LifeMD Q1 2025 Earnings Call Transcript

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Operator

Good afternoon. Thank you for joining us today to discuss LifeMD's results for the first quarter ended 03/31/2025. Joining the call today are Justin Schreiber, Chairman and Chief Executive Officer and Mark Benethen, Chief Financial Officer. Following management's prepared remarks, we will open the call for a question and answer session. Before we begin, I would like to remind everyone that during this call, the company will make a number of forward looking statements, which are subject to numerous risks and uncertainties that may cause actual results to differ materially from those projected.

Operator

These risks and uncertainties are described in the company's 10 ks and 10 Q filings and within other filings that LifeMD may make with the SEC from time to time. Forward looking statements made during this call are based on current information available to the company as of today, 05/06/2025. The company assumes no obligation to update or revise any forward looking statements after today's call, except as required by law. Also, note that management will be discussing certain non GAAP financial measures that the company believes are important in evaluating LifeMD's performance. Details on the relationship between these non GAAP measures to the most comparable GAAP measures and reconciliations thereof can be found in the press release issued earlier today.

Operator

Finally, I would like to remind everyone that today's call is being recorded and will be available for replay in the Investor Relations section of the company's website. Now, I'd like to turn the call over to LifeMD's CEO, Justin Schreiber. Please go ahead.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Thank you, and good afternoon, everyone. After the market closed, we issued a press release announcing our first quarter financial results and posted an updated corporate presentation on our website at lifemd.com. I'm excited to share the significant progress LifeMD has made in the first quarter of twenty twenty five. On our last earnings call, we outlined key strategic priorities designed to accelerate our position as a leader in virtual primary care. I'm pleased to report that we're executing well across the board, building on last year's momentum and delivering strong performance throughout our platform.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Our core telehealth business had an exceptional quarter with revenue growing 70% year over year, driven largely by continued strength in our weight management program. We also saw promising early contributions from our fee for service Medicare initiative and the recent launch of our men's hormone therapy offering. Notably, telehealth adjusted EBITDA reached 5,300,000.0, a dramatic improvement from a loss of 1,300,000.0 in the same period last year. These results are a powerful validation of the brand, technology, and operational excellence we've built into our virtual care model. Our RExMD brand continues to perform exceptionally well, with consistent growth in both revenue and active patient count, further reinforcing its position as a category leader in men's health.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

As we previously guided, we continue to expand REX beyond its original focus on sexual health into larger high demand verticals, including weight management, behavioral health, insomnia, and hormone replacement therapy. Our newly launched HRT program is off to a strong start, with early adoption exceeding expectations and offering valuable insights into this fast growing category. Notably, more than 40% of new HRT patients are existing RExMD patients already engaged in another care subscription. Later this year, we plan to introduce LifeMD plus and other synchronous care offerings to RExMD's one hundred and eighty thousand active patients, unlocking a significant cross care opportunity across our ecosystem. As a reminder, LifeMD Plus is our affordable monthly membership that includes 20 fourseven access to synchronous care, convenient prescription and refill services, and access to our curated marketplace of prescription medications, over the counter products, and lab services.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Now, I'll turn to our virtual primary care platform. As recently announced, we've established strategic collaborations with Lilly Direct and NovoCare to improve access to GLP-one medications for weight management patients without insurance coverage. These partnerships reflect the growing recognition of our patient first model and underscore our ability to streamline access to transformative therapies. LifeMD is now the only virtual care provider offering synchronous consults integrated with both NovoCare and Lilly Direct, enabling seamless access to Adobe and Zepbound. Combined with our direct to patient pharmacy, specialized nationwide provider network, and pharmacy benefits infrastructure, we believe we've created a category defining competitive moat in virtual obesity care.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

It's worth noting that we expect to do exactly the same thing in many other verticals in the years to come. Another major milestone is our acceptance of fee for service Medicare, opening a significant and largely untapped market. We've already expanded coverage to over 21,000,000 Medicare Part B beneficiaries across 26 states, and we're on track to reach 49 states and over 60,000,000 beneficiaries by the end of Q2. Approximately seventy five percent of the Medicare population suffers from obesity or chronic cardiometabolic conditions such as diabetes, hypertension, or high cholesterol, all areas where LifeMD delivers or intends to deliver high quality and effective care. Given the lack of convenient, timely access to primary care for many Medicare beneficiaries, we believe our virtual care model is uniquely positioned to serve this population while diversifying revenue and improving outcomes.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

