NASDAQ:WAY Waystar Q2 2024 Earnings Report $19.57 0.00 (0.00%) Closing price 05/22/2026 04:00 PM EasternExtended Trading$19.26 -0.32 (-1.61%) As of 05/22/2026 07:17 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Massive. Learn more. ProfileEarnings HistoryForecast Waystar EPS ResultsActual EPS$0.04Consensus EPS -$0.01Beat/MissBeat by +$0.05One Year Ago EPS-$0.07Waystar Revenue ResultsActual Revenue$234.50 millionExpected Revenue$216.25 millionBeat/MissBeat by +$18.25 millionYoY Revenue Growth+19.60%Waystar Announcement DetailsQuarterQ2 2024Date8/7/2024TimeAfter Market ClosesConference Call DateWednesday, August 7, 2024Conference Call Time4:30PM ETUpcoming EarningsWaystar's Q2 2026 earnings is estimated for Wednesday, July 29, 2026, based on past reporting schedules, with a conference call scheduled at 4:30 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Waystar Q2 2024 Earnings Call TranscriptProvided by QuartrAugust 7, 2024 ShareLink copied to clipboard.Key Takeaways Strong Q2 financials: Revenue of $235 M, up 20% YoY, adjusted EBITDA of $94 M at a 40% margin, and $50 M in unlevered free cash flow. Onboarded over 30,000 providers after a competitor’s cyberattack, generating $9 M of incremental Q2 revenue with most of the uplift expected to be retained. IPO proceeds used to pay down ~$1 B of debt, reducing net leverage to 3.7× and lowering borrowing costs by repricing debt to SOFR+2.75%. Full-year 2024 guidance of $902 M–$918 M in revenue (+15% YoY) and $360 M–$368 M in adjusted EBITDA (40% margin). Ongoing investments in cybersecurity and generative AI, including AI co-pilots for prior authorizations, appeals, and payer policy automation. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallWaystar Q2 202400:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Good day, and thank you for standing by. Welcome to the Waystar second quarter 2024 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. To ask a question during this session, you'll need to press star one one on your telephone. You will then hear an automated message advising you your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would like to hand the conference over to your speaker today, Sandy Draper, Chief of Staff and Vice President of Special Projects. Please go ahead, sir. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:00:39Thank you, Operator, and good afternoon, everyone. It's my pleasure to welcome you to Waystar Holding Corporation's second quarter 2024 earnings call. Today's call is being webcast, and a replay, along with the transcript, will be available on our website, along with other related materials following the conclusion of this call. Matt Hawkins, Waystar's Chief Executive Officer, and Steve Oreskovich, Waystar's Chief Financial Officer, are joining me today. After their remarks, we will open the call to your questions. Earlier today, we issued a press release announcing our financial results and a presentation slide deck to accompany our prepared remarks. The materials are available on the Investor Relations section of our website at investors.waystar.com. Before we get started, I will remind you that this call contains forward-looking statements, which include all statements that are not historical facts. Examples of these statements include expectations of future growth and margins. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:01:32These statements do not guarantee future performance and involve a number of risks and uncertainties, and undue reliance should not be placed on these forward-looking statements. Actual results may differ materially from those expressed in these statements. For full discussion of the risks and other factors that may impact these forward-looking statements and our business generally, please refer to this evening's press release and our prospectus filed with the SEC on June 7, 2024, and in other reports we filed with the SEC, all of which are available on the Investor Relations page of our website. Any forward-looking statements provided during this call are made only as of the date of this call, and we undertake no obligation to update and/or revise such statements except as required by law. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:02:17During today's call, we will also discuss certain non-GAAP financial measures, which we believe may be useful in evaluating our financial performance. We have provided reconciliations of Adjusted EBITDA and non-GAAP net income and earnings per share and certain other non-GAAP financial measures included in our remarks to the most directly comparable GAAP measures, together with explanations of these measures in the appendix to the presentation slide deck and our earnings release. These non-GAAP measures should not be considered in isolation or as a substitute for financial results prepared in accordance with GAAP. Lastly, we are pleased to note our participation in the Canaccord Genuity Annual Growth Conference in Boston on August 13, where we look forward to engaging with many of you. With that, I'll turn it over to Matt. Matt HawkinsCEO at Waystar00:03:02Thank you, Sandy, and good afternoon, everyone. Thank you for joining our inaugural earnings call as a publicly traded company. On today's call, we will cover the following four topics. First, I will review Waystar's second quarter results reflecting on our strong performance and highlighting a few areas that favorably impacted our results. Second, I will provide insight into our response to and the impact of February 21's cybersecurity attack on a competitor's claims clearinghouse. Third, I'll take the opportunity to share what we are building at Waystar, including innovations and developments that are shaping our future. And last, I'll turn the call over to Steve Oreskovich, our CFO, who will walk through more detailed financial materials and highlight guidance for the full year 2024. We're pleased to report that we have delivered a strong second quarter, continuing our momentum and showcasing the efforts of our entire team. Matt HawkinsCEO at Waystar00:04:02Q2 revenue was $235 million, representing a 20% year-over-year growth. Our revenue growth in the quarter, which was greater than the low double-digit growth rate that we typically expect, is attributable to a few primary factors. First, our business continued to perform well in Q2. We maintained solid client retention, closed a number of new sales opportunities that we expect to implement at our regular cadence, and continued to grow our bookings pipeline. Second, Q2 revenue had some favorability due to increases in patient payment volumes that we processed on the Waystar software platform. We believe this outperformance is due to expected increases in patient visits, as well as patients choosing to make payments to fulfill their insurance deductible at a modestly faster pace. We note that there is some seasonality in the timing of when patients fulfill their insurance deductibles in any given year. Matt HawkinsCEO at Waystar00:05:06Third, we completed two small acquisitions in the second half of 2023, which favorably impacted the year-over-year comparison versus last year. And finally, as I will address in more detail in just a moment, our revenue growth benefited from our efforts to onboard thousands of providers to the Waystar software platform after these providers' operations were disrupted by the February 21 cyber attack against a competitor. Importantly, we expect to retain the majority of this revenue uplift going forward. So, to summarize, we were pleased with our business performance, and a few favorable factors in Q2 supplemented our revenue growth. Normalized for these items, the business grew slightly above our expected low double-digit range. We're also pleased to report that Q2 Adjusted EBITDA was $94 million, up 12% year-over-year, and in line with our Adjusted EBITDA margin goal of 40%. Matt HawkinsCEO at Waystar00:06:08Within Q2 adjusted EBITDA, we incurred expenses associated with onboarding thousands of providers to the Waystar software platform who were impacted by the February 21 cyber attack. We also focused on integrating recent acquisitions and incrementally investing in growth, cybersecurity, and innovation-related initiatives. From a margin perspective, we're pleased with our adjusted EBITDA margin and are actively pursuing ways to drive operational efficiency to maintain and expand margins over the longer term. Our business model promotes strong cash flow conversion, and Q2 was no exception. In the second quarter, we generated unlevered free cash flow of $50 million. The combination of our strong cash flow profile and our recent IPO puts Waystar in a sound financial position. As we committed, we used the proceeds of our initial public offering in June to pay down debt, bringing our net leverage to 3.7x at the end of the quarter. Matt HawkinsCEO at Waystar00:07:11Reflecting subsequent debt paydown with the proceeds from the partial exercise of the IPO greenshoe option in early July, our net leverage ratio is approximately 3.4 times today. In addition, I want to highlight two key metrics that we use to track our business's performance and give us confidence in our durable growth model. First, the number of clients generating more than $100,000 in trailing 12-month revenue increased to 1,117, an increase of 9% year-over-year. We believe this metric demonstrates our ability to land and then expand business with our clients. Second, our net revenue retention in Q2 was 108%, within the range of the 108%-110% that we have seen over the past 10 quarters. Matt HawkinsCEO at Waystar00:08:02Our strong net revenue retention highlights the enduring relationships we established with our clients, beginning with strong gross revenue retention and then delivering value to our clients as we focus on expanding the Waystar software modules they use through our cross and upsell efforts. Steve will discuss Q2 financials in more detail and also provide guidance for fiscal year 2024. Now, on to the second point, a topic that I know many of you are keenly focused on: Waystar's response to and the impact of the February 21st competitor cyber attack event. Following this unfortunate event in the market, healthcare providers and patients faced tremendous disruption. At Waystar, we quickly focused our efforts and marshaled additional resources to help impacted providers simplify their healthcare payments and regain cash flow. Matt HawkinsCEO at Waystar00:08:56We are pleased to report that Waystar has helped more than 30,000 providers move rapidly to the Waystar software platform, many in as little as three days, to minimize their disruption during this time and to get paid for the healthcare services they delivered. This urgency to maintain continuity in critical business operations resulted in pulling forward implementation timelines for many of these providers and the corresponding time to revenue for Waystar. We feel grateful to be in a position to help thousands of providers resume normal business operations so quickly. Importantly, we expect to build enduring relationships with these new clients, most of whom signed standard Waystar business agreements with two- to three-year terms and annual auto-renewals thereafter. This incident not only created a near-term opportunity for Waystar to help thousands of providers, but also a longer-term opportunity to cross-sell additional Waystar software modules to these provider organizations. Matt HawkinsCEO at Waystar00:10:02For many, this cyber attack reinforced the importance of using a modern cloud-based software platform such as Waystar's, which provider organizations can deploy rapidly with limited to no disruption while successfully managing their finances. Due to Waystar's performance during this trying period, we believe our competitive position in the industry is even stronger, and we continue to work hard to help provider organizations and to capitalize on the positive momentum that we have seen. I want to also comment briefly on Waystar's approach to cybersecurity. We understand the importance of protecting our clients' data and privacy. We are committed to proactively monitoring and safeguarding our clients' information in today's ever-evolving cyber landscape. Waystar utilizes a robust framework for cybersecurity to proactively monitor, measure, and mitigate risk. We validate our cyber program and readiness with regular HITRUST PCI, SOC 2, and NIST audits. Matt HawkinsCEO at Waystar00:11:09In light of the recent cyber attack on a competitor's system, it's important to note that we have already been using modern cybersecurity protocols, such as requiring multi-factor authentication for system access, credential restrictions and theft alerts, data exfiltration and endpoint detection capabilities, and system backups that cannot be modified by malware or bad actors to secure our software platform and data. We believe our rigorous approach to cybersecurity can help us minimize the cost of any potential disruption through system resiliency and rapid restoration, and we will remain vigilant in safeguarding against potential threats. Now, on to the third point. In our inaugural call, I want to highlight Waystar's mission and what makes our company unique. We are focused on simplifying healthcare payments through our modern end-to-end cloud-based software, enabling our provider clients to prioritize patient care and optimize their financial performance. Matt HawkinsCEO at Waystar00:12:15We are transforming healthcare payments for providers while simultaneously helping patients navigate an often frustrating healthcare payments experience with greater transparency and clarity. I will now highlight six attributes that make us unique and fuel our belief in the positive benefits we can deliver to our clients. First, we are a software company purpose-built for healthcare. We are not a services company trying to become more tech-enabled. Building great software to disrupt long-standing payment challenges is the focus of Waystar's work. Second, our software is mission-critical to our clients. In 2023, we facilitated over $5 billion healthcare payment transactions, including over $1.2 trillion in gross claims. When clients adopt the Waystar platform, we become essential to their business operations and cash flow generation. We develop long, enduring relationships with clients because our software helps them get paid faster, more accurately, and more efficiently than ever before. Matt HawkinsCEO at Waystar00:13:27Our strong client and revenue retention attest to this. Third, our differentiated cloud-based software platform with advanced technology is integrated into more than 500 electronic health record and practice management systems. This allows us to serve more than one million providers of all sizes across every setting of care. Our platform enables us to deliver several benefits to our clients. We rapidly deploy and implement our cloud software to serve clients of all types and sizes, addressing their unique needs. Waystar's end-to-end capabilities enable providers to manage all of their healthcare payments through a single platform, which serves as a meaningful differentiator for Waystar relative to numerous point solution vendors that exist in the market. We believe that no competitor matches the breadth, depth, and quality of our software platform. Matt HawkinsCEO at Waystar00:14:26We deliver an average of 300 software feature innovations and improvements each quarter without interrupting the operations of our clients. Our clients achieve the real return on investment they expect as they work with Waystar. Fourth, as we are at the forefront of actively deploying AI and machine learning to automate work, prioritize tasks, and eliminate errors as clients use Waystar software, our software uses AI pervasively today, and we are