PHR on NYSE

Phreesia Inc.

Logo: SeekVectorLogo.Com, Public domain, via Wikimedia Commons5

Healthcare technology company

Phreesia, Inc. is a software as a service company that offers healthcare organizations a set of applications to automate and manage patient intake.3 Wikipedia text CC BY-SA 4.0

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Last updated Oct 21, 2026.

Overview

$467.8MRevenue, fiscal 20266
$2.3MNet income, fiscal 20266
2005Founded1

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  • TickerPHR on NYSE1
  • IndustryServices-Business Services, NEC1
  • HeadquartersNew York City1
  • Websitewww.phreesia.com
  • Incorporated inDE7
  • Business address1521 Concord Pike, Suite 301 Pmb 221, Wilmington, De 198037
  • Filer categoryLarge accelerated filer7
  • Legal formCorporation4
  • LEI5493000HHF8NU4QOCG534
  • StatusActive4
  • LEI statusIssued and current4
  • Registered addressC/O UNITED AGENT GROUP INC., 19803 Wilmington, United States4
  • Registered withDivision of Corporations, Department of State, 39097724

Phreesia, Inc. is a software as a service company that offers healthcare organizations a set of applications to automate and manage patient intake.3

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2026

-1.4%Operating margin6
0.5%Net margin6
14.0%Revenue growth, 20266
0.7%Return on equity6
0.01×Debt to equity6
$67.7MFree cash flow6

What sells

Revenue by product, business segment and region, as the company reports it to the SEC.

Products and services

Subscription And Services brought in 46% of the revenue Phreesia Inc. broke down this way in fiscal 2026.

  1. Subscription And Services$219.5M646%up 12% from 2025
  2. Network Solutions$139.7M629%up 15% from 2025
  3. Payment Solutions$121.5M625%up 19% from 2025
Products and services by year
Products and services202420252026
Subscription And Services$165.4M$196.5M$219.5M
Network Solutions$96.3M$121.6M$139.7M
Payment Solutions$94.6M$101.7M$121.5M

Where the money goes

Where each dollar of revenue went, fiscal 2026

  • Research and development26¢$121.5M
  • Other costs71¢$332.8M
  • Income tax2¢$11.2M
  • Profit0¢$2.3M

Out of $467.8M in revenue.6

Where each dollar of operating cash went, fiscal 2026

  • Capital spending14¢$11.1M
  • Kept or used elsewhere86¢$67.7M

Out of $78.8M of cash from operations.6

Financial statements

Revenue10111213146$467.8M in 2026+368% since 2019
0$200.0M$400.0M$600.0M2019: $99.9M$99.9M20192020: $124.8M$124.8M2020+25%2021: $148.7M$148.7M2021+19%2022: $213.2M$213.2M2022+43%2023: $280.9M$280.9M2023+32%2024: $346.0M$346.0M2024+23%2025: $410.5M$410.5M2025+19%2026: $467.8M$467.8M2026+14%
Operating income10111213146-$6.6M in 2026−30% since 2019
-$200.0M-$150.0M-$100.0M-$50.0M02019: -$9.5M-$9.5M20192020: -$15.3M-$15.3M2020+61%2021: -$25.7M-$25.7M2021+68%2022: -$116.8M-$116.8M2022+355%2023: -$176.6M-$176.6M2023+51%2024: -$136.5M-$136.5M2024−23%2025: -$58.1M-$58.1M2025−57%2026: -$6.6M-$6.6M2026−89%
Net income10111213146$2.3M in 2026
-$200.0M-$150.0M-$100.0M-$50.0M0$50.0M2019: -$15.1M-$15.1M20192020: -$20.3M-$20.3M2020+35%2021: -$27.3M-$27.3M2021+34%2022: -$118.2M-$118.2M2022+333%2023: -$176.1M-$176.1M2023+49%2024: -$136.9M-$136.9M2024−22%2025: -$58.5M-$58.5M2025−57%2026: $2.3M$2.3M2026

Every line of the income statement as filed: the last 3 fiscal years, latest first.6