We're also excited to be entering two high growth verticals, women's health and behavioral health. Through our recent acquisition of Optimal Human Health MD, we've built a foundation for a differentiated women's health offering focused on areas long overlooked by traditional healthcare. Within the next ninety days, we will launch a cash pay subscription based women's health program that includes comprehensive lab testing, synchronous virtual visits with specialized providers, and advanced nutrition counseling and coaching. A subsidized version supported by commercial and government payers will follow, broadening access to this innovative care model. We will also offer one time consults available via self pay or covered insurance plans.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Meanwhile, our imminent entry into behavioral health led by industry veteran Julian Cohen will round out our care platform with a full suite of telepsychiatry services. This offering will eventually include both insurance covered and cash pay models designed to meet the growing need for accessible high quality mental health care. With behavioral health integrated into our existing chronic, primary, and specialty care capabilities, LifeMD is well positioned to deliver a more holistic and impactful patient experience. By leveraging our fully integrated platform, including a national provider network, advanced diagnostics through partnerships with Quest and LabCorp, and our newly launched national pharmacy, we're delivering a level of continuity in care that sets LifeMD apart. These strategic expansions are fueling meaningful revenue diversification, improved patient retention, and long term profitability.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Our mission remains unchanged, to deliver the most comprehensive, convenient, and outcomes driven care experience in healthcare today. With that, I'll turn the call over to our CFO, Mark Benison, to walk through our first quarter financial results. Mark?

Marc Benathen
Marc Benathen
CFO at LifeMD

Thank you, Justin, and good afternoon, everyone. LifeMD achieved very strong first quarter financial results with total revenues increasing 49% versus the year ago period to 65,700,000.0 Core telehealth revenue grew by 70% versus the prior year, with standalone adjusted EBITDA of $5,300,000 This compares with a standalone telehealth adjusted EBITDA loss of $1,300,000 in the first quarter of twenty twenty four, representing a $6,600,000 increase year over year. Telehealth subscriber growth remains strong, with the number of active subscribers increasing 22% year over year to over 290,000 at quarter end. The number of WorkSimply active subscribers declined by 5% to 158,000. WorkSimply continued to perform well financially, with quarterly adjusted EBITDA again exceeding $3,000,000 Gross margin for the first quarter was 86.8%.

Marc Benathen
Marc Benathen
CFO at LifeMD

This is a decline of two seventy basis points versus the prior year due to changes in revenue mix and temporary changes in pharmacy mix. Yet, on a sequential basis, gross margin increased by 150 basis points versus Q4 of twenty twenty four. Gross profit was $57,100,000 an increase of 44% from the year ago period. GAAP net income attributable to common stockholders for the first quarter was 608,000 or $01 per diluted share. This compares with a GAAP net loss attributable to common stockholders for the first quarter of twenty twenty four of $7,500,000 or a loss of $0.19 per share.

Marc Benathen
Marc Benathen
CFO at LifeMD

As Justin mentioned, Q1 was our first quarter with positive GAAP net income. Adjusted EBITDA is a non GAAP measure we define as income or loss attributable to common stockholders before various items as outlined in today's earnings news release. Adjusted EBITDA totaled $8,700,000 for the first quarter as compared with $100,000 in the year ago period. Telehealth adjusted EBITDA is a non GAAP measure defined as adjusted EBITDA for only our telehealth business, excluding WorkSimply. This measure was $5,300,000 for the first quarter of twenty twenty five as compared to a loss of $1,300,000 in the year ago period.

