Phreesia Announces Fourth Quarter Fiscal 2026 Results

ALL-REMOTE COMPANY/WILMINGTON, Del.–(BUSINESS WIRE)–Phreesia, Inc. (NYSE: PHR) (“Phreesia” or the “Company”) announced financial results today for the fiscal fourth quarter and fiscal year ended January 31, 2026.

“We achieved several critical financial milestones ahead of our internal targets, including achieving positive GAAP net income ($2.3 million) and crossing $100 million of Adjusted EBITDA¹ and $50 million of free cash flow² ($78.8 million net cash from operating activities) for fiscal year 2026,” said CEO and Co-Founder Chaim Indig.

Please visit the Phreesia investor relations website at ir.phreesia.com to view the Company’s Q4 Fiscal 2026 Stakeholder Letter.

Fiscal Fourth Quarter Ended January 31, 2026 Highlights

Total revenue was $127.1 million in the quarter, up 16% year-over-year.
Average number of healthcare services clients (“AHSCs”) was 4,658 in the quarter, up 7% year-over-year.
Total revenue per AHSC was $27,279 in the quarter, up 8% year-over-year. See “Key Metrics” below for additional information.
Net income was $1.3 million in the quarter, as compared to net loss of $6.4 million in the same period in the prior year.
Adjusted EBITDA¹ was $29.4 million in the quarter, as compared to $16.4 million in the same period in the prior year.
Net cash provided by operating activities was $33.7 million in the quarter, as compared to $16.3 million in the same period in the prior year.
Free cash flow² was $28.5 million in the quarter, as compared to $9.2 million in the same period in the prior year.
Cash, cash equivalents and restricted cash as of January 31, 2026 was $73.8 million, down $32.5 million from October 31, 2025.

Fiscal Year Ended January 31, 2026 Highlights

Total revenue was $480.6 million in fiscal 2026, up 14% year-over-year.
AHSCs were 4,514 in fiscal 2026, up 7% year-over-year.
Total revenue per AHSC was $106,467 in fiscal 2026, up 7% year-over-year. See “Key Metrics” below for additional information.
Net income was $2.3 million in fiscal 2026, as compared to net loss of $58.5 million in fiscal year 2025.
Adjusted EBITDA¹ was $101.5 million in fiscal 2026, as compared to $36.8 million in fiscal 2025.
Net cash provided by operating activities was $78.8 million in fiscal 2026, as compared to $32.4 million in fiscal 2025.
Free cash flow² was $54.4 million in fiscal 2026, as compared to $8.3 million in fiscal 2025.
Cash, cash equivalents and restricted cash as of January 31, 2026 was $73.8 million, down from $84.2 million as of January 31, 2025.

AccessOne Acquisition

On November 12, 2025 (the “Closing Date”), we completed the acquisition (the “AccessOne Acquisition”) of AccessOne Parent Holdings, Inc. and its subsidiaries (collectively, “AccessOne”) for consideration transferred of approximately $164 million, including post-closing adjustments. The AccessOne Acquisition expands our addressable market for healthcare payments. Our payment solutions now offer healthcare providers a trusted, scalable, compliant and operationally efficient healthcare payment card that accelerates cash flow.

The purchase price was funded with a combination of cash and the net proceeds from a new, 364-day $110 million secured term loan (the “Bridge Loan”) entered into on the Closing Date.

Also on the Closing Date, we entered into an amendment (the “Credit Facility Amendment”) to our senior ABL facility with Capital One, National Association (as amended, the “Existing Capital One Credit Facility”). The Credit Facility Amendment amended the covenant limiting acquisitions to permit the acquisition of AccessOne, amended the covenant limiting additional indebtedness to accommodate the Bridge Loan, and amended the security interest supporting the Existing Capital One Credit Facility to permit the security interests granted in connection with the Bridge Loan. The amendment included further changes to sections governing mandatory and voluntary prepayments, negative covenants and events of default to accommodate the existence of the Bridge Loan.

For more information regarding the AccessOne Acquisition, the Bridge Loan and the Credit Facility Amendment, please see our Current Reports on Form 8-K filed with the SEC on September 4, 2025 and November 12, 2025.