Period ending2026-01-312025-01-312024-01-31
Total revenues$480.6M$419.8M$356.3M
Cost of revenue (excluding depreciation and amortization)$71.4M$66.2M$61.0M
Payment solutions expense$82.8M$68.7M$63.0M
Sales and marketing$100.2M$121.1M$147.0M
Research and development$121.5M$117.4M$112.3M
General and administrative$79.9M$76.6M$79.9M
Depreciation$13.0M$14.2M$17.6M
Amortization$18.5M$13.7M$11.9M
Total expenses$487.2M$477.9M$492.8M
Operating loss-$6.6M-$58.1M-$136.5M
Other income, net$3.0M$2.0M$44.0K
Loss on extinguishment of debt-$501.0K$0-$1.1M
Interest expense-$7.0M-$2.3M-$1.9M
Interest income$2.2M$2.7M$4.1M
Total other (expense) income, net-$2.3M$2.3M$1.1M
Loss before income tax expense-$8.9M-$55.8M-$135.3M
Income tax benefit (expense)$11.2M-$2.7M-$1.5M
Net income (loss)$2.3M-$58.5M-$136.9M
Net income (loss) per share attributable to common stockholders - basic (in dollars per share)$0.04-$1.02-$2.51
Net income (loss) per share attributable to common stockholders - diluted (in dollars per share)$0.04-$1.02-$2.51
Weighted-average common shares outstanding - basic (in shares)59.7M shares57.6M shares54.6M shares
Weighted-average common shares outstanding - diluted (in shares)61.5M shares57.6M shares54.6M shares

Compare Phreesia Inc. with another company

Corporate structure

Phreesia Inc. sits at the top of its group. 5 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of Phreesia Inc.

  • Phreesia Inc. Wilmington, Delaware, United States
    • AccessOne Funding, LLC Subsidiary · Delaware, United States
    • AccessOne Holdings, Inc. Subsidiary · Delaware, United States
    • AccessOne MedCard, Inc. Subsidiary · North Carolina, United States
    • AccessOne Parent Holdings, Inc. Subsidiary · Delaware, United States

Built from parent and subsidiary links from GLEIF, the Global Legal Entity Identifier Foundation (CC0); subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What Phreesia Inc. reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Finance-lease assets$6.9M6 Jan 31, 2026$14.2M6 Jan 31, 2025−51.0%
Operating-lease assets (leased space)$2.0M6 Jan 31, 2026$1.5M6 Jan 31, 2025+35.5%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$73.8M6 Jan 31, 2026$84.2M6 Jan 31, 2025−12.3%

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$170.1M6 Jan 31, 2026$75.8M6 Jan 31, 2025+124.2%
Finite-lived intangibles, gross$93.2M6 Jan 31, 2026$36.5M6 Jan 31, 2025+155.1%
Accumulated amortization$13.5M6 Jan 31, 2026$8.4M6 Jan 31, 2025+60.4%
Finite-lived intangibles, net$79.8M6 Jan 31, 2026$28.1M6 Jan 31, 2025+183.4%

Properties, in its own words

We are a fully remote company and do not maintain physical corporate offices. Our employees work remotely, from home or at shared co-working office spaces. We believe these arrangements support our current needs. We maintain a mailing address at 1521 Concord Pike, Suite 301, PMB 221, Wilmington, DE 19803. For purposes of compliance with applicable requirements of the Securities Act and the Exchange Act, stockholder communications required to be sent to our principal executive offices may be directed to the email address set forth in our proxy materials and/or identified on our investor relations website.

Item 2 of the 10-K filed Mar 31, 2026.18

The story

Headquartered in Wilmington, Delaware, Phreesia employs approximately 1400 people across the United States and Canada. Phreesia was founded in January 2005 by CEO Chaim Indig and COO Evan Roberts. Michael Weintraub has remained chairman of the company's board since its founding. Phreesia develops patient intake and "digital engagement" solutions.

On July 18, 2019, Phreesia (PHR) completed its initial public offering and is listed on the New York Stock Exchange (NYSE).

