10-Q quarterly report · filed May 11, 2026

Health Catalyst, Inc. (HCAT) Q1 2026 10-Q Quarterly Report

Short answer

Health Catalyst, Inc. (HCAT) filed its Q1 2026 10-Q quarterly report on May 11, 2026 for the quarter ended Mar 31, 2026. Quarterly revenue was $71M (down 10.9% year over year) with net income of −$111M.

Q1 2026 key financials · XBRL

Revenue
$71M
−10.9% YoY
Net income
−$111M
−367.6% YoY
Operating margin
-150.5%
EPS (diluted)
−$1.53
−337.1% YoY

Source: XBRL data from the Health Catalyst, Inc. (HCAT) Q1 2026 10-Q on SEC EDGAR. USD.

Health Catalyst, Inc. Q1 2026 10-Q analysis

AI summary of MD&A and risk factor updates

Management Discussion & Analysis

  • Revenue $70.8M, down 11% YoY from $79.4M, driven by technology revenue down 4% and professional services down 24%
  • Total gross margin 39% vs 36% YoY; Adjusted Gross Margin 51% vs 49%
  • Best segment professional services: gross margin 15% vs 8%; worst technology: revenue $49.5M vs $51.5M and gross margin 49% vs 51%
  • Net loss $111.0M vs $23.7M, including $95.5M goodwill impairment; Adjusted EBITDA $9.1M vs $6.3M
  • Cash, equivalents, and short-term investments $108.8M; operating cash flow $18.5M vs $0.3M, with $4.6M capitalized software spending and no share repurchases
  • Near-term headwinds: DOS-to-Ignite migration, $12.5M ARR down-sell and churn, $52.0M at-risk ARR, Medicaid and research-funding reductions, tariffs and client financial strain

Risk Factors

  • Newly added regulatory risk: OBBBA Medicaid funding reductions enacted July 2025, potentially shrinking enrollment and covered services
  • Most material update: Project Nexus workforce reduction of approximately 9% in Q2 2026, risking attrition, morale declines, and execution disruption
  • AI compliance exposure: California, Colorado, Texas, and Utah requirements could increase reporting obligations and operating expenses
  • Near-term market risk: DOS-to-Ignite migration causing client churn, downselling, smaller bookings, and higher technology revenue costs
  • Concentration risk: Three largest clients represented 13.6% of 2025 revenue, making renegotiations or losses financially significant

Generated from the filing text; verify against the original. 10-K vs 10-Q vs 8-K

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