Phreesia, Inc. (NYSE: PHR) (“Phreesia”) announced financial
results today for the fiscal third quarter ended October 31,
2021.
"We celebrated an important milestone in September as we
surpassed 100 million patient visits enabled by our platform during
the previous twelve months", said CEO and Co-Founder Chaim Indig.
"Every member of the Phreesia team has contributed to this
achievement; I would like to congratulate them on reaching this
milestone, and thank our clients for entrusting us to create a
better, more engaging healthcare experience".
Fiscal Third Quarter 2022 Highlights
- Revenue was $55.9 million in the quarter as compared to $38.5
million in the same period in the prior year, an increase of
45%.
- Average number of provider clients was 2,097 in the quarter as
compared to 1,737 in the same period in the prior year, an increase
of 21%.
- Average revenue per provider client was $19,299 in the quarter
compared to $17,490 in the same period in the prior year, an
increase of 10%.
- Adjusted EBITDA was negative $17.6 million in the quarter
compared to positive $1.2 million in the same period in the prior
year, reflecting increased growth investment.
- Cash and cash equivalents as of October 31, 2021 was $400.4
million, an increase of $181.6 million compared to January 31,
2021, driven primarily by our follow-on offering of common stock,
which generated net proceeds of $245.8 million, partially offset by
cash used for operating activities, capital expenditures and
payments of finance leases and other debt.
Outlook for Fiscal 2022
We are increasing our revenue outlook for Fiscal Year 2022 to
$211 million from our previously announced range of $195 million to
$198 million. Our Adjusted EBITDA outlook for Fiscal Year 2022 is
negative $64 million. We expect revenue for Fiscal Year 2023 to
grow in the range of 20 to 25% above Fiscal Year 2022 revenue. We
also anticipate a continued acceleration in investments in Fiscal
Year 2023 from Fiscal Year 2022 levels and will provide an outlook
for Adjusted EBITDA for Fiscal Year 2023 when we release our full
Fiscal Year 2022 results in March 2022.
Stakeholder Letter and Conference Call Information
For additional information about our quarterly results, please
refer to our Quarterly Stakeholder Letter that was furnished with
our Form 8-K, which was filed with the SEC and can be found at
https://ir.phreesia.com/resources/quarterly-stakeholder-letter/default.aspx.
The Company will hold a conference call on Thursday, December 9,
2021, at 8:45 a.m. Eastern Time to review the Company’s third
fiscal quarter financial results. To participate in the Company’s
live conference call and webcast, please dial (866) 211-4557 (or
(647) 689-6750 for international participants) using conference
code number 7489917 or visit the “Events & Presentations”
section of ir.phreesia.com. A replay of the call will be available
via webcast for on-demand listening shortly after the completion of
the call, at the same web link, and will remain available for
approximately 90 days.
Recent Events
Addition of Insignia Health, LLC to Phreesia
On December 3, 2021, Phreesia entered into an agreement to
acquire Insignia Health, LLC, a founder-led and mission-oriented
company, for $35 million in cash, subject to customary purchase
price adjustments. We acquired the company from its founders, the
University of Oregon and its other holders of membership interest.
We have closely followed Insignia for several years, and long
admired the company's background in academic research and its
commitment to improving health outcomes through an extensively
validated approach to helping patients become more active and
successful managers of their health.
COVID-19
In March 2020, the World Health Organization declared the
ongoing outbreak of a novel strain of coronavirus ("COVID-19") a
pandemic. There continues to be uncertainty as to the duration and
extent to which the global COVID-19 pandemic, as well as the
emergence of new variants, may adversely impact the Company's
business operations, financial performance, and results of
operations, as well as macroeconomic conditions, at this time.
