Phreesia Q1 2024 Earnings Call Transcript

Quartr
Provided by Quartr
May 31, 2023

There are 15 speakers on the call.

Operator

Good evening, ladies and gentlemen, and welcome to the Phreesia Fiscal First Quarter 2024 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, Phreesia's Chief Financial Officer. Mr.

Operator

Gandhi, thank you, operator.

Speaker 1

Good evening, and welcome to Phreesia's earnings conference call for the fiscal Q1 of 2024, which ended on April 30, 2023. Joining me on today's call is Chaim Mandig, our Chief Executive Officer. A complete discussion of our results can be found in our earnings press release and in our related Form 8 ks submission to the SEC, including our quarterly stakeholder letter, both issued after the markets closed today. These documents are available on the Investor Relations section of our website at ir.friesia.com. As a reminder, today's call is being recorded and a replay will be available on our Investor Relations website at ir.friesia.com following the conclusion of the call.

Speaker 1

During today's call, we may make forward looking statements, including statements regarding trends, our anticipated 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 quarterly report on Form 10 Q that will be filed with the SEC tomorrow. The forward looking statements made on this call will be based on our current views and and speak only as of the date on which the statements are made. We undertake no obligation to update and expressly We 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.

Speaker 1

We may also refer to certain financial measures not in accordance with generally accepted accounting principles 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 markets closed today with the SEC and may also be found on our Investor Relations website at ir.fresia.com. I will now turn the call over to our CEO, Jaime Dickey.

Speaker 2

Thank you, Balaji, and good evening, everyone. Thank you for participating in our Q1 earnings call. Our stakeholder letter and earnings release came out about an hour ago, but let me start the call by sharing a few key highlights of the materials we released. Revenue in the Q1 was $84,000,000 up 32% year over year. That's our 9th consecutive quarter of over 30% year over year revenue growth, another fantastic achievement by the Phreesia team.

Speaker 2

Congratulations to all of you who are listening. In the quarter, our average number of healthcare services clients was 3,309, up 31% year over year. We added 169 average healthcare services clients from the 4th quarter to the 1st quarter. Total revenue per average healthcare services client was $25,338 up 1% year over year and 4% sequentially. Subscription and related services revenue grew 30% year over year.

Speaker 2

Payment processing revenue grew 25% year over year and network solutions revenue was up 46% year over year. Now let me hand it over to Balaji to talk about our fiscal 2024 outlook.

Speaker 1

Thanks, Haim. Moving on to our outlook for fiscal 2024, which ends on January 31, 2024. We are maintaining our revenue outlook for fiscal 2024, which is in the range of $353,000,000 to $356,000,000 implying growth of 26% to 27% over our fiscal 2023 revenue. We are raising our adjusted EBITDA outlook to a range of negative $60,000,000 to negative $55,000,000 from a range of negative $65,000,000 to negative $60,000,000 showing continued improvement on our path to profitability. We are also maintaining our revenue and profitability targets for fiscal 2025.

Speaker 1

Those targets are $125,000,000 of revenue in a quarter during fiscal 2025, which implies $500,000,000 of annualized revenue and returning to adjusted EBITDA profitability during fiscal year 2025. We remain comfortable with our ability to finance our fiscal 2025 targets with our cash position. We believe our capital allocation strategy sets us up to deliver on our financial targets for fiscal 2025 and beyond. We continue to focus on driving shareholder value. Operator, I think we can now open it up to Q and A.

Operator

Thank you, Mr. Gandhi. And if you do find your question has been addressed. You can remove yourself from the queue by pressing star 1 again. And we do ask that you please limit yourself to one question and one follow-up question initially.

Operator

We'll take our first question this afternoon from Ann Samuel of JPMorgan.

Speaker 3

Hi, guys. Thanks for taking the question and congrats on the great results. In your letter, you spoke to higher patient volumes in the Q1. I was just hoping maybe you could talk about what you attribute that to? And then just how to think about cadence for the remainder of the year?

Speaker 3

Was this a pull forward from 2Q?

Speaker 2

Or do

Speaker 3

you think that that will be spread more evenly throughout the year?