In 2021, Phreesia acquired schedule-management solution QueueDr, now offered to Phreesia clients as Appointment Accelerator. In December 2021, it also announced the acquisition of Insignia Health, licensor of the Patient Activation Measure. In August 2023, it was announced that Phreesia had acquired the Sulphur Springs-headquartered electronic forms management and automation provider Access eForms for an undisclosed amount.

From Wikipedia’s article on Phreesia, shared under CC BY-SA 4.0.8

Leadership

Who has led Phreesia Inc., and when. Pick a name to see everywhere that person has worked.

Board members and other officers (17)

Subsidiaries and ownership

Subsidiaries (Exhibit 21)

  • AccessOne Funding, LLC Delaware9
  • AccessOne Holdings, Inc. Delaware9
  • AccessOne MedCard, Inc. North Carolina9
  • AccessOne Parent Holdings, Inc. Delaware9

The subsidiaries the company lists in Exhibit 21 of its annual report, as filed.

Former names

  • Phreesia IncSep 11, 2007 to Feb 23, 20097

Timeline

  1. Sep 2, 20268-K Results of operations42
  2. Jun 24, 20268-K Shareholder vote43
  3. May 27, 20268-K Results of operations44
  4. May 11, 20268-K Other events45
  5. May 4, 20268-K Entered a material agreement; New debt or obligation46
  6. Apr 3, 20268-K Results of operations47
  7. Mar 30, 20268-K Results of operations48
  8. Mar 16, 20268-K Entered a material agreement; Ended a material agreement; New debt or obligation49
  9. Feb 23, 20268-K Executive or director change; Regulation FD disclosure50
  10. Jan 28, 20268-K Financial statements and exhibits51
  11. Dec 8, 20258-K Results of operations52
  12. Nov 12, 20258-K Entered a material agreement; Completed an acquisition or sale; New debt or obligation53
  13. Jul 17, 2019New chief executive Chaim Indig becomes CEO19
  14. 2005Founded Founded1

Calendar

Coming up

  1. Dec 14, 2026Reports results for the quarter ending Oct/2026 A year earlier it reported $0.10 a share, on Dec 8, 2025.54

When it reported results

  1. Sep 2, 2026Reported quarterly or annual results42
  2. May 27, 2026Reported quarterly or annual results44
  3. Apr 3, 2026Reported quarterly or annual results47
  4. Mar 30, 2026Reported quarterly or annual results48
  5. Dec 8, 2025Reported quarterly or annual results52
  6. Sep 4, 2025Reported quarterly or annual results55
  7. May 28, 2025Reported quarterly or annual results56
  8. Mar 12, 2025Reported quarterly or annual results57

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

967 filings to the SEC since October 2021: 5 annual reports, 15 quarterly reports, 39 major events, 565 insider forms, 43 large holders, 300 other. The latest 20:

  1. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  2. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  3. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  4. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  5. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  6. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  7. Sep 28, 20264 PRIMARY DOCUMENT EDGAR
  8. Sep 22, 20264 PRIMARY DOCUMENT EDGAR
  9. Sep 22, 20264 PRIMARY DOCUMENT EDGAR
  10. Sep 22, 20264 PRIMARY DOCUMENT EDGAR
  11. Sep 22, 20264 PRIMARY DOCUMENT EDGAR
  12. Sep 21, 2026144 EDGAR
  13. Sep 16, 20264 PRIMARY DOCUMENT EDGAR
  14. Sep 16, 20264 PRIMARY DOCUMENT EDGAR
  15. Sep 16, 20264 PRIMARY DOCUMENT EDGAR
  16. Sep 16, 20264 PRIMARY DOCUMENT EDGAR
  17. Sep 3, 2026S-3ASR EDGAR
  18. Sep 3, 20264 PRIMARY DOCUMENT EDGAR
  19. Sep 3, 20264 PRIMARY DOCUMENT EDGAR
  20. Sep 3, 20264 PRIMARY DOCUMENT EDGAR

