9/4/2024

speaker
Operator

Good evening, ladies and gentlemen, and welcome to the Freesia Second Quarter Fiscal 2025 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 Balaj Gandhi, Freesia's Chief Financial Officer. Mr. Gandhi, you may begin.

speaker
Balaj Gandhi

Thank you, Operator. Good evening, and welcome to Freesia's Earnings Conference Call. for the second quarter of fiscal 2025, which ended on July 31st of 2024. 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 Form 8 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.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 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 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 flow. 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 press release and stakeholder letter, which were furnished with our Form 8K filed after the markets closed today with the SEC, and may also be found on our investor relations website at ir.freesia.com. I will now turn the call over to our CEO, Hai Mindey.

speaker
Hai Mindey

Thank you, Balaji, and good evening, everyone. Thank you for joining our fiscal second quarter earnings call. We achieved another important milestone in the fiscal second quarter by reaching positive free cash flow for the first time as a public company. We believe this milestone marks the start of a new era for Freesia in which we will be able to utilize internally generated cash to drive stakeholder value. Our fiscal second quarter results were solid across all of our key financial and operating metrics. We believe we are set up well to execute on our full year financial plan and plan for continued revenue and profitable growth this year, next year, and beyond. I feel very good about where we are as an organization and appreciate my teammates for their commitment to our mission of making care easier every day, and also to our vision to make every person an active participant in their care. I will now hand it over to Balaji to provide some financial highlights.

speaker
Balaj Gandhi

Thank you, Haim. And good evening, everyone. Let me start with a couple of the highlights in our letter regarding the fiscal second quarter. Q2 revenue was $102.1 million, up 19%, and $16 million year-over-year. Justed EBITDA was $6.5 million, up $18 million year-over-year. Our average healthcare services clients, or AHSCs, increased by 104 from the prior quarter. And total revenue per AHSC was $24,494, down 2% year over year. Q2 fiscal 2025 total revenue per AHSC was flat year over year when compared to Q2 fiscal 2024 total revenue per AHSC excluding the revenue from the clearinghouse client relationship that we wound down earlier this year. Turning to our cash flow and balance sheet, we achieved two important milestones in the fiscal second quarter. First, we returned to positive operating cash flow. And second, as I mentioned, we achieved positive free cash flow for the first time as a publicly traded company. Operating cash flow was positive at $11.1 million. $20.4 million year over year. Free cash flow was positive at $3.7 million, up $19 million year over year. Cash was at $82 million on July 31st, up $2.3 million from the end of our fiscal first quarter on April 30th. We expect to continue to generate positive free cash flow while investing in long-term revenue and profit growth. Now moving on to our financial outlook for fiscal 2025. We are maintaining our revenue outlook for fiscal year 2025 at a range of $416 million to $426 million. We are updating our adjusted EBITDA outlook for fiscal year 2025 to a range of $26 million to $31 million from a previous range of $21 million to $26 million. That's a $5 million increase at the top and bottom end of our range. We have also provided an outlook for two metrics, AHSCs and total revenue per AHSC. We expect AHSCs to reach approximately 4,200 for the full fiscal 2025, compared to 3,601 we reported in fiscal 2024. We expect total revenue per AHSC to increase in fiscal 2025 compared to the $98,944 we achieved in fiscal 2024. In order to help you model beyond fiscal 2025, we are also sharing our expectations for AHSCs in total revenue per AHSC in fiscal 2026. We expect AHSCs to reach approximately 4,500 in fiscal 2026. Additionally, we expect total revenue per AHFC to increase in fiscal 2026 compared to fiscal 2025. Finally, I would like to reiterate Haim's comment that I feel very good about where we are as an organization and would like to thank and congratulate all my Freesia teammates for their contribution to our results. Operator, I think we can now open the lines up for a Q&A session.

speaker
Operator

Thank you. If you have a question, please press star 1 on your telephone keypad. To withdraw your question, simply press star 1 again. Please ensure that your line is not on mute when called upon. Thank you. Your first question comes from the line of Anne Samuel with JPMorgan. Your line is open.

speaker
Anne Samuel

Hi. Congrats on the strong results, and thanks so much for providing the really helpful modeling color for 2026. I was hoping maybe you could just spend a little bit of time discussing how to think about the drivers of that ramp of the revenue growth provider client, just kind of keeping in mind your longer-term revenue target of 20% growth beyond 2025. And with the new clients growing, call it high single digits next year, it does imply a pretty significant inflection. So I was hoping you could talk about what the key drivers of that inflection are. Thanks.