Speaker 1

Yes. Hi, Annie. A lot of you here. So the comment around the volumes in the Q1, I think what's important to take away is that it was just stronger than we anticipated. So when we entered the year, It's obviously there's some seasonality and there's some seasonal strength, but it was just stronger than we would have thought.

Speaker 1

I think and maybe Chaim can talk about this a little bit. If you think about our business and having been at this a long time, we can be off a little bit on any quarter. We have a lot of visibility, but there's Things around weather, there's things around different mix on different specialties that can skew that. So I don't

Speaker 2

know, Hans, if you want

Speaker 1

to add anything on that and I can come back to the cadence.

Speaker 2

No, you did a great job. You did a great job, look, I think it's still early in the year. And I think we got a lot of months left to go.

Speaker 1

And Eddie, on the cadence, we did mention that the volume strength also helped with some of the pacing of our programs and our campaigns

Speaker 2

in the Q1. So

Speaker 1

as you know that revenue is non recurring and We're selling campaigns throughout the year as well. So if you just did think about the cadence, some of that will have to have things will have to happen in 2Q to sort of fill that out. We obviously don't provide quarterly guidance, but I think you should definitely think about a little bit of that being pulled up.

Speaker 3

Okay. That's really helpful. Thank you. And then maybe just one more. You saw really nice gross margins on the software side.

Speaker 3

And just Curious if we should be assuming that you can kind of hold this cost of revenue level or if there was maybe something unique this quarter that helps keep it kind of flat?

Speaker 1

Well, I mean, first of all, I think it's just important to call out the team. I mean, just continued Great effort by everyone. We obviously made a lot of investments across all those client services, client support teams, And everyone's done a great job as we've continued to add a ton of clients, 169 this quarter. So we've and as we've said, continue to say that when we think about getting back to adjusted EBITDA profitability, It's going to be based on more gross margin improvement, but I think the big step up has happened and now you're talking about more Kind of moderate improvement from here, but yes, we do feel pretty good about it.

Speaker 2

It was pretty nice, wasn't it?

Speaker 3

It was very nice. Thanks for the color guys and congrats again.

Speaker 2

Thank you. Thanks.

Operator

Thank you. We go next now to Ryan Daniels at William Blair.

Speaker 4

Balaji, maybe I'll start with one for you. The sales and marketing line, seeing really great leverage there. It was off 10% year over year despite the 30% plus growth. How should we Think about that line item going forward and maybe the cadence there

Speaker 1

as we roll through the year? Yes. I mean, once again, it's Worth calling out just the effort by the team. So it's I mean, I think people use the term productivity a lot, but there's people behind all that. And so we've also been pretty diligent about how we spend.

Speaker 1

I mean, there's non people expenses too and there's vendors. And so we've just tried to be have an ownership sort of mentality and try to get the most we can out of a lot of the expenses that we've had in the P and L. And so I think again, just like the previous question, that operating leverage on sales and marketing expense will be another Source of how we get the EBITDA positive. If you think about the negative 13.8% getting to 0, then we should see some improvement there as a percentage of revenue. Does that Answer the question?

Speaker 4

Yes, that's perfect. And then interesting case study on Network Solutions regarding the open enrollment period. I'm curious if that was done on behalf of a plan and thus kind of signs of a novel revenue stream there with that product offering or is that something you did as kind of an internal project for MA eligible members in order to market the capability to payers going forward? Thanks.

Speaker 2

So Ryan, that was a little of both. So I think we did that with a plan, But I don't think it's I think it was really to show off some capabilities. It was not a huge revenue driver, But I think it got a lot of folks really excited about our capabilities being able to reach their members specifically and understand What matters to the members, because one of the things that we strongly believe that we've been able to see for years with our platform is that As much as we might all be Americans and we might use the healthcare system, we all have very individual and different needs. And those needs Often are not seen through the plan coverage and this gives a lot more visibility to that client base of ours And they've been pretty excited about the feedback we're doing every night.

Speaker 4

Perfect. Thank you for the color. Congrats again.

Speaker 2

Cheers. Thanks, May.