The 967 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

316 open-market trades by officers, directors and large owners since October 2021: 6 buys and 310 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Sep 21, 2026Hoffman Allison CGeneral Counsel & SecretarySale6,662$10.08$67.2KForm 4
Jul 16, 2026Hui YvonnePrincipal Accounting OfficerSale1,247$10.92$13.6KForm 4
Jul 14, 2026Egbuonu-Davis LisaDirectorSale536$10.70$5.7KForm 4
Jul 6, 2026Hui YvonnePrincipal Accounting OfficerSale1,371$10.84$14.9KForm 4
Jun 25, 2026Egbuonu-Davis LisaDirectorSale2,546$9.53$24.3KForm 4
May 18, 2026Hui YvonnePrincipal Accounting OfficerSale431$8.85$3.8KForm 4
Apr 20, 2026Hoffman Allison CGeneral Counsel & SecretarySale6,176$9.06$56.0KForm 4
Apr 17, 2026Hui YvonnePrincipal Accounting OfficerSale1,327$9.28$12.3KForm 4
Apr 16, 2026Hui YvonnePrincipal Accounting OfficerSale10,063$9.08$91.4KForm 4
Apr 10, 2026Hoffman Allison CGeneral Counsel & SecretarySale14,483$8.07$116.9KForm 4
Apr 10, 2026Linetsky DavidPresident, Network SolutionsSale8,332$8.07$67.2KForm 4
Apr 2, 2026Barta Jan10% ownerBuy106,236$8.31$882.8KForm 4
Apr 1, 2026Barta Jan10% ownerBuy168,764$8.43$1.4MForm 4
Mar 31, 2026Barta Jan10% ownerBuy1,000,500$8.16$8.2MForm 4
Mar 25, 2026Gandhi BalajiChief Financial OfficerSale3,829$11.26$43.1KForm 4
Mar 23, 2026Hoffman Allison CGeneral Counsel & SecretarySale6,176$11.97$73.9KForm 4
Mar 19, 2026Pale Fire Capital SICAV a.s.10% ownerBuy780,009$11.69$9.1MForm 4
Mar 18, 2026Linetsky DavidPresident, Network SolutionsSale107$11.06$1.2KForm 4
Mar 18, 2026Pale Fire Capital SICAV a.s.10% ownerBuy519,196$11.15$5.8MForm 4
Mar 17, 2026Pale Fire Capital SICAV a.s.10% ownerBuy303,300$11.20$3.4MForm 4

All 316 trades can be filtered by person here when JavaScript is on.

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

Executive pay

What the company paid its top executives, from the summary compensation table in its proxy statement. Total pay includes salary, bonus, stock and option awards and other pay, as the company valued them.

YearExecutiveAgeSalaryTotal pay
2026Chaim IndigChief Executive Officer47$515.0K$8.1M70
2026Balaji GandhiChief Financial Officer52$400.0K$3.7M70
2026Evan RobertsPresident, Provider Solutions47$400.0K$3.7M70
2026David LinetskyPresident, Network Solutions46$400.0K$3.6M70
2026Allison HoffmanGeneral Counsel55$350.0K$2.6M70
2025Chaim IndigChief Executive Officer47$515.0K$10.5M70
2025Balaji GandhiChief Financial Officer52$400.0K$4.5M70
2025Evan RobertsPresident, Provider Solutions47$400.0K$4.5M70
2025David LinetskyPresident, Network Solutions46$400.0K$4.5M70
2025Allison HoffmanGeneral Counsel55$350.0K$3.0M70
2024Chaim IndigChief Executive Officer47$495.0K$8.3M70
2024Balaji GandhiChief Financial Officer52$369.9K$5.9M70
2024Evan RobertsPresident, Provider Solutions47$384.5K$4.5M70
2024David LinetskyPresident, Network Solutions46$384.5K$4.5M70
2024Allison HoffmanGeneral Counsel55$336.4K$3.0M70

Held by these funds

The largest holders among investment managers' 13F reports for the quarter ending Jun 30, 2026, the top 25 of 100. Change is in shares since the quarter before.

