionable guidance for success and automated workflows; financial transformation providing costing and labor productivity insights and revenue capture; quality and safety improvement using clinical quality and patient safety data, analytics, and expert services; and national data ecosystem for thought leadership and mutual knowledge exchange to transform care delivery through next-gen insights. The company was formerly known as HQC Holdings, Inc. and changed its name to Health Catalyst, Inc. in March 2017. Health Catalyst, Inc. was founded in 2008 and is based in South Jordan, Utah.
How the Company Makes MoneyHealth Catalyst generates revenue primarily through a subscription-based model for its software solutions, which includes licensing fees for its data operating system and analytics applications. Additionally, the company earns revenue from consulting services that assist healthcare organizations in implementing and optimizing its technologies. Key revenue streams also include maintenance and support services, as well as professional services tailored to specific client needs. Significant partnerships with healthcare providers and payers, along with ongoing contracts for software and consulting services, contribute to its earnings. The company also benefits from a growing demand for data-driven solutions in the healthcare industry, which further enhances its revenue potential.

Health Catalyst Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Neutral
The earnings call reflects a mix of positive performance metrics and strategic initiatives aimed at improving profitability, alongside significant challenges due to macroeconomic factors and funding cuts impacting revenue growth and client contracts.
Q2-2025 Updates
Positive Updates
Outperformance in Q2 2025 Revenue and EBITDA
Q2 2025 revenue was $80.7 million and adjusted EBITDA was $9.3 million, both outperforming guidance.
Technology Segment Growth
The Technology segment recorded an 11% revenue growth year-over-year in Q2 2025.
Strong Relationships with Top Clients
Health Catalyst maintained ongoing relationships with 98 out of its 100 largest platform clients by technology revenue from year-end 2024.
Profitability Improvement Initiatives
Restructuring efforts and renegotiation of contracts expected to improve profitability by over $40 million on an annualized basis.
Focus on High-Margin Application Revenue
Applications revenue, which produces a gross margin of over 80% and an adjusted EBITDA margin of 30%, grew more than 20% year-over-year.
Positive Adjusted EBITDA Guidance
Q3 adjusted EBITDA is guided at $10.5 million, representing 44% growth year-over-year, with a run rate of $60 million going into 2026.
Negative Updates
Revenue Guidance Revision
Full-year 2025 revenue guidance revised down to $310 million due to Medicaid and research funding cuts.
Lower Dollar-Based Retention
Expected dollar-based retention for 2025 revised down to the low 90s due to clients pocketing savings from Ignite migrations.
Reduced New Client Additions
Expectation for net new platform clients in 2025 reduced to 30 due to delays in signing new contracts.
Professional Services Revenue Decline
Professional services revenue for Q2 2025 decreased by 1% year-over-year.
Macro Challenges and Funding Cuts Impact
Significant impact from $1 trillion cut in Medicaid and additional billions in research funding cuts, affecting end market and company performance.
Restructuring and Workforce Reduction
Restructuring involves a 9% reduction in workforce to align with current priorities.
Company Guidance
During the Health Catalyst second quarter 2025 earnings call, the company reported a Q2 2025 revenue of $80.7 million and an adjusted EBITDA of $9.3 million, both exceeding guidance. Year-over-year growth in their Technology segment was 11%, while Professional Services revenue declined by 1%. Despite facing macroeconomic challenges, including significant Medicaid and research funding cuts, Health Catalyst revised its full-year 2025 revenue guidance to $310 million but maintained its adjusted EBITDA guidance at $41 million. The company highlighted a strategic focus on profitability, with plans to improve adjusted EBITDA margins beyond 20% in the future. Additionally, due to these headwinds and a shift in their M&A strategy, they removed their 2028 revenue and adjusted EBITDA targets. The company is also restructuring, impacting 9% of the workforce, aiming to improve profitability by over $40 million annually. The call emphasized a focus on expanding higher-margin applications revenue and leveraging their Ignite platform to mitigate revenue headwinds, expecting these transitions to complete by mid-2026.