Operator

Thank you. We go next now to Jessica Tafan of Piper Sandler.

Speaker 5

Thank you

Speaker 6

guys for taking the question. A nice first quarter with the new CFO. So I would just kind of echo Ryan's sentiment. I thought the MemberConnect Detail was really helpful. Should we think about this product then as being kind of out of beta and priced and ready for full launch For 2024 AEP, so when you're kind of fiscal 3Q, 4Q period?

Speaker 2

I don't think The team would tell you that it's in beta, but I don't think it's fully GA, how's that? I think we have a bunch of customers on Our different product sets, I think we still have a lot of investment in it. And I think I wouldn't say we're Let's just say it's joined very well. I'm really proud of the team on what we're doing with it. How's that?

Speaker 2

But I'm not commenting on where we'll be for open enrollment just yet. And it's still early. Okay. But Okay. The response from the community, the client community has been phenomenal.

Speaker 6

Okay. I think that's very helpful. And then just Maybe can you talk about how you're monetizing PAM today? It seems like it might have been part of that MemberConnect survey, but just interested to know how that asset is being monetized today and whether the impact is predominantly felt in subscriptions or in network solutions. And that's it.

Speaker 6

Thanks again.

Speaker 1

Sure. So there's sort of like 2 parts to that. Member Connect as an offering and I would refer you to go back to our letter from December on this. It's the Medicare Advantage lead gen piece that you were talking about earlier. But there's also like the offering of PAM in and of itself that's another sort of piece of MemberConnect.

Speaker 1

Nothing to really call out there for monetization. When you think about Member Connect, think about it as The revenue generating being almost exclusively the Medicare Advantage lead gen. However, there is revenue from Pam that came through the acquisition of Insignia, which is in subscription, that's tied to Effectively, overwhelmingly the contract we have with CMS. And so CMS has a multiyear contract That is public, you can look it up, but it's subscription revenue through that.

Speaker 6

Got it. Thanks again.

Speaker 1

Yes.

Operator

We'll take our next question now from Glenn Santangelo at Jefferies.

Speaker 7

Yes. Thanks for taking my question and good evening. Hey guys, I wanted Obviously, another nice EBITDA beat again this quarter. And I think the obvious question is with revenue sort of humming along in the low The EBITDA guidance for the year really doesn't assume any leverage throughout the balance of the year. And I'm kind of curious, is that Some level of conservatism or are there other sort of planned investments that we should be talking about or would be helpful to sort of point out?

Speaker 7

And then I just had A follow-up question on the balance sheet.

Speaker 1

Sure. So first of all, just to be clear, when you say low 30s, you mean as a percentage growth?

Speaker 7

Yes, I'm sorry, yes, as a percentage growth.

Speaker 1

Okay, good. I almost skipped the beat there because I thought you meant. Okay. So I mean, Glenn, first of all, I think this is sort of like the same sort of theme from The question on gross margins and on sales and marketing that goes right to EBITDA, which is, the team has done a great job. And I know and we can't go to say enough about that.

Speaker 1

And so it's afforded us the ability to keep investing in the business. And so the outperformance on EBITDA that you've seen in the past few quarters has set us up to do what we've said, which is continue to invest in the area that you should think about is R and D. It's the one area that we don't talk about like as, We're going to sort of squeeze and get operating leverage around because we're thinking about fiscal 'twenty six, 'twenty seven and 'twenty eight, etcetera. So when you think about the range, the EBITDA guidance range, sure, there's a situation where we'll be investing More on R and D. That said, we'll update you in 90 days and if the team continues to execute well, maybe there's room for improvement.

Speaker 1

That helps.

Speaker 7

Okay, perfect. And Balaji, that's helpful. I just wanted to follow-up on the balance sheet. I mean, the company has been burning, Call it mid teens, dollars 15 ish million of cash, I think again this quarter, maybe a little bit higher last year. As we think about the path of profitability in '24 and 'twenty five, I know you have $150,000,000 in cash on the balance sheet and you said that you're more than comfortable that you have enough, but I just wanted to Reconcile that with some of the comments related to SVB in the press release.