well-positioned to harness the power of generative AI to drive ROI for our clients. We recently announced that we have identified more than a dozen promising new generative AI capabilities across the healthcare payments processes. Our collaboration with Google Cloud builds on Waystar's proven track record of deploying innovative AI solutions. I'd like to highlight just a few generative AI use cases we are actively developing. First, a copilot to further automate prior authorization submission. Matt HawkinsCEO at Waystar00:15:33We believe this will materially differentiate our existing prior authorization product, positioning it to accelerate the pace of penetration. Second, a copilot to automate appeal management when a claim has been denied, substantially accelerating speed to payment. And third, an agent to enable real-time conversion of payer policy changes into claims rules. This technology will allow clients to upload their specific payer contracts and policies to Waystar's cloud rules engine with a high degree of automation and accuracy, driving lower denial rates and improving the ROI of Waystar's products versus the competition. In addition, we have several longer-term generative AI products in our pipeline for 2025 and beyond that drive automation and efficiency across the processes that lead to accurate healthcare payments. Matt HawkinsCEO at Waystar00:16:31The fifth attribute is that we have a strong track record of delighting our clients, resulting in number one rankings in client satisfaction in several industry surveys and strong net promoter scores. We have an active and engaged client advisory board and delighted referenceable clients. Finally, we have a highly visible and durable revenue growth model with sustainable 40%+ adjusted EBITDA margins. We believe there is meaningful embedded growth within our client base and a large addressable market to pursue. We are focused on building and sustaining this momentum that we have created. Now, I will turn the call over to Steve to discuss our results in more detail and highlight our full-year guidance for 2024. Steve OreskovichCFO at Waystar00:17:20Thanks, Matt. Steve OreskovichCFO at Waystar00:17:23Before I discuss the results and guidance, I'd like to briefly cover the durable and visible financial model you mentioned, as it is the basis of our highly recurring, predictable, and profitable growth at scale. Over the past several years, we have consistently delivered low double-digit revenue growth and Adjusted EBITDA margins of 40% or more. Over 99% of our revenue comes from our cloud-based software platform, which means we derive less than 1% of revenues from services. Software revenue consists of contractually committed subscriptions and predictable recurring volumes processed on the platform. In Q2, revenue was roughly equal between these two streams, and both grew double digits. The subscription fee provides a fixed recurring revenue stream, while the volume-based component allows us to benefit from our clients' growth. We generate more revenue as our clients see more patients and deliver more care. Steve OreskovichCFO at Waystar00:18:28Apart from seasonality tied to health plan deductibles and seasonal illnesses, volumes are relatively stable and predictable year to year, given that the demand for healthcare is largely inelastic and growing annually. Therefore, in the aggregate, we believe we have meaningful visibility over the entire revenue base. Another important metric that demonstrates the visibility of our model is our net revenue retention. Over the past 10 quarters, we have shown a net revenue retention rate between 108% and 110% on a trailing 12-month basis, with Q2 at 108%. Turning to financial results, we had a strong second quarter, with all financial metrics showing impressive growth. Revenue increased 20% year-over-year to $235 million. This growth was primarily driven by four outcomes. First, our business model continues to be strong. Steve OreskovichCFO at Waystar00:19:32This is evidenced by the successful expansion in the number of clients of scale to 1,117 as of the end of Q2, adding 37 new clients in the quarter who produced more than 100,000 of LTM revenue. This expansion validates our land and expand strategy, as well as our ability to sell more multiple solution deals to new clients. Second, we processed more patient payments from existing clients on our software platform than we have typically seen in the second quarter over the past couple of years. We expect the associated beat to offset in the second half of 2024 and have appropriately factored this into our full-year guidance. Third, as indicated in our filings, we completed two small acquisitions in the second half of 2023. Consequently, the timing of the acquisitions modestly benefits the second quarter year-over-year growth rate. Steve OreskovichCFO at Waystar00:20:36Finally, our team's 24x7 work to swiftly onboard new clients impacted by the competitor cyber attack and to help existing Waystar clients in minimizing the impact on their operations generated $9 million of incremental revenue in Q2 versus what we would have expected from our historical win rates and associated implementation timing. To provide context, we typically see client implementation cycles of a few to several months due to client and insurance payer readiness factors versus the 3-day implementations Matt previously mentioned. Most importantly, we believe the majority of revenue generated from this work will be enduring and increase our long-term revenue baseline. While 20% year-over-year growth for Q2 and 19% growth in the first half of 2024 are strong, we also recognize some of the items that we have highlighted today or referenced in our filings impact the year-over-year comparability. Steve OreskovichCFO at Waystar00:21:42Normalizing for those items, revenue growth would be closer to 13%, which is slightly above our expected low double-digit range. GAAP net loss for the second quarter of 2024 was $28 million, compared to a net loss of $11 million in the prior year. Q2 2024 results include $37 million of stock-based compensation costs, with $33 million associated with performance-based options expensed from going public. They also include $4 million of year-over-year channel partner commission increase based on revenue performance. Adjusted EBITDA of $94 million for the second quarter increased 12% year-over-year. The adjusted EBITDA margin of 40% also reflects investment in the business to ensure we were able to meet client expectations and ongoing investments in the areas Matt mentioned, including innovation and cybersecurity. Switching gears, we have significantly improved our capital structure through several events since the beginning of the year. Steve OreskovichCFO at Waystar00:22:52First, we used the net proceeds from the IPO to pay down $909 million of debt. This payment and our consistent ability to deleverage through solid financial performance resulted in upgrades of two notches from all three rating agencies. We used these two outcomes to reprice our debt in late June, reducing our interest rate to SOFR +2.75%, down from SOFR +4% at the beginning of the year. And finally, after the quarter ended, most of the IPO green shoe was exercised for net proceeds of $103 million, and we used those proceeds along with a bit of cash on hand to pay down an additional $111 million of debt. We ended the quarter with $1.36 billion of total debt and net debt of $1.29 billion. Steve OreskovichCFO at Waystar00:23:49On a trailing 12-month basis, our net debt to Adjusted EBITDA leverage is 3.7 times, down from 6.6 times at the beginning of the year. If one were to adjust the leverage ratio to reflect the additional debt paydown in July, it would have decreased to 3.4 times. Unlevered free cash flow was $50 million in the second quarter of 2024, compared to $77 million in the prior year. Our unlevered free cash flow includes a tax burden of $26 million in Q2 versus $6 million last year, as we are a full taxpayer. Our capital allocation priorities remain the same. We expect to continue to deleverage the balance sheet, targeting approximately one turn a year. We continue to invest in the business to drive sustainable top-line growth, and we will also look at opportunities for inorganic growth based on our disciplined acquisition criteria. Steve OreskovichCFO at Waystar00:24:53As evidenced from the financial discussion, we had a solid first half of 2024 and are confident in our outlook for the remainder of the year. For fiscal 2024, we expect revenue to be within the range of $902 million-$918 million. At the midpoint, this represents 15% growth over 2023. For additional context, we expect both subscription and volume-based revenue to grow by over 10% year-over-year. We have also considered the seasonality aspect of patient payments processed on the software platform, which is typically more robust in the first half of the year because patient deductibles reset at the beginning of each year. Additionally, while we experienced revenue overperformance in Q2 due to the impact of rapid implementations as we helped providers, our full-year guidance reflects an expectation of normal implementation timelines going forward. Steve OreskovichCFO at Waystar00:25:54Our expectations for adjusted EBITDA incorporate public company expenses, continued investment in client support, innovation, and cybersecurity, along with higher channel partner commission costs due to strong sales. Factoring in these items, we expect to deliver adjusted EBITDA between $360 million and $368 million, representing 9% year-over-year growth at the midpoint of guidance, along with an adjusted EBITDA margin of 40% for 2024. We are now ready to answer your questions. Operator00:26:30Thank you. As a reminder, to ask a question, please press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. We ask that you please limit yourself to one question and one follow-up. One moment as we go to our first question. Our first question comes from the line of Anne Samuel with J.P. Morgan. Your line is open. Please go ahead. Anne SamuelExecutive Director at JPMorgan00:26:56Hey, guys. Anne SamuelExecutive Director at JPMorgan00:26:58Congrats on the great print, and thanks for taking the question. I was hoping maybe you could talk a little bit about, you know, in your conversations with clients, you know, kind of post the change disruption, how are they thinking about, you know, kind of how they were historically tied to, you know, one vendor and that caused them some disruption? Or do you have an appetite for diversification so they don't end up, you know, kind of being stuck again? How are they talking about that, and how are they thinking about, you know, vendor diversification? Thanks. Matt HawkinsCEO at Waystar00:27:28Thanks, Anne, for the question. This is Matt. Let me try to provide our perspective. We, first of all, were very grateful to be in a position where we could help the thousands of providers, as we've described. Matt HawkinsCEO at Waystar00:27:41I think we were able to not only showcase the speed and ability of Waystar and our team members to rapidly respond to help these providers, but I think it's, we did so, as we also mentioned in the prepared remarks, using standard Waystar agreements that, as we've described, are multi-year in nature with auto-renewing aspects thereafter. What we believe is the majority of the clients that move to the Waystar platform are looking certainly for a cybersecure platform, and we, as described, will be vigilant and focused on cybersecurity posture. We think while there is some chatter or market noise around needing redundancy or having a resilient network, we also believe that that could be rather inefficient. You know, a question would be, will people have multiple EHR solutions because they want redundancy? That just doesn't seem very tenable. Matt HawkinsCEO at Waystar00:28:42And so what we'll focus on is establishing that we can be a trusted partner. We're proving that now. We're actually beginning to have conversations with many of these clients about expanding the use of the Waystar software platform to include other software modules. I hope that's a helpful perspective. Anne SamuelExecutive Director at JPMorgan00:29:01It is, and sounds like a great opportunity for you. You know, maybe just my follow-up would be on the back half volume-based revenue expectations. I was hoping you could just provide a little bit more color there, maybe what's driving that. Thank you. Matt HawkinsCEO at Waystar00:29:14Okay, let me turn to Steve for th Steve OreskovichCFO at Waystar00:29:16at one. Thanks, man. Thanks, Annie. Yeah, so at midpoint of guidance, 15% for the full year would imply roughly about 12.5% year-over-year growth in the second half of the year. Steve OreskovichCFO at Waystar00:29:31You know, we did see and talked about in the walk from, you know, the first half of the year, 19% to more of a normalized view of 13%. I didn't mention in the prepared remarks, patient payment volume coming in stronger in the first half of the year, meaning we've seen patients utilizing the healthcare system and the amount of payments being greater than what we've seen in prior years. So we've reflected that in the second half of the year expectations. I think you also see in the deck, you may not have had a chance to look at it yet, but the investor deck we put on our website that obviously we've continued to grow and for the past several quarters now and continued to grow sequentially the subscription-based revenue. Steve OreskovichCFO at Waystar00:30:24I think that's a fair assumption, as you think about the second half of the year, that sequential growth. I think what we reflected in that back half of the year for the volume-based is the overperformance or greater performance that we've seen from the patient payments, you know, side of the business for the first half of the year. Matt HawkinsCEO at Waystar00:30:47Yeah, some seasonality that's natural in our business. Steve OreskovichCFO at Waystar00:30:49Correct. Anne SamuelExecutive Director at JPMorgan00:30:49Very helpful. Thank you. Operator00:30:53Thank you. One moment as we move on to our next question. Our next question is going to come from the line of Adam Hotchkiss with Goldman Sachs. Your line is open. Please go ahead. Adam HotchkissVP of Equity Research at Goldman Sachs00:31:06Great. Good speaking with you all, and thanks so much for taking the questions. I guess to start, I'd be curious on what you're seeing in the software buying environment, agnostic of the cyber attack demand increase. Adam HotchkissVP of Equity Research at Goldman Sachs00:31:18How would you describe the prioritization stack for purchase decision makers at the hospital and health systems for RCM technology? And then I just have a quick follow-up. Matt HawkinsCEO at Waystar00:31:26Thanks, Adam. We see it as very important. RCM is a top priority to decision makers as we reflect on the broader macro market, so to speak. I think it's fair to acknowledge that healthcare is an important industry for all of us. It relates to us personally. In the United States, we're spending a substantial amount of money on healthcare each year, where there's also significant waste, more than $750 billion a year of waste. And so we see what's on decision makers' minds is how to gain more operating efficiency within their systems. We know that hospital margins have been challenged. We've seen that smoothing out over the last six months when you read some different industry reports. Matt HawkinsCEO at Waystar00:32:13What we've noted is that there is a desire among prospects and clients to consume more of the Waystar software platform. There's an emphasis on platform versus point solution. I think part of that might be tied to some cybersecurity impact. It's harder to