Waystar
waystar.com ↗In their words
“We delivered a 112% net revenue retention with 97% gross revenue retention and a net promoter score above 70. Cross-sell and upsell momentum in our large installed base drove this performance and reinforces how deeply Waystar Holding Corp. is embedded…”
“Our 97% gross revenue retention proves it”
“And so we feel like Waystar is a great home, a trusted vendor with strong Net Promoter Scores amongst that cohort that we've already helped and certainly more broadly across our whole client base.”
Disclosed NPS over time
Every Net Promoter Score Waystar has published, by date.
NPS disclosures (19)
2025 Management by Objectives Gross Margin Client Sat Gross Attrition Regrettable Turnover Pricing Platform stability - uptime Solution Adoption Revenue Attainment Product quality - defect res.
Waystar Holding Corp. reports Net Promoter Score of 70, reflecting strong customer loyalty and expansion.
We delivered a 112% net revenue retention with 97% gross revenue retention and a net promoter score above 70. Cross-sell and upsell momentum in our large installed base drove this performance and reinforces how deeply Waystar Holding Corp. is embedded…
This strength is evidenced by our high NPS of 74 and #1 ranking among competitors for the percentage of clients indicating the highest level of satisfaction with our services, based on a third-party survey commissioned by us in 2023.
And so we feel like Waystar is a great home, a trusted vendor with strong Net Promoter Scores amongst that cohort that we've already helped and certainly more broadly across our whole client base.
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with 4 TABLE OF CONTENTS our services based on a third-party survey…
We’re named by Black Book as the industry’s leading AI platform and maintained a net promoter score that consistently exceeds industry benchmarks.
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
This strength is evidenced by our high provider Net Promoter Score (“NPS”) of 74 and #1 rank versus competitors in percentage of clients indicating the highest level of satisfaction with our services based on a third-party survey commissioned by us in…
Waystar disclosed a patient Net Promoter Score of 57 for their cloud-based healthcare payments platform.
Waystar upgraded its cloud platform with a Net Promoter Score feature for patients to measure payment experience satisfaction.
Waystar patients achieve an average NPS of 57, exceeding healthcare software industry benchmarks.
Retention disclosures (39)
Waystar Holding Corp. reported a net revenue retention rate of 108% in Q2 2026.
Waystar Holding Corp. reported a Net Revenue Retention Rate of 110.5% over the prior 12 months in its 10-Q filing.
Waystar Holding reported a net revenue retention rate of 108%, demonstrating a stable recurring revenue base.
Waystar reported 108% net revenue retention, reflecting stable recurring revenue, strong client expansion, and successful upselling.
Waystar management guidance emphasizes net revenue retention as important underpinning to revenue and EBITDA guidance.
Waystar reported a net revenue retention rate of 112% in Q4 2025 with 1,391 clients contributing to revenue.
Waystar reported net revenue retention holding firm at 113% in Q3 2025, with management raising guidance.
Waystar reaffirmed guidance with net revenue retention of 108%-110% and approximately 70% EBITDA-to-free cash flow conversion.
Waystar reported Net Revenue Retention of 108% in Q2 2026, within its historical 108-110% range.
KeyBanc reiterates Waystar rating on solid results but notes concerns about decelerating net revenue retention.
Waystar reported net revenue retention of 108%, staying within the 108% to 110% long-run range, showing existing customers spending more.
Waystar reported net revenue retention (NRR) of 108% in Q2 2026, at the low end of its historical 108–110% range, indicating slight deceleration in client expansion.
Net revenue retention: 108% (Q2 2026 (Jul 29, 2026)) — “Net revenue retention rate (NRR) of 108%”
Net revenue retention: 108.3% (12 months ended June 30, 2026) — “For the 12 months ended June 30, 2026, our Net Revenue Retention Rate was 108.3%”
Waystar reports net revenue retention rate of 113%, with 1,306 clients contributing over $100K in LTM revenue, up 11% YoY.
Waystar reported first-quarter 2026 sales growth of 22% year-over-year, supported by net revenue retention of roughly 111% and nearly 99% first-quarter retention rate.