Speaker 7

If you could just sort of quickly rehash Where you have a lending facility now, where your cash is sitting and with the plan to be to open up another lending facility outside of SVB?

Speaker 1

Yes. Thanks for bringing up the

Speaker 2

Glenn, those were like 17 questions.

Speaker 7

Sorry, I'm done after that, I promise, I'm done.

Speaker 1

And thanks for like making me want to have to look at our lengthy disclosure. So all of our attorneys feel comfortable with how we talk about this. But I mean, Glenn, there's a lot of language in the filings from last time and you'll see some in the queue this time. But at the end of the day, That facility still is in place and we've received a waiver that allows us to keep more cash outside of SVB.

Speaker 2

Longer term

Speaker 1

and for people on the phone who are listening who are in the lending community, Feel free to reach out to us. Longer term, we'll look at other avenues to finance any kind of growth we Beyond what we've said we can finance through cash through 2025. We continue to feel very good about that. The cash is there to Support that growth and as you said it's about $150,000,000 and we have no debt drawn on the existing facility. So yes, we'll look at other things and we'll continue to look at other opportunities, but that revolver is in place today.

Speaker 1

And then as far as the In terms of the losses, just note that on cash flow, there is timing. So the 1st part of the year, we have Some additional treasury stock, if you look at the financing section, to cover tax withholdings for employees. So you don't See those in the remaining quarters. You'll actually see that in Q4 and Q1.

Speaker 7

Okay, perfect. Thanks for all the detail. Much appreciated.

Speaker 1

Yes.

Operator

Thank you. We go next now to Scott Schillinghaus at KeyBanc. Hey, Haimin Balaji. Congrats on the quarter. I wanted to Dig deeper into this update you provided in your letter about your partnership with Unlimited Systems, was any of that that launched This quarter, was any of that shown up in results on the subscription side?

Speaker 2

No. Not even in the slightest.

Operator

Okay. And so is this something that

Speaker 8

you guys are actively

Speaker 2

I would put that in the R and D line. It's still real early.

Operator

Okay. So is this something that you guys are actively pursuing, basically trying to partner with all these specialty, Other Healthcare IT service offerings do really sell your solution and what do you view that opportunity as? Is this a way to drive really much more incremental subscription growth for this year and next year? Thanks.

Speaker 2

Look, so to be clear, we sell our solution. But look, we got a lot of requests from their customer base Wanting to have an integrated solution with Phreesia and so we're just really following where the market is and what the market wants. And frankly, we've had like that's we have a whole team of people and they do market assessments on where we should Spend dollars and they're just really smart and they work with our different partners and we decide where we make R and D investments for that type of integration and making sure that the product that We have, it's just great. So and we are very excited about it. Unlimited is it seem like early days, it seem like a great partner.

Operator

Thanks for that color, Haim. I guess lastly, my second question is on the pharma digital advertising space. Just generally, What are you seeing there? Anything different from last quarter? It seems like you continue to outperform peers in this space.

Operator

Thanks.

Speaker 2

So I think it's I definitely think it's challenging compared to where it was when This was one of the only ways that people could reach the consumer. Obviously, we're doing We just put on another really good quarter and I'd say the number one reason is the return we have for our clients like they've just been really, really happy with what we can do and how we do it in a very in a methodology that is really pro patient, right. And that's just worked out very well for us and our clients. But the reason that we've also had the success is the team. Like they're just like they're working really hard.

Speaker 2

Like Every so often there's just like dashboard that I could see just the amount of interactions that our team is having with clients and it blows my mind what Just how engaged, how excited and how amazing that team is that works with our life sciences clients. I went they had The team off-site and I went to it and it was just I was just like I think I had a smile on my face the entire time just being there And being near that team, it was really uplifting. They're just doing a great job. I'm really proud of them.

Operator

Thank you. We go next now to Ryan MacDonald at Needham.

Speaker 9

Thanks for taking my questions and congrats on

Speaker 10

a nice quarter. Maybe the first one for you. In the quarterly stakeholder error, I thought it was interesting on the discussion of patient insights and being utilized to sort of gather information around clinical trials from patients. Can you talk about the potential application there for extending sort of network solutions into clinical trial enrollment and How you think about potentially monetizing that over time?