speaker
Balaj Gandhi

Sure. Thanks, Annie, for the question. This is Balaji. So a couple of things I think on your question. First, I think you have some good perspective on these growth drivers having followed us for a long time. And if you think about when we went public, that was sort of the algorithm we had in the first year, year and a half of being public. So we're certainly capable of driving a lot of revenue both in our base and driving sort of the total value of a deal size higher. And then maybe just to give you some additional color on that, if you think about our pipeline, it's been as big right now in the, you know, for the first half of fiscal 25 as it was in the first half of 24. Our pipeline win rates have been consistent first half over first half. And the size total value of the transactions that we're doing are about 20% bigger in the first half of this year versus last year. So this is probably, you know, something you could sort of go back to fiscal 19, fiscal 20, and look at that, and that's how it'll probably play out over the next couple years.

speaker
Anne Samuel

That's great, and, you know, happening, I think, sooner maybe than I anticipated. Maybe just a follow-up. I was hoping you could provide some more color on the patient bill pay product and maybe how that differs from how your patients are currently transacting with you. Is there any kind of leveraging of card on file for any of that? Thank you.

speaker
Hai Mindey

Annie, this is Simon. Yes, there is. We are leveraging card on file for it. But it's also, as I'm sure you'll see at some of your doctor's offices, it's a product where we've invested heavily in. And it really provides a significantly better experience for the patient in their ability to pay their bill without actually having to do a lot of work and write a check and get a statement. So it's been a big investment. We're really proud of the team. The initial response from our clients has been well beyond what we even thought it would be. So hats off to the team that's been rolling out. Probably took us a little longer than we expected, but it was a lot harder than we thought. It's been really nice. And let me know when you see it at your doctor's.

speaker
Anne Samuel

Will do. Congrats, guys.

speaker
Daniel

Cheers.

speaker
Operator

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

speaker
William Blair

Yeah, guys. I'll add my congratulations on the move to free cash flow positive. That's a great milestone. Maybe two questions. I'll start with one for you, Balaji. Really impressive. downward trend in your sales and marketing spend, I think, you know, trended down from a peak of $40 million to $30 million now. Is that more of a sustainable level going forward, or should we start to see that maybe modestly trend up a bit as we continue to drive the growth outlook going forward?

speaker
Balaj Gandhi

Yeah, thanks, Ryan. I think you should, it's been in that level, call it, you know, plus or minus $31, $32 million for 11 quarters or so now. I think you should expect us to continue to get nice leverage out of that number. One thing I will point out, Ryan, is that just one cue to two cues sequentially. Recall that we talked about that clearinghouse client unwinding. There were actually some sales and marketing costs that were built into that, which is frankly what made it. you know, not very, very profitable to us. So that came out from 1Q to 2Q. So I think sort of being in that, you know, the range we've been in for a while, we can continue to get nice leverage. We've got a large organization of, you know, about 500 people in the sales and marketing organization, and, you know, we're spending $120 million. So we think that can support a much bigger organization, revenue-wise.

speaker
William Blair

Okay, very helpful. And then just a question on the Meditech Alliance that you announced in the shareholder letter tonight. maybe twofold. One, will they actually be a reseller of the freezer product? And number two, when will the full product integration be available for the client base? I know that's a pretty sizable client base, especially in the acute care market. Thanks, guys.

speaker
Hai Mindey

Yeah, so they are a reseller of one of our small pieces of technology for some of their clients, but a lot of the clients that I'd say the Alliance allows us, it's really opening the door and making it easier for Meditech clients to buy directly from Frisia from a subset of our other products. But they are a reseller of one of our products.

speaker
William Blair

Great. And then any comments on the full integration that you mentioned when that will occur? Thank you.

speaker
Hai Mindey

You know, I'd say I expect that to continuously roll out over the coming years. And we do already have integration with it, and we'll keep investing in Meditech. as a platform, and the customer base has been very, very supportive of what we've been rolling out. So it's been very fruitful. And we agree, it's a huge potential market. Yeah, big house. Okay, thanks again, guys. Cheers.

