LifeMD Reports Third Quarter 2026 Results


  • Third quarter 2026 revenue of $44.6 million; adjusted EBITDA loss of approximately $0.4 million, within the Company’s guidance range of negative $1 million to positive $2 million.
  • Adjusted EBITDA improved approximately $3.1 million sequentially from an adjusted EBITDA loss of $3.5 million in the second quarter of 2026, driven primarily by a 34% sequential reduction in selling and marketing expenses and reduction of overall non-clinical expenses.
  • GAAP net loss from continuing operations attributable to common stockholders of $5.2 million, or $0.11 per share, compared with $8.4 million, or $0.18 per share, in the second quarter of 2026.
  • Total active subscribers increased 13% year-over-year to approximately 350,000.
  • LifeMD Pharmacy shipment volume grew 58.3% year-over-year.
  • Exited the quarter with $21.9 million of cash and no debt; subsequent to quarter-end, closed on a $12.5 million senior secured term loan to replace the Company’s previous credit facility.
  • Entered into arrangements with both Novo Nordisk and Eli Lilly, enabling LifeMD’s pharmacy to begin dispensing self-pay branded GLP-1 medications, including Wegovy, Wegovy Pill, Ozempic, Zepbound, and Foundayo, to patients nationwide.
  • Entered into an exclusive relationship with AT&T to provide its 100 million wireless and fiber customers and 110,000 U.S. employees access to LifeMD’s healthcare and pharmacy services.
  • Expecting fourth quarter 2026 revenue of between $46 million and $49 million, and Adjusted EBITDA of between negative $4 million to negative $2 million.

Conference call begins at 4:30 p.m. Eastern time today

NEW YORK, Nov. 12, 2026 (GLOBE NEWSWIRE) -- LifeMD, Inc. (Nasdaq: LFMD), a leading provider of virtual primary care and pharmacy services, today reported financial results for the third quarter ended September 30, 2026.

Management Commentary

“We ended the quarter with approximately 350,000 active subscribers, up 13% from a year ago and nearly flat from the second quarter, despite spending $9.5 million less on marketing,” said Justin Schreiber, Chairman and CEO of LifeMD. “We’re helping more people access high-quality healthcare, and we’re getting more efficient at doing it. From May to September, cost per acquisition fell 32% while monthly media spend declined 45%. Adjusted EBITDA improved approximately $3.1 million sequentially to roughly breakeven, and we expect to sustain or improve these unit economics going forward.

“Revenue of $44.6 million was below our guidance, and we are resetting our outlook for the fourth quarter and full year. We deliberately reduced marketing spend and prioritized longer patient commitments, and our partnerships took longer to ramp than we expected. Those factors weighed on revenue this quarter, but we believe our decisions put us in a stronger position to grow profitably.

“Our pharmacy has begun dispensing branded GLP-1 medications from Eli Lilly and Novo Nordisk. Our exclusive relationship with AT&T gives its 100 million wireless and fiber customers and 110,000 U.S. employees access to our healthcare and pharmacy services. We also made significant progress on our enterprise healthcare offering, which we will begin marketing to businesses across the country in the fourth quarter. Our women’s health program continued to improve, and we added experienced leadership to accelerate its growth. Our focus now is turning this work into revenue growth while maintaining the operating discipline we established this quarter.”

“Gross margin was approximately 82% in the quarter, compared with approximately 89% in the second quarter and 85% a year ago. The decline primarily reflects a change in presentation, not economics: under our new branded fulfillment arrangements, medications fulfilled by our own pharmacy are recognized on a gross revenue basis,” said Atul Kavthekar, Chief Financial Officer of LifeMD. “We reduced selling and marketing expense by $9.5 million sequentially to $18.5 million. General and administrative expense increased slightly from the second quarter to $14.7 million, reflecting clinical capacity added to support our new partnerships, partially offset by efficiencies in non-clinical functions. We ended the quarter with $21.9 million of cash and no debt. Subsequent to quarter end, we closed a $12.5 million non-convertible senior secured term loan with Avenue Capital. It replaces our prior revolving credit facility and gives us significantly greater flexibility to fund the working capital our branded fulfillment arrangements may require.”

Third Quarter 2026 Financial Highlights

All comparisons are with the third quarter of 2025 on a continuing operations basis (excluding WorkSimpli, which was divested on November 4, 2025, and is reported as discontinued operations for all periods presented). Non-GAAP financial measures referenced below are defined and reconciled to the most directly comparable GAAP measures at the end of this press release.

