Revenue Growth
Total revenue for Q1 FY2027 was $130.9 million, up 13% year-over-year.
Strong Payment Solutions Expansion
Payment Solutions revenue grew 40% year-over-year (reflecting contribution from the Access One acquisition which closed in Q4 FY2026); company introduced 'total managed payments' metric of $1.786 billion and a Payment Solutions revenue rate of 2.3% for Q1.
Network Solutions Growth
Network Solutions revenue increased 15% year-over-year, and new Provider Connect product launched earlier in the year has recorded wins and contributed to guidance, providing runway for future years.
Improved Profitability and Adjusted EBITDA
Adjusted EBITDA was $30.5 million versus $20.8 million in the prior-year period (approximately +46% YoY), representing a 23% adjusted EBITDA margin; company maintains FY2027 adjusted EBITDA guidance of $125 million to $135 million.
Net Income Turnaround
Net income was $3.0 million in the quarter compared to a net loss of $3.9 million in the same period last year, marking the third consecutive quarter of positive net income.
Client Base and Revenue Per Client
Average healthcare services clients (AHSC) reached 4,700, up +50 sequentially and up +7% year-over-year (net adds); total revenue per client (per HIC) was $27,811, up 6% year-over-year.
Stronger Cash Flow and Liquidity Actions
Net cash provided by operating activities was $23.9 million (+$9.1 million YoY); free cash flow was $16.4 million (+$8.9 million YoY). Cash and equivalents were $76.4 million (up from $73.8 million).
Balance Sheet & Financing Enhancements
Refinanced bridge loan: repaid using $92 million of borrowings from a new 5-year $275 million senior secured revolving credit facility (Capital One) with $84 million outstanding at quarter end (an $8 million paydown in the quarter). Expanded Access One securitization with PNC: increased facility limit from $200 million to $300 million and extended term through April 2029, enabling upfront funding to non-investment-grade clients.
Cost Reduction Initiatives & AI Opportunity
Implemented a May restructuring plan intended to reduce operating expenses and better align cost structure; company identified opportunities to reduce reliance on manual processes via AI and expects meaningful annualized run-rate expense savings (savings are reflected in guidance).
Fiscal 2027 Guidance Maintained
Company maintained FY2027 revenue outlook of $510 million to $520 million (assumes ~ $37 million contribution from Access One) and reiterated AHSC growth in mid-single digits and revenue per AHSC low single-digit growth assumptions.