Q1 2026 WW International Inc Earnings Call

Speaker #1: So do you need assistance? Please signal a conference specialist by pressing the star key followed by 0. After today's presentation, there will be an opportunity to ask questions.

Operator: I would now like to turn the conference over to David Helderman, Senior Director of Investor Relations. Please go ahead.

Speaker #1: To ask a question, you may press star then 1 on a touchtone phone. To withdraw your question, please press star then 2. Please note this event is being recorded.

Speaker #1: I would now like to turn the conference over to David Helderman, Senior Director of Investor Relations. Please go ahead.

Operator: I would now like to turn the conference over to David Helderman, Senior Director of Investor Relations. Please go ahead.

Speaker #2: Thank you for joining us today for the Weight Watchers First Quarter 2026 Earnings Conference Call. Earlier this morning, we released a shareholder letter and press release with our first quarter 2026 results.

David Helderman: Thank you for joining us today for the Weight Watchers Q1 2026 Earnings Conference Call. Earlier this morning, we released a shareholder letter and press release with our Q1 2026 results, which are available on the company's corporate website, located at corporate.ww.com. The purpose of this call is to provide investors with some further details regarding the company's financial results, as well as to provide a general update on the company's progress. Reconciliations of non-GAAP measures disclosed on this conference call to the most directly comparable GAAP financial measures are also available as part of the shareholder letter and press release. Before we begin, let me remind everyone that this call will contain forward-looking statements. Investors should be aware that any forward-looking statements are subject to various risks and uncertainties that could cause actual results to differ materially from those discussed here today.

David Helderman: Thank you for joining us today for the Weight Watchers Q1 2026 Earnings Conference Call. Earlier this morning, we released a shareholder letter and press release with our Q1 2026 results, which are available on the company's corporate website, located at corporate.ww.com. The purpose of this call is to provide investors with some further details regarding the company's financial results, as well as to provide a general update on the company's progress.

Speaker #2: These are available on the company's corporate website, located at corporate.www.com. The purpose of this call is to provide investors with some further details regarding the company's financial results, as well as to provide a general update on the company's progress.

Speaker #2: Reconciliations of non-GAAP measures, disclosed on this conference call to the most directly comparable GAAP financial measures, are also available as part of the shareholder letter and press release.

David Helderman: Reconciliations of non-GAAP measures disclosed on this conference call to the most directly comparable GAAP financial measures are also available as part of the shareholder letter and press release. Before we begin, let me remind everyone that this call will contain forward-looking statements. Investors should be aware that any forward-looking statements are subject to various risks and uncertainties that could cause actual results to differ materially from those discussed here today.

Speaker #2: Before we begin, let me remind everyone that this call will contain forward-looking statements. Investors should be aware that any forward-looking statements are subject to various risks and uncertainties that could cause actual results to differ materially from those discussed here today.

Speaker #2: These risk factors are explained in detail in the company's latest annual report on Form 10-K, quarterly report on Form 10-Q, the earnings release, the shareholder letter, and as updated by the company's other filings, with the securities and exchange commission.

David Helderman: These risk factors are explained in detail in the company's latest annual report on form 10-K, quarterly report on form 10-Q, the earnings release, the shareholder letter, and as updated by the company's other filings with the Securities and Exchange Commission. Please refer to these filings for a more detailed discussion of forward-looking statements and the risks and uncertainties of such statements. All forward-looking statements are made as of today, and except as required by law, the company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise. Joining today's call are Felicia DellaFortuna, Chief Financial Officer, and Jon Volkmann, Chief Operations Officer. Both are members of the interim office of the chief executive.

David Helderman: These risk factors are explained in detail in the company's latest annual report on form 10-K, quarterly report on form 10-Q, the earnings release, the shareholder letter, and as updated by the company's other filings with the Securities and Exchange Commission. Please refer to these filings for a more detailed discussion of forward-looking statements and the risks and uncertainties of such statements.

Speaker #2: Please refer to these filings for a more detailed discussion of forward-looking statements and the risks and uncertainties of such statements. All forward-looking statements are made as of today, and accept as required by law, the company undertakes no obligation to publicly update or revise any forward-looking statements whether as a result of new information, future events, or otherwise.

David Helderman: All forward-looking statements are made as of today, and except as required by law, the company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise. Joining today's call are Felicia DellaFortuna, Chief Financial Officer, and Jon Volkmann, Chief Operations Officer. Both are members of the interim office of the Chief Executive.

Speaker #2: Joining today's call are Felicia DellaFortuna, Chief Financial Officer, and Jon Volkmann, Chief Operations Officer. Both are members of the interim office of the Chief Executive.

Speaker #3: Thanks, David. And thanks to all of you for joining. Before we get started, I encourage everyone to read our shareholder letter, which we posted on our corporate website earlier this morning.

Jon Volkmann: Thanks, David, thanks to all of you for joining. Before we get started, I encourage everyone to read our shareholder letter, which we posted on our corporate website earlier this morning. This letter shares our progress as well as key financial trends. Felicia will also provide more color on our results later in the call. When we last spoke to you in mid-March, we laid out our Weight Watchers strategy to become the preferred destination for weight health in a GLP-1 era by integrating groundbreaking medical advances like GLP-1s with our time-tested behavioral and community programming. We remain confident that this approach can help Weight Watchers create better health outcomes for our members while driving higher lifetime value and returning the company to profitable long-term growth. Before we discuss our business progress, we want to briefly acknowledge the recent transitions on the board.

Jon Volkmann: Thanks, David, thanks to all of you for joining. Before we get started, I encourage everyone to read our shareholder letter, which we posted on our corporate website earlier this morning. This letter shares our progress as well as key financial trends. Felicia will also provide more color on our results later in the call.

Speaker #3: This letter shares our progress as well as key financial trends. Felicia will also provide more color on our results later in the call. When we last spoke to you in mid-March, we laid out our Weight Watchers strategy to become the preferred destination for weight health in a GLT1 era by integrating groundbreaking medical advances like GLT1s with our time-tested behavioral and community programming.

Jon Volkmann: When we last spoke to you in mid-March, we laid out our Weight Watchers strategy to become the preferred destination for weight health in a GLP-1 era by integrating groundbreaking medical advances like GLP-1s with our time-tested behavioral and community programming.

Speaker #3: We remain confident that this approach can help Weight Watchers create better health outcomes for our members while driving higher lifetime value and return the company to profitable, long-term growth.

Jon Volkmann: We remain confident that this approach can help Weight Watchers create better health outcomes for our members while driving higher lifetime value and returning the company to profitable long-term growth. Before we discuss our business progress, we want to briefly acknowledge the recent transitions on the board.

Speaker #3: Before we discuss our business progress, we want to briefly acknowledge the recent transitions on the board. The board is committed to Weight Watchers' transformation and long-term success, and over the past month, the board has welcomed three highly qualified, independent directors who bring valuable expertise in transformation, healthcare, and GLT1 market dynamics.

Jon Volkmann: The board is committed to Weight Watchers' transformation and long-term success. Over the past month, the board has welcomed three highly qualified independent directors who bring valuable expertise in transformation, healthcare, and GLP-1 market dynamics. Felicia and I, along with the board, are fully focused on executing our strategic plan so we can capture the significant opportunity before us. It's an opportunity that continues to grow. Through the first 3 months of 2026, demand for GLP-1s has accelerated with the launch of oral versions. We've also seen employers, payers, and governments increasingly looking to drive tangible health benefits, economic outcomes, and returns on investments that come with these new medications. Our industry has never changed faster or drawn more interest than today.

Jon Volkmann: The board is committed to Weight Watchers' transformation and long-term success. Over the past month, the board has welcomed three highly qualified independent directors who bring valuable expertise in transformation, healthcare, and GLP-1 market dynamics. Felicia and I, along with the board, are fully focused on executing our strategic plan so we can capture the significant opportunity before us. It's an opportunity that continues to grow. Through the first three months of 2026, demand for GLP-1s has accelerated with the launch of oral versions.

Speaker #3: Felicia and I, along with the board, are fully focused on executing our strategic opportunity before us. It's an opportunity that continues to grow. Through the first three months of 2026, demand for GLT1s has accelerated with the launch of oral versions.

Speaker #3: We've also seen employers, payers, and governments increasingly looking to drive tangible health benefits: economic outcomes, and returns on investment that come with these new medications.

Jon Volkmann: We've also seen employers, payers, and governments increasingly looking to drive tangible health benefits, economic outcomes, and returns on investments that come with these new medications. Our industry has never changed faster or drawn more interest than today.

Speaker #3: Our industry has never changed faster or drawn more interest than today. These medications are an important part of our sector's future. Which is why we have expanded our clinical capabilities to meet consumer demand and offer our members the best tools available.

