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Phreesia, Inc. Q4 FY2026 Earnings Call

Phreesia, Inc. (PHR)

Earnings Call FY2026 Q4 Call date: 2026-03-30 Concluded

Call highlights

Phreesia reported Q4 FY2026 revenue of $127.1 million, up 16% year-over-year, with Adjusted EBITDA of $29.4 million, and crossed multiple full-year milestones including $100M+ Adjusted EBITDA, $50M+ free cash flow, and its first full year of positive GAAP net income. However, the company pointed to reduced visibility into network solutions spending from certain pharmaceutical manufacturers, which is driving more variability in its updated fiscal 2027 outlook.

“We are maintaining our adjusted EBITDA outlook of $125 million to $135 million for fiscal year 2027. It is worth noting that we are holding our adjusted EBITDA outlook even as we reduce our revenue range, a reflection of the operating leverage we have built and our ability to respond quickly with further efficiency gains.”

— Balaji Gandhi, Head of Investor Relations · jump to moment
Bullish
  • Q4 revenue grew 16% year-over-year to $127.1 million, led by Payment Solutions following the Access One acquisition
  • Q4 Adjusted EBITDA was $29.4 million vs. $16.4 million in the prior-year quarter, representing a 23% margin
  • Full-year FY2026 Adjusted EBITDA crossed $100 million ($101.5M) and free cash flow crossed $50 million ($54.4M), ahead of internal targets
  • Achieved first-ever full-year positive GAAP net income of $2.3 million, compared to a net loss of $58.5 million in FY2025
  • Q4 free cash flow was $28.5 million vs. $9.2 million in the prior-year quarter, and net cash from operating activities was $33.7 million vs. $16.3 million
  • Launched ProviderConnect in early March, a new HCP marketing offering extending the PatientConnect playbook to the provider side
Bearish
  • Shorter visibility into spending commitments from certain pharmaceutical manufacturers in the network solutions business is creating more variability in the financial forecast
  • Fiscal 2027 outlook was updated, and Phreesia described it as 'a more modest revenue growth year'
  • Cash, cash equivalents and restricted cash of $73.8 million as of January 31, 2026 was down $32.5 million from October 31, 2025
  • Q4 net income was only $1.3 million, and management highlighted external headwinds including FDA guidelines, insurance coverage, patient utilization, and provider reimbursement challenges
  • Access One expansion initiatives may carry incremental startup costs to scale into new footprints

Transcript

Verified speakers · tap a word to jump the audio 39:59 Audio
Balaji Gandhi Head of Investor Relations

Good evening and welcome to Freesia's earnings conference call for the fourth quarter of fiscal 2026, which ended on January 31st of 2026. Joining me on today's call is Haim Indig, our chief executive officer. A more complete discussion of our results can be found in our earnings press release and in our related for me case submission to the SEC, including our quarterly stakeholder letter, both issued after the markets closed today. These documents are available on the investor relations website at ir.freesia.com. As a reminder, today's call is being recorded and a replay will be available on our investor relations website at ir.freesia.com following the conclusion of the call. 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 annual report on Form 10-K that will be filed with the SEC tomorrow. The forward-looking statements made on this call will be based on our current views and expectations and speak only as of the date on which the statements are made. We undertake no obligation to update and expressly disclaim the obligation to update these forward-looking statements to reflect events or circumstances after the date of this call or to reflect new information or the occurrence of unanticipated events. We may also refer to certain financial measures not in accordance with generally accepted accounting principles such as adjusted EBITDA and free cash flows 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-K filed after the market's closed today, the DSEC, and may also be found on our investment relations website at ir.freeshow.com. I will now turn the call over to our CEO, I'm Andy.

