# EDGAR Filing Document

**Accession Number:** 0001636422
**File Stem:** 0001636422-23-000026
**Filing Date:** 2023-2
**Character Count:** 40924
**Document Hash:** 9d26615486f6d17bc3b216d7a2a1e1c8
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001636422-23-000026.hdr.sgml**: 20230228

**ACCESSION NUMBER**: 0001636422-23-000026

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 15

**CONFORMED PERIOD OF REPORT**: 20230228

**ITEM INFORMATION**: Results of Operations and Financial Condition

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20230228

**DATE AS OF CHANGE**: 20230228

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Health Catalyst, Inc.
- **CENTRAL INDEX KEY:** 0001636422
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
- **IRS NUMBER:** 453337483
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-38993
- **FILM NUMBER:** 23685164

**BUSINESS ADDRESS:**
- **STREET 1:** 10897 SOUTH RIVER FRONT PARKWAY, #300
- **CITY:** SOUTH JORDAN
- **STATE:** UT
- **ZIP:** 84095
- **BUSINESS PHONE:** 801-708-6800

**MAIL ADDRESS:**
- **STREET 1:** 10897 SOUTH RIVER FRONT PARKWAY, #300
- **CITY:** SOUTH JORDAN
- **STATE:** UT
- **ZIP:** 84095

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** HQC Holdings, Inc.
- **DATE OF NAME CHANGE:** 20150312

?xml version="1.0" ? hcat-20230228

**UNITED STATES** 

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**_________________________________________________________**

**FORM 8-K**

**__________________________________________________________**

**CURRENT REPORT**

**Pursuant to Section 13 or 15(d)**

**of the Securities Exchange Act of 1934**

**Date of Report (Date of earliest event reported):** February 28, 2023

**__________________________________________________________**

**HEALTH CATALYST, INC.**

(Exact name of registrant as specified in its charter)

**________________________________________________________________**

---

| | | |
|:---|:---|:---|
| **Delaware** | **001-38993** | **45-3337483** |
| (State or other jurisdiction of<br>incorporation) | (Commission File Number) | (IRS Employer<br>Identification No.) |

---

**10897 South River Front Parkway #300**

**South Jordan, UT 84095** 

(Address of principal executive offices, including zip code)

**(801) 708-6800**

(Registrant's telephone number, including area code)

**Not Applicable** 

(Former name or former address, if changed since last report)

**______________________________________________________________**

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐&nbsp;&nbsp;&nbsp;&nbsp; Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐&nbsp;&nbsp;&nbsp;&nbsp; Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐&nbsp;&nbsp;&nbsp;&nbsp; Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐&nbsp;&nbsp;&nbsp;&nbsp; Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

**______________________________________________________________**

Securities registered pursuant to Section 12(b) of the Act:

---

| | | |
|:---|:---|:---|
| Title of each class | Trading Symbol(s) | Name of exchange on which registered |
| **Common Stock, par value $0.001 per share** | **HCAT** | **The Nasdaq Global Select Market** |

---

**________________________________________________________**

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 ((§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

------

**Item 2.02. Results of Operations and Financial Condition.**

On February 28, 2023, Health Catalyst, Inc. (the Company) issued a press release relating to its financial results for the quarter and year ended December 31, 2022. A copy of the press release, which is incorporated by reference herein, is attached hereto as Exhibit 99.1.

The foregoing information (including the exhibit set forth in Item 9.01 hereto) is being furnished and shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, except as expressly set forth by specific reference in such filing.

**Item 9.01. Financial Statements and Exhibits.**

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(d) <u>Exhibits.</u>

---

| | |
|:---|:---|
| **Exhibit No.** | **Description** |
| <u>[99.1\*](a2022q4ex991-earningspress.htm)</u> | <u>[Health Catalyst, Inc. press release for quarterly and annual financial results, dated February 28, 2023](a2022q4ex991-earningspress.htm)</u> |
| 104 | Cover page Interactive Data File (embedded within the Inline XBRL document) |

---

\* Furnished herewith.

------

**SIGNATURE**

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

---

| | | |
|:---|:---|:---|
| | | **HEALTH CATALYST, INC.** |
| Date: February 28, 2023 | By: | /s/ Bryan Hunt |
|  |  | Bryan Hunt |
|  |  | Chief Financial Officer |

---

## Exhibit 99.1

**Exhibit 99.1**

![healthcatalystlogoa.jpg](healthcatalystlogoa.jpg)

**Health Catalyst Reports Fourth Quarter and Year End 2022 Results**

**SOUTH JORDAN, UT, February 28, 2023** — Health Catalyst, Inc. ("Health Catalyst," Nasdaq: HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today reported financial results for the quarter and year ended December 31, 2022.

