Will HIMS report Q4 2025 weight loss specialty revenue below $175M?
Current Prediction
Prediction History
FY2025 math implies H2 weight loss ~$308M, making Q4 below $175M more likely. Company did not separately disclose Q4 weight loss revenue despite segment change, a mild negative signal. 70%+ subscriber growth partially offsets but per-sub revenue compressed.
Why This Question Matters
GLP-1 revenue trajectory is the central revenue durability question. The Gravy Gauge documented a decline from ~$230M (Q1) to ~$190M (Q2) after the FDA shortage declaration ended, and the Feb 5-7, 2026 oral semaglutide launch-suspension demonstrated real-time regulatory control. If Q4 weight loss revenue falls below $175M, it confirms accelerating decline and validates the FRAGILE classification. If revenue stabilizes or rebounds above $175M, it suggests the core compounding business has more resilience than the regulatory assault implies, potentially narrowing the FRAGILE assessment.
Prediction Distribution
Individual Predictions(9 runs)
The FY2025 math is the most credible anchor. Weight loss ~31% of $2,347.6M = ~$728M FY. H1 totals were approximately $420M (Q1 $230M + Q2 $190M). That leaves H2 implied at ~$308M. The FDA compounding gray zone was primarily a Q3 2025 event — compounding pharmacies ramped down in Q3, meaning Q3 was likely the stronger H2 quarter. If Q3 was in the $155-175M range, Q4 would be $133-153M. Even if Q3 was weaker at $140M, Q4 would be ~$168M — still below $175M. The 70%+ weight loss subscriber growth in Q4 is a unit count figure, not a revenue figure; per-subscriber revenue compressed significantly as the product shifted to lower-price tiers. The $65M Q1 2026 cadence headwind confirms Q4 was still in a transitional, lower-revenue-per-subscriber configuration. Central estimate: ~$155M. Probability of below $175M: 72%.
Approaching this from the subscriber economics angle. Q4 weight loss subscribers were growing 70%+ YoY but starting from a low base. The shift to personalized compounded GLP-1 at lower price points ($199-249/month vs brand-name equivalents) means average revenue per weight loss subscriber compressed. With ~$728M FY and H1 at $420M, the H2 total is ~$308M. The company's deliberate non-disclosure of the weight loss line item is itself a signal — they avoided the breakout because the Q4 number would have been disappointing relative to the bull thesis. Management's language around $65M cadence headwind in Q1 2026 suggests Q4 was still in a ramp/transition. Most likely Q4 was in the $145-165M range. Probability of YES: 68%, reflecting the strong math but acknowledging the $145-185M uncertainty range.
The most cautious of the opus runs. The derived range of $145-185M straddles the $175M threshold meaningfully. The upper end of the range ($185M) represents a scenario where Q3 2025 was significantly weaker (perhaps only $123M due to the FDA compounding disruption peak in mid-2025) and Q4 recovered strongly on the 70%+ subscriber growth. This scenario is less probable but not negligible. The resolution criteria add additional uncertainty: 'resolves based on the closest comparable disclosed metric' — if the market administrator uses FY-level math rather than quarterly derivation, there may be different interpretations. The balance of evidence still favors YES (below $175M) but the uncertainty warrants a more conservative 65% rather than high conviction.
Structuring this as a base case derivation. FY2025 total revenue $2,347.6M. Weight loss as ~31% = $728M. H1 known: Q1 $230M + Q2 $190M = $420M. H2 residual: $308M. Split assumption: Q3 slightly above Q4 given compounding ramp-down dynamics. Q3 ~$160M, Q4 ~$148M. Both below $175M. Alternative scenario with Q3 at $175M gives Q4 at $133M — still below. Only a scenario where Q3 was substantially below $140M would push Q4 above $175M, and that seems inconsistent with the 70%+ subscriber growth narrative. Probability of Q4 below $175M: 70%.
Weight loss subscriber growth of 70%+ YoY in Q4 is notable and could theoretically push Q4 revenue higher than the average H2 split implies. However, subscriber counts growing 70%+ while total subscribers grew only 13% YoY suggests weight loss is a newer cohort with lower lifetime value and likely lower price points. The company was shifting these subscribers to personalized compounded GLP-1 formulations priced below brand-name alternatives. Net revenue effect: more subscribers at lower per-subscriber revenue. The $65M Q1 2026 headwind from shipping cadence changes implies Q4 2025 was running on a different (lower revenue per shipment) cadence. This supports Q4 below $175M. Probability: 67%.
Taking a more skeptical view of the derived math. The 31% estimate for weight loss's share of FY2025 revenue is itself an approximation — the actual figure could be 33-35% given 70%+ subscriber growth. At 33%: $775M FY, H2 = $355M, average $177.5M per quarter. Under this scenario, if Q3 and Q4 were roughly equal, both would be near $177.5M — above the $175M threshold. At 35%: $821M FY, H2 = $401M — clearly above. The uncertainty in the percentage estimate creates meaningful ambiguity. However, the 31% figure comes from management commentary and is more likely right than 35%. The asymmetric risk of the estimate being higher than 31% caps my confidence in YES at 63%.
Math is clear: FY weight loss ~$728M, H1 = $420M, H2 = $308M. Average Q4 = $154M. Below $175M. 70%+ subscriber growth is units, not dollars. Per-subscriber revenue declined. YES at 72%.
H2 weight loss revenue implied ~$308M split across Q3 and Q4. Even if Q3 was weaker ($140M), Q4 would be $168M — below $175M. Only if Q3 was well below $128M could Q4 exceed $175M. That scenario requires Q3 being the weakest quarter of FY2025, inconsistent with subscriber growth narrative. YES at 68%.
Some uncertainty from the resolution criteria (closest comparable metric) and the estimate imprecision in the 31% weight loss share. Balance of evidence is YES but the $145-185M range straddles $175M. 65% YES is appropriate given genuine uncertainty.
Resolution Criteria
Resolves YES if HIMS reports Q4 2025 weight loss specialty revenue below $175M in its Q4 2025 earnings release or 10-K filing. Resolves NO if weight loss specialty revenue is $175M or above. If HIMS changes its reporting segments and does not disclose weight loss specialty revenue separately, resolves based on the closest comparable disclosed metric.
Resolution Source
HIMS Q4 2025 earnings release (scheduled Feb 23, 2026) or 10-K filing
Source Trigger
Q4 2025 earnings (Feb 23, 2026) — GLP-1 revenue trajectory and management commentary on regulatory proceedings
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