  • Total revenue was $44.6 million, compared with $47.7 million in the prior-year period, a decrease of approximately 7%.
  • Gross profit was $36.4 million, compared with $40.7 million in the prior-year period. Gross margin was approximately 82%, compared with approximately 85% in the prior-year period, a decline of approximately 370 basis points, primarily reflecting the gross revenue presentation of branded medications fulfilled by our pharmacy.
  • Selling and marketing expenses decreased 18% year-over-year, and 34% sequentially, to $18.5 million.
  • General and administrative expenses increased 6% year-over-year to $14.7 million, reflecting added clinical capacity.
  • GAAP net loss from continuing operations attributable to common stockholders was $5.2 million, or $0.11 per share, compared with a GAAP net loss from continuing operations attributable to common stockholders of $5.4 million, or $0.12 per share, in the prior-year period.
  • Adjusted EBITDA was a loss of approximately $0.4 million, compared with adjusted EBITDA of approximately $2.8 million in the prior-year period.
  • Cash totaled $21.9 million as of September 30, 2026, and the Company had no debt at quarter end.
  • The number of active subscribers increased 13% year-over-year to approximately 350,000 at quarter end.

($ in 000s)Three Months Ended September 30,
 Y-o-Y 
Key Performance Metrics2026 2025 % Growth 
       
Revenue$44,625 $47,728 -7%
       
Gross Profit$36,376 $40,666 -11%
       
Gross Margin %82%85%-370bpts
       
Adjusted EBITDA$(413)$2,787 -115%
       
Active Subscribers349,744 310,818 13%


Financial Guidance

For the fourth quarter of 2026, the Company expects:

  • Revenue in the range of $46 million to $49 million.
  • Adjusted EBITDA in the range of negative $4 million to negative $2 million.

For the full year 2026, the Company expects (revised from previous guidance):

  • Revenue in the range of $188 million to $191 million, compared with previous guidance of $205.5 million to $212.5 million.
  • Adjusted EBITDA in the range of negative $12.6 million to negative $10.6 million, compared with previous guidance of negative $6.0 million to breakeven.

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:(877) 270-2148
International dial-in number:+1 (412) 902-6510
Conference ID:LifeMD, Inc. Third Quarter 2026 Results
  

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 virtual care company making high-quality healthcare more accessible, convenient, and affordable. Through its vertically integrated platform, LifeMD connects patients with a 50-state affiliated medical group, laboratory services, a state-of-the-art in-house pharmacy, and a U.S.-based patient care center. Together, these capabilities support care across more than 200 conditions, including primary care, men’s and women’s health, weight management, and hormone therapy. 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
ir@lifemd.com

Media Contact
press@lifemd.com

Tables to Follow

LIFEMD, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited)
        
 September 30, 2026  December 31, 2025 
ASSETS  
        
Current Assets       
Cash$21,921,769  $36,786,318 
Receivables, net 13,249,849   2,485,882 
Product deposit 218,690   320,217 
Inventory, net 10,348,601   2,773,576 
Other current assets 3,522,349   2,646,077 
Total Current Assets 49,261,258   45,012,070 
        
Non-current Assets       
Equipment, net 1,905,154   2,444,717 
Right of use assets, net 4,622,463   5,267,857 
Capitalized software, net 10,329,573   10,604,946 
Intangible assets, net 166,583   262,334 
Total Non-current Assets 17,023,773   18,579,854 
        
Total Assets$66,285,031  $63,591,924 
        
LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY       
        
Current Liabilities       
Accounts payable$37,736,899  $14,149,154 
Accrued expenses 12,842,607   14,214,393 
Current operating lease liabilities 691,719   642,422 
Deferred revenue 10,433,507   10,573,442 
Total Current Liabilities 61,704,732   39,579,411 
        
Long-term Liabilities       
Non-current operating lease liabilities 5,159,954   5,681,374 
Total Liabilities 66,864,686   45,260,785 
        
Commitments and Contingencies       
Stockholders’ (Deficit) Equity       
Series A Preferred Stock, $0.0001 par value; 1,610,000 shares authorized, 1,400,000 shares issued and outstanding as of September 30, 2026 and December 31, 2025 140   140 
Common Stock, $0.01 par value; 100,000,000 shares authorized, 48,358,877 and 46,760,016 shares issued, 48,255,837 and 46,656,976 outstanding as of September 30, 2026 and December 31, 2025, respectively 483,589   467,600 
Additional paid-in capital 255,443,609   251,455,616 
Accumulated deficit (256,343,292)  (233,428,516)
Treasury stock, 103,040 shares, at cost, as of September 30, 2026 and December 31, 2025 (163,701)  (163,701)
Total LifeMD, Inc. Stockholders’ (Deficit) Equity (579,655)  18,331,139 
Total Liabilities and Stockholders’ (Deficit) Equity$66,285,031  $63,591,924 
        


