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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________________
FORM 8-K
___________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of Report (date of earliest event reported)
March 14, 2024
___________________________________
Phreesia, Inc.
(Exact name of registrant as specified in its charter)
___________________________________
Delaware
(State or other jurisdiction of incorporation or organization)
001-38977
(Commission File Number)
20-2275479
(I.R.S. Employer Identification Number)
1521 Concord Pike, Suite 301 PMB 221
Wilmington, Delaware 19803
(Address of principal executive offices and zip code)

(888) 654-7473
(Registrant's telephone number, including area code)
___________________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading symbol(s) Name of each exchange on which registered
Common Stock, par value $0.01 per share PHR The New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company  ☐   
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐




Item 2.02 - Results of Operations and Financial Condition
On March 14, 2024, Phreesia, Inc. (the “Company”) announced its financial results for the fiscal year ended January 31, 2024 by issuing a Letter to Stakeholders (the "Letter") and a press release. Copies of the press release and the Letter are furnished as Exhibits 99.1 and 99.2 to this Current Report on Form 8-K, respectively, and are incorporated by reference herein.
The information furnished under this Item 2.02 and in the accompanying Exhibit 99.1 and Exhibit 99.2 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act regardless of any general incorporation language in such filing, unless expressly incorporated by specific reference in such filing.

Item 8.01 - Other Events
The Company has formed a wholly-owned subsidiary, Phreesia India Private Limited (“Phreesia India”).
Phreesia India has been established to transition various outside services in-house. The Company expects to commence operations through Phreesia India by the end of its first fiscal quarter, subject to obtaining various regulatory licenses and approvals and onboarding certain members of the Company’s existing third-party service provider as direct employees of Phreesia India.
Phreesia India is expected to support the Company’s business through various functions, including, but not limited to, customer operations, research and development, product management and support, sales and marketing, and finance and accounting, replacing support services that are currently outsourced to a third-party service provider in India. Once this transition is complete, the Company expects its global headcount will be approximately 2,400.

Cautionary Note Regarding Forward-Looking Statements
This Current Report on Form 8-K contains certain forward-looking statements 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. These forward-looking statements include, but are not limited to, statements about the Company’s plans and expectations regarding its operations in India, and are generally are identified by the words “believe,” “project,” “expect,” “anticipate,” “estimate,” “intend,” “strategy,” “future,” “opportunity,” “plan,” “may,” “should,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions. Forward-looking statements are predictions, projections and other statements about future events that are based on current expectations and assumptions and, as a result, are subject to risks and uncertainties. Although the Company believes that the expectations reflected in these forward-looking statements are reasonable, many factors could cause actual future events to differ materially from the forward-looking statements in this Current Report on Form 8-K, including, but not limited to: the risk that the Company may not obtain necessary licenses or approvals to commence operations in India on its expected timeline or at all; the risk that current employees of the Company’s existing third-party service provider, or other employee candidates, will not accept employment with Phreesia India; the Company’s inability to realize the intended benefits of transitioning outside services in-house through a subsidiary in India; difficulties managing a global workforce remotely; risks associated with the Company’s limited operating history and compliance with local laws and regulations in India, including those related to privacy and data security; and the recent high inflationary environment and other general, market, political, economic and business conditions (including as a result of the warfare and/or political and economic instability in Ukraine, the Middle East or elsewhere). The forward-looking statements contained in this Current Report on Form 8-K are also subject to other risks and uncertainties, including those listed or described in the Company’s filings with the Securities and Exchange Commission (“SEC”), including in its Annual Report on Form 10-K for the fiscal year ended January 31, 2024, which will be filed with the SEC following this Current Report on Form 8-K. Forward-looking statements speak only as of the date on which the statements are made. The Company undertakes no obligation to update, and expressly disclaims the obligation to update, any forward-looking statements made in this Current Report on Form 8-K to reflect events or circumstances after the date hereof or to reflect new information or the occurrence of unanticipated events, except as required by law.






Item 9.01 Financial Statements and Exhibits
(d) Exhibits.
Exhibit Number Description
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)





SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Date: March 14, 2024 Phreesia, Inc.
By: /s/ Balaji Gandhi
Name: Balaji Gandhi
Title: Chief Financial Officer



EX-99.1 2 phr-ex991q4fy24.htm EX-99.1 Document

Exhibit 99.1
Phreesia Announces Fourth Quarter Fiscal 2024 Results
WILMINGTON, Delaware, March 14, 2024 – Phreesia, Inc. (NYSE: PHR) (“Phreesia” or the "Company") announced financial results today for the fiscal fourth quarter and fiscal year ended January 31, 2024.

"Phreesia ended fiscal year 2024 with strong momentum going into fiscal 2025. We facilitated more than 150 million patient visits in fiscal 2024, or more than one in ten patient visits across the U.S. We are confident that our solutions and our team position us for continued growth and a return to profitability1", 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 Year 2024 Stakeholder Letter.

Fiscal Fourth Quarter Ended January 31, 2024 Highlights
•Total revenue was $95.0 million in the quarter, up 24% year-over-year.
•Average number of healthcare services clients ("AHSCs") was 3,962 in the quarter, up 26% year-over-year.
•Healthcare services revenue per AHSC was $17,456 in the quarter, down 1% year-over-year. The decline was primarily driven by healthcare services client growth outpacing growth in payment processing volume and payment processing revenue. See "Key Metrics" below for additional information.
•Total revenue per AHSC was $23,979 in the quarter, down 2% year-over-year. The decline was primarily driven by adding AHSCs from the acquisition of ConnectOnCall that have an immaterial amount of revenue associated with them. See "Key Metrics" below for additional information.
•Net loss was $30.6 million in the quarter compared to $38.0 million in the same period in the prior year.
•Adjusted EBITDA was negative $3.5 million in the quarter compared to negative $17.6 million in the same period in the prior year.
•Cash and cash equivalents as of January 31, 2024 was $87.5 million, down $15.8 million from October 31, 2023.
Fiscal Year Ended January 31, 2024 Highlights
•Revenue was $356.3 million in fiscal year 2024, up 27% year-over-year.
•AHSCs were 3,601 in fiscal year 2024, up 26% year-over-year.
•Healthcare services revenue per AHSC was $72,215 in fiscal year 2024, down 1% year-over-year. The decline was primarily driven by AHSC growth outpacing growth in payment processing volume and payment processing revenue. See "Key Metrics" below for additional information.
•Total revenue per AHSC was $98,944 in fiscal year 2024, up 1% year-over-year. The increase was primarily driven by Network solutions revenue growth outpacing healthcare services client growth. See "Key Metrics" below for additional information.
•Net loss was $136.9 million in fiscal year 2024, as compared to $176.1 million in fiscal year 2023.
•Adjusted EBITDA was negative $35.4 million in fiscal year 2024, as compared to negative $92.5 million in fiscal year 2023.
•Cash and cash equivalents as of January 31, 2024 was $87.5 million, down from $176.7 million as of January 31, 2023.

