Tearsheet

HealthEquity (HQY)


Market Price (12/18/2025): $95.33 | Market Cap: $8.2 Bil
Sector: Health Care | Industry: Managed Health Care

HealthEquity (HQY)


Market Price (12/18/2025): $95.33
Market Cap: $8.2 Bil
Sector: Health Care
Industry: Managed Health Care

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Attractive operating margins
Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is 23%
Weak multi-year price returns
2Y Excs Rtn is -2.0%, 3Y Excs Rtn is -17%
Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 43x
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 32%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 28%
  Key risks
HQY key risks include [1] the high sensitivity of its custodial revenue to interest rate declines and [2] regulatory or healthcare policy changes that could undermine the market for its core HSA products.
2 Low stock price volatility
Vol 12M is 40%
  
3 Megatrend and thematic drivers
Megatrends include Fintech & Digital Payments. Themes include Digital Payments, Online Banking & Lending, and Wealth Management Technology.
  
0 Attractive operating margins
Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is 23%
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 32%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 28%
2 Low stock price volatility
Vol 12M is 40%
3 Megatrend and thematic drivers
Megatrends include Fintech & Digital Payments. Themes include Digital Payments, Online Banking & Lending, and Wealth Management Technology.
4 Weak multi-year price returns
2Y Excs Rtn is -2.0%, 3Y Excs Rtn is -17%
5 Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 43x
6 Key risks
HQY key risks include [1] the high sensitivity of its custodial revenue to interest rate declines and [2] regulatory or healthcare policy changes that could undermine the market for its core HSA products.

Valuation, Metrics & Events

HQY Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

The requested time period for the stock movement (8/31/2025 to December 18, 2025) is in the future. Therefore, it is not possible to provide an explanation for a past stock movement that has not yet occurred. However, recent financial reports and news for HealthEquity (HQY) up to the current date indicate several factors that could influence future stock performance. Here are some recent key points related to HealthEquity's performance and outlook:

1. Strong Financial Results: HealthEquity reported strong Q2 FY26 financial results, with revenue up 9% year-over-year to $325.8 million and net income surging 67% to $59.9 million. The company also achieved a record gross margin of 71% and Adjusted EBITDA of $151.1 million. For Q3 FY26 (ended October 31, 2025), revenue increased 7% year-over-year to $322.2 million, and net income reached $51.7 million. These positive financial results could contribute to a positive outlook for the stock.

2. Growth in HSAs and Total HSA Assets: HealthEquity continues to show growth in its key operating metrics, reporting 10.0 million HSAs (up 6% year-over-year) and Total HSA Assets of $33.1 billion (up 12% year-over-year) in Q2 FY26. In Q3 FY26, HSAs grew to 10.1 million (up 6% year-over-year) and Total HSA Assets reached $34.4 billion (up 15% year-over-year). This expanding base of health savings accounts and assets under management is a positive indicator for the company's core business.

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Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
HQY Return-6%-37%39%8%45%0%30%
Peers Return2%13%-1%15%18%-18%28%
S&P 500 Return16%27%-19%24%23%14%108%

Monthly Win Rates [3]
HQY Win Rate50%42%58%42%67%42% 
Peers Win Rate62%53%48%57%65%45% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
HQY Max Drawdown-45%-43%0%-17%-0%-20% 
Peers Max Drawdown-44%-15%-16%-5%-5%-32% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: WEX, VOYA, ADP, PAYX, FISV. See HQY Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/17/2025 (YTD)

How Low Can It Go

Unique KeyEventHQYS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-56.6%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven130.3%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven1,052 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-53.8%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven116.4%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven314 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-48.2%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven93.2%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven1,866 days120 days

Compare to HUM, CNC, MOH, PGNY, UNH


In The Past

HealthEquity's stock fell -56.6% during the 2022 Inflation Shock from a high on 1/26/2021. A -56.6% loss requires a 130.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About HealthEquity (HQY)

Better Bets than HealthEquity (HQY)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to HQY. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.3%16.3%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.1%-7.1%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.6%3.6%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
1.6%1.6%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.1%14.1%-5.1%
HQY_12312021_Dip_Buyer_High_CFO_Margins_ExInd_DE12312021HQYHealthEquityDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
30.4%39.3%0.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.3%16.3%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.1%-7.1%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.6%3.6%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
1.6%1.6%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.1%14.1%-5.1%
HQY_12312021_Dip_Buyer_High_CFO_Margins_ExInd_DE12312021HQYHealthEquityDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
30.4%39.3%0.0%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for HealthEquity

Peers to compare with:

Financials

HQYWEXVOYAADPPAYXFISVMedian
NameHealthEq.WEX Voya Fin.Automati.Paychex Fiserv  
Mkt Price95.31150.0375.18265.47116.7068.33106.00
Mkt Cap8.25.27.2107.542.136.922.6
Rev LTM1,2912,6247,90420,9035,57221,1606,738
Op Inc LTM299655-5,4722,2086,0782,208
FCF LTM3636433764,2101,7094,6191,176
FCF 3Y Avg1265567093,8461,6704,3121,189
CFO LTM4157983764,7581,9016,3391,349
CFO 3Y Avg3267077094,4101,8355,8481,272

