Document

“For the full year 2023, I am pleased to share that we achieved strong performance across our business, including total revenue of $295.9 million, with this result beating the midpoint of our most recent guidance, and Adjusted EBITDA of $11.0 million, with this result in line with the midpoint of our most recent guidance. Additionally, I am pleased by our meaningful 2023 Adjusted EBITDA margin progress relative to 2022, and I am excited that we anticipate material year-over-year Adjusted EBITDA growth again in 2024, at a rate of approximately 125%+.” said Dan Burton, CEO of Health Catalyst.

“Additionally, in connection with our annual planning process, we are enacting multiple Leadership level changes. First, Bryan Hunt will be transitioning from CFO to a Strategic Advisor role, effective March 1, 2024. I would like to express my heartfelt gratitude to Bryan for his countless contributions to Health Catalyst’s growth and success over the last ten years, including his service as our CFO, helping us navigate through a global pandemic, record high inflation, and a period of tremendous financial pressure for our health system clients. Bryan has been an extraordinary leader and partner to me and to our Board of Directors, and we are grateful for his dedication, professionalism and commitment to the company and its mission. I am also pleased to share that Jason Alger will begin as Health Catalyst’s CFO, effective March 1, 2024. Jason has been with Health Catalyst for more than ten years, having contributed significantly during that time, including most recently as our Chief Accounting Officer. Prior to joining Health Catalyst, Jason held various roles at Ernst & Young. My fellow board members and I, along with our finance organization, have the utmost confidence in and respect for Jason. Also, effective March 1, 2024, Dan LeSueur will be promoted to Health Catalyst’s Chief Operating Officer role, with responsibilities spanning both our Technology and Professional Services business units. Dan brings a wealth of experience to this role, having had leadership responsibility across many functions during his twelve years at Health Catalyst, most recently as the Senior Vice President and General Manager of our Professional Services Business Unit. I am thrilled to have someone with Dan’s breadth and depth of expertise to lead this important strategic function as Health Catalyst continues on its maturation path, focusing on operational excellence to enable scalable growth and profitability.”

Key Financial Measures


	Three Months Ended December 31,						Year over Year Change	Twelve Months Ended December 31,						Year over Year Change
	2023			2022				2023			2022
GAAP Financial Measures:	(in thousands, except percentages)							(in thousands, except percentages)
Technology revenue	$	47,100		$	44,664		5%	$	187,583		$	176,288		6%
Professional services revenue	$	27,984		$	24,498		14%	$	108,355		$	99,948		8%
Total revenue	$	75,084		$	69,162		9%	$	295,938		$	276,236		7%
Loss from operations	$	(32,785)		$	(36,745)		11%	$	(126,897)		$	(140,005)		9%
Net loss	$	(30,312)		$	(35,782)		15%	$	(118,147)		$	(137,403)		14%
Non-GAAP Financial Measures:(1)
Adjusted Technology Gross Profit	$	31,388		$	30,725		2%	$	127,744		$	122,284		4%
Adjusted Technology Gross Margin	67		%	69		%		68		%	69		%
Adjusted Professional Services Gross Profit	$	3,305		$	4,325		(24)%	$	16,316		$	23,565		(31)%
Adjusted Professional Services Gross Margin	12		%	18		%		15		%	24		%
Total Adjusted Gross Profit	$	34,693		$	35,050		(1)%	$	144,060		$	145,849		(1)%
Total Adjusted Gross Margin	46		%	51		%		49		%	53		%
Adjusted EBITDA	$	1,352		$	(603)		324%	$	11,021		$	(2,487)		543%

________________________

The company will host a conference call to review the results today, Thursday, February 22, 2024 at 5:00 p.m. E.T. The conference call can be accessed by dialing (800) 267-6316 for U.S. participants, or (203) 518-9783 for international participants, and referencing conference ID “HCAT Q423.” A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its clients leverage the cloud-based data platform — powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.

Our investors and others should note that we announce material information to the public about our company, products and services, and other matters related to our company through a variety of means, including our website (https://www.healthcatalyst.com/), our investor relations website (https://ir.healthcatalyst.com/), press releases, SEC filings, public conference calls, and social media, including our and our CEO's social media accounts, in order to achieve broad, non-exclusionary distribution of information to the public and to comply with our disclosure obligations under Regulation FD.

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and our financial outlook for Q1 and fiscal year 2024. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market or industry conditions, regulatory environment, and receptivity to our technology and services; (iii) results of litigation or a security incident; (iv) the loss of one or more key clients or partners; (v) macroeconomic challenges (including high inflationary and/or high interest rate environments, or market volatility caused by bank failures and measures taken in response thereto) and any new public health crisis; and (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2023 that was filed with the SEC on November 6, 2023 and the Annual Report on Form 10-K for the year ended December 31, 2023 expected to be filed with the SEC on or about February 22, 2024. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.