speaker
Operator

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

speaker
Scott Schoenhaus

Hey, guys. Thanks for taking my question. Just wanted to poke around the additional color we got on the fiscal 26 target. My understanding was always that the network solutions would grow maybe mid to high teens as a percentage every year. Is that still the right way to think about it? um for next year and you know what does that really imply on the um the the subscription business business if you could break out some of that color more I'd appreciate it thanks yeah Scott I think um what we can you know do to try to be helpful is we don't want to get into a revenue line item you know forecasting

speaker
Balaj Gandhi

But I think, you know, we talk about total revenue, and I think we have said that network solutions will continue to be a bigger part of our revenue. So as a percentage, it will grow over time. And so, you know, I think I talked about size and value of transactions being bigger. That's inclusive of network solutions. So, you know, I think you should just expect that to grow as a percentage of revenue. um and it's been growing you know at or faster than subscription of late but it will it will fluctuate quarter quarter and that's really one of the really nice things about our business that we have these sort of three different uh ways to grow yeah that's very helpful bellagio and just as a follow-up there i guess you mentioned about the inorganic opportunities provided by the new cash generation um

speaker
Scott Schoenhaus

Anything to call out there in terms of which part of the business you think that there's more attractive in currently market opportunities for M&A? Thanks.

speaker
Balaj Gandhi

Yeah, maybe Hyman and I are looking at each other a little confused. I don't think we mentioned anything specifically about inorganic opportunities. I was just saying about your cash flow.

speaker
Scott Schoenhaus

Your free cash generation would help you achieve these targets. Sorry, I read between the lines of saying that.

speaker
Balaj Gandhi

I think generally you should expect that comment around free cash flow to be generating more cash flow. We think that's good. It just makes us a stronger company and creates a ton of value. It allows us to keep investing in products and doing the things we're doing. I don't think I'd take anything more away from that comment.

speaker
Scott Schoenhaus

Okay. My bad. Thanks.

speaker
Balaj Gandhi

Glad we cleared it up then.

speaker
Operator

Your next question comes from the line of Jessica Tassin with Piper Sandler. Your line is open.

speaker
Jessica Tassin

Hi, guys. Thanks for taking the question. So I wanted to understand kind of what changed in your visibility on the average revenue per AHSC. We appreciate the guidance, but just are you guys seeing kind of the size of the pipeline or the magnitude of the opportunities grow? I think you referenced that. Is it new products or just what's giving you kind of sufficient confidence to be able to guide to growth in revenue per?

speaker
Balaj Gandhi

Yeah. Thanks, Jess. So I think what you're seeing today with the new information we shared is more the output of some things we put in place a couple of years ago in terms of how we wanted to think about the business over the next several years. And so we've just got a much broader suite of solutions both for providers, but also for our clients in life sciences, which falls into that network solutions area. So when we're talking about breadth and total value getting bigger, that's a very intentional thing that we started to put in place almost two years ago. And so we've been expecting it and seeing it. And I think, you know, we're reacting a little bit to conversations we've had with a lot of analysts and shareholders about hey, where is this going, you know, quantitatively? And that's why we shared what we did today. So hopefully that's helpful.

speaker
Jessica Tassin

Yeah, that's really helpful. And then congratulations on the PAM renewal. I was hoping that you guys could just maybe remind us, I think we understand why patient activation is so important, but just what is kind of the opportunity to leverage PAM within your existing AHFC install base, if at all? Thanks.

speaker
Balaj Gandhi

Yeah, I mean, look, first of all, and one of the reasons we, you know, we're very interested in acquiring the patient activation measure was that some of our clients were already utilizing it. I think the easiest, you know, application you can think about is in the nephrology space, where as part of the kidney care choices program that the Centers for Medicare and Medicaid Innovation have launched, TAM is required to be measured. So if you think about a nephrology client of Freesia's that's participating in the KCC program, they have to measure PAM. It makes our product stickier. It allows us to do a lot of things, you know, around both all the things that Freesia does and over time integrate that with PAM. But now I think you think about that renewal, and I think it's all public information out there, it gives us an opportunity over a longer period of time to get that included in new models within CMMI. And those new models could be in various specialties or provider settings that Frigia works with.

speaker
Jessica Tassin

Great. Thank you.

speaker
Operator

Your next question comes from the line of Jaylandra Singh with Truist Securities. Your line is open.

speaker
Jaylandra Singh

Thank you, and thanks for taking my questions. I actually want to go back to fiscal 26 metrics color guidance you're giving. Quick clarification, I know it looks like that modeling data is helpful. Looks like street might be slightly higher on this AHSC count, but you're not trying to talk down the top line growth expectation. You're essentially saying that maybe we are underestimating revenue per AHSC for fiscal 26, might be slightly higher on the total AHSC count. Just want to make sure that the message is clear. It's not a top line talking down, but just a mix of the two metric, something you want to give some guidance on, right?