Jon Volkmann: These medications are an important part of our sector's future, which is why we have expanded our clinical capabilities to meet consumer demand and offer our members the best tools available. Even as GLP-1 adoption grows and benefits become clearer, a growing body of evidence is also illustrating that many people are not staying on GLP-1s long term, and that absent other interventions, patients are likely to regain weight after discontinuing treatment. Comprehensive care models and support systems like ours that go beyond the prescription are critical to maximizing the potential of GLP-1s going forward. As the global leader in sustainable science-backed weight management for more than 60 years, Weight Watchers is perfectly positioned to meet this need. Our unique portfolio of weight health offerings enables members to choose the right level of support for wherever they are on their weight loss journey, with or without medication.

Jon Volkmann: These medications are an important part of our sector's future, which is why we have expanded our clinical capabilities to meet consumer demand and offer our members the best tools available. Even as GLP-1 adoption grows and benefits become clearer, a growing body of evidence is also illustrating that many people are not staying on GLP-1s long term, and that absent other interventions, patients are likely to regain weight after discontinuing treatment. Comprehensive care models and support systems like ours that go beyond the prescription are critical to maximizing the potential of GLP-1s going forward.

Speaker #3: But even as GLT1 adoption grows and benefits become clearer, a growing body of evidence is also illustrating that many people are not staying on GLT1s long-term.

Speaker #3: And that absent other interventions, patients are likely to regain weight after discontinuing treatment. Comprehensive care models and support systems like ours that go beyond the prescription are critical to maximizing the potential of GLT1s going forward.

Speaker #3: As the global leader in sustainable science-backed weight management for more than 60 years, Weight Watchers is perfectly positioned to meet this need. Our unique portfolio of weight health offerings enables members to choose the right level of support for wherever they are on their weight loss journey, with or without medication.

Jon Volkmann: As the global leader in sustainable science-backed weight management for more than 60 years, Weight Watchers is perfectly positioned to meet this need. Our unique portfolio of weight health offerings enables members to choose the right level of support for wherever they are on their weight loss journey, with or without medication.

Speaker #3: The data continues to back our approach. At 12 months, MedPlus members who engaged regularly with our GLT1 success program lost 29.1% more body weight on average than those who did not engage in structured behavioral support.

Jon Volkmann: The data continues to back our approach. At 12 months, Med+ members who engaged regularly with our GLP-1 Success program lost 29.1% more body weight on average than those who did not engage in structured behavioral support. That is a massive competitive advantage, and we're committed to seizing this opportunity by continuing to transform our company for the future. As our members know well, transformations require time and discipline. We are in the early stages of a multi-year reinvention that will require a sustainable approach. That is why, as we continue to shift our legacy business to address market realities, we are committed to finding consistent incremental wins that facilitate our long-term ambitions. During Q1, we drove many of those wins through our Med+ tier.

Jon Volkmann: The data continues to back our approach. At 12 months, Med+ members who engaged regularly with our GLP-1 Success program lost 29.1% more body weight on average than those who did not engage in structured behavioral support. That is a massive competitive advantage, and we're committed to seizing this opportunity by continuing to transform our company for the future. As our members know well, transformations require time and discipline.

Speaker #3: That is a massive competitive advantage and we're committed to seizing this opportunity by continuing to transform our company for the future. But as our members know well, transformations require time and discipline.

Speaker #3: We are in the early stages of a multi-year reinvention that will require a sustainable approach. That is why, as we continue to shift our legacy business to address market realities, we are committed to finding consistent incremental wins that facilitate our long-term ambitions.

Jon Volkmann: We are in the early stages of a multi-year reinvention that will require a sustainable approach. That is why, as we continue to shift our legacy business to address market realities, we are committed to finding consistent incremental wins that facilitate our long-term ambitions. During Q1, we drove many of those wins through our Med+ tier.

Speaker #3: During Q1, we drove many of those wins through our MedPlus tier. This higher value membership integrates premium clinical capabilities with the proven community solutions and behavioral tools that have driven results for Weight Watchers members over the last six decades.

Jon Volkmann: This higher value membership integrates premium clinical capabilities with the proven community solutions and behavioral tools that have driven results for Weight Watchers members over the last six decades. Clinical subscription revenue and end-of-period clinical subscribers grew 32% and 46% year over year respectively, despite lapping our former compounded semaglutide offering, which demonstrates our growing strength in this increasingly important vertical. Our clinical capabilities are making inroads with existing members and prospective new members. During Q1, we saw more than 20,000 existing behavioral members upgrade to clinical, which has an ARPU over 4x greater than our behavioral offering. This mobility within our ecosystem speaks to the benefits of our tier service approach and demonstrates how our portfolio of products can drive higher lifetime value.

Jon Volkmann: This higher value membership integrates premium clinical capabilities with the proven community solutions and behavioral tools that have driven results for Weight Watchers members over the last six decades. Clinical subscription revenue and end-of-period clinical subscribers grew 32% and 46% year over year respectively, despite lapping our former compounded semaglutide offering, which demonstrates our growing strength in this increasingly important vertical.

Speaker #3: Clinical subscription revenue and end-of-period clinical subscribers grew 32% in 46% year-over-year, respectively, despite lapping our former compounded semaglutide offering, which demonstrates our growing strength in this increasingly important vertical.

Speaker #3: Our clinical capabilities are making inroads with existing members and prospective new members. During Q1, we saw more than 20,000 existing behavioral members upgrade to clinical, which has an ARPU over four times greater than our behavioral offering.

Jon Volkmann: Our clinical capabilities are making inroads with existing members and prospective new members. During Q1, we saw more than 20,000 existing behavioral members upgrade to clinical, which has an ARPU over 4x greater than our behavioral offering. This mobility within our ecosystem speaks to the benefits of our tier service approach and demonstrates how our portfolio of products can drive higher lifetime value.

Speaker #3: This mobility within our ecosystem speaks to the benefits of our tiered service approach and demonstrates how our portfolio of products can drive higher lifetime value.

Speaker #3: At a time when compounded medications are facing increased scrutiny, we continue to expand access to FDA-approved medications including oral versions which are growing the total addressable market for GLT1s and becoming increasingly affordable for our members.

Jon Volkmann: At a time when compounded medications are facing increased scrutiny, we continue to expand access to FDA-approved medications, including oral versions, which are growing the total addressable market for GLP-1s and becoming increasingly affordable for our members. This progress in our clinical business comes as our behavioral business continues to face headwinds. We are focused on stabilizing our behavioral business by recalibrating marketing spend across our portfolio, facilitating seamless navigation of members across our ecosystem, and continuing to enhance our coaching community in medically tailored support programs, all of which are available through our Core+ tier. We are encouraged by the return to growth of Core+, which ended Q1 with 537,000 subscribers, representing a 6% year-over-year increase. This higher value offering doubles down on our community, which continues to be at the heart of the Weight Watchers experience.

Jon Volkmann: At a time when compounded medications are facing increased scrutiny, we continue to expand access to FDA-approved medications, including oral versions, which are growing the total addressable market for GLP-1s and becoming increasingly affordable for our members. This progress in our clinical business comes as our behavioral business continues to face headwinds.

Speaker #3: This progress in our clinical business comes as our behavioral business continues to face headwinds. We are focused on stabilizing our behavioral business by recalibrating marketing spend across our portfolio facilitating seamless navigation of members across our ecosystem and continuing to enhance our coaching, community, and medically tailored support programs, all of which are available through our core plus tier.

Jon Volkmann: We are focused on stabilizing our behavioral business by recalibrating marketing spend across our portfolio, facilitating seamless navigation of members across our ecosystem, and continuing to enhance our coaching community in medically tailored support programs, all of which are available through our Core+ tier.

Speaker #3: We are encouraged by the return to growth of core plus, which ended Q1 with 537,000 subscribers. Representing a 6% year-over-year increase. This higher value offering doubles down on our community, which continues to be at the heart of the Weight Watchers experience.

Jon Volkmann: We are encouraged by the return to growth of Core+, which ended Q1 with 537,000 subscribers, representing a 6% year-over-year increase. This higher value offering doubles down on our community, which continues to be at the heart of the Weight Watchers experience.

Speaker #3: Our virtual workshop experiences are expanding including sessions led by registered dietitians and physicians and classes tailored to GLT1 users and members experiencing menopause. Members are responding, and Q1, virtual workshop attendance among core plus members in the US increased nearly 40% year-over-year, with increases in members' participating in multiple meetings per week as well.

