LifeStance Health Group, Inc. Common Stock 2026 Jefferies Healthcare Services and Technology Conference
Review the key takeaways and the transcript of this earnings call.
- Lifestance Health Group reported Q2 revenue growth of 26% year over year and adjusted EBITDA growth of 94%.
- The company raised its full-year revenue guidance by $45 million this quarter, totaling a $70 million increase year to date, and increased adjusted EBITDA guidance by $15 million this quarter, totaling a $30 million increase year to date.
- Lifestance operates in a large total addressable market (TAM) estimated at over $50 billion, with current revenue around $1.7 billion, representing low single-digit penetration.
- The company has 8,500 clinicians, services over one million patients, and conducts over 10 million visits annually, with approximately 30% of visits in-person and 70% virtual.
- Specialty services, including neuropsych testing and treatment-resistant depression (TRD) solutions like TMS and Spravato, contributed $50 million in revenue last year and are expected to grow 40% to $70 million this year.
- Lifestance grew its TMS clinics by 7 and Spravato clinics by 8 in the first half of the year, with a deliberate and capital-efficient approach to expansion.
- The company published outcome studies showing meaningful clinical reductions in depression symptoms and suicide ideation, which have been well received by patients, clinicians, and payers.
- Lifestance plans a phased rollout of a new electronic health record (EHR) system in 2027 to improve operating model, patient and clinician experience, and interoperability.
- Clinician productivity improvements have been driven by schedule optimization and incentive program realignment, contributing to margin expansion.
- Clinician recruitment is strong with a stable retention rate, particularly among highly productive clinicians incentivized by the company’s programs.
- The company expects mid-teens revenue growth with low double-digit visit volume growth and low to mid-single digit rate increases, aiming for adjusted EBITDA margins in the 15% to 20% range by 2028, reaching mid-teens margins by full year 2028.
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Yes. All right. Good. All right.
Awesome. All right. We'll keep this thing rolling. Next up, we've got Lifestance Health Group, and we're pleased to have Ryan McGroarty, CFO, here with us today.
Ryan, thanks for coming. Thanks for having me.
Maybe to jump right in, Q2, obviously, you get to report last month, maybe just walking through sort of state of the union, all the happenings for Lifestance right now.
Yeah, absolutely. I would be happy to do that. First, Jack, thank you for hosting us and Jefferies. This is a great conference. I love this conference because it is my hometown, so got to wake up in my own bed this morning, which is always important when you are on the conference circuit. In reference to Q2, so really strong momentum when you think about the first half of the year and in Q2. A couple highlights, Q2 specifically. Our overall revenue grew 26% year-over-year, and our adjusted EBITDA grew 94%. So really strong quarter overall. The strength of the quarter and the momentum that we are seeing allowed us to raise our full year revenue by another $45 million in the quarter. From a cumulative basis, that is $70 million on a year-to-date basis, and also adjusted EBITDA by another $15 million.
On a cumulative basis, we have grown, or excuse me, increased our guidance on adjusted EBITDA by $30 million. So really strong momentum coming out of the quarter.
Awesome. It is a good way to tee me up here. I think maybe taking two sides of it, right? Because you have had great momentum in the business. You have some targets heading to 2028 to talk about it, and if we disaggregate between maybe top line and then pulling at the margin story a little differently. But to start with top line, the growth has been really solid. You have seen efficiency gains that are helping aid things. But if I take a step back and look at, because the question I will get sometimes is, the runway as we think about this on a very long-term basis. Q2, I think you guys dropped a little Easter egg of where you think you are from a penetration standpoint, but the pitch has always been, this is a really big market.
As you think about TAM for sort of the core therapy offering, how do you approach that question? Where are we at this point?
Would love to hear. Yeah, no, absolutely.
We believe we are operating in a marketplace that has an extremely high TAM. You can think of the TAM, and again, it's always hard to get really good reference points on this, but we believe the TAM to be over $50 billion. When you think about us in the midpoint of our guide at $1.7 billion, obviously we're the largest in the outpatient behavioral space, but that's really low single digits from an overall TAM perspective. When you think about our 8,500 clinicians, again, very large, but it's still very small in relation to the amount of clinicians that are out there in the U.S. You've got that as the overall market. You also have 60 million Americans that need access to mental health, right?
You've got a marketplace that's not only growing in unit demand, but you also have folks converting over from cash pay to using their insurance card. We feel like we're really well-positioned as it relates to continue to take advantage of our place within the market, and then also a tremendous amount of upside room. Jack, you referenced the breadcrumb that we put out in our Q2 call, which was really related to, hey, look, we're only in roughly 50% or half of the top 150 markets in the U.S. We have a tremendous amount of opportunity to not only go deeper within geographies, but to expand out our geographic footprint. We're real excited by that.
Okay. Maybe as I think about it, because I think this is another question that comes up a little more recently, just given the power of the growth vector, there's a bit of a question around competition. I think you guys, it's sort of a late developing, I'm going to call it an MSO type model, right? To your point, cash pay versus insurance pay is a key dynamic there. We're maybe starting to see some, I'll call them, my words, copycat business models. How do you think about the competitive landscape and how that weaves in when you contextualize it against the broader TAM?
Yeah, it's interesting. From a competitive landscape perspective, we say a lot that the folks who we really compete with day in and day out are really the mom and pops out within the market. Obviously, you've got some movement and some folks, like copycat whatever, kind of moving more towards the affordability angle in terms of taking insurance. But I go back to the primary differentiators of us at Lifestance really is our national scale. We have over 8,500 clinicians. We service over 1 million patients. We do over 10 million visits per year. We have what is not easily replicate is our overall hybrid model. We do 30% of our visits in the 575 plus centers that we have are done in person, and then the residual being 70% being in the virtual setting.
It is important to think of this as we meet the patient where they are at. We have patients and clinicians that both flex within that model. When you are going to initiate care, you may go and want to establish a relationship with a clinician live, and then it better suits your life when you get to your second, third plus visit to do it virtually. Then you look at the breadth of services that we have. Both from a therapy, from a psychiatric, and then also, I know, Jack, you have written a lot about specialty, right? We also have specialty as it relates to neuropsychological testing, and then also for solutions for treatment-resistant depression. I mentioned this once already, but we also come through the door since our founding around affordability.
Affordability to us means taking insurance. You see some of the folks now migrating to that. That is part of our DNA and part of how we were founded was to take insurance. We have established practices and relationships with the payers to be able to do that.
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