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SkinHealth Systems Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 12 March 2026: press release. Guidance figures: 4 new. The quarter’s numbers.

Key takeaways

  • Full-year net sales fell 10%: Net sales were $300.8 million for 2025 against $334.3 million, down (10.0)%, on lower delivery systems sales. Fourth-quarter net sales were $82.4 million, down (1.3)%. Source
  • Adjusted EBITDA rose to $45.1 million: Adjusted EBITDA was $45.1 million for 2025, a 15.0% margin, against $12.3 million. Fourth-quarter adjusted EBITDA was $15.0 million, an 18.3% margin, against $9.0 million. Source
  • Delivery systems net sales fell: Delivery systems net sales were $88.1 million for 2025 against $125.4 million, and $24.7 million in the fourth quarter against $26.8 million. Source
  • Gross margin rose on lower charges: Gross margin was 65.3% for 2025 against 54.5%, and 64.4% in the fourth quarter against 62.7%. Management attributed the rise mainly to lower inventory-related charges and a mix shift toward consumables. Source
  • Operating expenses fell about $33 million: Operating expenses were $217.2 million for 2025 against $250.1 million. Adjusted operating expenses were $160.0 million against $194.9 million, mainly on lower personnel and marketing spend. Source
  • Cash balance fell to $233 million: Cash, cash equivalents and restricted cash were about $233 million at year-end, down from about $370 million. The company attributed the change mainly to repurchases of convertible senior notes in the first half of 2025. Source
  • Second-half improvement expected: Management expects first-half 2026 revenue to be modestly below the first half of 2025, with the second half improving as commercial initiatives take hold. Source

“Our fourth quarter results reflects meaningful structural progress in margins, profitability, and balance sheet strength as our operational improvements are beginning to take hold”

Pedro Malha, President and CEO of BeautyHealth

Guidance

AreaPeriodFigureAgainst last quarter
Net sales SourceFirst quarter 2026$63 - $68 millionNew
Adjusted EBITDA SourceFirst quarter 2026$3.5 - $5.5 millionNew
Net sales SourceFiscal year 2026$285 - $305 millionNew
Adjusted EBITDA SourceFiscal year 2026$35 - $45 millionNew

What changed from last quarter

  • New guidance: Guidance was given for first-quarter 2026 net sales and adjusted EBITDA. Source
  • New guidance: Guidance was given for fiscal 2026 net sales and adjusted EBITDA. Source
  • Ended: The fiscal 2025 ranges in the Q3 release are not presented in this release, which reports full-year 2025 actual results.
  • New: In February 2026 the company repurchased 2026 Notes principal at a weighted-average price of 94.875%. Source

Full-year and fourth-quarter results

  • Full-year net sales fell 10%: Net sales were $300.8 million for 2025 against $334.3 million, down (10.0)%, on lower delivery systems sales. Fourth-quarter net sales were $82.4 million, down (1.3)%. Source
  • Net loss narrowed year on year: Net loss was $9.5 million for 2025 against $29.1 million, and $8.1 million in the fourth quarter against $10.3 million. Diluted loss per share was $(0.16) for 2025 against $(0.36). Source
  • Adjusted EBITDA rose to $45.1 million: Adjusted EBITDA was $45.1 million for 2025, a 15.0% margin, against $12.3 million. Fourth-quarter adjusted EBITDA was $15.0 million, an 18.3% margin, against $9.0 million. Source
  • Full-year results against prior ranges: The Q3 release had given fiscal 2025 ranges for net sales and adjusted EBITDA. Full-year results in this release are reported against those ranges.
  • Registrant named as Beauty Health: The filing names the registrant The Beauty Health Company (NASDAQ: SKIN), with Hydrafacial as its flagship brand, rather than SkinHealth Systems Inc. Source

Regional sales and China transition

  • Americas remains the largest region: Americas net sales were $204.0 million for 2025 against $217.0 million. APAC was $28.5 million against $45.7 million, and EMEA was $68.3 million against $71.6 million. Source
  • Asia-Pacific sales and units fell: APAC delivery systems sold were 485 in 2025 against 911 in 2024. The company said China sales moved to a distributor partner in the second quarter of 2025. Source
  • Consumables grew in Americas and EMEA: Consumables net sales were $147.8 million in Americas, up from $146.0 million, and $45.0 million in EMEA, up from $38.9 million. APAC was $19.9 million, down from $24.0 million. Source

“BeautyHealth enters 2026 with a strong foundation - a globally recognized brand, one of the largest installed bases in aesthetics, and a strong recurring consumables model.”

