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Hims & Hers Health, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 9 November 2026: press release. Guidance figures: 2 lowered, 2 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 49% year-over-year: Total revenue was $890.4 million, up from $599.0 million a year earlier. Nine-month revenue reached $2.25 billion, up 30% year-over-year. Source
  • Rest of world revenue more than quadrupled: Rest of the World revenue was $233.3 million, against $55.5 million a year earlier, up 321%. Nine-month Rest of the World revenue was $442.9 million, up 530%. Source
  • Gross margin fell to 57%: Gross margin was 57%, against 74% a year earlier. Cost of revenue was $381.2 million, against $156.9 million. Nine-month gross margin was 62%. Source
  • Marketing paced ahead of expansions: Marketing expense was $247.3 million. Management said it intentionally paced marketing spend ahead of planned fourth-quarter platform expansions. Source
  • Adjusted EBITDA reached $82.4 million: Adjusted EBITDA was $82.4 million, a 9% margin, against $78.4 million and 13% a year earlier. Nine-month Adjusted EBITDA was $187.0 million. Source
  • Free cash flow was $26.0 million: Free cash flow was $26.0 million, against $79.4 million a year earlier. Operating cash flow was $65.4 million, against $148.7 million. Source
  • Full-year Adjusted EBITDA range reduced: The release tightened the full-year revenue range and reduced the full-year Adjusted EBITDA range, both set out in the guidance section. Source

“In healthcare, whoever owns the customer relationship wins, and that’s exactly what we’re building toward at Hims & Hers.”

Andrew Dudum, co-founder and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFourth quarter 2026$875 million to $895 millionNew
Adjusted EBITDA SourceFourth quarter 2026$70 million to $90 millionNew
Revenue SourceFull year 2026$3.13 billion to $3.15 billion
Adjusted EBITDA SourceFull year 2026$257 million to $277 millionLowered from $275 million to $325 million
Adjusted EBITDA margin SourceFull year 20268% to 9%Lowered from 9% to 10%

What changed from last quarter

  • New guidance: Fourth-quarter 2026 revenue and Adjusted EBITDA guidance was given. The prior release gave guidance for the third quarter. Source
  • Guidance lowered: Full-year 2026 Adjusted EBITDA guidance was reduced to $257 million to $277 million. Source
  • New: Adjusted EBITDA definition was revised to include foreign currency gains and losses, net, because of international expansion. Prior periods were not recast. Source

Results and growth drivers

  • Revenue rose 49% year-over-year: Total revenue was $890.4 million, up from $599.0 million a year earlier. Nine-month revenue reached $2.25 billion, up 30% year-over-year. Source
  • Second consecutive quarter of acceleration: The CFO described the growth rate as the second consecutive quarter of acceleration in year-over-year revenue growth. Source
  • Subscribers reached nearly 2.8 million: Subscribers at quarter end were 2,788 thousand, up 13% year-over-year. The prior release reported nearly 2.9 million subscribers at June 30. Source
  • Revenue per subscriber rose 30%: Monthly revenue per average subscriber was $105, compared with $81 a year earlier. For the nine months it was $94, against $82. Source

Segments and regions

  • Rest of world revenue more than quadrupled: Rest of the World revenue was $233.3 million, against $55.5 million a year earlier, up 321%. Nine-month Rest of the World revenue was $442.9 million, up 530%. Source
  • Domestic revenue up 21%: United States revenue was $657.1 million, up 21% from $543.5 million. Nine-month United States revenue rose 9% to $1.81 billion. Source
  • Rest of world share of revenue: Rest of the World accounted for about 26% of third-quarter revenue, against about 9% a year earlier, based on the reported segment figures. Source

“In the third quarter, we continued to apply what we’ve learned to make deliberate strategic decisions to position Hims & Hers for durable, multi-year growth”

Yemi Okupe, Chief Financial Officer

Products and customers

  • Weight loss offering shifted to branded GLP-1: The company moved its US weight loss offering to branded GLP-1 medications, announced in the first quarter of 2026, to match its global approach. Source
  • Compounded GLP-1 offered on limited scale: Compounded GLP-1 medications remain available through the platform, on a limited scale, as part of the same shift. Source
  • Customers seek choice, value and care: The CEO said customers want real choice, real value, and a care team that knows them, and framed the platform around that demand. Source