speaker
Balaj Gandhi

Yeah, I think that's right. I think what we'd say is we haven't formally, you know, said anything about fiscal 26 in terms of revenue for the year, but I think that's the right takeaway is that what we're trying to do is say you will see more contribution from total revenue per AHSC in 26 than you have in the last couple of years.

speaker
Jaylandra Singh

Okay. And then my main question around EB Dow, performance and guidance rates this fiscal year, would you attribute this outperformance to you guys able to find cost efficiencies and leverage faster than you previously thought, or are these incremental cost efficiencies which you did not expect at all? Just trying to understand if there's any change to the long-term margin profile in this business you think about.

speaker
Balaj Gandhi

Yeah, and I think on the earlier question about revenue, it applies really throughout the company. I think there's There was really a lot of effort and focus by a lot of people at the company around what we wanted, what kind of company we wanted to be, what kind of company we want to look like, how are we going to fund our growth? And so, first of all, just to acknowledge that a lot of different people at Frigio were part of this. And when you put a lot of things in motion like that, Jalendra, You know, you don't know the timing with precision about where you're going to be in any particular quarter. I think we've done well, but we're constantly looking for opportunities to be more efficient. You know, we still spend a large amount of capital. So I think it's mentioned in Haim's section of the letter, this isn't some kind of finish line.

speaker
Jaylandra Singh

Okay, and the last one, if I can sneak in here. What was the SDR count at the end of the quarter and any color you can provide as a guidance on that metric by end of fiscal year?

speaker
Balaj Gandhi

Yeah, and this is something, another topic we've talked about a lot internally over the past couple of quarters. I think I talked about on Annie's question about that organization, and it's a 500-person organization as we sit here today, inclusive of all the work we do in Network Solutions. We're spending over $120 million. I think there's a little bit of confusion from the investment community about SDRs in the context of this. I mean, that 500-person organization has lots of people that are driving net new growth across the company. SDRs have been one tactic. So I think we'd rather just sort of say, if you wanted to keep score of the inputs on sales and marketing, think about it as 500, which is about the same as it was last year, and think about it as 120 million. And, you know, I don't think it's probably, you know, it's not something we're probably going to share.

speaker
Jaylandra Singh

Great. Thanks a lot.

speaker
Balaj Gandhi

Sure.

speaker
Glenn

your next question comes from the line of glenn santangelo with jeffries your line is open oh yeah thanks for taking my questions just just two quick ones for me you know uh back to the the fiscal 26 outlook on the provider ad i'm kind of curious you know as we sit here with five months left in fiscal 25 you know how much visibility how much forward visibility do you have on those provider ads at this point like i know you're working now for deals towards next year. And I'm just kind of curious as to how much, you know, how much visibility you really have in throwing out that forward guidance at this point.

speaker
Balaj Gandhi

Yeah, I'll answer the question this way, Glenn. We have entering a year when we think about the provider space and we think about subscription revenue and payment processing, we have lots of visibility. I'm going to say, you know, 90% visibility. So that's the part of our business we have the most. And I think in network solutions, we've been pretty consistent. That's where most of the variability is. So even this late in the year, that $10 million revenue range we have, most of the variability there is in network solutions. So we do have a lot, which is why when we're sitting here in September, we've given a target for the full fiscal year for next year. So a lot, but not 90% today, but entering a year is 90%.

speaker
Glenn

Okay, perfect. Then maybe if I could just sort of follow up on one with you, you know, I'm kind of curious as to, you know, where you think industry penetration rates might be for automated solutions, like like what you're selling, because I think, you know, obviously a great quarter, but some of the pushback may be on the slower provider ads next year. And so I guess people are always wondering, you know, I know, you always say this is a hard business, you know, and I'm sure it continues to be but are you seeing any movement

speaker
Hai Mindey

the competitive landscape on from the ehr companies or you know are we starting to push up against higher penetration rates like what do you think is is going on i i look i think the team's doing a great job i think we've invested heavily in a lot of new products which are bearing fruit so i think the investments we've been making in our product organization and diversifying away from just being known as intake. So we're really a lot more than that, which has helped us, frankly, win fairly regularly on a weekly, monthly, and yearly basis, continually win more deals. And I think we're starting to see more and more of those venture-backed businesses or private equity-backed businesses that are starting to struggle, having not invested and don't have the ability to invest at the rate they did. So to be I think our view is if you continually invest in product and it's not what you did, it's what you're doing, then we believe we should have a continuous right to keep growing the business. And so far, that thesis has played out.

