Omada Health - Earnings Call - Q2 2025

Executive Summary

• Q2 2025 delivered strong top-line and margin expansion: revenue $61.37M (+49% YoY), GAAP gross margin 65.7% (+540 bps YoY), and adjusted EBITDA nearly breakeven at -$0.16M, reflecting operating leverage and improved care delivery efficiency.
• Versus S&P Global consensus, Omada beat across the board: revenue $61.37M vs $55.45M*, EPS (Primary) -$0.051* vs -$0.126*, and EBITDA -$2.99M* vs -$5.26M*; note S&P EPS and EBITDA definitions differ from GAAP/adjusted EBITDA reported in the 8-K.
• Guidance introduced for FY 2025: revenue $235–$241M and adjusted EBITDA loss of $9–$5M, signaling confidence in scaling GLP-1 companion programs and multi-condition adoption.
• Strategic catalysts: accelerating GLP-1 companion traction via two of the largest PBMs, launch of OmadaSpark AI to enhance member engagement and care team productivity, and post-quarter debt repayment to reduce interest expense and remove covenants.

What Went Well and What Went Wrong

What Went Well

• 49% revenue growth and 66% GAAP gross margin, with adjusted EBITDA improving to -$0.16M—driven by member growth (+52% YoY to 752K) and operating leverage; management: “strong margin improvements, and continued progress toward profitability”.
• GLP-1 companion success via PBMs and robust outcomes (higher persistence; weight loss maintained post-discontinuation), reinforcing differentiation and ROI narrative.
• AI initiatives (OmadaSpark) launched in May: food imaging/macronutrient estimation and motivational interviewing agent; care team tools showed pilot productivity and engagement benefits (23% less time; +7pp substantive replies).

What Went Wrong

• Hardware gross loss persists (revenue $4.41M vs. cost $8.39M), dragging consolidated gross margin despite strong services profitability.
• Sales & marketing expenses elevated (+48% YoY on adjusted basis) due to higher channel administrative fees and lack of prior-year one-time reversals; near-term profitability constrained.
• Cash flow from operations remained negative ($13.26M outflow in 1H), with free cash flow at -$15.76M; though IPO proceeds bolstered liquidity, core FCF still a watch-item.

Transcript

Speaker 3

Good day. Thank you for standing by. Welcome to Omada Health second quarter 2025 earnings conference call. At this time, all participants are in a listen only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session you will need to press Star one one on your telephone. You will then hear an automated message advising your hand is raised. Please note that this conference may be recorded. I will now hand the conference over to your speaker host Ellen Kells, Vice President of Investor Relations. Please go ahead.

Speaker 4

Thank you. Good afternoon.

Speaker 1

Welcome to Omada Health second quarter 2025 earnings call. Joining me today are Sean Duffy, our Co-Founder and CEO, Wei-Li Shao, our President, and Steve Cook, our CFO. Before we begin, I want to note.

Speaker 2

That we'll be discussing non-GAAP financial.

Speaker 1

Measures that we consider helpful in evaluating Omada Health's performance. You can find details on how these relate to our GAAP measures, along with reconciliations, in the press release that is available on our website. We'll also be making forward-looking statements based on our current expectations and assumptions, which are subject to risks and uncertainties, including factors listed in our press release and in the risk factors found in our filings with the SEC. Actual results could differ materially, and we.

Speaker 4

Assume no obligation to update these forward-looking statements.

Speaker 1

With that, I'll turn the call over to Sean.

Speaker 0

Thank you, Ellen. Good afternoon, everyone, and thank you for joining us for Omada Health's first earnings call. As a public company, more than a decade ago, we set out to deliver between visit care, a model of healthcare delivery that we believe is fit for purpose in helping to address today's cost and quality challenges in chronic disease. Our results this quarter reflect continued and steady progress towards our long-term mission of bending the curve of chronic diseases. In the second quarter, total members increased 52% year over year to 752,000. Revenue rose 49% year over year to $61 million. The operating leverage in our business model continued to shine with a 66% Q2 2025 GAAP gross margin and a 68% non-GAAP gross margin, both improving significantly year over year. We narrowed our GAAP net loss to $5 million compared to $11 million in Q2 2024.