1 We define "profitability", discussed within, in terms of Adjusted EBITDA.




Fiscal Year 2025 Outlook2
We are maintaining our revenue outlook for fiscal year 2025 at a range of $424 million to $434 million, implying year-over-year growth of 19% to 22%. The revenue range provided for fiscal 2025 assumes no additional revenue from potential future acquisitions completed between now and January 31, 2025.
We are updating our Adjusted EBITDA outlook for fiscal year 2025 to a range of $12 million to $20 million from a previous range of $10 million to $20 million.
We believe our $87.5 million in cash and cash equivalents as of January 31, 2024, along with cash generated in our normal operations gives us sufficient flexibility to reach our fiscal 2025 revenue and Adjusted EBITDA outlook. Additionally, our available borrowing capacity under our credit facility with Capital One provides us with an additional source of capital to pursue future growth opportunities not incorporated into our fiscal 2025 revenue and Adjusted EBITDA outlook.
Non-GAAP 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) expense, net and (Benefit from) provision for income taxes, 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, Twitter, 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, Adjusted EBITDA and our ability to reach profitability1 in fiscal year 2025; our ability to finance our plans to achieve our fiscal year 2025 outlook with our current cash balance and cash generated in the normal course of business; our outlook for fiscal year 2025 and fiscal year 2026 targets (including with respect to Adjusted EBITDA); and our belief that our credit facility with Capital One gives us additional financial flexibility. 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 competitive environment in which we operate; our ability to comply with the covenants in our credit agreement with Capital One; our ability to develop and release new products and services; changes in market conditions and receptivity to our products and services; our ability to develop and release
2 We continue to believe we will achieve our Fiscal 2026 Annualized Revenue Target of $500 million achieved by annualizing the highest revenue quarter in Fiscal 2026 by four. However, we believe our Revenue Outlook provides more meaningful guidance. As a result, we will no longer present our Fiscal 2026 Annualized Revenue Target.



successful enhancements, features and modifications to our existing products and services; our ability to maintain the security and availability of our platform; 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; and the recent high inflationary environment and other general, market, political, economic and business conditions (including as a result of 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, 2024 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 Thursday March 14, 2024, at 5:00 p.m. Eastern Time to review our fiscal fourth quarter and fiscal year 2024 financial results. To participate in our live conference call and webcast, please dial (888) 350-3437 (or (646) 960-0153 for international participants) using conference code number 4000153 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 providers, life sciences companies, payers and other organizations tools to help patients take a more active role in their care. Founded in 2005, Phreesia enabled approximately 150 million patient visits in 2023—more than 1 in 10 visits across the U.S.—scale that we believe allows us to make meaningful impact. Offering patient-driven digital solutions for intake, outreach, education and more, Phreesia enhances the patient experience, drives efficiency and improves healthcare outcomes.
Investor Relations Contact:
Balaji Gandhi
Phreesia, Inc.
investors@phreesia.com
(929) 506-4950

Media Contact:
Nicole Gist
Phreesia, Inc.
nicole.gist@phreesia.com
(407) 760-6274




Phreesia, Inc.
Consolidated Balance Sheets
(in thousands, except share and per share data)
January 31, 2024 January 31, 2023
Assets (Unaudited)
Current:
Cash and cash equivalents $ 87,520  $ 176,683 
Settlement assets 28,072  22,599 
Accounts receivable, net of allowance for doubtful accounts of $1,392 and $1,053 as of January 31, 2024 and 2023, respectively 64,863  51,394 
Deferred contract acquisition costs 768  1,056 
Prepaid expenses and other current assets 14,461  10,709 
Total current assets 195,684  262,441 
Property and equipment, net of accumulated depreciation and amortization of $76,859 and $59,847 as of January 31, 2024 and 2023, respectively 16,902  21,670 
Capitalized internal-use software, net of accumulated amortization of $45,769 and $37,236 as of January 31, 2024 and 2023, respectively 46,139  35,150 
Operating lease right-of-use assets 266  569 
Deferred contract acquisition costs 986  1,754 
Intangible assets, net of accumulated amortization of $4,925 and $2,549 as of January 31, 2024 and 2023, respectively 31,625  11,401 
Deferred tax asset —  81 
Goodwill 75,845  33,736 
Other assets 2,879  3,255 
Total Assets $ 370,326  $ 370,057 
Liabilities and Stockholders’ Equity
Current:
Settlement obligations $ 28,072  $ 22,599 
Current portion of finance lease liabilities and other debt 6,056  5,172 
Current portion of operating lease liabilities 393  934 
Accounts payable 8,480  10,836 
Accrued expenses 37,130  21,810 
Deferred revenue 24,113  17,688 
Other current liabilities 5,875  — 
Total current liabilities 110,119  79,039 
Long-term finance lease liabilities and other debt 5,400  2,725 
Operating lease liabilities, non-current 134  349 
Long-term deferred revenue 97  125 
Long-term deferred tax liabilities 270  — 
Other long-term liabilities 2,857  — 
Total Liabilities 118,877  82,238 
Commitments and contingencies
Stockholders’ Equity:
Preferred stock, undesignated, $0.01 par value—20,000,000 shares authorized as of both January 31, 2024 and 2023; no shares issued or outstanding as of January 31, 2024 and 2023, respectively —  — 
Common stock, $0.01 par value—500,000,000 shares authorized as of both January 31, 2024 and 2023; 57,709,762 and 54,187,172 shares issued as of January 31, 2024 and 2023, respectively 577  542 
Additional paid-in capital 1,039,361  926,957 
Accumulated deficit (742,969) (606,084)
Treasury stock, at cost, 1,355,169 and 971,236 shares as of January 31, 2024 and 2023, respectively (45,520) (33,596)
Total Stockholders’ Equity 251,449  287,819 
Total Liabilities and Stockholders’ Equity $ 370,326  $ 370,057 