speaker
Balaj Gandhi

And Glenn, what I'd add is we have different ways of growing. And that's the point is I think client growth is absolutely an important part of it, but so is the revenue associated with the client.

speaker
Hai Mindey

I don't hear people often saying, wow, my experience in healthcare has been amazing.

speaker
Daniel

It's so seamless. Okay. Appreciate the comments, guys.

speaker
Operator

Your next question comes from the line of Stephanie Davis with Barclays. Your line is open.

speaker
Stephanie Davis

Hey, guys. Congrats on the quarter.

speaker
spk11

I haven't really seen you push on the gas pedal and that rev per metric when at the scale before us. So I was hoping you can give us some insight into the balance of how much of it is from new deals of scale that you talked about, which might have a bit longer to flow through. How much of it is that cross sales of the broader solution suite? And when we think about your client base and the recent offboarding you had in one queue, is there any... further off-boardings that might make sense if some of the clients aren't at the sale or sophistication that fits this next stage of your platform?

speaker
Balaj Gandhi

What was the last part of that? Is there further what?

speaker
spk11

Any further off-boardings of client relationships that might not be able to scale in the same way that you folks are looking to do.

speaker
Balaj Gandhi

Yeah, yeah, I got it. So a couple of things I'd say, really two things around your question. First of all, what you're seeing in fiscal 25, and I think we've tried to unpack this in what we've shared, is just that when you take $8 million out from that clearinghouse client that was a very unusual client for us, which is one AHFC with 8 million, it distorts a lot of the trend. The second thing, though, is, and I think I mentioned this earlier, you think about the pipeline, it's the same as it was a year ago. But the size of these, the value of these deals is larger. And I think it's, you know, as I said, about 20% larger compared to a year ago at this time. That flows through into, you know, into the future, and that's how you get a lift on revenue per client.

speaker
Stephanie Davis

And you guys have seen a lot of leverage on the sales and marketing front. Should we think about a change in your go-to-market, like maybe a more narrow focus or a bit more upmarket focus?

speaker
Balaj Gandhi

No. No, I think it's been pretty consistent. I think there's lots of analysis you can do now with, you know, over five years of data on visits and clients and the revenue associated with them. And it's, you know, the size and composition has pretty much been the same. It bounces around some quarter to quarter, but it's pretty much been the same over that whole period of time.

speaker
Daniel

All right. Thank you.

speaker
Operator

Your next question comes from the line of Joe Ruink with Baird. Your line is open.

speaker
Joe Ruink

Great. Thank you. On the expectation for customer accounts, obviously those are net numbers. I'm wondering if you could speak to the gross experience retention on maybe even a logo basis or dollar basis over that stretch of time, and I guess I'm wondering You know, you talk about the progress you've had on kind of new deals and new transactions and shorter paybacks and those cohorts. I'm wondering if the economics have changed for the better within the established installed base, and that's driving some of the good updates we're now seeing.

speaker
Balaj Gandhi

Yeah, I'd say yes is the short answer on the second question. And on the first part, we've been in a very tight range of 94 to 96% on gross revenue retention since we went public. So, and we continue to be in that range.

speaker
Joe Ruink

Okay, thank you. And then second question, yeah, the way you framed and prepared remarks incrementally that and incremental free cash flow both year over year. I'm wondering if you just have an expectation for that conversion rate and where the relationship might settle over a rolling, let's say, 12-month basis?

speaker
Balaj Gandhi

Not at this time, Joe. I mean, I think it will continue to be nice pull-through. I think we feel comfortable now saying I wouldn't be modeling 100% pull-through, but we still think it'll be very strong in the next year. We'll tell you more in December.

speaker
Joe Ruink

That's it for me.

speaker
Daniel

Thank you.

speaker
Operator

Your next question comes from the line of John Ramson with Raymond James. Your line is open.

speaker
John Ramson

Hey, good evening. A couple for me. If we think about your overall expenses outside of payment, which is variable, what kind of revenue do you think you could support with that level of expense compared to what you have today?

speaker
Balaj Gandhi

Is this your way of trying to get to a revenue number for next year, John?

speaker
John Ramson

No, it's a way to try to understand how much expenses will grow.

speaker
Balaj Gandhi

I think we have said you shouldn't expect that expense number that you talked about, which is around $79 million in a quarter, going up much over the next couple of years as we continue to grow it at a pretty healthy clip.

