Phreesia ((PHR)) has held its Q3 earnings call. Read on for the main highlights of the call.
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Phreesia’s recent earnings call conveyed a generally positive sentiment, driven by robust revenue growth, strategic acquisitions, and favorable financial metrics. The company is well-positioned for future growth, although challenges in network solutions and the financial implications of the AccessOne acquisition warrant attention.
Revenue Growth and Profitability
Phreesia reported a total revenue of $120.3 million, marking a 13% increase year over year. The company achieved an all-time high adjusted EBITDA margin of 24%, with a $19 million increase compared to the previous year. This strong financial performance underscores Phreesia’s effective growth strategies and operational efficiency.
Strategic Acquisitions and Market Expansion
The acquisition of AccessOne signifies Phreesia’s entry into the provider financing market and its expansion into healthcare provider marketing. This strategic move aims to enhance engagement with healthcare providers and patients, potentially opening new revenue streams and strengthening market presence.
Positive Net Income
Phreesia maintained a positive net income of $4.3 million, marking the second consecutive quarter of profitability. This achievement reflects the company’s successful management of expenses and revenue growth, contributing to its overall financial health.
Strong Cash Flow
Operating cash flow increased to $15.5 million, up $9.7 million year over year, while free cash flow rose to $8.8 million, a $7.2 million increase. These figures highlight Phreesia’s solid cash generation capabilities, providing a strong foundation for future investments and debt management.
Increase in Healthcare Services Clients
The average number of healthcare services clients rose to 4,520, an increase of 53 from the previous quarter. This growth indicates Phreesia’s expanding client base and its ability to attract and retain healthcare providers, which is crucial for sustained business growth.
Challenges in Network Solutions
Phreesia is adopting a more cautious approach to network solutions due to market conditions and decision-making fluidity. This measured strategy aims to mitigate risks and adapt to the evolving market landscape, ensuring long-term stability.
Debt from Acquisition
The AccessOne acquisition was financed with a $110 million secured bridge loan, with plans to refinance or replace it with a long-term credit facility. This financial strategy reflects Phreesia’s commitment to managing its debt responsibly while pursuing growth opportunities.
Forward-Looking Guidance
Phreesia’s guidance for fiscal 2026 anticipates ending with approximately 4,515 healthcare services clients, including contributions from the AccessOne acquisition. The company projects fiscal 2026 revenue between $479 million and $481 million, with adjusted EBITDA expected to range from $99 million to $101 million. For fiscal 2027, revenue is projected between $545 million and $559 million, with AccessOne contributing around 6.5% to the total, and adjusted EBITDA is expected to range from $125 million to $135 million.
In conclusion, Phreesia’s earnings call reflected a positive outlook, supported by strong revenue growth, strategic acquisitions, and solid financial metrics. While challenges remain in network solutions and managing acquisition-related debt, the company’s forward-looking guidance suggests continued momentum and strategic positioning for future success.

