Vitalhub Q2FY26 Results: Revenue up 33% to $31.7 million, ARR crosses $100 million
- Revenue rose 33% YoY to $31.7 million, driven by 10% organic ARR growth
- Adjusted EBITDA margin held steady at 26%, with EBITDA rising to $8.2 million
- Cash position strengthened to $136.5 million, supporting ongoing M&A strategy
- UK growth faced temporary headwinds from Palantir contract uncertainties
- AI transcription and protocoling tools expected to drive future revenue

*this image is generated using AI for illustrative purposes only.
Vitalhub (TSX: VHI) reported a 33% year-over-year revenue increase to $31.7 million for the second quarter of 2026. The company crossed a significant operational threshold, closing June with $101.5 million in annual recurring revenue (ARR), representing 10% organic growth over the prior year.
The financial performance was underpinned by strong recurring revenue streams, which accounted for $24.5 million, or 77% of total revenue. This segment includes term license, maintenance, and support fees. Virtual care term license revenue contributed $2.3 million, while perpetual license revenue stood at $800,000. Services, hardware, and other revenue reached $4.1 million, up from $2.7 million in the same period last year.
Financial Metrics and Margins
Adjusted EBITDA for the quarter was $8.2 million, maintaining a margin of 26%. This compares to adjusted EBITDA of $6.3 million in the prior year period, which also carried a 26% margin. Gross margin contracted slightly to 79% of revenue, down from 81% in the previous year. Management attributed the gross margin variance partly to timing mismatches in services revenue recognition, where expenses were incurred before specific milestones allowed for corresponding revenue recognition.
| Metric | Q2 2026 | Q2 2025 | Change |
|---|---|---|---|
| Total Revenue | $31.7 million | $23.8 million* | +33% YoY |
| Recurring Revenue | $24.5 million | N/A | 77% of Total |
| Adjusted EBITDA | $8.2 million | $6.3 million | +30% YoY |
| Adjusted EBITDA Margin | 26% | 26% | Flat |
| Gross Margin | 79% | 81% | -2 pts |
| Cash & Investments | $136.5 million | N/A | +$15 million QoQ |
*Prior year revenue derived from current year figure and stated growth rate.
What the Numbers Show
The stability of the adjusted EBITDA margin at 26% despite a 33% surge in revenue indicates effective operating leverage following the integration of Induction and Novari. While gross margins dipped two percentage points due to services revenue timing, the absolute EBITDA growth outpaced revenue growth proportionally, suggesting that fixed costs are being spread over a larger top line. The company’s cash position increased by over $15 million during the quarter, reinforcing its ability to fund further M&A without debt.
Balance Sheet and Capital Allocation
Vitalhub ended the quarter with $136.5 million in cash and investments, carrying no debt. The cash balance grew by more than $15 million during the quarter, driven by collection activity and platform integration synergies. Subsequent to quarter-end, the company completed the acquisition of Buddy Healthcare. Post-transaction, Vitalhub retains over $120 million in cash for future deployment.
Management has initiated a normal course issuer bid (NCIB) to repurchase shares, balancing capital allocation between buybacks and M&A. CEO Dan Matlow noted that while buybacks are active, M&A remains the primary focus for long-term shareholder return. The pro forma ARR as of June 30, 2026, including Buddy Healthcare, would have been approximately $106 million.
Operational Updates and Market Challenges
Growth drivers included contributions from Zesty, Strata, and Novari products. However, the UK market faced headwinds due to customer suspensions linked to the NHS’s Palantir contract situation. Some System Control Centres paused usage pending outcomes regarding the Federal Department of Public Health (FDP) and Palantir-based solutions. A break clause in the national Palantir contract is set for Q1 2027, with parliamentary indications suggesting potential removal of the product, which management views as an opportunity for its SHREWD product.
On the technology front, Vitalhub introduced AI-driven protocoling solutions within the Novari product and is developing transcription services for community care. These AI initiatives are expected to begin contributing to revenue streams by the end of 2027. The Ontario Health deal continues to ramp up, adding between $500,000 and $1 million quarterly to ARR growth.
How might the resolution of the UK NHS Palantir contract in Q1 2027 impact Vitalhub's market share and revenue projections for its SHREWD product?
What specific integration synergies from the Buddy Healthcare acquisition are expected to contribute to ARR growth in the next fiscal year?
When will the newly introduced AI-driven protocoling solutions within Novari begin generating measurable revenue, and what is the projected impact on gross margins?






