Jon Volkmann: Our virtual workshop experiences are expanding, including sessions led by Registered Dietitians and physicians, and classes tailored to GLP-1 users and members experiencing menopause. Members are responding. In Q1, virtual workshop attendance among Core+ members in the US increased nearly 40% year over year, with increases in members participating in multiple meetings per week as well. In addition to driving engagement, these workshops are also converting subscribers to higher value memberships. As we strategically offer complimentary virtual experiences to Core members, we found that those who attend are 3 to 4 times more likely to upgrade to Core+, which has an ARPU nearly 2 times greater than our Core tier. In Q1, nearly 20% of Core+ signups were upgrades from Core. Core+ also includes our GLP-1 Success and Menopause programs, two medically adjacent offerings tailored to the needs of our members.

Jon Volkmann: Our virtual workshop experiences are expanding, including sessions led by Registered Dietitians and physicians, and classes tailored to GLP-1 users and members experiencing menopause. Members are responding. In Q1, virtual workshop attendance among Core+ members in the US increased nearly 40% year over year, with increases in members participating in multiple meetings per week as well. In addition to driving engagement, these workshops are also converting subscribers to higher value memberships.

Speaker #3: In addition to driving engagement, these workshops are also converting subscribers to higher value memberships. As we strategically offer complementary virtual experiences to core members, we found that those who attend our three to four times more likely to upgrade to core plus which has an ARPU nearly two times greater than our core tier.

Jon Volkmann: As we strategically offer complimentary virtual experiences to Core members, we found that those who attend are 3 to 4 times more likely to upgrade to Core+, which has an ARPU nearly 2 times greater than our Core tier. In Q1, nearly 20% of Core+ signups were upgrades from Core. Core+ also includes our GLP-1 Success and Menopause programs, two medically adjacent offerings tailored to the needs of our members.

Speaker #3: In Q1, nearly 20% of core plus sign-ups were upgrades from core. Core plus also includes our GLT1 success in menopause programs, two medically adjacent offerings tailored to the needs of our members.

Speaker #3: As the weight health industry embraces medical advances, these programs illustrate how Weight Watchers can provide our tried and true behavioral methods with new evidence-based approaches that drive better results.

Jon Volkmann: As the weight health industry embraces medical advances, these programs illustrate how Weight Watchers can combine our tried and true behavioral methods with new evidence-based approaches that drive better results. The future of our industry will be defined by the intersection of scientific innovation, behavioral programming, and human support, and no company is better prepared to operate at that intersection than Weight Watchers. We have an unparalleled track record of helping our members live healthier, happier lives, as well as the plan and the team to return this global brand to long-term growth. As we continue to transform Weight Watchers to prepare for what's next, we believe that 2026 will be an important inflection year that unlocks the potential for sustainable value creation. With that, I'll turn it over to Felicia to cover the financials.

Jon Volkmann: As the weight health industry embraces medical advances, these programs illustrate how Weight Watchers can combine our tried and true behavioral methods with new evidence-based approaches that drive better results. The future of our industry will be defined by the intersection of scientific innovation, behavioral programming, and human support, and no company is better prepared to operate at that intersection than Weight Watchers.

Speaker #3: The future of our industry will be defined by the intersection of scientific innovation, behavioral programming, and human support, and no company is better prepared to operate at that intersection than Weight Watchers.

Speaker #3: We have an unparalleled track record of helping our members live healthier, happier lives as well as the plan and the team to return this global brand to long-term growth.

Jon Volkmann: We have an unparalleled track record of helping our members live healthier, happier lives, as well as the plan and the team to return this global brand to long-term growth. As we continue to transform Weight Watchers to prepare for what's next, we believe that 2026 will be an important inflection year that unlocks the potential for sustainable value creation. With that, I'll turn it over to Felicia to cover the financials.

Speaker #3: As we continue to transform Weight Watchers to prepare for what's next, we believe that 2026 will be an important inflection year that unlocks the potential for sustainable value creation.

Speaker #3: With that, I'll turn it over to Felicia to cover the financials.

Speaker #4: Thanks, John. Our first quarter financial performance demonstrates the solid financial foundation we've built following our successful 2025 reorganization. We are pleased to report that during Q1, we were able to advance short and long-term business priorities simultaneously.

Felicia DellaFortuna: Thanks, Jon. Our Q1 financial performance demonstrates the solid financial foundation we've built following our successful 2025 reorganization. We are pleased to report that during Q1, we were able to advance short and long-term business priorities simultaneously. We maintained a near record adjusted gross margin and drove continued increases in ARPU. At the same time, we made strategic forward-looking investments and built a liquidity position to support our previously announced $37 million of cash utilization to pay down our term loan in Q2. Additionally, we are reaffirming our previously provided 2026 financial guidance for revenue and adjusted EBITDA. We expect to generate cash in 2026. Starting with Q1 financial details.

Felicia DellaFortuna: Thanks, Jon. Our Q1 financial performance demonstrates the solid financial foundation we've built following our successful 2025 reorganization. We are pleased to report that during Q1, we were able to advance short and long-term business priorities simultaneously. We maintained a near record adjusted gross margin and drove continued increases in ARPU.

Speaker #4: We maintained a near-record adjusted gross margin and drove continued increases in ARPU. At the same time, we made strategic forward-looking investments and built a liquidity position to support our previously announced $37 million of cash utilization to pay down our term loan in Q2.

Felicia DellaFortuna: At the same time, we made strategic forward-looking investments and built a liquidity position to support our previously announced $37 million of cash utilization to pay down our term loan in Q2. Additionally, we are reaffirming our previously provided 2026 financial guidance for revenue and adjusted EBITDA. We expect to generate cash in 2026. Starting with Q1 financial details.

Speaker #4: Additionally, we are reaffirming our previously provided 2026 financial guidance for revenue and adjusted EBITDA, and we expect to generate cash in 2026. Starting with Q1 financial details, while end-of-period behavioral subscribers were 2.5 million at the end of Q1 2026, reflecting a 25% year-over-year decline, we are encouraged with core plus trends which represented $537,000 subscribers and grew 6% year-over-year.

Felicia DellaFortuna: While end-of-period behavioral subscribers were 2.5 million at the end of Q1 2026, reflecting a 25% year over year decline, we are encouraged with Core+ trends, which represented 537,000 subscribers and grew 6% year over year. While Core continues to face secular headwinds and saw incremental pressure in Q1 2026, this was due in part to our strategic decision to prioritize awareness for our Med+ tier, also coinciding with the Wegovy pill launch. Due in large part to these efforts, end-of-period clinical subscribers were 197,000, which grew 51% sequentially. Additionally, we are seeing member shifts from Core to our Core+ and Med+ tiers, a trend that we expect to continue, demonstrating how our integrated weight health approach can drive higher ARPU and lifetime value.

Felicia DellaFortuna: While end-of-period behavioral subscribers were 2.5 million at the end of Q1 2026, reflecting a 25% year over year decline, we are encouraged with Core+ trends, which represented 537,000 subscribers and grew 6% year over year. While Core continues to face secular headwinds and saw incremental pressure in Q1 2026, this was due in part to our strategic decision to prioritize awareness for our Med+ tier, also coinciding with the Wegovy pill launch.

Speaker #4: While core continues to face secular headwinds and saw incremental pressure in Q1 2026, this was due in part to our strategic decision to prioritize awareness for our med plus tier, also coinciding with the Wegovy pill launch.

Speaker #4: Due in large part to these efforts, end-of-period clinical subscribers were 197,000, which grew 51% sequentially. Additionally, we are seeing members shift from core to our core plus and med plus tiers, a trend that we expect to continue demonstrating how our integrated weight health approach can drive higher ARPU and lifetime value.

Felicia DellaFortuna: Due in large part to these efforts, end-of-period clinical subscribers were 197,000, which grew 51% sequentially. Additionally, we are seeing member shifts from Core to our Core+ and Med+ tiers, a trend that we expect to continue, demonstrating how our integrated weight health approach can drive higher ARPU and lifetime value.

Speaker #4: As a result, Q1 ARPU increased 13% year-over-year to $20.59. Clinical ARPU remained over four times higher than behavioral ARPU in Q1. Within the behavioral business, core plus had an ARPU of nearly two times higher than that of our core subscriber.

Felicia DellaFortuna: As a result, Q1 ARPU increased 13% year over year to $20.59. Clinical ARPU remained over 4 times higher than behavioral ARPU in Q1. Within the behavioral business, Core+ had an ARPU of nearly 2 times higher than that of our Core subscriber. Revenue in Q1 was $168 million, down 10% year over year, reflecting the subscriber dynamics between our subscription tiers, which resulted in 32% growth in clinical subscription revenue and a 17% decline in behavioral subscription revenue. Foreign exchange provided a $4 million benefit in the quarter, while fiscal Q1 2026 included 1 less day compared to fiscal Q1 2025.