FundSharesValueShare of the fundChange
Pale Fire Capital SE8,924,329$91.8M6.5%+275,000
BlackRock, Inc.7,019,832$72.2M0.0%+1,099,363
Aqr Capital Management LLC3,151,453$32.4M0.0%+1,298,894
Vanguard Portfolio Management LLC2,987,907$30.7M0.0%−347,214
Vanguard Capital Management LLC2,548,965$26.2M0.0%+69,718
State Street Corp1,577,463$16.2M0.0%+103,517
Goldman Sachs Group Inc1,435,314$14.8M0.0%+404,499
Geode Capital Management, LLC1,312,056$13.5M0.0%−59,738
Algert Global LLC1,205,481$12.4M0.1%−175,393
Jacobs Levy Equity Management, Inc1,113,782$11.5M0.0%+38,022
Morgan Stanley1,000,388$10.3M0.0%+270,679
Nordea Investment Management Ab784,279$8.0M0.0%New
OP Asset Management Ltd705,874$7.3M0.1%−68,270
Bnp Paribas Financial Markets698,173$7.2M0.0%−57,557
Rock Springs Capital Management LP696,900$7.2M0.4%+96,500
Nuveen, LLC675,234$6.9M0.0%−332,993
Whetstone Capital Advisors, LLC629,752$6.5M1.7%−324,176
Northern Trust Corp621,688$6.4M0.0%+108,392
Connor, Clark & Lunn Investment Management Ltd.609,704$6.3M0.0%+28,295
Bank Of America Corp /de/589,515$6.1M0.0%−411,542
D. E. Shaw & Co., Inc.524,496$5.4M0.0%+512,955
Qube Research & Technologies Ltd517,767$5.3M0.0%+207,396
Point72 Asset Management, L.P.484,115$5.0M0.0%New
Charles Schwab Investment Management Inc473,462$4.9M0.0%−9,494
Fmr LLC463,002$4.8M0.0%+107,319

13F reports cover disclosed long positions in U.S. stocks only.

Members of Congress who traded it

14 trades disclosed by members of Congress. “Vs S&P since” is the stock’s change since the trade minus the S&P 500’s.

DateMemberTradeAmountVs S&P sinceFiling
Aug 26, 2026Gilbert Ray Cisneros, Jr.Democratic, HouseSale$1,001 - $15,000+5.6%Report
Aug 25, 2026Gilbert Ray Cisneros, Jr.Democratic, HousePartial sale$1,001 - $15,000+4.9%Report
Mar 5, 2026Josh GottheimerDemocratic, HouseSale$1,001 - $15,000+21.9%Report
Oct 9, 2025Gilbert Ray Cisneros, Jr.Democratic, HouseBuy$1,001 - $15,000−68.7%Report
Oct 16, 2023Josh GottheimerDemocratic, HouseBuy$1,001 - $15,000−109.6%Report
Sep 15, 2023Josh GottheimerDemocratic, HousePartial sale$1,001 - $15,000+118.8%Report
Dec 15, 2021Josh GottheimerDemocratic, HouseBuy$1,001 - $15,000−137.5%Report
Dec 23, 2020Gilbert Ray Cisneros, Jr.Democratic, HousePartial sale$1,001 - $15,000+190.9%Report
Dec 21, 2020Josh GottheimerDemocratic, HousePartial sale$1,001 - $15,000+189.2%Report
Oct 27, 2020Gilbert Ray Cisneros, Jr.Democratic, HouseBuy$1,001 - $15,000−199.9%Report
Sep 29, 2020Gilbert Ray Cisneros, Jr.Democratic, HouseBuy$1,001 - $15,000−196.5%Report
Apr 23, 2020Gilbert Ray Cisneros, Jr.Democratic, HouseBuy$1,001 - $15,000−229.6%Report
Feb 10, 2020Gilbert Ray Cisneros, Jr.Democratic, HouseBuy$1,001 - $15,000−196.9%Report
Feb 3, 2020Josh GottheimerDemocratic, HouseBuy$1,001 - $15,000−203.0%Report

Members report amounts as ranges, not exact figures. Returns are price-only (no dividends).

