- Full year 2025 revenue grew 25% to
$194.1 million ; adjusted EBITDA rose 309% to$15.3 million . - Fourth quarter revenue increased 4% to
$46.9 million ; adjusted EBITDA rose 348% to$4.8 million . - Successfully launched oral Wegovy subsequent to year end, with over 80% of new weight management patients initiating branded therapy and Q1 sign-ups at record levels.
- Exited 2025 with
$36.8 million of cash and no debt, positioningLifeMD for accelerated investments in growth. - Benefits infrastructure on track to cover approximately 220 million Americans in second quarter; women’s health offering seeing strong early patient growth.
Conference call begins at
Management Commentary
“LifeMD delivered strong fourth quarter results across all business lines and is entering its next phase of growth,” said
“Beyond weight management, our highly differentiated specialty offerings continue to scale. Rex MD, our men’s health brand, delivered strong, profitable growth and recently launched oral Wegovy. Our women’s health business, focused on menopause, hormonal, and bone health, is seeing encouraging early patient growth and represents a deeply underserved population we are uniquely equipped to help. Underpinning all of this is a virtual care infrastructure that we believe sets
“In our first quarter as a pure-play telehealth business,
Fourth Quarter Financial Highlights
All comparisons are with the fourth quarter of 2024. Non-GAAP financial measures referenced below are defined and reconciled to GAAP financial measures at the end of this press release.
- Total revenue increased 4% to
$46.9 million . - The number of active telehealth subscribers increased 16% to approximately 323,000 at quarter end.
- Gross margin expanded to 87%, up from 81% in the prior-year period, reflecting favorable revenue mix.
- GAAP net loss from continuing operations attributable to
LifeMD, Inc. common stockholders was$1.9 million or$0.04 per share compared to a net loss from continuing operations attributable toLifeMD, Inc. common stockholders of$6.8 million or ($0.16 ) per share in the prior-year period. - Including income from discontinued operations related to the sale of WorkSimpli, net income totaled
$19.2 million , or$0.41 per share. - Adjusted EBITDA was
$4.8 million compared to$1.1 million in the prior-year period. - Cash totaled
$36.8 million as ofDecember 31, 2025 and the Company had no debt as of year-end 2025.
Fourth Quarter Key Performance Metrics
| ($ in 000s) | Three Months Ended | Y-o-Y | Twelve Months Ended | Y-o-Y | |||||||||||
| Key Performance Metrics | 2025 | 2024 | % Growth | 2025 | 2024 | % Growth | |||||||||
| Revenue | |||||||||||||||
| Revenue | $ | 46,868 | $ | 45,137 | 4 | % | $ | 194,055 | $ | 154,824 | 25 | % | |||
| Adjusted EBITDA | $ | 4,759 | $ | 1,062 | 348 | % | $ | 15,254 | $ | 3,726 | 309 | % | |||
| Active Subscribers | 322,872 | 277,739 | 16 | % | 322,872 | 277,739 | 16 | % | |||||||
Financial Guidance
For the first quarter of 2026, the Company expects:
- Revenue in the range of
$48 million to$49 million . - Adjusted EBITDA loss of
$4 million to$5 million , reflecting strategic front-loaded patient acquisition investment spend as the number of GLP-1 patient sign-ups doubled versus Q4 2025. - Adjusted EBITDA expected to return to profitability in Q2 as customer acquisition costs decline sequentially and the substantial rise in patient volumes becomes accretive for the balance of 2026.
For the full year 2026, the Company expects:
- Revenue in the range of
$220 million to$230 million , representing 13% to 19% year-over-year growth. Annualized run-rate revenue expected to exceed$250 million by Q4 2026, driven by GLP-1 and women’s health momentum. - Adjusted EBITDA in the range of
$12 million to$17 million . Annualized run-rate adjusted EBITDA expected to exceed$25 million by Q4 2026, with substantial second-half accretion as weight management and women’s health investments mature.
Conference Call
LifeMD’s management will host a conference call today at
Toll-free dial-in number: 800-343-5172
International dial-in number: 203-518-9856
Conference ID:
A live and archived webcast will be available in the Investors section of the Company’s website at ir.lifemd.com.