Felicia DellaFortuna: As a result, Q1 ARPU increased 13% year over year to $20.59. Clinical ARPU remained over 4 times higher than behavioral ARPU in Q1. Within the behavioral business, Core+ had an ARPU of nearly 2 times higher than that of our Core subscriber.

Speaker #4: Revenue in Q1 was $168 million, down 10% year-over-year, reflecting the subscriber dynamics between our subscription tiers, which resulted in $32% growth in clinical subscription revenue and a 17% decline in behavioral subscription revenue.

Felicia DellaFortuna: Revenue in Q1 was $168 million, down 10% year over year, reflecting the subscriber dynamics between our subscription tiers, which resulted in 32% growth in clinical subscription revenue and a 17% decline in behavioral subscription revenue. Foreign exchange provided a $4 million benefit in the quarter, while fiscal Q1 2026 included 1 less day compared to fiscal Q1 2025.

Speaker #4: Foreign exchange provided a $4 million benefit in the quarter, while fiscal Q1 2026 included one less day compared to fiscal Q1 2025. Adjusted gross margin was 73.6%, which remained near record highs despite an accelerating mixed shift towards clinical as we significantly improved the margin profiles within both behavioral and clinical through structural actions and operational efficiencies.

Felicia DellaFortuna: Adjusted gross margin was 73.6%, which remains near record highs despite an accelerating mix shift towards clinical, as we significantly improved the margin profiles within both behavioral and clinical through structural actions and operational efficiencies. While clinical carries a higher cost of service than behavioral, primarily due to clinician staffing, clinical gross margins have expanded meaningfully since our acquisition of Sequence in 2023. Marketing expense in Q1 2026 was $93 million, reflecting front-loaded investment in Q1 to drive awareness of our Med+ positioning, also coinciding with the Wegovy launch. Adjusted SG&A was 15% of revenue, slightly lower as a percent of revenue than Q4 2025, reflecting the exit from our corporate headquarters lease and continued expense discipline. Adjusted product development expense in Q1, which primarily includes personnel costs for engineering, product design, and data teams, was 5% of revenue.

Felicia DellaFortuna: Adjusted gross margin was 73.6%, which remains near record highs despite an accelerating mix shift towards clinical, as we significantly improved the margin profiles within both behavioral and clinical through structural actions and operational efficiencies.

Speaker #4: While clinical carries a higher cost of service than behavioral, primarily due to clinician staffing, clinical gross margins have expanded meaningfully since our acquisition of Sequence in 2023.

Felicia DellaFortuna: While clinical carries a higher cost of service than behavioral, primarily due to clinician staffing, clinical gross margins have expanded meaningfully since our acquisition of Sequence in 2023. Marketing expense in Q1 2026 was $93 million, reflecting front-loaded investment in Q1 to drive awareness of our Med+ positioning, also coinciding with the Wegovy launch.

Speaker #4: Marketing expense in Q1 2026 was $93 million, reflecting front-loaded investment in Q1 to drive awareness of our med plus positioning, also coinciding with the Wegovy pill launch.

Speaker #4: Adjusted SGNA was 15% of revenue, slightly lower as the percent of revenue than Q4 2025, reflecting the exit from our corporate headquarters lease and continued expense discipline.

Felicia DellaFortuna: Adjusted SG&A was 15% of revenue, slightly lower as a percent of revenue than Q4 2025, reflecting the exit from our corporate headquarters lease and continued expense discipline. Adjusted product development expense in Q1, which primarily includes personnel costs for engineering, product design, and data teams, was 5% of revenue.

Speaker #4: Adjusted product development expense in Q1, which primarily includes personnel costs for engineering, product design, and data teams, was 5% of revenue. As is typical for the business, Q1 represents our peak marketing investment period of a head of revenue that is recognized across the remainder of the year.

Felicia DellaFortuna: As is typical for the business, Q1 represents our peak marketing investment period ahead of revenue that is recognized across the remainder of the year. Adjusted EBITDA for Q1 was a loss of -$1.8 million, and we expect adjusted EBITDA to improve in the remaining quarters of 2026. Our profitability remains supported by the structural cost actions we have taken in recent years, which along with the financial restructuring, have allowed us to fund strategic growth initiatives while maintaining a disciplined margin profile. Now shifting to cash and the balance sheet. We ended Q1 with $121 million in cash and cash equivalents compared to $160 million at the end of Q4. The sequential change primarily reflects Q1 2026 adjusted EBITDA, quarterly interest on our term loan of $12 million, capital expenditures of $6 million, and a timing of marketing payments.

Felicia DellaFortuna: As is typical for the business, Q1 represents our peak marketing investment period ahead of revenue that is recognized across the remainder of the year. Adjusted EBITDA for Q1 was a loss of -$1.8 million, and we expect adjusted EBITDA to improve in the remaining quarters of 2026. Our profitability remains supported by the structural cost actions we have taken in recent years, which along with the financial restructuring, have allowed us to fund strategic growth initiatives while maintaining a disciplined margin profile.

Speaker #4: Adjusted EBITDA for Q1 was a loss of $1.8 million, and we expect adjusted EBITDA to improve in the remaining quarters of 2026. Our profitability remains supported by the structural cost actions we have taken in recent years, which, along with the financial restructuring, have allowed us to fund strategic growth initiatives while maintaining a disciplined margin profile.

Speaker #4: Now shifting to cash in the balance sheet, we ended Q1 with $121 million in cash and cash equivalents compared to $160 million at the end of Q4.

Felicia DellaFortuna: Now shifting to cash and the balance sheet. We ended Q1 with $121 million in cash and cash equivalents compared to $160 million at the end of Q4. The sequential change primarily reflects Q1 2026 adjusted EBITDA, quarterly interest on our term loan of $12 million, capital expenditures of $6 million, and a timing of marketing payments.

Speaker #4: The sequential change primarily reflects Q1 2026 adjusted EBITDA, quarterly interest on our term loan of $12 million, capital expenditures of $6 million, and a timing of marketing payments.

Speaker #4: Our liquidity position supports our previously announced debt paydown actions, including our voluntary solicitation, which was fully subscribed at $68.5% of par that we expect to take place in Q2.

Felicia DellaFortuna: Our liquidity position supports our previously announced debt paydown actions, including our voluntary solicitation, which was fully subscribed at 68.5% of par that we expect to take place in Q2. As a result, in Q2 we expect to utilize $37 million in cash to reduce the aggregate principal amount of our term loan by $42 million. The $37 million payment is made up of $27 million from our annual cash sweep and $10 million as part of the voluntary solicitation. Based on the interest rate in effect for this term loan as of 31 March 2026 of 10.5%, we expect the debt paydown to reduce our annualized interest expense by approximately $4 million. Now shifting to our 2026 outlook.

Felicia DellaFortuna: Our liquidity position supports our previously announced debt paydown actions, including our voluntary solicitation, which was fully subscribed at 68.5% of par that we expect to take place in Q2. As a result, in Q2 we expect to utilize $37 million in cash to reduce the aggregate principal amount of our term loan by $42 million. The $37 million payment is made up of $27 million from our annual cash sweep and $10 million as part of the voluntary solicitation.

Speaker #4: As a result, in Q2, we expect to utilize $37 million in cash to reduce the aggregate principal amount of our term loan by $42 million.

Speaker #4: The $37 million payment is made up of $27 million from our annual cash suite and $10 million as part of the voluntary solicitation. Based on the interest rate in effect for the term loan as of March 31, 2026, of 10.5%, we expect the debt paydown to reduce our annualized interest expense by approximately $4 million.

Felicia DellaFortuna: Based on the interest rate in effect for this term loan as of 31 March 2026 of 10.5%, we expect the debt paydown to reduce our annualized interest expense by approximately $4 million. Now shifting to our 2026 outlook.

Speaker #4: Now shifting to our 2026 outlook, we are reaffirming our previously provided 2026 guidance for revenue to be $620 million to $635 million, and adjusted EBITDA to be $105 million to $115 million.

Felicia DellaFortuna: We are reaffirming our previously provided 2026 guidance for revenue to be $620 million to $635 million and adjusted EBITDA to be $105 million to $115 million. While we expect sequential clinical subscriber growth in the remaining quarters of the year, we expect sequential net adds to be lower than Q1, reflecting seasonal normalization, lower levels of marketing spend, and a more balanced allocation of that spend. We are expecting clinical subscription revenue to grow to be approximately 25% to 30% of 2026 revenue, up from 16% of 2025 revenue. Within our behavioral business, we are encouraged with the growth we are seeing within Core+, and we expect to grow Core+ subscribers in 2026.

Felicia DellaFortuna: We are reaffirming our previously provided 2026 guidance for revenue to be $620 million to $635 million and adjusted EBITDA to be $105 million to $115 million. While we expect sequential clinical subscriber growth in the remaining quarters of the year, we expect sequential net adds to be lower than Q1, reflecting seasonal normalization, lower levels of marketing spend, and a more balanced allocation of that spend.