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,
  2024 2023 2024 2023
Revenue:
Subscription and related services $ 45,653  $ 35,813  $ 165,436  $ 128,975 
Payment processing fees 23,508  19,780  94,610  78,368 
Network solutions 25,844  20,993  96,253  73,567 
Total revenues 95,005  76,586  356,299  280,910 
Expenses:
Cost of revenue (excluding depreciation and amortization) 16,140  15,123  61,025  58,944 
Payment processing expense 15,634  12,841  62,986  50,323 
Sales and marketing 35,873  36,260  147,008  151,263 
Research and development 29,862  25,398  112,346  91,244 
General and administrative 18,821  19,856  79,926  80,384 
Depreciation 4,353  4,625  17,584  17,988 
Amortization 3,900  2,296  11,903  7,316 
Total expenses 124,583  116,399  492,778  457,462 
Operating loss (29,578) (39,813) (136,479) (176,552)
Other income (expense), net 83  29  44  (175)
Loss on extinguishment of debt (1,118) —  (1,118) — 
Interest income, net 184  1,592  2,211  1,064 
Total other (expense) income, net (851) 1,621  1,137  889 
Loss before provision for income taxes (30,429) (38,192) (135,342) (175,663)
(Provision for) benefit from income taxes (217) 171  (1,543) (483)
Net loss $ (30,646) $ (38,021) $ (136,885) $ (176,146)
Net loss per share attributable to common stockholders, basic and diluted(1)
$ (0.56) $ (0.72) $ (2.51) $ (3.36)
Weighted-average common shares outstanding, basic and diluted 54,555,555  52,873,139  54,561,449  52,440,067 
(1) Our potential dilutive securities have been excluded from the computation of diluted net loss per share as the effect would be to reduce the net loss per share. Therefore, the weighted-average number of common shares outstanding used to calculate both basic and diluted net loss per share attributable to common stockholders is the same.



Phreesia, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
(in thousands)
  Fiscal Year ended January 31,
  2024 2023 2022
Operating activities:
Net loss $ (136,885) $ (176,146) $ (118,161)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization 29,487  25,304  21,302 
Stock-based compensation expense 71,613  58,775  36,144 
Amortization of deferred financing costs and debt discount 321  310  288 
Loss on extinguishment of debt 1,118  —  — 
Cost of Phreesia hardware purchased by customers 1,619  1,598  672 
Deferred contract acquisition costs amortization 1,056  1,696  2,211 
Non-cash operating lease expense 702  1,768  1,004 
Change in fair value of contingent consideration liabilities —  —  258 
Deferred taxes 228  434  143 
Changes in operating assets and liabilities:
Accounts receivable (11,205) (11,132) (10,216)
Prepaid expenses and other assets (2,209) 250  (7,192)
Deferred contract acquisition costs —  (427) (3,349)
Accounts payable (1,993) 4,774  2,881 
Accrued expenses and other liabilities 14,195  2,720  (2,983)
Lease liabilities (1,156) (1,302) (1,060)
Deferred revenue 731  1,255  3,348 
Net cash used in operating activities (32,378) (90,123) (74,710)
Investing activities:
Acquisitions, net of cash acquired (14,573) —  (34,423)
Capitalized internal-use software (19,291) (21,471) (12,385)
Purchases of property and equipment (5,806) (4,732) (18,420)
Net cash used in investing activities (39,670) (26,203) (65,228)
Financing activities:
Proceeds from issuance of common stock in equity offerings, net of underwriters' discounts and commissions —  —  245,813 
Proceeds from issuance of common stock upon exercise of stock options 955  1,603  4,889 
Treasury stock to satisfy tax withholdings on stock compensation awards (12,176) (19,383) (8,995)
Proceeds from employee stock purchase plan 3,209  3,321  1,979 
Constructive financing (6,779) (5,731) (4,267)
Finance lease payments 1,688  —  — 
Principal payments on financing agreements (600) (216) (1,039)
Debt issuance costs and loan facility fee payments (1,321) (397) (125)
Financing payments of acquisition-related liabilities (1,333) —  (3,286)
Debt extinguishment costs (758) —  — 
Net cash (used in) provided by financing activities (17,115) (20,803) 234,969 
Net (decrease) increase in cash and cash equivalents (89,163) (137,129) 95,031 
Cash and cash equivalents—beginning of year 176,683  313,812  218,781 
Cash and cash equivalents—end of year $ 87,520  $ 176,683  $ 313,812 



Supplemental information of non-cash investing and financing information:
Right of use assets acquired in exchange for operating lease liabilities $ 398  $ —  $ 81 
Property and equipment acquisitions through finance leases $ 7,438  $ 526  $ 7,394 
Purchase of property and equipment and capitalized software included in accounts payable and accrued liabilities $ 1,299  $ 2,345  $ 1,124 
Receivables for cash in-transit on stock option exercises $ —  $ 97  $ 169 
Capitalized stock based compensation $ 1,415  $ 1,372  $ 489 
Issuance of stock to settle liabilities for stock-based compensation $ 12,276  $ 12,284  $ — 
Deferred consideration liabilities payable in business combinations $ 8,732  $ —  $ — 
Issuance of stock as consideration in business combination $ 35,321  $ —  $ — 
Capitalized software acquired through vendor financing $ 2,047  $ —  $ — 
Cash paid for:
Interest $ 1,306  $ 763  $ 802 
Income taxes $ 37  $ 39  $ 49 

Non-GAAP Financial Measures
This press release and statements made during the above-referenced webcast may include certain non-GAAP financial measures as defined by SEC rules.
Adjusted EBITDA is a supplemental measure of our performance that is not required by, or presented in accordance with, GAAP. Adjusted EBITDA is not a measurement of our financial performance under GAAP and should not be considered as an alternative to net income or loss or any other performance measure derived in accordance with GAAP, or as an alternative to cash flows from operating activities as a measure of our liquidity. We define Adjusted EBITDA as net income or loss before interest income, net, provision for (benefit from) income taxes, depreciation and amortization, and before stock-based compensation expense, loss on extinguishment of debt and other (income) expense, net.
We have provided below a reconciliation of Adjusted EBITDA to net loss, the most directly comparable GAAP financial measure. We have presented Adjusted EBITDA in this press release and our Annual Report on Form 10-K to be filed after this press release because it is a key measure used by our management and board of directors to understand and evaluate our core operating performance and trends, to prepare and approve our annual budget, and to develop short and long-term operational plans. In particular, we believe that the exclusion of the amounts eliminated in calculating Adjusted EBITDA can provide a useful measure for period-to-period comparisons of our core business. Accordingly, we believe that Adjusted EBITDA provides useful information to investors and others in understanding and evaluating our operating results in the same manner as our management and board of directors. 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) expense, net and Provision for (benefit from) income taxes, 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).
Our use of Adjusted EBITDA has limitations as an analytical tool, and you should not consider it in isolation or as a substitute for analysis of our financial results as reported under GAAP. Some of these limitations are as follows:
 
•Although depreciation and amortization expense are non-cash charges, the assets being depreciated and amortized may have to be replaced in the future, and Adjusted EBITDA does not reflect cash capital expenditure requirements for such replacements or for new capital expenditure requirements;
•Adjusted EBITDA does not reflect: (1) changes in, or cash requirements for, our working capital needs; (2) the potentially dilutive impact of non-cash stock-based compensation; (3) tax payments that may represent a reduction in cash available to us; or (4) Interest (income) expense, net; and
•Other companies, including companies in our industry, may calculate Adjusted EBITDA or similarly titled measures differently, which reduces its usefulness as a comparative measure.
Because of these and other limitations, you should consider Adjusted EBITDA along with other GAAP-based financial performance measures, including various cash flow metrics, net loss, and our GAAP financial results. The following table presents a reconciliation of Adjusted EBITDA to net loss for each of the periods indicated:




Phreesia, Inc.
Adjusted EBITDA
(Unaudited)
 
  Three months ended
January 31,
Fiscal Year ended
January 31,
(in thousands) 2024 2023 2024 2023
Net loss $ (30,646) $ (38,021) $ (136,885) $ (176,146)
Interest income, net (184) (1,592) (2,211) (1,064)
Provision for (benefit from) income taxes 217  (171) 1,543  483 
Depreciation and amortization 8,253  6,921  29,487  25,304 
Stock-based compensation expense 17,864  15,284  71,613  58,775 
Loss on extinguishment of debt 1,118  —  1,118  — 
Other (income) expense, net (83) (29) (44) 175 
Adjusted EBITDA $ (3,461) $ (17,608) $ (35,379) $ (92,473)

Phreesia, Inc.
Reconciliation of GAAP and Adjusted Operating Expenses
(Unaudited)
 
  Three months ended
January 31,
Fiscal Year ended
January 31,
(in thousands) 2024 2023 2024 2023
GAAP operating expenses
General and administrative $ 18,821  $ 19,856  $ 79,926  $ 80,384 
Sales and marketing 35,873  36,260  147,008  151,263 
Research and development 29,862  25,398  112,346  91,244 
Cost of revenue (excluding depreciation and amortization) 16,140  15,123  61,025  58,944 
$ 100,696  $ 96,637  $ 400,305  $ 381,835 
Stock compensation included in GAAP operating expenses
General and administrative $ 6,238  $ 5,508  $ 23,661  $ 21,160 
Sales and marketing 6,100  5,563  25,950  22,183 
Research and development 4,444  3,270  17,446  11,777 
Cost of revenue (excluding depreciation and amortization) 1,082  943  4,556  3,655 
$ 17,864  $ 15,284  $ 71,613  $ 58,775 
Adjusted operating expenses
General and administrative $ 12,583  $ 14,348  $ 56,265  $ 59,224 
Sales and marketing 29,773  30,697  121,058  129,080 
Research and development 25,418  22,128  94,900  79,467 
Cost of revenue (excluding depreciation and amortization) 15,058  14,180  56,469  55,289 
$ 82,832  $ 81,353  $ 328,692  $ 323,060 




Phreesia, Inc.
Key Metrics
(Unaudited)
  Three months ended
January 31,
Fiscal Year ended
January 31,
  2024 2023 2024 2023
Key Metrics:
Average number of healthcare services clients ("AHSCs") 3,962  3,140  3,601  2,856 
Healthcare services revenue per AHSC $ 17,456  $ 17,705  $ 72,215  $ 72,599 
Total revenue per AHSC $ 23,979  $ 24,390  $ 98,944  $ 98,358 

We remain focused on building secure and reliable products that derive a strong return on investment for our clients and implementing them with speed and ease. This strategy continues to enable us to grow our network of healthcare services clients. The investments we make to grow, strengthen and sustain our network of healthcare services clients lead to growth in all of our revenue categories.
The definitions of our key metrics are presented below.
•AHSCs. We define AHSCs as the average number of clients that generate subscription and related services or payment processing revenue each month during the applicable period. In cases where we act as a subcontractor providing white-label services to our partner's clients, we treat the contractual relationship as a single healthcare services client. We believe growth in AHSCs is a key indicator of the performance of our business and depends, in part, on our ability to successfully develop and market our solutions to healthcare services organizations that are not yet clients. While growth in AHSCs is an important indicator of expected revenue growth, it also informs our management of the areas of our business that will require further investment to support expected future AHSC growth. For example, as AHSCs increase, we may need to add to our customer support team and invest to maintain effectiveness and performance of our solutions for our healthcare services clients and their patients.
•Healthcare services revenue per AHSC. We define Healthcare services revenue as the sum of subscription and related services revenue and payment processing revenue. We define Healthcare services revenue per AHSC as Healthcare services revenue in a given period divided by AHSCs during that same period. We are focused on continually delivering value to our healthcare services clients and believe that our ability to increase Healthcare services revenue per AHSC is an indicator of the long-term value of our solutions.
•Total revenue per AHSC. We define Total revenue per AHSC as Total revenue in a given period divided by AHSCs during that same period. Our healthcare services clients directly generate subscription and related services and payment processing revenue. Additionally, our relationships with healthcare services clients who subscribe to our solutions give us the opportunity to engage with life sciences companies, health plans and other payer organizations, patient advocacy, public interest and other not-for-profit organizations who deliver direct communication to patients through our solutions. As a result, we believe that our ability to increase Total revenue per AHSC is an indicator of the long-term value of our solutions.

Additional Information
(Unaudited)
  Three months ended
January 31,
Fiscal Year ended
January 31,
  2024 2023 2024 2023
Patient payment volume (in millions) $ 977  $ 821  $ 3,947  $ 3,284 
Payment facilitator volume percentage 82  % 81  % 82  % 80  %

•Patient payment volume. We believe that patient payment volume is an indicator of both the underlying health of our healthcare services clients’ businesses and the continuing shift of healthcare costs to patients. We measure patient payment volume as the total dollar volume of transactions between our healthcare services clients and their patients utilizing our payment platform, including via credit and debit cards that we process as a payment facilitator as well as cash and check payments and credit and debit transactions for which we act as a gateway to other payment processors.



•Payment facilitator volume percentage. We define payment facilitator volume percentage as the volume of credit and debit card patient payment volume that we process as a payment facilitator as a percentage of total patient payment volume. Payment facilitator volume is a major driver of our payment processing revenue. Our payment facilitator volume percentage could decline slightly over time should we increase our penetration of enterprise customers that are less likely to use Phreesia as a payment facilitator.


