Phreesia, Inc. ($PHR)

Earnings Call Transcript · March 30, 2026

NYSE US Health Care Health Care Technology Earnings Calls 40 min

Highlights from the call

In the fourth quarter of fiscal year 2026, Phreesia, Inc. reported revenue of $127.1 million, representing a 16% year-over-year increase, driven primarily by the acquisition of AccessOne. Adjusted EBITDA reached $29.4 million, with a margin of 23%, and the company achieved positive GAAP net income for the first time in its history. However, management lowered its revenue guidance for fiscal year 2027 to a range of $510 million to $520 million, down from a previous estimate of $545 million to $559 million, citing decreased visibility into spending commitments from pharmaceutical manufacturers as a key factor.

Main topics

  • Revenue Growth and Acquisition Impact: Phreesia's revenue growth was bolstered by the AccessOne acquisition, contributing significantly to a 16% year-over-year increase. Management noted, "Excluding the AccessOne acquisition, revenue was up 7% year-over-year," indicating strong underlying performance.
  • Guidance Reduction: The company lowered its fiscal year 2027 revenue guidance due to reduced visibility into pharmaceutical spending commitments. Balaji Gandhi stated, "We are lowering our revenue outlook for fiscal year 2027...we have seen even lower levels of dollars committed by certain Network Solutions clients for the second half of the fiscal year."
  • Positive EBITDA and Cash Flow Milestones: Phreesia achieved significant financial milestones, including positive GAAP net income and over $100 million in adjusted EBITDA for the year. The CFO highlighted, "We crossed $50 million in free cash flow," showcasing improved cash generation capabilities.
  • AI Integration for Efficiency: Management emphasized the role of AI in enhancing operational efficiency, stating that it is a "meaningful contributor to our margin expansion" and will continue to drive improvements as the company scales.
  • Network Solutions Revenue Variability: Management acknowledged challenges in the Network Solutions segment, particularly in vaccine spending and commitments from pharmaceutical clients. Balaji noted, "This is not a broad-based issue...but happening on a macro basis in a couple of different areas," indicating sector-specific pressures.

Key metrics mentioned

  • Revenue: $127.1 million (up 16% YoY, vs $120 million est.)
  • Adjusted EBITDA: $29.4 million (vs $16.4 million in Q4 FY25, 23% margin)
  • Free Cash Flow: $28.5 million (up $19.3 million YoY, strongest quarterly free cash flow to date)
  • GAAP Net Income: Positive (first positive GAAP net income in company history)
  • Fiscal 2027 Revenue Guidance: $510 million to $520 million (down from $545 million to $559 million)
  • Adjusted EBITDA Guidance: $125 million to $135 million (maintained despite revenue guidance reduction)

Phreesia's mixed results and lowered guidance present a cautious outlook for investors. While the company has achieved significant milestones and continues to innovate, the challenges in the Network Solutions segment and reduced visibility into revenue commitments raise concerns. Investors should monitor the execution of growth initiatives, particularly in AI and Provider Connect, as well as the overall market dynamics affecting pharmaceutical spending.

Earnings Call Speaker Segments

Operator

Operator
#1

Good evening, ladies and gentlemen, and welcome to the Phreesia Fourth Quarter Fiscal 2026 Earnings Conference Call. [Operator Instructions] First, I would like to introduce Balaji Gandhi, Phreesia's Chief Financial Officer. Mr. Gandhi, you may begin.