Thank you for joining our fourth quarter and fiscal year 2026 earnings call. Fiscal Year 2026 was a pivotal year in Freesia's evolution, one defined by deliberate choices and disciplined execution. The decisions we made this year are the ones we made on our own terms, and we believe they will compound in our favor over the next several years and beyond. I want to start by recognizing the Freesia team, key product launches, client success success stories, our largest acquisition, and our achievement of key financial milestones are among the accomplishments the team contributed throughout the year. I want to thank everyone on the team for their dedication to Preach's mission, vision, and This year, we crossed several critical financial milestones ahead of our internal targets. We surpassed $100 million in adjusted EBITDA, we crossed $50 million in free cash flow, and for the first time in our history as a publicly traded company, we delivered positive net income for a full fiscal year. Each of these is a meaningful milestone on its own. Together, they reflect the company that has made calculated bets, executed against them and is now scaling from a position of genuine financial strength. I want to take a moment to reflect on two growth initiatives we discussed on our last call, provider financing and HDP marketing. because both made meaningful progress this year. On provider financing, the acquisition of Access One has been central to our strategy. We have now been operating the business for several months, and our investment thesis has only been reinforced. Patient financial responsibility continues to rise in this country. Providers need tools to convert patient receivables into predictable cash flow. Access One gives us a market-leading solution to address that need at scale. Access One is performing in line with our expectations, and we are actively working to expand our access to capital for securitization programs so we can bring Access One's solutions to a greater portion of our provider network. We are excited about the long runway ahead. On HVP Marketing in early March, we announced the launch of Provider Connect, a first of of its kind offering for healthcare provider marketers. This is a natural extension of what we have built with PatientConnect, one of the most trusted and effective point of care media offerings in the industry. ProviderConnect brings the same proven playbook, real care encounters, patient level relevance and privacy at the center to the provider side of the equation. We believe our ability to align both sides of the care conversation is something no one else in the market can do as comprehensively as Freesia, and we are excited to build on this foundation in fiscal 2020. We entered fiscal 2027 having built the financial profile we intended to build. One that gives us the flexibility to pursue opportunities on offense and the resilience to absorb challenges without altering our course. Access One and ETP are two of the opportunities we've discussed, and we look forward to sharing growing more of them, as well as other opportunities for growth and market extension. I also want to put our results in context. We are growing in a tough market. The healthcare industry is facing adversity. We are seeing challenges in FDA guidelines, insurance coverage, patient utilization, and provider reimbursement. We believe our emphasis on building products that address access, affordability, and outcomes with revenue generation tilted towards financial services and consent-driven patient engagement position us to be an enduring platform. Segments of the life sciences industry are facing challenges, and we are seeing this reflected in our shorter visibility into spending commitments from certain pharmaceutical manufacturers in our network solutions business. This is an external dynamic, not a reflection of Frigia's competitive position or the underlying demand for what we offer. While we do not believe this reflects a structural shift in demand for what Frigia offers, it is creating more variability in our financial forecast, and we are reflecting that in our updated fiscal 2027 outlook that Balaji will walk through. AI is also playing an increasingly important role in how we operate. We are using AI, not just in the products we deliver to clients, but internally, to automate manual processes, reduce our reliance on outsourced resources, and drive greater efficiency across the business. This is a meaningful contributor to our margin expansion, and one we expect to continue to benefit from as we scale. We believe we are building the right company for this moment. One position to grow on its own terms as intelligence becomes embedded in how healthcare operates. Before handing it over to Balaji, I want to stress that our company is stronger than ever because of the decisions we've made, sometimes difficult ones. Our financial profile is strong, and we have a great team of leaders and a significant bench strength behind them. We entered this fiscal year with several key priorities, positioning Access 1 for growth, scaling our HCP marketing offering, and continuing to infuse AI into the Frigia operating model. We believe these initiatives, combined with the discipline that has defined our recent performance, put us in a very strong position to take advantage of the multiple growth opportunities that lie ahead. A more modest revenue growth year does not change our trajectory. It reflects a specific external dynamic in one part of our business. we believe the underlying platform is stronger than it has ever been. I'll now turn it over to Balaji to walk through the Q4 results in our fiscal 2027 outlook.

