Phreesia Q3 2025 Earnings Call Transcript

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December 9, 2024

There are 11 speakers on the call.

Operator

Good evening, ladies and gentlemen, and welcome to the Phreesia Third Quarter Fiscal 2025 Earnings Conference Call. At this time, all participants are in a listen only mode. We will provide instructions for the question and answer session to follow. First, I would like to introduce Balaji Gandhi, Phreesia's Chief Financial Officer. Mr.

Operator

Gandhi, you may begin.

Speaker 1

Thank you, operator. Good evening, and welcome to Phreesia's earnings conference call for the Q3 of fiscal 2025, which ended on October 31, 2024. Joining me on today's call is Haim 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 ks submission to the SEC, including our quarterly stakeholder letter, both issued after the markets close today. These documents are available on the Investor Relations section of our website at ir.friesia.com.

Speaker 1

As a reminder, today's call is being recorded, and a replay will be available on our Investor Relations website at ir.friesia.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 quarterly report on Form 10 Q that will be filed by tomorrow morning. 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.

Speaker 1

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 were furnished with our Form 8 ks filed after the markets closed today with the SEC and may also be found on our Investor Relations website at ir.friesia.com. I will now turn the call over to our CEO, Jaime Mendic.

Speaker 2

Thank you, Balaji, and good evening, everyone. Thank you for joining our fiscal Q3 earnings call. Our team continues to perform well as evidenced by our operating and financial results. We are on track to finish the year strong and we believe that our solid foundation also sets us up for continued growth and profitability in fiscal 2026. Balaji will walk you through our Q3 results, our updated outlook for fiscal 2025 and our initial fiscal 2026 outlook.

Speaker 2

Before handing it over to Bilaji, I want to make 2 comments. 1st, I'd like to acknowledge the destructive hurricanes that impacted millions of people in the Southeastern United States, include many Phreesia employees, clients, colleagues and their respective friends and families. I'm proud of our team's preparation and response to the hurricanes and grateful to our team for rallying behind our clients over the past few months. 2nd, we are excited about the future here at Phreesia. Our network continues to grow, adoption of our current offering is increasing and we are beginning to see promise of new solutions we are investing in.

Speaker 2

Our product team continues to scale out our existing investments by expanding product functionalities into new integrations, increasing value of our existing clients and creating a more compelling offering for prospects. I will now hand it over to Balaji to provide some financial highlights.

Speaker 1

Thank you, Haim. Let me start with a couple of the highlights from our stakeholder letter regarding the Q3, and then I will dive into our updated outlook for fiscal year 2025 along with our initial outlook for fiscal year 2026. First, the Q3. Revenue was $106,800,000 up 17% year over year. Adjusted EBITDA was $9,800,000 up $16,400,000 year over year with an adjusted EBITDA margin of 9%.

Speaker 1

Average Healthcare Services clients or AHSCs increased by 68 from the prior quarter. Total revenue per AHSC was $25,207 up 1% year over year and up 3% over the previous quarter. Year over year comparisons

Speaker 3

in our

Speaker 1

Q3 are affected by the wind down of a clearinghouse client relationship in the Q1 of this year that we have previously discussed. That client wind down reduced 3rd quarter total revenue growth by 1% and total revenue per AHSC growth by 2%. All the revenue associated with this clearinghouse client was in the payment processing revenue line. Moving on to cash flow and balance sheet highlights. In the fiscal Q3, we completed our 2nd consecutive positive operating cash flow and free cash flow quarter.

Speaker 1

Operating cash flow was positive at $5,800,000 up $12,100,000 year over year. Free cash flow was positive at $1,600,000 up $13,200,000 year over year. We expect that the year over year improvement in free cash flow will fluctuate on a quarter to quarter basis based on specific timing of invoicing and payments, which you can see reflected in working capital along CapEx. Our cash was $82,000,000 on October 31. We have no borrowings on our $50,000,000 credit facility.

Speaker 1

Now moving on to our financial outlook. Let's start with an update on our fiscal 2025 outlook. We're narrowing our revenue outlook for fiscal 2025 to a range of 4.18 to $420,000,000 from a previous range of $416,000,000 to $426,000,000 We are raising and narrowing our adjusted EBITDA outlook for fiscal year 2025 to a range of $34,000,000 to $36,000,000 from a previous range of $26,000,000 to $31,000,000 We continue to expect AHSCs to reach approximately 4,200 for the full fiscal year 2025 compared to the 3,601 we reported in fiscal year 2020 4. We also continue to expect total revenue per HSE to increase in fiscal 2025 compared to the $98,944 we achieved in fiscal 2024. Moving on to our initial financial outlook for fiscal 2026.