Finally, we are very pleased to share that our Q2 2025 adjusted EBITDA loss was $200,000 compared to a $7 million loss in Q2 2024. Wei-Li and Steve will soon characterize the details and the drivers of these results, but I wanted to take this opportunity on our first call to do two things. First, I want to share a member quote, as these inspire our teams, and my hope is that it will inspire you, whether you're a current or prospective shareholder. As one member told us, Omada has changed my life. Diagnosed as prediabetic a year ago, I began taking a GLP-1 and quickly lost weight. A few months later, I'm offered a free scale and an app from Omada, so I signed up. True game changer.

I am 49 years old and have not weighed this low since I was a freshman in high school, and I feel great. I have lost more weight with Omada than without, but it is not just the weight loss, it is the fact that I am truly healthier and happier. The second thing I would like to do is to provide a brief overview of Omada. Recognize that many of you on this call may be new to our story. Omada Health is a between visit care provider. We support patients—we call them members—with prediabetes, obesity, diabetes, hypertension, and musculoskeletal disease. When I was in medical school, I saw a problem right in front of me on a daily basis. It's that too much of the care delivered in the U.S. occurs in those one or two visits a year you might have with your doctor.

That's not enough, and that's not the right kind of care, especially for the approximately 156 million Americans suffering from chronic disease. I believe that's one reason why America is getting sicker. What can we do to change that? When my co-founders and I started Omada Health, we first sat in the homes of people struggling with chronic conditions. We heard many stories that highlighted a glaring gap in the U.S. healthcare system, the lack of proactive day-to-day support. Too often people with chronic disease were left with little more than a pamphlet and some well-intended advice from their healthcare providers. Meanwhile, the costs to the country are a crisis. Diabetes and cardiovascular disease alone have been responsible for approximately $526 billion in U.S. healthcare spend per year. This realization fueled our vision to bring a different care model to the market.

We call it between visit care and deliver it through a combination of technology and people that we call compassionate intelligence. At Omada Health, we bring together different types of healthcare professionals, an array of third-party connected devices, and a personalized software experience that blends both people and artificial intelligence to deliver multi-condition contextually relevant care to our members between their doctor's visits. The Omada member journey starts with their care teams, which are composed of skilled professionals like health coaches, certified diabetes care and education specialists, and licensed physical therapists. With support from licensed clinical social workers, our care teams get to know Omada members personally, help them develop detailed, actionable care plans, encourage and advise them when they struggle, and keep an eye out for health heading in the wrong direction.

We also equip our members with seamlessly connected third-party hardware such as digital scales, blood pressure cuffs, and continuous glucose monitors. We then tie the experience together with software that can leverage data science advances, artificial intelligence, and machine learning technology. As we built Omada, we also recognized that we needed to build trust within the clinical community through rigorous research and accreditation efforts. We spent a decade funding and publishing peer-reviewed research, and we're proud to have 29 publications showcasing our clinical and our economic impact. Our efforts have yielded results we're deeply proud of. Since our inception, we've enrolled over 1 million members in Omada's care programs. We forged partnerships with over 2,000 employers, health plans, and pharmacy benefit managers, achieving high levels of customer satisfaction and retention. These customers increasingly trust Omada Health to do more for them.

Over time, we've expanded in new care areas, and we're proud that as of the end of last year, approximately 31% of our customers are covering programs with Omada Health across multiple conditions, signaling the growing demand for comprehensive integrated care solutions. Equally, we feel we're at the very beginning of our journey, though we're proud of our success. As of the end of last year 2024, we'd only penetrated approximately 14% of the self-insured lives in the U.S., 9% of fully insured, and 1% of Medicare Advantage. We estimate our total addressable market to be more than $135 billion, and we believe there is ample white space ahead. We're proud to be offering our new enhanced GLP-1 Care Track in the midst of a broader GLP-1 revolution.

Our clients have asked us decisively to support their members on GLP-1s, reflecting the reality that an injection doesn't get to know you and medication alone does not support behavior change. We believe that the answer to the dynamic GLP-1 landscape are services alongside the medicines, and we work with two of the three major PBMs providing just that. Lastly, the world is experiencing a revolution in artificial intelligence, and AI technology stands to benefit our members and customers alike. We're in the first chapter of leveraging these incredible innovations to support our member success and to add personalization and efficiency for our care teams.