	As of December 31,
	2023		2022
Assets
Current assets:
Cash and cash equivalents	$	106,276	$	116,312
Short-term investments	211,452		247,178
Accounts receivable, net	60,290		47,970
Prepaid expenses and other assets	15,379		16,335
Total current assets	393,397		427,795
Property and equipment, net	25,712		25,928
Operating lease right-of-use assets	13,927		16,658
Intangible assets, net	73,384		92,189
Goodwill	190,652		185,982
Other assets	4,742		3,734
Total assets	$	701,814	$	752,286
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable	$	6,641	$	4,424
Accrued liabilities	23,282		19,691
Deferred revenue	55,753		54,961
Operating lease liabilities	3,358		3,434


Total current liabilities	89,034		82,510
Convertible senior notes	228,034		226,523
Deferred revenue, net of current portion	77		105
Operating lease liabilities, net of current portion	17,676		18,017

Other liabilities	74		121
Total liabilities	334,895		327,276
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.001 par value per share and additional paid-in capital; 25,000,000 shares authorized and no shares issued and outstanding as of December 31, 2023 and 2022	—		—
Common stock, $0.001 par value per share, and additional paid-in capital; 500,000,000 shares authorized as of December 31, 2023 and 2022; 58,295,491 and 55,261,922 shares issued and outstanding as of December 31, 2023 and 2022, respectively	1,484,056		1,424,681
Accumulated deficit	(1,117,170)		(999,023)
Accumulated other comprehensive income (loss)	33		(648)
Total stockholders’ equity	366,919		425,010
Total liabilities and stockholders’ equity	$	701,814	$	752,286


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
Revenue:
Technology	$	47,100	$	44,664	$	187,583	$	176,288
Professional services	27,984		24,498		108,355		99,948
Total revenue	75,084		69,162		295,938		276,236
Cost of revenue, excluding depreciation and amortization:
Technology(1)(2)(3)	16,719		14,747		62,474		56,642
Professional services(1)(2)(3)	27,857		23,359		101,631		86,407
Total cost of revenue, excluding depreciation and amortization	44,576		38,106		164,105		143,049
Operating expenses:
Sales and marketing(1)(2)(3)	17,271		20,373		67,321		87,514
Research and development(1)(2)(3)	20,288		19,614		72,627		75,680
General and administrative(1)(2)(3)(4)(5)	15,430		16,150		76,559		61,701
Depreciation and amortization	10,304		11,664		42,223		48,297
Total operating expenses	63,293		67,801		258,730		273,192
Loss from operations	(32,785)		(36,745)		(126,897)		(140,005)
Loss on extinguishment of debt	—		—		—		—
Interest and other expense, net	2,616		1,022		9,106		(1,678)
Loss before income taxes	(30,169)		(35,723)		(117,791)		(141,683)
Income tax provision (benefit)(2)	143		59		356		(4,280)
Net loss	$	(30,312)	$	(35,782)	$	(118,147)	$	(137,403)


Net loss per share, basic	$	(0.53)	$	(0.66)	$	(2.09)	$	(2.56)
Net loss per share, diluted	$	(0.53)	$	(0.66)	$	(2.09)	$	(2.63)
Weighted-average shares outstanding used in calculating net loss per share, basic	57,476		54,496		56,418		53,722
Weighted-average shares outstanding used in calculating net loss per share, diluted	57,476		54,496		56,418		54,080

(1)Includes stock-based compensation expense as follows:


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
Stock-Based Compensation Expense:	(in thousands)				(in thousands)
Cost of revenue, excluding depreciation and amortization:
Technology	$	458	$	495	$	1,866	$	2,058
Professional services	1,687		2,148		7,369		8,230
Sales and marketing	4,933		7,157		20,982		28,082
Research and development	2,536		3,295		11,213		12,938
General and administrative	3,397		5,653		14,326		20,796
Total	$	13,011	$	18,748	$	55,756	$	72,104

(2) Includes acquisition-related costs, net as follows:


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
Acquisition-related costs, net:	(in thousands)				(in thousands)
Cost of revenue, excluding depreciation and amortization:
Technology	$	65	$	84	$	273	$	351
Professional services	93		146		391		655
Sales and marketing	393		337		697		1,894
Research and development	200		687		787		3,045
General and administrative	1,904		452		3,609		(1,051)
Income tax benefit	—		—		—		(4,533)
Total	$	2,655	$	1,706	$	5,757	$	361