EX-99.2 3 phr-ex992q4fy24.htm EX-99.2 phr-ex992q4fy24
Quarterly Stakeholder Letter FOURTH QUARTER | FISCAL YEAR 2024


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 2 1 We define "profitability" and “profitable,” discussed herein, in terms of Adjusted EBITDA. 2 Phreesia India Private Limited. Dear Phreesia stakeholders, Phreesia ended fiscal year 2024 with strong momentum heading into fiscal 2025. We facilitated more than 150 million patient visits in fiscal 2024, or more than 1 in 10 patient visits across the U.S. We are confident that our solutions and our team position us for continued growth and a return to profitability1. We are in a new era that extends our impact beyond patient intake. Our growing set of solutions expands our capabilities outside of the point of care, while still aligning with our mission to make care easier every day. We were thrilled to bring our entire company together in early February 2024 – for the first time in seven years – for a gathering in Washington, D.C. It was a unique opportunity to celebrate our past accomplishments and look forward to the future. Given the fact that we are a fully virtual company, the event provided an important opportunity for colleagues from across the organization to meet in person and learn more about our products, initiatives and impact. At this meeting, in addition to connecting face-to-face with Phreesians across departments, we talked about the things that have made us successful – one of which is being very focused. To do that, it’s important for our employees – and our stakeholders – to understand our mission, vision and values. Our mission: Making care easier every day. Our vision: Every person is an active participant in their care. Our values: Care. A lot. | Try it. | Grit. | Make excellent things happen. This ethos informs everything we do. I am immensely proud of my colleagues’ hard work and grateful for the support and partnership of our clients and investors as we navigate through opportunities and challenges. In FY2024, we were recognized for our people and culture in Modern Healthcare’s list of Best Places to Work in Healthcare, the 2023 Bloomberg Gender-Equality Index (GEI) and Achievers 2023 50 "Most Engaged Workplaces®" list. Phreesia is the company it is today because of our dedicated team of 1,438 Phreesians across North America, in 45 states and 9 provinces. We look forward to expanding Phreesia’s employee footprint and growing our team through the establishment of Phreesia India2 in order to bring in-house various outside services that are important to our success. As we look ahead to the coming year, we believe we are poised to deliver on our goals and objectives and continue our progress toward reaching profitability1 in FY2025. We remain focused on driving long-term value for all of our stakeholders. We thank you for your interest in Phreesia, and we look forward to providing you with further updates throughout the year. MARCH 14, 2024 Chaim Indig Chief Executive Officer and Co-Founder


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 3 Fiscal Year 2024 Fourth Quarter Highlights3 REVENUE Total revenue was up 24% year-over-year to $95.0 million in the fourth quarter. Year-over-year growth was led by Subscription and related services at 27%, followed by Network solutions at 23%. Payment processing fees revenue was up 19% year-over-year. QUARTERLY REVENUE1 (FY2021 - FY20242) Subscription and related services Payment processing fees Network Solutions 1 Revenue may not add up due to rounding. 2 Fiscal year ended January 31. Average Healthcare Services Clients In the fourth quarter of fiscal 2024, we supported 3,962 Average Healthcare Services Clients (“AHSCs”),4 an increase of 2745 AHSCs over the third quarter of fiscal year 2024 and an increase of 822 AHSCs (or 26%) year-over-year. The sequential increase of 274 AHSCs is in line with the expectation we shared in 3 Fiscal year ended January 31, 2024 and fiscal quarter ended January 31, 2024 should be considered ‘unaudited'. 4 We define AHSCs as the average number of clients that generate Subscription and related services or Payment processing revenue each month during the applicable period. In cases where we act as a subcontractor providing white-label services to our partner's clients, we treat the contractual relationship as a single healthcare services client. 5 Includes approximately 120 AHSCs from the acquisition of ConnectOnCall, which closed on October 3, 2023.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 4 our third quarter stakeholder letter, furnished on December 5, 2023 (“Fiscal Third Quarter Letter”). In the first quarter of fiscal 2025, we expect to see AHSCs increase by at least 100 as we prioritize AHSC prospects that drive profitable1 revenue growth across Subscription and related services, Payment processing and Network solutions. It is worth noting that our forecast for AHSC growth in the first quarter was incorporated into our fiscal 2025 revenue outlook. AHSCs (FY2021 - FY20241) 1 Fiscal year ended January 31. Total Revenue and Healthcare Services Revenue Per AHSC In the fiscal fourth quarter of 2024, total revenue per AHSC was $23,979, down 2% year-over-year. As we indicated in the Fiscal Third Quarter Letter, total revenue per AHSC in the fiscal 2024 third and fourth quarters was negatively impacted by the inclusion of former ConnectOnCall AHSCs (acquired on October 3, 2023) that had an immaterial amount of revenue associated with them. As a reminder, Subscription and related services and Network solutions revenue growth are driven by two factors: 1) the growth of our network of healthcare services clients; and 2) our ability to drive more value for our existing clients across the solutions within each of our revenue categories. By contrast, our Payment processing fees revenue is almost entirely driven by the growth of our provider network, which our AHSC metric closely mirrors. Existing clients who utilize our payment-facilitator model have only nominal additional payments to process on our network after we have transitioned them to our payment-facilitator model. Our Network solutions revenue also benefits from the size of our provider network. We believe that having multiple methods of monetizing our network is a key factor behind our