cybersecure multiple point solutions than it is to work with a trusted partner that has a platform and a cybersecure approach. But when you think about broader economic macro trends, you know, talk around potential recession even, what we would say is healthcare as an industry is recession resistant. Not recession proof, but recession resistant. Even during, you know, market downturns, people still need healthcare services. Where I think Waystar has a perspective is that we are helping decision makers because our software platform delivers operating efficiency. We are automating work. Matt HawkinsCEO at Waystar00:33:17We're reducing error associated with all of the billing, insurance, and interactions and collection interactions between providers and insurance companies and providers and patients. We're bringing efficiency and automation to that. And so we become an important part of the dialogue. We've seen an uptick in our RFPs. We see we like the position of our bookings pipeline and our high-performing sales organization are having conversations with decision makers that we feel like, you know, gives us a sense of confidence as we look into this economy, as we stay close to decision makers and as we continue to do work at Waystar to execute on our business plan. Adam HotchkissVP of Equity Research at Goldman Sachs00:34:05Okay, great. Appreciate all that detail. That was really helpful. And then, Steve, you mentioned the financial impact from the cyber attack at one of your competitors. Adam HotchkissVP of Equity Research at Goldman Sachs00:34:15Could you maybe just talk about what you're baking in there for the back half of the year? Are you continuing to see customers come in the door as recent as the last couple of months? Or has that faded as, you know, February 21st moves further in the background? And then, you know, when you think about the dollar amounts that you're baking in for the back half of the year, you know, how much of what's in guidance now is just what you've already done? And how do you view the upside potential, you know, from the creation of some of these relationships and module cross-sell? Thanks so much. Matt HawkinsCEO at Waystar00:34:51Yeah, thanks, Adam. Matt HawkinsCEO at Waystar00:34:53I think it's, as you alluded to, in the, you know, we saw $9 million of uplift in the second quarter versus a typical cadence we'd have expected as a result of the competitor cyber attack, some of that being, you know, generated from greater business wins. We have very high win rates to begin with. A lot of that also being generated from the faster implementation. It's, you know, it was kind of, you know, while it was a bad event for the industry and it impacted clients, it also reinforced what we have been saying in the past that it does not take long to switch to Waystar and implement, and we can implement people quickly. It generally is the timeline in which it falls in the client readiness and in some of the payer connectivity readiness. Matt HawkinsCEO at Waystar00:35:45I think as far as we looked out into the second half of the year, I think I briefly mentioned, you know, we would expect those implementation timelines for clients that we've continued signing new clients to revert back more towards the norm, right? That's sort of how we were thinking through it. I think it's appropriate for us as a, in our initial foray into the public markets to think in that manner. We've also, as you alluded to, have a very good track record of, you know, cross-selling into our client base. Obviously, these clients, you know, there's a bolus of clients that are, that, you know, are newer to us and that we brought on board in the second quarter. Matt HawkinsCEO at Waystar00:36:31I think we, you know, I think also our, as we think through the second half of the year, do we see opportunities for cross-sell and further revenue expansion? I think yes, we definitely do. I think we would characterize that more towards a longer term and enduring out in follow-on years versus seeing an immediate impact coming in the second half of the year. I would also add, Adam, that we are learning through this period of time. We're very active in helping these clients, as I mentioned, to supplement what Steve said. We do see an uptick in RFPs. Waystar's getting invited to participate in more and more of these conversations. Some of those, many of those are clearinghouse related. Matt HawkinsCEO at Waystar00:37:19And so we see, as we've described, the near term, call it 2024 impact, then what we'll say the longer term opportunity will continue to learn and hopefully be able to describe more as we get a little further out of the future. But one thing for sure, we are focused on having conversations with clients and prospects who we know we can help. And once they become a client of Waystar, then we naturally have cross-sell and upsell conversations with them. Adam HotchkissVP of Equity Research at Goldman Sachs00:37:47Okay, all really helpful. Thank you, Matt. Thank you, Steve. Matt HawkinsCEO at Waystar00:37:51Thank you. Operator00:37:52Thank you. And one moment as we move on to our next question. And our next question is going to come from the line of Saket Kalia with Barclays. Your line is open. Please go ahead. Saket KaliaManaging Director at Barclays00:38:03Okay, great. Hey, Matt. Hey, Steve. Nice result here and congrats on your first quarter as a public company. Matt HawkinsCEO at Waystar00:38:12Thank you, Saket. It's sure nice to have this one, you know, in done. And we look forward to the conversation. Saket KaliaManaging Director at Barclays00:38:20I'm sure. Matt, maybe just to start with you, maybe just to change it up a little bit. It was great to see the upside in volume-related revenue. And I know that there was some timing benefit there, but can we just talk a little bit about the patient payments business and why you maybe feel like there's an opportunity for share gain in that market? Matt HawkinsCEO at Waystar00:38:41Yes. We, you know, we now understand an important part of a provider's total revenue is increasingly coming from patients themselves who, as you know, are participating in high deductible health plans at a faster rate than ever. Their out-of-pocket responsibility is increasing each year. Matt HawkinsCEO at Waystar00:39:07And so Waystar, as we've described, as we talk about the Waystar software platform, has united insurance and payer interactions for providers, both commercial insurance as well as government insurance, like Medicare and Medicaid, as well as patient payment processing all on a single cloud-based platform. We think that's very important because it gives the provider a total view of their sources of payment. It's also important because it positively impacts patients. We know from our own work and from hearing and listening to patients and perhaps experiencing that for ourselves that patients want more transparency in their care. They want more understanding of what their financial responsibility is. And oftentimes they want that before they receive healthcare versus the 60 or 90 days post-care. Well, that's where Waystar software can really be helpful. Matt HawkinsCEO at Waystar00:40:08Because of the $5 billion insurance transactions we're processing each year within our platform, we gain a tremendous amount of insight and intelligence that informs what the patient's financial responsibility is likely to be. We can produce a highly accurate patient payment estimate, often pre-care, that then the provider can use to engage with the patient to put appropriate payment form on file within Waystar's software. We call it the Waystar Patient Wallet, and then begin to interact with that patient, put them on a financial care plan, or be able to process the payment appropriately over a period of time. We're seeing that capability take hold. That is influencing our volumes. Matt HawkinsCEO at Waystar00:40:54We know that when providers use this portion of our software, the patient payment portion of our software, it's increasing, certainly, patient satisfaction, but it's also increasing collection rates and improving time to collection and overall likelihood of getting collection. And so those things are, at a kind of a high level, are absolutely influencing the use of how providers are thinking about patient payments. And we also know that providers see patients. I think historically, you might say, well, provider organizations are just treating patients carefully with care, but also like a transaction. Increasingly, we see many large health systems and hospitals view the patient in kind of a long-term relationship, a patient relationship that they like to sustain. And so all those factors are influencing patient payment volumes that we're processing on the software platform. Matt HawkinsCEO at Waystar00:41:56We're bringing improvement and transparency and elegance to what has historically been a very cumbersome, you know, process for both providers and patients. Matt HawkinsCEO at Waystar00:42:06That makes a lot of sense. Steve, maybe for my follow-up for you, you know, that 13% normalized growth number was actually a very helpful metric. Apologies if I missed it, but can we just go maybe one level deeper into the bridge from the 20% reported growth to 13? You know, I think you mentioned something about $9 million in terms of benefit from sort of competitor disruption. Can you just maybe walk us through that bridge from 20 to 13? How much was from that? How much was from, you know, outside patient payments or any other granularity that you can provide to help bridge that? Steve OreskovichCFO at Waystar00:42:46Yeah, definitely, Saket. You are correct. Steve OreskovichCFO at Waystar00:42:51There were probably, if you think about it for the second quarter, there's three items. If you want to think it more holistically, the first half of the year, I'd add a fourth item that we talked about in our S-1 filing of a contract, a customer contract being terminated by request of that client in the March timeframe as a result of them spinning off a portion of their business. So again, if you think about it from the second quarter, it's really the work surrounding the competitor cyber attack. That's probably the most meaningful item in that bridge. Second is the fact that in the amount of transactions, patient payment transactions that we saw come through our clients during the second quarter being above what we've seen historically. Steve OreskovichCFO at Waystar00:43:41And then the third is we had indicated in the prepared remarks just the timing of two small acquisitions in the second half of 2023 and their benefit when you're looking at Q2 year-over-year, you know, growth rate. And I would expand each of those three as we look to the first half of the year, year-over-year growth rate. And then add on that last item. That last item we mentioned in the S-1 filing was about, you know, roughly $4 million of benefit to the first quarter. If you think about that versus ratable timing over the rest of the year at the halfway mark, that would be about $2.5 million worth of benefit. Saket KaliaManaging Director at Barclays00:44:21Very helpful. Thanks, guys. Matt HawkinsCEO at Waystar00:44:25Thanks, Saket. Saket KaliaManaging Director at Barclays00:44:27You're welcome. Operator00:44:28Thank you. One moment as we move on to our next question. Operator00:44:32Our next question is going to come from the line of Ryan Daniels with William Blair. Your line is open. Please go ahead. Ryan DanielsEquity Research Analyst at William Blair00:44:37Yeah, good evening, guys. I'll add to the chorus of congratulations and thanks for taking my questions. Matt, maybe I'll start with my first for you. You mentioned there's a broader adoption of the full solution platform. And I'm curious two things. Number one, is that really among new clients moving over to Waystar? Are you seeing that same desire among your current client base? And then number two, depending on your answer there, does that change at all your sales team or go-to-market strategy? Matt HawkinsCEO at Waystar00:45:05Thanks, Ryan. We appreciate your thoughtful question. You know, we're noticing a couple of things that we're particularly pleased with and encouraged by. We are noticing that there are increasingly more clients that are utilizing the end-to-end platform from the start. Matt HawkinsCEO at Waystar00:45:26One of the metrics that you'll recall that we report on is the number of clients that are producing over $100,000 of LTM revenue. So we'd start there, and we believe that's an important metric because it measures both, to your question, the new clients that join us and are consuming our several modules or perhaps even the whole platform at the outset. It also measures as clients, we may land in one area. For example, in Q2, we had, as you know, the urgent work of helping clients begin to use the Waystar clearinghouse. Well, that's a software module within the Waystar software platform. And, you know, we land there typically, and then we'll expand the relationship with them over time. Matt HawkinsCEO at Waystar00:46:16And so we're pleased with both the new client pursuit, which, where we're organized with high-performing sales team members, as well as our efforts to, once landed, to expand the relationship. And so that metric that we report on is a reflection of both new and existing clients who are consuming more and more of the Waystar software platform. Steve OreskovichCFO at Waystar00:46:40Yeah, I think, Ryan, maybe to add a little bit of financial context surrounding your question. And I think Saket may have asked about it or maybe alluded to it in his question to Matt as well. We documented or disclosed, sorry, in the S-1 that provider solutions generate about 70% of revenue and patient payment solutions generate about 30% of the revenue. Steve OreskovichCFO at Waystar00:47:10For the first half of 2024, we've seen both, we've seen that sort of mix continue at substantially the same rate in both, you know, which implies then both are growing well over 10% as well. So I think we like the totality of the solution offering, and I don't think we've seen any big shift in mix there and think both market, you know, the opportunity within the client base and the broader healthcare base for both sets of high-level family solutions still remain significant. Matt HawkinsCEO at Waystar00:47:46I think that's right. Ryan, if it's okay, let me address the second part of your question, which was focused on, given what we've seen, are there any kind of go-to-market team implications? Matt HawkinsCEO at Waystar00:47:58And what I'd say there is, as you'll know very well, we're going after a very large addressable market opportunity, about $15 billion a year, where we have substantial opportunity to grow within the market. We feel like our new client pursuit is well organized, both in hospitals and health systems, as well as on the ambulatory side of our business. And then we also, part of that market, that addressable market is, again, once we land a client, then we get right to work and expand those relationships and create a unique client experience so that they want to use more of our software. And I feel like we're well organized from a go-to-market perspective there as well. Ryan DanielsEquity Research Analyst at William Blair00:47:58Okay, perfect. Thank you so much. And given the two-part question, I'll go ahead and hop back in the queue for you. Thanks, guys. Ryan DanielsEquity Research Analyst at William Blair00:48:49Thanks, Ryan. Operator00:48:50Thank you. Matt HawkinsCEO at Waystar00:48:51One moment as we move on to our next question. Our next question is going to come from the line of Elizabeth Anderson with Evercore ISI. Your line is open. Please go ahead. Elizabeth AndersonSenior Managing Director at Evercore