Phreesia Announces Fiscal First Quarter 2022 Results

Phreesia, Inc. (NYSE: PHR) (“Phreesia”) announced financial results today for the fiscal first quarter ended April 30, 2021.

"We carried the momentum of the strong finish to our fiscal year 2021 into the first quarter of fiscal 2022. As we look ahead, we’re excited to continue providing health systems, hospitals and ambulatory providers with tools that will help them optimize their performance and improve the patient experience,” said Phreesia CEO Chaim Indig.

Fiscal First Quarter 2022 Highlights

  • Revenue was $48.3 million in the quarter as compared to $33.4 million in the same period in the prior year, an increase of 45%.
  • Average number of provider clients was 1,902 in the quarter as compared to 1,632 in the same period in the prior year, an increase of 17%.
  • Average revenue per provider client was $20,222 in the quarter compared to $16,735 in the same period in the prior year, an increase of 21%.
  • Adjusted EBITDA was positive $0.1 million in the quarter compared to positive $1.5 million in the same period in the prior year.
  • Cash and cash equivalents as of April 30, 2021 was $450.7 million, an increase of $231.9 million compared to January 31, 2021, driven primarily by our follow-on offering of common stock, which generated net proceeds of $245.8 million.

Outlook for Fiscal 2022

We are increasing our revenue outlook for fiscal 2022 to a range of $191 million to $194 million from the previous range of $178 million to $186 million. We continue to expect our overall cash outflow to increase in fiscal 2022 compared to fiscal 2021 as we continue to ramp up hiring and infrastructure across the organization to support our anticipated growth.

Conference Call Information

The Company will hold a conference call on Friday, June 4, 2021, at 8:30 a.m. Eastern Time to review the Company’s first 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 3966898 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

COVID-19

The impact of the COVID-19 (a novel strain of coronavirus) pandemic has been widespread and rapidly evolving. Over the last six months, several vaccines for COVID-19 received FDA approval and are currently being administered across the country. To date, more than a third of Americans are fully vaccinated against the virus. Despite the promising vaccination rates and many states' reopening plans, we believe COVID-19 may continue to impact the normal operations of our clients, which are primarily healthcare providers. As more individuals are vaccinated, we expect these impacts to be diminished.

 

Phreesia, Inc.

Consolidated Balance Sheets

(Unaudited)

(in thousands, except share and per share data)

 

 

April 30, 2021

 

January 31, 2021

 

(unaudited)

 

 

Assets

 

 

 

Current:

 

 

 

Cash and cash equivalents

$

450,680

 

 

$

218,781

 

Settlement assets

16,788

 

 

15,488

 

Accounts receivable, net of allowance for doubtful accounts of $666 and $699 as of April 30, 2021 and January 31, 2021, respectively

29,964

 

 

29,052

 

Deferred contract acquisition costs

1,895

 

 

1,693

 

Prepaid expenses and other current assets

7,906

 

 

7,254

 

Total current assets

507,233

 

 

272,268

 

Property and equipment, net of accumulated depreciation and amortization of $43,442 and $40,148 as of April 30, 2021 and January 31, 2021, respectively

25,068

 

 

26,660

 

Capitalized internal-use software, net of accumulated amortization of $26,998 and $25,476 as of April 30, 2021 and January 31, 2021, respectively

11,225

 

 

10,476

 

Operating lease right-of-use assets

2,497

 

 

2,654

 

Deferred contract acquisition costs

2,438

 

 

1,248

 

Intangible assets, net of accumulated amortization of $653 and $525 as of April 30, 2021 and January 31, 2021, respectively

2,597

 

 

2,725

 

Deferred tax asset

533

 

 

658

 

Goodwill

8,211

 

 

8,307

 

Other assets

1,401

 

 

1,670

 

Total assets

$

561,203

 

 

$

326,666

 

Liabilities and Stockholders’ Equity

 

 

 

Current:

 

 

 

Settlement obligations

$

16,788

 

 

$

15,488

 

Current portion of debt and finance lease liabilities

4,103

 

 

4,864

 

Current portion of operating lease liabilities

1,153

 

 

1,087

 

Accounts payable

313

 

 

4,389

 

Accrued expenses

15,116

 