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 5 historical revenue growth. We estimate that our total addressable market (“TAM”) of approximately $10 billion6 and our target client universe in the ambulatory and hospital markets of approximately 50,000 addressable healthcare services clients7 implies a total annual revenue opportunity of approximately $200,000 per addressable healthcare services client8 or approximately double our annualized fiscal fourth quarter total revenue per AHSC. TOTAL REVENUE1 PER AHSC2 (FY2021 - FY20243) Subscription and related services Payment processing fees Network Solutions 1 Revenue may not add up due to rounding. 2 Calculated by revenue stream for each period presented as revenue for that period divided by AHSCs during the same period. 3 Fiscal year ended January 31. 6 Management’s estimate of a $10 billion total addressable market is derived from: (1) the potential $6.3 billion of Subscription and related services revenue, generated from the approximately 1.4 million U.S.-based healthcare services organizations that take medical appointments in ambulatory care settings and healthcare service providers who work in hospital settings; (2) the estimated potential $2.3 billion of consumer-related transactions and payment processing fees, which are based on a percentage of payments that we process through our platform and address approximately $95.0 billion of annual out of pocket patient spend in ambulatory healthcare related professional services; and (3) an estimated potential $1.9 billion in Network solutions revenue, based on projections of direct-to-consumer point-of-care marketing spend and other digital, direct-to-consumer life sciences marketing spend. 7 IQIVIA, Definitive Healthcare and company estimates as of April 2021. 8 Management’s estimated total annual revenue opportunity per addressable healthcare services client of more than $200,000 is derived from an estimated potential (1) ~$126,000 in annual Subscription and related services revenue per addressable healthcare services client; (2) ~ $46,000 in annual Payment processing fees revenue per addressable healthcare services client; and (3) ~$38,000 in annual Network solutions revenue per addressable healthcare services client.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 6 Subscription and Related Services Subscription and related services revenue grew 27% in the fourth quarter of fiscal year 2024 compared to the fourth quarter of the prior fiscal year. Subscription and related services revenue per AHSC was $11,523 in the fiscal fourth quarter, up 1% from the fourth quarter of the prior fiscal year. We expect this figure to grow over the long term as we deepen our client relationships through continued improvements in our solutions and the addition of new products. Payment Processing Our Payment processing fees revenue grew 19% over the prior year’s fiscal fourth quarter, driven by a 19% increase in patient payment volume. Payment processing fees revenue generally grows in line with our network growth. In the fiscal fourth quarter, patient-utilization trends were slightly higher than we had expected internally. Our payment processing gross margin9 was 33% in the fiscal fourth quarter, compared to 34% and 35% in the third quarter of fiscal 2024 and the fourth quarter of fiscal 2023, respectively. This recent trend reflects our willingness to offer more attractive pricing to our clients to the extent that we are able to drive higher patient payment volumes with revenues that exceed our payment transaction costs. Our fiscal fourth quarter take rate percentage10 was 2.93%. Our fiscal fourth quarter take rate percentage declined compared to 2.97% in the fiscal fourth quarter of 2023, and remained flat compared to 2.93% in the fiscal third quarter of 2024. Our payment-facilitator volume percentage has remained relatively consistent over time, coming in at 82% in the fourth quarter of fiscal year 2024, flat and up 1% on a sequential and year-over-year basis, respectively. 9 We define payment processing gross margin as the difference between Payment processing fees revenue and payment processing expense, divided by Payment processing fees revenue. 10 We define take rate percentage as payment processing fees divided by the result of multiplying patient payment volume and payment facilitator volume percentage.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 7 PATIENT PAYMENT STATISTICS (FY2021 - FY20241) Payment Facilitator Volume Percentage4 Take Rate Percentage2 Patient Payment Volume (in millions)3 1 Fiscal year ended January 31. 2 We define take rate percentage as payment processing fees divided by the result of multiplying patient payment volume and payment facilitator volume percentage. 3 We believe that patient payment volume is an indicator of both the underlying health of our healthcare services clients’ businesses and the continuing shift of healthcare costs to patients. We measure patient payment volume as the total dollar volume of transactions between our healthcare services clients and their patients who utilize our solutions, including via credit and debit cards that we process as a payment facilitator, as well as through cash and check payments, and credit and debit transactions for which Phreesia acts as a gateway to other payment processors. 4 Payment facilitator volume percentage is defined as the volume of credit and debit card patient payment volume that we process as a payment facilitator as a percentage of total patient payment volume. Payment facilitator volume is a major driver of our Payment processing fees revenue. Network Solutions Our Network solutions revenue includes fees for direct communications through our solutions that are designed to educate, engage and activate patients on topics critical to their health. Fiscal fourth quarter 2024 Network solutions revenue increased 23% compared to the fiscal fourth quarter of 2023. We prioritize AHSC prospects that can support Network solutions growth while continuing to supplement our other revenue sources. Our team continues to execute well in a competitive market, and we believe that our network and product offerings help differentiate us. Network solutions revenue from our life sciences clients is based largely on the delivery of messages at a contracted price per message to those patients from whom we receive permission. Campaigns are sold for a specified number of messages delivered to qualified patients over an expected timeframe, and revenue is recognized as those messages are delivered.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 8 Life Sciences Since 2020, Phreesia has delivered more than 20.7 million messages to adults to encourage conversations with care teams about recommended vaccines. According to a survey conducted on the Phreesia platform: were very or extremely likely to ask their doctor about the vaccine of respondent patients exposed to these messages found the information mostly or all new As further validation of our impact, in a January 2024 editorial in the Annals of Internal Medicine about the need for better communication to help address low immunization rates, the authors pointed to Phreesia’s platform as an example of a tool that goes beyond simply informing patients. “We need innovative solutions to foster shared decision making,” the authors said in the editorial. “Phreesia, a company that engages with patients in more than 1 in 10 of all U.S. health care appointments, modified its patient interface to promote adult vaccination at the ‘touch point’ of a medical visit. This effort resulted in 20 million patient prompts for recommended adult vaccines. In a follow-up survey, one third of [respondent] patients indicated their intent to get vaccinated.” In the fiscal fourth quarter, Phreesia joined the National Adult and Influenza Immunization Summit’s Call to Action for Adult Immunizations campaign to improve vaccination rates among adults. Phreesia’s vaccine management tools support healthcare organizations by collecting critical information, engaging patients about immunizations and saving staff time. We are very proud of the positive influence our technology and our team have had on advancing health outcomes. Optimizing Content for Health Literacy Phreesia is committed to meeting patients where they are, including through content that our team creates on behalf of our sponsors. In a recent blog post, our Content Strategy team shared best practices for optimizing content for health literacy. Those recommendations included using simple, conversational language, using design elements to make the copy easier to understand, tailoring content to the intended audience and remembering that stress at point of care can impact health literacy.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 9 Phreesia believes that health literacy is a state, not a trait. This means that health literacy can fluctuate depending on a patient’s circumstances, independent of their education or reading level. For example, no matter what you put in front of a patient who just got a cancer diagnosis, it will blur in front of their eyes. Product Update During the fourth quarter, we went live with the inaugural campaigns for our first medication adherence product, Post-Script Engagement, to address an industry-wide challenge and bring value to a range of audiences, from patients to providers to life sciences organizations. Recognized by PM360 as one of 2023's Most Innovative Marketing Technologies, Post-Script Engagement aims to help close the vast gap between prescriptions written and prescriptions filled. This product surveys how likely patients are to fill their prescriptions, uncovers common barriers to adherence that can be used to inform provider decision making, and provides patients with resources to help them follow through with their medication and treatment plans as soon as they are prescribed. The product also allows life sciences organizations to educate patients at a critical point in their healthcare journey. Meeting patients at high-intent moments in their medication adherence journey with relevant educational materials or financial assistance information can empower them to better understand their prescriptions and help them access the tools they need to overcome adherence barriers. Although financial challenges and low awareness are the predominant factors affecting patients’ medication adherence, those obstacles present an ideal opportunity for industry stakeholders to address these issues by reaching patients with relevant educational and support resources just after they have been prescribed a medication. We believe this unique ability to engage patients at every step in their healthcare journey exemplifies how Phreesia works across the continuum of care to help improve health outcomes.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 10 Product Accessibility Ensuring our product is accessible and meets patients where they are is an ongoing priority for Phreesia. To that end, our Product team released several key updates that add to our existing accessibility features and make it easier to activate every patient in their care. As examples: • Our Branding Manager tool now alerts clients when they select color combinations that could be difficult for people with visual impairments to see. • All images in patient intake workflows will include alt text going forward, helping people who use screen readers comprehend information conveyed through images. • The body diagram module in Phreesia’s intake workflows is now accessible by patients who use keyboards or other assistive technology to navigate the internet. Security In January 2024, Phreesia’s platform was re-certified as a PCI DSS Level 1 service provider, an important designation that furthers the trust of our clients, patients and other stakeholders. We are committed to maintaining the certifications needed to sustain a competitive position in the market. INNOVATIVE SOFTWARE TO IMPROVE EFFICIENCY, CASH FLOW AND THE PATIENT EXPERIENCE Access to care Registration Revenue Cycle Network Provider directory for patients seeking care Integrated patient scheduling Automated appointment rescheduling Appointment reminders Patient text messaging After-hours care Smart answering solution Mobile and in-office intake modalities Registration for virtual visits Specialty-specific workflows Consent management Self-service patient-reported outcomes and screenings Point-of-service payments Insurance verification Payment plans Online payments Card on file and payment assurance Education and engagement before, during and after the visit Patient insights Referral management Doctor finder


