Waystar Holding Corp. (NASDAQ:WAY) is one of the best digital health stocks to buy now. On October 30, 2025, following the company’s third-quarter earnings, Mizuho Securities lifted its target from $48 to $50 and reiterated an Outperform rating, citing strong demand for Waystar’s revenue cycle management solutions. The firm highlighted that adoption of AI-driven claims denial tools was a key contributor to the company’s above-consensus performance. Mizuho Raised Waystar Target to $50, Reaffirmed Outperfo ...

Financial Data and Key Metrics Changes - Revenue for Q3 2025 reached $269 million, reflecting a 12% year-over-year growth, with an adjusted EBITDA margin of 42% [7][20][22] - Adjusted EBITDA for the quarter was $113 million, representing a 17% increase year-over-year [22] - Net Revenue Retention Rate (NRR) was 113%, indicating strong client retention and expansion [21][17] Business Line Data and Key Metrics Changes - Subscription revenue increased by 14% year-over-year to $134 million, while volume-based revenue grew by 10% year-over-year to $132 million [22] - The number of clients generating over $100,000 in trailing 12-month revenue grew to 1,306, an 11% increase year-over-year [17][21] Market Data and Key Metrics Changes - The acquisition of Iodine Software is expected to expand the total addressable market by over 15% and enhance innovation capabilities [9][10] - The healthcare financial system is described as complex and fragmented, with a significant opportunity for modernization through Waystar's platform [8][15] Company Strategy and Development Direction - Waystar aims to simplify healthcare payments through a cloud-based platform that integrates clinical, financial, and administrative data [8][10] - The company is focused on leveraging AI to enhance operational efficiencies and client outcomes, with a strong emphasis on automation and data integration [11][16][75] - Waystar's strategy includes continuous innovation, with hundreds of new capabilities launched each quarter to improve automation and accuracy [15][17] Management's Comments on Operating Environment and Future Outlook - Management highlighted the importance of addressing rising utilization, denial rates, and workforce shortages as key challenges in the healthcare sector [12][13] - The company remains optimistic about capturing growth opportunities, driven by its AI-powered solutions and strong client relationships [9][18] Other Important Information - Waystar received recognition as one of the best workplaces for innovators and was named Healthcare Company of the Year by the Stevie Awards [18] - The company ended the quarter with $421 million in cash and equivalents and a leverage ratio of 1.9 times, down from earlier in the year [24][25] Q&A Session Summary Question: Feedback on Iodine Software and client introduction - Management reported overwhelmingly positive feedback from clients regarding the Iodine acquisition, highlighting its strategic fit and potential benefits [30][31] Question: Cadence of replacing legacy processes in RCM - Management discussed the integration of Iodine's capabilities into Waystar's platform, which is expected to accelerate the transition from legacy systems [34][36] Question: Patient utilization trends and seasonality - Management noted that patient utilization is returning to historical levels, with expectations for continued growth in the volume-based revenue segment [40][42] Question: Transition from mail payments to mobile - Management emphasized the ongoing shift towards digital payment solutions, which are expected to enhance efficiency and client satisfaction [46][49] Question: Acceleration of product roadmap with Iodine - Management provided examples of how Iodine's capabilities will enhance Waystar's offerings, particularly in prior authorizations and claims management [52][56] Question: Competitive landscape and go-to-market strategy - Management acknowledged increased competition but emphasized Waystar's unique platform approach and strong client relationships as key differentiators [66][68] Question: Monetization strategy for AI capabilities - Management outlined multiple monetization strategies, including pricing to value and introducing new software modules [71][75] Question: Sustainability of EBITDA margin trends - Management expressed confidence in maintaining margin efficiencies through ongoing operational improvements and AI integration [83]

Waystar Holding (NasdaqGS:WAY) Q3 2025 Earnings Call October 29, 2025 04:30 PM ET Speaker5Good day, and thank you for standing by. Welcome to the Waystar Third Quarter 2025 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Sue Dooley, Vice President of Investor Re ...

Summary of Waystar Holding Conference Call Company Overview - **Company**: Waystar Holding (NasdaqGS: WAY) - **Industry**: Healthcare Revenue Cycle Management - **CEO**: Matt Hawkins - **Conference Date**: September 10, 2025 Key Points Company Background - Waystar was formed in 2017 by merging two revenue cycle technology businesses, Zirmed and Navicure, to create a cloud-native software platform [7][8] - The company focuses on helping healthcare providers get paid faster and more accurately from various insurance companies and patients [8] Market Opportunity - The U.S. healthcare administrative sector experiences approximately **$450 billion** in annual waste due to inefficiencies and denied claims [13] - There are **450 million** denied claims each year, with a **17%** denial rate for initial claims submitted by providers [17] - Waystar targets a **$15 billion** market for replacing legacy software and a **$100 billion** market for manual services in healthcare [33] Product and Technology - Waystar's software utilizes a cloud-based rules engine and AI capabilities to improve claim acceptance rates, achieving nearly **99%** first-pass acceptance across its network [17][22] - The company processes over **6 billion** insurance transactions annually, amounting to over **$1 trillion** in gross claim charges [18] - The recent acquisition of Iodine Software aims to enhance Waystar's capabilities in structuring clinical data and improving claim accuracy [49][58] Competitive Landscape - Waystar differentiates itself as a cloud-native platform using AI, with a strong focus on both ambulatory and hospital settings [46] - Major competitors include Change Healthcare, TriZetto, and Availity, with Waystar achieving an **80%** win rate against these competitors [46] Financial Performance - Waystar has experienced five consecutive quarters of double-digit revenue growth, exceeding its long-term growth rate of **10%** [30][34] - The company maintains a gross revenue retention rate of **97%** and a net revenue retention rate of **108% to 110%** [34] Future Outlook - The company is focused on the successful integration of the Iodine acquisition and leveraging combined data sets to enhance AI capabilities [75] - Waystar aims to continue delighting clients and expanding its market share in the healthcare revenue cycle management space [75] Risks and Considerations - The healthcare industry is characterized by risk aversion among decision-makers due to the potential impact on patient care and cash flow [41] - Waystar's growth may be influenced by external factors such as patient visit volumes and the overall healthcare utilization trends, which are currently seeing a **4%** annual increase [73] Conclusion - Waystar is well-positioned to capitalize on the inefficiencies in the healthcare revenue cycle management market through its innovative cloud-based solutions and AI capabilities, with a strong focus on client satisfaction and market expansion [75]