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Health Catalyst (HCAT) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Mar 12, 2026

Health Catalyst (HCAT) reported revenue of $74.7M for the fourth quarter 2025 (Q4 2025), -6% from a year earlier and -2% from the quarter before. Operating margin was -115.3%, net loss $91.0M (121.9% of revenue).

Revenue$74.7M
Year over year-6%
Quarter over quarter-2%
Operating margin-115.3%
Net earnings−$91.0M

Health Catalyst, Q4 2025: revenue $74.7M (-6% year over year), operating margin -115.3%, net loss $91.0M, operating cash flow $9.9M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$74.7M-2%-6%
Operating profit−$86.1M——
Net earnings−$91.0M——
Operating cash flow$9.9M——
Free cash flow$9.6M——

What changed

Revenue was $74.7M in Q4 2025, down 6% year over year and down 2% from the previous quarter. Technology was the largest line at 69% of revenue.

Operating costs exceeded revenue by $86.1M, an operating margin of -115.3%. Total costs grew 66% against a revenue fall of 6%. The fastest-growing cost line was Other operating costs (+819%). The quarter ended with a net loss of $91.0M, wider than the previous quarter's $22.2M loss.

Operating cash flow was $9.9M. Non-cash charges added back $12.9M of depreciation and amortization and $4.1M of share-based compensation. Working capital and other items added $83.9M. Capital expenditures of $273K left free cash flow of $9.6M.

Questions

What was Health Catalyst's revenue in the fourth quarter 2025?

Health Catalyst (HCAT) reported revenue of $74.7M for the fourth quarter 2025 (Q4 2025), -6% from a year earlier and -2% from the quarter before.

Was Health Catalyst profitable in the fourth quarter 2025?

Operating loss was $86.1M (-115.3% of revenue) and net loss $91.0M.

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Source: Health Catalyst 10-K on SEC EDGAR.