PHR

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Transcript Summary

Phreesia, Inc. (PHR) achieved a major milestone in fiscal 2026 by reporting its first full year of positive GAAP net income, alongside 50 million dollars in free cash flow and over 100 million dollars in Adjusted EBITDA. Q4 revenue grew 16 percent to 127.1 million dollars, largely driven by the AccessOne acquisition. Despite these achievements, management lowered fiscal 2027 revenue guidance to 510 to 520 million dollars, citing reduced spending commitments from pharmaceutical clients in the Network Solutions segment, particularly regarding vaccine-related marketing. However, the company maintained its Adjusted EBITDA outlook of 125 to 135 million dollars, pointing to aggressive operational efficiencies gained through artificial intelligence. By automating manual tasks and reducing outsourced labor, Phreesia expects to sustain profitability margins even with lower high-margin revenue. Strategic initiatives include the launch of ProviderConnect and the expansion of patient financing through AccessOne. The company also strengthened its financial position by securing a new 275 million dollar credit facility. Analysts expressed concern regarding the visibility of pharma budgets and the sustainability of EBITDA targets, but management remains confident that their shift to a profitable, self-sustaining model provides the flexibility to navigate current macro-level challenges.

5-year share-count history (top 10 holders by peak, incl. exited) + price

Revenue Segments

Filing Risk Scores

PHREESIA, INC.: Manufactured profitability via tax maneuvers and high-risk fintech acquisitions

Full Earnings Call Transcript — Q4 • 2026-03-30

Operator: Good evening, ladies and gentlemen, and welcome to the Phreesia, Inc. fourth quarter 2026 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, Chief Financial Officer. Mr. Gandhi, you may begin.
Balaji Gandhi: Thank you, Operator. Good evening, and welcome to Phreesia, Inc.'s earnings conference call for fiscal year 2026, which ended on 01/31/2026. Joining me on today's call is Chaim 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-K submission to the SEC, including our quarterly stakeholder letter, both issued after the markets closed today. These documents are available on the Investor Relations website at ir.phreesia.com. As a reminder, today's call is being recorded, and a replay will be available on our investor website at ir.phreesia.com following the conclusion of the call. During today's call, we may make forward-looking statements, including statements regarding trends, 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 Annual Report on Form 10-K that will be filed with the SEC tomorrow. 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. 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 flow, 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 market closed today with the SEC, and may also be found on our Investor Relations website at ir.phreesia.com. I will now turn the call over to our CEO, Chaim Indig.
Chaim Indig: Thank you for joining our fourth quarter and fiscal year 2026 earnings call. Fiscal year 2026 was a pivotal year in Phreesia, Inc.'s journey defined by deliberate choices and disciplined execution. The decisions we made this year are the ones we made on our own terms, and we believe they will compound in our favor over the next several years and beyond. I want to start by recognizing the Phreesia, Inc. team. Key product launches, client success stories, our largest acquisition, and our achievement of key financial milestones are among the accomplishments the team contributed throughout the year. I want to thank everyone on the team for their dedication to Phreesia, Inc.'s mission, vision, and values. This year, we crossed several critical financial milestones. We hit our internal targets, surpassed $100,000,000 in Adjusted EBITDA, crossed $50,000,000 in free cash flow, and for the first time in our history as a publicly traded company, we delivered positive GAAP net income for our full fiscal year. Each of these is a meaningful milestone on its own. Together, they reflect a company that has made calculated bets, executed against them, and is now scaling from a position of genuine financial strength. I want to take a moment to reflect on two growth initiatives we discussed on our last call—provider financing and HCP marketing—because both made meaningful progress this year. On provider financing, the acquisition of AccessOne has been central to our strategy. We have now been operating the business for several months, and our investment thesis has only been reinforced. Patient financial responsibility continues to rise in this country. Providers need tools to convert patient receivables into predictable cash flow. AccessOne gives us a market-leading solution to address that need at scale. AccessOne is performing in line with our expectations, and we are actively working to expand our access to capital for securitization programs so we can bring AccessOne solutions to a greater