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    Hims & Hers Health, Inc. Reports Third Quarter 2025 Financial Results

    11/3/25 4:05:00 PM ET
    $HIMS
    Medical/Nursing Services
    Health Care
    Get the next $HIMS alert in real time by email

    Revenue of nearly $600 million, up 49% year-over-year in Q3 2025

    Net income of nearly $16 million; Adjusted EBITDA of over $78 million in Q3 2025

    Subscribers grew to almost 2.5 million, up 21% year-over-year in Q3 2025

    Narrows full year 2025 revenue guidance to $2.335 billion to $2.355 billion and Adjusted EBITDA guidance to $307 million to $317 million

    Hims & Hers Health, Inc. (("Hims &, Hers" or the "Company", NYSE:HIMS), the leading health and wellness platform, today announced financial results for the third quarter ended September 30, 2025, in a shareholder letter that is posted at investors.hims.com.

    "This quarter we continued to prove that our vision of helping tens of millions of people around the world access best-in-class, personalized care, from the comfort of their own home is more real than ever. We're building a platform that gets more personal, more proactive, and resonates with more people as we scale," said Andrew Dudum, co-founder and CEO. "We're launching new specialties at an increasing pace, we're partnering with leaders across healthcare to bring new solutions and services to our users, and we're making significant progress in establishing Hims & Hers as a truly global brand. The number of people we can help is accelerating rapidly and we've never been more confident in our ability to lead this transformation in how the world accesses care."

    Yemi Okupe, CFO, stated, "We delivered another quarter of strong, profitable growth as our model continues to scale and deepen its impact. In the third quarter, revenue grew 49% and Adjusted EBITDA grew 53% year over year, driven by execution against our strategy to broaden access to personalized care that can increasingly serve customers across a wider range of needs. Looking ahead, we're excited to be in a position to confidently invest in the long-term trajectory of our business. The breadth of opportunities available to us is expanding, and paired with a strong balance sheet and our team's track record of execution, we continue to build conviction in our ability to exceed the ambitious 2030 targets we established earlier this year."

    Key Business Metrics

    (In Thousands, Except for Monthly Online Revenue per Average Subscriber, Unaudited)

     

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

     

    2025

     

     

    2024

     

    % Change

     

     

    2025

     

     

    2024

     

    % Change

    Subscribers (end of period)

     

     

    2,471

     

     

    2,047

     

    21

    %

     

     

    2,471

     

     

    2,047

     

    21

    %

    Monthly Online Revenue per Average Subscriber

     

    $

    80

     

    $

    67

     

    19

    %

     

    $

    80

     

    $

    60

     

    33

    %

     

    Revenue

    (In Thousands, Unaudited)

     

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

     

    2025

     

     

    2024

     

    % Change

     

     

    2025

     

     

    2024

     

    % Change

    Online Revenue

     

    $

    589,095

     

    $

    392,573

     

    50

    %

     

    $

    1,702,336

     

    $

    967,177

     

    76

    %

    Wholesale Revenue

     

     

    9,881

     

     

    8,983

     

    10

    %

     

     

    27,483

     

     

    28,198

     

    (3

    )%

    Total revenue

     

    $

    598,976

     

    $

    401,556

     

    49

    %

     

    $

    1,729,819

     

    $

    995,375

     

    74

    %

    Third Quarter 2025 Financial Highlights

    • Revenue was $599.0 million for the third quarter of 2025 compared to $401.6 million for the third quarter of 2024, an increase of 49% year-over-year.
    • Gross margin was 74% for the third quarter of 2025 compared to 79% for the third quarter of 2024.
    • Net income was $15.8 million for the third quarter of 2025 compared to $75.6 million for the third quarter of 2024, which included a $60.8 million tax benefit related to the release of a tax valuation allowance, partially offset by tax expense for that period.
    • Adjusted EBITDA was $78.4 million for the third quarter of 2025 compared to $51.1 million for the third quarter of 2024.
    • Net cash provided by operating activities was $148.7 million for the third quarter of 2025 compared to $85.3 million for the third quarter of 2024.
    • Free Cash Flow was $79.4 million for the third quarter of 2025 compared to $79.4 million for the third quarter of 2024.