Growth & Margins

HQYWEXVOYAADPPAYXFISVMedian
NameHealthEq.WEX Voya Fin.Automati.Paychex Fiserv  
Rev Chg LTM12.2%-1.2%2.5%7.1%5.6%5.2%5.4%
Rev Chg 3Y Avg15.8%5.7%11.5%7.4%6.5%6.8%7.1%
Rev Chg Q7.2%3.9%7.5%7.1%10.2%0.9%7.2%
QoQ Delta Rev Chg LTM1.7%1.0%1.9%1.7%2.4%0.2%1.7%
Op Mgn LTM23.2%25.0%-26.2%39.6%28.7%26.2%
Op Mgn 3Y Avg17.1%25.5%-25.8%40.5%27.0%25.8%
QoQ Delta Op Mgn LTM1.6%-0.7%--0.1%-1.9%-1.3%-0.7%
CFO/Rev LTM32.1%30.4%4.8%22.8%34.1%30.0%30.2%
CFO/Rev 3Y Avg28.2%27.3%9.4%22.5%34.7%29.1%27.7%
FCF/Rev LTM28.1%24.5%4.8%20.1%30.7%21.8%23.2%
FCF/Rev 3Y Avg10.7%21.5%9.4%19.6%31.6%21.5%20.5%

Valuation

HQYWEXVOYAADPPAYXFISVMedian
NameHealthEq.WEX Voya Fin.Automati.Paychex Fiserv  
Mkt Cap8.25.27.2107.542.136.922.6
P/S6.42.10.95.78.21.73.9
P/EBIT26.88.66.820.420.06.214.3
P/E42.719.111.728.727.610.223.3
P/CFO19.86.819.125.024.05.819.4
Total Yield2.3%5.2%10.9%5.5%6.8%9.8%6.2%
Dividend Yield0.0%0.0%2.4%2.1%3.2%0.0%1.0%
FCF Yield 3Y Avg1.7%8.1%9.5%3.5%3.7%5.5%4.6%
D/E0.10.90.40.10.10.80.3
Net D/E0.10.0-3.50.00.10.80.0

Returns

HQYWEXVOYAADPPAYXFISVMedian
NameHealthEq.WEX Voya Fin.Automati.Paychex Fiserv  
1M Rtn-4.9%10.0%10.3%6.5%5.6%9.0%7.7%
3M Rtn3.3%-10.3%-0.5%-7.5%-11.0%-49.1%-8.9%
6M Rtn-6.6%7.8%14.4%-12.5%-21.0%-57.7%-9.5%
12M Rtn4.6%-13.7%13.3%-8.2%-14.2%-66.5%-10.9%
3Y Rtn57.1%-7.0%34.7%14.8%10.2%-30.7%12.5%
1M Excs Rtn-5.6%9.3%9.5%5.8%4.9%8.2%7.0%
3M Excs Rtn-1.6%-12.2%-3.1%-9.5%-11.5%-49.9%-10.5%
6M Excs Rtn-18.9%-4.6%2.0%-24.8%-33.4%-70.0%-21.9%
12M Excs Rtn-11.4%-25.9%-0.6%-19.6%-25.7%-77.7%-22.7%
3Y Excs Rtn-17.1%-77.9%-40.1%-61.2%-64.5%-101.8%-62.8%

Financials

Segment Financials

Revenue by Segment

$ Mil20252024202320222021
Single Segment1,000862757734532
Total1,000862757734532


Price Behavior

Short Interest

Short Interest: As Of Date11282025
Short Interest: Shares Quantity4,351,292
Short Interest: % Change Since 111520258.6%
Average Daily Volume796,212
Days-to-Cover Short Interest5.46
Basic Shares Quantity85,995,000
Short % of Basic Shares5.1%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
12/3/2025-3.0%-3.0% 
9/2/20257.5%4.7%2.1%
6/3/20259.0%3.3%-1.9%
2/18/20250.5%-5.1%-25.5%
12/9/2024-5.6%-7.8%-0.7%
9/3/20245.1%-5.0%0.6%
6/3/20242.7%7.0%2.9%
2/21/20242.7%3.7%2.7%
...
SUMMARY STATS   
# Positive171211
# Negative71213
Median Positive3.7%3.8%2.9%
Median Negative-5.6%-5.8%-7.5%
Max Positive11.6%10.3%14.7%
Max Negative-24.6%-27.4%-48.2%

SEC Filings

Expand for More

Report DateFiling DateFiling
103120251203202510-Q 10/31/2025
7312025902202510-Q 7/31/2025
4302025603202510-Q 4/30/2025
1312025318202510-K 1/31/2025
103120241209202410-Q 10/31/2024
7312024903202410-Q 7/31/2024
4302024603202410-Q 4/30/2024
1312024322202410-K 1/31/2024
103120231205202310-Q 10/31/2023
7312023905202310-Q 7/31/2023
4302023607202310-Q 4/30/2023
1312023330202310-K 1/31/2023
103120221208202210-Q 10/31/2022
7312022908202210-Q 7/31/2022
4302022608202210-Q 4/30/2022
1312022331202210-K 1/31/2022