New Capital One Credit Facility and Refinancing

On March 13, 2026, subsequent to the end of the fiscal year, we completed a refinancing pursuant to which we repaid all outstanding indebtedness and obligations under the Bridge Loan with $92 million of borrowings from a new 5-year, $275 million senior secured revolving credit facility (the “New Capital One Credit Facility”) maturing on March 13, 2031. The New Capital One Credit Facility also replaces the Existing Capital One Credit Facility, which had no outstanding borrowings and was terminated on the same date. The unused borrowing capacity on New Capital One Credit Facility is available to the Company for working capital, capital expenditures, permitted acquisitions and general corporate purposes.

For more information regarding the New Capital One Credit Facility and the termination of the Bridge Loan and the Existing Capital One Credit Facility, please see our Current Report on Form 8-K filed with the SEC on March 16, 2026.

Fiscal 2027 Outlook

We are lowering our revenue outlook for fiscal 2027. We expect revenue to be in the range of $510 million to $520 million from a previous range of $545 million to $559 million. As we discussed on our last earnings call in December 2025, we are experiencing shorter visibility into spending commitments by certain pharmaceutical manufacturers. As we enter fiscal 2027, network solutions clients are committing lower spend levels for the second half of fiscal 2027 than we had anticipated last December. Certain clients are committing fewer dollars due to brand-specific dynamics including the impact of regulatory policies. Though we do not believe these developments are signaling a structural shift in demand for Phreesia’s solutions, there is now more variability in our internal network solutions revenue forecasting, particularly in the second half of each fiscal year. Our visibility into revenue across the other parts of our business is generally consistent with our views in December 2025. The revenue range provided for fiscal 2027 assumes approximately $37 million of contribution from AccessOne and no additional revenue from potential future acquisitions completed between now and January 31, 2027.

We are maintaining our Adjusted EBITDA outlook for fiscal 2027. We expect Adjusted EBITDA to be in the range of $125 million to $135 million. Our Adjusted EBITDA outlook implies that we will absorb much of the reduction in our revenue outlook. 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 continue to expect improvement in operating leverage across the Company through a focus on efficiency.

We are maintaining our expectation for AHSC growth in the mid-single-digit percentage range, and we are lowering our outlook for total revenue per AHSC to the low-single-digit percentage range for fiscal 2027, compared to low double-digit growth previously.

We believe our cash and cash equivalents and cash generated in our normal operations will be sufficient to reach our fiscal 2027 outlook and meet our obligations. As of January 31, 2026 we had $90 million outstanding under the Bridge Loan and no borrowings outstanding under the Existing Capital One Credit Facility.

Non-GAAP³ Financial Measures

We have not reconciled our Adjusted EBITDA outlook to GAAP net income (loss) because we do not provide an outlook for GAAP net income (loss) due to the uncertainty and potential variability of other income, net and income tax (benefit) expense, which are reconciling items between Adjusted EBITDA and GAAP net income (loss). Because we cannot reasonably predict such items, a reconciliation of the non-GAAP financial measure outlook to the corresponding GAAP measure is not available without unreasonable effort. We caution, however, that such items could have a significant impact on the calculation of GAAP net income (loss). For further information regarding the non-GAAP financial measures included in this press release, including a reconciliation of GAAP to non-GAAP financial measures and an explanation of these measures, please see “Non-GAAP Financial Measures” below.

Available Information

We intend to use our Company website (including our Investor Relations website) as well as our Facebook, X, LinkedIn and Instagram accounts as a means of disclosing material non-public information and for complying with our disclosure obligations under Regulation FD.

