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Omada Health, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 5 March 2026: press release. Guidance figures: 2 new. The quarter’s numbers.

Key takeaways

  • Revenue grew 58% in the quarter: Fourth quarter revenue was $76 million, up 58% year over year. Full-year revenue was $260 million, up 53% from 2024. Source
  • Fourth quarter net income positive: Fourth quarter net income was $5 million, against an $8 million loss a year earlier. The full-year net loss narrowed to $13 million from $47 million in 2024. Source
  • Adjusted EBITDA positive for year: Adjusted EBITDA was $8 million in the fourth quarter and $6 million for the year, against a $29 million loss in 2024. Source
  • GLP-1 members passed 150,000: Omada has supported more than 150,000 members on GLP-1s, up from more than 50,000 at the end of 2024. Source
  • Gross margin rose to 71%: GAAP gross margin was 71% in the fourth quarter, up from 67%, and 66% for the year, compared with 61% in 2024. Non-GAAP gross margin was 73% in the quarter. Source
  • Free cash flow positive for year: Free cash flow was $20.0 million in the fourth quarter and $12.4 million for the year, compared with negative $7.5 million and negative $38.0 million in the prior-year periods. Source
  • 2026 revenue range set: For 2026 the company gave a revenue range of $312 million to $322 million, with the midpoint implying 22% growth over 2025. Source
  • 2026 adjusted EBITDA range set: For 2026 adjusted EBITDA is expected to be between $7 million and $15 million. Source

“Our 2025 performance reflects a pivotal year for Omada, marked by strong growth, important profitability milestones, and continued momentum across our business”

Sean Duffy, co-founder and CEO of Omada Health

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceYear ending December 31, 2026$312 million to $322 millionNew
Adjusted EBITDA SourceYear ending December 31, 2026$7 million to $15 millionNew

What changed from last quarter

  • New guidance: The January preliminary release gave no 2026 figures. The March release gives 2026 revenue and adjusted EBITDA ranges. Source
  • New: Omada for Cholesterol was announced in February 2026 as an addition to the multi-condition platform. Source
  • New: GLP-1 Flex Care was announced on the release date as a new option for employers. Source

Results and growth drivers

  • Revenue grew 58% in the quarter: Fourth quarter revenue was $76 million, up 58% year over year. Full-year revenue was $260 million, up 53% from 2024. Source
  • Fourth quarter net income positive: Fourth quarter net income was $5 million, against an $8 million loss a year earlier. The full-year net loss narrowed to $13 million from $47 million in 2024. Source
  • Adjusted EBITDA positive for year: Adjusted EBITDA was $8 million in the fourth quarter and $6 million for the year, against a $29 million loss in 2024. Source
  • Reported revenue above January preliminary range: The January preliminary range for 2025 revenue was $256 million to $258 million. Reported full-year revenue was $260.2 million, with fourth quarter revenue at $75.8 million.

Revenue mix and customers

  • Services revenue made up most sales: Services revenue was $71.7 million in the fourth quarter, up from $45.4 million, and $241.0 million for the year, up from $157.8 million. Hardware revenue was $4.2 million in the quarter and $19.2 million for the year. Source
  • Related-party share of services revenue: A related party accounted for $49.5 million of fourth quarter services revenue and $157.7 million for the year, according to footnotes to the income statement. Source
  • Cumulative membership and customer reach: The company says it has served more than two million members since launch across more than 2,000 employers, health plans, pharmacy benefit managers and health systems. Source

“Our preliminary 2025 results underscore the growing relevance of our between-visit care model as both buyers and members seek new solutions”

Sean Duffy, Omada’s Co-founder and CEO

GLP-1 care and program expansion

  • GLP-1 members passed 150,000: Omada has supported more than 150,000 members on GLP-1s, up from more than 50,000 at the end of 2024. Source
  • GLP-1 Flex Care added for employers: The new option connects eligible employees with clinical evaluation, prescribing and medical oversight, without the employer covering GLP-1 costs. Source
  • AI tools launched during 2025: OmadaSpark and Meal Map were launched during 2025 as AI-powered tools giving members wellness education alongside human coaches. Source
  • Cholesterol program extends platform: Omada for Cholesterol addresses a condition that often co-exists with diabetes, hypertension and obesity, according to the release. Source

Gross margin and operating costs

  • Gross margin rose to 71%: GAAP gross margin was 71% in the fourth quarter, up from 67%, and 66% for the year, compared with 61% in 2024. Non-GAAP gross margin was 73% in the quarter. Source
  • Operating expense ratio fell: Non-GAAP operating expenses were 61.5% of revenue in the fourth quarter, against 76.7% a year earlier, and 65.2% for the year against 80.5% in 2024. Source
  • Sales and marketing ratio declined: Non-GAAP sales and marketing expense was 31% of revenue in the fourth quarter and 33% for the year, against 36% and 38% in the prior-year periods. Source
  • Share-based compensation increased: Share-based compensation expense was $3.7 million in the fourth quarter and $13.0 million for the year, compared with $2.3 million and $9.4 million in the prior-year periods. Source

Profitability and free cash flow

  • Free cash flow positive for year: Free cash flow was $20.0 million in the fourth quarter and $12.4 million for the year, compared with negative $7.5 million and negative $38.0 million in the prior-year periods. Source
  • Operating cash flow turned positive: Net cash provided by operating activities was $18.3 million for the year, against $34.2 million used in 2024. Fourth quarter operating cash flow was $21.4 million. Source
  • Diluted EPS positive in quarter: Diluted EPS was $0.08 in the fourth quarter, against a loss of $1.04 a year earlier. The full-year diluted loss per share was $0.35. Source

2026 guidance figures

  • 2026 revenue range set: For 2026 the company gave a revenue range of $312 million to $322 million, with the midpoint implying 22% growth over 2025. Source
  • 2026 adjusted EBITDA range set: For 2026 adjusted EBITDA is expected to be between $7 million and $15 million. Source

Cash, financing and capital

  • Cash rose to $222 million: Cash and cash equivalents were $222.0 million at year end, up from $76.4 million at the end of 2024. Source
  • IPO proceeds and term debt repaid: Initial public offering proceeds were $160.5 million, net of underwriting discounts and commissions. The company repaid $31.0 million of Midcap term facility principal during the year. Source
  • Option exercises added cash: Proceeds from stock option exercises were $9.4 million for the year, compared with $3.3 million in 2024. Source
  • Capitalized software spending: Capitalized internal-use software costs were $4.5 million for the year, against $3.3 million in 2024. Total investing outflows for the year were $5.8 million. Source

Strategy, research and platform

  • GLP-1 research on weight maintenance: The company cited published research showing members in its GLP-1 Care Track achieved greater average weight loss and largely maintained weight a year after stopping therapy. Source
  • Virtual-first care model described: The model combines human-led care teams, connected devices and AI-enabled technology, including support for GLP-1 therapy, to deliver personalized care at scale. Source

Coming up, as management said on 5 March 2026

  • Prescribing offering launch planned: Plans announced in November call for a prescribing offering combining behavior change with medication management. No launch date is given. Source
  • Form 10-K filing at release: The 2025 Form 10-K was described as being filed at or around the March 5, 2026 release date. Source

Figures management reported

FigureReported
Total members (year end) Source886,000, up 55% year over year
GLP-1 members supported Sourcemore than 150,000, compared with more than 50,000 at end of 2024

Earlier plans management reported on

  • Not stated: In January the company said it expected to report audited fourth quarter and fiscal 2025 results on March 5, 2026, after the market close.

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.