LifeMD Reports Fourth Quarter and Full Year 2025 Results

  • 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, positioning LifeMD 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 4:30 p.m. Eastern time today

NEW YORK, March 09, 2026 (GLOBE NEWSWIRE) — LifeMD, Inc. (Nasdaq: LFMD), a leading provider of virtual primary care services, today reported financial results for the fourth quarter and year ended December 31, 2025.

Management Commentary

“LifeMD delivered strong fourth quarter results across all business lines and is entering its next phase of growth,” said Justin Schreiber, Chairman and CEO of LifeMD. “Our strategy of building a trusted and sustainable platform for virtual healthcare delivery is gaining momentum. Our weight management business is seeing record patient sign-ups in the first quarter at attractive acquisition costs. More than 100 million Americans are clinically eligible for GLP-1 therapy, yet only a fraction are currently being treated—a generational opportunity. Subsequent to year end, we launched oral Wegovy to help patients overcome real barriers around cost, access, and ongoing clinical support. With multiple catalysts ahead—including Medicare coverage for GLP-1 medications, expanded collaborations with GLP-1 manufacturers, and an infrastructure that supports both self-pay and insurance—LifeMD is uniquely positioned for long-term leadership in this transformative market.

“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 LifeMD apart and positions the Company for success in the years to come: a 50-state medical benefits infrastructure expected to cover 220 million Americans by end of the second quarter, a highly specialized affiliated provider group, and a national affiliated pharmacy operation. This foundation, combined with unique and growing collaborations with some of the largest healthcare and pharmaceutical brands in the world, uniquely positions LifeMD to capture significant growth in 2026 and the years ahead,” concluded Mr. Schreiber.

“In our first quarter as a pure-play telehealth business, LifeMD delivered solid results with 4% revenue growth and a 348% increase in adjusted EBITDA. Our balance sheet has never been stronger—we exited the year with nearly $37 million in cash and no debt. This financial strength is a key asset as we invest aggressively in the expansion of our rapidly growing and diversifying platform. Our 2026 guidance reflects these investments, with annualized run-rate revenue expected to exceed $250 million and annualized adjusted EBITDA expected to exceed $25 million by the fourth quarter of 2026,” said Marc Benathen, LifeMD’s Chief Financial Officer.

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 to LifeMD, 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 of December 31, 2025 and the Company had no debt as of year-end 2025.

Fourth Quarter Key Performance Metrics

($ in 000s) Three Months Ended Dec. 31,   Y-o-Y   Twelve Months Ended Dec. 31,   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 4:30 p.m. Eastern time to discuss the Company’s financial results and outlook, and answer questions. Details for the call are as follows:

Toll-free dial-in number: 800-343-5172
International dial-in number: 203-518-9856
Conference ID: LIFEMD

A live and archived webcast will be available in the Investors section of the Company’s website at ir.lifemd.com.

About LifeMD, Inc.

LifeMD® is a leading provider of virtual primary care. LifeMD offers telemedicine, access to laboratory and pharmacy services, and specialized treatment across more than 200 conditions, including primary care, men’s and women’s health, weight management, and hormone therapy. The Company leverages a vertically integrated, proprietary digital care platform, a 50-state affiliated medical group, a state-of-the-art affiliated pharmacy, and a U.S.-based patient care center to increase access to high-quality and affordable care. For more information, please visit LifeMD.com.

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 U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements contained in this news release may be identified by the use of words such as: “believe,” “expect,” “anticipate,” “project,” “should,” “plan,” “will,” “may,” “intend,” “estimate,” predict,” “continue,” and “potential,” or, in each case, their negative or other variations or comparable terminology referencing future periods. Examples of forward-looking statements include, but are not limited to, statements regarding our financial outlook and guidance, short and long-term business performance and operations, future revenues and earnings, regulatory developments, legal events or outcomes, ability to comply with complex and evolving regulations, market conditions and trends, new or expanded products and offerings, growth strategies, underlying assumptions, and the effects of any of the foregoing on our future results of operations or financial condition.

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
[email protected]

Media Contact

Jessica Friedeman, Chief Marketing and Product Officer
[email protected]

Tables to Follow

LIFEMD, INC.  
CONSOLIDATED BALANCE SHEETS  
             
  December 31, 2025   December 31, 2024  
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, $0.0001 par value; 1,610,000 shares authorized, 1,400,000 shares issued and outstanding as of December 31, 2025 and 2024   140     140  
Common Stock, $0.01 par value; 100,000,000 shares authorized, 46,760,016 and 42,293,907 shares issued, 46,656,976 and 42,190,867 outstanding as of December 31, 2025 and 2024, respectively   467,600     422,939  
Additional paid-in capital   251,455,616     230,508,339  
Accumulated deficit   (228,603,075)     (239,850,931)  
Treasury stock, 103,040 shares, at cost, as of December 31, 2025 and 2024   (163,701)     (163,701)  
Total LifeMD, Inc. Stockholders’ Equity (Deficit)   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  
             

LIFEMD, INC.  
CONSOLIDATED STATEMENTS OF OPERATIONS  
                             
      Fourth Quarter Ended
December 31,
  Year Ended
December 31,
 
      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 LifeMD, Inc.       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 LifeMD, Inc. common stockholders     $ 19,187,103   $ (5,715,227)   $ 11,247,856   $ (24,515,266)  
                             
Basic earnings (loss) per share attributable to LifeMD, Inc. common stockholders                            
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 LifeMD, Inc. common stockholders                            
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  
                             

LIFEMD, INC.  
CONSOLIDATED STATEMENTS OF CASH FLOWS  
                           
    Fourth Quarter Ended
December 31,
  Year Ended
December 31,
 
    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 LifeMD, Inc. common stockholders before interest, taxes, depreciation, amortization, accretion, financing transaction expense, non-controlling interests of discontinued operations, extraordinary litigation costs, loss on debt extinguishment, dividends, insurance acceptance and Sarbanes-Oxley readiness expenses, acquisition costs, severance expenses, stock-based compensation expense and net income from discontinued operations. We have provided below a reconciliation of adjusted EBITDA to net loss attributable to LifeMD, Inc. common stockholders, its most directly comparable GAAP financial measure.

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 LifeMD, Inc. Common Stockholders to Adjusted EBITDA
 
(in whole numbers, unaudited)                    
      Fourth Quarter Ended
December 31,
  Year Ended
December 31,
 
      2025   2024   2025   2024  
Net income (loss) attributable to LifeMD, Inc. common stockholders     $ 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 December 31, 2025 and 2024, the Company included costs related to: (1) a class action complaint captionedJohnston v. LifeMD, Inc., et al., against the Company and certain executive officers alleging: (i) violations of Section 10(b) of the Securities Exchange Act of 1934, as amended, and Rule 10b-5 promulgated thereunder by all defendants for making false and misleading statements; and (ii) violations of Section 20(a) of the Securities Exchange Act of 1934, as amended, by the individual officer defendants for violating their duty to disseminate accurate and truthful information, (2) a class action complaint alleging, inter alia, unauthorized disclosure of certain information of class members to third parties (theMarden v. LifeMD, Inc.case), both disclosed in the Company’s Form 10-K for the year ended December 31, 2025, filed on March 9, 2026, and (3) a heavily negotiated executive separation agreement.