speaker
John Ramson

Okay. And then secondly, just kind of trying to read between the lines a little bit, and this is state school. reaching between the lines, which is always in question. So for you to drive a higher revenue for client, not only do you have to tackle bigger clients, but I'm assuming that you're also targeting clients that have a bigger willingness to write prescriptions so that the data flow through to pharma would be more valuable. So are you looking at groups that might be more high prescribers than maybe what you were in the past?

speaker
Hai Mindey

Hey, John. No, I think the way we think about it is making sure that we drive more of our holistic solutions across the board to the provider on initial sale. So as opposed to, and I think we've mentioned this on a couple calls, where it's as opposed to going in with a lower entry product or a or just one of our offerings going in with a fuller suite initially to drive more value early on. But the reality is, I think the other thing that we're seeing is the investment that we've been making in R&D and product is starting to pull through as we have a broader offering to take to those clients, both initially and ongoing throughout the patient journey. I think this is, and we really do appreciate

speaker
John Ramson

our investors uh giving us the rope to invest in product to be able to do this right so just thinking about your uh sales and marketing um what has been done to i mean the productivity has gone up obviously i mean you did that experiment where you hired a bunch of people uh and you've been on this you did this growth experiment now you're on this productivity experiment what have you done to improve the productivity of your sales and marketing team? Because, I mean, it's pretty evident in the numbers, but I'm just curious about the specifics.

speaker
Balaj Gandhi

Yeah. And, I mean, John, I wouldn't think of them as two experiments, though I understand why you asked it that way. It was really, we took capital in that we, you know, thought was, you know, very appropriate. put it to work with the idea that if we got faster growth, we would be able to drive a lot of operating leverage. Now, the way you do that is you just focus on a lot of operating metrics and getting good results and returns. I think we've been pretty clear. You don't get everything right. So when you don't, you got to look at it, measure it, and sort of take care of that. So I think that's what you're probably seeing a lot in the numbers. If I'm anything.

speaker
Hai Mindey

No, you did a great job.

speaker
John Ramson

Yeah, and Haim, I think last one, you're the only company I follow that's completely virtual, but you've had this good return on R&D. How do you keep people in some locations going with developing product at such a pace? Thanks.

speaker
Hai Mindey

Okay. I think we are very purposeful, John, in how we think about communication, documentation, and ideating but the team does pull together on a fairly regular basis but it also allows us to attract and retain top talent from all over and i think so we we recognize that it's not it is not the same as in person but we try to we try to play to our strengths being fully virtual but also recognizing that we have to get together and we have to have a really focused time on that collaboration as we do on a regular basis

speaker
Operator

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

speaker
Richard Close

Great. Thank you for all the information in the letter. On product updates, Ryan took the Meditech, so I guess I'll hit medication adherence. Can you remind us what the revenue model is associated with that offering, is that being paid for by pharma, thus part of Network Solutions? And if that is the process, is it like a drug by drug that the clients sign up for, or do you go to each pharma company and say, hey, you know, we'll show you all the prescriptions? Just curious how that all works.

speaker
Hai Mindey

Yeah, so I'll give some detail, probably not as much as you'd like. So just to be clear, we don't actually disclose any information back to the pharmaceutical company on who or what. So no patient identifiable information is delivered back to them. And the vast majority of that revenue would probably be realized on our network solutions line. And it would more often than not be part of an offering, a suite of offerings around the patient's journey that we would work with our network solution clients to provide them access to that network. But it would be one of multiple things that they'd often pick on, as opposed to just like we're going and selling that thing.

speaker
Richard Close

Okay, that's helpful. And then maybe, Balaji, on the pipeline being the same year over year, You know, you obviously focused or stated last quarter you're focusing in on, you know, the shorter payback. So I assume, you know, some stuff probably fell out of the pipeline.

speaker
Balaj Gandhi

know just because they were maybe you know not as broad um you know from a product offering or interested in the broader product offering is is that fair to say no i don't think that'd be fair to say i think i think what you're you know i talked about um size earlier and if you just think about the value um that's what we've been driving and a lot of this richard is the output of things we put in place a couple of years ago so i think our comment really is just that Pipeline's still good. It's about the same size, and the deals are bigger. That's what will get us to the place we're trying to get next year and beyond.