Speaker #4: While we expect sequential clinical subscriber growth in the remaining quarters of the year, we expect sequential net adds to be lower than Q1, reflecting seasonal normalization, lower levels of marketing spend, and a more balanced allocation of that spend.

Speaker #4: We are expecting clinical subscription revenue to grow to be approximately $25 to 30% of 2026 revenue, up from 16% of 2025 revenue. Within our behavioral business, we are encouraged with the growth we are seeing within core plus and we expect to grow core plus subscribers in 2026.

Felicia DellaFortuna: We are expecting clinical subscription revenue to grow to be approximately 25% to 30% of 2026 revenue, up from 16% of 2025 revenue. Within our behavioral business, we are encouraged with the growth we are seeing within Core+, and we expect to grow Core+ subscribers in 2026.

Speaker #4: We remain focused on margin through workflow automation, technology enablement, and cost discipline, in particular as we scale our clinical business. While we expect modest adjusted gross margin declines in 2026 versus 2025, we expect to remain above 72%.

Felicia DellaFortuna: We remain focused on driving efficiencies within gross margin through workflow automation, technology enablement, and cost discipline, in particular as we scale our clinical business. While we expect modest adjusted gross margin declines in 2026 versus 2025, we expect to remain above 72%. Now turning to operating expenses. We continue to expect 2026 marketing expense as a percentage of revenue to increase modestly compared to 2025. On product development expenses, we expect to remain at a similar quarterly run rate as Q1 2026 as we continue to execute on our multi-year technology roadmap. On SG&A, we continue to expect modest savings in 2026, primarily driven by the exit from our corporate headquarters lease and ongoing operational discipline. As is typical for the business, Q1 represents our peak cash usage quarter.

Felicia DellaFortuna: We remain focused on driving efficiencies within gross margin through workflow automation, technology enablement, and cost discipline, in particular as we scale our clinical business. While we expect modest adjusted gross margin declines in 2026 versus 2025, we expect to remain above 72%. Now turning to operating expenses. We continue to expect 2026 marketing expense as a percentage of revenue to increase modestly compared to 2025.

Speaker #4: Now turning to operating expenses, we continue to expect 2026 marketing expense as a percentage of revenue to increase modestly compared to 2025. On product development expenses, we expect to remain at a similar quarterly run rate as Q1 2026 as we continue to execute on our multi-year technology roadmap.

Felicia DellaFortuna: On product development expenses, we expect to remain at a similar quarterly run rate as Q1 2026 as we continue to execute on our multi-year technology roadmap. On SG&A, we continue to expect modest savings in 2026, primarily driven by the exit from our corporate headquarters lease and ongoing operational discipline. As is typical for the business, Q1 represents our peak cash usage quarter.

Speaker #4: On SGNA, we continue to expect modest savings in 2026, primarily driven by the exit from our corporate headquarters lease and ongoing operational discipline. As is typical for the business, Q1 represents our peak cash usage quarter.

Speaker #4: We expect to generate cash through the remainder of the year and will continue to manage liquidity and capital allocation with a focus on durable cash generation.

Felicia DellaFortuna: We expect to generate cash through the remainder of the year and will continue to manage liquidity and capital allocation with a focus on durable cash generation. The main drivers of adjusted EBITDA to our cash generation are interest, CapEx, and cash tax. We expect approximately $45 to 50 million of interest costs, which reflects slightly lower yearly interest compared to Q1 2026 following the debt repayments from the cash sweep and voluntary solicitation offer mentioned earlier. We expect 2026 quarterly capital expenditures to remain at a similar run rate as Q1 2026, and we expect 2026 cash taxes to be between $5 million and $10 million. As we look to the future, we continue to feel confident in our financial footing and the immense opportunity before us.

Felicia DellaFortuna: We expect to generate cash through the remainder of the year and will continue to manage liquidity and capital allocation with a focus on durable cash generation. The main drivers of adjusted EBITDA to our cash generation are interest, CapEx, and cash tax. We expect approximately $45 to 50 million of interest costs, which reflects slightly lower yearly interest compared to Q1 2026 following the debt repayments from the cash sweep and voluntary solicitation offer mentioned earlier.

Speaker #4: The main drivers of adjusted EBITDA to our cash generation are interest, CapEx, and cash tax. We expect approximately $45 to $50 million of interest costs, which reflects slightly lower the interest compared to Q1 2026 following the debt prepayments from the cash suite and voluntary solicitation offer mentioned earlier.

Speaker #4: We expect 2026 quarterly capital expenditures to remain at a similar run rate as Q1 2026. And we expect 2026 cash taxes to be between $5 million and $10 million.

Felicia DellaFortuna: We expect 2026 quarterly capital expenditures to remain at a similar run rate as Q1 2026, and we expect 2026 cash taxes to be between $5 million and $10 million. As we look to the future, we continue to feel confident in our financial footing and the immense opportunity before us.

Speaker #4: As we look to the future, we continue to feel confident in our financial footing and the immense opportunity before us. Our first quarter results demonstrate the increasing share of our growing clinical and core plus businesses as the percent of total end-of-period subscribers and revenue, which supports 2026 as an important step in a multi-year transformation.

Felicia DellaFortuna: Our Q1 results demonstrate the increasing share of our growing clinical and Core Plus businesses as a percent of total end of period subscribers and revenue, which supports 2026 as an important step in a multi-year transformation. I will now turn it over to the operator to open it up for Q&A.

Felicia DellaFortuna: Our Q1 results demonstrate the increasing share of our growing clinical and Core Plus businesses as a percent of total end of period subscribers and revenue, which supports 2026 as an important step in a multi-year transformation. I will now turn it over to the operator to open it up for Q&A.

Speaker #4: I will now turn it over to the operator to open it up for Q&A.

Speaker #1: We will now begin the question and answer session. To ask a question, you may press star, then one on your touchtone phone. If you were using a speakerphone, please pick up your handset before pressing the keys.

Operator: We will now begin the question and answer session. To ask a question, you may press star then one on your touch tone phone. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question's been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. The first question comes from Nathan Feather with Morgan Stanley. Please go ahead.

Operator: We will now begin the question and answer session. To ask a question, you may press star then one on your touch tone phone. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question's been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. The first question comes from Nathan Feather with Morgan Stanley. Please go ahead.

Speaker #1: If at any time your question has been addressed and you would like to withdraw your question, please press star, then two. At this time, we will pause momentarily to assemble our roster.

Speaker #1: The first question comes from Nathan Feather with Morgan Stanley. Please go ahead.

Speaker #5: Hey, everyone. Thanks for taking the question. Given the one-two performance, can you help us think through the shape of both behavioral and clinic subscriber growth through the year?

Nathan Feather: Hey, everyone. Thanks for taking the question. Given the Q1 performance, can you help us think through the shape of both behavioral and clinic subscriber growth through the year, especially as marketing mixes back to a bit more of a balance between segments?

Nathan Feather: Hey, everyone. Thanks for taking the question. Given the Q1 performance, can you help us think through the shape of both behavioral and clinic subscriber growth through the year, especially as marketing mixes back to a bit more of a balance between segments?

Speaker #5: Especially as marketing mixes back to a bit more of a balance between segments.

Speaker #6: Thanks, Nathan. And of course. So as we look out pieces of information for 2026 that we do think are helpful. We do think with the balance of core plus and core in our behavioral business for the subscriber declines alongside the recalibration of marketing to stay fairly flat relative to what we've provided in Q1 2026.

Felicia DellaFortuna: Thanks, Nathan. Of course. As we look out for the year, there are a couple of pieces of information for 2026 that we do think are helpful. We do think with the balance of Core+ and Core in our behavioral business for the subscriber declines alongside the recalibration of marketing to stay fairly flat relative to what we've provided in Q1 2026. We do expect that mix shift between Core+ and Core to have the continued positive impacts that you've seen in our R2 for Q1. With clinical, you know, we are very excited about the growth that we put up in Q1 of 2026, ending the quarter at 197,000 clinical subscribers.

Felicia DellaFortuna: Thanks, Nathan. Of course. As we look out for the year, there are a couple of pieces of information for 2026 that we do think are helpful. We do think with the balance of Core+ and Core in our behavioral business for the subscriber declines alongside the recalibration of marketing to stay fairly flat relative to what we've provided in Q1 2026.

Speaker #6: We do expect that mix shift between core plus and core to have the continued positive impacts that you've seen in our pool for Q1.

Felicia DellaFortuna: We do expect that mix shift between Core+ and Core to have the continued positive impacts that you've seen in our R2 for Q1. With clinical, you know, we are very excited about the growth that we put up in Q1 of 2026, ending the quarter at 197,000 clinical subscribers.