Phreesia, Inc. Consolidated
Balance Sheets (in thousands, except share and per share
data)
October 31, 2021
January 31, 2021
(Unaudited)
Assets
Current:
Cash and cash equivalents
$
400,395
$
218,781
Settlement assets
16,323
15,488
Accounts receivable, net of allowance for
doubtful accounts of $705 and $699 as of October 31, 2021 and
January 31, 2021, respectively
35,460
29,052
Deferred contract acquisition costs
1,705
1,693
Prepaid expenses and other current
assets
10,450
7,254
Total current assets
464,333
272,268
Property and equipment, net of accumulated
depreciation and amortization of $50,838 and $40,148 as of October
31, 2021 and January 31, 2021, respectively
32,755
26,660
Capitalized internal-use software, net of
accumulated amortization of $29,838 and $25,476 as of October 31,
2021 and January 31, 2021, respectively
14,079
10,476
Operating lease right-of-use assets
2,005
2,654
Deferred contract acquisition costs
2,456
1,248
Intangible assets, net of accumulated
amortization of $907 and $525 as of October 31, 2021 and January
31, 2021, respectively
2,343
2,725
Deferred tax asset
150
658
Goodwill
8,211
8,307
Other assets
2,795
1,670
Total assets
$
529,127
$
326,666
Liabilities and Stockholders’
Equity
Current:
Settlement obligations
$
16,323
$
15,488
Current portion of finance lease
liabilities and other debt
4,597
4,864
Current portion of operating lease
liabilities
1,116
1,087
Accounts payable
11,602
4,389
Accrued expenses
18,885
18,324
Deferred revenue
12,434
10,838
Total current liabilities
64,957
54,990
Long-term finance lease liabilities and
other debt
5,134
6,471
Operating lease liabilities,
non-current
1,117
1,899
Total liabilities
71,208
63,360
Commitments and contingencies
Stockholders’ Equity:
Common stock, $0.01 par value -
500,000,000 shares authorized as of both October 31, 2021 and
January 31, 2021; 51,289,020 and 44,880,883 shares issued as of
October 31, 2021 and January 31, 2021, respectively
513
449
Additional paid-in capital
849,450
579,599
Accumulated deficit
(383,487)
(311,777)
Treasury stock, at cost, 157,612 and
99,520 shares at October 31, 2021 and January 31, 2021,
respectively
(8,557)
(4,965)
Total Stockholders’ Equity
457,919
263,306
Total Liabilities and Stockholders’
Equity
$
529,127
$
326,666
Phreesia, Inc. Consolidated
Statements of Operations (Unaudited) (in thousands, except
share and per share data)
Three months ended October
31,
Nine months ended October
31,
2021
2020
2021
2020
Revenue:
Subscription and related services
$
24,365
$
17,468
$
69,069
$
50,196
Payment processing fees
16,111
12,917
49,061
36,452
Life sciences
15,439
8,079
37,083
20,221
Total revenues
55,915
38,464
155,213
106,869
Expenses:
Cost of revenue (excluding depreciation
and amortization)
11,644
6,472
30,210
16,477
Payment processing expense
9,449
7,530
28,822
21,125
Sales and marketing
32,036
10,481
69,215
30,013
Research and development
15,273
5,732
34,770
16,267
General and administrative
18,021
10,370
46,936
28,721
Depreciation
3,719
2,447
10,717
7,125
Amortization
1,513
1,546
4,744
4,531
Total expenses
91,655
44,578
225,414
124,259
Operating loss
(35,740)
(6,114)
(70,201)
(17,390)
Other (expense) income, net
(114)
62
(138)
(229)
Interest (expense) income, net
(311)
(467)
(756)
(1,206)
Total other expense, net
(425)
(405)
(894)
(1,435)
Loss before provision for income
taxes
(36,165)
(6,519)
(71,095)
(18,825)
Provision for income taxes
(178)
(194)
(615)
(371)
Net loss
$
(36,343)
$
(6,713)
$
(71,710)
$
(19,196)
Net loss per share attributable to
common stockholders, basic and diluted
$
(0.71)
$
(0.17)
$
(1.44)
$
(0.51)
Weighted-average common shares
outstanding, basic and diluted
51,020,271
38,511,370
49,943,049
37,855,503
Phreesia, Inc. Unaudited
Consolidated Statements of Cash Flows (in thousands)
Nine months Ended October
31,
2021
2020
Operating activities:
Net loss
$
(71,710)
$
(19,196)
Adjustments to reconcile net loss to net
cash used in operating activities:
Depreciation and amortization
15,461
11,656
Stock-based compensation expense
25,976
9,616
Amortization of deferred financing costs
and debt discount
216
318
Cost of Phreesia hardware purchased by
customers
449
604
Deferred contract acquisition costs
amortization
1,709
2,280
Non-cash operating lease expense
730
1,228
Change in fair value of contingent
consideration liabilities
209
—
Deferred tax asset
508
279
Changes in operating assets and
liabilities:
Accounts receivable
(6,408)
(5,616)
Prepaid expenses and other assets
(5,686)
(1,940)
Deferred contract acquisition costs
(2,929)
(1,901)
Accounts payable
9,490
(2,300)
Accrued expenses and other liabilities
(5,563)
3,982
Lease liability
(779)
(1,419)
Deferred revenue
1,596
1,222
Net cash used in operating
activities
(36,731)
(1,187)
Investing activities:
Capitalized internal-use software
(7,962)
(4,663)
Purchase of property and equipment
(16,596)
(6,440)
Net cash used in investing
activities
(24,558)
(11,103)
Financing activities:
Proceeds from issuance of common stock in
equity offerings, net of underwriters' discounts and
commissions
245,813
174,800
Proceeds from issuance of common stock
upon exercise of stock options
4,062
3,351
Treasury stock to satisfy tax withholdings
on stock compensation awards
(3,546)
(869)
Payment of offering costs
—
(226)
Proceeds from employee stock purchase
plan
1,147
—
Insurance financing agreement
—
2,009
Finance lease payments
(3,175)
(1,797)
Principal payments on financing
agreements
(873)
(881)
Debt issuance costs
—
(69)
Loan facility fee payment
(125)
(225)
Payment of contingent consideration for
acquisitions
(400)
—
Net cash provided by financing
activities
242,903
176,093
Net increase in cash and cash
equivalents
181,614
163,803
Cash and cash equivalents – beginning
of period
218,781
90,315
Cash and cash equivalents – end of
period
$
400,395
$
254,118
Supplemental information of non-cash
investing and financing information:
Right-of-use assets obtained in exchange
for operating lease liabilities
$
81
$
4,420
Property and equipment acquisitions
through finance leases
$
2,645
$
6,050
Capitalized software acquired through
vendor financing
$
—
$
174
Cashless transfer of term loan and related
accrued fees into increase in debt balance
$
—
$
20,257
Cashless transfer of lender fees through
increase in debt balance
$
—
$
406
Deferred offering costs included in
accounts payable and accrued liabilities
$
—
$
64
Purchase of property and equipment and
capitalized software included in accounts payable
$
1,082
$
1,681
Capitalized stock-based compensation
$
279
$
—
Cash payments for:
Interest
$
578
$
1,047
Non-GAAP financial measures
Adjusted EBITDA is a supplemental measure of our performance
that is not required by, or presented in accordance with, GAAP.
Adjusted EBITDA is not a measurement of our financial performance
under GAAP and should not be considered as an alternative to net
income or loss or any other performance measure derived in
accordance with GAAP, or as an alternative to cash flows from
operating activities as a measure of our liquidity. We define
Adjusted EBITDA as net income or loss before interest expense
(income), net, provision for income taxes, depreciation and
amortization, and before stock-based compensation expense, change
in fair value of contingent consideration liabilities and other
expense (income), net.
We have provided below a reconciliation of Adjusted EBITDA to
net loss, the most directly comparable GAAP financial measure. We
have presented Adjusted EBITDA in this press release and our Annual
Report on Form 10-K because it is a key measure used by our
management and board of directors to understand and evaluate our
core operating performance and trends, to prepare and approve our
annual budget, and to develop short and long-term operational
plans. In particular, we believe that the exclusion of the amounts
eliminated in calculating Adjusted EBITDA can provide a useful
measure for period-to-period comparisons of our core business.
Accordingly, we believe that Adjusted EBITDA provides useful
information to investors and others in understanding and evaluating
our operating results in the same manner as our management and
board of directors. Phreesia has not reconciled its Adjusted EBITDA
outlook to GAAP Net income (loss) because it does not provide an
outlook for GAAP Net income (loss) due to the uncertainty and
potential variability of Other income, net and Provision for
(benefit from) income taxes, which are reconciling items between
Adjusted EBITDA and GAAP Net income (loss). Because Phreesia cannot
reasonably predict such items, a reconciliation of the non-GAAP
financial measure outlook to the corresponding GAAP measure is not
available without unreasonable effort. We caution, however, that
such items could have a significant impact on the calculation of
GAAP Net income (loss).