speaker
Richard Close

Okay, that's helpful. And then a final question here is I appreciate the retention comments, a couple questions earlier. Can you just talk to us a little bit about, let's say, a – know client decides to switch you know from one vendor to you know let's say epic what's your history in terms of you know keeping that client on the patient access side and just just curious there yeah i mean i don't think we talk about any specific um event you know uh emr vendor

speaker
Balaj Gandhi

Richard, but I think, you know, we talked about our retention rates. We talked about the breadth we have. And, you know, we're focusing on starting with these clients in a bigger way. But, you know, I don't think there's anything specifically to call out. We don't win every deal. But, you know, when those situations happen, there's not one specific theme to bring out. And obviously, you know, we're a pretty big player in this space.

speaker
Richard Close

Okay. Thank you. Congratulations. Yep. Thanks.

speaker
Operator

Your next question comes from the line of Daniel Grosslight with Citi. Your line is open.

speaker
Daniel Grosslight

Hey, guys. Thanks for taking the question. I wanted to go back to the components of REV for HFC growth in 26 and beyond. First, I just wanted to confirm that you are still committed to that 20% top-line growth for your medium-term targets. And then if I look at your growth algorithm back in the 2018, 2019 timeframe, obviously much of that growth was driven by subscription revenue per provider, given the life sciences segment at that time was relatively nascent. Fast forward to today, the networks business is your fastest growing segment. So as we think about rev per age as see growth in the future, is networks really going to drive the majority of that now? And how does that impact the visibility that you have in achieving those longer term targets?

speaker
Balaj Gandhi

Sure. So first point, Daniel, you know, the network solutions revenue is actually the first revenue line in the history of the company going back to 2005. So I just want to make sure, you know, when you said nascent, you know, it's the earliest revenue we had and the first product we had. I think what you have to appreciate is how much smaller the network was then. And we had done 54 million visits the year we went public. And so one of the reasons that Network Solutions has grown so much, we're now working with over 100 brands. And I think that's because the size of the network has grown so much that it gives us a nice tailwind to be able to have a lot of these conversations with a lot more people, frankly, that we couldn't. a few years ago. So I think that is a very different sort of thing. And, you know, I think as you talked about next year, I want to also clarify, we've never talked about 20% growth as any kind of target. I think we'll talk to you, you know, we'll keep giving you updates about things. We'll talk about 26 in December. But that's really, I mean, I think you'll get updates from us.

speaker
Daniel

But this year, you obviously have the growth and the revenue that we're targeting. Got it. Thank you. Yep.

speaker
Operator

Your next question comes from the line of Sean Dodge with RBC Capital Markets. Your line is open.

speaker
spk18

Yep. Thanks. Good afternoon. You mentioned with respect to the guidance, the variability in that range being associated with network solution selling activity. I guess, is there a big seasonal component or cadence in that business? Are Q3s and Q4s still the heaviest for that segment? And then, Just anything you can share on visibility you have at this point into that revenue heading into the back half of this year. Thanks.

speaker
Balaj Gandhi

Yeah, so you're right, Sean. Absolutely. That's been the case every year. We were pretty intentional about having a wider revenue guidance range for this year because of that. And so there will be a lot of balls up in the air in the fall, and we'll keep you apprised of that as we get through it. But that is the time of year where we're doing a lot of sales.

speaker
Daniel

OK, thank you.

speaker
Operator

Your next question comes from the line of Jeff Garrow with Stevens. Your line is open.

speaker
Jeff Garrow

yeah good afternoon thanks for taking the questions maybe follow up a little bit on that last one if you could just give any comments specifically about any impact you've anticipated from it being an election year you know i would imagine maybe you guys are an attractive non-media channel for life sciences given the the increased spend this fall but curious to get your comments there yeah no i'm looking at him too and i don't think there's anything we call out about election season and you know we went through this in 2020 and 2022 as well

speaker
Balaj Gandhi

and frankly well before we were public.

speaker
Jeff Garrow

Fair enough. One more for me. Just want to see if we could get an update on MediFind. Curious what's working there in terms of customer adoption within the Frisia base and any early insights on the value realized by clients that are using that service? Yeah.

speaker
Balaj Gandhi

No, look, it's just crossed the one-year anniversary in July. I think, you know, talking to our life sciences team, it's helped, you know, spark a lot of good conversations around how we can bring value just, you know, beyond what we've done historically with this asset. And I think, you know, it's going to be a driver of our growth in the future. So when you think about the conversations like total revenue per client and network solutions growth, absolutely, MediFind is going to be part of that.

speaker
Jeff Garrow

Great. Thanks for taking the questions. Sure.

speaker
Operator

Your next question comes from the line of Ryan McDonald with Needham. Your line is open.