SEC filer profile

How Phreesia Inc. is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARPhreesia, Inc.2
  • CIK0001412408
  • Employer ID (EIN)20-227547918
  • Filer statusLarge accelerated filer not an emerging growth company; not a smaller reporting company; not a shell company18
  • Incorporated inDelaware18
  • Fiscal year endsJanuary 312
  • Industry code (SIC)7389 Services-Business Services, NEC2
  • SEC reviewing officeOffice of Trade & Services, Division of Corporation Finance2
  • Business address1521 Concord Pike, Suite 301 Pmb 221, Wilmington, DE 198032
  • Phone888-654-74732
  • Shares outstanding62,070,944 as of Aug 27, 202616
  • Public float$1.5B as of Jul 31, 202518
  • AuditorKPMG LLP, Pittsburgh, PA PCAOB ID 185; it also attests to the company’s internal control over financial reporting18
  • On EDGAR sinceSep 11, 20072
  • Filings1,267 in all: 4 (703), 144 (275), 8-K (64), 3 (29), SC 13G/A (24), 10-Q (22), 4/A (15), SCHEDULE 13G/A (13)2
    All 40 form types

    CORRESP (11), SC 13G (10), S-8 (9), DEFA14A (8), 10-K (7), DEF 14A (7), UPLOAD (7), 424B5 (6), SCHEDULE 13G (6), ARS (4), SEC STAFF LETTER (4), 3/A (3), 5 (3), 8-K/A (3), D (3), S-1/A (3), S-3ASR (3), 424B4 (2), D/A (2), DRS (2), DRS/A (2), DRSLTR (2), EFFECT (2), REGDEX (2), S-1 (2), S-1MEF (2), SCHEDULE 13D/A (2), 10-Q/A (1), 8-A12B (1), CERT (1), PRE 14A (1), SCHEDULE 13D (1)

  • Latest filingsAnnual report (10-K) Mar 31, 2026
    Quarterly report (10-Q) Sep 3, 2026
    Proxy statement (DEF 14A) May 14, 2026
    Latest 8-K (8-K) Sep 2, 2026

Securities registered for trading

ClassSymbolExchange
Common stock, $0.01 par value per sharePHRThe New York Stock Exchange

From the cover page of the 10-K filed Mar 31, 2026 (Section 12(b) of the Exchange Act).18

Risk factors and legal proceedings

The risks Phreesia Inc. names in Item 1A of its 10-K filed Mar 31, 2026: 57 risks under these headings, as written.18