Balaji Gandhi Head of Investor Relations

Thank you, Haim. Let me start with a few highlights from our fourth quarter and fiscal year 2026 results, and then I'll move into our outlook for fiscal 2027. For the fourth quarter of fiscal year 2026, Revenue was $127.1 million, up 16% year-over-year, with growth led by Payment Solutions, following the acquisition of Access One. Excluding the Access One acquisition, revenue was up 7% year-over-year. Adjusted EBITDA was $29.4 million, compared to $16.4 million in the same period in the prior year, representing an adjusted EBITDA margin of 23%. Fourth quarter average healthcare services clients, or AHSCs, reached 4,658, an increase of 138 from the prior quarter. 80 of these AHSCs were contributed through the Access One acquisition. These results were in line with our expectations. Fourth quarter total revenue per AHSC is $27,279, of 8% year-over-year. There are several important financial milestones and developments included in our stakeholder letter, earnings release, and 10K filing that are worth highlighting. 2026 was an important year for Frisier's evolution as a profitable company. For the first year ever, we achieved positive net income and earnings per share. Over the past several years, we have made very intentional decisions around capital allocation to accelerate our path to gap profitability because we have believed it will become increasingly important to the investment community. Cash flow continues to improve. In the fourth quarter, net cash provided by operating activities was $33.7 million, up $17.4 million year over year. Free cash flow was $28.5 million, up $19.3 million year over year. for strongest quarterly free cash flow to date. The year-over-year improvements in operating cash flow and free cash flow were driven primarily by changes in working capital and operating cash flows provided by Access One. Cash and cash equivalents as of January 31st, 2026 were $73.8 million compared to $84.2 million at January 31, 2025. Finally, before moving into our fiscal year 2027 outlook, Let me review our recently completed refinancing subsequent to the end of fiscal year 2026. On March 13th, we completed a refinancing of our bridge loan. We repaid all outstanding indebtedness under the bridge loan using $92 million of borrowings from a new five-year, $275 million senior secured revolving credit facility with Capital One, maturing on March 13th, 2031. This replaces both the bridge loan and the prior ABL facility. The unused borrowing capacity is available for working capital, capital expenditures, permitted acquisitions, and general corporate purposes. With the refinancing complete, we intend to prioritize allocation of capital to areas that we believe can enhance long-term shareholder value, which may include the paydown of long-term debt, investment to support revenue growth acceleration, and shareholder purchases as Now transitioning to our financial outlook for fiscal year 2027, we've had several developments in recent weeks that drove our updated financial outlook for fiscal year 2027, which I will review and provide the reasons behind them. We are lowering our revenue outlook for fiscal year 2027. We now expect revenue to be in a range of $510 million to $520 million, compared to our prior range of 545 million to 559 million dollars as we discussed in December we are experiencing shorter visibility into spending commitments by certain pharmaceutical manufacturers over the past several weeks we have seen even lower levels of dollars committed by certain network solutions clients for the second half of the fiscal year as I mentioned we do not believe these developments are signaling a structural shift in demand for freesia solutions However, there's now more variability in our network solutions revenue forecasting, particularly in the second half of each year. Our visibility into revenue across other parts of the business is generally consistent with our views in December 2025. Our new revenue range assumes no additional revenue from potential future acquisitions completed between now and January 31, 2027. We are maintaining our adjusted EBITDA outlook of $125 million to $135 million for fiscal year 2027. It is worth noting that we are holding our adjusted EBITDA outlook even as we reduce our revenue range, a reflection of the operating leverage we have built and our ability to respond quickly with further efficiency gains. In addition to our continued confidence in the operating leverage embedded in our model, We have more recently identified significant opportunities to reduce our reliance on manual processes across Freesia through the adoption of artificial intelligence. Initially, we expect to see efficiencies in our utilization of outsourced resources. We are maintaining our expectation for AHSC growth in the mid-single-digit percentage range in fiscal 2027. We are updating our outlook for total revenue per AHSC to a low single-digit percentage range compared to our low double-digit range previously reflecting the network solutions headwinds we just described. Operator, I think we can now open up the lines for the Q&A session.