    Reconciliations of Adjusted EBITDA and Free Cash Flow, non-GAAP measures, to net income and net cash provided by operating activities, respectively, their most comparable financial measures under generally accepted accounting principles in the United States ("U.S. GAAP"), have been provided in this press release in the accompanying tables. Additional information about Adjusted EBITDA and Free Cash Flow is also included below under the heading "Non-GAAP Financial Measures".

    Financial Outlook

    Hims & Hers is providing the following guidance:

    For the fourth quarter 2025, we expect:

    • Revenue of $605 million to $625 million.
    • Adjusted EBITDA of $55 million to $65 million, reflecting an Adjusted EBITDA margin of 9% to 10%.

    For the full year 2025, we expect:

    • Revenue of $2.335 billion to $2.355 billion.
    • Adjusted EBITDA of $307 million to $317 million, reflecting an Adjusted EBITDA margin of 13%.

    The guidance provided above constitutes forward-looking statements and actual results may differ materially. Refer to the "Cautionary Note Regarding Forward-Looking Statements" safe harbor section below for information on the factors that could cause our actual results to differ materially from these forward-looking statements.

    We have relied upon the exception in Item 10(e)(1)(i)(B) of Regulation S-K and have not reconciled forward-looking Adjusted EBITDA to its most directly comparable U.S. GAAP measure, net income or loss, because we cannot predict with reasonable certainty the ultimate outcome of certain components of such reconciliations, including market-related assumptions that are not within our control, or others that may arise, without unreasonable effort. For these reasons, we are unable to assess the probable significance of the unavailable information, which could materially impact the amount of future net income or loss. See "Non-GAAP Financial Measures" for additional important information regarding Adjusted EBITDA.

    Discussions with Novo Nordisk

    Hims & Hers and Novo Nordisk are in active discussions to make Wegovy injections and Novo Nordisk's oral Wegovy (when FDA approved) available through the Hims & Hers platform, advancing consumer options and pursuant to prescriber recommendation. Hims & Hers notes that discussions are ongoing, no definitive agreement has been executed with Novo Nordisk, and there is a possibility that no definitive agreement may ever be executed with Novo Nordisk. In addition, to the extent that a definitive agreement is executed, those terms may differ from what is currently anticipated. While Hims & Hers may voluntarily disclose the terms of any definitive agreement if and when it is executed, depending on the contours of such agreement, Hims & Hers may be under no legal obligation to do so.

    Conference Call

    Hims & Hers will host a conference call to review the third quarter 2025 results on November 3, 2025, at 5:00 p.m. ET. The conference call can be accessed by dialing +1 (888) 510-2630 for U.S. participants and +1 (646) 960-0137 for international participants, and referencing conference ID #1704296. A live audio webcast will be available online at investors.hims.com. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call at the same link.

    About Hims & Hers Health, Inc.

    Hims & Hers is the leading health and wellness platform on a mission to help the world feel great through the power of better health.

    We believe how you feel in your body and mind transforms how you show up in life. That's why we're building a future where nothing stands in the way of harnessing this power. Hims & Hers normalizes health & wellness challenges—and innovates on their solutions—to make feeling happy and healthy easy to achieve. No two people are the same, so the Company provides access to personalized care designed for results.

    For more information, please visit investors.hims.com.