 

18,324

 

Deferred revenue

13,223

 

 

10,838

 

Total current liabilities

50,696

 

 

54,990

 

Long-term debt and finance lease liabilities

5,532

 

 

6,471

 

Operating lease liabilities, non-current

1,701

 

 

1,899

 

Total liabilities

57,929

 

 

63,360

 

Commitments and contingencies

 

 

 

Stockholders’ Equity:

 

 

 

Common stock, $0.01 par value - 500,000,000 shares authorized as of April 30, 2021 and January 31, 2021, respectively; 50,270,229 and 44,880,883 shares issued as of April 30, 2021 and January 31, 2021, respectively

503

 

 

449

 

Additional paid-in capital

831,632

 

 

579,599

 

Accumulated deficit

(322,751

)

 

(311,777

)

Treasury stock, at cost, 119,138 and 99,520 shares at April 30, 2021 and January 31, 2021, respectively

(6,110

)

 

(4,965

)

Total Stockholders’ Equity

503,274

 

 

263,306

 

Total Liabilities and Stockholders’ Equity

$

561,203

 

 

$

326,666

 

 

Phreesia, Inc.

Consolidated Statements of Operations

(Unaudited)

(in thousands, except share and per share data)

 

Three months ended April 30,

 

2021

 

2020

Revenue:

 

 

 

Subscription and related services

$

21,819

 

 

$

15,599

 

Payment processing fees

16,644

 

 

11,707

 

Life sciences

9,828

 

 

6,090

 

Total revenues

48,291

 

 

33,396

 

Expenses:

 

 

 

Cost of revenue (excluding depreciation and amortization)

8,534

 

 

4,734

 

Payment processing expense

9,725

 

 

6,848

 

Sales and marketing

15,012

 

 

9,434

 

Research and development

8,054

 

 

5,005

 

General and administrative

12,671

 

 

8,720

 

Depreciation

3,297

 

 

2,268

 

Amortization

1,651

 

 

1,353

 

Total expenses

58,944

 

 

38,362

 

Operating loss

(10,653

)

 

(4,966

)

Other income (expense), net

66

 

 

(715

)

Interest (expense) income, net

(238

)

 

(320

)

Total other expense, net

(172

)

 

(1,035

)

Loss before provision for income taxes

(10,825

)

 

(6,001

)

Provision for income taxes

(149

)

 

(111

)

Net loss

$

(10,974

)

 

$

(6,112

)

Net loss per share attributable to common stockholders, basic and diluted

$

(0.24

)

 

$

(0.16

)

Weighted-average common shares outstanding, basic and diluted

45,416,431

 

 

37,308,084

 

 

 

 

 

Phreesia, Inc.

Consolidated Statements of Cash Flows

(unaudited)

(in thousands)

 

 

 

Three Months Ended April 30,

 

2021

 

2020

Operating activities:

 

 

 

 

Net loss

 

$

(10,974

)

 

$

(6,112

)

Adjustments to reconcile net loss to net cash (used in) provided by operating activities:

 

 

 

 

Depreciation and amortization

 

4,948

 

 

3,621

 

Stock-based compensation expense

 

5,774

 

 

2,872

 

Amortization of debt discount

 

72

 

 

126

 

Cost of Phreesia hardware purchased by customers

 

135

 

 

172

 

Deferred contract acquisition cost amortization

 

575

 

 

525

 

Non-cash operating lease expense

 

256

 

 

389

 

Deferred tax asset

 

125

 

 

56

 

Changes in operating assets and liabilities:

 

 

 

 

Accounts receivable

 

(912

)

 

(2,245

)

Prepaid expenses and other assets

 

(809

)

 

1,614

 

Deferred contract acquisition costs

 

(1,967

)

 

(714

)

Accounts payable

 

(1,068

)

 

(998

)

Accrued expenses and other liabilities

 

(3,678

)

 

1,871

 

Lease liability

 

(335

)

 

(502

)

Deferred revenue

 

2,385

 

 

1,228

 

Net cash (used in) provided by operating activities

 

(5,473

)

 

1,903

 

Investing activities:

 

 

 

 

Capitalized internal-use software

 

(2,916

)

 

(1,160

)

Purchase of property and equipment

 

