Phreesia

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
24/7 Wall St

PHR YoY Financials

Q4 2026 vs Q4 2025, source: SEC Filings

24/7 Wall St

PHR Revenue by Segment

With YoY comparisons, source: SEC Filings

Q2 26 Q1 27

“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