Strong Revenue Growth and Scale
Full-year 2025 revenue of $260 million, up 53% year-over-year; Q4 2025 revenue of $76 million, up 58% year-over-year. Members reached 886,000 at year-end, up 55% YoY with 314,000 net new members added in 2025 (55,000 net adds in Q4).
Profitability and Cash Generation Milestones
First quarter of GAAP net income in Q4 2025 with GAAP net income of $5 million. Full-year adjusted EBITDA positive at $6 million (2% margin) and Q4 adjusted EBITDA $8 million (11% margin). Converted 40% of incremental revenue to adjusted EBITDA in 2025. Generated positive operating cash flow for the full year and ended 2025 with $222 million in cash and no debt.
Record Margin Expansion
Q4 adjusted gross margin reached an all-time high of 73% (up 320 basis points YoY). Full-year adjusted gross margin improved to 68% (up 450 basis points YoY). GAAP gross margin expanded to 71% in Q4 and 66% for the full year, reflecting operating leverage and care-team/AI efficiencies.
Commercial Traction and Addressable Reach
Estimated covered/eligible lives grew to over 25 million (more than 5 million incremental covered lives added). Strong channel performance including PBMs and a large new channel partner; closed significant new customer relationships and expanded multi-condition adoption.
GLP-1 Program Scale and Outcomes
Scaled GLP-1 Care Track to over 150,000 members (added >100,000 in 2025). Evidence showed members persisting on GLP-1s achieved average ~18% weight loss vs ~12% in real-world evidence without structured support; members who discontinued GLP-1s largely maintained weight at 1 year (average weight change 0.8% vs 11–12% regain reported in some trials).
Product and AI Innovation
Launched GLP-1 prescribing capability, GLP-1 Flex Care, new cholesterol program, OmadaSpark AI assistant and Meal Map nutritional tool. Embedded AI across operations (care summarization, AI-assisted coding) and leveraged a large proprietary dataset (tens of millions of care messages, billions of data points) to improve personalization and efficiency.
Program Performance and Research Validation
Published 30 peer-reviewed manuscripts (including MSK study showing reduced utilization/costs vs in-person PT). Program-level growth: weight health revenue grew >50%; diabetes and hypertension revenue each grew ~45%+ YoY. Member engagement remained strong: >55% of 12-month members engaged monthly and >50% of 24-month members engaged monthly.
Operating Leverage versus Expense Growth
Adjusted operating expenses grew 24% for the full year (to $170 million) while revenue grew 53%, demonstrating expense leverage. Q4 GAAP operating expenses rose 28% YoY while supporting scale and product investments.