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Healthequity, Inc.: Q4 FY2026 earnings call

What management said about Q4 FY2026, from the documents filed with the SEC on 17 March 2026: press release. Guidance figures: 6 raised. The quarter’s numbers.

Key takeaways

  • Full-year revenue rose 9%: Revenue for fiscal 2026 was $1.31 billion, up from $1.20 billion in fiscal 2025. Source
  • Total HSA Assets reached $36.5 billion: Total HSA Assets were $18.0 billion of HSA cash and $18.5 billion of HSA investments; HSA investments rose 26% year over year. Source
  • Fourth-quarter new HSAs from sales rose: New HSAs from sales were 553,000 in the quarter, up 17% from 471,000; the full-year total of 1,040,000 was level with the prior year.
  • Full-year Adjusted EBITDA margin reached 43%: Adjusted EBITDA was $566.0 million, up 20% from $471.8 million; margin was 43% against 39%. Source
  • Fourth-quarter Adjusted EBITDA margin reached 40%: Adjusted EBITDA was $132.9 million, up 23% from $107.8 million; margin was 40% against 35%. Source
  • Employers turned to HSAs: Management said new HSA sales were generated against softer U.S. job growth, as employers turned to HSAs to address rising healthcare costs.
  • Repurchases of $301.7 million: The company repurchased 3.3 million shares for $301.7 million in fiscal 2026, including 0.9 million shares for $81.7 million in the fourth quarter. Source

“We are raising our fiscal 2027 guidance after delivering record new HSAs from sales and significant margin expansion”

Scott Cutler, President and CEO of HealthEquity

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFiscal year ending January 31, 2027$1.405 billion to $1.415 billionRaised
Net income SourceFiscal year ending January 31, 2027$239 million to $246 millionRaised
GAAP diluted EPS SourceFiscal year ending January 31, 2027$2.78 to $2.85 per diluted shareRaised
Non-GAAP net income SourceFiscal year ending January 31, 2027$392 million to $400 millionRaised
Non-GAAP diluted EPS SourceFiscal year ending January 31, 2027$4.56 to $4.65Raised
Adjusted EBITDA SourceFiscal year ending January 31, 2027$618 million to $628 millionRaised
Weighted-average diluted shares SourceFiscal year ending January 31, 202786 million

What changed from last quarter

  • Guidance raised: Fiscal 2027 guidance was raised. The earlier fiscal 2027 ranges are not stated in these documents. Source
  • New: A cumulative $2.35 billion 5-year Treasury bond hedge at 3.92% was added to reduce HSA cash repricing risk. Source

Results and growth drivers

  • Full-year revenue rose 9%: Revenue for fiscal 2026 was $1.31 billion, up from $1.20 billion in fiscal 2025. Source
  • Fourth-quarter revenue rose 7%: Fourth-quarter revenue was $334.6 million, against $311.8 million a year earlier. Source
  • Full-year net income rose 123%: Net income was $215.2 million for the year, up from $96.7 million, and net income margin was 16% against 8%. Source
  • Non-GAAP earnings per share rose 28%: GAAP net income per diluted share was $2.46 against $1.09; non-GAAP net income per diluted share was $4.00, up 28%. Source

Revenue mix by line

  • Custodial revenue rose most: Full-year custodial revenue was $636.8 million against $545.4 million; service revenue was $485.0 million against $478.3 million; interchange was $191.6 million against $176.0 million. Source
  • Fourth-quarter revenue by line: Fourth-quarter custodial revenue was $161.4 million against $144.1 million; service revenue was $127.1 million against $124.2 million; interchange was $46.1 million against $43.5 million. Source
  • Custodial costs and interchange costs: Full-year custodial costs were $43.8 million against $39.7 million; interchange costs were $28.0 million against $31.3 million. Source

“Adjusted EBITDA increased 23% in the fourth quarter with Adjusted EBITDA margin expanding more than 500 basis points to 40%, reflecting meaningful operating leverage.”