ISI00:49:02Hi, guys. Congratulations on your first quarter as a public company. Thanks so much for the question. I was wondering if you could comment on the visibility that you guys are getting sort of from the change situation. Like if we think about the, you know, 1,117 customers that over 100,000 you announced in the quarter, like that doesn't count some of these new ones that have come through. So as we think about kind of that increased visibility that that brings you internally, I was wondering what you could potentially share with that. Then maybe as a follow-up, I have a question about the bookings and pipeline. Thanks. Matt HawkinsCEO at Waystar00:49:34Okay. Matt HawkinsCEO at Waystar00:49:37So we at Waystar, and thank you, Elizabeth, we pride ourselves on staying very close to our clients and to opportunities within our pipeline where we track things. We measure a lot of things, as you can appreciate. So we know a lot. We're learning. There's been a surge of work, as we've described, to help many new providers begin to use the Waystar software platform. What I'd say is we're continuing to help those clients begin to use Waystar and learn and identify opportunities that are beginning to show up in our bookings pipeline of opportunity. So we'll continue to track that and report our progress as we get the opportunity to visit with you in the future. Elizabeth AndersonSenior Managing Director at Evercore ISI00:50:28Got it. Thank you. Operator00:50:30Thank you. And one moment as we move on to our next question. Operator00:50:38Our next question is going to come from the line of Sean Dodge with RBC Capital Markets. Your line is open. Please go ahead. Analyst at RBC Capital Markets00:50:44Hey, good afternoon. This is Thomas Keller on for Sean. Congrats on the results and thanks for taking the question. I wanted to follow up on the previous questions on patient payments, and I want to make sure I heard this right. Are you expecting this part of the business to sort of grow in tandem with the other solutions, or are you expecting this to grow a little bit faster? Thanks. Steve OreskovichCFO at Waystar00:51:04Yeah, Tom, this is Steve. I think if you think about the base, you know, the 70-30 split with provider solutions being 70% of the business, patient payments 30% of the business. Steve OreskovichCFO at Waystar00:51:19Naturally, just due to the sort of the law of numbers, that growth rate for patient payment solutions is going to be a little bit larger than provider solutions inherent in the expectation for the full year guidance. I would say, though, that obviously maintaining that 70-30 split that we've seen historically and seeing that in the first half is also part of, would be part of our expectations as well. So we see both sides, or both, I shouldn't say sides, both high-level product families growing very nicely, not only in the historical results, but what we would expect for the rest of 2024. Analyst at RBC Capital Markets00:52:02I appreciate that, Keller. And then just a quick follow-up on that. Are there any near-term opportunities to drive first margin expansion of that business as well? Matt HawkinsCEO at Waystar00:52:13Yeah, so we've talked about, I think, in our long-term target of low double-digit revenue growth annually and a 40% Adjusted EBITDA margin that we would look to, you know, look for opportunities as they made sense to reinvest in the business to maintain somewhere around that low double-digit, or sorry, that 40% plus Adjusted EBITDA margin, investing in areas like bolstering an already strong cybersecurity posture or in generative AI solutions. Are there opportunities then that we would look at from a scalability perspective that would allow us to do that? Definitely, right? I think there's opportunities as we look at those two acquisitions, the smaller acquisitions that we finalized in 2023 to sort of, you know, finish the putt surrounding synergy expectations that we have associated with them. Matt HawkinsCEO at Waystar00:53:15I think there's also opportunities and projects that we're looking at internally that looks at, you know, that 60% direct cost associated with patient payments and our ability to look at whether it's the interchange rails in which those payments are processed on to better those from a cost structure perspective or for those interactions with the patient population that still occurs through a printed statement that gets mailed. There's an opportunity to change that into a more digital interaction that long-term we think benefits the overall margin profile of the business and allows us to continue to invest back in the business, you know, running it at 40% plus Adjusted EBITDA. Analyst at RBC Capital Markets00:54:03That's very helpful. Thanks again for the color. Matt HawkinsCEO at Waystar00:54:06You're welcome, Tom. Operator00:54:08Thank you. And one moment as we move on to our next question. Operator00:54:13And our next question is going to come from the line of George Hill with DB. Your line is open. Please go ahead. George HillManaging Director and Equity Research Analyst at DB00:54:18Yeah. Good afternoon, guys. Welcome to the public markets and thanks for taking my questions, Matt and Steve. I guess on, as it relates to the patient payments portion of the business, we talked about the split, and I know it's a smaller part, but I guess the question I would ask is, have you guys seen any sign of consumer weakness as it relates to the patient financial responsibility part of the business? And I guess my follow-up question there would kind of be like, I'm trying to understand, like, is the core, like, is the collections portion growing in line with what unit sales look like or whatever is the right way to think of that metric? George HillManaging Director and Equity Research Analyst at DB00:54:55But this is really like a patient financial responsibility slash consumer credit question. Like, are you guys seeing any erosion in that part of the business? And then I have a quick follow-up if you don't mind. Steve OreskovichCFO at Waystar00:55:03Yeah, certainly, George. This is Steve. I think, you know, what we've seen is actually stronger, you know, interaction and payments coming from patients in the first half of the year. And it's reflected, stronger meaning above and beyond the normal seasonality we would expect to see, right? And we've reflected, you know, we've reflected that in the prepared or our prepared comments, sorry. Steve OreskovichCFO at Waystar00:55:29If we think about your question, I think the second part of your question is, how do we think about the potential, you know, weakness, if you want to call it that, in the consumer aspects of it that may surface in the second half of the year we're hearing and, you know, commentary from other companies more broadly? I don't think that we've seen anything specific to date that would state that, but I think the other thing is in bringing prudence in our expectations and guidance range, I think we've accounted for that as we think through the overall revenue guidance that we've provided of top-line growth of $918 million-$902 million. George HillManaging Director and Equity Research Analyst at DB00:56:17Okay. That's great, color. George HillManaging Director and Equity Research Analyst at DB00:56:21My quick follow-up would be some other competitors in this space have commented that the sales environment into the provider setting seems to be getting a little bit more challenging and are kind of trying to migrate the sales model from, I'll call it more modular to more bundled. We just, I'd kind of ask if you feel like you're seeing any incremental challenges kind of in the sales process and kind of just if that would drive any changes in how you guys think about that market strategy. Matt HawkinsCEO at Waystar00:56:50George, it's Matt. Short answer is we have a strong and compelling ROI-based sales approach. We have many referenceable clients and case studies that support this ROI and our approach. I can't comment on what other companies you're referencing. What I can say is we have a robust pipeline of opportunity. We take an approach where it's very thoughtful. Matt HawkinsCEO at Waystar00:57:21We discover, we go, we have thoughtful dialogue. We understand the needs and the pain points of these prospects and clients that we work with as we create and identify opportunities. And then we're bringing appropriate resources and expertise to bear, reflecting our understanding of how to improve. And that leads to really good conversations and engagement with clients. And so I would say our ROI-based approach is one that we feel confident in and will continue to emphasize as we go to market. George HillManaging Director and Equity Research Analyst at DB00:57:59I thought that was the case. Thank you. Matt HawkinsCEO at Waystar00:58:01Thank you. Operator00:58:02Thank you. One moment as we move on to our next question. And our next question is going to come from the line of Richard Close with Canaccord Genuity. Your line is open. Please go ahead. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity00:58:12Yeah. Congratulations and thanks for the question. Just to maybe hit on the digitization of payments a little bit more. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity00:58:24You know, as you go away from paper, I'm just curious, you know, the percentage of your client base that's still doing paper statements and collections through mail. And then, you know, as you think about as it moves to digitizing, like the success difference between the traditional paper and digitized. Matt HawkinsCEO at Waystar00:58:54Thanks, Richard. So what we would say is, as you'll recall, Waystar has taken a holistic approach to connecting providers to patients in the ways that patients want to be connected to. And the fact is there is still a portion of the population that prefers a paper-based invoice or statement. And so we facilitate that today. We also have solutions that enable a digital engagement and a digital conversation that are taking, it's taking hold and providers and patients are using our solutions increasingly. And so we see over time the increasing opportunity to drive that digital engagement. Matt HawkinsCEO at Waystar00:59:42We don't disclose the portion of our business that has this paper-based patient statement, but we do see over time there being opportunity to continue to help providers connect to patients and do so increasingly with modern digital tools that both providers and patients will benefit from as we go forward. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity01:00:06And then the success between the two, I mean, I assume digital is much more successful getting the patients to pay. Matt HawkinsCEO at Waystar01:00:17We are seeing and tracking most of our case studies, I would say, that track faster collection rates and higher collection rates emphasize the digital engagement tools. And that's what we would expect as we lean into that opportunity over the longer term. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity01:00:36Great. Thank you. Matt HawkinsCEO at Waystar01:00:38Thanks, Richard. Operator01:00:39Thank you. And one moment for our next question. And our next question is going to come from the line of Brian Peterson with Raymond James. Your line is open. Brian PetersonFinancial Advisor at Raymond James01:00:48Please go ahead. Thanks, gentlemen, and congrats on the strong print right out of the gate. I appreciate all the detail here, Steve, on the $9 million in the impacts, but I'd love to understand if we think about that revenue, how much of that was kind of net new customers to Waystar versus customers that may have needed help facing those challenges? And is there any commonality between where you saw a bigger increase in terms of areas or customers or location? We just want to understand that a little better. Matt HawkinsCEO at Waystar01:01:16Yeah, what we would say, and thanks, Brian, and I appreciate your kind comments. Matt HawkinsCEO at Waystar01:01:21What we would say is that the $9 million of Q2 revenue that we've outlined as a, or highlighted as a benefit to us in the second quarter that comes from these over 30,000 providers that we've been able to help really comes in two general categories. The first category that we've seen are existing clients that might be using one portion of the Waystar software platform that reached out to us quickly and then rapidly began using more of our software. That came in all types of providers and all sizes of organizations. So I think large hospitals and health systems, as well as those that are practicing in smaller care settings. We also have noticed a phenomenon of simply adding net new clients to the Waystar platform, where there was urgency to move from the cyber-attacked competitor system to Waystar. Matt HawkinsCEO at Waystar01:02:26Again, we would characterize that as being across the United States, all types, all sizes of care settings. Again, we would just underscore that we're grateful to be in a position to respond so quickly to help these providers. We'll continue to learn more and report on our progress and any insight that we continue to gain as we go forward. Brian PetersonFinancial Advisor at Raymond James01:02:49Great to hear. Thank you. Matt HawkinsCEO at Waystar01:02:52Thanks, Brian. Operator01:02:53Thank you. Now I would like to hand the conference back over to Matt Hawkins for any further remarks. Matt HawkinsCEO at Waystar01:02:59Okay. Well, thank you so much, Michelle, for organizing and running the call today. Before signing off, I want to thank our dedicated Waystar team members. If there's a public forum to do that, I just want to say thanks. They're fantastic. Matt HawkinsCEO at Waystar01:03:13We also have incredible clients and new and existing investors who have supported us on our journey as a newly public company. We're passionate about what we're building at Waystar, and we're focused on executing our business plan to achieve results in the next quarter, as well as the year ahead. So thank you for joining today, and we wish everybody a great evening. Operator01:03:36This concludes today's conference call. Thank you for participating. You may now disconnect.Read moreParticipantsExecutivesMatt HawkinsCEOSandy DraperChief of Staff and VP of Special ProjectsSteve OreskovichCFOAnalystsAdam HotchkissVP of Equity Research at Goldman SachsAnne SamuelExecutive Director at JPMorganBrian PetersonFinancial Advisor at Raymond JamesElizabeth AndersonSenior Managing Director at Evercore ISIGeorge HillManaging Director and Equity Research Analyst at DBRichard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord GenuityRyan DanielsEquity Research Analyst at William BlairSaket KaliaManaging Director at BarclaysAnalyst at RBC Capital MarketsPowered by Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Waystar Earnings HeadlinesDoes Waystar Holding's (WAY) New Buyback Sharpen the AI Healthcare Payments Thesis or Cloud the Story?May 25 at 5:19 AM | finance.yahoo.comWaystar (NASDAQ:WAY) Downgraded to Hold Rating by Wall Street ZenMay 24 at 1:06 AM | americanbankingnews.comThe REAL Reason Trump is Invading IranFor a moment… Forget about Trump’s ties to Israel. Forget about reports of Iran’s nuclear program. Because my research has led me to believe we’re risking World War 3 with Iran for a completely different reason.May 25 at 1:00 AM | Banyan Hill Publishing (Ad)Waystar Holding Corp. (WAY) Plummeted Amid Fears Around AI DisruptionMay 22 at 10:30 AM | finance.yahoo.comWaystar to Speak at William Blair ConferenceMay 20, 2026 | prnewswire.comWaystar Announces $200 Million Share Repurchase Authorization, Reflecting Confidence in Long-Term OutlookMay 19, 2026 | tmcnet.comSee More Waystar Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Waystar? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Waystar and other key companies, straight to your email. Email Address About WaystarWaystar (NASDAQ:WAY) (NASDAQ:WAY) is a leading provider of cloud-based revenue cycle management and payment solutions for healthcare organizations. The company’s unified platform streamlines the entire financial continuum of patient care, from eligibility verification and claim submission to payment reconciliation and patient billing. By automating key processes and improving claim accuracy, Waystar helps providers reduce administrative overhead, accelerate cash flow and enhance overall revenue performance. At the core of Waystar’s offering is a SaaS-based architecture that integrates seamlessly with existing electronic health record (EHR) systems and payer networks. The platform’s functionality includes automated claim scrubbing, denial management, patient responsibility estimation, digital payment portals and electronic remittance processing. Robust analytics and reporting tools deliver real-time insights into revenue trends, enabling health systems and physician groups to identify bottlenecks, benchmark performance and drive targeted improvements. Formed in 2018 through the merger of two established healthcare technology firms, Waystar combines decades of expertise in medical billing and revenue cycle services. Since its inception, the company has continued to invest in product innovation, expanding its platform to address emerging industry needs such as patient financial engagement, price transparency and value-based reimbursement models. Strategic partnerships with payers and technology vendors further enhance interoperability and data exchange capabilities. Headquartered in the United States, Waystar serves a diverse customer base that spans hospitals, health systems and medical groups nationwide. By leveraging automation, interoperability and data-driven decision-making, the company empowers healthcare providers to navigate evolving regulatory requirements, adapt to changing payer policies and meet growing consumer expectations for digital payment experiences. Waystar’s solutions aim to simplify the revenue cycle and strengthen the financial resilience of its clients.View Waystar ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles Ross Stores Earnings Beat Sends Stock To New HighsWas Decker’s Double Beat a Bullish Signal—Or Mere HOKA’s-Pocus?Workday Validates AI Flywheel: Stock Price Recovery BeginsApparel Earnings Winners and Losers: Ralph Lauren Takes OffWhy Walmart, Target and TJX Got Such Different Reactions After EarningsThe Careful Consumer: What Q1 Earnings Reveal—And Where Cracks May AppearOverextended, e.l.f. 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PresentationSkip to Participants Operator00:00:00Good day, and thank you for standing by. Welcome to the Waystar second quarter 2024 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. To ask a question during this session, you'll need to press star one one on your telephone. You will then hear an automated message advising you your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would like to hand the conference over to your speaker today, Sandy Draper, Chief of Staff and Vice President of Special Projects. Please go ahead, sir. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:00:39Thank you, Operator, and good afternoon, everyone. It's my pleasure to welcome you to Waystar Holding Corporation's second quarter 2024 earnings call. Today's call is being webcast, and a replay, along with the transcript, will be available on our website, along with other related materials following the conclusion of this call. Matt Hawkins, Waystar's Chief Executive Officer, and Steve Oreskovich, Waystar's Chief Financial Officer, are joining me today. After their remarks, we will open the call to your questions. Earlier today, we issued a press release announcing our financial results and a presentation slide deck to accompany our prepared remarks. The materials are available on the Investor Relations section of our website at investors.waystar.com. Before we get started, I will remind you that this call contains forward-looking statements, which include all statements that are not historical facts. Examples of these statements include expectations of future growth and margins. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:01:32These statements do not guarantee future performance and involve a number of risks and uncertainties, and undue reliance should not be placed on these forward-looking statements. Actual results may differ materially from those expressed in these statements. For full discussion of the risks and other factors that may impact these forward-looking statements and our business generally, please refer to this evening's press release and our prospectus filed with the SEC on June 7, 2024, and in other reports we filed with the SEC, all of which are available on the Investor Relations page of our website. Any forward-looking statements provided during this call are made only as of the date of this call, and we undertake no obligation to update and/or revise such statements except as required by law. Sandy DraperChief of Staff and VP of Special Projects at Waystar00:02:17During today's call, we will also discuss certain non-GAAP financial measures, which we believe may be useful in evaluating our financial performance. We have provided reconciliations of Adjusted EBITDA and non-GAAP net income and earnings per share and certain other non-GAAP financial measures included in our remarks to the most directly comparable GAAP measures, together with explanations of these measures in the appendix to the presentation slide deck and our earnings release. These non-GAAP measures should not be considered in isolation or as a substitute for financial results prepared in accordance with GAAP. Lastly, we are pleased to note our participation in the Canaccord Genuity Annual Growth Conference in Boston on August 13, where we look forward to engaging with many of you. With that, I'll turn it over to Matt. Matt HawkinsCEO at Waystar00:03:02Thank you, Sandy, and good afternoon, everyone. Thank you for joining our inaugural earnings call as a publicly traded company. On today's call, we will cover the following four topics. First, I will review Waystar's second quarter results reflecting on our strong performance and highlighting a few areas that favorably impacted our results. Second, I will provide insight into our response to and the impact of February 21's cybersecurity attack on a competitor's claims clearinghouse. Third, I'll take the opportunity to share what we are building at Waystar, including innovations and developments that are shaping our future. And last, I'll turn the call over to Steve Oreskovich, our CFO, who will walk through more detailed financial materials and highlight guidance for the full year 2024. We're pleased to report that we have delivered a strong second quarter, continuing our momentum and showcasing the efforts of our entire team. Matt HawkinsCEO at Waystar00:04:02Q2 revenue was $235 million, representing a 20% year-over-year growth. Our revenue growth in the quarter, which was greater than the low double-digit growth rate that we typically expect, is attributable to a few primary factors. First, our business continued to perform well in Q2. We maintained solid client retention, closed a number of new sales opportunities that we expect to implement at our regular cadence, and continued to grow our bookings pipeline. Second, Q2 revenue had some favorability due to increases in patient payment volumes that we processed on the Waystar software platform. We believe this outperformance is due to expected increases in patient visits, as well as patients choosing to make payments to fulfill their insurance deductible at a modestly faster pace. We note that there is some seasonality in the timing of when patients fulfill their insurance deductibles in any given year. Matt HawkinsCEO at Waystar00:05:06Third, we completed two small acquisitions in the second half of 2023, which favorably impacted the year-over-year comparison versus last year. And finally, as I will address in more detail in just a moment, our revenue growth benefited from our efforts to onboard thousands of providers to the Waystar software platform after these providers' operations were disrupted by the February 21 cyber attack against a competitor. Importantly, we expect to retain the majority of this revenue uplift going forward. So, to summarize, we were pleased with our business performance, and a few favorable factors in Q2 supplemented our revenue growth. Normalized for these items, the business grew slightly above our expected low double-digit range. We're also pleased to report that Q2 Adjusted EBITDA was $94 million, up 12% year-over-year, and in line with our Adjusted EBITDA margin goal of 40%. Matt HawkinsCEO at Waystar00:06:08Within Q2 adjusted EBITDA, we incurred expenses associated with onboarding thousands of providers to the Waystar software platform who were impacted by the February 21 cyber attack. We also focused on integrating recent acquisitions and incrementally investing in growth, cybersecurity, and innovation-related initiatives. From a margin perspective, we're pleased with our adjusted EBITDA margin and are actively pursuing ways to drive operational efficiency to maintain and expand margins over the longer term. Our business model promotes strong cash flow conversion, and Q2 was no exception. In the second quarter, we generated unlevered free cash flow of $50 million. The combination of our strong cash flow profile and our recent IPO puts Waystar in a sound financial position. As we committed, we used the proceeds of our initial public offering in June to pay down debt, bringing our net leverage to 3.7x at the end of the quarter. Matt HawkinsCEO at Waystar00:07:11Reflecting subsequent debt paydown with the proceeds from the partial exercise of the IPO greenshoe option in early July, our net leverage ratio is approximately 3.4 times today. In addition, I want to highlight two key metrics that we use to track our business's performance and give us confidence in our durable growth model. First, the number of clients generating more than $100,000 in trailing 12-month revenue increased to 1,117, an increase of 9% year-over-year. We believe this metric demonstrates our ability to land and then expand business with our clients. Second, our net revenue retention in Q2 was 108%, within the range of the 108%-110% that we have seen over the past 10 quarters. Matt HawkinsCEO at Waystar00:08:02Our strong net revenue retention highlights the enduring relationships we established with our clients, beginning with strong gross revenue retention and then delivering value to our clients as we focus on expanding the Waystar software modules they use through our cross and upsell efforts. Steve will discuss Q2 financials in more detail and also provide guidance for fiscal year 2024. Now, on to the second point, a topic that I know many of you are keenly focused on: Waystar's response to and the impact of the February 21st competitor cyber attack event. Following this unfortunate event in the market, healthcare providers and patients faced tremendous disruption. At Waystar, we quickly focused our efforts and marshaled additional resources to help impacted providers simplify their healthcare payments and regain cash flow. Matt HawkinsCEO at Waystar00:08:56We are pleased to report that Waystar has helped more than 30,000 providers move rapidly to the Waystar software platform, many in as little as three days, to minimize their disruption during this time and to get paid for the healthcare services they delivered. This urgency to maintain continuity in critical business operations resulted in pulling forward implementation timelines for many of these providers and the corresponding time to revenue for Waystar. We feel grateful to be in a position to help thousands of providers resume normal business operations so quickly. Importantly, we expect to build enduring relationships with these new clients, most of whom signed standard Waystar business agreements with two- to three-year terms and annual auto-renewals thereafter. This incident not only created a near-term opportunity for Waystar to help thousands of providers, but also a longer-term opportunity to cross-sell additional Waystar software modules to these provider organizations. Matt HawkinsCEO at Waystar00:10:02For many, this cyber attack reinforced the importance of using a modern cloud-based software platform such as Waystar's, which provider organizations can deploy rapidly with limited to no disruption while successfully managing their finances. Due to Waystar's performance during this trying period, we believe our competitive position in the industry is even stronger, and we continue to work hard to help provider organizations and to capitalize on the positive momentum that we have seen. I want to also comment briefly on Waystar's approach to cybersecurity. We understand the importance of protecting our clients' data and privacy. We are committed to proactively monitoring and safeguarding our clients' information in today's ever-evolving cyber landscape. Waystar utilizes a robust framework for cybersecurity to proactively monitor, measure, and mitigate risk. We validate our cyber program and readiness with regular HITRUST PCI, SOC 2, and NIST audits. Matt HawkinsCEO at Waystar00:11:09In light of the recent cyber attack on a competitor's system, it's important to note that we have already been using modern cybersecurity protocols, such as requiring multi-factor authentication for system access, credential restrictions and theft alerts, data exfiltration and endpoint detection capabilities, and system backups that cannot be modified by malware or bad actors to secure our software platform and data. We believe our rigorous approach to cybersecurity can help us minimize the cost of any potential disruption through system resiliency and rapid restoration, and we will remain vigilant in safeguarding against potential threats. Now, on to the third point. In our inaugural call, I want to highlight Waystar's mission and what makes our company unique. We are focused on simplifying healthcare payments through our modern end-to-end cloud-based software, enabling our provider clients to prioritize patient care and optimize their financial performance. Matt HawkinsCEO at Waystar00:12:15We are transforming healthcare payments for providers while simultaneously helping patients navigate an often frustrating healthcare payments experience with greater transparency and clarity. I will now highlight six attributes that make us unique and fuel our belief in the positive benefits we can deliver to our clients. First, we are a software company purpose-built for healthcare. We are not a services company trying to become more tech-enabled. Building great software to disrupt long-standing payment challenges is the focus of Waystar's work. Second, our software is mission-critical to our clients. In 2023, we facilitated over $5 billion healthcare payment transactions, including over $1.2 trillion in gross claims. When clients adopt the Waystar platform, we become essential to their business operations and cash flow generation. We develop long, enduring relationships with clients because our software helps them get paid faster, more accurately, and more efficiently than ever before. Matt HawkinsCEO at Waystar00:13:27Our strong client and revenue retention attest to this. Third, our differentiated cloud-based software platform with advanced technology is integrated into more than 500 electronic health record and practice management systems. This allows us to serve more than one million providers of all sizes across every setting of care. Our platform enables us to