    Cautionary Note Regarding Forward-Looking Statements

    This press release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements can be identified by the use of forward-looking terminology, including the words "believes," "estimates," "anticipates," "expects," "intends," "plans," "assume," "may," "will," "likely," "potential," "projects," "predicts," "continue," "goal," "strategy," "future," "forecast," "target," "outlook," "opportunity," "project," "confidence," "foundation," "groundwork," or "should," or, in each case, their negative or other variations or comparable terminology. There can be no assurance that actual results will not materially differ from expectations. Such statements include, but are not limited to, any statements relating to our financial outlook and guidance, including our mission to drive top-line revenue growth and profitability and our ability to attain our 2025, 2026, and long-term financial and operational targets; our expected future financial and business performance, including with respect to the Hims & Hers platform, our marketing campaigns, investments in innovation, the solutions accessible on our platform, the markets accessible on our platform, and our infrastructure, and the underlying assumptions with respect to the foregoing; potential strategic investments, partnerships, or collaborations, and the expected timing or outcome of any such investments, partnerships, or collaborations; statements relating to events and trends relevant to us, including with respect to our regulatory environment, financial condition, results of operations, short- and long-term business operations, objectives, strategy, and financial needs; expectations regarding our mobile applications, market acceptance, user experience, customer retention, brand development, our ability to invest and generate a return on any such investment, customer acquisition costs, operating efficiencies and leverage (including our fulfillment capabilities), the effect of any pricing decisions; changes in our product or offering mix, and the timing and market acceptance of any new products or offerings; the timing and anticipated effect of any acquisitions; the success and utility of our business model; our market opportunity; our ability to scale our business or expand internationally; the growth of certain of our specialties; our ability to innovate on and expand the scope of our offerings and experiences, including through the use of diagnostics, data analytics and artificial intelligence; our ability to reinvest into the customer experience; and our ability to comply with the extensive, complex and evolving legal and regulatory requirements applicable to our business, including without limitation state and federal healthcare, privacy and consumer protection laws and regulations, and the effect or outcome of litigation or governmental actions in relation to any such legal and regulatory requirements. These statements are based on management's current expectations, but actual results may differ materially due to various factors.

    Forward-looking statements are neither historical facts nor assurances of future performance. Instead, the forward-looking statements contained in this press release are based on our current expectations, assumptions and beliefs concerning future developments and their potential effects on us. Future developments affecting us may not be those that we have anticipated. These forward-looking statements involve a number of risks, uncertainties (some of which are beyond our control) and other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. These risks and uncertainties include, but are not limited to, those factors described in the Risk Factors and other sections of our most recently filed Quarterly Report on Form 10-Q, our most recently filed Annual Report on Form 10-K, and other current and periodic reports we file from time to time with the Securities and Exchange Commission (the "Commission").

    Should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. The forward-looking statements contained in this press release are made only as of November 3, 2025. We undertake no obligation (and expressly disclaim any obligation) to update or revise any forward-looking statements, or to update the reasons actual results could differ materially from those anticipated in the forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws. By their nature, forward-looking statements involve risks and uncertainties because they relate to events and depend on circumstances that may or may not occur in the future. We caution you that forward-looking statements are not guarantees of future performance and that our actual results of operations, financial condition and liquidity, and developments in the industry in which we operate may differ materially from those made in or suggested by the forward-looking statements contained in reports we have filed or will file with the Commission, including our most recently filed Quarterly Report on Form 10-Q, our most recently filed Annual Report on Form 10-K, and other current and periodic reports we file from time to time. In addition, even if our results of operations, financial condition and liquidity, and developments in the industry in which we operate are consistent with the forward-looking statements contained in such reports, those results or developments may not be indicative of results or developments in subsequent periods.

    Key Business Metrics

    "Online Revenue" represents the sales of products and services on our platform, net of refunds, credits, and chargebacks, and includes revenue recognition adjustments recorded pursuant to U.S. GAAP, primarily relating to deferred revenue and returns reserve. Online Revenue is generated by selling directly to consumers through our websites and mobile applications. Our Online Revenue consists of products and services purchased by customers directly through our online platform. The majority of our Online Revenue is subscription-based, where customers agree to be billed on a recurring basis to have products and services automatically delivered to them. Online Revenue also includes sales from customers who have made one-time purchases.

    "Wholesale Revenue" represents non-prescription product sales to retailers through wholesale purchasing agreements. Wholesale Revenue also includes non-prescription product sales to third-party platforms through consignment arrangements. In addition to being revenue generative and profitable, wholesale partnerships and consignment arrangements have the added benefit of generating brand awareness with new customers in physical environments and on third-party platforms.

    "Subscribers" are customers who have one or more "Subscriptions" pursuant to which they have agreed to be automatically billed on a recurring basis at a defined cadence. The Subscription billing cadence is typically defined as a number of days (for example, billed every 30 days or every 90 days), which are excluded from our reporting when payment has not occurred at the contracted billing cadence. Subscribers can cancel or snooze Subscriptions in between billing periods to stop receiving additional products and/or services and can reactivate Subscriptions to continue receiving additional products and/or services. Customers who have made one-time purchases are not considered Subscribers.

