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Hims & Hers Health, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 23 February 2026: press release. Guidance figures: 4 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 59% for 2025: Full-year 2025 revenue was $2,347.6 million, up from $1,476.5 million in 2024. Management attributed growth to subscriber expansion and higher engagement across specialties. Source
  • Subscribers passed 2.5 million: Subscribers at year-end 2025 were 2,511 thousand, up 13% from 2,229 thousand a year earlier. Source
  • Rest of the World revenue grew sharply: Rest of the World revenue was $134.0 million for 2025, up from $26.8 million. Fourth-quarter revenue in this category was $63.7 million, up from $6.9 million. Source
  • Gross margin fell to 74%: Full-year gross margin was 74%, down from 79%. Fourth-quarter gross margin was 72%, down from 77%. Cost of revenue was $614.3 million for 2025, up from $303.4 million. Source
  • Adjusted EBITDA margin rose to 14%: Full-year Adjusted EBITDA was $318.0 million, up from $176.9 million, at a 14% margin versus 12%. Fourth-quarter Adjusted EBITDA was $66.3 million, with an 11% margin in both periods. Source
  • Free cash flow fell to $57.4 million: Free cash flow for 2025 was $57.4 million, down from $198.3 million. Fourth-quarter free cash flow was $(2.6) million, compared with $59.5 million. Source

“Our financial results in 2025 demonstrate the power of scaling a deeply personalized consumer health platform,”

Yemi Okupe, Chief Financial Officer

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefirst quarter 2026$600 million to $625 millionNew
Adjusted EBITDA Sourcefirst quarter 2026$35 million to $55 million; margin 6% to 9%New
Revenue Sourcefull year 2026$2.7 billion to $2.9 billionNew
Adjusted EBITDA Sourcefull year 2026$300 million to $375 million; margin 11% to 13%New
Long-term revenue target Source2030at least $6.5 billion
Long-term Adjusted EBITDA target Source2030$1.3 billion

What changed from last quarter

  • New guidance: Guidance for the first quarter and full year 2026 is given in this release. The previous release gave guidance for the fourth quarter and full year 2025 only. Source
  • New: The release refers to a recently announced proposed acquisition of Eucalyptus. The previous release does not mention it. Source
  • New: During 2025 the company launched operations in the European Union and Canada and deepened its presence in the United Kingdom, through completed acquisitions. Source
  • New: Revenue is now split between United States Revenue and Rest of the World Revenue. Source
  • Ended: Online Revenue and Wholesale Revenue will no longer be reported from the three months ending March 31, 2026. Source
  • Ended: Monthly Online Revenue per Average Subscriber will no longer be reported from the three months ending March 31, 2026. Source

Results and growth drivers

  • Revenue rose 59% for 2025: Full-year 2025 revenue was $2,347.6 million, up from $1,476.5 million in 2024. Management attributed growth to subscriber expansion and higher engagement across specialties. Source
  • Subscribers passed 2.5 million: Subscribers at year-end 2025 were 2,511 thousand, up 13% from 2,229 thousand a year earlier. Source
  • Fourth-quarter revenue rose 28%: Fourth-quarter 2025 revenue was $617.8 million, compared with $481.1 million in the fourth quarter of 2024. Source
  • Net income supported by tax release: Full-year net income was $128.4 million. The company said 2025 was affected by a $68.0 million change in valuation allowance, which released domestic deferred tax assets. Source

Segments and regions

  • United States revenue grew 53%: US revenue was $2,213.6 million for 2025, up from $1,449.7 million. Fourth-quarter US revenue was $554.1 million, up 17%. Source
  • Rest of the World revenue grew sharply: Rest of the World revenue was $134.0 million for 2025, up from $26.8 million. Fourth-quarter revenue in this category was $63.7 million, up from $6.9 million. Source
  • Wholesale revenue declined: Wholesale revenue was $36.2 million for 2025, down 6% from $38.6 million. Fourth-quarter wholesale revenue was $8.7 million, down 16%. Source

“The continued growth and diversification of our platform is helping to create a world where proactive, preventative, and personalized care can feel like a luxury without actually costing like one.”

Andrew Dudum, co-founder and CEO

Products and customers

  • Hormone therapies, diagnostics and Labs added: The CEO cited the 2025 launch of hormone therapies and diagnostics, and the introduction of Labs, as part of the year's work. Source
  • Care offered across more conditions: The CEO said more customers worldwide can access care across a wider range of conditions than before. Source
  • Revenue per subscriber rose: Monthly revenue per average subscriber was $83 in the fourth quarter, up from $75. For the full year it was $83, up from $65. Source

Costs and margins

  • Gross margin fell to 74%: Full-year gross margin was 74%, down from 79%. Fourth-quarter gross margin was 72%, down from 77%. Cost of revenue was $614.3 million for 2025, up from $303.4 million. Source
  • Operating expenses and operating income: Total operating expenses were $1,627.8 million for 2025, up from $1,111.2 million. Income from operations was $105.6 million, up from $61.9 million. Source
  • General and administrative costs rose: General and administrative expense was $272.7 million for 2025, up from $167.8 million. Fourth-quarter expense was $76.2 million, up from $48.0 million. Source
  • Adjusted EBITDA margin rose to 14%: Full-year Adjusted EBITDA was $318.0 million, up from $176.9 million, at a 14% margin versus 12%. Fourth-quarter Adjusted EBITDA was $66.3 million, with an 11% margin in both periods. Source

Cash flow and free cash flow

  • Operating cash flow rose for the year: Fourth-quarter operating cash flow was $61.3 million, down from $86.4 million in the fourth quarter of 2024. Source
  • Free cash flow fell to $57.4 million: Free cash flow for 2025 was $57.4 million, down from $198.3 million. Fourth-quarter free cash flow was $(2.6) million, compared with $59.5 million. Source
  • Capital spending increased: Purchases of property, equipment and intangible assets were $226.0 million in 2025, up from $41.7 million. Fourth-quarter purchases were $59.4 million, up from $24.5 million. Source

Balance sheet and capital

  • Convertible notes issued in 2025: Proceeds from convertible senior notes were $970.0 million, net of debt discount, and $47.8 million of capped calls were purchased. Convertible senior notes, net, were $972.6 million at year-end. Source
  • Cash and investments increased: At year-end, cash and cash equivalents were $228.6 million, short-term investments $348.9 million and long-term investments $351.3 million. Source
  • Share repurchases of $90.0 million: Repurchases of common stock were $90.0 million in 2025, up from $83.0 million. Taxes paid on net share settlement of equity awards were $116.7 million, up from $52.5 million. Source

Strategy and investment

  • Acquisitions lifted goodwill and intangibles: Acquisitions of businesses, net of cash acquired, were $145.2 million in 2025, up from $15.4 million. Goodwill was $278.3 million, up from $112.7 million. Source
  • Aim to lead consumer health: The CEO described the company's aim to become the global leader in consumer health. Source
  • Cash flow funds new investment: The CFO said the balance sheet and cash flow from domestic operations give the company flexibility to invest in new specialties, technology, infrastructure and international expansion. Source

Coming up, as management said on 23 February 2026

  • Eucalyptus closing expected mid-2026: The proposed acquisition of Eucalyptus is expected to close during the middle of calendar 2026. Source

Figures management reported

FigureReported
Subscribers (membership) Source2,511 thousand at end of 2025, up 13%

Risks management discussed

  • External: Guidance assumes continued access to compounded semaglutide through the platform and no change to current business relationships. Source
  • Regulatory: Closing of the Eucalyptus acquisition is subject to customary closing conditions, including regulatory approvals. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.