"In the fourth quarter of 2022, I am pleased to share that we achieved strong performance across our business, including exceeding the mid-point of our quarterly guidance for both revenue and Adjusted EBITDA. For the full year 2022, I am also excited to share that our Adjusted EBITDA outperformed the mid-point of the original full year guidance we provided entering 2022, demonstrating continued operating leverage in our business despite lower annual revenue growth for 2022 as compared to our initial guidance for 2022." said Dan Burton, CEO of Health Catalyst. "Additionally, I am honored to announce that Matthew Kolb, Executive Vice President and Chief Operating Officer of Carle Health, will be joining the Health Catalyst Board of Directors, effective July 1, 2023. Matt is deeply committed to Health Catalyst's and Carle Health's shared mission of data-informed healthcare improvement, and he has been an extraordinary leader throughout his career in enabling massive improvements in the healthcare ecosystem. Additionally, Carle Health has made the decision to deepen its long-term investment in Health Catalyst with a meaningful purchase on the open market of Health Catalyst's common stock. We welcome them as a deeply mission-aligned long-term-oriented owner in the company. Consistent with my own personal decisions to purchase Health Catalyst shares on the open market over the past several months, which we estimate places me among Health Catalyst's twenty largest shareholders, I am grateful to add a like-minded, deeply mission-focused and long-term oriented fellow shareholder to our company's ownership group."

**Financial Highlights for the Three and Twelve Months Ended December 31, 2022**

***Key Financial Metrics***

---

| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Year over Year Change** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** | **Year over Year Change** |
| | **2022** | **2021** | **Year over Year Change** | **2022** | **2021** | **Year over Year Change** |
| **GAAP Financial Data:** | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** |
| Technology revenue | $44664 | $40088 | 11% | $176288 | $147718 | 19% |
| Professional services revenue | $24498 | $24628 | (1)% | $99948 | $94208 | 6% |
| Total revenue | $69162 | $64716 | 7% | $276236 | $241926 | 14% |
| Loss from operations | $(36745) | $(44765) | 18% | $(140005) | $(143650) | 3% |
| Net loss | $(35782) | $(48992) | 27% | $(137403) | $(153210) | 10% |
| **Non-GAAP Financial Data:**<sup>(1)</sup> |  |  |  |  |  |  |
| Adjusted Technology Gross Profit | $30725 | $27951 | 10% | $122284 | $102326 | 20% |
| Adjusted Technology Gross Margin | 69% | 70% |  | 69% | 69% |  |
| Adjusted Professional Services Gross Profit | $4325 | $5745 | (25)% | $23565 | $25544 | (8)% |
| Adjusted Professional Services Gross Margin | 18% | 23% |  | 24% | 27% |  |
| Total Adjusted Gross Profit | $35050 | $33696 | 4% | $145849 | $127870 | 14% |
| Total Adjusted Gross Margin | 51% | 52% |  | 53% | 53% |  |
| Adjusted EBITDA | $(603) | $(6278) | 90% | $(2487) | $(11248) | 78% |

---

________________________

(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP). See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial measures, including the limitations of such measures, and for a reconciliation of each measure to the most directly comparable measure calculated in accordance with GAAP.

------

***Other Key Metrics***

---

| | | | |
|:---|:---|:---|:---|
| | **As of December 31,** | **As of December 31,** | **As of December 31,** |
| | **2022** | **2021** | **2020** |
| **DOS Subscription Clients** | 98 | 90 | 74 |
|  | **Year Ended December 31,** | **Year Ended December 31,** | **Year Ended December 31,** |
|  | **2022** | **2021** | **2020** |
| **Dollar-based Retention Rate** | 100% | 112% | 102% |

---

The financial strain imposed by COVID-19 on a number of our clients led to a meaningfully lower professional services dollar-based retention in 2020 compared to prior years due to discounts provided to support our clients through the financial strain related to the initial outbreak. We did not provide similar discounts during 2021 and saw improvement in our professional services Dollar-based Retention Rate compared to 2020. However, 2022 proved to be a more challenging year than anticipated as a result of the inflationary macroeconomic environment and the meaningful financial strain that our health system end market faced, which contributed to a lower Dollar-based Retention Rate compared to 2021.