Forward-Looking Statements

This press release includes express or implied statements that are not historical facts and are considered forward-looking within the meaning of Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements generally relate to future events or our future financial or operating performance and may contain projections of our future results of operations or of our financial information or state other forward-looking information. These statements include, but are not limited to, statements regarding: our future financial and operating performance, including our revenue, operating leverage, Adjusted EBITDA and cash flows; our expectations regarding demand for our solutions and visibility into future revenue; our expectations regarding improvement in operating leverage across the Company through a focus on efficiency; the expected results of the AccessOne Acquisition discussed herein, including anticipated additional revenue, Adjusted EBITDA and AHSCs; our ability to finance our plans to achieve our fiscal 2027 outlook with our current cash balance and cash generated in the normal course of business; and our outlook for fiscal 2027, including our expectations regarding revenue, Adjusted EBITDA, AHSCs and Total revenue per AHSC; and our growth strategies for the AccessOne business, our ability to offer the AccessOne solution to additional clients and our plans to augment our access to capital. In some cases, you can identify forward-looking statements by the following words: “may,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “ongoing,” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. Although we believe that the expectations reflected in these forward-looking statements are reasonable, these statements relate to future events or our future operational or financial performance and involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by these forward-looking statements. Furthermore, actual results may differ materially from those described in the forward-looking statements and will be affected by a variety of risks and factors that are beyond our control, including, without limitation, risks associated with: our ability to effectively manage our growth and meet our growth objectives; our focus on the long-term and our investments in growth; the ability to integrate operations or realize any operational or corporate synergies and other benefits from the AccessOne Acquisition; the competitive environment in which we operate; our ability to comply with the covenants in the New Capital One Credit Facility; changes in market conditions and receptivity to our products and services; our ability to develop and release new products and services and successful enhancements, features and modifications to our existing products and services; our ability to maintain the security and availability of our platform; the impact of cyberattacks, security incidents or breaches impacting our business; changes in laws and regulations applicable to our business model; our ability to make accurate predictions about our industry and addressable market; our ability to attract, retain and cross-sell to healthcare services clients; our ability to continue to operate effectively with a primarily remote workforce and attract and retain key talent; our ability to realize the intended benefits of our acquisitions and partnerships; and difficulties in integrating our acquisitions and investments; artificial intelligence that can impact our business, including by posing security risks to our confidential information, proprietary information and personal data, increasing our regulatory and compliance burden and increasing competition; and other general, market, political, economic and business conditions (including from the results of the U.S. federal government, tariff and trade issues, and the warfare and/or political and economic instability in Ukraine, the Middle East or elsewhere). The forward-looking statements contained in this press release are also subject to other risks and uncertainties, including those listed or described in our filings with the Securities and Exchange Commission (“SEC”), including in our Annual Report on Form 10-K for the fiscal year ended January 31, 2026 that will be filed with the SEC following this press release. The forward-looking statements in this press release 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, any forward-looking statements made in this press release to reflect events or circumstances after the date of this press release or to reflect new information or the occurrence of unanticipated events, except as required by law.

This press release includes certain non-GAAP financial measures as defined by SEC rules. We have provided a reconciliation of those measures to the most directly comparable GAAP measures, with the exception of our Adjusted EBITDA outlook for the reasons described above.

Conference Call Information

We will hold a conference call on Monday, March 30, 2026, at 5:00 p.m. Eastern Time to review our 2026 fiscal fourth quarter and fiscal 2026 financial results. To participate in our live conference call and webcast, please dial (800) 715-9871 (or (646) 307-1963 for international participants) using conference code number 7404611 or visit the “Events & Presentations” section of our Investor Relations website at ir.phreesia.com. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Phreesia

Phreesia is a trusted leader in patient activation, giving healthcare providers, life sciences companies and other organizations tools to help patients take a more active role in their care. Founded in 2005, Phreesia enabled more than 180 million patient visits in 2025—1 in 6 visits across the U.S. This scale allows Phreesia to make meaningful impact across the healthcare ecosystem. Offering patient-driven digital solutions for intake, outreach, education and more, Phreesia enhances the patient experience, drives operational efficiency and improves healthcare outcomes. To learn more, visit phreesia.com.