Balaji Gandhi

Executives
#2

Thank you, operator. Good evening, and welcome to Phreesia's Earnings Conference Call for the Fourth Quarter of Fiscal 2026, which ended on January 31, 2026. Joining me on today's call is Chaim Indig, our Chief Executive Officer. A more complete discussion of our results can be found in our earnings press release and in our related Form 8-K submission to the SEC, including our quarterly stakeholder letter, both issued after the markets closed today. These documents are available on the Investor Relations website at ir.phreesia.com. As a reminder, today's call is being recorded, and a replay will be available on our Investor Relations website at ir.phreesia.com following the conclusion of the call. During today's call, we may make forward-looking statements, including statements regarding trends, our anticipated growth, our strategies, predictions about our industry and the anticipated performance of our business, including our outlook regarding future financial results. Forward-looking statements are subject to various risks, uncertainties and other factors that may cause our actual results, performance or achievements to differ materially from those described in our forward-looking statements. Such risks are described more fully in our earnings press release, our stakeholder letter and our risk factors included in our SEC filings, including in our annual report on Form 10-K that will be filed with the SEC tomorrow. The forward-looking statements made on this call will be based on our current views and expectations and speak only as of the date on which the statements are made. We undertake no obligation to update and expressly disclaim the obligation to update these forward-looking statements to reflect events or circumstances after the date of this call or to reflect new information or the occurrence of unanticipated events. We may also refer to certain financial measures not in accordance with generally accepted accounting principles, such as adjusted EBITDA and free cash flows in order to provide additional information to investors. These non-GAAP measures should be considered in addition to and not as a substitute for or in isolation from our GAAP results. A reconciliation of GAAP to non-GAAP results may be found in our earnings release and stakeholder letter, which we furnished with our Form 8-K filed after the market closed today, the SEC and may also be found on our Investor Relations website at ir.phreesia.com. I will now turn the call over to our CEO, Chaim Indig.

Chaim Indig

Executives
#3

Thank you for joining our fourth quarter and fiscal year 2026 Earnings Call. Fiscal year 2026 was a pivotal year in Phreesia's evolution, one defined by deliberate choices and disciplined execution. The decisions we made this year are the ones we made on our own terms, and we believe they will compound in our favor over the next several years and beyond. I want to start by recognizing the Phreesia team, key product launches, client success stories, our largest acquisition and our achievement of key financial milestones are among the accomplishments the team contributed throughout the year. I want to thank everyone on the team for their dedication to Phreesia's mission, vision and values. This year, we crossed several critical financial milestones out of our internal targets. We surpassed $100 million in adjusted EBITDA. We crossed $50 million in free cash flow. And for the first time in our history as a publicly traded company, we delivered positive GAAP net income for a full fiscal year. Each of these is a meaningful milestone on its own. Together, they reflect a company that has made a calculated bets executed against them and is now scaling from a position of genuine financial strength. I want to take a moment to reflect on 2 growth initiatives we discussed on our last call, provider financing and HCP marketing because both made meaningful progress this year. On provider financing, the acquisition of AccessOne has been central to our strategy. We have now been operating the business for several months, and our investment thesis has only been reinforced. Patient financial responsibility continues to rise in this country. Providers need tools to convert patient receivables into predictable cash flow. AccessOne gives us a market-leading solution to address that need at scale. AccessOne is performing in line with our expectations, and we are actively working to expand our access to capital for our securitization programs so we can bring AccessOne solutions to a greater portion of our provider network. We are excited about the long runway ahead. On HCP marketing, in early March, we announced the launch of Provider Connect, a first-of-its-kind offering for health care provider marketers. This is a natural extension of what we have built with PatientConnect, one of the most trusted and effective point-of-care media offerings in the industry. Provider Connect brings the same proven playbook, real care encounters, patient level relevance and privacy at the center to the provider side of the equation. We believe our ability to align both sides of the care conversation is something no one else in the market can do as comprehensively as Phreesia, and we are excited to build on this foundation in fiscal 2027. We entered fiscal 2027 having built the financial profile we intended to build, one that gives us the flexibility to pursue opportunities on offense and the resilience to absorb challenges without altering our course. AccessOne and HCP are 2 of the opportunities we've discussed, and we look forward to sharing more of them as well as other opportunities for growth and market extension. I also want to put our results in context. We are growing in a tough market. The health care industry is facing adversity. We are seeing challenges in FDA guidelines, insurance coverage, patient utilization and provider reimbursement. We believe our emphasis on building products that address access, affordability and outcomes with revenue generation tilted towards financial services and consent-driven patient engagement position us to be an enduring platform. Segments of the life sciences industry are facing challenges, and we are seeing this reflected in our shorter visibility into spending commitments from certain pharmaceutical manufacturers in our Network Solutions business. This is an external dynamic, not a reflection of Phreesia's competitive position or the underlying demand for what we offer. While we do not believe this reflects a structural shift in demand for what Phreesia offers, it is creating more variability in our financial forecast, and we are reflecting that in our updated fiscal 2027 outlook that Balaji will walk through. AI is also playing an increasingly important role in how we operate. We are using AI not just in the products we deliver to clients, but internally to automate manual processes, reduce our reliance on outsourced resources and drive greater efficiency across the business. This is a meaningful contributor to our margin expansion and one we expect to continue to benefit from as we scale. We believe we are building the right company for this moment, one positioned to grow on its own terms as intelligence becomes embedded in how health care operates. Before handing it over to Balaji, I want to stress that our company is stronger than ever because of the decisions we've made, sometimes difficult ones. Our financial profile is strong, and we have a great team of leaders and a significant bench strength behind them. We entered this fiscal year with several key priorities, positioning AccessOne for growth, scaling our HCP marketing offering and continuing to infuse AI into the Phreesia operating model. We believe these initiatives, combined with the discipline that has defined our recent performance, put us in a very strong position to take advantage of the multiple growth opportunities that lie ahead. A more modest revenue growth year does not change our trajectory. It reflects a specific external dynamic in one part of our business. We believe the underlying platform is stronger than it has ever been. I'll now turn it over to Balaji to walk through the Q4 results and our fiscal 2027 outlook.

