Progyny
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Progyny (PGNY) investor relations material

Progyny Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary26 Feb, 2026

Executive summary

  • Achieved record full-year revenue of $1.29 billion in 2025, up 10% year-over-year, with adjusted EBITDA of $222.1 million and operating cash flow of $210.2 million, both exceeding guidance.

  • Q4 2025 revenue grew 6.7% to $318.4 million, with gross margin expanding to 24.1% and adjusted EBITDA margin at 16.1%.

  • Client retention remained near 100%, including all largest employers, and the client base grew to 555 by year-end.

  • Returned $160 million to shareholders through repurchase of 6.5 million shares, with over $40 million remaining under authorization.

  • Diversified client and industry base, with no single client over a single-digit percent of revenue and no industry over 15% of lives.

Financial highlights

  • Full-year 2025 revenue grew 10% (20% excluding a large former client); gross profit up 20% to $304.5 million; adjusted EBITDA up 12% to $222.1 million (17.2% margin).

  • Q4 2025 gross profit rose 21% year-over-year; gross margin expanded by 280 basis points to 24.1%.

  • CapEx for 2025 was $18.4 million, up from $5.4 million in 2024.

  • No debt outstanding; $310 million in cash and equivalents at year-end.

  • Days sales outstanding improved to 62.3 days at year-end, down over 8 days year-over-year.

Outlook and guidance

  • 2026 revenue projected at $1.355–$1.405 billion, up 5.1%–9% year-over-year; excluding the former client, growth is 9.3%–13.3%.

  • Adjusted EBITDA expected at $224–$239 million; net income $95.4–$106.1 million; adjusted EPS $1.83–$1.95.

  • First quarter 2026 revenue guidance: $319–$332 million; adjusted EBITDA $51–$55 million; net income $20.8–$23.7 million.

  • Covered lives expected at 7.2 million in 2026, revised downward due to administrative updates, not workforce reductions.

  • Stock-based compensation to decrease by ~35% in 2026, to about 6% of revenue.

2026 revenue growth excluding lost client
Drivers of 2025 gross margin improvement
Share repurchase program remaining authorization
Progyny Select: How is risk managed for fixed premium?
How do lower covered lives not impact 2026 utilizers?
Progyny Rx: How might its economic model evolve?
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Frequently asked questions

Progyny, Inc. provides employers' fertility and family building benefits solutions. Progyny simplifies how employers offer fertility and family building insurance to their employees by combining three key services: program management for employers, customer support for both employers and employees, and a simple online enrollment platform providing employees the capability to compare plans in one location. Progyny, Inc. was incorporated in 2008 and is headquartered in New York, New York.

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