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Phreesia (PHR) investor relations material

Phreesia Q1 2027 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2027 earnings summary27 May, 2026

Executive summary

  • Revenue grew 13% year-over-year to $130.9 million in Q1 FY2027, led by strong payment and network solutions performance and supported by AccessOne integration.

  • Net income reached $3 million, marking a return to profitability and a significant year-over-year improvement.

  • Adjusted EBITDA rose to $30.5 million, up 46% year-over-year, with margin at 23%.

  • Free cash flow improved to $16.4 million, more than doubling year-over-year.

  • Strategic focus on integrating AccessOne, expanding payment solutions, leveraging AI, and launching ProviderConnect.

Financial highlights

  • Payment solutions revenue surged 40% year-over-year to $41.9 million, reflecting the AccessOne acquisition.

  • Network solutions revenue grew 15% to $36.3 million, with ProviderConnect contributing to growth.

  • Subscription and related services revenue was $52.7 million, down 3% due to one-time adjustments.

  • Average Healthcare Services Clients (AHSCs) increased 7% to 4,708, with total revenue per AHSC up 6% to $27,811.

  • Free cash flow and operating cash flow reached $16.4 million and $23.9 million, respectively.

Outlook and guidance

  • Fiscal 2027 revenue guidance maintained at $510–$520 million, including $37 million from AccessOne.

  • Adjusted EBITDA outlook unchanged at $125–$135 million.

  • Expect mid-single-digit AHSC growth and low-single-digit growth in revenue per AHSC for fiscal 2027.

  • Restructuring plan implemented in May 2026 to reduce operating expenses and drive annualized run-rate savings.

  • Cautious on network solutions spend in the second half due to client budget variability and regulatory impacts.

Regulatory impacts on network solutions outlook
AccessOne expansion into non-investment grade
AI integration in the restructuring plan
Explain the $37M AI-driven cost saving plan
AccessOne integration impact on payment margins
Drivers of low revenue per AHSC growth outlook
Impact of PNC facility expansion on AccessOne
Regulatory impact on H2 network revenue
ProviderConnect contribution to FY27 guidance
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