Speaker 1

We expect revenue to be in the range of $472,000,000 to $482,000,000 which implies a 13% to 15% increase from our updated revenue outlook for fiscal 2025. We expect adjusted EBITDA to be in the range of $78,000,000 to $88,000,000 which implies a 129% to 144% increase from our updated adjusted EBITDA outlook for fiscal 2025. The revenue range provided for fiscal 2026 assumes no additional revenue from potential future acquisitions completed between now and January 31, 2026. We are also reiterating our previously shared outlook on AHSCs to reach approximately 4,500 in fiscal 2026 and total revenue per AHSE to increase in fiscal 2026 compared to fiscal 2025. I would like to thank all of my colleagues at Phreesia for their contributions to another successful quarter and their commitment to our mission and values.

Speaker 1

Operator, I think we can now open up the lines for the Q and A session.

Operator

Thank you. And we'll now begin the question and answer session. And your first question comes from the line of Jalendra Singh with Truist Securities. Your line is open.

Speaker 4

Thank you and thanks for taking my questions and congratulations on the strong quarter and all the color and a very impressive margin guide for fiscal 'twenty six. Obviously, profitability and free cash flow are extremely important and we love that. But I'm just curious, how did you go about balancing between the goal of more than doubling your EBITDA margin in fiscal 2026 and reinvesting from the profitability back into the business to push top line growth higher?

Speaker 3

Jalendra, thanks for the question. The last part of your question, could you just repeat how did you arrive at it?

Speaker 4

So basically, I mean, your EBITDA margin outlook reflects like almost double the margin you're doing this year, which is pretty impressive. But just trying to understand how did you go about balancing between a goal of doubling your EBITDA margin and reinvesting some of the profitability back into the business to push top line higher? Just trying to understand that your thought process of revenue and profitability balancing for next year.

Speaker 3

Sure. So I don't think anything around that topic is new. I think it's something we've been exercising for 2.5 years now. And I think the one thing I'd point out is expense discipline. I think we have an amazing culture at Freesia, especially companies I've followed in my career and companies I've worked at.

Speaker 3

I think across the company, there is a pretty special culture about exercising expense discipline and thinking like owners and really being good stewards of capital. So I think if you went back a couple of years, Jalendra, and looked at the expense lines back then, it's really more of that. And then when you have expense discipline and you find opportunities for efficiency, a bunch of it drops to the bottom line, but some of it can be reinvested in other areas that fuel future growth. So we are absolutely doing both as you pointed out.

Speaker 5

Thank you.

Operator

And your next question comes from the line of Sean Dodge with RBC Capital Markets. Your line is open.

Speaker 6

Yes, thanks. Good afternoon.

Speaker 5

Maybe Balaji, just going back

Speaker 6

to the comments around continuing to drive higher revenue per AHSC. If we think about sales and marketing expense, is there any update you can give us on are you continuing to change the mix in how those dollars are being spent? Are you continuing to allocate more toward cross selling and network solutions and away from new clients? And then any quantification you give around how much reallocating or shifting you've done there over the last

Speaker 7

year or so? How much of each of those buckets changed?

Speaker 3

Yes. Sean, I think it sort of relates to Julinder's question. It's continuous. And so we're always looking at the returns and the paybacks we're getting on how we're going to market, in both the healthcare services part of the market and on the life sciences side. And I think I don't think it would be appropriate to use a percentage because frankly it also changes from time to time, but it is continuous.

Speaker 3

And I think if you look at the dollar amount, it's actually this quarter it happened to be literally the same amount of money spent on sales and marketing in the Q3 compared to the Q2. And it's been running in that sort of range for a couple of years now. So I think that's how we should take away as the go to market is always reflecting trying to get the types of returns that I think our outlook communicates.

Operator

And your next question comes from the line of Scott Schoonhaus with KeyBanc Capital Markets. Your line is open.

Speaker 8

Hi, team. Thanks for taking my question. Balaji, I guess this question is for you. The recent I guess you're not recent anymore, the acquisitions you did this past year, Access Easeforms, Connect on Call. Are you fully monetizing them now?

Speaker 8

Can you give us an update there? And then maybe your strategy on how you think of subscription revenue per provider client in the coming quarters? Thanks.

