Strong Revenue Growth
Revenue of $618M in Q4 2025, up 28% year-over-year; full-year 2025 revenue $2.35B, up 59% year-over-year.
Subscriber Scale and Engagement
Platform exceeded 2.5 million subscribers at year-end 2025; ~65% (≈1.6M) of subscribers use a personalized treatment; monthly revenue per average subscriber increased 11% year-over-year to $83 in Q4.
Profitability and Cash Generation
Adjusted EBITDA of $318M for 2025, up nearly 80% year-over-year, with full-year adjusted EBITDA margin expanding ~2 percentage points to 14%; net income increased to $128M for the year; operating cash flow of $300M and free cash flow of >$57M for 2025; cash, short-term and long-term investments of $929M at year-end.
High-Value Specialty Performance
Weight loss offering reached a $100M revenue run rate in under 7 months (excluding compounded GLP-1s); weight loss subscribers grew >70% year-over-year in Q4; typical consumer weight loss reported ~22 lbs (oral) and ~29 lbs (injectable GLP-1) in the first year.
Diagnostic and Hormonal Early Wins
Labs launch provides 130+ biomarkers with app delivery; ~70% of Labs customers identify an actionable area of risk that can be treated on the platform; >95% of testosterone support users experienced increased testosterone within 2 months with an average increase >80%.
International Expansion Momentum
International revenue grew ~400% year-over-year to $134M in 2025; acquisitions (ZAVA, Livewell, pending Eucalyptus) extend presence to U.K., Germany, France, Ireland, Spain, Canada, Australia and Japan; guidance anticipates at least $200M of international revenue in 2026 and expectation that international business (inclusive of Eucalyptus) can break even within 12–18 months.
Operational and Strategic Investments
Invested >$300M in facilities over 3 years, >$225M discretionary CapEx in 2025 to expand operations to >1M sq ft across pharmacy, labs and R&D; deployed ~ $330M in acquisition consideration in 2025; acquisition of YourBio (~$150M, closed 2026) to enable at-home microneedle blood sampling.
Marketing and Acquisition Efficiency
Marketing as a percentage of revenue improved to 39% in 2025, a 7 percentage-point improvement year-over-year, with increasing gains from lower-cost and non-paid acquisition channels; company invested in a Super Bowl ad expected to drive awareness and payback within one year.