Scott Cutler, President and CEO of HealthEquity

Accounts and assets

  • HSA count rose 7%: HSAs reached 10.6 million, up 7%, including 832,000 HSAs with investments, up 10%. Source
  • Total HSA Assets reached $36.5 billion: Total HSA Assets were $18.0 billion of HSA cash and $18.5 billion of HSA investments; HSA investments rose 26% year over year. Source
  • Fourth-quarter new HSAs from sales rose: New HSAs from sales were 553,000 in the quarter, up 17% from 471,000; the full-year total of 1,040,000 was level with the prior year.
  • Total Accounts reached 17.8 million: Total Accounts were 17.8 million, including 7.2 million CDBs; average Total Accounts for the year were 17.2 million, up 6%. Source

Costs, margins and pricing

  • Full-year Adjusted EBITDA margin reached 43%: Adjusted EBITDA was $566.0 million, up 20% from $471.8 million; margin was 43% against 39%. Source
  • Fourth-quarter Adjusted EBITDA margin reached 40%: Adjusted EBITDA was $132.9 million, up 23% from $107.8 million; margin was 40% against 35%. Source
  • Cost of revenue fell: Total cost of revenue was $400.3 million for the year, down from $422.5 million; fourth-quarter cost of revenue was $106.4 million, down from $122.8 million. Source
  • Technology spend rose; G&A fell: Technology and development expense was $262.5 million against $239.5 million; general and administrative was $119.9 million against $132.3 million. Source

“We added one million new HSAs from sales for the second consecutive year and ended fiscal 2026 with 17.8 million total accounts and over $36 billion in HSA assets, positioning us for continued growth.”

Scott Cutler, President and CEO of HealthEquity

Demand and sales

  • Employers turned to HSAs: Management said new HSA sales were generated against softer U.S. job growth, as employers turned to HSAs to address rising healthcare costs.
  • Enterprise and retail enrollment rose: Management attributed higher utilization of HSA-eligible plans with enterprise clients, and higher retail enrollment, to open-enrollment execution and product enhancements.
  • Client retention and pipeline: Management said client retention stayed high and the company enters the new fiscal year with a growing enterprise pipeline.

Capital, cash and shareholder returns

  • Operating cash flow rose: Net cash provided by operating activities was $457.1 million for the year, against $339.9 million a year earlier. Source
  • Repurchases of $301.7 million: The company repurchased 3.3 million shares for $301.7 million in fiscal 2026, including 0.9 million shares for $81.7 million in the fourth quarter. Source
  • Repurchase authorization remaining: $177.7 million of common stock remained authorized for repurchase at January 31, 2026. Source
  • Cash and debt at year end: Cash and cash equivalents were $318.9 million and debt was $957.4 million, net of issuance costs, against $1.06 billion a year earlier. Source
  • Income tax provision rose: The income tax provision was $62.2 million for the year, against $19.3 million a year earlier. Source

HSA cash repricing schedule

  • $4.5 billion of HSA cash reprices in fiscal 2027: Of $17.3 billion of HSA cash expected to reprice, $4.5 billion reprices in fiscal 2027 at a 1.9% average annualized yield; the total average yield is 3.6%. Source
  • Later repricing buckets: Of the later buckets, $1.7 billion reprices in fiscal 2029 at 3.6%, $2.4 billion in fiscal 2030 at 4.4%, and $6.4 billion thereafter at 4.2%. Source
  • Floating-rate HSA cash excluded: $0.7 billion of HSA cash held in floating-rate contracts is excluded from the repricing schedule. Source

Strategy, policy and leadership

  • Pressing for regulatory changes: Management said it is advocating for regulatory changes as healthcare affordability pressures persist nationally.
  • Bipartisan efforts on HSA access: The founder and Vice Chair said he is encouraged by bipartisan efforts to broaden HSA access and expand HSA-eligible expense categories.
  • Portfolio acquisitions were small: Acquisitions of HSA portfolios were $0.3 million in fiscal 2026, against $452.2 million in fiscal 2025; capitalized software purchases were $46.5 million. Source
  • CEO describes fiscal 2026 sales year: Scott Cutler, President and CEO, described fiscal 2026 as a sales year driven by the fourth quarter and by HSA additions.

Coming up, as management said on 17 March 2026

  • Investor conferences in March: Management planned to present at the Raymond James conference on March 4, 2026, and to hold one-on-one meetings at the Mizuho conference on March 5, 2026.

Figures management reported

FigureReported
HSAs Source10.6 million
New HSAs from sales, quarter553 thousand
Total Accounts Source17.8 million
Total HSA Assets Source$36.5 billion
Client-held funds Source$1.1 billion

Risks management discussed

  • Financial: Management described HSA cash repricing as a risk, which a 5-year Treasury bond hedge is intended to reduce. Source
  • Demand: Management noted softer U.S. job growth as the backdrop to the fiscal 2026 new HSA sales.
  • External: Management cited healthcare affordability pressures persisting nationally as a factor in its advocacy for regulatory change.

Earlier plans management reported on

  • Not stated: The February release expected fiscal 2026 results near the top end of earlier ranges; the March release does not state whether that was reached.
  • Not stated: The February release said full fiscal 2027 guidance would be provided with the March year-end results; the March release contains that guidance.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.