Marc Benathen
Marc Benathen
CFO at LifeMD

We exited the first quarter with $34,400,000 in cash. Turning to guidance. Today, are raising our financial guidance for 2025 due to the outperformance of our telehealth business to date. Our revised guidance for total revenues is in the range of $268,000,000 to $275,000,000 with telehealth revenue in the range of $2.00 8,000,000 to $213,000,000 Our revised guidance for consolidated adjusted EBITDA is in the range of 31,000,000 to $33,000,000 with telehealth adjusted EBITDA to be at least $21,000,000 This wraps up our financial results. I'd now like to turn the call back over to Justin.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Thanks, Mark. As we conclude our prepared remarks, I want to underscore how energized we are by LifeMD's strong start to 2025. Our first quarter performance reflects disciplined execution against our strategic priorities, and the early traction we're seeing across key initiatives gives us strong confidence in our trajectory for the remainder of the year. The programs we've launched, including the expansion of our benefits infrastructure, strategic collaborations with GLP-one manufacturers, new REx and D offerings, and our entry into the women's and behavioral health space are all aligned with our near term vision to build a trusted vertically integrated marketplace for health care services, prescription medications, and over the counter health care products. We're continuing to scale what has made Life and Be successful.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Real providers delivering synchronous, high quality virtual care, a compelling value proposition across services and products, and a consistently exceptional patient experience enabled by world class technology and a passionate mission driven team. Looking ahead, we have several high impact initiatives on the horizon, including the upcoming launch of LifeMD plus continued investment in our platform, and expansion into new high value clinical categories. These efforts are designed to support our fast growing direct to patient business, while also meeting the growing demand from employers seeking to enhance their benefit offerings with solutions that drive stronger engagement and healthier employee populations. With the infrastructure, team, and momentum now in place, LifeMD is uniquely positioned to lead the next chapter of virtual care innovation, delivering lasting value to both patients and shareholders. We're proud of what we've accomplished and even more excited about what's ahead.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

With that, I'll now turn the call over to the operator for Q and A.

Operator

We'll take our first question from David Larson with BTIG.

David Larsen
Managing Director at BTIG

Hi, congratulations on another very good quarter. Can you talk a little bit about your relationships with Lilly and Novo? Specifically, can you talk about like the pricing for each of those products? Is it like a revenue share on a per month basis? And then maybe just if you can talk a bit about the conversion from commercial compounded scripts to personalized as we progress through May and the rest of the year? Thank you.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Hi, Dave. Thanks for your question. This is Justin Schreiber. Our relationship with both Lilly and Novo, and really it's with their partner pharmacies, really enables us to integrate our care offerings and streamline access to those medications for patients. The price that patients pay, even if it's facilitated by LifeMD, is the same price that they would pay elsewhere.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

There's no discount for patients coming from LifeMD, and LifeMD doesn't receive any compensation or rebate or coupon program from the drug manufacturers. As far as what we'll probably launch, we'll have different pricing options for patients, for the care they receive alongside of those therapies. And some of that pricing will be determined based on the length of their care membership and other factors. We'll likely, just like we do with our other weight loss programs, likely run discounts and promotions, things like that. On the personalized compounding question, I think we'll be in a position to talk more about this in future quarters, but what I will say is I think we're doing a terrific job at helping patients that were on a compounded therapy access branded therapies, access other non GLP-one therapies, which are genericized medications.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

And some patients that have the appropriate clinical presentation are offered personalized compounded therapies. We'll share more of those numbers in the quarters to come. But we're expecting the integrations with both Lilly Direct and NovoCare to go live next week, and we're really excited about that. We think it'll be a big growth driver for the weight management business, and just is a great thing for patients as well that want to access these branded therapies.

David Larsen
Managing Director at BTIG

Great. And then just one more quick follow-up. Can you talk about the role of insurance in your view? One of your peers or competitors seems to have a philosophy against taking insurance and it's entirely cash In my mind, like if the member has insurance, why not use it especially if the insurance dollars can go to help cover like the branded therapies that Lilly and Novo and other manufacturers might present through your platform? So just any color around growth in the insurance side of things. Thanks very much.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Thanks, David. That's a great question. At LifeMD, we feel the insurance component of these offerings is very important. And as you know, we've invested an enormous amount of time and resources into building a platform for accepting commercial and government insurance programs, and for making sure that we're doing that compliantly and training our providers, and doing everything else that's required to scale that side of the business. I think it's pretty simple, right?

