Strong Revenue Growth
Revenue of $314 million in Q1 2026, up 22% year-over-year, driven by core execution and expansion across the platform.
Subscription Momentum
Subscription revenue of $172 million, up 38% year-over-year (3% sequentially), representing 55% of total revenue; organic subscription growth of 14% YoY.
Robust Profitability and Cash Generation
Adjusted EBITDA of $135 million in Q1, up 26% year-over-year, with an adjusted EBITDA margin of 43%. Unlevered free cash flow of $90 million and conversion of 67% of adjusted EBITDA to unlevered free cash flow.
High Customer Retention and Expansion
Net revenue retention of approximately 111% (slightly above historical 108–110% range). Added 42 new clients with >$100k trailing 12-month revenue; customers generating >$100k totaled 1,433 (up ~15% YoY).
AI Traction and Product Innovation
AI-powered capabilities drove ~40% of new bookings in Q1. Approximately 50% of solutions leverage AI and nearly 40% of revenue is generated by AI-embedded workflows. Introduced new AI SKUs (prebill anomaly detection, recoupment solution, Altitude) with notable early ROI signals.
Compelling Early AI Outcomes
Prebill anomaly detection estimated to deliver ~$3 million net revenue per 10,000 discharges and 5x recovered revenue over 3 years. New recoupment SKU reduces reconciliation time by >80% and an early adopter identified $32 million in matched revenue risk (work equivalent to ~13 FTEs). Altitude patient-financial capabilities expected to drive a ~50% increase in collections for targeted use cases.
Scale and Network Advantage
Processes >7.5 billion transactions annually, connects >1 million providers to major payers via 100k+ live integrations, and touches ~60% of the U.S. patient population each year — providing proprietary data rails and learning effects.
Strong Sales Momentum and Pipeline
Bookings ahead of internal expectations, a double-digit count of $1M+ ARR contracts, the largest qualified sales pipeline in company history, and elevated win rates and larger deal sizes across segments.