Operator

Thank you. We will now begin the question and answer session. If you have dialed in and would like to ask a question, please press star one on your telephone keypad to raise your hand and join the queue. If you would like to withdraw your question, simply press star one a second time. If you're called upon to ask your question and are listening via speakerphone on your device. Please pick up your handset and ensure that your phone is not on mute when asking your question. To be able to take as many questions as possible, we ask that you please limit yourself to one question. You may rejoin the queue with follow up questions, which we will take if time permits. Again, it is star one to join the queue. And our first question comes from the line of Sean Dodge with BMO Capital Markets, your line is open.

Sean Dodge Analyst — BMO Capital Markets

Yeah, thanks, good afternoon. Maybe just starting with the dynamics and the network solutions and market and just to kind of clarify the change in the guidance, Bellagio, you friend is having less visibility into what clients are going to spend. I guess is this across all clients there or is it just a subsect of them? And then I also, like, how, like, well-based do you think those budgets are or their intentions are at this point? Is there a chance that they come back in a few months and increase their second half spending commitments, or are those pretty firm at this point?

Balaji Gandhi Head of Investor Relations

Yeah, Sean, Ms. Balaji, thanks for the question. So, I'll answer your second one first. It is very fluid, and I think that's one of the things we're trying to establish here is it's very early in the fiscal year, but we wanted to share this development with you now. But there's lots of activity that's happening in year. In fact, you know, just getting updates in real time, things are going, you know, well in the fiscal first quarter. But we just think it's these shifting dynamics, you know, put us in a position where we think we want to be transparent and give you updates as the year goes on. So now pivoting to the first part of your question, it is not broad-based. It is in specific brand and therapeutic areas. I'll give you just a couple of examples of things we're seeing that warrants this change. Vaccines, I don't think that should be a surprise to anyone on the call, but clearly, you know, vaccine spending and, you know, targeted marketing around that has been, has pulled back. So that's been one area. You know, just generally public health with agencies in the federal government were also an area of growth for us in the past that we've written about in some of our letters. And that's also been an area. So there's just two examples. There are certainly a couple of others, but this is not a broad-based, and I think as even Heimson is opening remarks, not something that's happening specifically, but happening on a macro basis in a couple of different areas.

Operator

And our next question comes from the line of Ryan Daniels with William Blair. Your line is open.

Ryan Daniels Analyst — William Blair

Yeah, thanks for taking the questions. I'll continue down the network solutions path. Can you talk a little bit more about what you're assuming this year for Provider Connect? I'm just curious if you think that's going to be a contributor as you look towards more HCP marketing versus traditional D2C and, you know, potentially how weak the guidance could have been if you didn't have an audible product offering to offset some of that weakness. Thanks.

Balaji Gandhi Head of Investor Relations

Yeah, sure, Ryan. Very little, very early days. Still something we're very excited about. But this change in our revenue outlook has nothing to do with anything that's going on with something very small. In fact, again, that's obviously a very small base. The launch went well, and we do see some upside there. But, you know, for this conversation, It's very small.

Operator

And our next question comes from the line of Jeff Garo with Stevens. Your line is open.

Jeff Garo Analyst — Stevens

Yeah, good afternoon. Thanks for taking the question. I'll continue on our solutions. Elijah, you didn't mention price negotiations, your most favorite nation pricing or through some of the legislation, you know, certain high-value drugs getting their prices renegotiated with Medicare. So I wanted to check in on that factor and how that's impacting your pharma client's budgeting and your outlook in turn.

Balaji Gandhi Head of Investor Relations

Yeah. I mean, we didn't mention that, and that's not really what we're tying into, I think, on the earlier question around different therapeutic areas and some regulatory activity. You know, that's what we pointed to, but, you know, Jeff, it probably doesn't help those other topics.

Operator

And our next question comes from the line of Jailendra Singh with Truist Securities. Your line is open.