portion of our provider network. We are excited about the long runway ahead. On HCP marketing, in early March, we announced the launch of ProviderConnect, a first-of-its-kind offering for healthcare provider marketers. This is a natural extension of what we have built with PatientConnect, one of the most trusted and effective point-of-care media offerings in the industry. ProviderConnect brings the same proven playbook—real care encounters, patient-level relevance, and privacy at the center—to the provider side of the equation. We believe our ability to align both sides of the care conversation is something no one else in the market can do as comprehensively as Phreesia, Inc., and we are excited to build on this foundation in fiscal 2027. We entered fiscal 2027 having built the financial profile we intended to build—one that gives us the flexibility to pursue opportunities on offense and the resilience to absorb challenges without altering our course. AccessOne and HCP are two of the opportunities we have discussed, and we look forward to sharing more of them, as well as other opportunities for growth and market extension. I also want to put our results in context. We are growing in a tough market. The healthcare industry is facing adversity. We are seeing challenges in FDA guidelines, insurance coverage, patient utilization, and provider reimbursement. We believe our emphasis on building products that address access, affordability, and outcomes, with revenue generation tilted toward financial services and consent-driven patient engagement, positions us to be an enduring platform. Segments of the life sciences industry are facing challenges, and we are seeing this reflected in our shorter visibility into spending commitments from certain pharmaceutical manufacturers in our Network Solutions business. This is an external dynamic, not a reflection of Phreesia, Inc.'s competitive position or the underlying demand for what we offer. While we do not believe this reflects a structural shift in demand for what Phreesia, Inc. offers, it is creating more variability in our financial forecast, and we are reflecting that in our updated fiscal 2027 outlook that Balaji will walk through. AI is also playing an increasingly important role in how we operate. We are using AI not just in the products we deliver to clients, but internally to automate manual processes, reduce our reliance on outsourced resources, and drive greater efficiency across the business. This is a meaningful contributor to our margin expansion and one we expect to continue to benefit from as we scale. We believe we are building the right company for this moment—one positioned to grow on its own terms as intelligence becomes embedded in how healthcare operates. Before handing it over to Balaji, I want to stress that our company is stronger than ever because of the decisions we have made, sometimes difficult ones. Our financial profile is strong, and we have a great team of leaders and significant bench strength behind them. We entered this fiscal year with several key priorities: positioning AccessOne for growth, scaling our HCP marketing offering, and continuing to infuse AI into the Phreesia, Inc. operating model. We believe these initiatives, combined with the discipline that has defined our recent performance, put us in a very strong position to take advantage of the multiple growth opportunities that lie ahead. A more modest revenue growth year does not change our trajectory. It reflects a specific external dynamic in one part of our business. We believe the underlying platform is stronger than it has ever been. I will now turn it over to Balaji to walk through the Q4 results and our fiscal 2027 outlook.
Balaji Gandhi: Thank you, Chaim. Let me start with a few highlights from our fourth quarter and fiscal year 2026 results, and then I will move into our outlook for fiscal 2027. For the fourth quarter of 2026, revenue was $127,100,000, up 16% year over year, with growth led by Payment Solutions following the acquisition of AccessOne. Excluding the AccessOne acquisition, revenue was up 7% year over year. Adjusted EBITDA was $29,400,000 compared to $16,400,000 in the same period in the prior year, representing an Adjusted EBITDA margin of 23%. Fourth-quarter average healthcare services clients, or AHSCs, reached 4,658, an increase of 138 from the prior quarter. Eighty of these AHSCs contributed through the AccessOne acquisition. These results were in line with our expectations. Fourth-quarter total revenue per AHSC was $27,279, up 8% year over year. There are several important financial milestones and developments included in our stakeholder letter, earnings release, and 10-K filing that are worth highlighting. 