deliver several benefits to our clients. We rapidly deploy and implement our cloud software to serve clients of all types and sizes, addressing their unique needs. Waystar's end-to-end capabilities enable providers to manage all of their healthcare payments through a single platform, which serves as a meaningful differentiator for Waystar relative to numerous point solution vendors that exist in the market. We believe that no competitor matches the breadth, depth, and quality of our software platform. Matt HawkinsCEO at Waystar00:14:26We deliver an average of 300 software feature innovations and improvements each quarter without interrupting the operations of our clients. Our clients achieve the real return on investment they expect as they work with Waystar. Fourth, as we are at the forefront of actively deploying AI and machine learning to automate work, prioritize tasks, and eliminate errors as clients use Waystar software, our software uses AI pervasively today, and we are well-positioned to harness the power of generative AI to drive ROI for our clients. We recently announced that we have identified more than a dozen promising new generative AI capabilities across the healthcare payments processes. Our collaboration with Google Cloud builds on Waystar's proven track record of deploying innovative AI solutions. I'd like to highlight just a few generative AI use cases we are actively developing. First, a copilot to further automate prior authorization submission. Matt HawkinsCEO at Waystar00:15:33We believe this will materially differentiate our existing prior authorization product, positioning it to accelerate the pace of penetration. Second, a copilot to automate appeal management when a claim has been denied, substantially accelerating speed to payment. And third, an agent to enable real-time conversion of payer policy changes into claims rules. This technology will allow clients to upload their specific payer contracts and policies to Waystar's cloud rules engine with a high degree of automation and accuracy, driving lower denial rates and improving the ROI of Waystar's products versus the competition. In addition, we have several longer-term generative AI products in our pipeline for 2025 and beyond that drive automation and efficiency across the processes that lead to accurate healthcare payments. Matt HawkinsCEO at Waystar00:16:31The fifth attribute is that we have a strong track record of delighting our clients, resulting in number one rankings in client satisfaction in several industry surveys and strong net promoter scores. We have an active and engaged client advisory board and delighted referenceable clients. Finally, we have a highly visible and durable revenue growth model with sustainable 40%+ adjusted EBITDA margins. We believe there is meaningful embedded growth within our client base and a large addressable market to pursue. We are focused on building and sustaining this momentum that we have created. Now, I will turn the call over to Steve to discuss our results in more detail and highlight our full-year guidance for 2024. Steve OreskovichCFO at Waystar00:17:20Thanks, Matt. Steve OreskovichCFO at Waystar00:17:23Before I discuss the results and guidance, I'd like to briefly cover the durable and visible financial model you mentioned, as it is the basis of our highly recurring, predictable, and profitable growth at scale. Over the past several years, we have consistently delivered low double-digit revenue growth and Adjusted EBITDA margins of 40% or more. Over 99% of our revenue comes from our cloud-based software platform, which means we derive less than 1% of revenues from services. Software revenue consists of contractually committed subscriptions and predictable recurring volumes processed on the platform. In Q2, revenue was roughly equal between these two streams, and both grew double digits. The subscription fee provides a fixed recurring revenue stream, while the volume-based component allows us to benefit from our clients' growth. We generate more revenue as our clients see more patients and deliver more care. Steve OreskovichCFO at Waystar00:18:28Apart from seasonality tied to health plan deductibles and seasonal illnesses, volumes are relatively stable and predictable year to year, given that the demand for healthcare is largely inelastic and growing annually. Therefore, in the aggregate, we believe we have meaningful visibility over the entire revenue base. Another important metric that demonstrates the visibility of our model is our net revenue retention. Over the past 10 quarters, we have shown a net revenue retention rate between 108% and 110% on a trailing 12-month basis, with Q2 at 108%. Turning to financial results, we had a strong second quarter, with all financial metrics showing impressive growth. Revenue increased 20% year-over-year to $235 million. This growth was primarily driven by four outcomes. First, our business model continues to be strong. Steve OreskovichCFO at Waystar00:19:32This is evidenced by the successful expansion in the number of clients of scale to 1,117 as of the end of Q2, adding 37 new clients in the quarter who produced more than 100,000 of LTM revenue. This expansion validates our land and expand strategy, as well as our ability to sell more multiple solution deals to new clients. Second, we processed more patient payments from existing clients on our software platform than we have typically seen in the second quarter over the past couple of years. We expect the associated beat to offset in the second half of 2024 and have appropriately factored this into our full-year guidance. Third, as indicated in our filings, we completed two small acquisitions in the second half of 2023. Consequently, the timing of the acquisitions modestly benefits the second quarter year-over-year growth rate. Steve OreskovichCFO at Waystar00:20:36Finally, our team's 24x7 work to swiftly onboard new clients impacted by the competitor cyber attack and to help existing Waystar clients in minimizing the impact on their operations generated $9 million of incremental revenue in Q2 versus what we would have expected from our historical win rates and associated implementation timing. To provide context, we typically see client implementation cycles of a few to several months due to client and insurance payer readiness factors versus the 3-day implementations Matt previously mentioned. Most importantly, we believe the majority of revenue generated from this work will be enduring and increase our long-term revenue baseline. While 20% year-over-year growth for Q2 and 19% growth in the first half of 2024 are strong, we also recognize some of the items that we have highlighted today or referenced in our filings impact the year-over-year comparability. Steve OreskovichCFO at Waystar00:21:42Normalizing for those items, revenue growth would be closer to 13%, which is slightly above our expected low double-digit range. GAAP net loss for the second quarter of 2024 was $28 million, compared to a net loss of $11 million in the prior year. Q2 2024 results include $37 million of stock-based compensation costs, with $33 million associated with performance-based options expensed from going public. They also include $4 million of year-over-year channel partner commission increase based on revenue performance. Adjusted EBITDA of $94 million for the second quarter increased 12% year-over-year. The adjusted EBITDA margin of 40% also reflects investment in the business to ensure we were able to meet client expectations and ongoing investments in the areas Matt mentioned, including innovation and cybersecurity. Switching gears, we have significantly improved our capital structure through several events since the beginning of the year. Steve OreskovichCFO at Waystar00:22:52First, we used the net proceeds from the IPO to pay down $909 million of debt. This payment and our consistent ability to deleverage through solid financial performance resulted in upgrades of two notches from all three rating agencies. We used these two outcomes to reprice our debt in late June, reducing our interest rate to SOFR +2.75%, down from SOFR +4% at the beginning of the year. And finally, after the quarter ended, most of the IPO green shoe was exercised for net proceeds of $103 million, and we used those proceeds along with a bit of cash on hand to pay down an additional $111 million of debt. We ended the quarter with $1.36 billion of total debt and net debt of $1.29 billion. Steve OreskovichCFO at Waystar00:23:49On a trailing 12-month basis, our net debt to Adjusted EBITDA leverage is 3.7 times, down from 6.6 times at the beginning of the year. If one were to adjust the leverage ratio to reflect the additional debt paydown in July, it would have decreased to 3.4 times. Unlevered free cash flow was $50 million in the second quarter of 2024, compared to $77 million in the prior year. Our unlevered free cash flow includes a tax burden of $26 million in Q2 versus $6 million last year, as we are a full taxpayer. Our capital allocation priorities remain the same. We expect to continue to deleverage the balance sheet, targeting approximately one turn a year. We continue to invest in the business to drive sustainable top-line growth, and we will also look at opportunities for inorganic growth based on our disciplined acquisition criteria. Steve OreskovichCFO at Waystar00:24:53As evidenced from the financial discussion, we had a solid first half of 2024 and are confident in our outlook for the remainder of the year. For fiscal 2024, we expect revenue to be within the range of $902 million-$918 million. At the midpoint, this represents 15% growth over 2023. For additional context, we expect both subscription and volume-based revenue to grow by over 10% year-over-year. We have also considered the seasonality aspect of patient payments processed on the software platform, which is typically more robust in the first half of the year because patient deductibles reset at the beginning of each year. Additionally, while we experienced revenue overperformance in Q2 due to the impact of rapid implementations as we helped providers, our full-year guidance reflects an expectation of normal implementation timelines going forward. Steve OreskovichCFO at Waystar00:25:54Our expectations for adjusted EBITDA incorporate public company expenses, continued investment in client support, innovation, and cybersecurity, along with higher channel partner commission costs due to strong sales. Factoring in these items, we expect to deliver adjusted EBITDA between $360 million and $368 million, representing 9% year-over-year growth at the midpoint of guidance, along with an adjusted EBITDA margin of 40% for 2024. We are now ready to answer your questions. Operator00:26:30Thank you. As a reminder, to ask a question, please press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. We ask that you please limit yourself to one question and one follow-up. One moment as we go to our first question. Our first question comes from the line of Anne Samuel with J.P. Morgan. Your line is open. Please go ahead. Anne SamuelExecutive Director at JPMorgan00:26:56Hey, guys. Anne SamuelExecutive Director at JPMorgan00:26:58Congrats on the great print, and thanks for taking the question. I was hoping maybe you could talk a little bit about, you know, in your conversations with clients, you know, kind of post the change disruption, how are they thinking about, you know, kind of how they were historically tied to, you know, one vendor and that caused them some disruption? Or do you have an appetite for diversification so they don't end up, you know, kind of being stuck again? How are they talking about that, and how are they thinking about, you know, vendor diversification? Thanks. Matt HawkinsCEO at Waystar00:27:28Thanks, Anne, for the question. This is Matt. Let me try to provide our perspective. We, first of all, were very grateful to be in a position where we could help the thousands of providers, as we've described. Matt HawkinsCEO at Waystar00:27:41I think we were able to not only showcase the speed and ability of Waystar and our team members to rapidly respond to help these providers, but I think it's, we did so, as we also mentioned in the prepared remarks, using standard Waystar agreements that, as we've described, are multi-year in nature with auto-renewing aspects thereafter. What we believe is the majority of the clients that move to the Waystar platform are looking certainly for a cybersecure platform, and we, as described, will be vigilant and focused on cybersecurity posture. We think while there is some chatter or market noise around needing redundancy or having a resilient network, we also believe that that could be rather inefficient. You know, a question would be, will people have multiple EHR solutions because they want redundancy? That just doesn't seem very tenable. Matt HawkinsCEO at Waystar00:28:42And so what we'll focus on is establishing that we can be a trusted partner. We're proving that now. We're actually beginning to have conversations with many of these clients about expanding the use of the Waystar software platform to include other software modules. I hope that's a helpful perspective. Anne SamuelExecutive Director at JPMorgan00:29:01It is, and sounds like a great opportunity for you. You know, maybe just my follow-up would be on the back half volume-based revenue expectations. I was hoping you could just provide a little bit more color there, maybe what's driving that. Thank you. Matt HawkinsCEO at Waystar00:29:14Okay, let me turn to Steve for th Steve OreskovichCFO at Waystar00:29:16at one. Thanks, man. Thanks, Annie. Yeah, so at midpoint of guidance, 15% for the full year would imply roughly about 12.5% year-over-year growth in the second half of the year. Steve OreskovichCFO at Waystar00:29:31You know, we did see and talked about in the walk from, you know, the first half of the year, 19% to more of a normalized view of 13%. I didn't mention in the prepared remarks, patient payment volume coming in stronger in the first half of the year, meaning we've seen patients utilizing the healthcare system and the amount of payments being greater than what we've seen in prior years. So we've reflected that in the second half of the year expectations. I think you also see in the deck, you may not have had a chance to look at it yet, but the investor deck we put on our website that obviously we've continued to grow and for the past several quarters now and continued to grow sequentially the subscription-based revenue. Steve OreskovichCFO at Waystar00:30:24I think that's a fair assumption, as you think about the second half of the year, that sequential growth. I think what we reflected in that back half of the year for the volume-based is the overperformance or greater performance that we've seen from the patient payments, you know, side of the business for the first half of the year. Matt HawkinsCEO at Waystar00:30:47Yeah, some seasonality that's natural in our business. Steve OreskovichCFO at Waystar00:30:49Correct. Anne SamuelExecutive Director at JPMorgan00:30:49Very helpful. Thank you. Operator00:30:53Thank you. One moment as we move on to our next question. Our next question is going to come from the line of Adam Hotchkiss with Goldman Sachs. Your line is open. Please go ahead. Adam HotchkissVP of Equity Research at Goldman Sachs00:31:06Great. Good speaking with you all, and thanks so much for taking the questions. I guess to start, I'd be curious on what you're seeing in the software buying environment, agnostic of the cyber attack demand increase. Adam HotchkissVP of Equity Research at Goldman Sachs00:31:18How would you describe the prioritization stack for purchase decision makers at the hospital and health systems for RCM technology? And then I just have a quick follow-up. Matt HawkinsCEO at