    "Monthly Online Revenue per Average Subscriber" is defined as Online Revenue divided by "Average Subscribers", which amount is then further divided by the number of months in a period. "Average Subscribers" are calculated as the sum of the Subscribers at the beginning and end of a given period divided by 2.

    CONDENSED CONSOLIDATED BALANCE SHEETS

    (In Thousands, Except Share and Per Share Data, Unaudited)

     

     

    September 30, 2025

     

    December 31, 2024

     

     

     

     

    Assets

     

     

     

    Current assets:

     

     

     

    Cash and cash equivalents

    $

    345,778

     

     

    $

    220,584

     

    Short-term investments

     

    283,966

     

     

     

    79,667

     

    Inventory

     

    105,989

     

     

     

    64,427

     

    Prepaid expenses and other current assets

     

    109,527

     

     

     

    31,153

     

    Total current assets

     

    845,260

     

     

     

    395,831

     

    Restricted cash

     

    —

     

     

     

    856

     

    Long-term investments

     

    438,340

     

     

     

    —

     

    Goodwill

     

    259,236

     

     

     

    112,728

     

    Property, equipment, and software, net

     

    267,438

     

     

     

    82,083

     

    Intangible assets, net

     

    194,931

     

     

     

    43,410

     

    Operating lease right-of-use assets

     

    139,297

     

     

     

    10,881

     

    Deferred tax assets, net

     

    84,925

     

     

     

    61,603

     

    Other long-term assets

     

    3,877

     

     

     

    147

     

    Total assets

    $

    2,233,304

     

     

    $

    707,539

     

    Liabilities and stockholders' equity

     

     

     

    Current liabilities:

     

     

     

    Accounts payable

    $

    198,413

     

     

    $

    91,180

     

    Accrued liabilities

     

    80,131

     

     

     

    53,013

     

    Deferred revenue

     

    118,458

     

     

     

    75,285

     

    Earn-out liabilities

     

    50,361

     

     

     

    —

     

    Operating lease liabilities

     

    3,422

     

     

     

    1,889

     

    Total current liabilities

     

    450,785

     

     

     

    221,367

     

    Convertible senior notes, net

     

    971,023

     

     

     

    —

     

    Operating lease liabilities

     

    143,578

     

     

     

    9,456

     

    Earn-out liabilities

     

    49,623

     

     

     

    —

     

    Deferred tax liabilities, net

     

    31,208

     

     

     

    —

     

    Other long-term liabilities

     

    6,105

     

     

     

    —

     

    Total liabilities

     

    1,652,322

     

     

     

    230,823

     

    Commitments and contingencies

     

     

     

    Stockholders' equity:

     

     

     

    Common stock – Class A shares, par value $0.0001, 2,750,000,000 shares authorized and 219,121,219 and 212,459,586 shares issued and outstanding as of September 30, 2025 and December 31, 2024, respectively; Class V shares, par value $0.0001, 10,000,000 shares authorized and 8,377,623 shares issued and outstanding as of September 30, 2025 and December 31, 2024

     

    23

     

     

     

    22

     

    Additional paid-in capital

     

    714,411

     

     

     

    719,155

     

    Accumulated other comprehensive income (loss)

     

    921

     

     

     

    (324

    )

    Accumulated deficit

     

    (134,373

    )

     

     

    (242,137

    )

    Total stockholders' equity

     

    580,982

     

     

     

    476,716

     

    Total liabilities and stockholders' equity

    $

    2,233,304

     

     

    $

    707,539

     

     

    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME

    (In Thousands, Except Share and Per Share Data, Unaudited)

     

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

     

    2025

     

     

     

    2024

     

     

     

    2025

     

     

     

    2024

     

    Revenue

     

    $

    598,976

     

     

    $

    401,556

     

     

    $

    1,729,819

     

     

    $

    995,375

     

    Cost of revenue

     

     

    156,918

     

     

     

    83,670

     

     

     

    440,876

     

     

     

    191,781

     

    Gross profit

     

     

    442,058

     

     

     

    317,886

     

     

     

    1,288,943

     

     

     

    803,594

     

    Gross margin %

     

     

    74

    %

     

     

    79

    %

     

     

    75

    %

     

     

    81

    %

    Operating expenses:(1)

     

     

     

     

     