**Financial Outlook**

Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure.

For the first quarter of 2023, we expect:

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;• Total revenue between $70.3 million and $72.3 million, and

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;• Adjusted EBITDA between $1.0 million and $2.5 million

For the full year of 2023, we expect:

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;• Total revenue between $290 million and $295 million, and

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;• Adjusted EBITDA between $9.0 million and $11.0 million

We have not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and have not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably forecasted.

------

**Quarterly Conference Call Details**

The company will host a conference call to review the results today, Tuesday, February 28, 2023 at 5:00 p.m. E.T. The conference call can be accessed by dialing (800) 343-5172 for U.S. participants, or (785) 424-1699 for international participants, and referencing conference ID "HCAT Q422." A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

**About Health Catalyst**

**Available Information**

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

**Forward-Looking Statements**

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and our financial outlook for Q1 and fiscal year 2023. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market or industry conditions, regulatory environment, and receptivity to our technology and services; (iii) results of litigation or a security incident; (iv) the loss of one or more key clients or partners; (v) the impact of the challenging macroeconomic environment (including high inflationary and/or high interest rate environments) or public health emergencies, such as the COVID-19 pandemic, on our business and results of operations; and (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2022 that was filed with the SEC on November 8, 2022 and the Annual Report on Form 10-K for the year ended December 31, 2022 expected to be filed with the SEC on or about February 28, 2023. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

------

**Condensed Consolidated Balance Sheets**

*(in thousands, except share and per share data, unaudited)*

---

| | | |
|:---|:---|:---|
| | **As of December 31,** | **As of December 31,** |
| | **2022** | **2021** |
| **Assets** |  |  |
| Current assets: |  |  |
| &nbsp;&nbsp;&nbsp;Cash and cash equivalents | $116312 | $193227 |
| &nbsp;&nbsp;Short-term investments | 247178 | 251754 |
| &nbsp;&nbsp;Accounts receivable, net | 47970 | 48801 |
| &nbsp;&nbsp;Prepaid expenses and other assets | 16335 | 14609 |
| Total current assets | 427795 | 508391 |
| Property and equipment, net | 25928 | 23316 |
| Operating lease right-of-use assets | 16658 | 21133 |
| Intangible assets, net | 92189 | 104788 |
| Goodwill | 185982 | 169972 |
| Other assets | 3734 | 4496 |
| Total assets | $752286 | $832096 |
| **Liabilities and stockholders' equity** |  |  |
| Current liabilities: |  |  |
| &nbsp;&nbsp;Accounts payable | $4424 | $4693 |
| &nbsp;&nbsp;Accrued liabilities | 19691 | 23725 |
| &nbsp;&nbsp;Deferred revenue | 54961 | 56632 |
| &nbsp;&nbsp;Operating lease liabilities | 3434 | 3425 |
| &nbsp;&nbsp;Contingent consideration liabilities |  | 4576 |
| Total current liabilities | 82510 | 93051 |
| Long-term debt, net of current portion | 226523 | 180942 |
| Deferred revenue, net of current portion | 105 | 929 |
| Operating lease liabilities, net of current portion | 18017 | 20244 |
| Contingent consideration liabilities, net of current portion |  | 14719 |
| Other liabilities | 121 | 113 |
| Total liabilities | 327276 | 309998 |
| Commitments and contingencies |  |  |
| Stockholders' equity: |  |  |
| Preferred stock, $0.001 par value per share and additional paid-in capital; 25,000,000 shares authorized and no shares issued and outstanding as of December 31, 2022 and 2021  |  |  |
| Common stock, $0.001 par value per share, and additional paid-in capital; 500,000,000 shares authorized as of December 31, 2022 and 2021; 55,261,922 and 52,622,080 shares issued and outstanding as of December 31, 2022 and 2021, respectively | 1424681 | 1401025 |
| Accumulated deficit | (999023) | (878860) |
| Accumulated other comprehensive loss | (648) | (67) |
| Total stockholders' equity | 425010 | 522098 |
| Total liabilities and stockholders' equity | $752286 | $832096 |

