Waystar Holding reports Q3 2026 results

On November 2, 2026, Waystar Holding Corp. (the "Company") issued a press release announcing earnings and other financial results for the fiscal quarter ended September 30, 2026.¹ A copy of the press release is attached hereto as Exhibit 99.1 and incorporated herein by reference.²

The information in this Item 2.02, including the corresponding Exhibit 99.1, is being furnished and shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934³, as amended (the "Exchange Act"), or otherwise subject to the liabilities under that section and shall not be deemed to be incorporated by reference into any filings under Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.

(d) Exhibits.

Exhibit No. Description

99.1⁴

Waystar Holding Corp. Press Release, dated November 2 , 2026⁴

104 Cover Page Interactive Data File (embedded within Inline XBRL document)⁴

Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed by the undersigned hereunto duly authorized.

Date: November 2, 2026

Waystar Holding Corp.

By: /s/ Gregory R. Packer⁵

Name: Gregory R. Packer⁵

Title: Chief Legal Officer⁵

Waystar Reports Third Quarter 2026 Results

LEHI, Utah and LOUISVILLE, Ky., November 2, 2026 — Waystar Holding Corp. (Nasdaq: WAY), a provider of leading healthcare payment software, today reported results for the third quarter ended September 30, 2026.

"Waystar delivered another quarter of robust bookings and healthy demand across the business," said Matt Hawkins, Chief Executive Officer of Waystar. "Providers are increasingly consolidating more of the revenue cycle onto Waystar's connected platform, deepening relationships across both new and existing clients as they adopt more of our AI-powered capabilities. We are focused on executing against the opportunities in front of us and extending our market leadership as we leverage AI and agentic capabilities to reshape the revenue cycle."

Third Quarter 2026 Financial Highlights

• Revenue of $325.6 million, up 21% year-over-year⁶

• Net income of $31.0 million, GAAP net income per diluted share of $0.16, and net income margin of 10%⁷

• Non-GAAP net income of $87.1 million and non-GAAP net income per diluted share of $0.44⁷

• Adjusted EBITDA of $139.3 million and adjusted EBITDA margin of 43%⁸

• Cash flow from operations of $103.9 million and unlevered free cash flow of $114.8 million⁹

Key Performance Metrics and Revenue Disaggregation

• 1,488 clients contributed over $100,000 in LTM revenue, up 14% year-over-year¹¹

• Net revenue retention rate (NRR) of 108%¹¹

Financial Outlook

As of November 2, 2026, Waystar provides the following guidance for its full fiscal year 2026. 1

• Total revenue is expected to be between $1.277 billion and $1.287 billion¹²

• Adjusted EBITDA is expected to be between $543 million and $549 million¹²

• Non-GAAP net income is expected to be between $322 million and $337 million

• Diluted non-GAAP net income per share is expected to be between $1.63 and $1.71¹³

Webcast Information

Waystar will discuss its financial results on a conference call scheduled at 4:30 p.m. Eastern Time today, November 2, 2026. A live audio conference call will be available on Waystar's website at https://investors.waystar.com/news-events/events. Waystar will archive the webcast on its site for those unable to listen in real time. This earnings release and the related Current Report on Form 8-K, furnished November 2, 2026, are available on the Investor Relations page of Waystar's website. We routinely post important information on our website, including corporate and investor presentations and financial information. We intend to use our website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Such disclosures will be included in the Investor Relations section of our website. Accordingly, investors should monitor this portion of our website, in addition to following our press releases, U.S. Securities and Exchange Commission ("SEC") filings, and public conference calls and webcasts.

1 We have not reconciled the forward-looking adjusted EBITDA, non-GAAP net income, and non-GAAP net income per share guidance included above to the most directly comparable GAAP measure because this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain costs, the most significant of which are incentive compensation (including stock-based compensation), transaction-related expenses, and certain fair value measurements, which are potential adjustments to future earnings. We expect the variability of these items to have a potentially unpredictable, and a potentially significant, impact on our future GAAP financial results.

Non-GAAP Financial Measures

To supplement the consolidated financial statements prepared and presented in accordance with U.S. generally accepted accounting principles ("GAAP"), this press release contains certain non-GAAP financial measures as defined below. We present non-GAAP financial measures as supplemental measures of financial performance that are not required by, or presented in accordance with, GAAP. We believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. Management believes these non-GAAP financial measures are useful to investors in highlighting trends in our operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate, and capital investments. Management uses adjusted EBITDA and adjusted EBITDA margin to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish discretionary annual incentive compensation, and to compare our performance against that of other peer companies using similar measures. Management uses non-GA