Speaker #6: And then with clinical, we are very excited about the growth that we put up the quarter at $197,000 clinical subscribers. We do anticipate with this recalibration that there will be sequential growth.

Felicia DellaFortuna: We do anticipate with this recalibration that there will be sequential growth, however, significantly muted relative to what we saw from Q4 2025 to Q1 2026. In addition, we will be lapping some of the 12-month long-term commits. That was a big initiative for us in Q3 of 2025. With all of that, however, we do anticipate, you know, significant revenue growth on our clinical business, and we do anticipate that ending at around 25% to 30% of our total revenue.

Felicia DellaFortuna: We do anticipate with this recalibration that there will be sequential growth, however, significantly muted relative to what we saw from Q4 2025 to Q1 2026. In addition, we will be lapping some of the 12-month long-term commits. That was a big initiative for us in Q3 of 2025. With all of that, however, we do anticipate, you know, significant revenue growth on our clinical business, and we do anticipate that ending at around 25% to 30% of our total revenue.

Speaker #6: However, significantly muted relative to what we saw from Q4 2025 to Q1 2026. In addition, we will be lapping some of the 12-month long-term commits that was a big initiative for us in Q3 of 2025.

Speaker #6: With all of that, however, we do anticipate significant revenue growth on our clinical business, and we do anticipate that ending at around $25 to 30% of our total revenue.

Speaker #5: Okay. Great. That's helpful. And then I guess just more broadly, we've seen prices, especially cash pay prices, on branded Shelby ones continue to come down, I think especially accelerated by the launch of the new oral medication.

Nathan Feather: Okay, great. That's helpful. I guess just more broadly, you know, we've seen prices, especially cash pay prices on brand new GLP-1 to continue to come down, I think especially accelerated by the launch of the new oral medication. Can you talk through how has that impacted the funnel, you know, kind of from top of funnel interest all the way down to conversion, as you're seeing this greater affordability? Within Q1, can you give us any sense of just how important the impact of that oral category has been and how you see that progressing over the course of the year, especially as access to that continues to expand?

Nathan Feather: Okay, great. That's helpful. I guess just more broadly, you know, we've seen prices, especially cash pay prices on brand new GLP-1 to continue to come down, I think especially accelerated by the launch of the new oral medication. Can you talk through how has that impacted the funnel, you know, kind of from top of funnel interest all the way down to conversion, as you're seeing this greater affordability? Within Q1, can you give us any sense of just how important the impact of that oral category has been and how you see that progressing over the course of the year, especially as access to that continues to expand?

Speaker #5: Can you talk through how has that impacted the funnel kind of from top of funnel interest all the way down to conversion? As you're seeing this greater affordability, and then within one queue, can you give us any sense of just how important the impact of that oral category has been and how you see that progressing over the course of the year, especially as access to that continues to expand?

Speaker #7: Yeah. Yeah. Great question. So as we previously highlighted, our clinical platform empowers our obesity clinicians to work directly with patients and identify the treatment path that's right for them.

Jon Volkmann: Yeah. Yeah, great question. As we previously highlighted, our clinical platform empowers our obesity clinicians to work directly with patients and identify the treatment path that's right for them. Thus when new medications come to market, particularly at more affordable price points, it helps open up access both at the top of funnel and helps patients not only get on medication, but stay on medication. When new medications come to market, and particularly what we've seen with these orals, it has been a tailwind for our business and we expect that to continue moving forward. We really view new medications coming to market as an opportunity for us to really shine.

Jon Volkmann: Yeah. Yeah, great question. As we previously highlighted, our clinical platform empowers our obesity clinicians to work directly with patients and identify the treatment path that's right for them. Thus when new medications come to market, particularly at more affordable price points, it helps open up access both at the top of funnel and helps patients not only get on medication, but stay on medication. When new medications come to market, and particularly what we've seen with these orals, it has been a tailwind for our business and we expect that to continue moving forward. We really view new medications coming to market as an opportunity for us to really shine.

Speaker #7: And thus when new medications come to market, particularly at more affordable price points, it helps open up access both at the top of funnel and helps patients not only get on medication, but stay on medication.

Speaker #7: So when new medications come to market, and particularly what we've seen with these orals, it has been a tailwind for our business, and we expect that to continue moving forward.

Speaker #7: We really view new medications coming to market as an opportunity for us to really shine. And in an increasing and complex landscape, consumers are looking for that trusted authority to help them navigate treatment options safely and effectively.

Jon Volkmann: You know, in increasing, you know, in complex landscape, consumers are looking for that trusted authority to help them navigate treatment options safely and effectively. With the orals coming to market, particularly with differentiated clinical profiles, that gives us an opportunity to really help consumers navigate these options. We also support members, you know, who want to pay with cash and insurance for these FDA-approved medications. You know, our ability to help these patients get covered has been a competitive advantage of ours in the past, and we expect that to continue moving forward. Just to close, you know, our real world data, you know, we've demonstrated 19.4% weight loss at 12 months, which is significantly higher than competitors.

Jon Volkmann: You know, in increasing, you know, in complex landscape, consumers are looking for that trusted authority to help them navigate treatment options safely and effectively. With the orals coming to market, particularly with differentiated clinical profiles, that gives us an opportunity to really help consumers navigate these options. We also support members, you know, who want to pay with cash and insurance for these FDA-approved medications. You know, our ability to help these patients get covered has been a competitive advantage of ours in the past, and we expect that to continue moving forward. Just to close, you know, our real world data, you know, we've demonstrated 19.4% weight loss at 12 months, which is significantly higher than competitors.

Speaker #7: And with the orals coming to market, and particularly with differentiated clinical profiles that gives us an opportunity to really help consumers navigate these options.

Speaker #7: We also support members who want to pay with cash and insurance for these FDA-approved medications. And our ability to help these patients get covered has been a competitive advantage of ours in the past, and we expect that to continue moving forward.

Speaker #7: And then just to close, our real-world data we've demonstrated 19.4% weight loss at 12 months, which is significantly higher than competitors. And so when you look at this combination of clinical quality along with these medications, we really feel like that's the winning approach.

Jon Volkmann: When you look at this combination of, you know, of clinical quality along with these medications, you know, we really feel like that's the winning approach, you know, long term to pair that together with our behavioral support and nutritional guidance.

Jon Volkmann: When you look at this combination of, you know, of clinical quality along with these medications, you know, we really feel like that's the winning approach, you know, long term to pair that together with our behavioral support and nutritional guidance.

Speaker #7: Long-term to pair that together with our behavioral support and nutritional guidance.

Speaker #5: Okay. That's helpful. And then one more, if I may. Given where the term loans trading, what are your thoughts on additional voluntary paydowns, maybe on a more regular basis, given the success of what you didn't want to do?

Nathan Feather: That's helpful. Then one more, if I may. You know, given where the term loan's trading, you know, what are your thoughts on, you know, additional voluntary paydowns maybe on a more regular basis given the success of what you did in Q1? Thank you.

Nathan Feather: That's helpful. Then one more, if I may. You know, given where the term loan's trading, you know, what are your thoughts on, you know, additional voluntary paydowns maybe on a more regular basis given the success of what you did in Q1? Thank you.

Speaker #5: Thank you.

Felicia DellaFortuna: I think for us, it's a constant management of both debt and equity across our profile. You know, with the latest voluntary solicitation, you know, we saw where it was trading. We are comfortable in the guidance that we've provided. You've heard that from us, reaffirming it as well for 2026, and I'm also comfortable in our overall cash position. We did see it as an opportunistic moment. I think as we look out for the business, you know, Q1 2026 and Q1 typically is a cash use quarter. In looking out for our adjusted EBITDA guidance, we do expect cash accretion for Q2 to Q4. I think that's just a factor that we're gonna continuously monitor as we balance both, you know, investment in the business alongside trying to decrease our debt burden.

Speaker #6: I think for us, it's a constant management of both debt and And so with the latest voluntary solicitation, we saw where it was trading; we are comfortable in the guidance that we've provided; you've heard that from us, reaffirming it, as well for 2026.

Felicia DellaFortuna: I think for us, it's a constant management of both debt and equity across our profile. You know, with the latest voluntary solicitation, you know, we saw where it was trading. We are comfortable in the guidance that we've provided. You've heard that from us, reaffirming it as well for 2026, and I'm also comfortable in our overall cash position. We did see it as an opportunistic moment. I think as we look out for the business, you know, Q1 2026 and Q1 typically is a cash use quarter. In looking out for our adjusted EBITDA guidance, we do expect cash accretion for Q2 to Q4. I think that's just a factor that we're gonna continuously monitor as we balance both, you know, investment in the business alongside trying to decrease our debt burden.