  • Risks relating to our business and industry
  • We operate in a highly competitive industry, and if we are not able to compete effectively, including with the EHR and PM systems with which we integrate, our business and results of operations may be harmed.
  • If we fail to manage our future growth effectively, our revenue may not increase, and we may be unable to implement our business strategy.
  • Our operating results have fluctuated and may continue to fluctuate significantly and if we fail to meet the expectations of analysts or investors, our stock price and the value of your investment could decline substantially.
  • Privacy concerns, cyber-attacks, data breaches or cybersecurity incidents relating to our solutions could result in economic loss, damage to our reputation, deterrence of users from using our products, and exposure to legal penalties and liability.
  • Our operations in India subject us to additional risks which could have an adverse effect on our business, operating results, and financial condition.
  • We typically incur significant upfront costs in our client relationships, and if we are unable to develop or grow these relationships over time, we are unlikely to recover these costs and our operating results may suffer.
  • As a result of our variable sales and implementation cycles, we may be unable to recognize revenue to offset expenditures, which could result in fluctuations in our quarterly results of operations or otherwise harm our future operating results.
  • The growth of our business relies, in part, on the growth and success of our clients and certain revenues from our engagements, which is difficult to predict and is subject to factors outside of our control.
  • If our existing clients are not satisfied with our services, it could have a material adverse effect on our business, financial condition, results of operations and reputation.
  • The estimates and assumptions we use to determine the size of our target market may prove to be inaccurate, and even if the markets in which we compete meet our size estimates and forecasted growth, our business may not grow at similar rates, or at all.
  • If we cannot implement our solutions for clients or resolve any technical issues in a timely manner, we may incur costs in the form of service credits or other remedial steps and/or lose clients, and our reputation may be harmed.
The other 46 risks
  • We historically derive a significant portion of our revenues from our largest clients.
  • We have experienced net losses in the past and we may not maintain positive net income in the future.
  • We depend on our senior management team and certain key employees, and the loss of one or more of our executive officers or key employees or an inability to attract and retain highly skilled employees could adversely affect our business.
  • We have made, and may in the future make, acquisitions and investments which may be difficult to integrate, divert management resources, result in unanticipated costs or dilute our stockholders.
  • We may be unable to successfully integrate the business acquired in the AccessOne Acquisition, integration may be more difficult, costly or time-consuming than expected, and we may fail to realize all of the anticipated benefits of the AccessOne Acquisition on the anticipated time frame or at all.
  • Certain of our operating results and financial metrics, including the key metrics included in this report, may be difficult to predict as a result of seasonality.
  • Business or economic disruptions or global health concerns could harm our business and increase our costs and expenses.
  • If our internal controls over financial reporting or our disclosure controls and procedures are not effective, we may not be able to accurately report our financial results, prevent fraud or file our periodic reports in a timely manner, which may cause investors to lose confidence in our reported financial information and may lead to a decline in our stock price.
  • From time to time, we are subject to various legal proceedings that could adversely affect our business, financial condition and results of operations.
  • We are a fully remote company, which subjects us to unique operational risks.
  • Risks relating to our payment processing business
  • If our payment processing platform is limited, restricted, curtailed or degraded in any way, or if we fail to continue to grow and develop our payments platform, our business may be materially and adversely affected.
  • If we fail to comply with the applicable requirements of card networks, they could seek to fine us, suspend us or terminate our payment facilitator status. If our clients or sales partners incur fines or penalties that we cannot collect from them, we may have to bear the cost of such fines or penalties.
  • Changes in laws and regulations relating to interchange fees on payment card transactions, or increases in card network fees and other changes to fee arrangements, may result in the loss of clients who use our payment processing services and would adversely affect our revenue and results of operations.
  • Risk relating to our data and intellectual property
  • If our intellectual property is not adequately protected, we may not be able to build name recognition, protect our technology and products, and our business may be adversely affected.
  • Any restrictions on our use of, or ability to license and integrate, third-party technologies could have a material adverse effect on our business, financial condition and results of operations.
  • Third parties may initiate legal proceedings alleging that we are infringing or otherwise violating their intellectual property rights, the outcome of which would be uncertain and could have a material adverse effect on our business, financial condition and results of operations.
  • Interruption or failure of our information technology and communications systems could impair our ability to effectively deliver our products and services, which could cause us to lose clients and harm our operating results.
  • If our solutions fail to provide accurate and timely information, or if the content delivered to clients and patients or any other element of our service is associated with errors or malfunctions, we could have liability to clients or patients which could adversely affect our results of operations.
  • We may be liable for use of incorrect or incomplete data we provide, which could harm our business, financial condition and results of operations.
  • Our use of “open source” software could adversely affect our ability to offer our services and subject us to possible litigation.