Speaker 2

Look, I think that clinical trials and making sure that there is that patients that want to be in different trials and get access to cutting edge therapies, Yes, giving them access and making it available, I just think it's just a wonderful thing to do. It's an area we've been making investments in. It's a natural continuation for what we can do. And I think you should expect to hear more from us in the coming years On how excited we are and the potential and some of the things we're going to do in that space. I think it's still too early, But we are investing in it.

Speaker 2

And what we want to let everyone know is like We think that it's not just a monetary win. We think it's just a big win for patients and for science.

Speaker 10

Thanks. And maybe as a follow-up to that, I mean, in being a win for patients over time, As you continue to evolve the offerings there and when you have MemberConnect and you have the core life sciences, marketing and potentially now on The clinical trial enrollment, how do you sort of balance out or prioritize what you're showing to the patient within that intake experience to prevent the experience from becoming too semi if you will over time? Thanks.

Speaker 2

Look, we've made Huge investments over the years in data science and in Just machine learning to be able to make the right type of decisions, right. And I think that there's Tons of very smart people and a lot of data that gets tied into how and what we do with what patient. But I'd say that 1st and foremost is making sure that it's consent driven and we have permission to do. And when you have permission which is core to what everything we do. It allows us to really lean into How we engage that patient in different content, which frankly should improve outcomes.

Operator

Thank you. We go next now to John Ransom at Raymond James.

Speaker 11

Hey, good evening. Just kind of I'd like to hear your reflection, Haim. The experiments you ran to crank up investment, Sales and Marketing and R and D, just as you reflect on that after the decision, what would you point out as This is a particular highlight. And then what would you kind of point out is this is something that we would not have learned if we hadn't done this?

Speaker 2

I don't think we have enough time on this call, Mr. Ransom, for me to go through all of those things. I think the one thing that There's a lot of things, which is 1, I don't think I would have felt comfortable doing this without the leadership team that I have. And the fact that a lot of us have just worked together for a really long time and understand the business and the clients and understand how to read the information and data that the decisions have to be made at all times. And those decisions seem to be made quickly, if not the dollars are misspent very quickly.

Speaker 2

And So I think 1st and foremost, the comfort I have in the decision is the team all over the all spread all over at all different levels made me really comfortable and frankly reaffirmed based on quarter after quarter result that that's Why we've been as successful as you have is the team, right? And their ability to continuously iterate on everything that's happening in the market. I don't know if that's for a second, if and I'd say this every single time that When you get a client, you got to do the things you say you're going to do. You got to do it really, really well and you got to treat them really well. And as long as we keep doing that and giving them great product that has is a fair value, I think we're going to keep building a business We'll not just stand the test of time, we'll just make a big impact in healthcare.

Speaker 2

And healthcare just needs to get better, Right. Just for all of our sake, I'm getting old, right. I'm going to be using the system even more than I already am.

Speaker 11

Yes, I was going to mention that. That's a bad joke.

Speaker 2

Did I answer your question?

Speaker 11

Yes. We'll talk later. I'm sure I have a follow-up. Yes. The second question I have is, so your sales productivity and as you go into the FCR selling or hiring season, Just what's driving the productivity that you're seeing in your sales force?

Speaker 11

And then how are you if anything, what are you doing differently there as you bring these new people on board and how much of it is technology, how much of it is just talent selection and how much of it is door number 3 that I can't think of right now.

Speaker 2

I think we our ability to attract and retain folks on the team like our STR teams, Probably one of the best I know of, right? And the ability to attract and retain on that team and the leadership of that team is absolutely part of that. The sales organization, I think average tenure of our sales leadership is Within Phreesia is over a decade, right? And it shouldn't be lost on how amazing that team has done. And then Frankly, our upsellcross sell like the way that the way the team has been performing on it, it's just been lovely.

Speaker 2

They're just doing a lovely job and I'm in awe of how well they've been performing. And Frankly, that's a testament to building great product and treating our customers well and doing the things we say we're going to do, and which I think is just pretty basic.

