Hims & Hers, launched in 2017, is a telehealth platform that connects patients and healthcare providers to offer treatment options for specialties like erectile dysfunction, hair loss, skin care, mental health, and weight loss... Show more
Hims & Hers Health, a leading telehealth platform, released first quarter 2026 results (three months ended March 31, 2026) on May 11, 2026, amid heightened scrutiny on its weight-loss segment. Following explosive growth in 2025 driven by GLP-1 (glucagon-like peptide-1) compounded drugs, the company pivoted to compliant personalized treatments, incurring restructuring charges of about $33 million. This report matters as investors assess if core specialties like men's health, dermatology, mental health, and international expansion can offset U.S. GLP-1 headwinds. With subscribers nearing 2.6 million, sustained engagement is key in a competitive direct-to-consumer health market.
Hims & Hers Health posted revenue of $608.1 million for Q1 2026, a 4% increase from $586.0 million in Q1 2025, but below consensus estimates around $617 million. U.S. revenue fell 8% to $529.9 million due to shipping changes and a tough prior-year comparable from peak GLP-1 additions, while Rest of World surged 969% to $78.2 million on acquisitions like Zava and Livewell.
GAAP diluted EPS was $(0.40), versus $0.20 last year and expectations for positive earnings (consensus ~$0.04), driven by a net loss of $92.1 million from higher operating expenses ($475.1 million, up significantly) including marketing, restructuring, legal settlements, and acquisitions. Gross margin contracted to 65% amid product mix shifts. Adjusted EBITDA was $44.3 million, down from $91.1 million. Subscribers hit 2.584 million (+9%), but ARPU (average revenue per user) slipped to $80 monthly.
Guidance improved: Q2 revenue $680–$700 million, Adjusted EBITDA $35–$55 million; full-year revenue $2.8–$3.0 billion, Adjusted EBITDA $275–$350 million (10–12% margin), excluding Eucalyptus acquisition.
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Shares of Hims & Hers Health plunged over 10% in after-hours trading to around $26 from a close of $28.27, erasing recent gains amid the earnings miss and surprise loss. Investors focused on U.S. revenue weakness, margin erosion from the GLP-1 pivot, and elevated expenses, overshadowing subscriber growth and raised guidance. Sentiment turned cautious, with concerns over regulatory risks for compounded drugs and competition from branded GLP-1s like those from Novo Nordisk.
Following Q1 results, Hims & Hers raised its 2026 outlook, signaling confidence in acceleration. Full-year revenue is now guided at $2.8–$3.0 billion, implying 19–28% growth, with Adjusted EBITDA at $275–$350 million. Q2 points to $680–$700 million in revenue (25–28% growth). Management expects H2 momentum from compounding monthly cohorts, marketing efficiency, and international scaling.
Key to watch: Execution of the weight-loss pivot to 503A-compliant personalized formulations, which pressured Q1 but should stabilize shipping and margins. Subscriber retention and ARPU recovery in core verticals (men's health, dermatology, mental health) amid GLP-1 moderation. International revenue, already up nearly 10x, via Zava/Livewell integration.
Other catalysts include the mid-2026 Eucalyptus close for European expansion and long-term 2030 targets of $6.5 billion revenue/$1.3 billion Adjusted EBITDA. Monitor cost controls, as opes rose sharply; free cash flow remained positive at $53 million. Regulatory updates on compounding and demand for branded alternatives will shape trajectory in telehealth.
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