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

We think that by subsidizing the cost of the care that we provide, and of course medications that patients access through our platform as well, we simply make them more accessible. We think it's a driver of retention, and overall, we think it's a really, really important part of the business' long term success. That being said, we'll still have a lot of cash pay offerings, and it does really increase the complexity of our programs, if you think about it when we build stuff, there's a product and technology component to thinking through how cash pay offerings and insurance sponsored offerings kind of live in the same ecosystem, and I'm not going to say that it's not always easy to do, but we think it's a really, really important part. We know from our market research and from some of the programs we've already started to scale that when you give patients the ability to use their insurance, you're gonna lower CAC, hopefully drive retention, we haven't proven that out yet. But I think it also just dramatically expands the total addressable market, right?

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

If you think about people that are willing to pay cash for stuff that falls within the traditional healthcare world versus most Americans have an insurance card in their wallet, that's how they think they're supposed to pay. So we're gonna continue to double down this area. The Medicare business, as we mentioned on the call, we've seen really strong initial traction. We've gotten some of our first reimbursements from Medicare, and we're really excited about the growth of that side of the business.

David Larsen
Managing Director at BTIG

Okay, congrats on a good quarter. I'll hop back in the queue.

Operator

We'll go next to Sarah James with Cantor Fitzgerald.

Sarah James
Analyst at Cantor Fitzgerald

Thank you. I was hoping you could walk us through a little bit what the main drivers of earnings upside was compared to your expectations and help us understand which ones of those might be 1Q specific or things that would continue on for the rest of the year?

Marc Benathen
Marc Benathen
CFO at LifeMD

Yeah, this is Mark. Look, the main driver is similar to what we've had in the past. It's been retention revenue, so the rebuilding of existing patients has been stronger than what we had planned. We have a small amount, I'd say in the form of $200 to $300,000 associated with upside relative to higher acquisitions in the weight management space. I would say obviously that was more Q1 specific, although acquisitions are still very strong even as we transitioned.

Marc Benathen
Marc Benathen
CFO at LifeMD

There was just a little bit of pent up demand. I remember a lot of that gets deferred as far as how we recognize the revenue. But the majority of the rest of it was higher than expected retention revenue, which would be the rebuild of existing patients, and most of that will continue, obviously, typically Q1 also will have a higher rate of new acquisitions in several of our business lines, it's just historically that's been the case versus Q2, April will tend to be a little bit lower than historically what Q1 has been. But all in all, I mean, the only anomaly was a small one, which was some pent up demand in the weight management space.

Sarah James
Analyst at Cantor Fitzgerald

Great. And then could you give us an update on your launch of your compounding pharmacy? How are things trending versus your expectations on a timeline basis?

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Hi, Sarah. This is Justin Schreiber. Our compounding pharmacy is on track. We expect to have it licensed sometime this summer and licensed in most states across the country by the end of the year. And as far as our mail order pharmacy, we continue to scale that, and I think now we're averaging close prescriptions a day from that pharmacy ballpark.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

And we expect to continue to scale that as well over the next year or two. It's been obviously very positive already for not only reducing lead times to medication for patients, but also has had a positive impact on our bottom line.

Sarah James
Analyst at Cantor Fitzgerald

Great, thank you.

Operator

We'll go next to Steve Deschert with KeyBanc.

Steve Dechert
Steve Dechert
AVP at KeyBanc Capital Markets

Hey, thanks for the questions, guys. Does your 2025 guidance include contributions from mental health and women's health? And then as a follow-up, can you talk about which Rec and B offerings are mainly driving success in that segment? It sounds like it's a hormone replacement therapy, but just wanna make sure that we have that right. Thanks.

Marc Benathen
Marc Benathen
CFO at LifeMD

Yeah, so the female health and mental health, yes it does. Nothing that large, though, it's pretty de minimis. Combined, that's sub-five million dollars in the guidance. Across those, female health, we're already actively selling and realizing revenue from day one, albeit on a smaller scale as we fully integrate those assets onto our platform, which is a sixty to ninety day endeavor. The rate of growth there will obviously go up quite a bit.

Marc Benathen
Marc Benathen
CFO at LifeMD

Right now it's more of a VIP concierge based offering that's about $10,000 a year, but it's driving some decent initial revenue. On the mental health side, yeah, that's really a back half of the year thing where we'll see revenue contributions or small amounts baked into the guidance. As far as the cross sell or racks, HRT is separate from female health, so obviously there's a hormonal component to the female health, which is menopause and other hormonal treatments, but on the male side, HRT is testosterone and the non testosterone treatments, that's what sits under REX, that's what we launched really in Q4 of last year, and that's what's beginning to pick up traction.