____________________________

¹ Adjusted EBITDA is a non-GAAP measure. We calculate Adjusted EBITDA as net income or loss before interest expense, interest income, income tax (benefit) expense, depreciation and amortization, stock-based compensation expense, loss on extinguishment of debt, other income, net and certain other items that are not considered to reflect our operating activities and performance within the ordinary course of business, such as acquisition- and restructuring-related costs. The calculation of Adjusted EBITDA was updated beginning in Q3 of fiscal 2026 to include an adjustment for acquisition-related costs. Prior periods have not been retroactively adjusted. See “Non-GAAP Financial Measures” for more information and a reconciliation of Adjusted EBITDA to the closest GAAP measure.

² Free cash flow is a non-GAAP measure. We calculate free cash flow as net cash (used in) provided by operating activities less capitalized internal-use software development costs and purchases of property and equipment. See the “Non-GAAP Financial Measures” section for a reconciliation of free cash flow to the closest GAAP measure.

³ GAAP is defined as generally accepted accounting principles in the United States.

Phreesia, Inc.
Consolidated Balance Sheets
(in thousands, except share and per share data)

	January 31, 2026			January 31, 2025
	(Unaudited)
Assets
Current:
Cash, cash equivalents, and restricted cash (including restricted cash of $1,691)	$	73,830		$	84,220
Settlement assets		32,999			29,176
Accounts receivable, net of allowance for doubtful accounts of $1,523 and $1,468 as of January 31, 2026 and 2025, respectively		97,453			73,617
Cardholder receivables		38,330			—
Deferred purchase price receivables		18,003			—
Accrued interest and fees receivables		840			—
Deferred contract acquisition costs		410			401
Prepaid expenses and other current assets		17,978			15,871
Total current assets		279,843			203,285
Property and equipment, net of accumulated depreciation and amortization of $94,193 and $84,505 as of January 31, 2026 and 2025, respectively		20,332			23,651
Capitalized internal-use software, net of accumulated amortization of $69,390 and $55,991 as of January 31, 2026 and 2025, respectively		54,270			52,763
Operating lease right-of-use assets		2,002			1,477
Deferred contract acquisition costs		338			583
Intangible assets, net of accumulated amortization of $13,489 and $8,407 as of January 31, 2026 and 2025, respectively		79,761			28,143
Goodwill		170,064			75,845
Deferred tax assets		1,593			—
Other assets		2,442			2,668
Long-term cardholder receivables		47,723			—
Long-term deferred purchase price receivables		5,422			—
Total Assets	$	663,790		$	388,415
Liabilities and Stockholders’ Equity
Current:
Settlement obligations	$	32,999		$	29,176
Current portion of debt and finance lease liabilities		7,971			8,043
Current portion of operating lease liabilities		1,254			964
Accounts payable		11,477			5,622
Accrued expenses		41,257			37,460
Due to healthcare providers		38,056			—
Deferred revenue		49,522			32,758
Other current liabilities		705			—
Total current liabilities		183,241			114,023
Long-term debt and finance lease liabilities		92,117			8,150
Operating lease liabilities, non-current		1,107			646
Long-term due to healthcare providers		45,329			—
Long-term deferred revenue		244			119
Long-term deferred tax liabilities		4,498			484
Other long-term liabilities		47			185
Total Liabilities		326,583			123,607
Commitments and contingencies
Stockholders’ Equity:
Preferred stock, undesignated, $0.01 par value—20,000,000 shares authorized as of both January 31, 2026 and 2025; no shares issued or outstanding as of January 31, 2026 and 2025, respectively		—			—
Common stock, $0.01 par value—500,000,000 shares authorized as of both January 31, 2026 and 2025; 62,020,186 and 60,083,444 shares issued as of January 31, 2026 and 2025, respectively		620			601
Additional paid-in capital		1,181,679			1,111,274
Accumulated deficit		(799,190	)		(801,496	)
Accumulated other comprehensive loss		(382	)		(51	)
Treasury stock, at cost, 1,355,169 shares as of both January 31, 2026 and 2025		(45,520	)		(45,520	)
Total Stockholders’ Equity		337,207			264,808
Total Liabilities and Stockholders’ Equity	$	663,790		$	388,415

Phreesia, Inc.
Consolidated Statements of Operations
(Unaudited)
(in thousands, except share and per share data)