Jailendra Singh Analyst — Truist Securities

And thanks for taking my question. So I want to focus on EBITDA guidance. I mean, you talk about AI efficiency gains, but can you be more specific outside of that? What kind of cost actions are you implementing, which is resulting in your EBITDA target still being unchanged, especially with revenue down 35, 39 million and majority of that cut coming in being your higher margin business? Just trying to better understand how much of the cost reduction is temporary in nature versus structural nature. Give us a little bit more color on the cost initiatives.

Balaji Gandhi Head of Investor Relations

Yeah, thanks, Jalindra. So here's one, I think just one, you know, way to think about this topic. If you've just followed us, which I know you have over the past several years, we certainly put a lot of capital investment into the business. And our view has always been that we should become more efficient and drive more margin expansion in the business. And I think that continues. And that's what affords us to be able to continue to have the outlook for adjusted EBITDA that we do here. Separately, I think the comments around AI are, I mean, again, probably not a secret to anyone on this call, but there have been some pretty big releases and developments that we are seeing as revolutionary in terms of how it can impact our business operationally. I think we did talk about manual processes. And then, you know, I think we mentioned in the letter also specifically that some areas around outsourcing and manual processes that we think we can drive a lot of efficiency through initially. But again, I'll just, you know, point you back to the numbers in the last, you know, three, almost four years that we've always looked for ways to drive margin in the business.

Operator

And our next question comes from the line of Brian Kenkewitt with Jeffries. Your line is open.

Cameron Analyst — Jefferies

Hi, thanks for taking the question. This is Cameron on for Brian. I wanted to dig more into that EBITDA guidance a little further. When you're thinking about sales and marketing and R&D spend, are you expecting those to be up year over year still, or is that part of that EBITDA margin improvement as well?

Balaji Gandhi Head of Investor Relations

Yeah, I mean, we haven't given very, like, specific, you know, guidance around those specific lines. But I think, again, we've talked historically about our expense base and there being a lot of room for margin expansion. I think what we've said over the past year is the progression of that, you saw gross margin improve, then, you know, you saw G&A improve, then you saw sales and marketing improve as a percentage of revenue. And we said R&D should probably be a bigger contributor of margin expansion or expense ratio improvement in fiscal 27. The others should also improve, but not as much as R&D.

Operator

And our next question comes from the line of Jessica Gasson with Piper Sandler. Your line is open.

Jessica Gasson Analyst — Piper Sandler

Thanks for taking the question. Can you maybe help us understand just on the payment side, the facilitator percent and volume variability in FY26, just what's going on to cause the facilitator volume to go from 82% in first half to 85, 3Q, 84% in 4Q, and then just do you expect payment processing revenue to grow outside of ACCESS-1 in FY27? Thank you.

Balaji Gandhi Head of Investor Relations

Yeah, Jess, I think on the payment facilitator percentage, there's just certainly some client activity there where we've had some better attach rate. I don't think there's anything particularly, you know, noteworthy there. I think, you know, consistent with what we said for a few years, we have tried to focus on payback and, you know, adding new clients where, you know, we can benefit from all the different products we can offer them. And then on payments, nothing different from what we talked about in December. We expect it to grow year over year exclusive of Access One and that contribution. And I think it'll, yeah, I don't think we've given a specific number, but I think it should, you know, it'll grow in the single digits.

Operator

And our next question comes from the line of Ryan McDonald with Needham and Company. Your line is open.

Ryan McDonald Analyst — Needham and Company LLC

Hi, thanks for taking my question. In terms of ACCESS-1, you talked about your investment thesis has been reinforced over the past several months, and positioning ACCESS-1 for growth is obviously a key initiative for fiscal 27. Can you talk about a bit more about your priorities there as you're looking to drive growth? Is it more focused on a tighter integration and cross-selling opportunity between Access 1 and Core Freesia, or more looking for ways to augment Access 1 as a standalone business unit? And how dependent is getting that, expanding your current access to capital for Access 1 to driving growth in that business in FISCO 27?

