Phreesia(PHR)2023-03-23 03:09Financial Data and Key Metrics - Revenue in Q4 was $77 million, up 32% YoY, marking the eighth consecutive quarter of over 30% YoY revenue growth [9] - Average number of healthcare services clients in Q4 was 3,140, up 36% YoY, with 158 clients added sequentially [10] - Total revenue per average healthcare services client was $24,390, down 3% YoY and 1% sequentially, driven by client growth outpacing revenue growth in subscription and payment processing [11] - Subscription-related services revenue grew 35% YoY, payment processing revenue grew 23% YoY, and network solutions revenue grew 36% YoY [11] - For fiscal 2024, revenue is expected to be in the range of $353 million to $356 million, implying 26% to 27% growth over fiscal 2023 [12] - Adjusted EBITDA for fiscal 2024 is expected to be in the range of negative $65 million to negative $60 million, showing continued improvement toward profitability [12] Business Line Data and Key Metrics - Healthcare services revenue, combining subscription and related services with payment processing, grew 31% YoY in Q4 [10] - Network solutions revenue saw strong growth, driven by client focus on ROI and the effectiveness of the company's team [22] - The company facilitated over 120 million visits in fiscal 2023, up 20% YoY, with healthcare services client growth slightly outpacing visit growth [38] Market Data and Key Metrics - The company expects a sequential increase in average healthcare services clients in Q1 of fiscal 2024, similar to the 158-client increase seen in Q4 of fiscal 2023 [13] - The company remains comfortable with its ability to finance fiscal 2025 targets, including reaching $500 million in annualized revenue and achieving adjusted EBITDA profitability [14] Company Strategy and Industry Competition - The company is focused on delivering durable and profitable growth, with a strong emphasis on ROI and client value [22] - The company is investing in product development and new markets, with a goal of returning to adjusted EBITDA profitability in fiscal 2025 [14] - The company is well-positioned to capitalize on the growing demand for healthcare automation and patient engagement solutions [22] Management Commentary on Operating Environment and Future Outlook - Management highlighted the strong performance of the network solutions segment, attributing it to client focus on ROI and the effectiveness of the company's team [22] - The company is optimistic about its ability to achieve fiscal 2025 targets, including reaching $500 million in annualized revenue and achieving adjusted EBITDA profitability [14] - Management emphasized the importance of maintaining a culture of ownership and stewardship of capital, which has contributed to the company's strong financial performance [49] Other Important Information - The company announced a CFO transition, with Balaji Gandhi taking over as CFO on March 24, 2023 [6][7] - The company introduced a new key metric, total revenue per average healthcare services client, which was $24,390 in Q4 [11] Q&A Session Summary Question: Growth in Network Solutions Segment - The company attributed strong growth in the network solutions segment to client focus on ROI and the effectiveness of its team [22] - Management expects continued growth in this segment, driven by client demand for ROI-focused solutions [22] Question: Outlook for Fiscal 2024 - The company expects revenue growth of 26% to 27% in fiscal 2024, driven by client growth and stable revenue per client [12][35] - Management highlighted the importance of maintaining operating leverage and achieving adjusted EBITDA profitability in fiscal 2025 [14] Question: Payment Processing Revenue - Payment processing revenue grew 23% YoY in Q4, with management expecting stable growth in fiscal 2024 [11][35] - The company is focused on improving payment processing margins and expects to see improvement as it scales [95] Question: Social Determinants of Health Screening Tool - The company provides social determinants of health modules as part of its package but does not currently monetize this offering [42] - Management believes this is the right thing to do for clients and patients, and there are no plans to charge for this service [42] Question: EBITDA Performance and Guidance - Management discussed the factors that contributed to better-than-expected EBITDA performance in fiscal 2023, including improved productivity and cost management [46][48] - The company expects continued improvement in EBITDA, with a goal of achieving profitability in fiscal 2025 [14] Question: New Metric - Total Revenue per Average Healthcare Services Client - The company introduced this metric to provide a more comprehensive view of revenue performance across subscription, payment processing, and network solutions [52] - Management expects this metric to fluctuate based on the contribution of different revenue streams in any given quarter [52] Question: Long-Term Growth and Client Retention - The company is focused on both client acquisition and expansion, with a strong emphasis on delivering value to existing clients [50][52] - Management highlighted the importance of cross-selling and upselling to drive long-term growth [100] Question: R&D Investments and Product Development - The company is investing in R&D to drive product innovation and expand into new markets [122] - Management expects R&D expenses to grow in line with revenue, contributing to long-term operating leverage [124] Question: Payer and Referral Management Growth - The company is seeing early success in the payer space, with the first enrollment period for MemberConnect performing better than expected [26][27] - Management is optimistic about the growth potential of these newer vectors but is still in the learning phase [27] Question: Commercial Team and Cross-Selling - The company has separate teams for new client acquisition and client expansion, both of which are performing well [92] - Management is focused on cross-training and enabling the commercial team to sell the full suite of solutions [100] Question: Payment Fees per Provider Client - Payment fees per provider client declined 10% YoY in Q4, driven by a mix of client types [119] - Management expects this metric to stabilize and return to more normalized growth in fiscal 2024 [120] Question: Capital Allocation and Acquisitions - The company is committed to being a good steward of capital and will consider acquisitions if they align with strategic goals and deliver strong returns [149] - Management emphasized the importance of acquiring great capabilities rather than just good deals [149] Question: Life Sciences Growth - Growth in the life sciences segment is being driven by greater wallet share from existing clients, new client acquisitions, and strong execution [151] - The company is focused on delivering value to life sciences clients and expanding its footprint in this market [151] Question: Hospital Market Expansion - The company has seen success in various hospital segments, including children's hospitals, community hospitals, and regional hospitals [170] - Management is focused on delivering value to hospitals through automation and improved workflows [170]