LIFEMD, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
               
 Three Months Ended September 30,
 Nine Months Ended September 30,
 2026  2025  2026  2025 
Telehealth revenue, net$44,625,086  $47,727,942  $142,048,848  $146,861,697 
Cost of telehealth revenue 8,249,469   7,061,651   19,605,877   21,627,901 
Gross profit 36,375,617   40,666,291   122,442,971   125,233,796 
                
Expenses                
Selling and marketing expenses 18,500,609   22,563,994   76,411,416   66,988,030 
General and administrative expenses 14,654,524   13,800,377   43,468,661   42,995,255 
Other operating expenses 3,453,051   2,800,013   9,673,184   8,072,564 
Customer service expenses 2,351,426   2,784,320   8,103,717   9,086,549 
Development costs 1,882,508   1,844,269   5,470,005   5,526,379 
Total expenses 40,842,118   43,792,973   143,126,983   132,668,777 
                
Operating loss from continuing operations (4,466,501)  (3,126,682)  (20,684,012)  (7,434,981)
                
Interest (expense) income, net (3,212)  (260,621)  98,924   (1,385,046)
Loss on debt extinguishment -   (1,155,851)  -   (1,155,851)
Loss from continuing operations before income taxes (4,469,713)  (4,543,154)  (20,585,088)  (9,975,878)
                
Income tax provision -   (31,823)  -   (31,823)
Net loss from continuing operations (4,469,713)  (4,574,977)  (20,585,088)  (10,007,701)
                
Net income from discontinued operations -   935,013   -   4,821,519 
Net loss (4,469,713)  (3,639,964)  (20,585,088)  (5,186,182)
                
Net income attributable to noncontrolling interests of discontinued operations -   249,462   -   1,286,382 
                
Net loss attributable to LifeMD, Inc. (4,469,713)  (3,889,426)  (20,585,088)  (6,472,564)
                
Preferred stock dividends (776,563)  (776,563)  (2,329,688)  (2,329,688)
                
Net loss attributable to LifeMD, Inc. common stockholders$(5,246,276) $(4,665,989) $(22,914,776) $(8,802,252)
                
Basic (loss) earnings per share attributable to LifeMD, Inc. common stockholders               
Continuing operations$(0.11) $(0.12) $(0.48) $(0.28)
Discontinued operations -   0.01   -   0.08 
Basic loss per share$(0.11) $(0.10) $(0.48) $(0.20)
                
Diluted (loss) earnings per share attributable to LifeMD, Inc. common stockholders               
Continuing operations$(0.11) $(0.12) $(0.48) $(0.28)
Discontinued operations -   0.01   -   0.08 
Diluted loss per share$(0.11) $(0.10) $(0.48) $(0.20)
                
Weighted average number of common shares outstanding:               
Basic 48,182,152   46,162,625   47,772,180   44,575,553 
Diluted 48,182,152   46,162,625   47,772,180   44,575,553 
                



LIFEMD, INC.
 CONSOLIDATED STATEMENTS OF CASH FLOWS 
 (Unaudited) 
 
 Three Months Ended September 30,
 Nine Months Ended September 30,
 2026  2025  2026  2025 
                
CASH FLOWS FROM OPERATING ACTIVITIES               
Net loss$(4,469,713) $(3,639,964) $(20,585,088) $(5,186,182)
Less: Net income from discontinued operations -   935,013   -   4,821,519 
Net loss from continuing operations (4,469,713)  (4,574,977)  (20,585,088)  (10,007,701)
Adjustments to reconcile net loss from continuing operations to net cash (used in) provided by operating activities:               
Amortization of debt discount -   33,481   -   234,369 
Amortization of capitalized software 1,727,834   1,597,030   5,116,366   4,712,732 
Amortization of intangibles 31,917   31,917   95,751   62,084 
Loss on debt extinguishment -   1,155,851   -   1,155,851 
Depreciation of fixed assets 301,049   253,031   883,294   583,915 
Noncash operating lease expense 217,495   217,495   645,394   743,207 
Stock compensation expense 1,684,445   3,198,036   3,923,462   7,841,178 
                
Changes in Assets and Liabilities               
Receivables (9,507,862)  (10,338)  (10,763,967)  2,618,396 
Product deposit 25,069   (119,518)  101,527   (329,755)
Inventory (7,392,457)  (181,027)  (7,575,025)  (635,024)
Other current assets (1,035,546)  (1,382,528)  (876,272)  (558,239)
Operating lease liabilities (165,451)  (23,535)  (472,123)  (171,841)
Deferred revenue (357,714)  (2,322,589)  (139,935)  (4,864,738)
Accounts payable 19,579,987   (4,591,851)  23,587,745   3,896,078 
Accrued expenses (1,588,687)  4,529,660   (1,371,786)  (1,109,939)
Net cash (used in) provided by operating activities of continuing operations (949,634)  (2,189,862)  (7,430,657)  4,170,573 
Net cash provided by operating activities of discontinued operations -   2,042,726   -   7,390,125 
Net cash (used in) provided by operating activities (949,634)  (147,136)  (7,430,657)  11,560,698 
                