---

------

**Condensed Consolidated Statements of Operations**

*(in thousands, except per share data, unaudited)*

---

| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended<br>December 31,** | **Three Months Ended<br>December 31,** | **Twelve Months Ended<br>December 31,** | **Twelve Months Ended<br>December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| Revenue: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;Technology | $44664 | $40088 | $176288 | $147718 |
| &nbsp;&nbsp;&nbsp;Professional services | 24498 | 24628 | 99948 | 94208 |
| Total revenue | 69162 | 64716 | 276236 | 241926 |
| Cost of revenue, excluding depreciation and amortization: |  |  |  |  |
| &nbsp;&nbsp;Technology<sup>(1)(2)(3)</sup> | 14747 | 12750 | 56642 | 47516 |
| &nbsp;&nbsp;Professional services<sup>(1)(2)(3)</sup> | 23359 | 21127 | 86407 | 76838 |
| Total cost of revenue, excluding depreciation and amortization | 38106 | 33877 | 143049 | 124354 |
| Operating expenses: |  |  |  |  |
| &nbsp;&nbsp;Sales and marketing<sup>(1)(2)(3)</sup> | 20373 | 21863 | 87514 | 75027 |
| &nbsp;&nbsp;Research and development<sup>(1)(2)(3)</sup> | 19614 | 17479 | 75680 | 62733 |
| &nbsp;&nbsp;General and administrative<sup>(1)(2)(3)(4)</sup> | 16150 | 25338 | 61701 | 85934 |
| &nbsp;&nbsp;&nbsp;Depreciation and amortization | 11664 | 10924 | 48297 | 37528 |
| Total operating expenses | 67801 | 75604 | 273192 | 261222 |
| Loss from operations | (36745) | (44765) | (140005) | (143650) |
| Loss on extinguishment of debt |  |  |  |  |
| Interest and other expense, net | 1022 | (4376) | (1678) | (16458) |
| Loss before income taxes | (35723) | (49141) | (141683) | (160108) |
| Income tax provision (benefit)<sup>(2)</sup> | 59 | (149) | (4280) | (6898) |
| Net loss | $(35782) | $(48992) | $(137403) | $(153210) |
| Net loss per share, basic | $(0.66) | $(0.94) | $(2.56) | $(3.23) |
| Net loss per share, diluted | $(0.66) | $(0.94) | $(2.63) | $(3.23) |
| Weighted-average shares outstanding used in calculating net loss per share, basic | 54496 | 52117 | 53722 | 47495 |
| Weighted-average shares outstanding used in calculating net loss per share, diluted | 54496 | 52117 | 54080 | 47495 |

---

_______________

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

---

| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| **Stock-Based Compensation Expense:** | **(in thousands)** | **(in thousands)** | **(in thousands)** | **(in thousands)** |
| Cost of revenue, excluding depreciation and amortization: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;Technology | $495 | $582 | $2058 | $2063 |
| &nbsp;&nbsp;&nbsp;Professional services | 2148 | 2181 | 8230 | 8047 |
| Sales and marketing | 7157 | 5850 | 28082 | 22698 |
| Research and development | 3295 | 2770 | 12938 | 10213 |
| General and administrative | 5653 | 5038 | 20796 | 22124 |
| Total | $18748 | $16421 | $72104 | $65145 |

---

------

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

---

| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| **Acquisition-related costs, net:** | **(in thousands)** | **(in thousands)** | **(in thousands)** | **(in thousands)** |
| Cost of revenue, excluding depreciation and amortization: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Technology | $84 | $31 | $351 | $61 |
| &nbsp;&nbsp;&nbsp;&nbsp;Professional services | 146 | 63 | 655 | 127 |
| Sales and marketing | 337 | 296 | 1894 | 592 |
| Research and development | 687 | 446 | 3045 | 901 |
| General and administrative | 452 | 10306 | (1051) | 26248 |
| Income tax benefit |  | (314) | (4533) | (7142) |
| Total | $1706 | $10828 | $361 | $20787 |

---

(3)&nbsp;&nbsp;&nbsp;&nbsp;Includes restructuring costs, as follows:

---

| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| **Restructuring costs:** | **(in thousands)** | **(in thousands)** | **(in thousands)** | **(in thousands)** |
| Cost of revenue, excluding depreciation and amortization: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;Technology | $229 | $— | $229 | $— |
| &nbsp;&nbsp;&nbsp;Professional services | 892 |  | 1139 |  |
| Sales and marketing | 1464 |  | 3023 |  |
| Research and development | 1153 |  | 3410 |  |
| General and administrative | 188 |  | 624 |  |
| Total | $3926 | $— | $8425 | $— |