About
Cautionary Note Regarding Forward Looking Statements
This news release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended; Section 21E of the Securities Exchange Act of 1934, as amended; and the safe harbor provision of the
Forward-looking statements are not historical facts and are not assurances of future performance. Rather, these statements are based on our current expectations, beliefs, and assumptions regarding future plans and strategies, projections, anticipated and unanticipated events and trends, the economy, and other future conditions, including the impact of any of the aforementioned on our future business. As forward-looking statements relate to the future, they are subject to inherent risk, uncertainties, and changes in circumstances and assumptions that are difficult to predict, including some of which are out of our control. Consequently, our actual results, performance, and financial condition may differ materially from those indicated in the forward-looking statements. These risks and uncertainties include, but are not limited to, “Risk Factors” identified in our filings with the Securities and Exchange Commission, including, but not limited to, our most recently filed Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and any amendments thereto. Even if our actual results, performance, or financial condition are consistent with forward-looking statements contained in such filings, they may not be indicative of our actual results, performance, or financial condition in subsequent periods.
Any forward-looking statement made in the news release is based on information currently available to us as of the date on which this release is made. We undertake no obligation to update or revise any forward-looking statement, whether as a result of new information, future events, or otherwise, except as may be required under applicable law or regulation.
Investor Contact
Marc Benathen, Chief Financial Officer
marc@lifemd.com
Media Contact
press@lifemd.com
Tables to Follow
| CONSOLIDATED BALANCE SHEETS | ||||||
| ASSETS | ||||||
| Current Assets | ||||||
| Cash | $ | 36,786,318 | $ | 32,651,801 | ||
| Accounts receivable | 9,305,277 | 10,455,813 | ||||
| Product deposit | 320,217 | 40,763 | ||||
| Inventory, net | 2,773,576 | 2,797,358 | ||||
| Other current assets | 2,646,077 | 3,003,539 | ||||
| Current assets of discontinued operations | - | 3,420,086 | ||||
| Total Current Assets | 51,831,465 | 52,369,360 | ||||
| Non-current Assets | ||||||
| Equipment, net | 2,444,717 | 1,439,573 | ||||
| Right of use assets, net | 5,267,857 | 6,228,559 | ||||
| Capitalized software, net | 10,604,946 | 9,305,919 | ||||
| Intangible assets, net | 262,334 | 53,336 | ||||
| Non-current assets of discontinued operations | - | 6,699,550 | ||||
| Total Non-current Assets | 18,579,854 | 23,726,937 | ||||
| Total Assets | $ | 70,411,319 | $ | 76,096,297 | ||
| LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT) | ||||||
| Current Liabilities | ||||||
| Accounts payable | $ | 14,149,154 | $ | 10,904,671 | ||
| Accrued expenses | 15,974,016 | 21,756,619 | ||||
| Current operating lease liabilities | 642,422 | 320,082 | ||||
| Current portion of convertible long-term debt | - | 8,444,444 | ||||
| Deferred revenue | 10,807,773 | 17,097,854 | ||||
| Current liabilities of discontinued operations | - | 8,876,498 | ||||
| Total Current Liabilities | 41,573,365 | 67,400,168 | ||||
| Long-term Liabilities | ||||||
| Convertible long-term debt, net | - | 9,885,057 | ||||
| Non-current operating lease liabilities | 5,681,374 | 6,279,004 | ||||
| Non-current liabilities of discontinued operations | - | 86,188 | ||||
| Total Liabilities | 47,254,739 | 83,650,417 | ||||
| Commitments and Contingencies | ||||||
| Stockholders’ Equity (Deficit) | ||||||
| Series A Preferred Stock, | 140 | 140 | ||||
| Common Stock, | 467,600 | 422,939 | ||||
| Additional paid-in capital | 251,455,616 | 230,508,339 | ||||