Steve Dechert
Steve Dechert
AVP at KeyBanc Capital Markets

Great, thank you.

Operator

We'll go next to Steven Valiquette with Mizuho Securities.

Steven Valiquette
MD & Senior Equity Research Analyst - Covering Health Care Technology & Distribution at Mizuho Securities

Thanks. Good afternoon, guys. Congrats on the results. I guess I understand you don't want to get into too much specific numbers yet on WegovyNovaCare pharmacy announcement from last week. But I I guess I'm curious how much of the positive guidance revision today for 2025 is related to that announcement from last week.

Steven Valiquette
MD & Senior Equity Research Analyst - Covering Health Care Technology & Distribution at Mizuho Securities

I'm just trying to get a sense for how much of a game changer that really is for the company, just any additional color would help. Thanks.

Marc Benathen
Marc Benathen
CFO at LifeMD

None of it's related to that, it's all related to our performance in Q1, which obviously predated those partnerships. Look, there could be some upside in relation to that, it basically provides patients another avenue for treatment. Quite frankly, it says that we're obviously aligned with the companies that we're collaborating with. So no changes to the guidance, but all around, it's obviously a positive for patients and the company.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Steve, I'll just add to This is Justin Schreiber. I mean, we definitely think it likely will be a long term game changer for our weight loss offering. I think one important point is that we view these as long term collaborations with both of these companies, and we know that both of these companies are going to be launching new drugs. Some of these companies may launch drugs specifically for these type of self pay programs. I think the best way to summarize it is that we think that there are a lot of ways that this collaboration can flourish with both of these companies over the long term.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

But it's just too early for us to incorporate that into our guidance, or raise guidance because of that belief.

Steven Valiquette
MD & Senior Equity Research Analyst - Covering Health Care Technology & Distribution at Mizuho Securities

Got it. Okay. All right. Thank you.

Operator

We'll go next to Yi Chen with H. C. Wainwright.

Yi Chen
Managing Director & Senior Analyst at H.C. Wainwright & Co., LLC

Thank you for taking my questions. My first question is, now that you have both Wegovy and Zepbound on your platform, can you tell us about a patient seeking weight management? How is he going to choose one of the two? And whether the patient's choice affect potential benefits to your company going forward? Thank you.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Sure. This is Justin Schreiber. Thanks for your question. I mean, the patient's choice of either medication would not affect, you know, LifeMD or our platform or, revenue in any way. I think as far as which therapy they end up on, a lot of patients come in requesting a particular therapy.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Some patients may choose a branded therapy based on price. There are some price differences between the two therapies. There are different delivery mechanisms for the therapies, for instance Lily's cash pay products are a vial with a syringe, and NovoCare's products have an auto injector. And then the most important component is going to be a patient's visit with one of our providers, and provider's gonna make a recommendation based on their clinical presentation.

Marc Benathen
Marc Benathen
CFO at LifeMD

I would note that we've always offered patients both either semaglutide products or tirzepatide products, obviously, or the branded therapies of those. That's not a new thing, it's just the cash paid discounted collaborations. Obviously the NovoCare one was signed subsequent to the Lilly one.

Yi Chen
Managing Director & Senior Analyst at H.C. Wainwright & Co., LLC

Got it. I think one of your competitors who also got Wegovy from Novo announced the pricing point of moderately higher than your pricing point. I mean, what is the difference there? Do they offer any additional services that you do not offer?

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Don't really want to get into, you know, into how our competitors have chosen to price these products. LifeMD hasn't finalized the pricing structure for the care that we'll provide alongside these products, but we have said that it will be very similar to what we're currently charging for our weight management program.

Yi Chen
Managing Director & Senior Analyst at H.C. Wainwright & Co., LLC

Okay, last question. Does LifeMD plan to continue to offer compounded GLP-one in the coming years?

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Sure, this is Justin. I'll answer that. So to be clear, LifeMD doesn't compound any GLP-one medications. LifeMD is a virtual care provider. In the event that patients don't have insurance coverage for Brenna therapy and can't afford one of the self pay programs from one of the collaborations that we have in place, aren't appropriate, clinically speaking, for non GLP-one therapy.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

LysMD is willing, again assuming the patient has the appropriate clinical presentation, to send a prescription to a compounded pharmacy, or compounding pharmacy. However, our focus is helping patients access branded therapies in every possible way.

