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Omada Health, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 7 May 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.

Key takeaways

  • Revenue rose 42% to $78 million: Revenue was $78.0 million, compared with $55.0 million in the first quarter of 2025, an increase of 42%. Source
  • Total members reached 1.02 million: Total members were 1.02 million at quarter end, up 51% year over year. Management said members primarily drive services revenue. Source
  • Adjusted EBITDA turned positive: Adjusted EBITDA was $0.9 million, against a loss of $4.2 million; the reconciliation shows a 1% adjusted EBITDA margin. Source
  • Optum Rx joined Weight Engage: Omada joined Optum Rx's Weight Engage portfolio, letting employers offer medication management through their existing PBM. Source
  • Gross margin rose to 62%: GAAP gross margin was 62%, up from 58%; non-GAAP gross margin was 64%, up from 60%. Gross profit was $48.7 million, against $31.9 million. Source
  • Free cash flow remained negative: Free cash flow was negative $13.4 million, against negative $17.4 million a year earlier; net cash used in operating activities was $11.8 million. Source

“Surpassing one million Total Members is a milestone that reflects the durable growth and operating leverage we’ve built over 15 years of earning trust with many of the nation’s leading employers, health plans, and PBMs,”

Sean Duffy, co-founder and CEO of Omada Health

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026$322 million to $330 millionRaised from $312 million to $322 million
Adjusted EBITDA SourceFull year 2026$14 million to $20 millionRaised from $7 million to $15 million

What changed from last quarter

  • Guidance raised: Full-year 2026 revenue range raised from $312 million to $322 million. Source
  • Guidance raised: Full-year 2026 adjusted EBITDA range raised from $7 million to $15 million. Source
  • New: Joined Optum Rx's Weight Engage portfolio for employer GLP-1 access through PBMs. Source
  • New: Named independent program administrator in Eli Lilly's Employer Connect program. Source

Results and growth drivers

  • Revenue rose 42% to $78 million: Revenue was $78.0 million, compared with $55.0 million in the first quarter of 2025, an increase of 42%. Source
  • Total members reached 1.02 million: Total members were 1.02 million at quarter end, up 51% year over year. Management said members primarily drive services revenue. Source
  • Net loss narrowed to $3 million: Net loss was $3.0 million, against $9.4 million a year earlier. Source
  • Adjusted EBITDA turned positive: Adjusted EBITDA was $0.9 million, against a loss of $4.2 million; the reconciliation shows a 1% adjusted EBITDA margin. Source

Products, partners and customers

  • Optum Rx joined Weight Engage: Omada joined Optum Rx's Weight Engage portfolio, letting employers offer medication management through their existing PBM. Source
  • All three leading PBMs now partners: The three leading PBMs serve most commercially insured lives and processed 80% of prescription claims in 2025, the release said. Source
  • Eli Lilly Employer Connect role: Omada will be an independent program administrator in Eli Lilly's Employer Connect program, with GLP-1 Care Track and prescribing offered on the direct-to-employer platform. Source
  • GLP-1 Care Track weight results: A new analysis reported Care Track members lost 1.8 times the total weight of a control group over 12 weeks, with more than twice the body fat percentage change, while preserving lean muscle mass. Source

“We’re proud to now have relationships with all three of the nation’s leading PBMs - including our newest collaboration with Optum Rx - giving us broad ability to meet employers wherever they are on their GLP-1 and cardiometabolic journey”

Sean Duffy, co-founder and CEO of Omada Health

Margins and costs

  • Gross margin rose to 62%: GAAP gross margin was 62%, up from 58%; non-GAAP gross margin was 64%, up from 60%. Gross profit was $48.7 million, against $31.9 million. Source
  • Operating expenses fell as share of revenue: Non-GAAP operating expenses were 63% of revenue, against 68%. Non-GAAP sales and marketing was 32% of revenue, against 35%; non-GAAP G&A was 15%, against 18%. Source
  • Operating loss narrowed to $4.8 million: GAAP operating loss was $4.8 million, against $8.4 million; GAAP operating expenses were 69% of revenue, against 73%. Source

Cash, balance sheet and share count

  • Cash balance $212 million: Cash and cash equivalents were $211.8 million at March 31, 2026, against $222.0 million at December 31, 2025. Source
  • Free cash flow remained negative: Free cash flow was negative $13.4 million, against negative $17.4 million a year earlier; net cash used in operating activities was $11.8 million. Source
  • Shares outstanding rose to 59.2 million: Shares issued and outstanding rose to 59,240 thousand at March 31, 2026, from 58,429 thousand at December 31, 2025. Source

Receivables and related-party balances

  • Related-party services revenue increased: Services revenue included $46.0 million from a related party, against $29.9 million a year earlier. Source
  • Receivables rose to $40.0 million: Accounts receivable, net, was $40.0 million, up from $34.6 million at December 31, 2025; $25.8 million of it was owed by a related party. Source
  • Deferred revenue increased: Deferred revenue was $29.4 million, up from $25.1 million, including $22.2 million from a related party. Source

Strategy and investment

  • Positioned as multi-condition platform: Management described Omada as an integrated, multi-condition cardiometabolic platform operating at scale, with total members up 51%. Source
  • Capitalized software spend rose: Capitalized internal-use software costs were $1.5 million, against $0.9 million; purchases of property and equipment were $0.1 million, against $0.3 million. Source

Coming up, as management said on 7 May 2026

  • GLP-1 Care Track on Lilly platform: Management said GLP-1 Care Track and prescribing capabilities will be available on Eli Lilly's direct-to-employer platform. Source

Figures management reported

FigureReported
Total members Source1.02 million, up 51% year over year

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.