Balaji Gandhi Head of Investor Relations

Yeah. Thanks, Ryan. So, first of all, this is a very established franchise in this space, which is the reason we made the acquisition. So, we expect to grow the products that we acquired based on that track record, et cetera, et cetera. Obviously, we're going to put more resources around it within Freesia we already have. As far as the importance of expanding the capital base to bring it to our base, that is also super important. And if you think about just sort of the progression, we closed the acquisition in November. First order of business was we wanted to move quickly on financing it. We had the bridge loan. We went in and refinanced that. Now we've got a good long-term credit facility, and we've paid down the bridge, and we'll continue to pay down debt. But the next order very quickly behind it, which we've been very active on, is expanding the capital base to bring this to accruciers base. So stay tuned for that. That'll be another milestone. Keep your eye on it.

Operator

And our next question comes from the line of Richard Close with Canaccord Genuity. Your line is open.

Richard Close Analyst — Canaccord Genuity

Yeah, thanks for the question. On subscription pricing, in the letter you talk about optimizing client retention and also adoption. I'm just curious, you know, how much of that is really focused in on retention and if you are seeing any increased pressures of current clients looking to change?

Balaji Gandhi Head of Investor Relations

Yeah, Richard, I think this has also been a pretty consistent theme for us. I think, you know, Haim, a lot of times will talk to investor meetings about better, faster, cheaper in terms of what our products need to do. So I'd say it's very offensive on our part, making sure that we're improving our existing product, giving our clients more product, but we are completely comfortable and, you know, have conviction that we should be providing more value, and that's why we think we'll drive more revenue growth in the other two revenue lines. But I'd say it's more more proactive and offensive on our part. We think it gives us a competitive advantage.

Operator

And our next question comes from the line of Stan Berenstein with Wells Fargo Securities. Your line is open.

Stan Berenstain Analyst — Wells Fargo Securities

Hi, thanks for taking my questions. So, back to network, if you think about the revenue that remains within the guidance that you've updated, are there any brands that are driving an outsized contribution to the revenue expectations? I'm just trying to think about, you know, revenue concentration, if there's anything to call out there.

Balaji Gandhi Head of Investor Relations

Stan, I think what you asked was about the existing – the revenue that's built into our existing revenue outlook. Nothing particularly noteworthy there in terms of concentration, but again, we – going back, I think, to the original question of this call, I mean, what we want to do is be able to update you as we go through the year as we have more visibility. So by no means are we trying to suggest that the year is done and this is how we see revenue, but we think this is the right way to communicate for the rest of the year.

Operator

And our next question comes from the line of Joe Verink with Baird. Your line is open.

Joe Verink Analyst — Baird

Great. Thank you. I wanted to ask about how you see AI changing a competitive landscape within the software business. I think patient intake is one of those categories where it's actually fairly common to use a specialist provider like Freesia alongside maybe your EHR or practice solution. Do you see AI capabilities and you alluded to how Freja's benefiting itself from AI capabilities are the big kind of platform companies able to do that as well and maybe change the competitive dynamic?

All right, this is Karen. We actually think that it's allowing us to increase the breadth of offerings that we can offer our clients. What we see in the market dynamics is really the scope of the value we could provide is increasing at a, frankly, it's such a rapid pace that our clients are more than excited about what we're able to offer. So I think that healthcare has a lot of room for continuous improvement and value for the patients and providers. and we think that we're well-suited given the contextual information that we have and our long history of providing value to the patient and the provider, or we think that there is a lot more value that we can continue to provide to our clients beyond where we traditionally have played.

Operator

And our next question comes from the line of Stephen Deliquette with Mizuho Securities. Your line is open.

Stephen Deliquette Analyst — Mizuho Securities

Thanks. Yeah, good afternoon. Yeah, I guess also I have a question here on the network solutions. You know, your comments around the vaccines was helpful. Yeah, I guess I'm curious also from a therapeutic perspective if possible, curious to hear more on just GLP-1 drugs as a category, especially with some big FDA approvals on oral formulations in the first half of the year. So I guess the question is really from a high level, are oral GLP-1s or GLP-1s more in the good guy camp for you for your fiscal 27 relative to your prior expectations, Are they kind of a bad guy relative to the prior or no change? Just curious on that class in particular, because it is kind of a big driver of variability for this year.