speaker
Ryan McDonald

Yeah, thanks. This is Matt Shea on for Ryan. Thanks for taking the questions and congrats on the quarter here, guys. Wanted to follow up on the new provider ad to the back half of 25, kind of below that 100 plus per quarter rate. Should we view this as there may be new selling seasonality going forward that new deals might be more first half of the year or first half of the fiscal year weighted going forward, or is this more of a signal of a shift towards fewer but bigger new clients? I guess just trying to understand if we should expect new provider ads to be linear in FY26 or more front half weighted.

speaker
Balaj Gandhi

Yeah. No, Matt, actually, what you should take away, and this is some feedback and conversations we've had with a lot of folks, This is a very intentional effort on our part to get out of the quarterly cadence of AHSCs and giving you a bigger runway. And so what we're saying is, you know, we're giving you a sense for where we think we'll be for the full year on average and where we'll be next year. But I do think I'll confirm that this is not anything about seasonality or anything like that. It's just a point in time where we're choosing to, you know, set expectations and longer term.

speaker
Ryan McDonald

that fair enough yeah that makes sense um and then just to follow up on the pam renewal uh just curious we get pitted against any other vendors in that process and then as we think about the expansionary opportunity those four potential additional models does that create a revenue uplift as cms as you do additional models or is that just included in your renewal contract kind of passage no revenue uplift

speaker
Balaj Gandhi

Yeah, so first of all, one of the reasons we were very excited about that measure is it is very unique. I think there's public information out there, Matt, on why PAM was selected and what makes it unique that you could probably chase down. And then in terms of the programs, yeah, there's opportunity there. I think that's also, you know, out there publicly that we can, if we can get into some more models that creates revenue opportunities, which we're excited about.

speaker
Daniel

Okay, great. Thank you.

speaker
spk01

your next question comes from the line of jack wallace with guggenheim your line is open hey thank you for taking my questions and congrats on getting a cash flow positive uh wanted to send another question your way about the growth algorithm for next year wanted to you know maybe ask about the same sort of sales growth it sounds like you're adding some bigger deals You may be moving up the market a little bit, but thinking about the clients you do have, how much additional upselling is contemplated within the algo for next year? Is there any price that we should be considering? And then just kind of the general impact or lack thereof, the sunsetting of the initial demo periods. Thank you.

speaker
Balaj Gandhi

No, nothing you should take away from that in terms of change to any of our go to market. And I think, you know, when you I wouldn't characterize it as up market or down market. We're just talking about value. And like I said, there's the total value that we can drive in the business. And that's gotten bigger this half versus last half. And that's why, you know, we feel sort of, you know, we feel comfortable sharing our outlook for next year.

speaker
spk01

Appreciate that. So maybe another way to ask it is the, at least on the subscription line, you've been hovering around a little higher than a third penetrated against your per provider TAM. Should we expect that, you know, that penetration to go up next year? Was it really just a function of the larger deals and higher value deals coming in?

speaker
Balaj Gandhi

Yeah. And again, I think what we're going to emphasize when we say value is total revenue. Some of them will be larger on subscription. Some of them could be larger on payments. And, you know, some could be larger on network solutions. But really, when we say total value, we mean all three.

speaker
Daniel

Got it. Thank you. Sure.

speaker
Operator

Your next question comes from the line of Erin Kimson with Citizens JMP. Your line is open.

speaker
Erin Kimson

Thank you. You announced the availability of Frigio on the Oracle Healthcare Marketplace at the end of July and an integration with Oracle EHR. Can you talk about what you've seen from the partnership and integration in the first month and the potential you see for it to help Frigio land customers going forward?

speaker
Balaj Gandhi

Yeah, Aaron, it's early. I mean, you know, and we just announced that, so I don't think there's anything particular to call out. We're happy to formalize that, but I don't think there's anything specific to call out.

speaker
Daniel

Okay, thank you.

speaker
Operator

This concludes the question and answer session. I will turn the call to Haim for closing remarks.

speaker
Hai Mindey

Thanks a lot, everyone, for joining us. I hope everyone's gotten back into the fall swing and everyone's happy that their kids are back at school. And I look forward to seeing everyone over the next 90 days. And we'll talk to you all in December. Great one.

speaker
Operator

This concludes today's conference call. We thank you for joining. You may now disconnect your line.

Disclaimer

This conference call transcript was computer generated and almost certianly contains errors. This transcript is provided for information purposes only.EarningsCall, LLC makes no representation about the accuracy of the aforementioned transcript, and you are cautioned not to place undue reliance on the information provided by the transcript.

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