Balaji Gandhi

Executives
#4

Thank you, Chaim. Let me start with a few highlights from our fourth quarter and fiscal year 2026 results, and then I'll move into our outlook for fiscal 2027. For the fourth quarter of fiscal year 2026, revenue was $127.1 million, up 16% year-over-year with growth led by Payment Solutions following the acquisition of AccessOne. Excluding the AccessOne acquisition, revenue was up 7% year-over-year. Adjusted EBITDA was $29.4 million compared to $16.4 million in the same period in the prior year, representing an adjusted EBITDA margin of 23%. Fourth quarter average healthcare services clients, or AHSCs, reached 4,658, an increase of 138% from the prior quarter. 80 of these AHSCs were contributed to the AccessOne acquisition. These results were in line with our expectations. Fourth quarter total revenue per AHSC was $27,279, up 8% year-over-year. There are several important financial milestones and developments included in our stakeholder letter, earnings release and 10-K filing that are worth highlighting. 2026 was an important year for Phreesia's evolution as a profitable company. For the first year ever, we achieved positive net income and earnings per share. Over the past several years, we have made very intentional decisions around capital allocation to accelerate our path to GAAP profitability because we have believed it will become increasingly important to the investment community. Cash flow continues to improve. In the fourth quarter, net cash provided by operating activities was $33.7 million, up $17.4 million year-over-year. Free cash flow was $28.5 million, up $19.3 million year-over-year, our strongest quarterly free cash flow to date. The year-over-year improvements in operating cash flow and free cash flow were driven primarily by changes in working capital and operating cash flows provided by AccessOne. Cash and cash equivalents as of January 31, 2026, were $73.8 million compared to $84.2 million at January 31, 2025. Finally, before moving into our fiscal year 2027 outlook, let me review our recently completed refinancing subsequent to the end of fiscal year 2026. On March 13, we completed a refinancing of our bridge loan. We repaid all outstanding indebtedness under the bridge loan using $92 million of borrowings from a new 5-year $275 million senior secured revolving credit facility with Capital One, maturing on March 13, 2031. This replaces both the bridge loan and the prior ABL facility. The unused borrowing capacity is available for working capital, capital expenditures, permitted acquisitions and general corporate purposes. With the refinancing complete, we intend to prioritize allocation of capital to areas that we believe can enhance long-term shareholder value, which may include the paydown of long-term debt investment to support revenue growth acceleration and share repurchases as appropriate. Now transitioning to our financial outlook for fiscal year 2027. We've had several developments in recent weeks that drove our updated financial outlook for fiscal year 2027, which I will review and provide the reasons behind them. We are lowering our revenue outlook for fiscal year 2027. We now expect revenue to be in the range of $510 million to $520 million compared to our prior range of $545 million to $559 million. As we discussed in December, we are experiencing shorter visibility into spending commitments by certain pharmaceutical manufacturers. Over the past several weeks, we have seen even lower levels of dollars committed by certain Network Solutions clients for the second half of the fiscal year. As Chaim mentioned, we do not believe these developments are signaling a structural shift in demand for Phreesia solutions. However, there's now more variability in our Network Solutions revenue forecasting particularly in the second half of each year. Our visibility into revenue across other parts of the business is generally consistent with our views in December 2025. Our new revenue range assumes no additional revenue from potential future acquisitions completed between now and January 31, 2027. We are maintaining our adjusted EBITDA outlook of $125 million to $135 million for fiscal year 2027. It is worth noting that we are holding our adjusted EBITDA outlook even as we reduce our revenue range, a reflection of the operating leverage we have built and our ability to respond quickly with further efficiency gains. In addition to our continued confidence in the operating leverage embedded in our model, we have more recently identified significant opportunities to reduce our reliance on manual processes across Phreesia through the adoption of artificial intelligence. Initially, we expect to see efficiencies in our utilization of outsourced resources. We are maintaining our expectation for AHSC growth in the mid-single-digit percentage range in fiscal 2027. We are updating our outlook for total revenue per AHSC to a low single-digit percentage range compared to our low double-digit range previously, reflecting the Network Solutions headwinds I just described. Operator, I think we can now open up the lines for the Q&A session.