Balaji Gandhi Head of Investor Relations

Yes, Steve, thanks for the question. On the margin, they're in the bad guy category, as you would characterize it, and amongst the other issues with vaccine and public health that you mentioned earlier.

Operator

And our next question comes from the line of Scott Schoenhaus with KeyBank. Your line is open.

Scott Schoenhaus Analyst — KeyBank

Hey, guys, thanks for taking my question. Balaji, I think in your prepared remarks, you mentioned that the, the visibility or the commitments from pharma worsened in the last few weeks. I'm wondering if you could provide any more color there. I know your Provider Connect is fairly new, but are you seeing the same levels of that sort of erosion and commitments on the Provider Connect side as the Patient Connect? And then in general, do you expect to see more, less, or equal visibility from pharma's budgets on Provider Connect versus Patient Connect?

Balaji Gandhi Head of Investor Relations

Yeah, thanks, Scott. So first of all, the commentary about recent updates, it has been all around Patient Connect. I think as we mentioned earlier, I mean, Provider Connect is still very, very early. In fact, if anything, the news has been more positive fiscal year to date, and we've had a lot of good news coming out of clients, and we're all very excited about it. But again, it's inconsequential in terms of the magnitude of the numbers still and has some room for upside. So I can't, I'm not sure, Scott, if I remembered the rest of your questions, so maybe you can jump back in the queue.

Operator

And our next question comes from the line of Daniel Grossleit with Citigroup. Your line is open.

Speaker 6

Hi, guys. Thanks for taking the question. If you allocate the entire guidance reduction to network solutions, it seems like we're looking at kind of a high single-digit, low double-digit, sorry, high single-digit, low double-digit, year-over-year reduction in revenue. I just want to make sure I'm thinking about that correctly for network solutions. And then from a cadence perspective, it's kind of like 1Q was actually pretty strong relative to your expectations. So, if you just walk us through how we should think about the sort of cadence of network solutions or at least how it's contemplated in your guidance. And then lastly, you've previously ranked the growth of these three segments. I think you've previously said it's kind of network solutions first, then organic payments, and then subscription. I'm just curious if once we get around all of this disruption, how we should be thinking about the growth rate of the three segments longer term?

Balaji Gandhi Head of Investor Relations

Sure. So we do continue to believe that's how you should stack rent the contribution just on a normalized basis. But this year is clearly so far shaping up to be a little bit differently, I think as far as the year-over-year comparisons you did, again, without giving specific line item kind of outlooks here, I think you'd say you should take away that the low end of the total revenue range implies it's going to be down a few points, and the high end would imply it's about flat.

Operator

And our next question comes from the line of Brian Halstead with RBC Capital Markets. your line is open.

Brian Halstead Analyst — RBC Capital Markets

Thanks. Thanks for taking my question. Maybe just to follow up on the Access One questions. So you've obviously been having a lot of progress in scaling the business. I guess how should we think about the next phases of scaling Access One in that, you know, are you expanding kind of your – within your footprint and kind of identifying where you're currently we maybe have some existing competencies and – or are you kind of broadening into new footprints and then, you know, how should we think about that in terms of maybe, you know, startup costs or other types of incremental costs to really further scale this?

Balaji Gandhi Head of Investor Relations

Yeah, it's both, first of all. So it's – think about it as the capital base, as we expand, it will allow us to bring more of those solutions to Frisier's existing clients, we also see opportunities that is completely greenfield outside of the areas we play today in the, you know, sort of think about as broader healthcare provider ecosystem. So it's both. And again, I think that was the only question. Trying to write these down as we go here.

Operator

And our next question comes from the line of Clark Wright with DA Davidson. And your line is open.

