Definitive Healthcare (DH) Q4 2025 earnings summary
Event summary combining transcript, slides, and related documents.
Q4 2025 earnings summary
26 Feb, 2026Executive summary
Q4 2025 revenue was $61.5 million, down 1% year-over-year but above guidance; adjusted EBITDA was $18.0–$18.1 million with a 29% margin, exceeding expectations.
Full-year 2025 revenue was $241.5 million, a 4% decline year-over-year; adjusted EBITDA totaled $70.4 million (29% margin).
Strategic focus on data differentiation, seamless integrations, customer success, and innovation drove operational improvements, with emphasis on retention and upsell/cross-sell.
Retention rates improved for three consecutive quarters, with integrated customers renewing at higher rates.
Net loss for Q4 2025 was $(17.1) million, including $19.5 million in goodwill impairment; full year net loss was $(199.3) million, including $196.1 million in goodwill impairment.
Financial highlights
Adjusted Net Income for Q4 2025 was $8.6 million ($0.06 per share), down from $12.6 million in Q4 2024; unlevered free cash flow was $2.5 million for Q4 and $54.9 million for the year.
Adjusted gross profit margin in Q4 was 82%, up 100 basis points year-over-year; full year adjusted gross margin was 81%.
Subscription revenue declined 3% year-over-year (7% excluding data partnership), while professional services revenue grew 49% year-over-year, now 5% of mix.
Deferred revenue at Q4-end was $99 million, up 6% year-over-year.
Equity-based compensation expense was $8.2 million in Q4 and $29.1 million for the year.
Outlook and guidance
Q1 2026 revenue expected at $54–$56 million, a 5–9% year-over-year decline; adjusted EBITDA margin projected at 22–23%.
Full-year 2026 revenue guidance is $220–$226 million (6–9% decline year-over-year); adjusted EBITDA expected at $53–$58 million (24–26% margin).
Adjusted net income for 2026 forecasted at $21–$26 million ($0.14–$0.173 per share).
Non-GAAP profitability is expected to improve in the second half of 2026.
EBITDA to unlevered free cash flow conversion expected to improve in 2026 due to lower CapEx.
Latest events from Definitive Healthcare
- Q2 2026 revenue fell 9% but profit exceeded guidance amid innovation and ongoing macro headwinds.DH
Q2 2026 - Q1 2026 met guidance with improved margins despite a $197.2M goodwill impairment charge.DH
Q1 2026 - Director elections, auditor ratification, equity plan increase, and say-on-pay up for vote.DH
Proxy filing - Annual meeting covers director elections, auditor ratification, equity plan amendment, and say-on-pay.DH
Proxy filing - Turnaround strategy drives stability, renewal gains, and innovation amid sector headwinds.DH
Morgan Stanley 23rd Annual Global Healthcare Conference - Q2 revenue and adjusted EBITDA rose, but a $363.6M goodwill impairment drove a large net loss.DH
Q2 2024 - Q3 revenue beat guidance, but net loss deepened on goodwill impairment; $100M buyback announced.DH
Q3 2024 - Q1 2025 revenue beat guidance, but a $176.5M goodwill impairment drove a net loss.DH
Q1 2025 - Unified platform and streamlined sales processes target growth by late 2025.DH
27th Annual Needham Growth Conference