---

(4) &nbsp;&nbsp;&nbsp;&nbsp;Includes non-recurring lease-related charges, as follows:

---

| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| **Non-recurring lease-related charges** | **(in thousands)** | **(in thousands)** | **(in thousands)** | **(in thousands)** |
| General and administrative | $98 | $— | $3798 | $1800 |

---

------

**Condensed Consolidated Statements of Cash Flows**

*(in thousands, unaudited)*

---

| | | |
|:---|:---|:---|
| | **Year Ended December 31,** | **Year Ended December 31,** |
| | **2022** | **2021** |
| **Cash flows from operating activities** |  |  |
| Net loss | $(137403) | $(153210) |
| Adjustments to reconcile net loss to net cash used in operating activities: |  |  |
| &nbsp;&nbsp;Stock-based compensation expense | 72104 | 65145 |
| &nbsp;&nbsp;Depreciation and amortization | 48297 | 37528 |
| &nbsp;&nbsp;Change in fair value of contingent consideration liabilities | (4668) | 20036 |
| &nbsp;&nbsp;Amortization of debt discount and issuance costs | 1500 | 11948 |
| &nbsp;&nbsp;Non-cash operating lease expense | 3231 | 3585 |
| &nbsp;&nbsp;Impairment of long-lived assets | 5023 | 1800 |
| &nbsp;&nbsp;Investment discount and premium (accretion) amortization | (2236) | 1202 |
| &nbsp;&nbsp;Provision for expected credit losses | 691 | 499 |
| &nbsp;&nbsp;Deferred tax benefit | (4523) | (7134) |
| &nbsp;&nbsp;Payment of acquisition-related contingent consideration | (3234) | (9085) |
| &nbsp;&nbsp;Other | (145) | (53) |
| &nbsp;&nbsp;Change in operating assets and liabilities: |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Accounts receivable | 788 | 102 |
| &nbsp;&nbsp;&nbsp;&nbsp;Prepaid expenses and other assets | (478) | (4442) |
| &nbsp;&nbsp;&nbsp;&nbsp;Accounts payable, accrued liabilities, and other liabilities | (4702) | 5202 |
| &nbsp;&nbsp;&nbsp;&nbsp;Deferred revenue | (5997) | 7637 |
| &nbsp;&nbsp;&nbsp;&nbsp;Operating lease liabilities | (3518) | (3883) |
| Net cash used in operating activities | (35270) | (23123) |
| **Cash flows from investing activities** |  |  |
| Purchase of short-term investments | (308961) | (261363) |
| Proceeds from the sale and maturity of short-term investments | 315171 | 186893 |
| Acquisition of businesses, net of cash acquired | (27846) | (46763) |
| Purchases of property and equipment | (2167) | (10450) |
| Capitalization of internal use software | (12987) | (6644) |
| Purchase of intangible assets | (2260) | (1373) |
| Proceeds from the sale of property and equipment | 29 | 22 |
| Net cash used in investing activities | (39021) | (139678) |
| **Cash flows from financing activities** |  |  |
| Proceeds from exercise of stock options | 3969 | 20350 |
| Proceeds from employee stock purchase plan | 3153 | 4844 |
| Payments of acquisition-related consideration | (1342) | (6290) |
| Repurchase of common stock | (8393) |  |
| Proceeds from public offerings, net of discounts, commissions, and offering costs |  | 245180 |
| Net cash (used in) provided by financing activities | (2613) | 264084 |
| Effect of exchange rate changes on cash and cash equivalents | (11) | (10) |
| Net (decrease) increase in cash and cash equivalents | (76915) | 101273 |
| Cash and cash equivalents at beginning of period | 193227 | 91954 |
| Cash and cash equivalents at end of period | $116312 | $193227 |

---

------

**Non-GAAP Financial Measures**

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

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

***Adjusted Gross Profit and Adjusted Gross Margin***

Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization, adding back stock-based compensation, acquisition-related costs, net, and restructuring costs as applicable. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three and twelve months ended December 31, 2022 and 2021:

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| | | | |
|:---|:---|:---|:---|
| | **Three Months Ended December 31, 2022** | **Three Months Ended December 31, 2022** | **Three Months Ended December 31, 2022** |
| | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** |
| | **Technology** | **Professional Services** | **Total** |
| Revenue | $44664 | $24498 | $69162 |
| Cost of revenue, excluding depreciation and amortization | (14747) | (23359) | (38106) |
| Gross profit, excluding depreciation and amortization | 29917 | 1139 | 31056 |
| Add: |  |  |  |
| &nbsp;&nbsp;&nbsp;Stock-based compensation | 495 | 2148 | 2643 |
| &nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 84 | 146 | 230 |
| &nbsp;&nbsp;Restructuring costs<sup>(2)</sup> | 229 | 892 | 1121 |
| Adjusted Gross Profit | $30725 | $4325 | $35050 |
| Gross margin, excluding depreciation and amortization | 67% | 5% | 45% |
| Adjusted Gross Margin | 69% | 18% | 51% |

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___________________

(1)Acquisition-related costs, net include deferred retention expenses following the ARMUS, KPI Ninja, and Twistle acquisitions.

(2)Restructuring costs include severance and other team member costs from workforce reductions.

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| | | | |
|:---|:---|:---|:---|
| | **Three Months Ended December 31, 2021** | **Three Months Ended December 31, 2021** | **Three Months Ended December 31, 2021** |
| | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** |
| | **Technology** | **Professional Services** | **Total** |
| Revenue | $40088 | $24628 | $64716 |
| Cost of revenue, excluding depreciation and amortization | (12750) | (21127) | (33877) |
| Gross profit, excluding depreciation and amortization | 27338 | 3501 | 30839 |
| Add: |  |  |  |
| &nbsp;&nbsp;&nbsp;Stock-based compensation | 582 | 2181 | 2763 |
| &nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 31 | 63 | 94 |
| Adjusted Gross Profit | $27951 | $5745 | $33696 |
| Gross margin, excluding depreciation and amortization | 68% | 14% | 48% |
| Adjusted Gross Margin | 70% | 23% | 52% |

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___________________

(1)Acquisition-related costs, net include deferred retention expenses following the acquisition of Twistle.

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| | | | |
|:---|:---|:---|:---|
| | **Twelve Months Ended December 31, 2022** | **Twelve Months Ended December 31, 2022** | **Twelve Months Ended December 31, 2022** |
| | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** |
| | **Technology** | **Professional Services** | **Total** |
| Revenue | $176288 | $99948 | $276236 |
| Cost of revenue, excluding depreciation and amortization | (56642) | (86407) | (143049) |
| Gross profit, excluding depreciation and amortization | 119646 | 13541 | 133187 |
| Add: |  |  |  |
| &nbsp;&nbsp;&nbsp;Stock-based compensation | 2058 | 8230 | 10288 |
| &nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 351 | 655 | 1006 |
| &nbsp;&nbsp;Restructuring costs<sup>(2)</sup> | 229 | 1139 | 1368 |
| Adjusted Gross Profit | $122284 | $23565 | $145849 |
| Gross margin, excluding depreciation and amortization | 68% | 14% | 48% |
| Adjusted Gross Margin | 69% | 24% | 53% |

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___________________

(1)Acquisition-related costs, net include deferred retention expenses following the ARMUS, KPI Ninja, and Twistle acquisitions.

(2)Restructuring costs include severance and other team member costs from workforce reductions.

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| | | | |
|:---|:---|:---|:---|
| | **Twelve Months Ended December 31, 2021** | **Twelve Months Ended December 31, 2021** | **Twelve Months Ended December 31, 2021** |
| | **(in thousands, except percentages)** | **(in thousands, except percentages)** | **(in thousands, except percentages)** |
| | **Technology** | **Professional**<br>**Services** | **Total** |
| Revenue | $147718 | $94208 | $241926 |
| Cost of revenue, excluding depreciation and amortization | (47516) | (76838) | (124354) |
| Gross profit, excluding depreciation and amortization | 100202 | 17370 | 117572 |
| Add: |  |  |  |
| &nbsp;&nbsp;&nbsp;Stock-based compensation | 2063 | 8047 | 10110 |
| &nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 61 | 127 | 188 |
| Adjusted Gross Profit | $102326 | $25544 | $127870 |
| Gross margin, excluding depreciation and amortization | 68% | 18% | 49% |
| Adjusted Gross Margin | 69% | 27% | 53% |

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__________________

(1) Acquisition-related costs, net includes deferred retention expenses following the acquisition of Twistle.