Speaker 6

Hi there. You made a comment during the prepared remarks about the visibility into other revenue segments being consistent with December 2025 and the comments you made then. Could you maybe just provide additional details on, you know, what's going on in the payments business in terms of access one as we look through the financials of how you grow that with additional, the additional credit facility that you've had? And where do you see the potential opportunities, primarily through new logos, or is it cross-selling into the existing base?

Balaji Gandhi Head of Investor Relations

So, and again, we assumed nothing in terms of growth in our fiscal 27 outlook when we laid it out back in December, and that continues today. In terms of the opportunities, there's net new opportunities, there's expansion opportunities within Access One's legacy client base, which are part of Freesia. And then, I think, last, which is where this, you know, soon-to-be expanded capital base that we're working on will allow us to bring this to other regions.

Operator

Next question comes from a line of John Ransom with Raymond James. Your line is open.

Speaker 6

Hey, there. If I think about the strategy over the past couple of years, it was to drive growth among providers that had higher, you know, prescription dispensing rates in order to drive net worse solutions. Just in light of what's happening with pharma, is that strategy being rethought, or do you think this is just a speed bump?

Balaji Gandhi Head of Investor Relations

Yeah, John, speed bump is sort of a short answer. We still have a lot of conviction there. We think we have a very differentiated value proposition in terms of being able to provide valuable content to patients, so nothing's changed there. And increasingly providers, by the way.

Operator

And our next question comes from the line of Gene Manheimer with Freedom Capital Markets. Your line is open.

Gene Mannheimer Analyst — Freedom Capital Markets

Thanks for taking the question. Just thinking about your prepared remarks, you know, you're holding the EBITDA guidance steady despite the revenue reduction. And I understand about the continuing margin expansion and efficiencies that you're driving. But I mean, why not bias your EBITDA guidance toward the lower end of the range unless you have such confidence in meeting or exceeding that range?

Balaji Gandhi Head of Investor Relations

Yeah, I mean, you know, Gene, I think, you know, we've been public for almost seven years and we've tried to, you know, provide information as we know it and where we have convictions. So I think you should just sort of take that as where, how we feel about that.

Operator

And as a reminder to star one, if you would like to join the queue, and we do have a follow-up question from Jailendra Singh with Truist Securities. Your line is open.

Jailendra Singh Analyst — Truist Securities

Thank you. Thanks for taking my follow-up. I just want to see if you can follow up, if you can kind of give some more color on why do you think that oral GLP-1 launching is a bad guy for your network solutions next year? I just want to clarify this comment, Balaji.

Balaji Gandhi Head of Investor Relations

Yeah, I didn't hear anything about oral specifically. I thought it was more of a broader comment around an FDA activity and the general category. So there's nothing about the response that was specific to oral.

Operator

And we have a follow-up question from Ryan McDonald with Needham and Company. Your line is open.

Ryan McDonald Analyst — Needham and Company LLC

Thanks for the time on the second one. Belagi, maybe you could just clarify as we think about the flow of network solutions throughout the year. Is network solutions starting off at a lower base than what you expected in Q1 of fiscal 2017? Because you also said, I guess you said Q1's going better than expected, or are we looking at really like sort of the lack of visibility means that network solutions revenues are sort of down in second half relative to first half and sort of little impact to the first half expectations.

Balaji Gandhi Head of Investor Relations

That's generally we should take away the latter part of what you said, Ryan. But here's the thing. I think we've tried to explain this to you. It is very complex. There's a lot of, you know, different moving parts and data that goes into our ability to, you know, reach the right patient with the right message. So there's a lot of pacing involved, too.

Operator

But generally speaking, our view here is it's around the second half of the year, not the And with no further questions, I will now turn the conference back over to Mr. Hein-Indig for closing remarks.

I'd like to thank everyone for joining us for the fiscal Q4 2026 earnings call. And I want to thank my teammates for a really strong year, and I look forward to the year and everyone I hope enjoys spring talk to you in a couple months and ladies and gentlemen this concludes today's call and we thank you for your participation you may not disconnect

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