Costs, margins and pricing

  • Gross margin fell to 57%: Gross margin was 57%, against 74% a year earlier. Cost of revenue was $381.2 million, against $156.9 million. Nine-month gross margin was 62%. Source
  • Marketing paced ahead of expansions: Marketing expense was $247.3 million. Management said it intentionally paced marketing spend ahead of planned fourth-quarter platform expansions. Source
  • Operating loss as G&A rose: Loss from operations was $66.1 million, against income of $11.8 million. General and administrative expense rose to $151.5 million from $80.7 million. Source
  • Adjusted EBITDA reached $82.4 million: Adjusted EBITDA was $82.4 million, a 9% margin, against $78.4 million and 13% a year earlier. Nine-month Adjusted EBITDA was $187.0 million. Source
  • Restructuring charges continued into Q3: Restructuring and other related charges were $3.8 million in the quarter and $41.9 million for the nine months, tied to the weight loss shift. Source
  • Net loss against prior-year income: Net loss was $33.0 million, or 4% of revenue, against net income of $15.8 million a year earlier. Nine-month net loss was $211.4 million. Source

“We delivered those results while intentionally pacing marketing spend ahead of several planned expansions to our platform in the fourth quarter, which we expect will set us up well heading into 2027.”

Yemi Okupe, Chief Financial Officer

Cash, balance sheet and capital

  • Free cash flow was $26.0 million: Free cash flow was $26.0 million, against $79.4 million a year earlier. Operating cash flow was $65.4 million, against $148.7 million. Source
  • Cash rose, short-term investments fell: Cash and cash equivalents were $605.6 million at September 30, against $228.6 million at December 31. Short-term investments fell to $106.6 million from $348.9 million. Source
  • Convertible notes proceeds in nine months: Convertible senior notes, net, were $1,367.4 million at quarter end. Nine-month proceeds from note issuance were $390.4 million, net of debt discount. Source
  • Acquisition payables and goodwill increased: Current deferred acquisition payable was $478.6 million, against $1.5 million at year-end. Goodwill rose to $1,110.7 million from $278.3 million. Source

Strategy and investment

  • Platform for daily health needs: The CEO described the goal as a platform people rely on every day, across categories and markets, which he said will transform the industry. Source
  • Goal of first place for daily needs: The CFO stated the long-term objective of becoming the first place people turn for their daily health needs, globally. Source

Guidance and reporting changes

  • Full-year Adjusted EBITDA range reduced: The release tightened the full-year revenue range and reduced the full-year Adjusted EBITDA range, both set out in the guidance section. Source
  • Fourth-quarter guidance issued: The company issued guidance for the fourth quarter of 2026 for revenue and Adjusted EBITDA, which the prior release did not contain. Source
  • Adjusted EBITDA now includes currency items: Foreign currency gains and losses were added to Adjusted EBITDA, which the company linked to international expansion. Foreign currency loss was $4.1 million in the quarter. Source
  • Adjusted net income fell year-over-year: Adjusted net income was $6.5 million, against $20.5 million a year earlier. Nine-month adjusted net loss was $57.9 million. Source

Coming up, as management said on 9 November 2026

  • Fourth-quarter platform expansions: Management said several expansions to the platform are planned for the fourth quarter of 2026. Source
  • AI-native experience rollout: The CEO said the company is rolling out an AI-native experience and expanding the treatments and specialties it makes available. Source
  • Groundwork for 2027: Management expects the fourth-quarter steps to set the company up well heading into 2027. Source

Figures management reported

FigureReported
Subscribers (end of period) Source2,788 thousand, up 13% year-over-year
Monthly revenue per average subscriber Source$105, up 30% year-over-year

Risks management discussed

  • Operational: Management said further restructuring charges tied to the weight loss shift may be incurred in future periods and would be presented as before. Source
  • Regulatory: Nine-month legal contingencies of $62.5 million were recorded in general and administrative expense and excluded from Adjusted EBITDA. None were recorded in the third quarter. Source

Earlier plans management reported on

  • Not stated: The release restates the weight loss shift and says the offering was evolved to match the global approach. No status for the shift is given. 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.