CASH FLOWS FROM INVESTING ACTIVITIES               
Cash paid for capitalized software costs (1,322,921)  (1,937,544)  (4,840,993)  (5,884,672)
Purchase of equipment (170,728)  (785,748)  (343,731)  (1,679,963)
Net cash used in investing activities of continuing operations (1,493,649)  (2,723,292)  (5,184,724)  (7,564,635)
Net cash used in investing activities of discontinued operations -   (871,188)  -   (2,596,766)
Net cash used in investing activities (1,493,649)  (3,594,480)  (5,184,724)  (10,161,401)
                
CASH FLOWS FROM FINANCING ACTIVITIES               
Repayment of debt instruments -   (16,667,433)  -   (18,719,721)
Sale of common stock under ATM, net -   8,721,717   -   8,721,717 
Preferred stock dividends (776,563)  (776,563)  (2,329,688)  (2,329,688)
Cash proceeds from exercise of warrants -   464,950   -   464,950 
Cash proceeds from exercise of options -   5,950   80,520   5,950 
Net cash used in financing activities of continuing operations (776,563)  (8,251,379)  (2,249,168)  (11,856,792)
Net cash used in financing activities of discontinued operations -   (449,539)  -   (761,658)
Net cash used in financing activities (776,563)  (8,700,918)  (2,249,168)  (12,618,450)
                
Net decrease in cash (3,219,846)  (12,442,534)  (14,864,549)  (11,219,153)
Cash at beginning of period 25,141,615   36,228,305   36,786,318   35,004,924 
Cash at end of period 21,921,769   23,785,771   21,921,769   23,785,771 
Less: Cash of discontinued operations at end of period -   2,838,484   -   2,838,484 
Cash of continuing operations at end of period$21,921,769  $20,947,287  $21,921,769  $20,947,287 
                
Cash paid for interest and taxes               
Cash paid during the period for interest$-  $241,464  $-  $1,461,032 
Cash paid during the period for taxes$-  $14,617  $361,230  $482,471 
                
Non-cash investing and financing activities               
Cashless exercise of options$-  $253  $-  $1,315 
Cashless exercise of warrants$3,204  $-  $3,204  $3,901 
Stock issued for debt conversion$-  $-  $-  $1,000,000 
Stock issued for asset acquisition$-  $-  $-  $303,000 
                

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 this financial measure is a useful financial metric 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 loss attributable to LifeMD, Inc. common stockholders before interest, taxes, depreciation, amortization, extraordinary litigation costs, severance and restructuring costs, acquisition expenses, insurance acceptance readiness expenses, preferred stock dividends, stock-based compensation expense, net income from discontinued operations and net income attributable to noncontrolling interests of 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 measure is commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term 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 Loss Attributable to LifeMD, Inc. Common Stockholders to Adjusted EBITDA
(in whole numbers, unaudited) 
 Three Months Ended September 30,
 Nine Months Ended September 30,
 2026  2025  2026  2025 
Net loss attributable to LifeMD, Inc. common stockholders$(5,246,276) $(4,665,989) $(22,914,776) $(8,802,252)
            
Interest (income) expense, net3,212  227,140  (98,924) 1,150,677 
Depreciation and amortization expense2,060,800  1,881,978  6,095,411  5,358,731 
Amortization of debt discount-  33,481  -  234,369 
Loss on debt extinguishment-  1,155,851  -  1,155,851 
Financing transactions expense-  97,699  -  97,699 
Litigation costs (a)64,328  959,803  1,112,269  1,699,462 
Severance and restructuring costs243,885  -  992,879  102,417 
Acquisitions expenses-  (231,571) -  1,783,206 
Insurance acceptance readiness-  8,190  -  183,330 
Taxes-  31,823  -  31,823 
Preferred stock dividends776,563  776,563  2,329,688  2,329,688 
Stock compensation expense1,684,445  3,198,036  3,923,462  7,841,178 
Net income from discontinued operations-  (935,013) -  (4,821,519)
Net income attributable to noncontrolling interests of discontinued operations-  249,462  -  1,286,382 
            
Adjusted EBITDA$(413,043) $2,787,452  $(8,559,991) $9,631,041 
            
(a) For the three and nine months ended September 30, 2026 and 2025, the Company included costs related to: (1) a class action complaint  captioned Johnston 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, and (2) a heavily negotiated executive separation agreement. For the three and nine months ended September 30, 2025, the Company also included costs related to a class action complaint alleging, inter alia, unauthorized disclosure of certain information of class members to third parties (the Marden v. LifeMD, Inc. case).

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