  • Risks relating to laws and regulations applicable to our industry
  • We are subject to healthcare laws and data privacy and security laws and regulations governing our collection, use, disclosure, storage and transmission of personally identifiable information, including protected health information and payment card data, which may impose restrictions on us and our operations, require us to change our business practices and put in place additional compliance mechanisms, and subject us to fines, penalties, lawsuits, adverse publicity, reputational harm, loss of client trust or government enforcement actions if we are unable to fully comply with such laws.
  • Existing laws regulate our ability to engage in direct marketing, and changes in privacy laws could adversely affect our ability to market our products effectively and could impact our results from operations or result in costs and fines.
  • Any failure by us to comply fully with website accessibility standards could result in us being subject to considerable fines and penalties.
  • The healthcare regulatory and political framework is uncertain and evolving.
  • We conduct business in a heavily regulated industry in an uncertain and evolving political and regulatory environment, and any failure to comply with applicable healthcare laws and government regulations could result in financial penalties, adverse regulatory action and adverse publicity, or could require us to make significant operational changes, any of which could harm our business.
  • We may be subject to risks related to government contracts and related procurement regulations.
  • The U.S. Food and Drug Administration (“FDA”) may in the future determine that our technology solutions are subject to the Federal Food, Drug, and Cosmetic Act and we may face additional costs and risks as a result.
  • Individuals may claim our calling or text messaging services are subject to, and are not compliant with, the Telephone Consumer Protection Act or similar state laws.
  • Our business is dependent in part on phone, email and text messaging channels, and any technical, legal or other restrictions on the sending of such correspondence or a decrease in consumer willingness to receive such correspondence could adversely affect our business.
  • Artificial intelligence presents risks and challenges that can impact our business, including by increasing competition, posing security risks to our confidential information, proprietary information and personal data, and increasing our regulatory and compliance burden.
  • We may be adversely affected by the operation of laws in non-U.S. jurisdictions.
  • Due to the particular nature of certain services we provide or the manner in which we provide them, we may be subject to additional government regulation and foreign government regulation.
  • Risks relating to our dependence on third parties
  • We rely on our third-party contractors, vendors and partners, including some outside of the United States, to execute our business strategy. Replacing them could be difficult and disruptive to our business. If we are unsuccessful in forming or maintaining such relationships on terms favorable to us, our business may not succeed.
  • We rely on a limited number of third-party suppliers and contract manufacturers to support our products, and a loss or degradation in performance of these suppliers and contract manufacturers could have a negative effect on our business, financial condition and results of operations.
  • We rely on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our clients, and any failure or interruption in the services provided by these third parties or our own systems could expose us to litigation and negatively impact our relationships with clients, adversely affecting our brand and our business.
  • Risks relating to taxes and accounting standards
  • Our financial results are based in part on our estimates or judgments relating to our critical accounting policies. Changes in related judgments or assumptions, or changes in accounting standards and tax regulations could materially impact our financial position and results of operations.
  • Our ability to use our net operating losses to offset future taxable income may be subject to certain limitations.
  • Risks relating to our financing needs
  • Our cash and cash equivalents could be adversely affected if the financial institutions in which we hold our cash and cash equivalents fail.
  • In order to support the growth of our business, we may need to incur additional indebtedness under our current credit facility or seek capital through new equity or debt financings, which sources of additional capital may not be available to us on acceptable terms or at all.
  • Restrictive covenants in the agreements governing our New Capital One Credit Facility may restrict our ability to pursue our business strategies.
  • Adverse developments affecting the financial services industry, such as actual events or concerns involving liquidity, defaults or non-performance by financial institutions or transactional counterparties, could adversely affect our current and projected business operations and our financial condition and results of operations.
  • Risks relating to ownership of our common stock
  • Our share price has been and may in the future be volatile, and you could lose all or part of your investment.
  • We do not currently intend to pay dividends on our common stock and, consequently, your ability to achieve a return on your investment will depend on appreciation in the price of our common stock.
  • We cannot guarantee that our stock repurchase program will enhance long-term stockholder value. Share repurchases could also increase the volatility of our stock price and diminish our cash reserves.
  • Risks relating to our bylaws and certificate of incorporation
  • Anti-takeover provisions under our incorporation documents and Delaware law could delay or prevent a change of control, which could limit the market price of our common stock and may prevent or frustrate attempts by our stockholders to replace or remove our current management.
  • Our bylaws designate certain specified courts as the sole and exclusive forums for certain disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.

Legal proceedings

From time to time we may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. For further information regarding legal proceedings, refer to Note 11 - Commitments and contingencies in Part II - Item 8 in this Annual Report on Form 10-K.

The opening of Item 3, Legal Proceedings.18

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