Revenue Ahead of Guidance
Q1 revenue of $50.2M, above guidance of $48M-$49M; full-year guidance reaffirmed at $220M-$230M (13%-19% YoY growth) with expected annualized run-rate revenue >$250M by Q4.
Record Subscriber Additions and Subscriber Growth
Largest quarterly net addition in company history with ~42,000 net telehealth subscribers in Q1; active subscribers grew ~26% year-over-year to over 365,000 at quarter end.
Weight Management Momentum
Weight management sign-ups rose ~120% sequentially from Q4; ended the quarter with just under 100,000 weight management patients; customer acquisition costs (CAC) improved ~4%-5% sequentially even as daily new patient volumes roughly doubled (from ~300-400/day to ~600-1,000/day).
Women’s Health Rapid Early Growth
Women’s Health subscribers grew more than 7x from the Q4 base; on-therapy retention is tracking north of 80%; plans to introduce seven new compounded pharmacy products supporting hormone and bone health.
RexMD Scale and Category Expansion
RexMD has ~215,000 active patients with growth across ED, sleep (fastest-growing), and hair loss; personalized ED medications (sildenafil + tadalafil) grew >40% versus Q4 and in-house fulfillment is expected to drive margin expansion.
Gross Margin Expansion and Gross Profit Growth
Gross margin expanded ~420 basis points to 88% in Q1, driven by lower shipping/fulfillment costs and scaling in-house pharmacy; gross profit was $44.2M, up ~3% year-over-year despite flat revenue.
Pharmacy & Coverage Scale
Affiliated pharmacy operating a 22.5k sq ft facility licensed in all 50 states, processing ~20k prescriptions/month with capacity to expand; covered lives expanded from ~112M at quarter end to an expected ~230M by end of the month, enabling broader insurance-supported access (Medicare GLP-1 Bridge launching July 1).
Capital Position and Balance Sheet Flexibility
Exited the quarter with $34.5M in cash, no debt, and a $30M undrawn revolving credit facility, providing flexibility to fund growth initiatives.
AI and Operating Leverage Roadmap
Management is deploying AI across intake, documentation, clinical decision support, revenue cycle and back-office workflows to increase provider capacity and improve margins; expects margin impact to become more visible in 2026.