(3,983

)

 

(1,917

)

Net cash used in investing activities

 

(6,899

)

 

(3,077

)

Financing activities:

 

 

 

 

Proceeds from issuance of common stock in equity offerings, net of underwriters' discounts and commissions

 

245,813

 

 

 

Proceeds from issuance of common stock upon exercise of stock options

 

1,356

 

 

1,736

 

Treasury stock to satisfy tax withholdings on stock compensation awards

 

(1,145

)

 

 

Payments of offering costs

 

(30

)

 

 

Finance lease payments

 

(1,050

)

 

(525

)

Principal payments on financing arrangements

 

(673

)

 

 

Loan facility fee payment

 

 

 

(100

)

Net cash provided by financing activities

 

$

244,271

 

 

$

1,111

 

Net increase (decrease) in cash and cash equivalents

 

231,899

 

 

(63

)

Cash and cash equivalents – beginning of period

 

218,781

 

 

90,315

 

Cash and cash equivalents – end of period

 

$

450,680

 

 

$

90,252

 

 

 

 

 

 

 

Supplemental information of non-cash investing and financing information:

 

 

 

 

Right-of-use assets obtained in exchange for operating lease liabilities

 

$

81

 

 

$

3,185

 

Property and equipment acquisitions through finance leases

 

$

203

 

 

$

827

 

Deferred offering costs included in accounts payable and accrued expenses

 

$

362

 

 

$

 

Purchase of property and equipment and capitalized software included in accounts payable

 

$

351

 

 

$

791

 

Cash payments for:

 

 

 

 

Interest

 

$

156

 

 

$

306

 

 

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 (benefit from) income taxes, depreciation and amortization, and before stock-based compensation expense, change in fair value of contingent consideration liabilities and other (income) expense, 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.

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 April 30,

(in thousands)

2021

 

2020

Net loss

 

$

(10,974

)

 

$

(6,112

)

Interest expense (income), net

 

238

 

 

320

 

Provision for income taxes

 

149

 

 

111

 

Depreciation and amortization

 

4,948

 

 

3,621

 

Stock-based compensation expense

 

5,774

 

 

2,872

 

Other (income) expense, net

 

(66

)

 

715

 

Adjusted EBITDA

 

$

69

 

 

$

1,527

 

 

Phreesia, Inc.

Reconciliation of GAAP and Adjusted Operating Expenses

(Unaudited)

 

 

 

Three Months ended April 30,

(in thousands)

 

2021

 

2020

GAAP operating expenses

 

 

 

 

General and administrative

 

12,671

 

 

8,720

 

Sales and marketing

 

15,012

 

 

9,434

 

Research and development

 

8,054

 

 

5,005

 

Cost of revenue

 

8,534

 

 

4,734

 

 

 

$

44,271

 

 

$

27,893

 

Stock compensation included in GAAP operating expenses

 

 

 

 

General and administrative

 

$

2,918

 

 

$

1,606

 

Sales and marketing

 

1,646

 

 

728

 

Research and development

 

844

 

 

452

 

Cost of revenue

 

366

 

 

86

 

 

 

$

5,774

 

 

$

2,872

 

Adjusted operating expenses

 

 

 

 

General and administrative

 

$

9,753

 

 

$

7,114

 

Sales and marketing

 

13,366

 

 

8,706

 

Research and development

 

7,210

 

 

4,553

 

Cost of revenue

 

8,168

 

 

4,648

 

 

 

$

38,497

 

 

$

25,021

 

 

Phreesia, Inc.

Key Metrics

(Unaudited)

 

 

 

Three months ended April 30,

 

 

2021

 

2020

Key Metrics:

 

 

 

 

Provider clients (average over period)

 

1,902

 

 

1,632

 

Average revenue per provider client

 

$

20,222

 

 

$

16,735

 

 
  • 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 April 30,

 

 

2021

 

2020

Patient payment volume (in millions)

 

$

701

 

 

$

454

 

Payment facilitator volume percentage

78

%

84

%

 
  • 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 express or implied statements that are not historical facts and are considered forward-looking within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act. Forward-looking statements 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. 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 year ended April 30, 2021 that will be filed with the SEC following this earnings 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.

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.

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