| Accumulated deficit | (228,603,075) | (239,850,931) | ||||
| (163,701) | (163,701) | |||||
| 23,156,580 | (9,083,214) | |||||
| Non-controlling interest of discontinued operations | - | 1,529,094 | ||||
| Total Stockholders’ Equity (Deficit) | 23,156,580 | (7,554,120) | ||||
| Total Liabilities and Stockholders’ Equity (Deficit) | $ | 70,411,319 | $ | 76,096,297 | ||
| CONSOLIDATED STATEMENTS OF OPERATIONS | ||||||||||||||
| Fourth Quarter Ended | Year Ended | |||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||
| Telehealth revenue, net | $ | 46,868,484 | $ | 45,137,021 | $ | 194,055,198 | $ | 154,824,075 | ||||||
| Cost of telehealth revenue | 6,025,408 | 8,391,484 | 27,714,808 | 21,440,799 | ||||||||||
| Gross profit | 40,843,076 | 36,745,537 | 166,340,390 | 133,383,276 | ||||||||||
| Expenses | ||||||||||||||
| Selling and marketing expenses | 19,086,443 | 17,819,834 | 86,074,473 | 70,102,961 | ||||||||||
| General and administrative expenses | 15,541,255 | 16,603,620 | 57,937,023 | 57,947,932 | ||||||||||
| Customer service expenses | 2,493,087 | 2,831,985 | 11,579,636 | 10,217,654 | ||||||||||
| Other operating expenses | 3,000,591 | 2,663,872 | 11,073,155 | 8,659,712 | ||||||||||
| Development costs | 1,819,418 | 1,670,906 | 7,345,797 | 6,857,005 | ||||||||||
| Total expenses | 41,940,794 | 41,590,217 | 174,010,084 | 153,785,264 | ||||||||||
| Operating loss from continuing operations | (1,097,718) | (4,844,680) | (7,669,694) | (20,401,988) | ||||||||||
| Other expenses | ||||||||||||||
| Interest expense, net | 24,079 | (610,954) | (1,360,967) | (2,175,405) | ||||||||||
| Loss on debt extinguishment | - | - | (1,155,851) | - | ||||||||||
| Loss from continuing operations before income taxes | (1,073,639) | (5,455,634) | (10,186,512) | (22,577,393) | ||||||||||
| Income tax provision | (13,898) | (598,000) | (45,721) | (598,000) | ||||||||||
| Net loss from continuing operations | (1,087,537) | (6,053,634) | (10,232,233) | (23,175,393) | ||||||||||
| Net income from discontinued operations | 21,030,505 | 1,426,807 | 25,852,024 | 2,315,252 | ||||||||||
| Net income (loss) | 19,942,968 | (4,626,827) | 15,619,791 | (20,860,141) | ||||||||||
| Net (loss) income attributable to noncontrolling interests of discontinued operations | (20,697) | 311,838 | 1,265,685 | 548,875 | ||||||||||
| Net income (loss) attributable to | 19,963,665 | (4,938,665) | 14,354,106 | (21,409,016) | ||||||||||
| Preferred stock dividends | (776,562) | (776,562) | (3,106,250) | (3,106,250) | ||||||||||
| Net income (loss) attributable to | $ | 19,187,103 | $ | (5,715,227) | $ | 11,247,856 | $ | (24,515,266) | ||||||
| Basic earnings (loss) per share attributable to | ||||||||||||||
| Continuing operations | $ | (0.04) | $ | (0.16) | $ | (0.30) | $ | (0.64) | ||||||
| Discontinued operations | 0.45 | 0.03 | 0.54 | 0.04 | ||||||||||
| Basic earnings (loss) per share | $ | 0.41 | $ | (0.14) | $ | 0.25 | $ | (0.60) | ||||||
| Diluted earnings (loss) per share attributable to | ||||||||||||||
| Continuing operations | $ | (0.04) | $ | (0.16) | $ | (0.30) | $ | (0.64) | ||||||
| Discontinued operations | 0.45 | 0.03 | 0.54 | 0.04 | ||||||||||
| Diluted earnings (loss) per share | $ | 0.41 | $ | (0.14) | $ | 0.25 | $ | (0.60) | ||||||
| Weighted average number of common shares outstanding: | ||||||||||||||
| Basic | 46,773,743 | 42,205,767 | 45,129,617 | 41,196,292 | ||||||||||
| Diluted | 46,773,743 | 42,205,767 | 45,129,617 | 41,196,292 | ||||||||||
| CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||||||||
| Fourth Quarter Ended | Year Ended | ||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||
| CASH FLOWS FROM OPERATING ACTIVITIES | |||||||||||||
| Net income (loss) | $ | 19,942,968 | $ | (4,626,827) | $ | 15,619,791 | $ | (20,860,141) | |||||
| Less: Net income from discontinued operations | 21,030,505 | 1,426,807 | 25,852,024 | 2,315,252 | |||||||||
| Net loss from continuing operations | (1,087,537) | (6,053,634) | (10,232,233) | (23,175,393) | |||||||||
