Jan 31

Phreesia Q4 2025 Earnings Report

Phreesia reported strong revenue growth and a significant reduction in net loss in Q4 2025.

Key Takeaways

Phreesia Inc. delivered strong revenue growth of 15% year-over-year in Q4 2025, reaching $109.7 million. The company significantly reduced its net loss to $6.4 million, compared to $30.6 million in the same period last year. Adjusted EBITDA turned positive at $16.4 million, reflecting improved operational efficiency and cost management. The company continues to grow its client base and expand revenue per healthcare services client.

Revenue grew 15% year-over-year to $109.7 million.

Net loss improved to $6.4 million from $30.6 million last year.

Adjusted EBITDA turned positive at $16.4 million, up from -$3.5 million last year.

Free cash flow reached $9.2 million, reflecting improved liquidity.

Total Revenue
$110M
Previous year: $95M
+15.5%
EPS
-$0.11
Previous year: -$0.56
-80.4%
Average Provider Clients
4.34K
Previous year: 3.96K
+9.6%
Revenue per Provider Client
$25.3K
Previous year: $24K
+5.4%
Patient Payment Volume
$1.08B
Previous year: $977M
+10.5%
Cash and Equivalents
$84.2M
Previous year: $87.5M
-3.8%
Free Cash Flow
$9.2M
Previous year: -$5.46M
-268.6%
Total Assets
$388M
Previous year: $370M
+4.9%

Phreesia

Phreesia

Phreesia Revenue by Segment

Forward Guidance

Phreesia expects continued revenue growth and improved profitability in FY 2026, driven by client expansion and operational efficiencies.

Positive Outlook

  • Revenue expected to reach $472 million to $482 million in FY 2026.
  • Adjusted EBITDA projected to improve significantly, ranging from $78 million to $88 million.
  • Client base (AHSCs) expected to reach approximately 4,500.
  • Total revenue per AHSC expected to increase from FY 2025 levels.
  • Strong cash position of $84.2 million provides financial flexibility for growth.

Challenges Ahead

  • Net losses are still a concern despite improvement in profitability.
  • Operating costs remain high, requiring continued efficiency improvements.
  • Dependence on revenue per AHSC growth to drive top-line expansion.
  • Market competition in digital healthcare solutions remains intense.
  • Potential macroeconomic risks could impact client expansion and spending.