PHR Q4 2026 Earnings
Reported Mar 30, 2026 at 5:29 PM ET · SEC Source
Q4 26 EPS
$0.02
MISS 93.73%
Est. $0.32
Q4 26 Revenue
$127.1M
BEAT +0.35%
Est. $126.6M
vs S&P Since Q4 26
+3.8%
BEATING MARKET
PHR +15.9% vs S&P +12.1%
Full Year 2026 Results
FY 26 EPS
$0.04
FY 26 Revenue
$480.6M
Market Reaction
Did PHR Beat Earnings? Q4 2026 Results
Phreesia delivered a mixed fiscal fourth quarter, posting revenue of $127.07 million, up 15.8% year-over-year and edging past the $126.63 million consensus by 0.35%, while earnings per share of $0.02 fell sharply short of the $0.32 consensus estimate… Read more Phreesia delivered a mixed fiscal fourth quarter, posting revenue of $127.07 million, up 15.8% year-over-year and edging past the $126.63 million consensus by 0.35%, while earnings per share of $0.02 fell sharply short of the $0.32 consensus estimate, a miss of 93.73%. The headline revenue growth was powered in large part by the November 2025 acquisition of AccessOne, which drove payment solutions revenue up 45% year-over-year, alongside organic gains across subscription and network solutions. The company also swung to GAAP net income of $1.29 million from a net loss of $6.39 million a year ago, while adjusted EBITDA reached $29.42 million in the quarter. The brighter near-term picture, however, was clouded by a meaningful guidance cut; Phreesia lowered its fiscal 2027 revenue outlook to $510 million to $520 million from a prior range of $545 million to $559 million, citing reduced pharmaceutical manufacturer spending commitments in its network solutions segment. Wells Fargo maintained an Overweight rating on the stock but cut its price target to $15 from $25, reflecting the deceleration. Management kept its adjusted EBITDA outlook at $125 million to $135 million, expecting AI-driven efficiencies to absorb much of the revenue shortfall.
Key Takeaways
- • AccessOne acquisition contributed 39% of the 45% payment solutions revenue growth
- • Average Healthcare Services Clients (AHSCs) grew 7% year-over-year to 4,658
- • Total revenue per AHSC increased 8% year-over-year to $27,279
- • Payment solutions expense as a percentage of payment solutions revenue declined to 60% from 69% year-over-year due to AccessOne's higher-margin financing fees
- • Sales and marketing expense decreased $4.2 million year-over-year
- • Patient payment volume of $1.128 billion in Q4, up from $1.080 billion year-over-year
PHR YoY Financials
Q4 2026 vs Q4 2025, source: SEC Filings
PHR Revenue by Segment
With YoY comparisons, source: SEC Filings
“We achieved several critical financial milestones ahead of our internal targets, including achieving positive GAAP net income ($2.3 million) and crossing $100 million of Adjusted EBITDA and $50 million of free cash flow ($78.8 million net cash from operating activities) for fiscal year 2026.”
— Chaim Indig, Q4 2026 Earnings Press Release
PHR Earnings Trends
PHR vs Market 30 Day Price Reactions
30-day stock return vs benchmark after each earnings
PHR EPS Trend
Earnings per share: estimate vs actual
PHR Revenue Trend
Quarterly revenue: estimate vs actual
PHR Quarterly Results
4 quarters of earnings data
| Quarter | EPS Est. | EPS Act. | Surprise | Revenue | Rev. Surprise |
|---|---|---|---|---|---|
| Q1 27 MISS | $0.29 | $0.05 | -82.66% | $130.9M | +0.66% |
| Q4 26 MISS FY | $0.32 | $0.02 | -93.73% | $127.1M | +0.35% |
| FY Full Year | — | $0.04 | — | $480.6M | — |
| Q3 26 MISS | $0.24 | $0.07 | -71.31% | $120.3M | +0.25% |
| Q2 26 MISS | $0.19 | $0.01 | -94.81% | $117.3M | +0.75% |