HealthEquity
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HealthEquity (HQY) investor relations material

HealthEquity 44th Annual J.P. Morgan Healthcare Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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44th Annual J.P. Morgan Healthcare Conference summary13 Jan, 2026

Business strategy and platform evolution

  • Operates the leading HSA platform in the US with over 17 million accounts and $34.4 billion in assets, leveraging a network of 200+ integrated partners for distribution advantage.

  • Focused on modernizing the platform into a true platform company, emphasizing disciplined execution, digital transformation, and engagement to create an enduring model.

  • Engagement is central, with a flywheel model where saving, spending, and investing reinforce each other, driving both member and shareholder value.

  • Platform enhancements include personalized women's health offerings, a new app with passkey security, and AI-powered claims processing and support.

  • HSAs are positioned as critical financial infrastructure, with growing relevance as health care costs shift to individuals.

Market trends and growth drivers

  • The US health care system is shifting more financial responsibility to individuals, increasing demand for scalable, effective tools like HSAs.

  • Policy changes have expanded HSA eligibility, especially for Bronze and Catastrophic plan holders, telemedicine users, and direct primary care participants.

  • Early signs show new eligible members are funding accounts, with ongoing efforts to streamline enrollment and drive further adoption.

  • The marketplace offering is a new growth vector, connecting members to health-related products and services and generating recurring revenue.

  • Legislative trends and expanded marketplace offerings support future growth.

Financial performance and outlook

  • Fiscal Q3 2026 revenue grew 7% YoY to $322.2M, with 13% custodial revenue growth and 20% adjusted EBITDA growth.

  • Fiscal 2026 revenue guidance is $1,302–$1,312M, with adjusted EBITDA of $555–$565M.

  • Fiscal 2027 outlook projects revenue of $1,380–$1,410M and adjusted EBITDA margin of 43.8–44.3%.

  • Adjusted EBITDA margin reached 44% and gross margin 71% in Q3 FY26.

  • Net cash flows from operations were $340M in FY25 and $339M in the first nine months of FY26.

Custodial yield tailwind duration and magnitude
Business impact of GLP-1/HRT platform extension
Leveraging legislative trends for HSA growth
How to capture ACA Bronze plan members?
Quantify AI service automation cost savings
Marketplace partner selection & economic contribution?
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Q4 202617 Mar, 2026
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Frequently asked questions

HealthEquity Inc acquires and develops technology-enabled services platforms and provides delivery of effective choice-enhancing solutions that improve the health and financial well-being of consumers, while complementing the employer responsibility to provide care options. HealthEquity, Inc. is a leader in technology-enabled services platforms that help individuals take control of their health and well-being. The company was founded in 2002 and is headquartered in Draper, Utah.

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