	Three months ended January 31,						Fiscal year ended January 31,
		2026			2025			2026			2025
Revenue:
Subscription and related services	$	55,924		$	51,793		$	219,461		$	196,510
Payment solutions⁽¹⁾		35,720			24,676			121,459			101,740
Network solutions		35,423			33,212			139,671			121,563
Total revenues		127,067			109,681			480,591			419,813
Expenses:
Cost of revenue (excluding depreciation and amortization)		18,992			16,507			71,365			66,227
Payment solutions expense⁽¹⁾		21,398			17,059			82,758			68,707
Sales and marketing		24,656			28,863			100,243			121,129
Research and development		30,925			29,626			121,481			117,364
General and administrative		26,965			18,415			79,903			76,597
Depreciation		3,508			3,172			12,972			14,183
Amortization		6,180			3,651			18,481			13,703
Total expenses		132,624			117,293			487,203			477,910
Operating loss		(5,557	)		(7,612	)		(6,612	)		(58,097	)
Other income, net		1,273			2,217			2,953			1,956
Loss on extinguishment of debt		(501	)		—			(501	)		—
Interest expense		(5,807	)		(586	)		(6,953	)		(2,347	)
Interest income		269			605			2,173			2,677
Total other (expense) income, net		(4,766	)		2,236			(2,328	)		2,286
Loss before income tax expense		(10,323	)		(5,376	)		(8,940	)		(55,811	)
Income tax benefit (expense)		11,618			(1,014	)		11,246			(2,716	)
Net income (loss)	$	1,295		$	(6,390	)	$	2,306		$	(58,527	)
Net income (loss) per share attributable to common stockholders:
Basic	$	0.02		$	(0.11	)	$	0.04		$	(1.02	)
Diluted	$	0.02		$	(0.11	)	$	0.04		$	(1.02	)
Weighted-average common shares outstanding:
Basic		60,403,906			58,277,812			59,737,915			57,589,687
Diluted		61,496,901			58,277,812			61,494,878			57,589,687

⁽¹⁾ The revenue line previously labeled “Payment processing fees” has been relabeled “Payment solutions” to reflect the expanded scope of our payments offerings following the AccessOne Acquisition, which closed on November 12, 2025. “Payment solutions” includes all revenue previously presented as “Payment processing fees” and all revenue from the operations acquired in the AccessOne Acquisition. Additionally, “Payment processing expense” has been relabeled “Payment solutions expense” and includes all expenses previously presented as “Payment processing expense” and direct costs of revenue related to the operations acquired in the AccessOne Acquisition. Prior period amounts have not been reclassified, as the Company did not own the acquired operations in prior periods and the change in presentation did not affect any previously reported amounts.

Phreesia, Inc.
Consolidated Statements of Comprehensive Income (Loss)
(Unaudited)
(in thousands)

	Three months ended January 31,						Fiscal year ended January 31,
		2026			2025			2026			2025
Net income (loss)	$	1,295		$	(6,390	)	$	2,306		$	(58,527	)
Other comprehensive loss:
Net change in unrealized gains (losses) on cash flow hedges		92			—			(133	)		—
Change in foreign currency translation adjustments		(114	)		(46	)		(198	)		(51	)
Other comprehensive loss		(22	)		(46	)		(331	)		(51	)
Comprehensive income (loss)	$	1,273		$	(6,436	)	$	1,975		$	(58,578	)

Phreesia, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
(in thousands)