2026 was an important year for Phreesia, Inc.'s evolution as a profitable company. For the first year ever, we achieved positive net income and earnings per share. Over the past several years, we have made very intentional decisions around capital allocation to accelerate our path to GAAP profitability because we have believed it will become increasingly important to the investment community. Cash flow continues to improve. In the fourth quarter, net cash provided by operating activities was $33,700,000, up $17,400,000 year over year. Free cash flow was $28,500,000, up $19,300,000 year over year, our strongest quarterly free cash flow to date. The year-over-year improvements in operating cash flow and free cash flow were driven primarily by changes in working capital and operating cash flows provided by AccessOne. Cash and cash equivalents as of 01/31/2026 were $73,800,000 compared to $84,200,000 at 01/31/2025. Finally, before moving into our fiscal year 2027 outlook, let me review our recently completed refinancing subsequent to the end of fiscal year 2026. On 03/13/2026, we completed a refinancing of our bridge loan. We repaid all outstanding indebtedness under the bridge loan using $92,000,000 of borrowings from a new five-year $275,000,000 senior secured revolving credit facility with Capital One, maturing on 03/13/2031. This replaces both the bridge loan and the prior ABL facility. The unused borrowing capacity is available for working capital, capital expenditures, permitted acquisitions, and general corporate purposes. With the refinancing complete, we intend to prioritize allocation of capital to areas that we believe can enhance long-term shareholder value, which may include the paydown of long-term debt, investment to support revenue growth acceleration, and share repurchases as appropriate. Now transitioning to our financial outlook for fiscal year 2027. We have had several developments in recent weeks that drove our updated financial outlook for fiscal year 2027, which I will review and provide the reasons behind them. We are lowering our revenue outlook for fiscal year 2027. We now expect revenue to be in the range of $510,000,000 to $520,000,000 compared to our prior range of $545,000,000 to $559,000,000. As we discussed in December, we are experiencing shorter visibility into spending commitments by certain pharmaceutical manufacturers. Over the past several weeks, we have seen even lower levels of dollars committed by certain Network Solutions clients for the second half of the fiscal year. As I mentioned, we do not believe these developments are signaling a structural shift in demand for Phreesia, Inc.'s solutions. However, there is now more variability in our Network Solutions revenue forecasting, particularly in the second half of each year. Our visibility into revenue across other parts of the business is generally consistent with our views in December 2025. Our new revenue range assumes no additional revenue from potential future acquisitions completed between now and 01/31/2027. We are maintaining our Adjusted EBITDA outlook of $125,000,000 to $135,000,000 for fiscal year 2027. It is worth noting that we are holding our Adjusted EBITDA outlook even as we reduce our revenue range, a reflection of the operating leverage we have built and our ability to respond quickly with further efficiency gains. In addition to our continued confidence in the operating leverage embedded in our model, we have more recently identified significant opportunities to reduce our reliance on manual processes across Phreesia, Inc. through the adoption of artificial intelligence. Initially, we expect to see efficiencies in our utilization of outsourced resources. We are maintaining our expectation for AHSC growth in the mid-single-digit percentage range in fiscal 2027. We are updating our outlook for total revenue per AHSC to a low single-digit percentage range compared to our low double-digit range previously, reflecting the Network Solutions headwinds I just described. Operator, I think we can now open the lines for the Q&A session.
Operator: Thank you. We will now begin the question-and-answer session. If you have dialed in and would like to ask a question, please press star one on your telephone keypad to raise your hand and join the queue. If you would like to withdraw your question, simply press star one a second time. If you are called upon to ask your question and are listening via speakerphone on your device, please pick up your handset and ensure that your phone is not on mute when asking your question. To be able to take as many questions as possible, we ask that you please limit yourself to one question. You may rejoin the queue with follow-up questions, which we will take if time permits. Again, it is star one to join the queue. And our first question comes from the line of Sean Dodge with BMO Capital Markets. Your line is open.
Sean Dodge: Yeah, thanks. Good afternoon. Maybe just starting with the dynamics in the Network Solutions end market and just kind of clarify the change in the guidance. Balaji, having less visibility into what clients are going to spend, I guess, is this across all clients there, or is it just a subset of them? And then I also like, how well-based do you think those budgets are or their intentions are at this point? Is there a chance that they come back in a few months and increase their second-half spending commitments, or are those pretty firm at this point?