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***Adjusted EBITDA***

Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other (income) expense, net, (ii) income tax provision (benefit), (iii) depreciation and amortization, (iv) stock-based compensation, (v) acquisition-related costs, net, including the fair change in value of contingent consideration liabilities for potential earn-out payments, (vi) restructuring costs, and (vii) non-recurring lease-related charges. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three and twelve months ended December 31, 2022 and 2021:

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| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| | **(in thousands)** | **(in thousands)** | **(in thousands)** | **(in thousands)** |
| Net loss | $(35782) | $(48992) | $(137403) | $(153210) |
| Add: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;Interest and other (income) expense, net | (1022) | 4376 | 1678 | 16458 |
| &nbsp;&nbsp;&nbsp;Income tax provision (benefit) | 59 | (149) | (4280) | (6898) |
| &nbsp;&nbsp;&nbsp;Depreciation and amortization | 11664 | 10924 | 48297 | 37528 |
| &nbsp;&nbsp;&nbsp;Stock-based compensation | 18748 | 16421 | 72104 | 65145 |
| &nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 1706 | 11142 | 4894 | 27929 |
| &nbsp;&nbsp;Restructuring cost<sup>(2)</sup> | 3926 |  | 8425 |  |
| &nbsp;&nbsp;Non-recurring lease-related charges<sup>(3)</sup> | 98 |  | 3798 | 1800 |
| Adjusted EBITDA | $(603) | $(6278) | $(2487) | $(11248) |

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__________________

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

(2)Restructuring costs include severance and other team member costs from workforce reductions, impairment of discontinued capitalized software projects, and other miscellaneous charges. For additional details, refer to Note 11 in our consolidated financial statements.

(3)Includes the lease-related impairment charge for the subleased portion of our corporate headquarters. For additional details refer to Note 9 in our consolidated financial statements.

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***Adjusted Net Loss and Adjusted Net Loss Per Share***

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

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| | | | | |
|:---|:---|:---|:---|:---|
| | **Three Months Ended December 31,** | **Three Months Ended December 31,** | **Twelve Months Ended December 31,** | **Twelve Months Ended December 31,** |
| | **2022** | **2021** | **2022** | **2021** |
| Numerator: | **(in thousands, except share and per share amounts)** | **(in thousands, except share and per share amounts)** | **(in thousands, except share and per share amounts)** | **(in thousands, except share and per share amounts)** |
| &nbsp;&nbsp;&nbsp;Net loss | $(35782) | $(48992) | $(137403) | $(153210) |
| &nbsp;&nbsp;Add: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Stock-based compensation | 18748 | 16421 | 72104 | 65145 |
| &nbsp;&nbsp;&nbsp;&nbsp;Amortization of acquired intangibles | 8464 | 8924 | 37188 | 32016 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Acquisition-related costs, net<sup>(1)</sup> | 1706 | 10828 | 361 | 20787 |
| &nbsp;&nbsp;&nbsp; Restructuring costs<sup>(2)</sup> | 3926 |  | 8425 |  |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Non-recurring lease-related charges<sup>(3)</sup> | 98 |  | 3798 | 1800 |
| &nbsp;&nbsp;&nbsp;&nbsp;Non-cash interest expense related to convertible senior notes  | 376 | 3105 | 1500 | 11948 |
| &nbsp;&nbsp;Adjusted Net Loss | $(2464) | $(9714) | $(14027) | $(21514) |
| Denominator: |  |  |  |  |
| &nbsp;&nbsp;&nbsp;Weighted-average number of shares used in calculating net loss per share, basic and diluted | 54496128 | 52116604 | 53721702 | 47494768 |
| &nbsp;&nbsp;&nbsp;Adjusted net loss per share, basic and diluted | $(0.05) | $(0.19) | $(0.26) | $(0.45) |

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______________

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

(2)Restructuring costs include severance and other team member costs from workforce reductions, impairment of discontinued capitalized software projects, and other miscellaneous charges. For additional details, refer to Note 11 in our consolidated financial statements.

(3)Includes the lease-related impairment charge for the subleased portion of our corporate headquarters. For additional details refer to Note 9 in our consolidated financial statements.

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**Health Catalyst Investor Relations Contact:**

Adam Brown

Senior Vice President, Investor Relations and FP&A

+1 (855)-309-6800

ir@healthcatalyst.com

**Health Catalyst Media Contact:**

Tarah Neujahr Bryan

Chief Marketing Officer

media@healthcatalyst.com

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