Speaker 11

All right, sir. Thank you.

Speaker 2

Thank you.

Operator

We'll go next now to Sean Dodge at RBC Capital Markets.

Speaker 2

Hey, good afternoon. This is Tom Keller on for Sean. Thanks for taking the question. So just One for me. I guess, how big is the hospital business now?

Speaker 2

And has that been a meaningful contributor to growth? And I guess, maybe do you expect it To be in fiscal 2024 and 2025?

Speaker 1

I mean, we don't think about it as a hospital business. And so you think about healthcare providers and you think about health systems and All hospitals in this country tend to be affiliated with some type of system or and tend to have physician practices associated with them. So that's typically been our entry point historically. We've worked with the physician practice side of that organization and then enter the hospital piece. And so we have lots of hospitals we work with.

Speaker 1

I think we announced publicly we entered that market about 3.5 years ago. We've been working on the product for several years before that. And so, I think we're pretty happy about where we are. Jimmy, would you agree,

Speaker 2

Yes. I think everyone's been frankly, it's even beat my own expectations.

Speaker 1

But when you think about just the universe of clients and patients and where patients receive care, it's In the hospital, but it's also in plenty of other delivery settings.

Speaker 2

All right. Makes sense. I'll leave it there. Thanks, guys.

Speaker 11

Thanks. Cheers, Nick.

Operator

Thank you. We go next now to Stephanie Davis at SDB.

Speaker 5

Hey, guys. Congrats on the quarter. I cannot tell you how much I can't believe for SVB to stop being press releases. It's been a long few months. I would

Speaker 1

Yes, we're required to disclose some of that stuff.

Speaker 5

I hear that. I hear that. I mean, I was hoping you could help us understand the revenue guidance a Because it implies 8 points of deceleration for the rest of the year. Is there any seasonality in the payer business Or anything like that, just given we've never seen that level of step down before in your revenue growth?

Speaker 1

I mean, I think one of the things and we brought this up I think earlier and was in the letter, Volume strength was better than even we had expected in the Q1. So when you said 8 Percentage, I think I heard you say 8 percentage points. I think that if you took the low end of 26% and the 32% That we just reported, that's 6%, right? Am I missing something?

Speaker 5

It's that you had 32% growth and then it would imply that it goes To 24% growth midpoint.

Speaker 1

I see what you're saying. Got it. Got it. Yes. And so look, I mean, I think there's definitely Things that move around, I think even this we brought up in the letter, there's some related services that we talked about in the letter.

Speaker 1

And we just try to we don't sort of operate the business in a way that it's going to be exactly the same growth every quarter, But we try to sort of put the outlook out in the beginning of the year. And but I think the biggest thing to take away in that delta is the strong Stronger than expected volume trends in the Q1. And as we pointed out, that not only impacted payment processing, it also impacted Network Solutions because of the pacing of our campaigns. But Stephanie also is somebody I know you follow payments closely. I think it's noteworthy that we had $1,000,000,000 Volume quarter and payment volume in the Q1.

Speaker 1

And we actually skipped over the 900 decile and Whatever you call, I guess the $100,000,000 We went from $800,000,000 to $1,000,000,000 in this quarter. And so I think that just sort of speaks to even with Some of the seasonality, just the strong volumes in the Q1.

Speaker 5

Okay. So that's a perfect lead into my next question. You saw that Huge volume quarter. How much of that was a function of just utilization improvements versus some of the discounting you called out in the prepared remarks? Is there a way to discount, but still help we beat in that segment in a more sustainable way, given what we saw this quarter?

Speaker 1

I mean, I think we've been clear on the last couple of quarters that that's something We have experimented with different pricing over time and with the intention that we'll continue to do it if we can get good profit And economics out of it. So yes, there is some correlation. I don't know if we say specific amount, but Thanks, Stephanie. Thanks.

Operator

We'll take our next question now from John Park at Guggenheim.

Speaker 12

Hi, Dean. Thanks for taking my question. I'm on for Jack. I was wondering if we could quickly touch on the SDR account?

Speaker 1

You mean in the quarter?

Speaker 13

Yes.