Balaji Gandhi: Yes. Sean, this is Balaji. Thanks for the question. So I will answer your second one first. It is very fluid, and I think that is one of the things we are trying to establish here. It is very early in the fiscal year, and we wanted to share this development with you now. But there is lots of activity that is happening in here. In fact, just getting updates in real time, things are going well in the fiscal first quarter. But we just think these shifting dynamics put us in a position where we think we want to be transparent and give you updates as the year goes on. So now pivoting to the first part of your question, it is not broad-based. It is in specific brands and therapeutic areas. I will give you just a couple of examples of things we are seeing that warrant this change. Vaccines—I do not think that should be a surprise to anyone on the call—but clearly vaccine spending and targeted marketing around that has pulled back. So that has been one area. Just generally public health with agencies in the federal government were also an area of growth for us in the past that we have written about in some of our letters, and that has also been an area. So it is just two examples. There are certainly a couple of others. But this is not broad-based, and I think as Chaim said in his opening remarks, it is not something that is happening specifically to Phreesia, Inc., but happening on a macro basis in a couple of different areas.
Operator: And our next question comes from the line of Ryan Daniels with William Blair. Your line is open.
Ryan Daniels: Yes, thanks for taking the questions. I will continue down the Network Solutions path. Can you talk a little bit more about what you are assuming this year for ProviderConnect? I am just curious if you think that is going to be a contributor as you look towards more HCP marketing versus traditional B2C and potentially how weak the guidance could have been if you did not have a novel product offering to offset some of that weakness?
Balaji Gandhi: Yeah, sure, Ryan. Very little. Very early days. Still something we are very excited about. But this change in our revenue outlook has nothing to do with anything that is going on with something very small. In fact, again, that is obviously a very small base. The launch went well, and we do see some upside there. But for this conversation, it is very small.
Operator: Our next question comes from the line of Jeff Garro with Stephens. Your line is open.
Jeff Garro: Yeah, good afternoon. Thanks for taking the question. I will continue on Network Solutions. Balaji, you did not mention price negotiations, your most favored nation pricing, or through some of the legislation, certain high-volume drugs getting their prices renegotiated with Medicare, so I want to check in on that factor and how that is impacting your pharma clients' budgeting and your outlook in turn? Thanks.
Balaji Gandhi: Yeah. I mean, we did not mention that, and that is not really what we are tying into. I think on the earlier question around different therapeutic areas and some regulatory activity, that is what we pointed to. But, you know, Jeff, it probably is not helping, those other topics.
Operator: Our next question comes from the line of Jailendra Singh with Truist Securities. Your line is open.
Jailendra Singh: Thank you. Thanks for taking my questions. So I want to focus on EBITDA guidance. I mean, you talked about AI efficiency gains, but can you be more specific outside of that? What kind of cost actions are you implementing, which is resulting in your EBITDA target still being unchanged, especially with revenue down $35,000,000 to $39,000,000 and majority of that cut coming into your higher-margin business? Trying to better understand how much of the cost reduction is temporary in nature versus structural in nature. Give us a little bit more color on the cost initiatives.
Balaji Gandhi: Yeah. Thanks, Jailendra. So here is one way to think about this topic. If you have just followed us, which I know you have, over the past several years, we certainly put a lot of capital investment into the business, and our view has always been that we should become more efficient and drive more margin expansion in the business. And I think that continues. That is what affords us to be able to continue to have the outlook for Adjusted EBITDA that we do here. Separately, I think the comments around AI are, I mean, again, probably not a secret to anyone on this call, but there have been some pretty big releases and developments that we are seeing as revolutionary in terms of how they can impact our business operationally. I think we did talk about manual processes, and I think we mentioned in the letter also specifically that some areas around outsourcing and manual processing that we think we can drive a lot of efficiency through initially. But, again, I will just point you back to the numbers in the last three, really almost four years, that we have always looked for ways to drive margin in the business.
Operator: Our next question comes from the line of Brian Tanquilut with Jefferies. Your line is open.
Brian Tanquilut: Hi, thanks for taking the question. This is Cameron on for Brian. I wanted to dig more into that EBITDA guidance a little further. When you are thinking about sales and marketing, and R&D spend, are you expecting those to be up year over year still, or is that part of that EBITDA margin improvement as well?
Balaji Gandhi: Yeah. I mean, we have not given very specific guidance around those specific lines. But I think, again, we have talked historically about our expense base and there being a lot of room for margin expansion. I think what we have said over the past year is the progression of that—you saw gross margin improve, then you saw G&A improve, then you saw sales and marketing improve as a percentage of revenue—and we said R&D should probably be a bigger contributor to margin expansion or expense ratio improvement in fiscal 2027. The others should also improve, but not as much as R&D.
