cust.co / NRR Benchmark / Healthcare SaaS · Public · $100K-$500K ACV

Healthcare SaaS NRR Benchmark

Median Net Revenue Retention for Public Healthcare SaaS companies in the $100K-$500K ACV band.

Latest median NRR (FY2025-Q4)
108.5%
▼ 7.5pp QoQ
-5.5pp vs FY2025-Q1
3 companies
18 verified disclosures
P25–P75: 103% – 121%

NRR over time

97%106%114%122%131% FY-2022FY2023-Q3FY2023-Q4FY2024-Q3FY2024-Q4FY2025-Q2FY-2025FY2025-Q4 Median NRR FY-2022 - 105% (NRC) FY2022-Q4 - 104% (NRC) FY2023-Q3 - 127% (OPRX) FY-2023 - 101% (NRC) FY2023-Q4 - 111% (NRC, OPRX) FY2024-Q2 - 124% (OPRX) FY2024-Q3 - 127% (OPRX) FY-2024 - 121% (OPRX) FY2024-Q4 - 112% (OPRX, NRC) FY2025-Q1 - 114% (OPRX) FY2025-Q2 - 111% (OPRX, PRVA) FY2025-Q3 - 120% (OPRX) FY-2025 - 116% (OPRX) FY2025-Q4 - 109% (OPRX, NRC)

Each point is the median of verified disclosures for that fiscal quarter. Contributors disclosed in: FY-2022 (NRC) · FY2022-Q4 (NRC) · FY2023-Q3 (OPRX) · FY-2023 (NRC) · FY2023-Q4 (NRC, OPRX) · FY2024-Q2 (OPRX) · FY2024-Q3 (OPRX) · FY-2024 (OPRX) · FY2024-Q4 (OPRX, NRC) · FY2025-Q1 (OPRX) · FY2025-Q2 (OPRX, PRVA) · FY2025-Q3 (OPRX) · FY-2025 (OPRX) · FY2025-Q4 (OPRX, NRC).

Median GRR (gross retention) in FY2025-Q4: 92% - the gap to NRR (108.5%) shows how much expansion is lifting the retention number.

Distribution - where do companies fall?

Each bar = a 5-percentage-point band. Hover for the companies in that band.

1 companies in 95%–100%: PRVA11 companies in 100%–105%: NRC11 companies in 115%–120%: OPRX1 60%80%100%120%140%160%180% median 116%

Latest verified NRR per company. Run the calculator to see where you'd land on this distribution.

Top performers in this cell

  1. #1 OptimizeRx OPRX 116% FY2025-Q4
  2. #2 National Research NRC 101% FY2025-Q4
  3. #3 Privia Health PRVA 100% FY2025-Q2

What this means

Healthcare SaaS · Public stage - NRR captures how much your existing customers grow versus shrink, before any new logos. Top performers expand existing accounts faster than they lose them, compounding ARR even if new sales slow.

The expansion gap is real: the median company in this cell sits at 116% while the top 25% are at 121% - a 5pp spread between average and best-in-class. Compute your own NRR to see where you stack up.

Related cells

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