Beat 2025 Guidance
Company beat previously provided 2025 revenue and adjusted EBITDA guidance, signaling stronger-than-expected execution following Chapter 11 reorganization.
Major Debt Reduction and Capital Reset
Completed financial reorganization that eliminated over $1.1 billion of debt and reduced legacy debt by more than 70%, freeing capital for strategic investment.
Strong Clinical Momentum and Subscriber Growth
End-of-period clinical subscribers were 130,000 at Q4 2025 and company expects ~200,000 end-of-period clinical subscribers in Q1 2026 (when adjusted for prior compounded semaglutide, roughly 100% year-over-year growth). Clinical revenue grew 32% in Q4.
Improved ARPU and High Margins
Monthly subscription ARPU increased 8% year-over-year to $18.73 in Q4; clinical ARPU remains over 4x higher than behavioral. Adjusted gross margin remained near record highs at 74.4% in Q4.
Positive Profitability Metrics
Q4 adjusted EBITDA was $18 million, representing an adjusted EBITDA margin of 11.1%, demonstrating profitability alongside reinvestment into growth initiatives.
Successful Brand and Product Relaunch
January campaign increased awareness of Med+ by 8 points to 30% and improved brand modernization perception by 9 points. Re-launched mobile app and shipped new features (AI body scanner, personalized modes, weight health score) with rapid iterative releases.
Demonstrated Clinical Efficacy and Member Outcomes
Published data: members in the GLP-1 Success program had 29% more body weight loss at 12 months versus medication-only users; company real-world data showed ~19.4% weight loss at 12 months. Med+ members reported >30% more weight loss vs competitor-reported results.
Evidence of Strong Engagement
Core+ virtual workshop attendance rose nearly 30% year-over-year in January; attendance more than doubled when physician-led sessions were used. 72% of Med+ members reported the GLP-1 success program helped minimize side effects and members guided by a registered dietitian in first 12 weeks were ~30% less likely to discontinue treatment.
Guidance for 2026 and Financial Visibility
Provided 2026 guidance: revenue expected $620 million to $635 million and adjusted EBITDA $105 million to $115 million, and ending Q4 cash of $160 million with a transformed balance sheet (term loan $465M).