Speaker 3

Yes. I mean, none of those acquisitions have had enough time where we could ever say that we're fully monetizing them. And obviously, we did 3 last year. So there's a lot of activity going on in different parts of the organization in product management and the go to market. So still a lot of work to do, but I think we'd all say that we're pleased with the progress so far that we've had on those acquisitions.

Speaker 3

On subscription, that's not something where we're going to talk specifically, Scott. I think what we've really tried to anchor everyone around is total revenue per client. We have these different revenue streams and that number I think you see in our letter the commentary around we expect that number to be up this year versus last and next year versus this year. I think you can now even with our revenue outlook and our AHSC outlook you can even back into how much we think at this point the total revenue per client might go up. And I think that's probably the most constructive way to think about the business.

Speaker 1

Thanks, Balaji. Sure.

Operator

And your next question comes from the line of Jessica Tassen with Piper Sandler. Your line is open.

Speaker 9

Hi, guys. Thanks so much for taking the question and congrats on the quarter and the strong guide. I was hoping you could talk a little bit just about the network solutions selling season in fiscal 2025. Maybe what drove some of the strength in fiscal 3Q? Any specific tailwinds related to Part D?

Speaker 9

And then I'm hoping you can describe some of the feedback you've heard from your pharma customers regarding the appointment of RFK to leave HHS. How are you and your customers kind of thinking about and delineating between marketing and education, because in our view, it's kind of an important distinction? Thanks.

Speaker 3

All right. You got a lot in there, Jess. I think probably 3 or 4 questions. Why don't we do this? Why don't we start with just the selling season?

Speaker 3

And I think as we talked about, there is a lot of activity this time of year. At this point in the year, I think what we can tell you is we're probably slightly ahead of where we are versus last year in terms of how much visibility we have into the outlook we just shared for fiscal 'twenty six. So on that front, slightly better. And so I think our in terms of our outlook for the rest of this year, I think it's sort

Speaker 5

of pretty

Speaker 3

much as we expected. And then maybe repeat your second question.

Speaker 9

Yes. Just how are you thinking about the appointment of RFK to lead HHS? And are you and your pharma customers kind of thinking about delineating between pharma marketing and pharma education? And thanks. Appreciate you addressing.

Speaker 1

Sure.

Speaker 3

So first of all, I think we should probably be clear that it's a presumptive nominee for HHS Secretary. And what we're aware of is the perspective that the presumptive nominee has that reasonable television viewers may question whether certain television channels have a dependence on advertising and how that might influence their coverage of health issues. And for Phreesia, just as a reminder to everybody, Phreesia's platform of personalized health content is built on the principles of privacy and consent. We need patients with relevant personalized and accurate health information in key moments when they're in a healthcare state of mind, which we think improves outcomes and have certainly have some data to substantiate that. So that's really I think just how we would look at that topic at this point.

Operator

Perfect. Thank you. And your next question comes from the line of Ryan MacDonald with Needham. Your line is open.

Speaker 10

Hey, this is Matt Shea on for Ryan. Thanks for taking the question and congrats on the nice quarter here. Wanted to double click on Medifine. Good to hear about the traction with the number of manufacturing clients going live with campaign. Curious just about some of the mechanics around the campaigns.

Speaker 10

How long are these campaigns typically? And any color on the ROI of these campaigns or how that's trended so far versus expectations? And then how is that kind of building a pipeline for incremental partners from here?

Speaker 3

Yes, Matt, specifically on the MediFine campaigns, it's not something I think we have readily available now. I'm happy to follow-up with you on that topic, but that's something we have now.

Operator

And your next question comes from the line of Jeff Garro with Stephens. Your line is open.

Speaker 5

Hey, good afternoon guys. Thanks for taking the question. Wanted to ask a little bit more on the FY 'twenty six outlook and on the profitability there. It seems to imply very strong incremental EBITDA margins equivalent, if not better to your gross margin percentage. So I wanted to ask if strong incremental gross margins on roughly flat operating expenses is the right framework to think about the FY 'twenty six EBITDA outlook or if you've identified some incremental operating expense efficiencies?

Speaker 5

Thanks.

Speaker 3

Yes. So I think, Jeff, what you're asking is how much of the EBITDA improvement is from gross margin versus below the gross margin line? Maybe drop. Drop. Yes.

Speaker 3

Okay, okay. Yes. And I think we talked about the gross margin that we've been running out for several quarters now. We front loaded and made significant investments in cost of revenue several years ago. We continue to get very nice operating leverage out of that line, but we've also been running at the gross margin we've had for several quarters.