I'm also proud that we're part of an emerging category of next generation digital health companies that seek to differentiate based on greater convenience, better clinical outcomes, and lower cost care models that include both telehealth and AI-enabled care designed to deliver meaningful returns on investment. At our company town halls, I always tell our teams that our hope is that one day tomorrow's epidemiologist will notice a bend in disease curves, wonder what might be happening, and conclude that part of that impact has been Omada Health. That's our explicit mission at Omada Health, to bend the curve of disease, and we look forward to pursuing it alongside our new and our prospective shareholders. With that, I'll turn the call over to Wei-Li Shao.

Speaker 1

Thanks Sean, hello everyone. To start, I'd like to echo what Sean started with. I'm extremely proud of our teams and how they've executed against our strategy and how they've delivered strong results. It's an exciting time to be in Omada and I consider it a privilege.

Speaker 2

To discuss progress against our strategy.

Speaker 1

Our second quarter performance. Some highlights include we ended the quarter with 752,000 active members, which is up 52% compared to Q2 2024. This includes us adding 73,000 net new members during the second quarter and 180,000 year to date. This is 71% more members than we.

Speaker 2

Added in the first half of 2024.

Speaker 1

This member growth reflects continued multi-condition.

Speaker 2

Adoption, strong sales of our GLP-1 offerings.

Speaker 1

Strong execution by our teams. I believe our strong top line results and member growth are the result of.

Speaker 2

A go-to-market strategy that has.

Speaker 1

Long been anchored on three pillars. We believe that these three pillars in combination with our market scale have driven our strong performance in Q2 and our reasons to believe in Omada Health's continued success. Let me take a moment to reinforce the underpinnings of our strategy. Our first pillar is innovation, which we deliver by investing in program features and experiences to strengthen our differentiation, support our growth, and help members achieve outcomes across conditions that our buyers care about. Our GLP-1 Care Track and our recently released Omada Spark AI agent are great examples of this, and I will share more about both in just a moment. Second, we strive to create programs that work.

Speaker 2

Health's programs are rooted in clinical best.

Speaker 1

Practices and our persistent, empathetic support from our care teams fosters trust and accountability to promote sustained engagement and meaningful clinical results. Our programs are focused on some of the conditions that our buyers care about most, and their employees and members often suffer from the most, which can drive the most cost. These conditions are obesity and weight health, diabetes, hypertension, and MSK. These diseases are highly prevalent, and the combined TAM is substantial. Third, our multi-condition platform versus point solution approach has become a key differentiator.

Speaker 2

In our sales process.

Speaker 1

Many customers and channel partners experience point solution fatigue and recognize that their members suffer from multiple conditions. They see value in having a single, reliable, skilled partner because it simplifies contracting, account management, implementation, member outreach, and most importantly, the member experience. It's helped us both win new business and expand relationships with existing customers. These three strategic pillars have resonated with buyers and members, which has allowed us to achieve our current scale. Combined with our disciplined focus, our scaled go to market model gives us confidence that we are well positioned to achieve durable growth.

Now, when we talk about scale, we're referring to the following: the population of covered lives we reach through our channel relationships, the selling and marketing efficiencies gained by partnering with large payers and PBMs to offer our programs broadly to employers, and our data-driven marketing initiatives, which included nearly 100 million targeted emails across 5,000 campaigns in 2024, driving enrollment while supporting continuous optimization through A/B testing.

Speaker 2

While our estimated total addressable market of.

Speaker 1

Over $135 billion across all of the conditions we serve represents significant opportunity over the long term. We think it's useful to look at the more near-term opportunity we have through already established channel relationships. At the end of 2024, our existing health plan partners provided health insurance for 156 million lives across their networks. That population, combined with our other current customers, represented an estimated 20 million individuals with benefit coverage for one or more Omada Health programs. Just within these 20+ million estimated covered lives we have today, we have significant growth opportunities and we are focused on generating additional revenues from these existing covered lives through efforts to increase enrollment rates, enhanced member engagement and outcomes, drive higher multi-condition solution adoption, and capitalize on our opportunities to provide GLP-1 companion support.

