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Phreesia (PHR) investor relations material
Phreesia Q4 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Fiscal year 2026 marked a pivotal year with $480.6M in revenue (up 14%), surpassing $100M in Adjusted EBITDA, $54.4M in free cash flow, and achieving positive GAAP net income of $2.3M for the first time.
Major initiatives included the acquisition and integration of AccessOne, expansion of provider financing, and the launch of ProviderConnect for HCP marketing.
The company leveraged AI to automate processes, reduce outsourcing, and drive efficiency, contributing to margin expansion.
Financial highlights
Q4 FY26 revenue was $127.1M, up 16% year-over-year; full-year revenue was $480.6M, up 14%.
Adjusted EBITDA for FY2026 was $101.5M, with Q4 Adjusted EBITDA of $29.4M (23% margin), up from $16.4M in the prior year.
Free cash flow for FY2026 was $54.4M, with Q4 free cash flow at $28.5M, the strongest quarterly result to date.
Cash and equivalents at year-end were $73.8M, down from $84.2M a year prior.
Net income for FY2026 was $2.3M, with Q4 net income of $1.3M.
Outlook and guidance
FY27 revenue guidance lowered to $510M–$520M from prior $545M–$559M, reflecting reduced visibility and lower commitments from certain pharma clients in Network Solutions.
Adjusted EBITDA guidance maintained at $125M–$135M, demonstrating operating leverage and efficiency gains.
AHSC growth expected in the mid-single digit percentage range; total revenue per AHSC now expected to grow in the low single-digit range.
$37M of FY27 revenue expected from AccessOne.
- 19% revenue growth, positive free cash flow, and improved EBITDA mark a strong Q2 FY25.PHR
Q2 202522 Jan 2026 - Revenue up 17%, net loss narrowed, and Adjusted EBITDA positive with strong outlooks ahead.PHR
Q3 202511 Jan 2026 - Double-digit revenue growth, positive cash flow, and strong 2026 outlook maintained.PHR
Q4 202526 Dec 2025 - Q3 FY2026 saw 13% revenue growth, profitability, and a major acquisition completed.PHR
Q3 20269 Dec 2025 - Annual meeting to vote on directors, auditor, and executive pay, with focus on governance and ESG.PHR
Proxy Filing1 Dec 2025 - Key votes include director elections, auditor ratification, and executive pay approval.PHR
Proxy Filing1 Dec 2025 - Q1 FY2026 revenue up 15%, net loss narrows, EBITDA and free cash flow surge, guidance raised.PHR
Q1 202626 Nov 2025 - Achieved first positive net income, 15% revenue growth, and announced $160M AccessOne acquisition.PHR
Q2 202620 Oct 2025
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