Waystar00:31:26Thanks, Adam. We see it as very important. RCM is a top priority to decision makers as we reflect on the broader macro market, so to speak. I think it's fair to acknowledge that healthcare is an important industry for all of us. It relates to us personally. In the United States, we're spending a substantial amount of money on healthcare each year, where there's also significant waste, more than $750 billion a year of waste. And so we see what's on decision makers' minds is how to gain more operating efficiency within their systems. We know that hospital margins have been challenged. We've seen that smoothing out over the last six months when you read some different industry reports. Matt HawkinsCEO at Waystar00:32:13What we've noted is that there is a desire among prospects and clients to consume more of the Waystar software platform. There's an emphasis on platform versus point solution. I think part of that might be tied to some cybersecurity impact. It's harder to cybersecure multiple point solutions than it is to work with a trusted partner that has a platform and a cybersecure approach. But when you think about broader economic macro trends, you know, talk around potential recession even, what we would say is healthcare as an industry is recession resistant. Not recession proof, but recession resistant. Even during, you know, market downturns, people still need healthcare services. Where I think Waystar has a perspective is that we are helping decision makers because our software platform delivers operating efficiency. We are automating work. Matt HawkinsCEO at Waystar00:33:17We're reducing error associated with all of the billing, insurance, and interactions and collection interactions between providers and insurance companies and providers and patients. We're bringing efficiency and automation to that. And so we become an important part of the dialogue. We've seen an uptick in our RFPs. We see we like the position of our bookings pipeline and our high-performing sales organization are having conversations with decision makers that we feel like, you know, gives us a sense of confidence as we look into this economy, as we stay close to decision makers and as we continue to do work at Waystar to execute on our business plan. Adam HotchkissVP of Equity Research at Goldman Sachs00:34:05Okay, great. Appreciate all that detail. That was really helpful. And then, Steve, you mentioned the financial impact from the cyber attack at one of your competitors. Adam HotchkissVP of Equity Research at Goldman Sachs00:34:15Could you maybe just talk about what you're baking in there for the back half of the year? Are you continuing to see customers come in the door as recent as the last couple of months? Or has that faded as, you know, February 21st moves further in the background? And then, you know, when you think about the dollar amounts that you're baking in for the back half of the year, you know, how much of what's in guidance now is just what you've already done? And how do you view the upside potential, you know, from the creation of some of these relationships and module cross-sell? Thanks so much. Matt HawkinsCEO at Waystar00:34:51Yeah, thanks, Adam. Matt HawkinsCEO at Waystar00:34:53I think it's, as you alluded to, in the, you know, we saw $9 million of uplift in the second quarter versus a typical cadence we'd have expected as a result of the competitor cyber attack, some of that being, you know, generated from greater business wins. We have very high win rates to begin with. A lot of that also being generated from the faster implementation. It's, you know, it was kind of, you know, while it was a bad event for the industry and it impacted clients, it also reinforced what we have been saying in the past that it does not take long to switch to Waystar and implement, and we can implement people quickly. It generally is the timeline in which it falls in the client readiness and in some of the payer connectivity readiness. Matt HawkinsCEO at Waystar00:35:45I think as far as we looked out into the second half of the year, I think I briefly mentioned, you know, we would expect those implementation timelines for clients that we've continued signing new clients to revert back more towards the norm, right? That's sort of how we were thinking through it. I think it's appropriate for us as a, in our initial foray into the public markets to think in that manner. We've also, as you alluded to, have a very good track record of, you know, cross-selling into our client base. Obviously, these clients, you know, there's a bolus of clients that are, that, you know, are newer to us and that we brought on board in the second quarter. Matt HawkinsCEO at Waystar00:36:31I think we, you know, I think also our, as we think through the second half of the year, do we see opportunities for cross-sell and further revenue expansion? I think yes, we definitely do. I think we would characterize that more towards a longer term and enduring out in follow-on years versus seeing an immediate impact coming in the second half of the year. I would also add, Adam, that we are learning through this period of time. We're very active in helping these clients, as I mentioned, to supplement what Steve said. We do see an uptick in RFPs. Waystar's getting invited to participate in more and more of these conversations. Some of those, many of those are clearinghouse related. Matt HawkinsCEO at Waystar00:37:19And so we see, as we've described, the near term, call it 2024 impact, then what we'll say the longer term opportunity will continue to learn and hopefully be able to describe more as we get a little further out of the future. But one thing for sure, we are focused on having conversations with clients and prospects who we know we can help. And once they become a client of Waystar, then we naturally have cross-sell and upsell conversations with them. Adam HotchkissVP of Equity Research at Goldman Sachs00:37:47Okay, all really helpful. Thank you, Matt. Thank you, Steve. Matt HawkinsCEO at Waystar00:37:51Thank you. Operator00:37:52Thank you. And one moment as we move on to our next question. And our next question is going to come from the line of Saket Kalia with Barclays. Your line is open. Please go ahead. Saket KaliaManaging Director at Barclays00:38:03Okay, great. Hey, Matt. Hey, Steve. Nice result here and congrats on your first quarter as a public company. Matt HawkinsCEO at Waystar00:38:12Thank you, Saket. It's sure nice to have this one, you know, in done. And we look forward to the conversation. Saket KaliaManaging Director at Barclays00:38:20I'm sure. Matt, maybe just to start with you, maybe just to change it up a little bit. It was great to see the upside in volume-related revenue. And I know that there was some timing benefit there, but can we just talk a little bit about the patient payments business and why you maybe feel like there's an opportunity for share gain in that market? Matt HawkinsCEO at Waystar00:38:41Yes. We, you know, we now understand an important part of a provider's total revenue is increasingly coming from patients themselves who, as you know, are participating in high deductible health plans at a faster rate than ever. Their out-of-pocket responsibility is increasing each year. Matt HawkinsCEO at Waystar00:39:07And so Waystar, as we've described, as we talk about the Waystar software platform, has united insurance and payer interactions for providers, both commercial insurance as well as government insurance, like Medicare and Medicaid, as well as patient payment processing all on a single cloud-based platform. We think that's very important because it gives the provider a total view of their sources of payment. It's also important because it positively impacts patients. We know from our own work and from hearing and listening to patients and perhaps experiencing that for ourselves that patients want more transparency in their care. They want more understanding of what their financial responsibility is. And oftentimes they want that before they receive healthcare versus the 60 or 90 days post-care. Well, that's where Waystar software can really be helpful. Matt HawkinsCEO at Waystar00:40:08Because of the $5 billion insurance transactions we're processing each year within our platform, we gain a tremendous amount of insight and intelligence that informs what the patient's financial responsibility is likely to be. We can produce a highly accurate patient payment estimate, often pre-care, that then the provider can use to engage with the patient to put appropriate payment form on file within Waystar's software. We call it the Waystar Patient Wallet, and then begin to interact with that patient, put them on a financial care plan, or be able to process the payment appropriately over a period of time. We're seeing that capability take hold. That is influencing our volumes. Matt HawkinsCEO at Waystar00:40:54We know that when providers use this portion of our software, the patient payment portion of our software, it's increasing, certainly, patient satisfaction, but it's also increasing collection rates and improving time to collection and overall likelihood of getting collection. And so those things are, at a kind of a high level, are absolutely influencing the use of how providers are thinking about patient payments. And we also know that providers see patients. I think historically, you might say, well, provider organizations are just treating patients carefully with care, but also like a transaction. Increasingly, we see many large health systems and hospitals view the patient in kind of a long-term relationship, a patient relationship that they like to sustain. And so all those factors are influencing patient payment volumes that we're processing on the software platform. Matt HawkinsCEO at Waystar00:41:56We're bringing improvement and transparency and elegance to what has historically been a very cumbersome, you know, process for both providers and patients. Matt HawkinsCEO at Waystar00:42:06That makes a lot of sense. Steve, maybe for my follow-up for you, you know, that 13% normalized growth number was actually a very helpful metric. Apologies if I missed it, but can we just go maybe one level deeper into the bridge from the 20% reported growth to 13? You know, I think you mentioned something about $9 million in terms of benefit from sort of competitor disruption. Can you just maybe walk us through that bridge from 20 to 13? How much was from that? How much was from, you know, outside patient payments or any other granularity that you can provide to help bridge that? Steve OreskovichCFO at Waystar00:42:46Yeah, definitely, Saket. You are correct. Steve OreskovichCFO at Waystar00:42:51There were probably, if you think about it for the second quarter, there's three items. If you want to think it more holistically, the first half of the year, I'd add a fourth item that we talked about in our S-1 filing of a contract, a customer contract being terminated by request of that client in the March timeframe as a result of them spinning off a portion of their business. So again, if you think about it from the second quarter, it's really the work surrounding the competitor cyber attack. That's probably the most meaningful item in that bridge. Second is the fact that in the amount of transactions, patient payment transactions that we saw come through our clients during the second quarter being above what we've seen historically. Steve OreskovichCFO at Waystar00:43:41And then the third is we had indicated in the prepared remarks just the timing of two small acquisitions in the second half of 2023 and their benefit when you're looking at Q2 year-over-year, you know, growth rate. And I would expand each of those three as we look to the first half of the year, year-over-year growth rate. And then add on that last item. That last item we mentioned in the S-1 filing was about, you know, roughly $4 million of benefit to the first quarter. If you think about that versus ratable timing over the rest of the year at the halfway mark, that would be about $2.5 million worth of benefit. Saket KaliaManaging Director at Barclays00:44:21Very helpful. Thanks, guys. Matt HawkinsCEO at Waystar00:44:25Thanks, Saket. Saket KaliaManaging Director at Barclays00:44:27You're welcome. Operator00:44:28Thank you. One moment as we move on to our next question. Operator00:44:32Our next question is going to come from the line of Ryan Daniels with William Blair. Your line is open. Please go ahead. Ryan DanielsEquity Research Analyst at William Blair00:44:37Yeah, good evening, guys. I'll add to the chorus of congratulations and thanks for taking my questions. Matt, maybe I'll start with my first for you. You mentioned there's a broader adoption of the full solution platform. And I'm curious two things. Number one, is that really among new clients moving over to Waystar? Are you seeing that same desire among your current client base? And then number two, depending on your answer there, does that change at all your sales team or go-to-market strategy? Matt HawkinsCEO at Waystar00:45:05Thanks, Ryan. We appreciate your thoughtful question. You know, we're noticing a couple of things that we're particularly pleased with and encouraged by. We are noticing that there are increasingly more clients that are utilizing the end-to-end platform from the start. Matt HawkinsCEO at Waystar00:45:26One of the metrics that you'll recall that we report on is the number of clients that are producing over $100,000 of LTM revenue. So we'd start there, and we believe that's an important metric because it measures both, to your question, the new clients that join us and are consuming our several modules or perhaps even the whole platform at the outset. It also measures as clients, we may land in one area. For example, in Q2, we had, as you know, the urgent work of helping clients begin to use the Waystar clearinghouse. Well, that's a software module within the Waystar software platform. And, you know, we land there typically, and then we'll expand the relationship with them over time. Matt HawkinsCEO at Waystar00:46:16And so we're pleased with both the new client pursuit, which, where we're organized with high-performing sales team members, as well as our efforts to, once landed, to expand the relationship. And so that metric that we report on is a reflection of both new and existing clients who are consuming more and more of the Waystar software platform. Steve OreskovichCFO at Waystar00:46:40Yeah, I think, Ryan, maybe to add a little bit of financial context surrounding your question. And I think Saket may have asked about it or maybe alluded to it in his question to Matt as well. We documented or disclosed, sorry, in the S-1 that provider solutions generate about 70% of revenue and patient payment solutions generate about 30% of the revenue. Steve OreskovichCFO at Waystar00:47:10For the first half of 2024, we've seen both, we've seen that sort of mix continue at substantially the same rate in both, you know, which implies then both are growing well over 10% as well. So I think we like the totality of the solution offering, and I don't think we've seen any big shift in mix there and think both market, you know, the opportunity within the client base and the broader healthcare base for both sets of high-level family solutions still remain significant. Matt HawkinsCEO at Waystar00:47:46I think that's right. Ryan, if it's okay, let me address the second part of your question, which was focused on, given what we've seen, are there any kind of go-to-market team implications? Matt HawkinsCEO at Waystar00:47:58And what I'd say there is, as you'll know very well, we're going after a very large addressable market opportunity, about $15 billion a year, where we have substantial opportunity to grow within the market. We feel like our new client pursuit