Operator

Operator
#5

[Operator Instructions] And our first question comes from the line of Sean Dodge with BMO Capital Markets.

Sean Dodge

Analysts
#6

Yes. Maybe just starting with the dynamics in the Network Solutions end market. And just to kind of clarify the change in the guidance. Balaji, you framed it as having a lot of visibility to what clients are going to spend I guess is this across all clients there? Or is it just a [ subset of it ] -- I mean, then I also like how -- like what base do you think those budgets are or their intentions are at this point? Is there a chance that they come back in a few months and increase their second half spending commitments? Or are those pretty firm at this point?

Balaji Gandhi

Executives
#7

Yes, Sean, this is Balaji. Thanks for the question. So I'll answer your second one first. It is very fluid. And I think that's one of the things we're trying to establish here is it's very early in the fiscal year, but we wanted to share this development with you now. But there's lots of activity that's happening in here. In fact, just getting updates in real time, things are going well in the fiscal first quarter. But we just think it's these shifting dynamics put us in a position where we think we want to be transparent and give you updates as the year goes on. So now pivoting to your -- the first part of your question, it is not broad-based. It is in specific brand and therapeutic areas. I'll give you just a couple of examples of things we're seeing that warrants this change. Vaccines, I don't think that should be a surprise to anyone on the call, but clearly, vaccine spending and targeted marketing around that has been pulled back. So that's been one area just generally public health with agencies in the federal government were also an area of growth for us in the past that we've written about in some of our letters. And that's also been an area. So those are just 2 examples. There's certainly a couple of others. But this is not a broad based. And I think as, even Chaim said in his opening remarks, not something that's happening specifically but happening on a macro basis in a couple of different areas.

Operator

Operator
#8

And our next question comes from the line of Ryan Daniels with William Blair.

Ryan Daniels

Analysts
#9

I'll continue down the Network Solutions path. Can you talk a little bit more about what you're assuming this year for ProviderConnect? I'm just curious if you think that's going to be a contributor as you look towards more HCP marketing versus traditional D2C and potentially how weak the guidance could have been if you didn't have a novel product offering to offset some of that weakness?

Balaji Gandhi

Executives
#10

Yes. Sure, Ryan. Very little. Very early days. still something we're very excited about. But this change in our revenue outlook has nothing to do with anything that's going on with something very small. In fact, again, that's obviously a very small base. the launch went well, and we do see some upside there. But for this conversation, it's very small.

Operator

Operator
#11

And our next question comes from the line of Jeff Garro with Stephens.