Operator: Our next question comes from the line of Jessica Tassan with Piper Sandler. Your line is open.
Jessica Tassan: Hi. Thanks for taking the question. Can you maybe help us understand just on payment side, the payment facilitator percent and volume variability in FY 2026, just what is going on to cause the payment facilitator volume to go from 82% in the first half to 85% in Q3, 84% in Q4? And then just do you expect payment processing revenue to grow outside of AccessOne in FY 2027? Thank you.
Balaji Gandhi: Yeah. Jessica, I think on the payment facilitator percentage, there is certainly some client activity there where we have had some better attach rate. I do not think there is anything particularly noteworthy there. I think consistent with what we said for a few years, we have tried to focus on payback and adding new clients where we can benefit from all the different products we can offer them. And then on payments, nothing different from what we talked about in December. We expect it to grow year over year exclusive of AccessOne and that contribution. And I do not think we have given a specific number, but I think it should grow in the single digits.
Operator: And our next question comes from the line of Ryan MacDonald with Needham & Company. Your line is open.
Ryan MacDonald: Hi, thanks for taking my question. In terms of AccessOne, you talked about your investment thesis has been reinforced over the past several months, and positioning AccessOne for growth is obviously a key for fiscal 2027. Can you talk a bit more about your priorities there as you are looking to drive growth? Is it more focused on a tighter integration and cross-selling opportunities between AccessOne and core Phreesia, Inc., or more looking for ways to augment AccessOne as a standalone business unit? And how dependent is expanding your current access to capital for AccessOne to driving growth in that business in fiscal 2027? Thanks.
Balaji Gandhi: Yeah. Thanks, Ryan. So first of all, this is a very established franchise in the space, which is the reason we made the acquisition. So we expect to grow the products that we acquired based on that track record, etc. Obviously, we are going to put more resources around it within Phreesia, Inc. We already have. As far as the importance of expanding the capital base to bring it to our base, that is also super important. And if you think about just the progression, we closed the acquisition in November. First order of business was we wanted to move quickly on financing it. We had the bridge loan. We went in and refinanced that. Now we have a good long-term credit facility, and we have paid down the bridge, and we will continue to pay down debt. The next order very quickly behind it, which we have been very active on, is expanding the capital base to bring this to the Phreesia, Inc. base. So stay tuned for that. That will be another milestone to keep track of.
Operator: And our next question comes from the line of Richard Close with Canaccord Genuity. Your line is open.
Richard Close: Yes, thanks for the question. On subscription pricing, in the letter, you talk about optimizing client retention and also adoption. Just curious how much of that is really focused in on retention and if you are seeing any increased pressures of current clients looking to change?
Balaji Gandhi: Yeah, Richard. I think this has also been a pretty consistent theme for us. I think Chaim, a lot of times, will talk in investor meetings about better, faster, cheaper in terms of what our products need to do. So I would say it is very offensive on our part—making sure that we are improving our existing product, giving our clients more product. But we are completely comfortable and have conviction that we should be providing more value. And that is why we think we will drive more revenue growth in the other two revenue lines. But I would say it is more proactive and offensive on our part. We think it gives us a competitive advantage.
Operator: Our next question comes from the line of Stan Berenstain with Wells Fargo Securities.
Stan Berenstain: So back to Network, if we think about the revenue that remains within the guidance that you have updated, are there any brands that are driving an outsized contribution to the revenue expectations? I am just trying to think about, you know, revenue concentration, if there is anything to call out there. Thank you.
Balaji Gandhi: Yes. Stan, I think what you asked was about the revenue that is built into our existing revenue outlook. Nothing particularly noteworthy there in terms of concentration. And, again, going back, I think, to the original question of this call, what we want to do is be able to update you as we go through the year as we have more visibility. So by no means are we trying to suggest that the year is done and this is how we see revenue, but we think this is the right way to communicate for the rest of the year.
Operator: And our next question comes from the line of Joe Vruwink with Baird. Your line is open.
Joe Vruwink: Thank you. I wanted to ask about how you see AI changing the competitive landscape within the software business. I think patient intake is one of those categories where it is actually fairly common to use a specialist provider like Phreesia, Inc. alongside maybe your EHR or practice solution. Do you see AI capabilities—and you alluded to how Phreesia, Inc. is benefiting itself from AI capabilities—as a big kind of platform company is able to do that as well and maybe change the competitive dynamic?