Health Catalyst Financial Statement Overview

Summary
Health Catalyst shows consistent revenue growth but struggles with profitability and cash flow generation. The balance sheet is moderately leveraged, with a significant portion of assets funded by equity. However, negative net income and free cash flow highlight the need for strategic financial improvements.
Income Statement
65
Positive
Health Catalyst has shown consistent revenue growth, with a revenue increase from $306.58 million to $311.27 million in the TTM. However, profitability remains a challenge, with negative EBIT and net income margins. Gross profit margin has decreased, indicating pressure on cost management. Despite growing revenue, the company is yet to achieve profitability.
Balance Sheet
70
Positive
The company's balance sheet reflects a moderate debt-to-equity ratio, with total debt being a significant portion of stockholders' equity. The equity ratio stands at a healthy level, indicating that a substantial portion of assets is funded by equity. However, the high net debt may pose risks if cash flows do not improve.
Cash Flow
60
Neutral
Health Catalyst is experiencing challenges in generating free cash flow, with negative free cash flow in the TTM. The operating cash flow to net income ratio is low, suggesting inefficiencies in converting income into cash. The company needs to focus on improving operational efficiency to enhance cash generation.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue316.09M306.58M295.94M276.24M241.93M188.84M
Gross Profit143.21M140.78M92.60M133.19M117.57M90.77M
EBITDA-35.53M-10.65M-68.28M-82.92M-101.68M-79.47M
Net Income-100.12M-69.50M-118.15M-137.40M-153.21M-115.02M
Balance Sheet
Total Assets616.18M858.93M701.81M752.29M832.10M577.74M
Cash, Cash Equivalents and Short-Term Investments97.34M392.00M317.73M363.49M444.98M270.87M
Total Debt172.79M402.26M249.07M247.97M204.61M195.28M
Total Liabilities268.63M493.72M334.89M327.28M310.00M301.64M
Stockholders Equity347.55M365.21M366.92M425.01M522.10M276.10M
Cash Flow
Free Cash Flow-15.72M-1.84M-47.39M-52.68M-41.59M-36.61M
Operating Cash Flow-6.04M14.56M-33.08M-35.27M-23.12M-26.15M
Investing Cash Flow-60.57M-22.90M20.29M-39.02M-139.68M-82.56M
Financing Cash Flow-84.63M151.75M2.73M-2.61M264.08M182.61M

Health Catalyst Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price3.38
Price Trends
50DMA
3.59
Negative
100DMA
3.75
Negative
200DMA
4.86
Negative
Market Momentum
MACD
-0.04
Negative
RSI
49.67
Neutral
STOCH
35.88
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HCAT, the sentiment is Neutral. The current price of 3.38 is above the 20-day moving average (MA) of 3.19, below the 50-day MA of 3.59, and below the 200-day MA of 4.86, indicating a neutral trend. The MACD of -0.04 indicates Negative momentum. The RSI at 49.67 is Neutral, neither overbought nor oversold. The STOCH value of 35.88 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for HCAT.

Health Catalyst Risk Analysis

Health Catalyst disclosed 60 risk factors in its most recent earnings report. Health Catalyst reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Health Catalyst Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$835.88M42.395.81%0.43%3.50%13.99%
68
Neutral
$345.50M-8.21%25.90%46.13%
55
Neutral
$1.12B-13.38%-6.71%-71.40%
52
Neutral
$571.35M-64.27%-5.24%23.59%
51
Neutral
$7.92B-0.43-41.67%2.21%22.29%-1.85%
51
Neutral
$230.45M-74.09%7.31%-7.49%
49
Neutral
$232.23M-28.42%5.55%-0.99%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HCAT
Health Catalyst
3.38
-4.10
-54.81%
HSTM
HealthStream
28.14
0.03
0.11%
OPRX
OptimizeRx
18.82
11.62
161.39%
EVH
Evolent Health
9.61
-20.65
-68.24%
SOPH
SOPHiA GENETICS
3.24
-0.45
-12.20%
DH
Definitive Healthcare Corp
4.00
-0.29
-6.76%

Health Catalyst Corporate Events

Executive/Board ChangesBusiness Operations and StrategyFinancial Disclosures
Health Catalyst CEO Retirement Announcement
Positive
Aug 7, 2025

On August 5, 2025, Health Catalyst announced that CEO Dan Burton plans to retire effective June 30, 2026, after 15 years of service. The company will conduct a search for a new CEO, while Burton will continue to serve on the Board. Additionally, Justin Spencer was appointed to the Board, effective September 1, 2025, expanding the Board to eight directors. Health Catalyst reported strong financial results for the second quarter of 2025, with a total revenue of $80.7 million and an Adjusted EBITDA of $9.3 million, surpassing their quarterly guidance. The company remains committed to achieving its goals and driving value for clients and shareholders during the leadership transition.

Executive/Board ChangesShareholder Meetings
Health Catalyst Stockholders Approve Key Governance Changes
Neutral
Jul 10, 2025

On July 9, 2025, Health Catalyst, Inc. held its annual meeting of stockholders, where four proposals were voted on. The stockholders elected two Class III directors, ratified the appointment of Ernst & Young LLP as the independent auditor, approved executive compensation, and supported a proposal to declassify the board of directors. These decisions reflect ongoing governance and operational strategies aimed at enhancing the company’s leadership structure and financial oversight.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Sep 03, 2025