Hims & Hers Health, Inc. (HIMS) Q1 2026 Earnings Call Transcript
Revenue Revenue grew 4% year-over-year to $608 million. The growth was temporarily pressured by revenue recognition dynamics from shorter shipping cadences and a tougher comparable period due to record-level additions of weight loss subscribers in the first quarter of last year.
Subscribers Subscribers grew 9% year-over-year to nearly 2.6 million. This growth reflects the company's ability to attract and retain customers through its expanding offerings and platform capabilities.
Adjusted EBITDA Adjusted EBITDA was $44 million, representing a 7% adjusted EBITDA margin. This was impacted by restructuring costs and investments in technology and operations.
Gross Margins Gross margins were 65% on a GAAP basis and 70% when adjusted for restructuring costs. The restructuring costs, primarily related to the write-downs of compounded GLP-1 supply chain, negatively impacted gross margins by roughly 5 points.
International Revenue International revenue increased nearly tenfold from the first quarter to $78 million, driven by acquisitions of ZAVA and Livewell.
Restructuring Costs Approximately $33 million of restructuring costs were incurred, primarily consisting of write-downs related to the compounded GLP-1 supply chain that now faces risk of obsolescence.
Cash Flow Generated $89 million of cash flow from operations and $53 million of free cash flow. This reflects the company's ability to maintain strong cash flow despite strategic pivots and investments.
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- Significant Earnings Miss: Hims & Hers reported a Q1 loss of $0.40 per share, significantly below the expected profit of $0.01, with revenue at $608 million, failing to meet the $616.5 million forecast, leading to a 12% drop in stock price during early trading.
- Weak Growth Indicators: Despite a 9% increase in subscribers, sales grew only 4%, indicating a potential decline in consumer spending at Hims & Hers, which could adversely affect future revenue growth prospects.
- Market Expansion Strategy: CEO Andrew Dudum emphasized that the company is not only growing but also expanding into new markets and drug categories while focusing on

- Market Growth Potential: The global point-of-care diagnostics market reached $58.76 billion in 2026, growing nearly 10% annually, with projections to hit $114.65 billion by 2035, indicating strong market demand and investment opportunities.
- Technology Innovation Showcase: VentriPoint will present its VMS+™ 4.0 platform at the AEPC annual meeting in Padua, Italy, which converts standard 2D ultrasound scans into detailed 3D heart models, providing results comparable to cardiac MRI and significantly enhancing clinical diagnostic efficiency.
- International Expansion and Collaboration: VentriPoint has partnered with Lishman Global to submit VMS+™ 4.0 for approval to China's National Medical Products Administration, utilizing the expedited

- Market Growth Potential: The global point-of-care diagnostics market reached $58.76 billion in 2026, growing nearly 10% annually, with projections to hit $114.65 billion by 2035, indicating strong demand for rapid and convenient healthcare solutions that create significant opportunities for companies like VentriPoint.
- Showcase Opportunity: VentriPoint will present its AI-powered VMS+™ 4.0 cardiac imaging platform at the 59th Annual Meeting of the Association for European Paediatric and Congenital Cardiology in Padua, Italy, expected to attract over 1,000 cardiology specialists from 32 countries, enhancing brand visibility and market penetration.
- Regulatory Expansion Progress: VentriPoint's strategic partner Lishman Global has formally submitted VMS+™ 4.0 for approval to China's National Medical Products Administration, leveraging the expedited
- Revenue Guidance Increase: Hims & Hers Health raised its 2026 revenue guidance to $2.8 billion - $3.0 billion from the previous forecast of $2.7 billion - $2.9 billion, indicating confidence in future growth despite missing Q1 earnings expectations.
- Q1 Earnings Miss: The company reported Q1 revenue of $608.1 million, a 4% increase year-over-year, but below Wall Street's expectation of $616.85 million, leading to a more than 15% drop in pre-market trading, reflecting investor concerns over performance.
- Analyst Rating Changes: Citi raised its price target for Hims from $24 to $28 while maintaining a 'Neutral' rating, and Needham increased its target from $30 to $35 with a 'Buy' rating, indicating confidence in the company's long-term growth potential.
- Retail Sentiment Shift: Despite the poor earnings report, retail sentiment on Stocktwits shifted from 'bearish' to 'neutral', with message volumes surging over 1,350% in 24 hours, reflecting divided opinions on Hims & Hers' future performance.
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- Strong Performance: On Holding's stock fell 5% in premarket trading despite reporting first-quarter earnings and revenue that exceeded analyst expectations, while reiterating its full-year net sales growth outlook, indicating resilience in its business model.
- Significant Stock Movement: Wendy's shares surged over 23% following reports that Trian Fund Management is raising funds for a bid to take the fast-food chain private, reflecting optimistic market sentiment regarding its privatization potential.
- Financial Decline: Hims & Hers reported a net loss of $92 million in Q1, significantly worsening from a $50 million loss in the same period last year, indicating severe challenges in profitability.
- Adjusted EBITDA Drop: The company's adjusted EBITDA fell from $91 million last year to $44 million, reflecting declining operational efficiency and increasing cost pressures, which may undermine investor confidence moving forward.
- Weak Revenue Growth: Although revenue increased by 4% to $608 million, the average monthly revenue per subscriber decreased from $85 to $80, suggesting weakened consumer spending willingness that could impact long-term growth potential.
- Poor Outlook: Hims expects Q2 revenue between $680 million and $700 million, with a full-year forecast of up to $3 billion, but analysts believe this guidance falls short of market expectations, potentially leading to further stock price declines.