Jeffrey Garro

Analysts
#12

I'll continue on our Network Solutions. Balaji, you did mention price negotiations, most favored nation pricing or through some of the legislation, certain -- some high-volume drugs getting their prices renegotiated with Medicare. So I wanted to check in on that factor and how that's impacting your pharma clients budgeting and your outlook in turn.

Balaji Gandhi

Executives
#13

Yes. I mean we didn't mention that, and that's not really what we're tying it to, I think, on the earlier question around different therapeutic areas and some regulatory activity. that's what we pointed to. But Jeff, it probably is -- it doesn't help with other topics.

Operator

Operator
#14

And our next question comes from the line of Jailendra Singh with Truist Securities.

Jailendra Singh

Analysts
#15

I want to focus on the EBITDA guidance. I mean you talked about AI efficiency gains, but can you be more specific outside of that, What kind of cost actions are you implementing which is resulting in your EBITDA target still being unchanged, especially with revenue down $35 million, $39 million and majority of that cut coming into your higher-margin business. Just trying to better understand how much of the cost reduction is temporary in nature versus structural in nature. Give us a little bit more color on the cost initiatives.

Balaji Gandhi

Executives
#16

Yes. Thanks, Jailendra. So here's -- I think just one way to think about this topic. If you just followed us, which I know you have over the past several years, we certainly put a lot of capital investment into the business. And our view has always been that we should become more efficient and drive more margin expansion in the business. and I think that continues. And that's what affords us to be able to continue to have the outlook for adjusted EBITDA that we do here. Separately, I think the comments around AI are -- I mean, again, probably not a secret to anyone on this call, but there have been some pretty big releases and developments that we are seeing is revolutionary in terms of how it can impact our business operationally, I think we did talk about manual processes. And I think we mentioned in the letter also specifically that some areas around outsourcing manual processes that we think we can drive a lot of efficiency through initially. But again, I'll just point you back to the numbers in the last 3 -- really almost 4 years that we've always looked for ways to drive margin in the business.

Operator

Operator
#17

And our next question comes from the line of Brian Tanquilut with Jefferies.

Cameron Harbilas

Analysts
#18

This is Cameron on for Brian. I wanted to dig more into that EBITDA guidance a little further. When you're thinking about sales and marketing, and R&D spend. Are you expecting those to be up year-over-year still? Or is that part of that EBITDA margin improvement as well?

Balaji Gandhi

Executives
#19

Yes. I mean we haven't given very specific guidance around those specific lines. But I think again, we've talked historically about our expense base and there being a lot of room for margin expansion. I think what we've said over the past year is the progression of that, you saw gross margin improve, then you saw G&A improve, and you saw sales and marketing improve as a percentage of revenue. And we said R&D should probably be a bigger contributor of margin expansion or expense ratio improvement in fiscal '27. The others should also improve, but not as much as R&D.

Operator

Operator
#20

And our next question comes from the line of Jessica Tassan with Piper Sandler.

Jessica Tassan

Analysts
#21

Can you maybe help us understand just on the payment side, the facilitator percent and volume variability in FY '26? Just what's going on to cause the facilitator volume to go from 82% in first half to 85% 3Q, 84% in 4Q? And then just do you expect payment processing revenue to grow outside of AccessOne in FY '27?

Balaji Gandhi

Executives
#22

Yes, Jess. I think on the payment facilitator percentage, there's just certainly some client activity there where we've had some better attach rate. I don't think there's anything particularly noteworthy there. I think consistent with what we said for a few years, we have tried to focus on payback and adding new clients where we can benefit from all the different products we can offer them. And then on payments, nothing different on what we talked about in December, we expect it to grow year-over-year exclusive of AccessOne and that contribution. And I think it will -- I don't think we've given a specific number, but I think it should -- it will grow in the single digits.

Operator

Operator
#23

And our next question comes from the line of Ryan MacDonald with Needham & Company.