| Adjustments to reconcile net loss from continuing operations to net cash (used in) provided by operating activities: | |||||||||||||
| Amortization of debt discount | - | 100,444 | 234,369 | 401,775 | |||||||||
| Amortization of capitalized software | 1,636,200 | 1,481,039 | 6,348,932 | 5,696,865 | |||||||||
| Amortization of intangibles | 31,918 | 6,666 | 94,002 | 26,667 | |||||||||
| Accretion of consideration payable | - | - | - | 13,644 | |||||||||
| Depreciation of fixed assets | 281,609 | 159,380 | 865,524 | 465,830 | |||||||||
| Write-down of inventory | - | 675,669 | - | 675,669 | |||||||||
| Loss on debt extinguishment | - | - | 1,155,851 | - | |||||||||
| Noncash operating lease expense | 217,495 | 220,622 | 960,702 | 672,983 | |||||||||
| Stock compensation expense | 2,655,143 | 3,104,956 | 10,496,321 | 12,234,797 | |||||||||
| Changes in Assets and Liabilities | |||||||||||||
| Accounts receivable | (363,895) | 661,327 | 1,150,536 | (4,487,546) | |||||||||
| Product deposit | 50,301 | 95,992 | (279,454) | 445,087 | |||||||||
| Inventory | 658,806 | (827,584) | 23,782 | (713,095) | |||||||||
| Other current assets | 915,702 | (121,682) | 357,463 | (2,270,374) | |||||||||
| Operating lease liabilities | (103,449) | (13,780) | (275,290) | (381,189) | |||||||||
| Deferred revenue | (1,340,226) | (933,283) | (6,290,081) | 9,826,219 | |||||||||
| Accounts payable | (651,595) | 1,043,605 | 3,244,483 | 4,176,113 | |||||||||
| Accrued expenses | (4,998,738) | 662,521 | (5,782,603) | 10,755,261 | |||||||||
| Net cash (used in) provided by operating activities of continuing operations | (2,098,266) | 262,258 | 2,072,304 | 14,363,313 | |||||||||
| Net cash (used in) provided by operating activities of discontinued operations | (1,182,257) | 811,043 | 6,207,871 | 3,149,877 | |||||||||
| Net cash (used in) provided by operating activities | (3,280,523) | 1,073,301 | 8,280,175 | 17,513,190 | |||||||||
| CASH FLOWS FROM INVESTING ACTIVITIES | |||||||||||||
| Cash paid for capitalized software costs | (1,763,287) | (1,601,100) | (7,647,959) | (6,738,742) | |||||||||
| Purchase of equipment | (190,704) | (212,287) | (1,870,668) | (1,463,357) | |||||||||
| Net cash used in investing activities of continuing operations | (1,953,991) | (1,813,387) | (9,518,627) | (8,202,099) | |||||||||
| Net cash provided by (used in) investing activities of discontinued operations | 19,023,623 | (907,340) | 16,426,858 | (3,334,219) | |||||||||
| Net cash provided by (used in) investing activities | 17,069,632 | (2,720,727) | 6,908,231 | (11,536,318) | |||||||||
| CASH FLOWS FROM FINANCING ACTIVITIES | |||||||||||||
| Repayment of debt instruments | - | - | (18,719,721) | - | |||||||||
| Sale of common stock under ATM, net | - | - | 8,721,717 | - | |||||||||
| Repayment of notes payable, net of prepayment penalty | - | - | - | (327,597) | |||||||||
| Cash proceeds from exercise of warrants | - | - | 464,950 | - | |||||||||
| Cash proceeds from exercise of options | - | 12,499 | 5,950 | 120,312 | |||||||||
| Preferred stock dividends | (776,562) | (776,562) | (3,106,250) | (3,106,250) | |||||||||
| Net cash used in financing activities of continuing operations | (776,562) | (764,063) | (12,633,354) | (3,313,535) | |||||||||
| Net cash used in financing activities of discontinued operations | (12,000) | (170,840) | (773,658) | (805,138) | |||||||||
| Net cash used in financing activities | (788,562) | (934,903) | (13,407,012) | (4,118,673) | |||||||||
| Net increase (decrease) in cash | 13,000,547 | (2,582,329) | 1,781,394 | 1,858,199 | |||||||||
| Cash at beginning of period | 23,785,771 | 37,587,253 | 35,004,924 | 33,146,725 | |||||||||
| Cash at end of year | 36,786,318 | 35,004,924 | 36,786,318 | 35,004,924 | |||||||||
| Less: Cash of discontinued operations at end of year | - | 2,353,123 | - | 2,353,123 | |||||||||
| Cash of continuing operations at end of year | $ | 36,786,318 | $ | 32,651,801 | $ | 36,786,318 | $ | 32,651,801 | |||||