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 11 Culture This past year was our fourth supporting a fully remote workforce. Life@Phreesia continues to foster connectivity and engagement among Phreesians by creating community, providing a space for employee feedback and investing in the health and wellness of our people. We also proudly launched two new employee resource groups in fiscal 2024: Phree & Able, which promotes acceptance and inclusion of individuals with visible and hidden disabilities; and The Military Exchange, which supports active military, veterans and/or employees with familial relations to military members. Dr. Hilary Hatch Named to the 2024-2025 National Quality Forum Leadership Consortium We are thrilled to share that our Chief Clinical Officer, Hilary Hatch, PhD, has been selected to participate in the National Quality Forum’s 2024-2025 Leadership Consortium. Dr. Hatch is one of only 29 healthcare leaders included in the prestigious group, underscoring her dedication to healthcare quality and patient-centered care. She was first named to the group for a two-year term in 2022. All-Company Meeting (“PhreesiaFest”) On February 1 and 2, 2024, our entire company gathered in Washington D.C. for PhreesiaFest where we celebrated our achievements and set our collective sights on our future goals. It was an exciting few days of team recognition and collaboration.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 12 Operating Leverage We continue to see operating leverage across most of our investments putting us in a position to return to profitability1 in fiscal 2025. We expect our Sales and marketing, Research and development and General and administrative expense lines to all show improvement as a percentage of revenue through fiscal 2025. Cost of Revenue Cost of revenue (excluding depreciation and amortization) increased $2.1 million to $61.0 million in fiscal 2024, as compared to $58.9 million in fiscal 2023. The increase resulted primarily from a $6.1 million increase in outside services and other third-party costs driven by revenue growth and a $0.9 million increase in employee stock compensation costs, partially offset by a $4.7 million decrease in employee salary and benefits costs driven by lower headcount. Stock compensation incurred related to cost of revenue was $4.6 million and $3.7 million for fiscal 2024 and fiscal 2023, respectively. Sales & Marketing Sales and marketing expense decreased $4.3 million to $147.0 million in fiscal 2024, as compared to $151.3 million in fiscal 2023. The decrease was primarily attributable to a $13.6 million decrease in employee salary and benefits costs driven by a lower average headcount, partially offset by a $3.8 million increase in employee stock compensation, a $3.0 million increase in travel and other internal sales and marketing costs, as well as a $2.6 million increase in outside services and other third-party sales and marketing costs. Stock compensation incurred related to sales and marketing expense was $26.0 million and $22.2 million for fiscal 2024 and fiscal 2023, respectively. Research & Development Research and development expense increased $21.1 million to $112.3 million in fiscal 2024, as compared to $91.2 million in fiscal 2023. The increase resulted primarily from a $9.2 million increase in employee salary and benefit costs, a $5.7 million increase in employee stock compensation costs driven by an increased research and development headcount, a $2.1 million increase in software costs, a $1.1 million increase in outside services costs and a $0.8 million increase in hardware and hosting costs. We also note that our commitment to security for the benefit of our stakeholders is reflected in our ongoing research and development investments. Stock compensation incurred related to research and development expense was $17.4 million and $11.8 million for fiscal 2024 and fiscal 2023, respectively. General & Administrative General and administrative expense decreased $0.5 million to $79.9 million in fiscal 2024, as compared to $80.4 million in fiscal 2023. The $0.5 million decrease resulted primarily from a $1.7 million decrease in employee salary and benefit costs as well as lower rent, travel and insurance costs, partially offset by a $2.5 million increase in employee stock compensation costs as well as a $1.1 million increase in outside services costs associated with fiscal year 2024 acquisitions. Stock compensation incurred related to general and administrative expense was $23.7 million and $21.2 million in fiscal 2024 and fiscal 2023, respectively.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 13 OPERATING EXPENSE TRENDS Payment processing expense2 % Rev 58% Q1 FY22 59% Q2 FY22 59% Q3 FY22 61% Q4 FY22 63% Q1 FY23 64% Q2 FY23 65% Q3 FY23 Q4 FY23 65% Q1 FY24 66% Q2 FY24 67% Q3 FY24 66% Q4 FY24 67% Subscription & Network Solutions1 Cost of Revenue % Rev 27% Q1 FY22 29% Q2 FY22 29% Q3 FY22 30% Q4 FY22 33% Q1 FY23 31% Q2 FY23 27% Q3 FY23 Q4 FY23 27% Q1 FY24 25% Q2 FY24 23% Q3 FY24 23% Q4 FY24 23% Sales & Marketing $ / % of Rev Q1 FY22 31% $15 Q2 FY22 43% $22 Q3 FY22 57% $32 Q4 FY22 64% $37 Q1 FY23 63% $40 Q2 FY23 56% $38 Q3 FY23 50% $37 Q4 FY23 47% $36 Q1 FY24 45% $37 Q2 FY24 43% $37 Q3 FY24 40% $37 Q4 FY24 38% $36 Research & Development $ / % of Rev Q1 FY22 17% $8 22% Q2 FY22 $11 27% Q3 FY22 $15 30% Q4 FY22 $17 33% Q1 FY23 $21 33% Q2 FY23 $23 31% Q3 FY23 $23 Q4 FY23 33% $25 Q1 FY24 32% $26 Q2 FY24 32% $27 Q3 FY24 31% $29 Q4 FY24 31% $30 General & Administrative $ / % Rev Q1 FY22 26% $13 Q2 FY22 32% $16 Q3 FY22 32% $18 Q4 FY22 37% $22 Q1 FY23 33% $21 Q2 FY23 30% $20 Q3 FY23 27% $20 Q4 FY23 26% $20 Q1 FY24 24% $20 Q2 FY24 24% $21 Q3 FY24 22% $20 Q4 FY24 20% $19 1 Subscription & Network Solutions Cost of Revenue as a % of Revenue equals cost of revenue (excluding depreciation and amortization), divided by the sum of Subscription and related services revenues and Network solutions revenues. 2 Payment processing expense as a % of Revenue equals payment processing expense divided by Payment processing fees revenues.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 14 Stock-based Compensation Stock-based compensation through the issuance of restricted stock units (“RSUs”) and performance stock units (“PSUs”) has been an important component of how we reward our team for past and expected future performance. We believe all Phreesia shareholders should view our investments in stock-based compensation through the lens of annual dilution as measured by the net increase in shares associated with stock-based compensation as a percentage of the weighted average common shares outstanding that we report each reporting period. Since fiscal 2021, shares issued related to our stock compensation awards have increased our weighted average shares outstanding by an average of 4% to 5% per year. We expect this percentage to fluctuate year-to-year but anticipate annual net dilution associated with stock-based compensation awards to remain relatively consistent in the near term. Cash Flow Statement, Balance Sheet and Liquidity We have made significant progress in improving our operating cash flow, presented as net cash used in operating activities. Our fiscal fourth quarter net cash used for operating activities improved by $12.8 million year-over-year. On a fiscal year to date basis, net cash used for operating activities improved by $57.7 million year-over-year. This improvement reflects our strong revenue performance over these periods, as well as disciplined expense and cash collections management. We remain focused on driving strong conversions of revenue growth and operating leverage into improvements in operating cash flow in order to accelerate our return to profitability1. As of January 31, 2024 and January 31, 2023, we had cash and cash equivalents of $87.5 million and $176.7 million, respectively. Cash and cash equivalents consist of money market funds and cash on deposit at various financial institutions. We believe that our current cash and cash equivalents balance, along with cash generated in the normal course of business, give us sufficient flexibility to reach our outlook for fiscal 2025 and to plan for continued profitable1 growth in fiscal 2026. ($ in thousands) For the fiscal years ended January 31, 2024 2023 2022 Net cash used in operating activities $(32,378) $(90,123) $(74,710) Investing activities: Acquisitions, net of cash acquired (14,573) - (34,423) Capitalized internal-use software (19,291) (21,471) (12,385) Purchases of property and equipment (5,806) (4,732) (18,420) Net cash used in investing activities $(39,670) $(26,203) $(65,228)