Ryan MacDonald

Analysts
#24

In terms of AccessOne, you talked about your investment thesis has been reinforced over the past several months and positioning AccessOne for growth is obviously a key initiative for fiscal '27. Can you talk about -- a bit more about your priorities there as you're looking to drive growth? Is it more focused on a tighter integration and cross-selling opportunity between AccessOne and core Phreesia or more looking for ways to augment AccessOne as a stand-alone business unit? And how dependent is getting that -- expanding your current access to capital for AccessOne to driving growth in that business in fiscal '27?

Balaji Gandhi

Executives
#25

Yes. Thanks, Ryan. So first of all, this isn't a very established franchise in the space, which is the reason we made the acquisition. So we expect to grow the products that we acquired based on that track record, et cetera, et cetera. Obviously, we're going to put more resources around it within Phreesia we already have. As far as the importance of expanding the capital base to bring it to our base. That is also super important. And if you think about just sort of the progression, we closed the acquisition in November. First order of business was you wanted to move quickly on financing it. We had the bridge loan. We went in and refinanced that. Now we've got a good long-term credit facility, and we paid down the bridge, and we'll continue to pay down debt. The next quarter very quickly behind it, which we've been very active on is expanding the capital base to bring this to Phreesia space. So stay tuned for that. That will be another milestone to keep an eye on.

Operator

Operator
#26

And our next question comes from the line of Richard Close with Canaccord Genuity.

Richard Close

Analysts
#27

On subscription pricing in the letter, you talked about optimizing client retention and also adoption. Just curious how much of that is really focused in on retention and if you are seeing any increased pressures of current clients looking to change?

Balaji Gandhi

Executives
#28

Yes, Richard, I think this has also been a pretty consistent theme for us. I think Chaim, a lot of times, will talk to investor meetings about better, faster, cheaper in terms of what our products need to do. So I'd say it's very offensive on our part, making sure that we're improving our existing product, giving our clients more product, but we are completely comfortable and have conviction that we should be providing more value, and that's why we think will drive more revenue growth in the other 2 revenue lines. But I'd say it's more we're proactive and offensive about our part. We think it gives us a competitive advantage.

Operator

Operator
#29

And our next question comes from the line of Stan Berenshteyn with Wells Fargo Securities.

Stanislav Berenshteyn

Analysts
#30

So back to network, if we think about the revenue that remains within the guidance that you've updated, are there any brands that are driving an outsized contribution to the revenue expectations? I'm just trying to think about revenue concentration, if there's anything to call out there?

Balaji Gandhi

Executives
#31

Yes. Stan, I think what you asked was about the existing -- the revenue that's built into our existing revenue outlook. Nothing particularly noteworthy there in terms of concentration. But again, we -- going back, I think, to the original question of this call, I mean, what we want to do is be able to update you as we go through the year as we have more visibility. So by no means are we trying to suggest that the year is done and this is how we see revenue, but we think this is the right way to communicate for the rest of the year.

Operator

Operator
#32

And our next question comes from the line of Joseph Vruwink with Baird.

Joseph Vruwink

Analysts
#33

I wanted to ask about how you see AI changing the competitive landscape within the software business. I think patient intake is one of those categories where it's actually fairly common to use a specialist provider like Phreesia alongside maybe your EHR or practice solution. Do you see AI capabilities and you alluded to how Phreesia is benefiting itself from AI capabilities. Are the big kind of platform companies able to do that as well and maybe change the competitive dynamic?

Chaim Indig

Executives
#34

This is Chaim. We actually think that it's allowing us to increase the breadth of offerings that we can offer our clients. What we've seen in the market dynamics is really the scope of the value we could provide is increasing at a -- frankly, at such a rapid pace that our clients are more than excited about what we're able to offer. So I think that look, health care has a lot of room for continuous improvement and value for the patients and providers. And we think that we're well suited given the contextual information that we have and our long history of providing value to the patient and the provider or we think that there is a lot more value that we can continue to provide to our clients beyond where we traditionally have played.

Operator

Operator
#35

And our next question comes from the line of Steven Valiquette with Mizuho Securities.

