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Lifestance Health Group, Inc. (LFST)
NASDAQ:LFST
US Market
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Lifestance Health Group (LFST) AI Stock Analysis

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LFST

Lifestance Health Group

(NASDAQ:LFST)

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Outperform 74 (OpenAI - 5.2)
Rating:74Outperform
Price Target:
$8.50
▲(23.37% Upside)
Action:Reiterated
Date:05/09/26
LFST scores well primarily on improving fundamentals and the earnings-call-driven outlook: strong free cash flow, conservative leverage, and raised 2026 guidance with meaningful EBITDA margin expansion expectations. Technicals are supportive with price above key moving averages and moderate momentum. The main offset is valuation, with a high P/E and no dividend support, increasing reliance on sustained growth and profitability improvement.
Positive Factors
Cash generation quality
Very strong trailing‑12‑month operating and free cash flow provides durable internal funding for growth investments, tuck‑ins, the $100M buyback program, and technology rollout. High FCF relative to net income (~0.98x) supports capital flexibility and reduces reliance on external financing.
Negative Factors
Limited per‑visit revenue growth (TRPV)
Low TRPV growth implies limited pricing power and means revenue gains must rely on volume and productivity. That structural constraint can cap margin expansion, leave results sensitive to reimbursement pressure, and require sustained volume gains to meet long‑term margin targets.
Read all positive and negative factors
Positive Factors
Negative Factors
Cash generation quality
Very strong trailing‑12‑month operating and free cash flow provides durable internal funding for growth investments, tuck‑ins, the $100M buyback program, and technology rollout. High FCF relative to net income (~0.98x) supports capital flexibility and reduces reliance on external financing.
Read all positive factors

Lifestance Health Group (LFST) vs. SPDR S&P 500 ETF (SPY)

Lifestance Health Group Business Overview & Revenue Model

Company Description
LifeStance Health Group, Inc., through its subsidiaries, provides outpatient mental health services. The company offers patients a suite of mental health services, including psychiatric evaluations and treatment, psychological, and neuropsychologi...
How the Company Makes Money
LifeStance primarily makes money by providing outpatient behavioral health care services and billing third-party payors and patients for those visits. The company’s core revenue stream is patient service revenue generated when its employed and aff...

Lifestance Health Group Earnings Call Summary

Earnings Call Date:May 07, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Aug 12, 2026
Earnings Call Sentiment Positive
The call presents a strong operational and financial quarter with robust revenue growth (+21%), substantial adjusted EBITDA expansion (+48%), meaningful visit and clinician productivity gains, upgraded full-year guidance and positive clinical outcomes. Key investments in technology, AI and a planned EHR transition support long-term margin objectives, and specialty services are accelerating. Near-term headwinds include modest per-visit revenue growth (TRPV +3%), a modest G&A increase for strategic investments, implementation risk from a multi-year EHR rollout, and no immediate measurable improvement in clinician retention. Overall, the positive growth, profitability, cash generation, and upgraded guidance significantly outweigh the highlighted challenges.
Positive Updates
Strong Top-Line Growth
Revenue grew 21% year-over-year to $403M in Q1 2026, driven by higher visit volumes and better-than-expected total revenue per visit.
Negative Updates
Modest Total Revenue Per Visit (TRPV) Growth
Total revenue per visit rose only 3% to $163 in Q1 2026 and the company continues to guide TRPV growth in the low- to mid-single-digit range, indicating limited near-term pricing/rate expansion per visit.
Read all updates
Q1-2026 Updates
Negative
Strong Top-Line Growth
Revenue grew 21% year-over-year to $403M in Q1 2026, driven by higher visit volumes and better-than-expected total revenue per visit.
Read all positive updates
Company Guidance
LifeStance raised full‑year 2026 guidance after a strong Q1: revenue guidance was increased by $25 million at the midpoint to $1.64–$1.68 billion (midpoint implying ~17% growth), Center Margin guidance was raised by $21 million at the midpoint to $547–$571 million, and adjusted EBITDA guidance was raised by $15 million at the midpoint to $200–$220 million (midpoint implying a 12.7% adjusted EBITDA margin, >150 bps expansion year‑over‑year). The company noted the outlook assumes revenue growth driven primarily by higher visit volume plus low‑to‑mid‑single‑digit total revenue per visit (TRPV) increases, and reiterated expected stock‑based compensation of ~$60–$70 million for the year. For Q2 management guided to revenue of $405–$425 million, Center Margin of $135–$147 million and adjusted EBITDA of $50–$60 million, and longer‑term targets remain mid‑teens annual revenue growth and mid‑teens adjusted EBITDA margins by FY2028—anchored by Q1 outperformance (Q1 revenue $403M, visits 2.5M +18%, TRPV $163 +3%, adjusted EBITDA $51M, clinician base 8,349 with +309 adds).

