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

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HCAT

Health Catalyst

(NASDAQ:HCAT)

Rating:44Neutral
Price Target:
$3.00
▲(2.74% Upside)
Health Catalyst faces significant challenges with profitability and valuation, as indicated by its negative P/E ratio and ongoing cash flow issues. The technical analysis suggests a bearish trend, further weighing on the stock's outlook. While the earnings call provided some positive insights into future profitability improvements, the revised revenue guidance and macroeconomic challenges remain significant concerns.
Positive Factors
Cost Management
Announced restructuring valued at $40MM+ with a 9% workforce reduction and contract restructuring expected to yield significant annualized savings.
Financial Performance
HCAT has been able to sufficiently cut costs and integrate AI to improve adjusted EBITDA and cash flow.
Profitability
The planned workforce reduction is expected to result in substantial annualized cost savings, helping to maintain EBITDA guidance.
Negative Factors
Leadership Changes
CEO Dan Burton, the founder, will be stepping down, which has contributed to the stock pulling back significantly.
Market Challenges
The hospital buying environment is expected to become more challenging due to the Big Beautiful Bill Act, affecting future growth prospects.
Revenue Outlook
The 2025 revenue guide is lowered to ~$310MM from a previous ~$335MM.

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: -20.87%|
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted positive steps towards improved profitability and successful revenue growth in the applications segment. However, significant challenges, primarily from Medicaid and research funding cuts, have led to revised revenue guidance and a reduction in client retention and new bookings. The company is focused on profitability and shareholder value, despite the macroeconomic headwinds.
Q2-2025 Updates
Positive Updates
Outperformance in Revenue and Adjusted EBITDA
Q2 2025 revenue of $80.7 million and adjusted EBITDA of $9.3 million outperformed guidance, with Technology segment revenue growing by 11% year-over-year.
Strong Application Revenue Growth
Applications revenue grew more than 20% year-over-year, with an estimated gross margin of over 80% and adjusted EBITDA margin of 30%.
Restructuring and Profitability Focus
Restructuring efforts and client contract changes are expected to improve profitability by over $40 million annually, with adjusted EBITDA margin approaching 20% by Q4 2025.
Positive Technology Revenue Mix Shift
Favorable revenue mix shift towards technology and applications revenue, enabling higher gross margins and profitability.
CEO Commitment to Shareholder Value
CEO Dan Burton announced a reduction in his compensation for 2026, emphasizing a focus on improved profitability and shareholder value.
Negative Updates
Revised Downward Revenue Guidance
Full year 2025 revenue guidance revised to $310 million, impacted by Medicaid and research funding cuts.
Medicaid and Research Funding Cuts
Significant impact from $1 trillion Medicaid cut and research funding reductions, affecting client budgets and revenue growth.
Reduced Dollar-Based Retention
Expected dollar-based retention for 2025 reduced to low 90s due to client budget pressures and migration cost savings.
Delayed Life Sciences Opportunities
Life sciences opportunities delayed due to research funding cuts, impacting revenue from the Carevive business.
Lower New Platform Client Bookings
New platform client additions have lower average booking sizes, with 2025 expectations reduced to 30 net new clients.
Company Guidance
During the Health Catalyst Second Quarter 2025 Earnings Conference Call, the company provided a detailed guidance update, highlighting several key metrics and adjustments in their financial outlook. Health Catalyst reported Q2 2025 revenue of $80.7 million and an adjusted EBITDA of $9.3 million, surpassing their guidance. However, they revised their full-year 2025 revenue guidance to $310 million due to a $1 trillion Medicaid cut and additional research funding reductions. Despite this revision, they maintained their adjusted EBITDA guidance at $41 million. The company also adjusted its expectations for net new platform clients from 40 to 30 for 2025, having already added 22 new clients by mid-year. They anticipate a shift towards more technology revenue, particularly applications, aiming for improved profitability despite macroeconomic challenges. This includes a restructuring effort impacting 9% of their workforce, expected to enhance profitability by over $40 million annually. Health Catalyst projects Q3 2025 revenue of approximately $75 million and adjusted EBITDA of $10.5 million, with an annualized run rate of $60 million in adjusted EBITDA going into 2026, and aims to expand adjusted EBITDA margins beyond 20% as they continue to focus on profitability improvement.

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
Negative
Last Price2.92
Price Trends
50DMA
3.77
Negative
100DMA
3.90
Negative
200DMA
5.22
Negative
Market Momentum
MACD
-0.23
Positive
RSI
36.84
Neutral
STOCH
38.95
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HCAT, the sentiment is Negative. The current price of 2.92 is below the 20-day moving average (MA) of 3.59, below the 50-day MA of 3.77, and below the 200-day MA of 5.22, indicating a bearish trend. The MACD of -0.23 indicates Positive momentum. The RSI at 36.84 is Neutral, neither overbought nor oversold. The STOCH value of 38.95 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (57)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$768.89M38.995.81%0.45%3.50%13.99%
66
Neutral
$304.47M-8.21%25.90%46.13%
57
Neutral
£5.17B4.93-44.55%2.32%28.89%-10.08%
51
Neutral
$1.03B-13.38%-6.71%-71.40%
51
Neutral
$209.85M-74.09%7.31%-7.49%
50
Neutral
$512.22M-64.27%-5.24%23.59%
44
Neutral
$205.84M-28.42%5.55%-0.99%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HCAT
Health Catalyst
2.92
-3.84
-56.80%
HSTM
HealthStream
25.94
-1.85
-6.66%
OPRX
OptimizeRx
17.59
9.25
110.91%
EVH
Evolent Health
8.82
-18.56
-67.79%
SOPH
SOPHiA GENETICS
3.28
0.02
0.61%
DH
Definitive Healthcare Corp
3.80
-0.22
-5.47%

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.

The most recent analyst rating on (HCAT) stock is a Hold with a $9.00 price target. To see the full list of analyst forecasts on Health Catalyst stock, see the HCAT Stock Forecast page.

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.

The most recent analyst rating on (HCAT) stock is a Hold with a $9.00 price target. To see the full list of analyst forecasts on Health Catalyst stock, see the HCAT Stock Forecast page.

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: Aug 14, 2025