Speaker #6: And I'm also comfortable in our overall cash position. So we did see it as an opportunistic moment. And I think as we look out for the business, Q1 2026 and Q1 typically is a cash use quarter.

Speaker #6: So in looking out for our adjusted EBITDA guidance, we do expect cash accretion for Q2 to Q4. And so I think that's just a factor that we're going to continuously monitor as we balance both investment in the business alongside trying to decrease our debt burden.

Speaker #5: Very helpful. Thank you.

Nathan Feather: Very helpful. Thank you.

Nathan Feather: Very helpful. Thank you.

Speaker #1: The next question comes from Alex Furman with Lucid Capital Markets. Please go ahead.

Operator: The next question comes from Alex Fuhrman with Lucid Capital Markets. Please go ahead.

Operator: The next question comes from Alex Fuhrman with Lucid Capital Markets. Please go ahead.

Speaker #8: Hey, guys. Thanks very much for taking my question. It seems like one of the most surprising things in today's release or at least one of the most impactful is getting back to growth on the core plus offering.

Alex Fuhrman: Hey, guys. Thanks very much for taking my question. You know, it seems like one of the most surprising things in today's release, or at least one of the most impactful, is getting back to growth on the Core+ offering. Can you talk a little bit more about what's really driving that mix shift within the Core offering to the point where you're back to growth on Core+? You know, what it is that people are really responding to? Have you needed to add more meeting touch points to drive that? Just, you know, curious what's driving that and how long, you know, you can sustain that momentum.

Alex Fuhrman: Hey, guys. Thanks very much for taking my question. You know, it seems like one of the most surprising things in today's release, or at least one of the most impactful, is getting back to growth on the Core+ offering. Can you talk a little bit more about what's really driving that mix shift within the Core offering to the point where you're back to growth on Core+? You know, what it is that people are really responding to? Have you needed to add more meeting touch points to drive that? Just, you know, curious what's driving that and how long, you know, you can sustain that momentum.

Speaker #8: Can you talk a little bit more about what's really driving that mix shift within the core offering to the point where you're back to growth on core plus?

Speaker #8: What it is that people are really responding to? Have you needed to add more meeting touch points to drive that? Just curious what's driving that and how long you can sustain that momentum.

Speaker #6: We are very excited about the core plus subscriber growth that we were able to put up in Q1 2026. And I would say that there's several factors that have been quite exciting for us that have impacted that growth.

Felicia DellaFortuna: We are very excited about the Core+ subscriber growth that we were able to put up in Q1 2026. I would say that there's several factors that have been quite exciting for us that have impacted that growth. We have new virtual experiences that are available, not necessarily only viewing IRL experiences, but having the opportunity to do virtual experiences across the member base. It's also a chance for us to be more focused in the virtual experience, there's more an individual member of Weight Watchers can choose. We are also having the chance to have those workshops and virtual experiences be led by RDs and physicians, which is just helpful in providing more guidance to our members alongside their weight loss journey.

Felicia DellaFortuna: We are very excited about the Core+ subscriber growth that we were able to put up in Q1 2026. I would say that there's several factors that have been quite exciting for us that have impacted that growth. We have new virtual experiences that are available, not necessarily only viewing IRL experiences, but having the opportunity to do virtual experiences across the member base. It's also a chance for us to be more focused in the virtual experience, there's more an individual member of Weight Watchers can choose. We are also having the chance to have those workshops and virtual experiences be led by RDs and physicians, which is just helpful in providing more guidance to our members alongside their weight loss journey.

Speaker #6: We have new virtual experiences that are available. So not necessarily only viewing IRL experiences, but having the opportunity to do virtual experiences across the member base.

Speaker #6: It's also a chance for us to be more focused in the virtual experience. So there's more an individual member of Weight Watchers can choose.

Speaker #6: We are also having the chance to have those workshops and virtual experiences be led by RDs and physicians, which is just helpful in providing more guidance to our members alongside their weight loss journey.

Speaker #6: We have new coach creators across our ecosystem. And so that has been a fantastic way of getting our message out. And then we are also still very excited about these medically-centric programs like menopause and GLP-1 success that are included in our core plus SKU.

Felicia DellaFortuna: We have new coach creators across our ecosystem, that has been a fantastic way of getting our message out. We are also still very excited about these medically centric programs like Menopause and GLP-1 Success that are included in our Core+. It is very important when we talk about that 537,000 subscriber count, that that 2 times ARPU number is, you know, the equivalent of almost 1 million Core subs. This is, you know, an area that we see the potential and also the differentiation of Weight Watchers starting to come to light.

Felicia DellaFortuna: We have new coach creators across our ecosystem, that has been a fantastic way of getting our message out. We are also still very excited about these medically centric programs like Menopause and GLP-1 Success that are included in our Core+. It is very important when we talk about that 537,000 subscriber count, that that 2 times ARPU number is, you know, the equivalent of almost 1 million Core subs. This is, you know, an area that we see the potential and also the differentiation of Weight Watchers starting to come to light.

Speaker #6: So it is very important when we talk about that 537,000 subscriber count that that two times our PU number is the equivalent of almost 1 million core subs and so this is an area that we see the potential and also the differentiation of Weight Watchers starting to come to light.

Speaker #8: Okay. That's really helpful. Thanks, Felicia. And then just as we think about kind of our models and what the business could look like, throughout the rest of the year and into next year, can you just help us remind us the impact of compounded, semaglutide last year?

Alex Fuhrman: Okay. That's, that's really helpful. Thanks, Felicia DellaFortuna. Just as we think about kind of, you know, our models and, you know, what the business could look like, you know, throughout the rest of the year and into next year, can you just remind us, you know, the impact of compounded semaglutide last year? I mean, it seems a brief period of time that you were offering it, but obviously had a pretty significant impact on the business. Is it fair to assume that, you know, you're gonna see an acceleration in the year-over-year numbers for clinical in the back half of the year as we kind of get past that? Just trying to remember, you know, the economics of branded versus compounded.

Alex Fuhrman: Okay. That's, that's really helpful. Thanks, Felicia DellaFortuna. Just as we think about kind of, you know, our models and, you know, what the business could look like, you know, throughout the rest of the year and into next year, can you just remind us, you know, the impact of compounded semaglutide last year? I mean, it seems a brief period of time that you were offering it, but obviously had a pretty significant impact on the business. Is it fair to assume that, you know, you're gonna see an acceleration in the year-over-year numbers for clinical in the back half of the year as we kind of get past that? Just trying to remember, you know, the economics of branded versus compounded.

Speaker #8: I mean, it was a brief period of time that you were offering it, but obviously had a pretty significant impact. On the business, is it fair to assume that you're going to see an acceleration in the year-over-year numbers for clinical on the back half of the year as we kind of get past that and just trying to remember the economics of branded versus compounded?

Alex Fuhrman: Should we expect the relationship between clinical revenue growth and clinical sub growth to stay more or less the same throughout the rest of the year?

Alex Fuhrman: Should we expect the relationship between clinical revenue growth and clinical sub growth to stay more or less the same throughout the rest of the year?

Speaker #8: Should we expect the relationship between clinical revenue growth and clinical subgrowth to stay more or less the same throughout the rest of the year?

Felicia DellaFortuna: Sure. In the last call, I think we mentioned that the opening headwind for 2026 associated with our compounded semaglutide offering was approximately $20 million. As a reminder, we stopped compounding in May 2025 in accordance with the FDA guidelines. That did have a fairly large churn event in Q3 2025 last year. We were able to retain about 20% of those compounded semaglutide members across our ecosystem. Yes, as you look at our revenue for clinical, not necessarily the subscriber count, but for our revenue, we will be lapping easing comps in Q3 2026 and Q4 2026.

Felicia DellaFortuna: Sure. In the last call, I think we mentioned that the opening headwind for 2026 associated with our compounded semaglutide offering was approximately $20 million. As a reminder, we stopped compounding in May 2025 in accordance with the FDA guidelines. That did have a fairly large churn event in Q3 2025 last year. We were able to retain about 20% of those compounded semaglutide members across our ecosystem. Yes, as you look at our revenue for clinical, not necessarily the subscriber count, but for our revenue, we will be lapping easing comps in Q3 2026 and Q4 2026.

Speaker #6: Sure. So in the last call, I think we mentioned that the opening headwind for 2026 associated with our compounded semaglutide offering was approximately 20 million.

Speaker #6: And as a reminder, we stopped compounding in May of 2025 in accordance with the FDA guidelines. That did have a fairly large churn event in Q3 of 2025 last year.