Chaim Indig: We actually think that it is allowing us to increase the breadth of offerings we can offer our clients. What we have seen in the market dynamics is really the scope of the value we could provide is increasing at, frankly, such a rapid pace that our clients are more than excited about what we are able to offer. So I think that, look, healthcare has a lot of room for continuous improvement and value for the patients and providers. And we think that we are well suited, given the contextual information that we have and our long history of providing value to the patient and the provider, and we think that there is a lot more value that we can continue to provide to our clients beyond where we traditionally have played.
Operator: And our next question comes from the line of Steven Valiquette with Mizuho Securities. Your line is open.
Steven Valiquette: Thanks. Yeah, good afternoon. I guess, also, I have a question here on the Network Solutions. Your comments around the vaccines were helpful. I guess I am curious also from a therapeutic perspective, if possible, curious to hear more on just GLP-1 drugs as a category, especially with some big FDA approvals on oral formulations in the first half of the year. I guess the question is really from a high level, are oral GLP-1s more in the good-guy camp for you for your fiscal 2027 relative to your prior expectations? Are they kind of a bad guy relative to the prior, or no change? Just curious on that class in particular, since it is kind of a big driver of variability for this year. Thanks.
Balaji Gandhi: Steve, thanks for the question. On the margin, they are in the good-guy category, as you would characterize it, and amongst the other issues with vaccines and public health that we mentioned earlier.
Operator: Our next question comes from the line of Scott Schoenhaus with KeyBanc. Your line is open.
Scott Schoenhaus: I think in your prepared remarks, you mentioned that the visibility or the commitments from pharma worsened in the last few weeks. Wondering if you can provide any more color there. I know your ProviderConnect is fairly new, but are you seeing the same levels of that sort of erosion in commitments on the ProviderConnect side as the PatientConnect? And then in general, do you expect to see more or less or equal visibility from pharma's budgets on ProviderConnect versus PatientConnect? Thanks.
Balaji Gandhi: Yeah, thanks, Scott. So first of all, the commentary about recent updates has been all around PatientConnect. I think as we mentioned earlier, ProviderConnect is still very, very early. In fact, if anything, the news has been more positive fiscal year-to-date, and we have had a lot of good news coming out of clients. And we are all very excited about it. But, again, it is inconsequential in terms of the magnitude of the numbers still and has some room for upside. So I cannot—I am not sure, Scott, if I remember the rest of your questions, so maybe you can jump back in the queue.
Operator: And our next question comes from the line of Daniel Grosslight with Citigroup. Your line is open.
Daniel Grosslight: Hi, guys. Thanks for taking the question. If you allocate the entire guidance reduction to Network Solutions, it seems like we are looking at kind of a high-single-digit, low-double-digit year-over-year reduction in revenue. I am just—I just want to make sure I am thinking about that correctly for Network Solutions. And then from a cadence perspective, it is kind of like Q1 was actually pretty strong relative to your expectations. So if you could just walk us through how we should think about the sort of cadence of Network Solutions, or at least how it is contemplated in your guidance? And then lastly, you have previously ranked the growth of these three segments. I think you have previously said it is kind of Network Solutions first, then organic payments, and then subscription. I am just curious if once we get around all of this disruption, how we should be thinking about the growth rate of the three segments longer term.
Balaji Gandhi: Sure. So we do continue to believe that is how you should stack rank the contribution just on a normalized basis, but this year is clearly so far shaping up to be a little bit different. I think as far as the year-over-year comparisons you did—again, without giving specific line-item outlooks here—I think you should take away that the low end of the total revenue range implies it is going to be down a few points, and the high end would imply it is about flat.
Operator: And our next question comes from the line of Brian Halstead with RBC Capital Markets. Your line is open.
Brian Halstead: Thanks. Thanks for taking my question. Maybe just to follow up on the AccessOne questions. So you have obviously been having a lot of progress in scaling the business. I guess how should we think about the next phases of scaling AccessOne, and are you expanding within your footprint and identifying where you currently maybe have some existing competencies, or are you broadening into new footprints? And then, how should we think about that in terms of maybe start-up costs or other types of incremental costs to really further scale this?