Lifestance Health Group Financial Statement Overview

Summary
Financials are improving with a return to profitability, continued revenue growth, and very strong cash generation (TTM operating cash flow $182.4M; free cash flow $178.8M, +22.3%). Balance sheet leverage is conservative (debt-to-equity ~0.13). Offsetting factors are still-thin profitability (TTM net margin ~1.6%, EBITDA margin ~5.6%) and recent gross margin compression.
Income Statement
62
Positive
Balance Sheet
74
Positive
Cash Flow
83
Very Positive
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.49B1.42B1.25B1.06B859.54M667.51M
Gross Profit446.48M406.35M402.40M302.10M237.02M201.51M
EBITDA99.11M78.78M39.87M-104.93M-143.60M-240.06M
Net Income23.20M9.66M-57.44M-186.26M-215.56M-307.20M
Balance Sheet
Total Assets2.15B2.20B2.12B2.11B2.17B1.93B
Cash, Cash Equivalents and Short-Term Investments194.80M248.64M154.57M78.82M108.62M148.03M
Total Debt196.19M194.10M485.19M511.04M478.83M158.74M
Total Liabilities668.47M682.92M672.01M681.04M655.15M382.08M
Stockholders Equity1.48B1.52B1.45B1.43B1.52B1.55B
Cash Flow
Free Cash Flow178.75M110.03M85.69M-57.40M-26.47M-85.07M
Operating Cash Flow182.35M146.15M107.26M-16.88M52.79M9.42M
Investing Cash Flow-42.87M-36.13M-21.57M-60.34M-139.46M-194.08M
Financing Cash Flow-79.02M-15.96M-9.95M47.43M47.26M313.86M

Lifestance Health Group Technical Analysis

Technical Analysis Sentiment
Positive
Last Price6.89
Price Trends
50DMA
6.96
Positive
100DMA
7.04
Positive
200DMA
6.35
Positive
Market Momentum
MACD
0.24
Positive
RSI
53.78
Neutral
STOCH
20.59
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For LFST, the sentiment is Positive. The current price of 6.89 is below the 20-day moving average (MA) of 7.62, below the 50-day MA of 6.96, and above the 200-day MA of 6.35, indicating a bullish trend. The MACD of 0.24 indicates Positive momentum. The RSI at 53.78 is Neutral, neither overbought nor oversold. The STOCH value of 20.59 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for LFST.

Lifestance Health Group Risk Analysis

Lifestance Health Group disclosed 49 risk factors in its most recent earnings report. Lifestance Health Group reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Lifestance Health Group Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$3.12B17.3011.68%1.80%11.40%13.96%
74
Outperform
$2.98B43.301.56%16.46%
71
Outperform
$1.67B8.22241.47%20.49%4335.46%
62
Neutral
$2.05B11.437.83%1.69%-10.76%-20.86%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$2.21B128.96-43.82%6.80%-698.20%
47
Neutral
$3.19B-118.169999.00%-0.36%16.69%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
LFST
Lifestance Health Group
7.68
2.01
35.45%
ACHC
Acadia Healthcare
24.07
0.56
2.38%
BKD
Brookdale Senior Living
13.34
6.78
103.35%
NHC
National Healthcare
199.51
98.25
97.03%
SEM
Select Medical
16.52
2.03
14.00%
AVAH
Aveanna Healthcare Holdings
7.68
2.19
39.89%

Lifestance Health Group Corporate Events

Business Operations and StrategyFinancial Disclosures
LifeStance Health Raises 2026 Outlook After Strong Quarter
Positive
May 7, 2026
On May 7, 2026, LifeStance Health Group reported strong first-quarter 2026 results, with revenue rising 21% year over year to $403.5 million and visit volumes up 18% to 2.5 million. Net income jumped to $14.2 million from $0.7 million, while Adjus...
Business Operations and StrategyExecutive/Board Changes
LifeStance Health Appoints Lisa Miller as Chief Operating Officer
Positive
Mar 12, 2026
On March 10, 2026, LifeStance Health Group, Inc. promoted Lisa Miller, 52, to Chief Operating Officer and Principal Operating Officer, elevating her from her previous roles leading practice operations since September 2022 and drawing on her prior ...
Stock BuybackPrivate Placements and FinancingRegulatory Filings and Compliance
Lifestance Health Announces Secondary Offering and Share Repurchase
Neutral
Mar 2, 2026
On February 25, 2026, LifeStance Health Group, Inc. entered into an underwriting agreement with J.P. Morgan Securities LLC and certain selling stockholders for an underwritten secondary offering of 25,000,000 shares of its common stock, under an e...
Business Operations and StrategyStock BuybackFinancial Disclosures
LifeStance Health Guides 2026 Growth, Announces Buyback Program
Positive
Feb 25, 2026
On February 25, 2026, LifeStance Health Group reported that fourth-quarter 2025 revenue rose 17% year over year to $382.2 million and full-year revenue climbed 14% to $1.42 billion, driven by an expanded clinician base, higher visit volumes and im...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: May 09, 2026