Our use of Adjusted EBITDA has limitations as an analytical
tool, and you should not consider it in isolation or as a
substitute for analysis of our financial results as reported under
GAAP. Some of these limitations are as follows:
- Although depreciation and amortization expense are non-cash
charges, the assets being depreciated and amortized may have to be
replaced in the future, and Adjusted EBITDA does not reflect cash
capital expenditure requirements for such replacements or for new
capital expenditure requirements;
- Adjusted EBITDA does not reflect: (1) changes in, or cash
requirements for, our working capital needs; (2) the potentially
dilutive impact of non-cash stock-based compensation; (3) tax
payments that may represent a reduction in cash available to us; or
(4) Interest expense (income), net; and
- Other companies, including companies in our industry, may
calculate Adjusted EBITDA or similarly titled measures differently,
which reduces its usefulness as a comparative measure.
Because of these and other limitations, you should consider
Adjusted EBITDA along with other GAAP-based financial performance
measures, including various cash flow metrics, net loss, and our
GAAP financial results. The following table presents a
reconciliation of Adjusted EBITDA to net loss for each of the
periods indicated:
Phreesia, Inc. Adjusted
EBITDA (Unaudited)
Three months ended October
31,
Nine months ended October
31,
(in thousands)
2021
2020
2021
2020
Net loss
$
(36,343)
$
(6,713)
$
(71,710)
$
(19,196)
Interest expense (income), net
311
467
756
1,206
Provision for income taxes
178
194
615
371
Depreciation and amortization
5,232
3,993
15,461
11,656
Stock-based compensation expense
12,929
3,316
25,976
9,616
Change in fair value of contingent
consideration liabilities
—
—
209
—
Other expense (income), net
114
(62)
138
229
Adjusted EBITDA
$
(17,579)
$
1,195
$
(28,555)
$
3,882
Phreesia, Inc. Reconciliation
of GAAP and Adjusted Operating Expenses (Unaudited)
Three months ended October
31,
Nine months ended October
31,
(in thousands)
2021
2020
2021
2020
GAAP operating expenses
General and administrative
$
18,021
$
10,370
$
46,936
$
28,721
Sales and marketing
32,036
10,481
69,215
30,013
Research and development
15,273
5,732
34,770
16,267
Cost of revenue
11,644
6,472
30,210
16,477
$
76,974
$
33,055
$
181,131
$
91,478
Stock compensation included in GAAP
operating expenses
General and administrative
$
4,943
1,635
$
11,237
$
5,169
Sales and marketing
5,169
1,008
9,046
2,530
Research and development
2,224
470
4,212
1,494
Cost of revenue
593
203
$
1,481
$
423
$
12,929
$
3,316
$
25,976
$
9,616
Adjusted operating expenses
General and administrative
$
13,078
$
8,735
$
35,699
$
23,552
Sales and marketing
26,867
9,473
60,169
27,483
Research and development
13,049
5,262
30,558
14,773
Cost of revenue
11,051
6,269
28,729
16,054
$
64,045
$
29,739
$
155,155
$
81,862
Phreesia, Inc. Key Metrics
(Unaudited)
Three months ended October
31,
Nine months ended October
31,
2021
2020
2021
2020
Key Metrics:
Provider clients (average over period)
2,097
1,737
1,996
1,679
Average revenue per provider client
$
19,299
$
17,490
$
59,196
$
51,604
- Provider clients. We define provider clients as the average
number of healthcare provider organizations that generate revenue
each month during the applicable period. In cases where we act as a
subcontractor providing white-label services to our partner's
clients, we treat the contractual relationship as a single provider
client. We believe growth in the number of provider clients is a
key indicator of the performance of our business and depends, in
part, on our ability to successfully develop and market our
Platform to healthcare provider organizations that are not yet
clients. While growth in the number of provider clients is an
important indicator of expected revenue growth, it also informs our
management of the areas of our business that will require further
investment to support expected future provider client growth. For
example, as the number of provider clients increases, we may need
to add to our customer support team and invest to maintain
effectiveness and performance of our Platform and software for our
provider clients and their patients.