Balaji Gandhi: Yeah. It is both, first of all. So think about it as the capital base as we expand it will allow us to bring more of those solutions to Phreesia, Inc.'s existing clients. We also see opportunities that are completely greenfield outside of the areas we play today in the broader healthcare provider ecosystem. So it is both. And I think that was the only question. Trying to write these as we go here.
Operator: Our next question comes from the line of Clark Wright with D.A. Davidson. Your line is open.
Clark Wright: Hi there. You made a comment during the remarks about the visibility into other revenue segments being consistent with December 2025. In the comments you made then, could you maybe just provide additional details on what is going on in the payments business in terms of AccessOne as we look through the financials of how you grow that with the additional credit facility that you have had? And where do you see the potential opportunities, primarily through new logos, or is it cross-selling into the existing base?
Balaji Gandhi: So, and again, we assumed nothing in terms of growth in our fiscal 2027 outlook when we laid it out back in December, and that continues today. In terms of the opportunities, there are net-new opportunities, there is expansion opportunities within AccessOne's legacy client base, which are part of Phreesia, Inc. And then I think last, which is where this soon-to-be expanded capital base that we are working on will allow us to bring this to other Phreesia, Inc. clients—
Operator: And our next question comes from the line of John Ransom with Raymond James. Your line is open.
John Ransom: If I think about the strategy over the past couple of years, it was to drive growth among providers that had higher prescription dispensing rates in order to drive Network Solutions? Is that strategy being rethought, or do you think this is just a speed bump?
Balaji Gandhi: Yeah, John. Speed bump is sort of a short answer. We still have a lot of conviction there. We think we have a very differentiated value proposition in terms of being able to provide valuable content to patients. So nothing has changed there. And increasingly providers, by the—
Operator: And our next question comes from the line of Gene Mannheimer with Freedom Capital Markets.
Gene Mannheimer: Hey, thanks for taking the question. Just thinking about your prepared remarks—you are holding the EBITDA guidance steady despite the revenue reduction. And I understand about the continuing margin expansion and efficiencies that you are driving. But, I mean, why not bias your EBITDA guidance toward the lower end of the range unless you have such confidence in meeting or exceeding that range?
Balaji Gandhi: Yeah. I mean, Gene, I think we have been public for almost seven years, and we have tried to provide information as we know it and where we have conviction. So I think you should just take that as how we feel about that.
Operator: And as a reminder, it is star one if you would like to join the queue. And we do have a follow-up question from Jailendra Singh with Truist Securities. Your line is open.
Jailendra Singh: I just want to see if you can follow up—if you can kind of give some more color on why you think that oral GLP-1 launching is a bad guy for your Network Solutions year? Just want to clarify that comment, Balaji.
Balaji Gandhi: Yeah. I did not hear anything about orals specifically. I thought it was more of a broader comment around some FDA activity and the general category. So there is nothing about the response that was specific to oral.
Operator: And we have a follow-up question from Ryan MacDonald with Needham & Company. Your line is open.
Ryan MacDonald: Hi, thanks for the time on the second one. Balaji, maybe if you could just clarify as we think about the flow of Network Solutions throughout the year. Is Network Solutions starting off at a lower base than what you expected in 2027? Because you also said, I guess, you said Q1 is going better than expected. Or are we looking at really, like, sort of the lack of visibility means that Network Solutions revenues are sort of down in second half relative to first half and sort of little impact to the first-half expectation? Thanks.
Balaji Gandhi: That is generally—you should take away the latter part of what you said, Ryan. But here is the thing. I think we have tried to explain this to you. It is very complex. There are a lot of different moving parts and data that goes into our ability to reach the right patient with the right message. So there is a lot of pacing involved too. But generally speaking, our view here is it is around the second half of the year, not the first half.
Operator: And with no further questions, I will now turn the conference back over to Mr. Chaim Indig for closing remarks.
Chaim Indig: I would like to thank everyone for joining us for the fiscal Q4 2026 earnings call. And I want to thank my teammates for a really strong year, and I look forward to the year ahead. And everyone, I hope, enjoys spring. Talk to you again in a couple of months.
Operator: Ladies and gentlemen, this concludes today's call, and we thank you for your participation. You may now disconnect.