Speaker #6: We were able to retain about 20% of those compounded semaglutide members. Across our ecosystem. So yes, as you look at our revenue for clinical, not necessarily the subscriber count, but for our revenue, we will be lapping easy easing comps in Q3 of 2026 and Q4 of 2026.

Alex Fuhrman: Okay. That's very helpful. Thank you very much.

Alex Fuhrman: Okay. That's very helpful. Thank you very much.

Speaker #8: Okay. That's very helpful. Thank you very much.

Operator: The next question comes from Justin Ages with CJS Securities. Please go ahead.

Operator: The next question comes from Justin Ages with CJS Securities. Please go ahead.

Speaker #1: The next question comes from Justin Ages with CJS Securities. Please go ahead.

Justin Ages: Hi. Morning, all.

Justin Ages: Hi. Morning, all.

Speaker #9: Hi. Morning, all.

Felicia DellaFortuna: Good morning.

Felicia DellaFortuna: Good morning.

Speaker #6: Good morning.

Justin Ages: Can you know, give us a bit more color on the shift in brand strategy or marketing and how that's appealing to different demographics and whether you're gaining traction there?

Justin Ages: Can you know, give us a bit more color on the shift in brand strategy or marketing and how that's appealing to different demographics and whether you're gaining traction there?

Speaker #9: Can you give us a bit more color on the shift in brand strategy or marketing and how that's appealing to different demographics and whether you're gaining traction there?

Felicia DellaFortuna: Yes, of course. I mean, we did spend in Q1 of 2026, and that was definitely a strategic focus of ours. We do look at it as very productive spend, especially as it was the first opportunity kind of post-Chapter 11 for us to focus on larger reach. We had multiple goals as we were thinking about Q1 2026 spend. We were thinking about the modernization of our brand, and you see the brand refresh coming through as it relates to Weight Watchers. We also wanted to increase general brand awareness of our clinical business and our Med+ offering, which includes not only access to meds, but also, you know, the behavioral science and the community support that go alongside with Weight Watchers.

Felicia DellaFortuna: Yes, of course. I mean, we did spend in Q1 of 2026, and that was definitely a strategic focus of ours. We do look at it as very productive spend, especially as it was the first opportunity kind of post-Chapter 11 for us to focus on larger reach. We had multiple goals as we were thinking about Q1 2026 spend. We were thinking about the modernization of our brand, and you see the brand refresh coming through as it relates to Weight Watchers. We also wanted to increase general brand awareness of our clinical business and our Med+ offering, which includes not only access to meds, but also, you know, the behavioral science and the community support that go alongside with Weight Watchers.

Speaker #6: Yes, of course. I mean, we did spend in Q1 of 2026, and that was definitely a strategic focus of ours. And we do look at it as very productive spend, especially as it was the first opportunity kind of post Chapter 11 for us to focus on larger reach.

Speaker #6: We had multiple goals as we were thinking about Q1 2026 spend. We were thinking about the monetization of our brand, and you see the brand refresh coming through as it relates to Weight Watchers.

Speaker #6: And we also wanted to increase general brand awareness of our clinical business and our med plus offering, which includes not only access to meds, but also the behavioral science and the community support that go alongside with Weight Watchers.

Felicia DellaFortuna: You know, the Wegovy pill launch was just a big thing that we also specifically wanted to target towards. What we did see overall as a result of that is we saw a 10-point increase in our general awareness that Weight Watchers has a GLP-1 offering. There's still room to grow, but that was an exciting stat for us internally to allow for folks to know that we do carry GLP-1. We also saw 50% of the members who joined clinic during peak coming from new members to Weight Watchers. Both of those things we do expect to continue to have a positive tailwind for us as we look out across the 2026 year.

Felicia DellaFortuna: You know, the Wegovy pill launch was just a big thing that we also specifically wanted to target towards. What we did see overall as a result of that is we saw a 10-point increase in our general awareness that Weight Watchers has a GLP-1 offering. There's still room to grow, but that was an exciting stat for us internally to allow for folks to know that we do carry GLP-1. We also saw 50% of the members who joined clinic during peak coming from new members to Weight Watchers. Both of those things we do expect to continue to have a positive tailwind for us as we look out across the 2026 year.

Speaker #6: And the Wegovy pill launch was just a big thing that we also specifically wanted to target towards so what we did see overall as a result of that is we saw a 10-point increase in our general awareness that Weight Watchers has a GLP-1 offering.

Speaker #6: There's still room to grow, but that was an exciting stat for us internally to allow for folks to know that we do carry GLP-1s.

Speaker #6: And we also saw 50% of the members who joined clinic during peak coming from new members to Weight Watchers. And so both of those things, we do expect to continue to have a positive tailwind for us as we look out across the 2026 year.

Felicia DellaFortuna: It is important for us at this point and at this juncture to also show, you know, that we have more to offer than just access to meds. We will be advertising across the portfolio, and not just, you know, kind of the general awareness and Med+ offerings that we did in Q1.

Felicia DellaFortuna: It is important for us at this point and at this juncture to also show, you know, that we have more to offer than just access to meds. We will be advertising across the portfolio, and not just, you know, kind of the general awareness and Med+ offerings that we did in Q1.

Speaker #6: But it is important for us at this point, and at this juncture, to also show that we have more to offer than just access to meds.

Speaker #6: And so we will be advertising across the portfolio and not just kind of the general awareness and med plus offerings that we did in Q1.

Justin Ages: All right. That's helpful. Thanks, Felicia. One more kind of relatedly, you know, as part of the emergence, you guys highlighted a few initiatives, one of them being the Menopause program. Can you give us a sense on what the size of that opportunity is, how you're, you know, working towards that? Any contribution from that initiative towards overall results?

Justin Ages: All right. That's helpful. Thanks, Felicia. One more kind of relatedly, you know, as part of the emergence, you guys highlighted a few initiatives, one of them being the Menopause program. Can you give us a sense on what the size of that opportunity is, how you're, you know, working towards that? Any contribution from that initiative towards overall results?

Speaker #9: All right. That's helpful. Thanks, Felicia. And then one more kind of relatedly, as part of the emergence, you guys highlighted a few initiatives. One of them being the menopause program.

Speaker #9: Can you give us a sense on what the size of that opportunity is, how you're working towards that? Any contribution from that initiative towards overall results?

Felicia DellaFortuna: Yeah. The Menopause offering was our first launch at a medically centric program included in our Core+ SKU. It is one of the programs that is helping the overall growth of our subscriber base in Q1. We are, you know, pleased because it has been, you know, the first time in years, you know, that our Core+ offering has grown, and menopause is an important factor of that.

Felicia DellaFortuna: Yeah. The Menopause offering was our first launch at a medically centric program included in our Core+ SKU. It is one of the programs that is helping the overall growth of our subscriber base in Q1. We are, you know, pleased because it has been, you know, the first time in years, you know, that our Core+ offering has grown, and menopause is an important factor of that.

Speaker #6: Yeah. The menopause offering was our first launch at a medically-centric program, included in our core plus SKU. So it is one of the programs that has helping the overall growth of our subscriber base in Q1.

Speaker #6: And so we been the first time in years that our core plus offering has grown and menopause is an important factor of that.

Justin Ages: All right. Thanks for that. Thanks for taking the questions.

Justin Ages: All right. Thanks for that. Thanks for taking the questions.

Speaker #9: All right. Thanks for that. Thanks for taking the questions.

Operator: This concludes our question and answer session. I would like to turn the conference back over to Felicia DellaFortuna, CFO, for any closing remarks.

Operator: This concludes our question and answer session. I would like to turn the conference back over to Felicia DellaFortuna, CFO, for any closing remarks.

Speaker #1: This concludes our question and answer session. I would like to turn the conference back over to Felicia DellaFortuna, CFO, for any closing remarks.

Felicia DellaFortuna: Thank you for joining us today. We value your continued interest in our transformation. There is a significant opportunity here, and we are fully committed to execution of the strategy we believe in. While we remain in the early stages, we're confident we are on the right track, and we look forward to providing updates as we go. Thank you.

Felicia DellaFortuna: Thank you for joining us today. We value your continued interest in our transformation. There is a significant opportunity here, and we are fully committed to execution of the strategy we believe in. While we remain in the early stages, we're confident we are on the right track, and we look forward to providing updates as we go. Thank you.

Speaker #6: Thank you for joining us today. We value your continued interest in our transformation. There is a significant opportunity here, and we are fully committed to execution of the strategy we believe in.

Speaker #6: While we remain in the early stages, we're confident we are on the right track, and we look forward to providing updates as we go.

Speaker #6: Thank you.

Operator: The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.

Operator: The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.

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Q1 2026 WW International Inc Earnings Call

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WW International

Earnings

Q1 2026 WW International Inc Earnings Call

WW

Thursday, May 7th, 2026 at 12:30 PM

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