Revenue Growth and Raised Full-Year Guidance
Q1 revenue grew 4% year-over-year to $608 million. Management raised 2026 revenue guidance to $2.8 billion–$3.0 billion (a 19%–28% YoY increase) and expects Q2 revenue of $680 million–$700 million (25%–28% YoY).
Subscriber and Engagement Momentum
Subscribers increased 9% YoY to nearly 2.6 million. Early adoption in weight-loss branded products is driving engagement: on-track to add north of 100,000 new weight-loss subscribers per month, ~90% of these users downloaded the app and the average new branded-subscriber interacted with a provider 3 times in the first month.
Strong Early Adoption of Branded GLP-1s (Novo Partnership)
Within six weeks of offering direct access to Novo Nordisk GLP-1 products, the company fulfilled more than 125,000 Wegovy shipments. Customers responded well to the Wegovy pill (noted affordability, efficacy and safety).
Adjusted EBITDA and Back-Half Acceleration
Q1 adjusted EBITDA was $44 million (7% adjusted EBITDA margin). Company expects full-year adjusted EBITDA of $275 million–$350 million (implying ~11% margin at midpoint) and anticipates a meaningful step-up in adjusted EBITDA dollars in Q3 and Q4 as monthly cohorts compound and operating leverage improves.
Strong Cash Flow and Balance Sheet
Q1 cash flow from operations was $89 million and free cash flow was $53 million. Available cash and short-term investments were $751 million at quarter end, with $225 million remaining on the share repurchase program.
Rapid International Expansion
International revenue was $78 million in Q1, representing nearly a tenfold increase year-over-year driven by acquisitions (ZAVA, Livewell). Management expects the Eucalyptus acquisition to close in H2 2026 to further expand presence across Australia, U.K., Germany, Japan and Canada.
Technology, AI and Data Investments
Built an AI organization (~40 members) and launched provider AI copilots and a Labs AI agent; AI weight-loss companion coming. Platform rearchitecture (no-code commercial engine, configurable clinical workflows, improved mobile/messaging) intended to accelerate new category launches and drive efficiency and personalization.
Clinical and Product Proof Points
Testosterone specialty: 95% of customers relying on Hims for testosterone support saw an increase in testosterone levels within two months. Completed acquisition of YourBio to enable at-home blood collection and deeper biomarker insights.