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 15 Fiscal Year 2025 Outlook11 We are maintaining our revenue outlook for fiscal year 2025 at $424 million to $434 million, implying year-over-year growth of 19% to 22%. The revenue range provided for fiscal 2025 assumes no additional revenue from potential future acquisitions completed between now and January 31, 2025. We are also updating our Adjusted EBITDA outlook for fiscal year 2025 to a range of $12 million to $20 million from a previous range of $10 million to $20 million. Our outlook reflects our focus on improving efficiency and operating leverage. About Phreesia Phreesia is a trusted leader in patient activation, giving providers, life sciences companies, payers and other organizations tools to help patients take a more active role in their care. Founded in 2005, Phreesia enabled approximately 150 million patient visits in 2023—more than 1 in 10 visits across the U.S.—scale that we believe allows us to make meaningful impact. Offering patient- driven digital solutions for intake, outreach, education and more, Phreesia enhances the patient experience, drives efficiency and improves healthcare outcomes. INVESTOR CONTACT: Balaji Gandhi investors@phreesia.com MEDIA CONTACT: Nicole Gist nicole.gist@phreesia.com Non-GAAP 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) expense, net and Provision for (benefit from) income taxes, which are reconciling items between Adjusted EBITDA and GAAP Net income (loss). We also have not reconciled our gross margins (excluding payments revenue and payment processing expenses)12 to GAAP gross margins 11 We continue to believe we will achieve our fiscal year 2026 Annualized Revenue Target of $500 million achieved by annualizing the highest revenue quarter in fiscal 2026 by four. However, we believe our Revenue Outlook provides more meaningful guidance. As a result, we will no longer present our fiscal 2026 Annualized Revenue Target. 12 We define gross margins (excluding payments revenue and payment processing expenses) as the excess of the sum of Subscription and related services revenue and Network solutions revenue over cost of revenue (excluding depreciation and amortization), divided by the sum of Subscription and related services revenue and Network solutions revenue.


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 16 due to the uncertainty and potential variability of reconciling items between gross margins (excluding payments revenue and payment processing expenses) and GAAP gross margins. 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). Forward-Looking Statements This stakeholder letter 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 operational performance, including our revenue, margins, Adjusted EBITDA, cash flows and our ability to reach profitability1 in fiscal year 2025; our outlook for fiscal year 2025 (including with respect to Adjusted EBITDA) and fiscal year 2026 targets; our plans and expectations regarding operations in India; our belief that our decisions will enhance long-term shareholder value; the expected results and benefits of our acquisitions; our estimated total addressable market (including any components thereof) and our estimated addressable healthcare services clients; our expected increase in AHSCs during the first quarter of fiscal year 2025; our expectations regarding growth in Subscription and related services revenue per AHSC over the long-term; our expectations regarding annual net dilution associated with stock-based compensation awards; our ability to finance our plans to achieve our fiscal year 2025 outlook and plan for continued profitable1 growth in fiscal year 2026 with our current cash balance along with cash generated in the normal course of business; our business strategy and operating plans; our commitment to privacy and security; industry trends and predictions; our anticipated growth and operating leverage; the factors that drive our revenue growth; successful implementation of our solutions under development; and our expectations regarding the expansion of our offerings and our network of clients and partners. 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 competitive environment in which


 
QUARTERLY STAKEHOLDER LETTER | FOURTH QUARTER 2024 | 17 we operate; our ability to develop and release new products and services; our ability to develop and release successful enhancements, features and modifications to our existing products and services; changes in market conditions and receptivity to our products and services; our ability to maintain the security and availability of our platform; 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, including our recent acquisitions of MediFind, Access eForms and ConnectOnCall; difficulties in integrating our acquisitions and investments; and the recent high inflationary environment and other general market, political, economic and business conditions (including as a result of the warfare and/or political and economic instability in Ukraine, the Middle East or elsewhere). The forward-looking statements contained in this letter are also subject to other risks and uncertainties, including those listed or described in our filings with the Securities and Exchange Commission (the "SEC"), including in our Annual Report on Form 10-K for the fiscal year ended January 31, 2024 that will be filed with the SEC after this letter. The forward-looking statements in this letter 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 letter to reflect events or circumstances after the date of this letter or to reflect new information or the occurrence of unanticipated events, except as required by law. This letter also includes statistical data, estimates and forecasts that are based on industry publications or other publicly available information, as well as other information based on our internal sources. This information may be based on many assumptions and limitations, and you are cautioned not to give undue weight to such information. We have not independently verified the accuracy or completeness of the information contained in these industry publications and other publicly available information. Conference Call Information We will hold a conference call on March 14, 2024 at 5:00 PM ET to review our fiscal year 2024 and fiscal fourth quarter financial results. To participate in our live conference call and webcast, please dial (888) 350-3437 (or (646) 960-0153 for international participants) using conference code number 4000153 or visit the “Events & Presentations” section of our Investor Relations website 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.