Speaker 1

Yes. Give me one second.

Speaker 2

These are laminated pages.

Speaker 1

If you have another question, go ahead and I'll get the number for you.

Speaker 12

Yes. How have Changes in the labor market impacted end market demand?

Speaker 2

I think Having done this for a pretty long time, I'd say labor is still pretty compared to the way it was Pre COVID, it's still pretty tight. And wages are still at an accelerated level. I would say that it's very dependent on the organization regional, but look a lot of these practices and health systems and Everyone's having to watch all their costs and labor is the most expensive, the biggest part of healthcare. And I don't see wages coming down anytime soon as a percentage.

Speaker 1

And John, that number is 169. That's inclusive of our ISRs, our inside sales representatives too. So pretty much about the same number as last quarter.

Speaker 2

Got it.

Speaker 12

Okay. And if I can just squeeze one in. Apple announced Apple Pay later in March and I understand there's application process to actually use the functionality. Do you envision that having any sort of impact on the payment side of business?

Speaker 2

No, I don't. I don't. I don't know if they've enabled it in healthcare, but We do Phreesia accepts Apple Pay on our platform.

Speaker 12

Great. Thanks so much.

Speaker 2

Cheers. Thanks, man.

Operator

Thank you. We go next now to Richard Close at Canaccord Genuity.

Speaker 8

Yes, thanks. Congratulations. Sorry, I dropped off a couple of times. So if I repeat, Just let me know. Did you talk at all about the unlimited systems relationship and Maybe the market presence there?

Speaker 2

Yes, we did. We spent like 20 minutes of the call on it. It was a good question. You should read the transcript. Okay.

Speaker 2

We'll move to the next one then. All right.

Speaker 8

Just maybe following up on Ryan's Comments on sales and marketing or question on sales and marketing. I know you called out for cost of services Sales and marketing, some lower headcount there and some growth in R and D and maybe just fine tuning a little bit On those in those areas, maybe if you could just go into a little bit more detail on the headcount changes?

Speaker 1

I mean, I think you sort of hit it, Richard. I mean, it's we continue to invest in R and D. And then in the other areas, I mean, you have the numbers that was minus 30 sequentially. So I mean, you could sort of on a net basis just allocate those to those other areas, but R and D continues to be up.

Speaker 8

Okay. Any thoughts with respect To the referral management offering that you rolled out a couple of years ago, how that's trending?

Speaker 2

It's still growing pretty nicely. I'd say that that offering is it's continuously getting more and more traction and That's really it's been really beneficial to a lot of our practices as we've been rolling it out. I have been very pleased with its success are in and I know that they keep lighting up more and more practices with it. But maybe in the next couple of quarters, we'll give a little update And how that volume is looking.

Speaker 4

Okay, great. Thanks.

Speaker 1

Thanks. We'll

Operator

take our next question now from Daniel Grossleit at Citi.

Speaker 13

Hi guys. Thanks for taking the question. I want to go back to the MemberConnect product here and just get your views on in general the Medicare Advantage market. There are some headwinds for the next calendar year given the advance rate notice, given some of the STAR*SOURCE changes. So how are you thinking about growth in the Care market in general and how does that translate to how you're thinking about the MemberConnect product for calendar year 2024?

Speaker 2

Well, I think it's still pretty early, but what I can tell you is that a feedback we're hearing from carriers And the plans is that at the end of the day, they want to make sure that they are engaging with their members, making sure that their members are Unbelievably satisfied with the plans and when possible align the available plans with providers In their network and that is one of the most important decisions people make when picking a plan is, is my doctor covered. And so Look, it's a huge market. I think it's as long as it's been around, it's had changes and I think we're pretty excited about Being able to serve more Americans more different ways.

Speaker 13

Yes, that makes sense. And I guess as I think about the product It has applicability beyond just the carriers, right? You could potentially sell this to the broker channel, the brokers in particular. How are you thinking about them, the e brokers, the brokers in general as clients here? And I assume right now carriers.

Speaker 11

Yes, go ahead.

Speaker 2

I think it's mostly plans, but I know that the team is engaged with some of the brokers some brokers too.