Speaker 3

So I think the takeaway should be certainly maybe opportunity for a little bit there, but it's really the expense lines getting more operating leverage out of the expense lines below that and really growth is probably the biggest driver, revenue growth is biggest driver of that EBITDA.

Operator

And your next question comes from the line of Daniel Grossby with Citi. Your line is open.

Speaker 7

Hi, guys. Thanks for taking the question and congrats on the strong quarter here. I wanted to just ask about the pipeline again. I guess, more broadly speaking, in terms of total LTVF customers, I think last quarter you mentioned that in the first half total transaction value was about 20% larger than the first half of last fiscal year. I was hoping you can provide an update now that we're a little bit later in the selling season on how things are trending for the second half of the year.

Speaker 7

Thank you.

Speaker 3

Yes. Good question, Daniel. And we can say that it's been consistent. The total value and just so we're clear from what we said last time and are repeating now is, it's the total dollar value associated with an average healthcare services client contract and that means all three revenue lines, those are trending around that same clip of about 20% bigger than at this time last year.

Speaker 1

Thank you.

Operator

And your next question comes from the line of Jared Howze with William Blair. Your line is open.

Speaker 5

Yes. Hey, good evening. This is Jared on for Ryan Daniels. Balaji, maybe just wanted to follow-up from an earlier question on the Network Solutions side. And I think you mentioned having a little bit better visibility at this point with pharma customers on that Network Solutions business.

Speaker 5

Just wanted to clarify, I'm curious, is there anything in particular that's driving that? I assume that that would mean sort of budgets are getting finalized a little bit earlier in the cycle. I'm wondering, do you think that's, I guess, a macro trend across the board for pharma or do you think there's something unique to Phreesia or maybe the platform is, I guess, moving up in priority relative to other tactics?

Speaker 3

Yes. And let me clarify one thing. What we meant was is that the visibility we have at this year, at this time this year into the outlook revenue outlook we provided for next year. So we're comparing that to where we were a year ago. So it's a very Phreesia specific comment.

Speaker 3

And Jared, I think I'd call out our team. I mean, I think it's our product team and it's just our life sciences team generally has driven that outcome. And so, obviously, grown quite a bit in that area and I think we've gotten more product out and we talked about some of that in the letter.

Operator

And your And your next question comes from the line of William Jellison with D. A. Davidson. Your line is open.

Speaker 5

Hey, good afternoon. Thanks for taking my question. I wanted to ask specifically about the subscription business and just get an update from you on what we're seeing with respect to important drivers of that line like gross retention, price, cross sell and volume on a per AHSC basis?

Speaker 3

Yes. And so first, let me clarify. It's just a revenue stream. So it's not a business for us. And I think a lot of the commentary we make about it is when we think about go to market and we think about clients and the right type of clients, it really does relate to all three revenue lines, William.

Speaker 3

And so everything we do has that sort of framework to it. So obviously, there are subscription metrics around this, but that's not really how we're trying to optimize the business and that's not really how our products are designed. So I don't think that would be helpful. But it's one of the revenue lines we have that contributes to that.

Operator

And your next question comes from the line of Richard Close with Canaccord Genuity. Your line is open.

Speaker 2

Yes. Congratulations. Thanks for the questions. Maybe a follow-up on the fiscal 2025 guidance. It looks the midpoint came down a little bit.

Speaker 2

And I think last quarter you had mentioned the wider range was based on just work to be done to close the year out on network solutions. So just maybe a little bit color on why the midpoint is moving down a little bit. I guess it's a little surprising since the EBITDA moved up so much and networks higher margins. So any help there would be great.

Speaker 3

Yes. And Richard, I think in general, one thing we've tried to do is have a guidance philosophy that throughout the fiscal year when we have more visibility, we share it with you. I think we had a lots of conversations with folks coming out of the Q2 in September and I think the expectations that people have are pretty aligned with this revised guidance. And I think we talked a little bit about the selling environment feeling slightly better in terms of the visibility we have on what we shared for next year. But I don't really think there's anything else to read into that and I think the expectations are fairly aligned.

Speaker 1

Okay. Thanks.

Speaker 3

Thanks, Richard.

Operator

And that concludes our question and answer session. I will now turn the conference back over to Chaim Indic for closing remarks.

Speaker 2

I want to thank everyone for joining us for our 22nd earnings call. And I wish everyone a happy holidays, Merry Christmas, Happy New Year's and Happy Hanukkah. Bye.

Operator

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

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Phreesia Q3 2025
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