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
Restructuring costs:	(in thousands)				(in thousands)
Cost of revenue, excluding depreciation and amortization:
Technology	$	484	$	229	$	496	$	229
Professional services	1,398		892		1,832		1,139
Sales and marketing	1,210		1,464		2,415		3,023
Research and development	3,051		1,153		3,337		3,410
General and administrative	624		188		742		624
Total	$	6,767	$	3,926	$	8,822	$	8,425


	Year Ended December 31,
	2023		2022
Cash flows from operating activities
Net loss	$	(118,147)	$	(137,403)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense	55,756		72,104
Depreciation and amortization	42,223		48,297
Investment (discount accretion) and premium amortization	(9,720)		(2,236)
Impairment of long-lived assets	4,081		5,023
Non-cash operating lease expense	2,990		3,231
Provision for expected credit losses	1,821		691
Amortization of debt discount and issuance costs	1,511		1,500
Deferred tax provision (benefit)	8		(4,523)
Change in fair value of contingent consideration liabilities	—		(4,668)
Payment of acquisition-related contingent consideration	—		(3,234)

Other	67		(145)
Change in operating assets and liabilities:
Accounts receivable	(13,663)		788
Prepaid expenses and other assets	164		(478)
Accounts payable, accrued liabilities, and other liabilities	4,868		(4,702)
Deferred revenue	(1,487)		(5,997)
Operating lease liabilities	(3,552)		(3,518)
Net cash used in operating activities	(33,080)		(35,270)
Cash flows from investing activities
Proceeds from the sale and maturity of short-term investments	336,801		315,171
Purchase of short-term investments	(290,836)		(308,961)
Capitalization of internal use software	(11,957)		(12,987)
Acquisition of businesses, net of cash acquired	(11,392)		(27,846)
Purchases of property and equipment	(1,236)		(2,167)
Purchase of intangible assets	(1,118)		(2,260)
Proceeds from the sale of property and equipment	31		29
Net cash provided by (used in) investing activities	20,293		(39,021)
Cash flows from financing activities
Proceeds from employee stock purchase plan	3,588		3,153
Repurchase of common stock	(1,808)		(8,393)
Proceeds from exercise of stock options	950		3,969
Payments of acquisition-related consideration	—		(1,342)







Net cash provided by (used in) financing activities	2,730		(2,613)
Effect of exchange rate changes on cash and cash equivalents	21		(11)
Net decrease in cash and cash equivalents	(10,036)		(76,915)

Cash and cash equivalents at beginning of period	116,312		193,227
Cash and cash equivalents at end of period	$	106,276	$	116,312

To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP financial measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Net Income (Loss), and Adjusted Net Income (Loss) per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies. We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes.

We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP financial measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business.

Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization, adding back stock-based compensation, acquisition-related costs, net, and restructuring costs as applicable. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and certain other non-recurring operating expenses, and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three and twelve months ended December 31, 2023 and 2022:


	Three Months Ended December 31, 2023
	(in thousands, except percentages)
	Technology			Professional Services			Total
Revenue	$	47,100		$	27,984		$	75,084
Cost of revenue, excluding depreciation and amortization	(16,719)			(27,857)			(44,576)
Gross profit, excluding depreciation and amortization	30,381			127			30,508
Add:
Stock-based compensation	458			1,687			2,145
Acquisition-related costs, net(1)	65			93			158
Restructuring costs(2)	484			1,398			1,882
Adjusted Gross Profit	$	31,388		$	3,305		$	34,693
Gross margin, excluding depreciation and amortization	65		%	—		%	41		%
Adjusted Gross Margin	67		%	12		%	46		%

___________________


	Three Months Ended December 31, 2022
	(in thousands, except percentages)
	Technology			Professional Services			Total
Revenue	$	44,664		$	24,498		$	69,162
Cost of revenue, excluding depreciation and amortization	(14,747)			(23,359)			(38,106)
Gross profit, excluding depreciation and amortization	29,917			1,139			31,056
Add:
Stock-based compensation	495			2,148			2,643
Acquisition-related costs, net(1)	84			146			230
Restructuring costs(2)	229			892			1,121
Adjusted Gross Profit	$	30,725		$	4,325		$	35,050
Gross margin, excluding depreciation and amortization	67		%	5		%	45		%
Adjusted Gross Margin	69		%	18		%	51		%