     

     

     

    Marketing

     

     

    232,150

     

     

     

    182,284

     

     

     

    681,247

     

     

     

    457,759

     

    Operations and support

     

     

    76,848

     

     

     

    47,519

     

     

     

    206,371

     

     

     

    127,719

     

    Technology and development

     

     

    40,577

     

     

     

    21,092

     

     

     

    108,339

     

     

     

    55,070

     

    General and administrative

     

     

    80,676

     

     

     

    44,617

     

     

     

    196,559

     

     

     

    119,739

     

    Total operating expenses

     

     

    430,251

     

     

     

    295,512

     

     

     

    1,192,516

     

     

     

    760,287

     

    Income from operations

     

     

    11,807

     

     

     

    22,374

     

     

     

    96,427

     

     

     

    43,307

     

    Other income (expense):

     

     

     

     

     

     

     

     

    Change in fair value of liabilities

     

     

    (7,626

    )

     

     

    —

     

     

     

    (7,626

    )

     

     

    —

     

    Other income, net

     

     

    8,042

     

     

     

    1,219

     

     

     

    16,770

     

     

     

    6,113

     

    Total other income, net

     

     

    416

     

     

     

    1,219

     

     

     

    9,144

     

     

     

    6,113

     

    Income before income taxes

     

     

    12,223

     

     

     

    23,593

     

     

     

    105,571

     

     

     

    49,420

     

    Benefit from income taxes

     

     

    3,551

     

     

     

    51,995

     

     

     

    2,193

     

     

     

    50,593

     

    Net income

     

     

    15,774

     

     

     

    75,588

     

     

     

    107,764

     

     

     

    100,013

     

    Other comprehensive income

     

     

    99

     

     

     

    397

     

     

     

    1,245

     

     

     

    353

     

    Total comprehensive income

     

    $

    15,873

     

     

    $

    75,985

     

     

    $

    109,009

     

     

    $

    100,366

     

     

     

     

     

     

     

     

     

     

    Net income per share attributable to common stockholders:

     

     

     

     

     

     

     

     

    Basic

     

    $

    0.07

     

     

    $

    0.35

     

     

    $

    0.48

     

     

    $

    0.47

     

    Diluted

     

    $

    0.06

     

     

    $

    0.32

     

     

    $

    0.43

     

     

    $

    0.43

     

    Weighted average shares outstanding:

     

     

     

     

     

     

     

     

    Basic

     

     

    226,346,815

     

     

     

    216,617,143

     

     

     

    224,252,467

     

     

     

    214,902,040

     

    Diluted

     

     

    248,675,710

     

     

     

    235,069,539

     

     

     

    255,552,952

     

     

     

    233,149,762

     

    ______________

    (1)

    Includes stock-based compensation expense as follows (in thousands):

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

     

    2025

     

     

    2024

     

     

    2025

     

     

    2024

    Marketing

     

    $

    3,116

     

    $

    2,458

     

    $

    9,325

     

    $

    6,755

    Operations and support

     

     

    5,452

     

     

    2,605

     

     

    13,037

     

     

    7,462

    Technology and development

     

     

    4,842

     

     

    3,310

     

     

    14,134

     

     

    8,710

    General and administrative

     

     

    26,762

     

     

    16,526

     

     

    64,260

     

     

    45,046

    Total stock-based compensation expense

     

    $

    40,172

     

    $

    24,899

     

    $

    100,756

     

    $

    67,973

     

    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

    (In Thousands, Unaudited)

     

     

    Nine Months Ended September 30,

     

     

    2025

     

     

     

    2024

     

    Operating activities

     

     

     

    Net income

    $

    107,764

     

     

    $

    100,013

     

    Adjustments to reconcile net income to net cash provided by operating activities:

     

     

     

    Depreciation and amortization

     

    36,410

     

     

     

    11,027

     

    Stock-based compensation

     

    100,756

     

     

     

    67,973

     

    Change in fair value of liabilities

     

    7,626

     

     

     

    —

     

    Net accretion on securities

     

    (1,313

    )

     

     

    (3,440

    )

    Benefit from deferred taxes

     

    (9,484

    )

     

     

    (54,340

    )

    Impairment of long-lived assets

     

    531

     

     

     

    114

     