| Cash paid for interest and taxes | |||||||||||||
| Cash paid during the period for interest | $ | - | $ | 614,993 | $ | 1,461,032 | $ | 2,528,042 | |||||
| Cash paid during the period for taxes | $ | 184,791 | $ | 16,035 | $ | 667,262 | $ | 214,211 | |||||
| Non-cash investing and financing activities: | |||||||||||||
| Cashless exercise of options | $ | - | $ | - | $ | 1,315 | $ | 5,127 | |||||
| Cashless exercise of warrants | $ | - | $ | - | $ | 3,901 | $ | 16,305 | |||||
| Stock issued for debt conversion | $ | - | $ | - | $ | 1,000,000 | $ | - | |||||
| Stock issued for asset acquisition | $ | - | $ | - | $ | 303,000 | $ | - | |||||
| Stock issued for noncontingent consideration payments | $ | - | $ | - | $ | - | $ | 642,000 | |||||
| Operating lease liabilities arising from obtaining right of use assets | $ | - | $ | (102,618) | $ | - | $ | 6,372,148 | |||||
About the Use of Non-GAAP Financial Measures:
To supplement our financial information presented in accordance with GAAP, we use adjusted EBITDA as a non-GAAP financial measure to clarify and enhance an understanding of past performance. We believe that the presentation of this financial measure enhances an investor’s understanding of our financial performance. We further believe that these financial measures are useful financial metrics to assess our operating performance from period-to-period by excluding certain items that we believe are not representative of our core business. We use certain financial measures for business planning purposes and in measuring our performance relative to that of our competitors.
Adjusted EBITDA is defined as net income (loss) attributable to
We believe the above financial measures are commonly used by investors to evaluate our performance and that of our competitors. However, our use of the terms adjusted EBITDA may vary from that of others in our industry. Adjusted EBITDA should not be considered as an alternative to net loss before taxes, net loss per share, operating loss or any other performance measures derived in accordance with GAAP as measures of performance.
| Reconciliation of Net Income (Loss) Attributable to | ||||||||||||||
| (in whole numbers, unaudited) | ||||||||||||||
| Fourth Quarter Ended | Year Ended | |||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||
| Net income (loss) attributable to | $ | 19,187,103 | $ | (5,715,227) | $ | 11,247,856 | $ | (24,515,266) | ||||||
| Interest (income) expense (excluding amortization of debt discount) | (24,079) | 510,510 | 1,126,598 | 1,773,630 | ||||||||||
| Depreciation, amortization and accretion expense | 1,949,727 | 1,647,085 | 7,308,458 | 6,203,006 | ||||||||||
| Amortization of debt discount | - | 100,444 | 234,369 | 401,775 | ||||||||||
| Loss on debt extinguishment | - | - | 1,155,851 | - | ||||||||||
| Financing transactions expense | 36,716 | 13,125 | 134,415 | 336,497 | ||||||||||
| Litigation costs(a) | 573,894 | 376,030 | 2,273,355 | 1,698,531 | ||||||||||
| Severance costs | 266,863 | - | 369,280 | 1,142,068 | ||||||||||
| Acquisitions expenses | 211,836 | 537,662 | 1,995,042 | 537,662 | ||||||||||
| Insurance acceptance readiness | - | 92,661 | 183,330 | 1,454,298 | ||||||||||
| Sarbanes Oxley readiness | - | 134,891 | - | 521,361 | ||||||||||
| Taxes | 176,925 | 598,000 | 208,748 | 598,000 | ||||||||||
| Preferred stock dividends | 776,562 | 776,562 | 3,106,250 | 3,106,250 | ||||||||||
| Stock compensation expense | 2,655,143 | 3,104,956 | 10,496,321 | 12,234,797 | ||||||||||
| Net income from discontinued operations | (21,030,505) | (1,426,807) | (25,852,024) | (2,315,252) | ||||||||||
| Net (loss) income attributable to noncontrolling interests of discontinued operations | (20,697) | 311,838 | 1,265,685 | 548,875 | ||||||||||
| Adjusted EBITDA | $ | 4,759,487 | $ | 1,061,729 | $ | 15,253,533 | $ | 3,726,231 | ||||||
| (a)For the fourth quarter and year ended | ||||||||||||||
Source: 