	Twelve Months Ended December 31, 2023
	(in thousands, except percentages)
	Technology			Professional Services			Total
Revenue	$	187,583		$	108,355		$	295,938
Cost of revenue, excluding depreciation and amortization	(62,474)			(101,631)			(164,105)
Gross profit, excluding depreciation and amortization	125,109			6,724			131,833
Add:
Stock-based compensation	1,866			7,369			9,235
Acquisition-related costs, net(1)	273			391			664
Restructuring costs(2)	496			1,832			2,328
Adjusted Gross Profit	$	127,744		$	16,316		$	144,060
Gross margin, excluding depreciation and amortization	67		%	6		%	45		%
Adjusted Gross Margin	68		%	15		%	49		%

___________________


	Twelve Months Ended December 31, 2022
	(in thousands, except percentages)
	Technology			Professional Services			Total
Revenue	$	176,288		$	99,948		$	276,236
Cost of revenue, excluding depreciation and amortization	(56,642)			(86,407)			(143,049)
Gross profit, excluding depreciation and amortization	119,646			13,541			133,187
Add:
Stock-based compensation	2,058			8,230			10,288
Acquisition-related costs, net(1)	351			655			1,006
Restructuring costs(2)	229			1,139			1,368
Adjusted Gross Profit	$	122,284		$	23,565		$	145,849
Gross margin, excluding depreciation and amortization	68		%	14		%	48		%
Adjusted Gross Margin	69		%	24		%	53		%

__________________

Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other (income) expense, net, (ii) income tax provision (benefit), (iii) depreciation and amortization, (iv) stock-based compensation, (v) acquisition-related costs, net, including the fair change in value of contingent consideration liabilities for potential earn-out payments, (vi) litigation costs, (vii) restructuring costs, and (viii) non-recurring lease-related charges. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations, as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe that excluding restructuring costs, litigation costs, and non-recurring lease-related charges allows for more meaningful comparisons between operating results from period to period as this is separate from the core activities that arise in the ordinary course of our business and are not part of our ongoing operations. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three and twelve months ended December 31, 2023 and 2022:


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
	(in thousands)				(in thousands)
Net loss	$	(30,312)	$	(35,782)	$	(118,147)	$	(137,403)
Add:
Interest and other (income) expense, net	(2,616)		(1,022)		(9,106)		1,678

Income tax provision (benefit)	143		59		356		(4,280)
Depreciation and amortization	10,304		11,664		42,223		48,297
Stock-based compensation	13,011		18,748		55,756		72,104
Acquisition-related costs, net(1)	2,655		1,706		5,757		4,894
Litigation costs(2)	—		—		21,279		—
Restructuring costs(3)	6,767		3,926		8,822		8,425
Non-recurring lease-related charges(4)	1,400		98		4,081		3,798
Adjusted EBITDA	$	1,352	$	(603)	$	11,021	$	(2,487)

Adjusted Net Income (Loss) is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) acquisition-related costs, net, including the deferred tax valuation allowance release from acquisitions, (iv) litigation costs, (v) restructuring costs, (vi) non-recurring lease-related charges, and (vii) non-cash interest expense related to our convertible senior notes. We believe Adjusted Net Income (Loss) provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted Net Income (Loss), for the three and twelve months ended December 31, 2023 and 2022:


	Three Months Ended December 31,				Twelve Months Ended December 31,
	2023		2022		2023		2022
Numerator:	(in thousands, except share and per share amounts)
Net loss	$	(30,312)	$	(35,782)	$	(118,147)	$	(137,403)
Add:
Stock-based compensation	13,011		18,748		55,756		72,104
Amortization of acquired intangibles	7,243		8,464		29,636		37,188

Acquisition-related costs, net(1)	2,655		1,706		5,757		361
Litigation costs(2)	—		—		21,279		—
Restructuring costs(3)	6,767		3,926		8,822		8,425
Non-recurring lease-related charges(4)	1,400		98		4,081		3,798
Non-cash interest expense related to convertible senior notes	379		376		1,511		1,500
Adjusted Net Income (Loss)	$	1,143	$	(2,464)	$	8,695	$	(14,027)
Denominator:
Weighted-average number of shares used in calculating net loss per share, basic	57,476,187		54,496,128		56,418,397		53,721,702
Non-GAAP weighted-average effect of dilutive securities	283,805		—		666,488		—
Non-GAAP weighted-average number of shares used in calculating Adjusted Net Income (Loss) per share, diluted	57,759,992		54,496,128		57,084,885		53,721,702

Adjusted Net Income (Loss) per share, basic	$	0.02	$	(0.05)	$	0.15	$	(0.26)
Adjusted Net Income (Loss) per share, diluted	$	0.02	$	(0.05)	$	0.15	$	(0.26)

(1)Acquisition-related costs, net includes third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, changes in fair value of contingent consideration liabilities for potential earn-out payments, and the deferred tax valuation allowance release from acquisitions. For additional details refer to Notes 1, 2, 7, and 15 in our consolidated financial statements.