    Amortization of debt discount and issuance costs

     

    2,790

     

     

     

    —

     

    Non-cash operating lease cost

     

    7,905

     

     

     

    1,875

     

    Non-cash acquisition-related costs

     

    4,961

     

     

     

    —

     

    Non-cash other

     

    (2,129

    )

     

     

    435

     

    Changes in operating assets and liabilities:

     

     

     

    Inventory

     

    (40,103

    )

     

     

    (26,295

    )

    Prepaid expenses and other current assets

     

    (54,382

    )

     

     

    (1,535

    )

    Other long-term assets

     

    (5

    )

     

     

    (47

    )

    Accounts payable

     

    76,098

     

     

     

    35,052

     

    Accrued liabilities

     

    (41,146

    )

     

     

    14,002

     

    Deferred revenue

     

    43,079

     

     

     

    24,451

     

    Operating lease liabilities

     

    (664

    )

     

     

    (1,761

    )

    Earn-out payable

     

    —

     

     

     

    (2,825

    )

    Net cash provided by operating activities

     

    238,694

     

     

     

    164,699

     

    Investing activities

     

     

     

    Purchases of investments

     

    (713,556

    )

     

     

    (150,595

    )

    Maturities of investments

     

    72,757

     

     

     

    189,292

     

    Proceeds from sales of investments

     

    —

     

     

     

    725

     

    Investment in website development and internal-use software

     

    (12,053

    )

     

     

    (8,730

    )

    Purchases of property, equipment, and intangible assets

     

    (166,657

    )

     

     

    (17,135

    )

    Acquisition of businesses, net of cash acquired

     

    (121,773

    )

     

     

    (15,399

    )

    Net cash used in investing activities

     

    (941,282

    )

     

     

    (1,842

    )

    Financing activities

     

     

     

    Proceeds from issuance of convertible senior notes, net of debt discount

     

    970,000

     

     

     

    —

     

    Purchases of capped calls related to convertible senior notes

     

    (47,800

    )

     

     

    —

     

    Proceeds from exercise of vested stock options

     

    9,796

     

     

     

    18,505

     

    Payments for taxes related to net share settlement of equity awards

     

    (94,955

    )

     

     

    (33,096

    )

    Proceeds from employee stock purchase plan

     

    2,970

     

     

     

    1,622

     

    Payments for debt issuance costs

     

    (3,390

    )

     

     

    —

     

    Repurchases of common stock

     

    (9,479

    )

     

     

    (78,034

    )

    Payments for acquisition-related earn-out consideration

     

    —

     

     

     

    (3,190

    )

    Net cash provided by (used in) financing activities

     

    827,142

     

     

     

    (94,193

    )

    Foreign currency effect on cash and cash equivalents

     

    (216

    )

     

     

    191

     

    Increase in cash, cash equivalents, and restricted cash

     

    124,338

     

     

     

    68,855

     

    Cash, cash equivalents, and restricted cash at beginning of period

     

    221,440

     

     

     

    97,519

     

    Cash, cash equivalents, and restricted cash at end of period

    $

    345,778

     

     

    $

    166,374

     

    Reconciliation of cash, cash equivalents, and restricted cash

     

     

     

    Cash and cash equivalents

    $

    345,778

     

     

    $

    165,518

     

    Restricted cash

     

    —

     

     

     

    856

     

    Total cash, cash equivalents, and restricted cash

    $

    345,778

     

     

    $

    166,374

     

    Supplemental disclosures of cash flow information

     

     

     

    Cash paid for taxes

    $

    23,430

     

     

    $

    3,872

     

    Non-cash investing and financing activities

     

     

     

    Purchases of property and equipment included in accounts payable and accrued liabilities

    $

    36,841

     

     

    $

    704

     

    Right-of-use asset obtained in exchange for lease liability

     

    132,837

     

     

     

    2,174

     

    Issuance of common stock in connection with asset acquisition

     

    12,760

     

     

     

    —

     

    Common stock to be issued for asset acquisition indemnification holdback

     

    6,380

     

     

     

    —

     

    Common stock issued, contingent consideration, additional consideration payable, and liabilities assumed in connection with acquisition of businesses

     

    193,890

     

     

     

    16,000

     