	Three months ended January 31,						Fiscal year ended January 31,
		2026			2025			2026			2025
Operating activities:
Net income (loss)	$	1,295		$	(6,390	)	$	2,306		$	(58,527	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization		9,688			6,823			31,453			27,886
Stock-based compensation expense		18,038			17,162			67,452			66,975
Amortization of deferred financing costs and debt discount		2,792			62			2,977			236
Loss on extinguishment of debt		501			—			501			—
Non-cash gain on settlement		—			(2,345	)		—			(2,345	)
Cost of Phreesia hardware purchased by customers		194			625			1,022			1,873
Deferred contract acquisition costs amortization		107			109			570			1,815
Non-cash operating lease expense		257			179			914			747
Deferred taxes		(11,830	)		38			(13,271	)		214
Unrealized gains and losses for fair value option		(1,020	)		—			(1,020	)		—
Changes in operating assets and liabilities:
Accounts receivable		(8,632	)		(2,254	)		(23,397	)		(8,812	)
Collections of principal on receivables originally held for sale to securitization		13,691			—			13,691			—
Accrued Interest Receivable		(446	)		—			(446	)		—
Prepaid expenses and other assets		3,475			(5,713	)		(1,393	)		(1,427	)
Deferred contract acquisition costs		17			(280	)		(334	)		(1,045	)
Accounts payable		3,629			(8,432	)		5,261			(3,234	)
Accrued expenses and other liabilities		8,526			6,384			2,894			182
Payment of due to provider for receivables originally held for sale to securitization		(17,588	)		—			(17,588	)		—
Lease liabilities		(375	)		(202	)		(1,107	)		(824	)
Deferred revenue		11,343			10,490			8,329			8,667
Net cash provided by operating activities		33,662			16,256			78,814			32,381
Investing activities:
Collections of cardholder receivables held for investment and deferred purchase price		15,709			—			15,709			—
Acquisitions, net of cash acquired		(153,191	)		—			(153,191	)		—
Capitalized internal-use software		(2,578	)		(4,268	)		(13,296	)		(15,380	)
Purchases of property and equipment		(2,559	)		(2,790	)		(11,101	)		(8,709	)
Net cash used in investing activities		(142,619	)		(7,058	)		(161,879	)		(24,089	)
Financing activities:
Proceeds from issuance of common stock upon exercise of stock options		374			429			1,454			1,012
Proceeds from employee stock purchase plan		396			475			2,371			2,918
Finance lease payments		(1,156	)		(2,641	)		(6,825	)		(7,811	)
Principal payments on financing agreements		(346	)		(311	)		(1,330	)		(1,199	)
Debt issuance costs and loan facility fee payments		(3,134	)		—			(3,190	)		(152	)
Financing payments of acquisition-related liabilities		—			(4,581	)		—			(6,254	)
Proceeds from debt instruments		110,000			—			110,000			—
Principal payments on debt instruments		(20,000	)		—			(20,000	)		—
Payments due to provider for unfunded receivables		(9,629	)		—			(9,629	)		—
Net cash provided by (used in) financing activities		76,505			(6,629	)		72,851			(11,486	)
Effect of exchange rate changes on cash, cash equivalents and restricted cash		(89	)		(89	)		(176	)		(106	)
Net (decrease) increase in cash, cash equivalents and restricted cash		(32,541	)		2,480			(10,390	)		(3,300	)
Cash and cash equivalents—beginning of period		106,371			81,740			84,220			87,520
Cash, cash equivalents and restricted cash—end of period	$	73,830		$	84,220		$	73,830		$	84,220

Supplemental information of non-cash investing and financing information:
Non-cash activity related to credit card receivables and deferred purchase price	$	17,585		$	—		$	17,585		$	—
Right of use assets acquired in exchange for operating lease liabilities	$	—		$	—		$	—		$	1,958
Property and equipment acquisitions through finance leases	$	—		$	—		$	—		$	13,709
Purchase of property and equipment and capitalized software included in accounts payable and accrued liabilities	$	1,975		$	1,787		$	1,975		$	1,787
Capitalized stock-based compensation	$	322		$	356		$	1,286		$	1,362
Issuance of stock to settle liabilities for stock-based compensation	$	990		$	1,213		$	12,724		$	11,892
Cash paid for:
Interest	$	721		$	735		$	1,614		$	2,194
Income taxes	$	249		$	509		$	1,897		$	3,068

Contacts

Investor Relations Contact:

Balaji Gandhi

Phreesia, Inc.

[email protected]
(929) 506-4950

Media Contact:

Nicole Gist

Phreesia, Inc.

[email protected]
(407) 760-6274

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Phreesia Announces Fourth Quarter Fiscal 2026 Results

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