Steven Valiquette

Analysts
#36

I guess also I have a question here on the Network Solutions. Your comments around the vaccines was helpful. I guess, I'm curious also from a therapeutic perspective, if possible, curious to hear more on just GLP-1 drugs as a category, especially with some big FDA approvals on oral formulation in the first half of the year. So I guess the question is really from a high level, are oral GLP-1s or GLP-1s more in the good guy camp for you for your fiscal '27 relative to your prior expectations? Are they kind of a bad guy relative to the prior or no change? Just curious on that class in particular since it is kind of a big driver of variability for this year.

Balaji Gandhi

Executives
#37

Yes, Steve, thanks for the question. On the margin, they're in the bad guy category as you would characterize it and amongst the other issues with vaccine and public health that you mentioned earlier.

Operator

Operator
#38

Our next question comes from the line of Scott Schoenhaus with KeyBanc.

Scott Schoenhaus

Analysts
#39

Balaji, I think in your prepared remarks, you mentioned that the visibility or the commitments from pharma worsened in the last few weeks. Wondering if you could provide any more color there. I know your provider connect is fairly new, but are you seeing the same levels of that sort of erosion in commitments on the ProviderConnect side as to PatientConnect? And then, in general, do you expect to see more or less or equal visibility from pharma budgets on Providerconnect versus PatientConnect?

Balaji Gandhi

Executives
#40

Yes. Thanks, Scott. So first of all, the commentary about recent updates, it has been all around PatientConnect. I think as we mentioned earlier, I mean ProviderConnect is still very, very early. In fact, if anything, the news has been more positive fiscal year-to-date, and we've had a lot of good news coming out of clients, and we're all very excited about it. But again, it's inconsequential in terms of the magnitude of the numbers still and has some room for upside. So I can't -- I'm not sure, Scott, if I remembered the rest of your question, so maybe you can jump back in the queue.

Operator

Operator
#41

And our next question comes from the line of Daniel Grosslight with Citigroup.

Daniel Grosslight

Analysts
#42

If you allocate the entire guidance reduction to Network Solutions, it seems like we're looking at kind of a high single digit, low double digit -- sorry, high single-digit, low double-digit year-over-year reduction in revenue. I just want to make sure I'm thinking about that correctly for Network Solutions. And then from a cadence perspective, it sounded like 1Q was actually pretty strong relative to your expectations. So can you just walk us through how we should think about the quarterly cadence of Network Solutions or at least how it's contemplated in your guidance? And then lastly, you've previously ranked the growth of these 3 segments. I think you've previously said it's kind of Network Solutions first, then organic payments and then subscription. I'm just curious if once we get around all of this disruption, how we should be thinking about the growth rate of the 3 segments longer term?

Balaji Gandhi

Executives
#43

Sure. So we do continue to believe that's how you should stack rank the contribution just on a normalized basis, but this year is clearly so far shaping up to be a little bit differently. I think as far as the year-over-year comparisons you did, again, without giving specific line item kind of outlooks here, I think you should take away that the low end of the total revenue range implies it's going to be down a few points and the high end would imply it's about flat.

Operator

Operator
#44

And our next question comes from the line of Ryan Halsted with RBC Capital Markets.

Ryan Halsted

Analysts
#45

Maybe just a follow-up on the AccessOne questions. So you've obviously been having a lot of progress in scaling the business. I guess, how should we think about the next phases of scaling AccessOne in that are you expanding kind of your -- within your footprint and kind of identifying where you're currently maybe have some existing competencies? And -- or are you kind of broadening into new footprints? And then how should we think about that in terms of maybe start-up costs or other types of incremental costs to really further scale this?

Balaji Gandhi

Executives
#46

Yes. It's both, first of all. So it's -- think about it as the capital base as we expand, it will allow us to bring more of those solutions to Phreesia's existing clients. We also see opportunities that is completely greenfield outside of the areas we play today in the -- sort of think about a broader health care provider ecosystem. So it's both. Again, I think that was the only question. Trying to write these as we go here.

Operator

Operator
#47

And our next question comes from the line of Clark Wright with D.A. Davidson.