- Average revenue per provider client.We define average revenue
per provider client as the total subscription and related services
and payment processing revenue generated from provider clients in a
given period divided by the average number of provider clients that
generate revenue each month during that same period. We are focused
on continually delivering value to our provider clients and believe
that our ability to increase average revenue per provider client is
an indicator of the long-term value of the Phreesia platform.
Additional Information
(Unaudited)
Three months ended October
31,
Nine months ended
October 31,
2021
2020
2021
2020
Patient payment volume (in millions)
$
682
$
524
$
2,079
$
1,445
Payment facilitator volume percentage
79
%
80
%
78
%
82
%
- Patient payment volume. We believe that patient payment volume
is an indicator of both the underlying health of our provider
clients’ businesses and the continuing shift of healthcare costs to
patients. We measure patient payment volume as the total dollar
volume of transactions between our provider clients and their
patients utilizing our payment platform, including via credit and
debit cards that we process as a payment facilitator as well as
cash and check payments and credit and debit transactions for which
Phreesia acts as a gateway to other payment processors.
- Payment facilitator volume percentage. We define payment
facilitator volume percentage as the volume of credit and debit
card patient payment volume that we process as a payment
facilitator as a percentage of total patient payment volume.
Payment facilitator volume is a major driver of our payment
processing revenue.
Available Information
Phreesia intends to use its Company website (including its
Investor Relations website) as well as its Facebook, Twitter and
LinkedIn accounts as a means of disclosing material non-public
information and for complying with its disclosure obligations under
Regulation FD.
Forward Looking Statements
This press release includes forward-looking statements within
the meaning of Section 27A of the Securities Act and Section 21E of
the Securities Exchange Act of 1934, as amended that involve
substantial risks and uncertainties. Forward-looking statements
generally relate to future events or our future financial or
operating performance and may contain projections of our future
results of operations or of our financial information or state
other forward-looking information. In some cases, you can identify
forward-looking statements by the following words: “may,” “will,”
“could,” “would,” “should,” “expect,” “intend,” “plan,”
“anticipate,” “believe,” “estimate,” “predict,” “project,”
“potential,” “continue,” “ongoing,” or the negative of these terms
or other comparable terminology, although not all forward-looking
statements contain these words. Although we believe that the
expectations reflected in these forward-looking statements are
reasonable, these statements relate to future events or our future
operational or financial performance and involve known and unknown
risks, uncertainties and other factors that may cause our actual
results, performance or achievements to be materially different
from any future results, performance or achievements expressed or
implied by these forward looking statements. Furthermore, actual
results may differ materially from those described in the
forward-looking statements and will be affected by a variety of
risks and factors that are beyond our control, including, without
limitation, statements about our future financial performance,
including our revenue, cash flows, costs of revenue and operating
expenses; our anticipated growth; our predictions about our
industry; the impact of the COVID-19 pandemic on our business and
our ability to attract, retain and cross-sell to healthcare
provider clients; and our ability to realize the intended benefits
of our acquisitions. The forward-looking statements contained in
this release are also subject to other risks and uncertainties,
including those more fully described in our filings with the
Securities and Exchange Commission (“SEC”), including in our
Quarterly Report on Form 10-Q for the fiscal quarter ended October
31, 2021 that will be filed with the SEC following this press
release. The forward-looking statements in this press release 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, any forward-looking statements made in this press release
to reflect events or circumstances after the date of this press
release or to reflect new information or the occurrence of
unanticipated events, except as required by law. We may not
actually achieve the plans, intentions or expectations disclosed in
our forward-looking statements and you should not place undue
reliance on our forward-looking statements.
This press release includes certain non-GAAP financial measures
as defined by SEC rules. We have provided a reconciliation of those
measures to the most directly comparable GAAP measures.
ABOUT PHREESIA
Phreesia gives healthcare organizations a suite of robust
applications to manage the patient intake process. Our innovative
SaaS platform engages patients in their care and provides a modern,
consistent experience, while enabling healthcare organizations to
optimize their staffing, boost profitability and enhance clinical
care.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20211208006051/en/
Investors: Balaji Gandhi Phreesia, Inc. investors@phreesia.com
(929) 506-4950 Media: Annie Harris Phreesia, Inc.
aharris@phreesia.com (929) 526-2611
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