Waystar reports Net Revenue Retention of 113% in Q3, representing a slight decline from prior periods.
Waystar reported net revenue retention of 111% in Q1, with subscription revenue up 38% year-over-year.
Waystar Holding Corp. reported net revenue retention of roughly 111%, slightly above its historical range of 108–110%.
Net revenue retention: 111% (Q1 2026 (Apr 29, 2026)) — “Net revenue retention rate (NRR) of 111%”
Net revenue retention: 110.5% (12M ended March 31, 2026) — “For 12 months ended March 31, 2026, Net Revenue Retention Rate was 110.5%, and for 12 months ended March 31, 2025 was 113.5%”
Net revenue retention: 112% (FY2025) — “Net Revenue Retention Rate was 112.0% for the year ended December 31, 2025 compared to 110.1% for the year ended December 31, 2024.”
Gross revenue retention: 97% (Q4 2025) — “our 97% gross revenue retention proves it”
Net revenue retention: 113% (Q3 2025 (ended September 30, 2025)) — “Net revenue retention rate (NRR) of 113%”
Net revenue retention: 113.1% (twelve months ended September 30, 2025) — “For the twelve months ended September 30, 2025, our Net Revenue Retention Rate was 113.1%”
Net revenue retention: 115% (Q2 FY2025 (July 30, 2025)) — “Net revenue retention rate (NRR) of 115%”
Net revenue retention: 114.6% (twelve months ended June 30, 2025) — “For the twelve months ended June 30, 2025, our Net Revenue Retention Rate was 114.6%”
Net revenue retention: 114% (LTM ending March 31, 2025) — “Net revenue retention rate (NRR) of 114% over LTM ending March 31, 2025”
Net revenue retention: 113.5% (12M ended March 31, 2025) — “For the twelve months ended March 31, 2025, our Net Revenue Retention Rate was 113.5% and for the same period in 2024 was 108.8%.”
Net revenue retention: 110% (Q4 FY2024 (February 18, 2025)) — “Net revenue retention rate (NRR) of 110%”
Net revenue retention: 110.1% (FY2024 (Dec 31, 2024)) — “Net Revenue Retention Rate of 110.1% for the year ended December 31, 2024”
Net revenue retention: 109% (Q3 2024) — “A net revenue retention rate (NRR) of 109%”
Net revenue retention: 109.4% (FY2024 (twelve months ended Sept 30, 2024)) — “For the twelve months ended September 30, 2024, our Net Revenue Retention Rate was 109.4% and we have 1,173 clients as of September 30, 2024 generating over $100,000 over the same twelve month period.”
Net revenue retention: 108% (Q2 2024) — “A net revenue retention rate (NRR) of 108%”
Net revenue retention: 107.5% (twelve months ended June 30, 2024) — “For the twelve months ended June 30, 2024, our Net Revenue Retention Rate was 107.5% and we have 1,117 clients as of June 30, 2024 generating over $100,000 over the same twelve month period.”
Net revenue retention: 108.8% (12M ended March 31, 2024) — “For the twelve months ended March 31, 2024, our Net Revenue Retention Rate was 108.8%”
Net revenue retention: 108.6% (FY2023) — “For the year ended December 31, 2023, our Net Revenue Retention Rate was 108.6%, and for the year ended December 31, 2022, our Net Revenue Retention Rate was 109.5%.”
Net revenue retention: 109% (twelve months ended September 30, 2023) — “For the twelve months ended September 30, 2023, our Net Revenue Retention Rate was 109.0%”
Net revenue retention: 109.7% (twelve months ended June 30, 2023) — “For the twelve months ended June 30, 2023, our Net Revenue Retention Rate was 109.7%”
Lighthouse companies in Health insurers & care providers
About these figures
Every figure here was publicly disclosed by the named company: press releases, annual reports, SEC filings, earnings calls and news coverage. Companies tend to publish their NPS when it is good, so these numbers run higher than a true industry average: read them as what leading companies in this vertical say publicly, not as an industry benchmark.
NPS runs from −100 to +100. Retention figures are reported as the company defines them (net revenue retention, gross revenue retention, customer retention rate, churn). Every entry links to its source in the full database.