In addition, we have relationships with two of the nation's largest PBMs that as of March 2024 collectively offered pharmacy benefits to over 200 million individuals, which represents a significant opportunity for us to increase the number of covered lives we serve.

Speaker 2

While we are proud of our progress.

Speaker 1

Our work is far from finished. Our ongoing momentum has continued to attract new customers, including a relationship we recently established with a leading health navigation platform. Through this partnership, we replaced an incumbent diabetes vendor to become this partner's preferred provider of diabetes care. Within a matter of months, we together closed and launched a new health plan client. We view this competitive win as a clear example of sophisticated buyers turning to Omada Health to deliver scalable, evidence-based care. This level of scale, which we are focused on continuing to expand, works with three strategic pillars I mentioned before. With that in mind, let me take a few moments to update you on our progress with each of these pillars. With regard to innovation, we recently launched Omada Spark AI agent, a member-facing AI agent that works directly with our members and alongside our human care teams.

Our members asked for food imaging and we delivered, but I think we delivered.

Speaker 2

In an incredible way that can wow.

Speaker 1

Our members with just a single image of your meal. Our AI-powered tracker identifies the ingredients and estimates macronutrient information, including protein, fiber, added sugars, and saturated fats. These are the nutrients that we believe are most important to consider when proving health outcomes, especially for members who have taken GLP-1s or have diabetes, hypertension, and/or obesity. Now we've trained Omada Spark on over 3 million foods from more than 150 countries to support members in tracking even the most culturally specific dishes. Additionally, members can talk or text with Omada Spark to get real-time nutrition information. Omada Spark can recommend alternative foods and answer questions regarding nutrition education in the moment. Because your AI agent is informed by team member demographics, it provides responses with members like you in mind. Omada Spark has the ability to help you focus on your goals in this context.

Its job is to have conversations with you to help you understand your motivations and help you create a plan to navigate motivational challenges that work for you. This is the power of motivational interviewing, an empathetic technique that can strengthen your intrinsic motivation for change. Omada Spark can help you articulate why and how you want to adopt healthier habits and help you make changes, along with help from our CARE team. Our goal is to leverage artificial intelligence and machine learning to support our scale, enhance the experience of our members, and amplify the impact of our programs. Now we take a human-led, AI-empowered approach, using AI insights to support our CARE team by providing instant context and synthesizing numbered data points to enable more efficient and productive interactions with our members. We also continuously strive to deliver programs that work.

The second of our three strategic pillars, our GLP-1 support strategy, aims to enable the success of our members before, during, and after GLP-1 therapy, and we have demonstrated that members can achieve significant results by coupling behavior change alongside the medication. These capabilities have contributed to our GLP-1 companion program being available through two of the largest PBMs, and in both relationships, our full cardiometabolic suite is also available. We believe some of the key drivers of our success in GLP-1 companion support are our member engagement and clinical outcomes results. Notably, members on our enhanced GLP-1 Care Track included in a retrospective analysis experienced 28% greater weight loss on average after the first four months compared to members on GLP-1s that enrolled in Omada programs without the enhanced GLP-1 Care Track.

In a separate retrospective analysis, members who can discontinue their GLP-1s and opted into the care track embedded in our cardiometabolic programs maintained their weight loss on average at four months post discontinuation, represented by an average weight change of -0.1%. This compares to estimated average weight gain of approximately 6% to 7% at four months in two third-party randomized control trials. In addition, we recently released new data demonstrating that Omada's enhanced GLP-1 Care Track significantly improved persistence rates for GLP-1 medications. Members in the analysis of our enhanced GLP-1 Care Track achieved 94% persistence through 12 weeks and 84% through 24 weeks, with those staying on medication for 24 weeks experiencing an average weight loss of 12.1%, which closely aligns with clinical trial results.

This is important because in the real world, factors like non-persistent medication mean that many of those who use GLP-1s for weight management may not see the results reflected in clinical trials. This highlights our program's effectiveness in helping members to overcome real-world barriers and achieve weight loss comparable to what's seen in clinical trials, which helps with cardiometabolic disease reduction. These results demonstrate the benefits of Omada's clinically rigorous approach to behavior change. In sponsoring and publishing research, we seek to demonstrate our outcomes, bolster credibility, and strengthen our position in the market. We believe our clinical leadership differentiates us amidst a crowded market of digital health solutions. Our focus on innovation and programs that work also support our multi-condition platform versus point solution strategy, which is our third strategic pillar.