is well organized, both in hospitals and health systems, as well as on the ambulatory side of our business. And then we also, part of that market, that addressable market is, again, once we land a client, then we get right to work and expand those relationships and create a unique client experience so that they want to use more of our software. And I feel like we're well organized from a go-to-market perspective there as well. Ryan DanielsEquity Research Analyst at William Blair00:47:58Okay, perfect. Thank you so much. And given the two-part question, I'll go ahead and hop back in the queue for you. Thanks, guys. Ryan DanielsEquity Research Analyst at William Blair00:48:49Thanks, Ryan. Operator00:48:50Thank you. Matt HawkinsCEO at Waystar00:48:51One moment as we move on to our next question. Our next question is going to come from the line of Elizabeth Anderson with Evercore ISI. Your line is open. Please go ahead. Elizabeth AndersonSenior Managing Director at Evercore ISI00:49:02Hi, guys. Congratulations on your first quarter as a public company. Thanks so much for the question. I was wondering if you could comment on the visibility that you guys are getting sort of from the change situation. Like if we think about the, you know, 1,117 customers that over 100,000 you announced in the quarter, like that doesn't count some of these new ones that have come through. So as we think about kind of that increased visibility that that brings you internally, I was wondering what you could potentially share with that. Then maybe as a follow-up, I have a question about the bookings and pipeline. Thanks. Matt HawkinsCEO at Waystar00:49:34Okay. Matt HawkinsCEO at Waystar00:49:37So we at Waystar, and thank you, Elizabeth, we pride ourselves on staying very close to our clients and to opportunities within our pipeline where we track things. We measure a lot of things, as you can appreciate. So we know a lot. We're learning. There's been a surge of work, as we've described, to help many new providers begin to use the Waystar software platform. What I'd say is we're continuing to help those clients begin to use Waystar and learn and identify opportunities that are beginning to show up in our bookings pipeline of opportunity. So we'll continue to track that and report our progress as we get the opportunity to visit with you in the future. Elizabeth AndersonSenior Managing Director at Evercore ISI00:50:28Got it. Thank you. Operator00:50:30Thank you. And one moment as we move on to our next question. Operator00:50:38Our next question is going to come from the line of Sean Dodge with RBC Capital Markets. Your line is open. Please go ahead. Analyst at RBC Capital Markets00:50:44Hey, good afternoon. This is Thomas Keller on for Sean. Congrats on the results and thanks for taking the question. I wanted to follow up on the previous questions on patient payments, and I want to make sure I heard this right. Are you expecting this part of the business to sort of grow in tandem with the other solutions, or are you expecting this to grow a little bit faster? Thanks. Steve OreskovichCFO at Waystar00:51:04Yeah, Tom, this is Steve. I think if you think about the base, you know, the 70-30 split with provider solutions being 70% of the business, patient payments 30% of the business. Steve OreskovichCFO at Waystar00:51:19Naturally, just due to the sort of the law of numbers, that growth rate for patient payment solutions is going to be a little bit larger than provider solutions inherent in the expectation for the full year guidance. I would say, though, that obviously maintaining that 70-30 split that we've seen historically and seeing that in the first half is also part of, would be part of our expectations as well. So we see both sides, or both, I shouldn't say sides, both high-level product families growing very nicely, not only in the historical results, but what we would expect for the rest of 2024. Analyst at RBC Capital Markets00:52:02I appreciate that, Keller. And then just a quick follow-up on that. Are there any near-term opportunities to drive first margin expansion of that business as well? Matt HawkinsCEO at Waystar00:52:13Yeah, so we've talked about, I think, in our long-term target of low double-digit revenue growth annually and a 40% Adjusted EBITDA margin that we would look to, you know, look for opportunities as they made sense to reinvest in the business to maintain somewhere around that low double-digit, or sorry, that 40% plus Adjusted EBITDA margin, investing in areas like bolstering an already strong cybersecurity posture or in generative AI solutions. Are there opportunities then that we would look at from a scalability perspective that would allow us to do that? Definitely, right? I think there's opportunities as we look at those two acquisitions, the smaller acquisitions that we finalized in 2023 to sort of, you know, finish the putt surrounding synergy expectations that we have associated with them. Matt HawkinsCEO at Waystar00:53:15I think there's also opportunities and projects that we're looking at internally that looks at, you know, that 60% direct cost associated with patient payments and our ability to look at whether it's the interchange rails in which those payments are processed on to better those from a cost structure perspective or for those interactions with the patient population that still occurs through a printed statement that gets mailed. There's an opportunity to change that into a more digital interaction that long-term we think benefits the overall margin profile of the business and allows us to continue to invest back in the business, you know, running it at 40% plus Adjusted EBITDA. Analyst at RBC Capital Markets00:54:03That's very helpful. Thanks again for the color. Matt HawkinsCEO at Waystar00:54:06You're welcome, Tom. Operator00:54:08Thank you. And one moment as we move on to our next question. Operator00:54:13And our next question is going to come from the line of George Hill with DB. Your line is open. Please go ahead. George HillManaging Director and Equity Research Analyst at DB00:54:18Yeah. Good afternoon, guys. Welcome to the public markets and thanks for taking my questions, Matt and Steve. I guess on, as it relates to the patient payments portion of the business, we talked about the split, and I know it's a smaller part, but I guess the question I would ask is, have you guys seen any sign of consumer weakness as it relates to the patient financial responsibility part of the business? And I guess my follow-up question there would kind of be like, I'm trying to understand, like, is the core, like, is the collections portion growing in line with what unit sales look like or whatever is the right way to think of that metric? George HillManaging Director and Equity Research Analyst at DB00:54:55But this is really like a patient financial responsibility slash consumer credit question. Like, are you guys seeing any erosion in that part of the business? And then I have a quick follow-up if you don't mind. Steve OreskovichCFO at Waystar00:55:03Yeah, certainly, George. This is Steve. I think, you know, what we've seen is actually stronger, you know, interaction and payments coming from patients in the first half of the year. And it's reflected, stronger meaning above and beyond the normal seasonality we would expect to see, right? And we've reflected, you know, we've reflected that in the prepared or our prepared comments, sorry. Steve OreskovichCFO at Waystar00:55:29If we think about your question, I think the second part of your question is, how do we think about the potential, you know, weakness, if you want to call it that, in the consumer aspects of it that may surface in the second half of the year we're hearing and, you know, commentary from other companies more broadly? I don't think that we've seen anything specific to date that would state that, but I think the other thing is in bringing prudence in our expectations and guidance range, I think we've accounted for that as we think through the overall revenue guidance that we've provided of top-line growth of $918 million-$902 million. George HillManaging Director and Equity Research Analyst at DB00:56:17Okay. That's great, color. George HillManaging Director and Equity Research Analyst at DB00:56:21My quick follow-up would be some other competitors in this space have commented that the sales environment into the provider setting seems to be getting a little bit more challenging and are kind of trying to migrate the sales model from, I'll call it more modular to more bundled. We just, I'd kind of ask if you feel like you're seeing any incremental challenges kind of in the sales process and kind of just if that would drive any changes in how you guys think about that market strategy. Matt HawkinsCEO at Waystar00:56:50George, it's Matt. Short answer is we have a strong and compelling ROI-based sales approach. We have many referenceable clients and case studies that support this ROI and our approach. I can't comment on what other companies you're referencing. What I can say is we have a robust pipeline of opportunity. We take an approach where it's very thoughtful. Matt HawkinsCEO at Waystar00:57:21We discover, we go, we have thoughtful dialogue. We understand the needs and the pain points of these prospects and clients that we work with as we create and identify opportunities. And then we're bringing appropriate resources and expertise to bear, reflecting our understanding of how to improve. And that leads to really good conversations and engagement with clients. And so I would say our ROI-based approach is one that we feel confident in and will continue to emphasize as we go to market. George HillManaging Director and Equity Research Analyst at DB00:57:59I thought that was the case. Thank you. Matt HawkinsCEO at Waystar00:58:01Thank you. Operator00:58:02Thank you. One moment as we move on to our next question. And our next question is going to come from the line of Richard Close with Canaccord Genuity. Your line is open. Please go ahead. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity00:58:12Yeah. Congratulations and thanks for the question. Just to maybe hit on the digitization of payments a little bit more. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity00:58:24You know, as you go away from paper, I'm just curious, you know, the percentage of your client base that's still doing paper statements and collections through mail. And then, you know, as you think about as it moves to digitizing, like the success difference between the traditional paper and digitized. Matt HawkinsCEO at Waystar00:58:54Thanks, Richard. So what we would say is, as you'll recall, Waystar has taken a holistic approach to connecting providers to patients in the ways that patients want to be connected to. And the fact is there is still a portion of the population that prefers a paper-based invoice or statement. And so we facilitate that today. We also have solutions that enable a digital engagement and a digital conversation that are taking, it's taking hold and providers and patients are using our solutions increasingly. And so we see over time the increasing opportunity to drive that digital engagement. Matt HawkinsCEO at Waystar00:59:42We don't disclose the portion of our business that has this paper-based patient statement, but we do see over time there being opportunity to continue to help providers connect to patients and do so increasingly with modern digital tools that both providers and patients will benefit from as we go forward. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity01:00:06And then the success between the two, I mean, I assume digital is much more successful getting the patients to pay. Matt HawkinsCEO at Waystar01:00:17We are seeing and tracking most of our case studies, I would say, that track faster collection rates and higher collection rates emphasize the digital engagement tools. And that's what we would expect as we lean into that opportunity over the longer term. Richard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord Genuity01:00:36Great. Thank you. Matt HawkinsCEO at Waystar01:00:38Thanks, Richard. Operator01:00:39Thank you. And one moment for our next question. And our next question is going to come from the line of Brian Peterson with Raymond James. Your line is open. Brian PetersonFinancial Advisor at Raymond James01:00:48Please go ahead. Thanks, gentlemen, and congrats on the strong print right out of the gate. I appreciate all the detail here, Steve, on the $9 million in the impacts, but I'd love to understand if we think about that revenue, how much of that was kind of net new customers to Waystar versus customers that may have needed help facing those challenges? And is there any commonality between where you saw a bigger increase in terms of areas or customers or location? We just want to understand that a little better. Matt HawkinsCEO at Waystar01:01:16Yeah, what we would say, and thanks, Brian, and I appreciate your kind comments. Matt HawkinsCEO at Waystar01:01:21What we would say is that the $9 million of Q2 revenue that we've outlined as a, or highlighted as a benefit to us in the second quarter that comes from these over 30,000 providers that we've been able to help really comes in two general categories. The first category that we've seen are existing clients that might be using one portion of the Waystar software platform that reached out to us quickly and then rapidly began using more of our software. That came in all types of providers and all sizes of organizations. So I think large hospitals and health systems, as well as those that are practicing in smaller care settings. We also have noticed a phenomenon of simply adding net new clients to the Waystar platform, where there was urgency to move from the cyber-attacked competitor system to Waystar. Matt HawkinsCEO at Waystar01:02:26Again, we would characterize that as being across the United States, all types, all sizes of care settings. Again, we would just underscore that we're grateful to be in a position to respond so quickly to help these providers. We'll continue to learn more and report on our progress and any insight that we continue to gain as we go forward. Brian PetersonFinancial Advisor at Raymond James01:02:49Great to hear. Thank you. Matt HawkinsCEO at Waystar01:02:52Thanks, Brian. Operator01:02:53Thank you. Now I would like to hand the conference back over to Matt Hawkins for any further remarks. Matt HawkinsCEO at Waystar01:02:59Okay. Well, thank you so much, Michelle, for organizing and running the call today. Before signing off, I want to thank our dedicated Waystar team members. If there's a public forum to do that, I just want to say thanks. They're fantastic. Matt HawkinsCEO at Waystar01:03:13We also have incredible clients and new and existing investors who have supported us on our journey as a newly public company. We're passionate about what we're building at Waystar, and we're focused on executing our business plan to achieve results in the next quarter, as well as the year ahead. So thank you for joining today, and we wish everybody a great evening. Operator01:03:36This concludes today's conference call. Thank you for participating. You may now disconnect.Read moreParticipantsExecutivesMatt HawkinsCEOSandy DraperChief of Staff and VP of Special ProjectsSteve OreskovichCFOAnalystsAdam HotchkissVP of Equity Research at Goldman SachsAnne SamuelExecutive Director at JPMorganBrian PetersonFinancial Advisor at Raymond JamesElizabeth AndersonSenior Managing Director at Evercore ISIGeorge HillManaging Director and Equity Research Analyst at DBRichard CloseManaging Director of Digital and Tech-Enabled Health Equity Research at Canaccord GenuityRyan DanielsEquity Research Analyst at William BlairSaket KaliaManaging Director at BarclaysAnalyst at RBC Capital MarketsPowered by