Clark Wright

Analysts
#48

You made a comment during the prepared remarks about the visibility into other revenue segments being consistent with December 2025 and the comments you made then. Could you maybe just provide additional details on what's going on in the payments business in terms of AccessOne as we look through the financials of how you grow that with the additional credit facility that you've had? And where you see the potential opportunities primarily through new logos? Or is it cross-selling into the existing base?

Balaji Gandhi

Executives
#49

So -- and again, we assumed nothing in terms of growth in our fiscal '27 outlook when we laid it out back in December, and that continues today. In terms of the opportunities, there's net new opportunities, there's expansion opportunities within AccessOne's legacy client base which require Phreesia. And then I think last, which is where this soon-to-be expanded capital base that we're working on will allow us to bring us to other Phreesia.

Operator

Operator
#50

And our next question comes from the line of John Ransom with Raymond James.

John Ransom

Analysts
#51

If I think about the strategy over the past couple of years, it was to drive growth among providers that had higher prescription dispensing rates in order to drive network solutions. Just in light of what's happening with pharma, is that strategy being rethought? Or do you think this is just a speed bump?

Balaji Gandhi

Executives
#52

Yes, John, speed bump is sort of a short answer. We still have a lot of conviction there. We think we have a very differentiated value proposition in terms of being able to provide valuable content to patients. So nothing has changed there and increasingly providers level.

Operator

Operator
#53

And our next question comes from the line of Gene Mannheimer with Freedom Capital Markets.

Gene Mannheimer

Analysts
#54

Just thinking about your prepared remarks, you're holding the EBITDA guidance steady despite the revenue reduction. And I understand about the continuing margin expansion and efficiencies that you're driving. But I mean, why not bias your EBITDA guidance toward the lower end of the range, unless you have such confidence in meeting or exceeding that range.

Balaji Gandhi

Executives
#55

Yes. I mean, Gene, I think we've been public for almost 7 years, and we've tried to provide information as we know it and where we have conviction. So I think you should just sort of take that as -- how we feel about that.

Operator

Operator
#56

[Operator Instructions] And we do have a follow-up question from Jailendra Singh with Truist Securities.

Jailendra Singh

Analysts
#57

I just want to see if you can follow up -- if you can kind of give some more color on why do you think the oral GLP-1 launching is a bad guy for your Network Solutions next year? I just want to clarify this comment, Balaji?

Balaji Gandhi

Executives
#58

Yes. I didn't hear anything about oral specifically. I thought it was more of a broader comment around FDA activity and the general category. So there's nothing about the response that is specific to oral.

Operator

Operator
#59

And we have a follow-up question from Ryan MacDonald with Needham & Company.

Ryan MacDonald

Analysts
#60

Balaji, maybe if you could just clarify, as we think about the flow of network solutions throughout the year, is Network Solutions starting off at a lower base than what you expected in Q1 of fiscal '27? Because you also said -- I guess you said Q1 is going better than expected? Or are we looking at really like sort of the lack of visibility means that Network Solutions revenues are sort of down in second half relative to first half and sort of little impact to the first half expectations?

Balaji Gandhi

Executives
#61

That's generally we should take away the latter part of what you said, Ryan, but here's the thing. I think we've tried to explain this to you. There's -- it is very complex. There's a lot of different moving parts and data that goes into our ability to reach the right patient with the right message. So there's a lot of pacing involved too. But generally speaking, our view here is it's around the second half of the year, not the first half.

Operator

Operator
#62

And with no further questions, I will now turn the conference back over to Mr. Chaim Indig for closing remarks.

Chaim Indig

Executives
#63

I'd like to thank everyone for joining us for the fiscal Q4 2026 earnings call. And I want to thank my teammates for a really strong year, and I look forward to the year ahead. And everyone know, I hope enjoys spring, talk to you in a couple of months.

Operator

Operator
#64

And ladies and gentlemen, this concludes today's call, and we thank you for your participation. You may now disconnect.

For developers and AI pipelines

Programmatic access to Phreesia, Inc. earnings transcripts and 32,000+ others is available through the EarningsCalls.dev REST API. Plans from $24.99/month — full transcripts, speaker segments, full-text search, and the recently-added /api/v1/transcripts/recent polling endpoint for ETL pipelines.