Quarterly Revenue Growth
Q4 revenue was $127.1M, up 16% year-over-year; excluding the AccessOne acquisition, revenue grew 7% YoY.
Strong Adjusted EBITDA Performance
Q4 Adjusted EBITDA was $29.4M versus $16.4M in the prior-year period (≈+79% YoY), representing an Adjusted EBITDA margin of 23%.
Key Annual Profitability and Cash Milestones
Fiscal 2026 milestones include surpassing $100.0M in Adjusted EBITDA for the year, crossing $50.0M in free cash flow for the year, and delivering positive GAAP net income for the full fiscal year for the first time as a public company.
Record Quarterly Free Cash Flow and Operating Cash Flow Improvement
Q4 net cash provided by operating activities was $33.7M, up $17.4M YoY; Q4 free cash flow was $28.5M, up $19.3M YoY and the strongest quarterly FCF to date.
Client Base and Revenue per Client Expansion
Average healthcare services clients (AHSCs) reached 4,658 in Q4, up 138 sequentially (80 contributed by AccessOne); total revenue per AHSC was $27,279, up 8% YoY.
AccessOne Acquisition Driving Payment Solutions Growth
Payment Solutions led growth in Q4 following the AccessOne acquisition; management reports AccessOne is performing in line with expectations and is a central pillar of provider financing strategy.
Balance Sheet and Financing Execution
Completed refinancing after fiscal year end: new five-year $275M senior secured revolving credit facility (maturing 03/13/2031) with $92M borrowed to repay the bridge loan, providing available capacity for working capital, capex, acquisitions, and potential debt paydown or buybacks.
New Product Launch and AI-Driven Efficiency
Launched ProviderConnect (HCP marketing) in early March as a complementary offering to PatientConnect; company expects meaningful AI-driven operational efficiencies (reducing manual and outsourced processes) contributing to margin expansion.