    Issuance of common stock for acquisition-related earn-out consideration

     

    —

     

     

     

    1,396

     

     

    Non-GAAP Financial Measures

    In addition to our financial results determined in accordance with U.S. GAAP, we present Adjusted EBITDA (which is a non-GAAP financial measure), Adjusted EBITDA margin (which is a non-GAAP ratio), and Free Cash Flow (which is a non-GAAP financial measure) each as defined below. We use Adjusted EBITDA, Adjusted EBITDA margin, and Free Cash Flow to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that Adjusted EBITDA, Adjusted EBITDA margin, and Free Cash Flow, when taken together with the corresponding U.S. GAAP financial measures, provide meaningful supplemental information regarding our performance by excluding certain items that may not be indicative of our business, results of operations, or outlook. We consider Adjusted EBITDA, Adjusted EBITDA margin, and Free Cash Flow to be important measures because they help illustrate underlying trends in our business and our historical operating performance on a more consistent basis. We believe that the use of Adjusted EBITDA, Adjusted EBITDA margin, and Free Cash Flow is helpful to our investors as they are used by management in assessing the health of our business, our operating performance, and our liquidity.

    However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation or as a substitute for financial information presented in accordance with U.S. GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP financial measures or ratios differently or may use other financial measures or ratios to evaluate their performance, all of which could reduce the usefulness of Adjusted EBITDA, Adjusted EBITDA margin, and Free Cash Flow as tools for comparison. Reconciliations are provided below to the most directly comparable financial measures stated in accordance with U.S. GAAP. Investors are encouraged to review our U.S. GAAP financial measures and not to rely on any single financial measure to evaluate our business.

    Adjusted EBITDA is a key performance measure that our management uses to assess our operating performance. Because Adjusted EBITDA facilitates internal comparisons of our historical operating performance on a more consistent basis, we use this measure for business planning purposes. "Adjusted EBITDA" is defined as net income before stock-based compensation, depreciation and amortization, change in fair value of liabilities, acquisition and transaction-related costs (which includes (i) consideration paid for employee and nonemployee compensation with vesting requirements incurred directly as a result of acquisitions, and (ii) transaction professional services), payroll tax expense related to stock-based compensation, impairment of long-lived assets, income taxes, and interest income and expense, net. "Adjusted EBITDA margin" is defined as Adjusted EBITDA divided by revenue.

    In the second quarter of 2025, we revised our definition of Adjusted EBITDA to include payroll tax expense related to stock-based compensation, which comprises employer taxes incurred upon vesting of restricted stock units and upon exercise of nonqualified stock options. As a result of recent trends in our stock price, this amount was not considered significant for prior periods and, accordingly, prior period disclosures were not recast to conform to the current presentation.

    Some of the limitations of Adjusted EBITDA include (i) Adjusted EBITDA does not properly reflect capital commitments to be paid in the future, and (ii) although depreciation and amortization are non-cash charges, the underlying assets may need to be replaced and Adjusted EBITDA does not reflect these capital expenditures. In evaluating Adjusted EBITDA, you should be aware that in the future we will incur expenses similar to the adjustments in this presentation. Our presentation of Adjusted EBITDA should not be construed as an inference that our future results will be unaffected by these expenses or any unusual or non-recurring items. We compensate for these limitations by providing specific information regarding the U.S. GAAP items excluded from Adjusted EBITDA. When evaluating our performance, you should consider Adjusted EBITDA in addition to, and not as a substitute for, other financial performance measures, including our net income and other U.S. GAAP results.

    Net Income to Adjusted EBITDA Reconciliation

    (In Thousands, Unaudited)

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

    2025

     

     

     

    2024

     

     

     

    2025

     

     

     

    2024

     

     

     

     

     

     

     

     

     

    Revenue

    $

    598,976

     

     

    $

    401,556

     

     

    $

    1,729,819

     

     

    $

    995,375

     

     

     

     

     

     

     

     

     

    Net income

     

    15,774

     

     

     

    75,588

     

     

     

    107,764

     

     

     

    100,013

     

    Stock-based compensation

     

    40,172

     

     

     

    24,899

     

     

     

    100,756

     

     

     

    67,973

     

    Depreciation and amortization

     

    17,669

     

     

     

    4,383

     