Yi Chen
Managing Director & Senior Analyst at H.C. Wainwright & Co., LLC

Got it. Thank you very much.

Operator

We'll go next to Anderson Shock with B. Riley Securities.

Anderson Schock
Research Analyst at B Riley Financial

Hi. Congrats on the great quarter and thank you for taking the questions. So first, just looking at your guidance for telehealth, like raising the lower end for revenues following a strong quarter. This looks like you're expecting telehealth to be roughly flat sequentially. Is this just being conservative or there's some headwinds that you're anticipating that will limit your ability to grow sequentially?

Marc Benathen
Marc Benathen
CFO at LifeMD

Yeah, no, not that there is headwinds. There's some timing in the revenue that we have. We tend to take a relatively conservative view to revenue. We do normally expect and see that aspects of the recs business in sexual health tend to be a little bit softer seasonally in Q2 than they are in Q1, which is what historically we've seen, particularly from new acquisition standpoints. We bake that into our model also.

Marc Benathen
Marc Benathen
CFO at LifeMD

But all of that's pretty consistent with what we've seen in the past. Obviously, there's tremendous growth year on year, and that's essentially how we're managing the business versus just managing for sequential growth every single quarter.

Anderson Schock
Research Analyst at B Riley Financial

Okay, got it. And then on WorkSimply, you had a 5% decline in subscribers this quarter following your return to growth in the fourth quarter. Could you just talk about the challenges this business faced this quarter and how we should think about that business for the rest of the year?

Marc Benathen
Marc Benathen
CFO at LifeMD

No challenges. I mean, look, it's a non core asset. At some point, the hope is to divest it. In the interim, it's to harvest the cash flow. That business could grow a lot faster than it is, but albeit it will be a little less profitable because we would be throwing incremental marketing dollars at that.

Marc Benathen
Marc Benathen
CFO at LifeMD

We've sort of pegged them to a level where they can modestly grow their EBITDA quarter on quarter. And they'll see a bigger amount of growth in the back half of the year as they've started to build up subscribers, but really for maximizing cash flow versus maximizing the top line. So what they've done is they've continued to shift to higher value customers that have longer LTVs, which is why even though subscribers are down 5%, year on year the revenue is well up. We're starting to see improvements in the profitability. Even more so is up dramatically where they're just seeing better caps and better return on investment.

Anderson Schock
Research Analyst at B Riley Financial

Okay, got it. Thank you for taking our questions and congrats again on the great quarter. Thank you.

Operator

It appears we have no further questions at this time. I will now turn the program back over to Justin Schreiber for any additional or closing remarks.

Justin Schreiber
Justin Schreiber
Chairman & CEO at LifeMD

Thank you for your questions and for your interest in LifeMD. We look forward to speaking with you once again when we report our second quarter results in August. Have a great evening.

Operator

This does conclude today's program. Thank you for your participation. You may disconnect at any time.

Executives
Analysts

Key Takeaways

  • Robust Q1 performance: Total revenue rose 49% year-over-year to $65.7 million, with core telehealth revenue up 70% and telehealth adjusted EBITDA turning positive at $5.3 million versus a $1.3 million loss last year.
  • Raised full-year guidance: 2025 revenue is now projected at $268 million–$275 million and consolidated adjusted EBITDA at $31 million–$33 million, driven by telehealth outperformance.
  • Strategic GLP-1 partnerships: LifeMD signed collaborations with Lilly Direct and NovoCare to integrate branded weight-management therapies (including Wegovy and Zepbound) into its platform, enhancing patient access and differentiation in virtual obesity care.
  • Medicare expansion: Launched fee-for-service Medicare across 26 states (21 million beneficiaries) with plans to cover 49 states and over 60 million Part B patients by Q2’25 end, unlocking a large chronic care market.
  • New care verticals: Accelerated growth in men’s health via RExMD (notably hormone-replacement therapy) and is entering women’s health and behavioral health through the Optimal Human Health MD acquisition and upcoming subscription programs.
AI Generated. May Contain Errors.
Earnings Conference Call
LifeMD Q1 2025
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