Pedro Malha, President and CEO of BeautyHealth

Delivery systems and consumables

  • Delivery systems net sales fell: Delivery systems net sales were $88.1 million for 2025 against $125.4 million, and $24.7 million in the fourth quarter against $26.8 million. Source
  • Consumables sales rose slightly: Consumables net sales were $212.7 million for 2025 against $208.9 million, and $57.7 million in the fourth quarter against $56.7 million, about 71% of 2025 net sales. Source
  • Hydrafacial anchors a wider line: The company describes Hydrafacial as its anchor brand, supported by SkinStylus microneedling and HydraScalp powered by Keravive, delivered through an omnichannel provider network. Source

Margins and operating costs

  • Gross margin rose on lower charges: Gross margin was 65.3% for 2025 against 54.5%, and 64.4% in the fourth quarter against 62.7%. Management attributed the rise mainly to lower inventory-related charges and a mix shift toward consumables. Source
  • Adjusted gross margin broadly flat in Q4: Adjusted gross margin was 68.2% for 2025 against 62.0%. For the fourth quarter it was 67.4% against 67.1%, which the release describes as relatively flat. Source
  • Operating expenses fell about $33 million: Operating expenses were $217.2 million for 2025 against $250.1 million. Adjusted operating expenses were $160.0 million against $194.9 million, mainly on lower personnel and marketing spend. Source
  • Litigation and restructuring excluded from adjusted costs: For 2025, adjusted operating expenses exclude litigation-related costs of $16.5 million, Go-to-Market restructuring of $3.6 million, and severance, restructuring and other of $5.6 million. Source

“Our focus now is to unlock the full economic potential of our platform by strengthening commercial execution, expanding utilization, improving provider economics, and investing in clinically meaningful innovation.”

Pedro Malha, President and CEO of BeautyHealth

Cash, debt and share count

  • Cash balance fell to $233 million: Cash, cash equivalents and restricted cash were about $233 million at year-end, down from about $370 million. The company attributed the change mainly to repurchases of convertible senior notes in the first half of 2025. Source
  • Operating cash flow rose to $37.5 million: Net cash provided by operating activities was $37.5 million for 2025 against $16.1 million. Financing activities used $174.9 million and investing activities used $5.2 million. Source
  • Convertible notes split current and long-term: Convertible senior notes were $124.0 million classified as current and $240.4 million non-current at December 31, 2025, against $552.2 million a year earlier. Source
  • About 128 million Class A shares outstanding: About 128 million Class A shares were outstanding at December 31, 2025, against about 127 million at September 30, 2025 as stated in the Q3 release. Source

2026 guidance and strategy

  • Guidance assumes stable revenue, more spend: The 2026 guidance assumes stable revenue performance alongside continued investment in innovation, marketing and education intended to support long-term growth. Source
  • Acquisitions and financings excluded: The 2026 guidance excludes any unannounced acquisitions, dispositions or financings, so none of those are reflected in the figures. Source
  • Second-half improvement expected: Management expects first-half 2026 revenue to be modestly below the first half of 2025, with the second half improving as commercial initiatives take hold. Source

Figures management reported

FigureReported
Total delivery systems sold Source1,032 in Q4 2025; 3,726 in 2025
Active install base Source36,026 at December 31, 2025

Risks management discussed

  • External: Guidance assumes no further deterioration in market conditions and no unforeseen events, including currency rates, tariffs and trade restrictions. Source

Earlier plans management reported on

  • Not stated: The Q3 release listed four focus areas. The fourth-quarter release names commercial execution as a focus again, without a status.

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.