     

     

    36,410

     

     

     

    11,027

     

    Change in fair value of liabilities

     

    7,626

     

     

     

    —

     

     

     

    7,626

     

     

     

    —

     

    Acquisition and transaction-related costs

     

    5,838

     

     

     

    858

     

     

     

    12,093

     

     

     

    1,824

     

    Payroll tax expense related to stock-based compensation

     

    2,314

     

     

     

    —

     

     

     

    5,392

     

     

     

    —

     

    Impairment of long-lived assets

     

    531

     

     

     

    —

     

     

     

    531

     

     

     

    114

     

    Benefit for income taxes

     

    (3,551

    )

     

     

    (51,995

    )

     

     

    (2,193

    )

     

     

    (50,593

    )

    Interest income and expense, net

     

    (8,008

    )

     

     

    (2,637

    )

     

     

    (16,721

    )

     

     

    (7,608

    )

    Adjusted EBITDA

    $

    78,365

     

     

    $

    51,096

     

     

    $

    251,658

     

     

    $

    122,750

     

     

     

     

     

     

     

     

     

    Net income as a % of revenue

     

    3

    %

     

     

    19

    %

     

     

    6

    %

     

     

    10

    %

    Adjusted EBITDA margin

     

    13

    %

     

     

    13

    %

     

     

    15

    %

     

     

    12

    %

    Free Cash Flow is a key performance measure that our management uses to assess our liquidity. Because Free Cash Flow facilitates internal comparisons of our historical liquidity on a more consistent basis, we use this measure for business planning purposes. "Free Cash Flow" is defined as net cash provided by operating activities, less purchases of property, equipment, and intangible assets and investment in website development and internal-use software in investing activities.

    Some of the limitations of Free Cash Flow include (i) Free Cash Flow does not represent our residual cash flow for discretionary expenditures and our non-discretionary commitments, and (ii) Free Cash Flow includes capital expenditures, the benefits of which may be realized in periods subsequent to those in which the expenditures took place. In evaluating Free Cash Flow, you should be aware that in the future we will have cash outflows similar to the adjustments in this presentation. Our presentation of Free Cash Flow should not be construed as an inference that our future results will be unaffected by these cash outflows or any unusual or non-recurring items. When evaluating our performance, you should consider Free Cash Flow in addition to, and not as a substitute for, other financial performance measures, including our net cash provided by operating activities and other U.S. GAAP results.

    Net Cash Provided By Operating Activities to Free Cash Flow Reconciliation

    (In Thousands, Unaudited)

     

     

     

    Three Months Ended September 30,

     

    Nine Months Ended September 30,

     

     

     

    2025

     

     

     

    2024

     

     

     

    2025

     

     

     

    2024

     

    Net cash provided by operating activities

     

    $

    148,721

     

     

    $

    85,267

     

     

    $

    238,694

     

     

    $

    164,699

     

    Less: purchases of property, equipment, and intangible assets in investing activities

     

     

    (65,265

    )

     

     

    (3,342

    )

     

     

    (166,657

    )

     

     

    (17,135

    )

    Less: investment in website development and internal-use software in investing activities

     

     

    (4,092

    )

     

     

    (2,539

    )

     

     

    (12,053

    )

     

     

    (8,730

    )

    Free Cash Flow

     

    $

    79,364

     

     

    $

    79,386

     

     

    $

    59,984

     

     

    $

    138,834

     

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20251103753411/en/

    Contacts:

    Investor Relations

    Bill Newby

    [email protected]

    Media Relations

    Abby Reisinger-Moley

    [email protected]

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    Define Ventures Appoints Carolyn Magill as Venture Partner

    The former Aetion and Remedy Partners CEO joins Define to further drive innovation across provider, payer, and pharmaceutical sectors SAN FRANCISCO, March 11, 2025 /PRNewswire/ -- Define Ventures, one of the largest venture capital firms focused on early-stage health tech companies, today announced that Carolyn Magill, former CEO of Aetion, has joined the firm as venture partner. Magill, leveraging her 25 years of invaluable experience scaling companies and fostering innovation within payer, provider, and pharmaceutical organizations, will partner with Define founders to scale their companies and become category-defining companies.

    3/11/25 5:30:00 AM ET
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