Speaker 13

Okay. But going forward, we should expect this mostly to be a carrier product?

Speaker 2

I think that's the plan, yes.

Speaker 1

Okay, great. Thank you. Thanks.

Speaker 2

We'll go

Operator

next now to Jeff Garro at Stephens.

Speaker 9

Hey, good afternoon. Thanks for taking the questions. Looked like another good quarter of healthcare service clients adds. Want to see if there's anything you could tell us about what worked in the quarter to drive those ads and anything you'd call out in terms of the mix of the ads by Practice size or specialty or geography?

Speaker 2

No, they were all over the board. Unbelievably large, All across the country, unbelievably small, all across the country, whole bunch in the middle all across the country, Specialty, single specialty, multi specialty, health system, you name it, it was the home agua. And so And we did well because the team did well selling, did a phenomenal job implementing and Treating customers really and our clients really, really well and having just a great product.

Speaker 9

That works. That's a good way to do it. And follow-up a little bit on the subject of client adds. The stakeholder letter said the expectation for the fiscal second quarter to have similar adds as last Q4 or this most recent quarter, So call it a range of $160,000,000 to $170,000,000 Curious to get your comments on the company's ability to Potentially match the roughly 800 incremental adds you achieved in FY2023 in the current fiscal year as we think about the next 9 months?

Speaker 1

Yes. I mean, Jeff, what we're trying to do is we're not going to speak to the whole year, but we understand like having some inputs And your models are helpful. So even the comment about the next quarter, it was 158 In the Q4 it was $169,000,000 in this quarter. And we're just saying it's going to sort of be in that general range. And then there's obviously like some sort of counterbalance to that with revenue per client.

Speaker 1

But we'll just we'll come back to you next quarter and Give you an update, but we're not going to speak to the year.

Speaker 2

And it's we can give that visibility because we see it. So it's not like hide the ball. We generally know where it's going to be at this point.

Speaker 1

Yes. So If you have if you want to follow-up, please do, but I think that's what we're trying to do is just at least put some kind of anchor in there.

Speaker 9

No, that helps. Thanks again.

Operator

And we'll go next now to Robert Simmons at D. A. Davidson.

Speaker 14

Hey, thanks for taking the question.

Speaker 2

Wait, is that us or the

Speaker 1

I couldn't hear you. Hello?

Operator

Mr. Simmons, we're having a hard time hearing you, sir.

Speaker 2

All right. Just checking. Everyone always complains that I have crappy phone service. So I just assumed it was

Speaker 14

Hey, can you hear me now? Yes.

Speaker 1

Oh, yes. We can hear you.

Speaker 14

Yes. That was me and my headset switched off and then back on for some reason. So sorry, I was saying, so you touched on this earlier, but what are you hearing from the pharmas in terms of their spend intentions? Has the tone of the conversation improved, gotten worse, stayed about the same over the last, call it, 3 to 6 months?

Speaker 2

I think life sciences organizations Everywhere are just very cognizant of scale and return on investment and being aligned with the right types of products and I think they've been pretty Happy. I could speak about working with us. I can't necessarily speak about the whole market. It's obviously been a still a softer market than in previous years. And I know the teams, we still have a lot of settling left to do in the year and the team is doing Pretty good work, making sure that we continue to execute.

Speaker 2

But we still think the market is still pretty still early in the year.

Speaker 14

Got it. Great. Thank you very much.

Speaker 2

Thanks.

Operator

Thank you. And gentlemen, it appears we have no further questions this afternoon. Mr. Endig, I'd like to turn the conference back to you for any closing remarks.

Speaker 2

Yes. I just want to thank everyone for joining the call and I want to thank everyone at Phreesia for another great quarter and We'll talk to everyone in about 90 ish days and hopefully everyone has a nice summer.

Operator

Thank you, Mr. Endig. Ladies and gentlemen, that will conclude the Phreesia fiscal Q1 2024 earnings conference. I'd like to

Speaker 11

thank you all so

Operator

much for joining us and wish you all a great remainder of your day.

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Earnings Conference Call
Phreesia Q1 2024
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