Because of our broad evidence-based multi-condition platform, we've had success at growing the percent of clients that offer multiple Omada programs. We ended 2024 with approximately 31% of our existing clients having multiple products installed.

Speaker 2

Up from 26% in 2023.

Speaker 1

We are encouraged by our progress in the first half of 2026 and are optimistic as we head into the second half of the year, which has historically been our key closing season where many buyers make benefits decisions. At the root of this multi-condition success is the realization that most Americans with a chronic condition have not just one but two or more comorbidities. For example, approximately 58% of people with diabetes also have an MSK condition, and Omada Health is the only digital provider among our largest competitors to have solutions for both conditions.

Speaker 2

To close, I'd like to reiterate how.

Speaker 1

I am pleased with our results, which I believe were a direct result of both our resolve to execute our strategy and our go-to-market scale. With that, I'll turn the call over to Steve.

Speaker 4

Thank you, Wei-Li. Hello everyone. Today I'm going to walk through our results, margin progress, and our outlook for 2025. As Sean and Wei-Li mentioned, our members grew 52% to end Q2 at 752,000. Revenue in Q2 was $61.4 million, up 49% year over year. The primary factors driving our member and revenue growth include increased penetration of multi-condition customers, strong adoption of our GLP-1 programs, and increased effectiveness of our marketing campaigns. Moving to gross profit, our Q2 GAAP gross profit was $40 million, up 62% compared to Q2 2024, and our GAAP gross margin was 66% compared to 60% in Q2 2024. Q2 adjusted gross profit was $42 million, representing 61% growth year over year. Adjusted gross margin was 68%, an improvement of approximately 500 basis points year over year and 700 basis points sequentially.

For those new to Omada Health, I'd like to note that historically our gross margins have typically been lower in the first quarter than the rest of the year due to elevated enrollments in Q1. Our enrollments feature front-loaded costs related to device shipment and early program care, driving lower initial gross margin that typically have increased over the lifetime of the member's program life. As such, historically we typically observed higher gross margins after Q1, which is consistent in Q2 this year with a significant sequential improvement. More broadly, our gross margin expansion has been driven by natural leverage in our business that historically has occurred as the revenue from our expanding member base has grown faster than the cost to support the members.

We have also gained efficiencies through our self-built Care Team platform, which we continue to enhance by adding capabilities such as an AI Care Team tool that helps synthesize member data points to support more efficient and productive interactions with our members. Moving to operating expenses, our GAAP operating expenses were up 28% year over year to $45 million in Q2 and included $22 million of sales and marketing, $10 million of R&D, and $13 million of G&A. Our adjusted operating expenses were $42 million in Q2, also up 28% year over year. The breakdown of our adjusted operating expenses included sales and marketing of $21 million, up 48% year over year, primarily reflecting higher administrative fees that we pay channel partners for services they provide in support of member enrollments. Historically, it has been typical for these fees to increase when we have strong member growth.

I'd also like to note that year over year growth rate in Q2 was higher because the prior period in Q2 2024 included a one time reversal of administrative fees that reduced sales and marketing expense in that period, remember, resulting in an atypically lower prior year comparable. This is a one time occurrence that did not repeat in Q3 or Q4 of 2024, and those prior year quarters should not cause the same increase in year over year comparisons of sales and marketing expense later this year. Moving to R&D, which was $10 million, up 11% year over year, G&A of $11 million was up 12% year over year with the increase primarily driven by public company costs. In summary, 28% growth in total GAAP and non-GAAP operating expenses supported 49% revenue growth, reflecting strong operational leverage.

This progress has been driven by leverage created by offering multiple conditions on one platform that can be sold by a single sales force, scale created by a relationship with channel partners in our B2B2C go to market approach, and spending discipline as we focus on making progress toward profitability. Moving to our progress toward profitability, our GAAP net loss in Q2 was $5 million compared to an $11 million loss in Q2 2024, representing net loss margins of negative 9% and negative 26% respectively. Our GAAP loss per share in Q2 was $0.24 compared to a loss of $1.40 in Q2 2024. Adjusted EBITDA in Q2 was a loss of $200,000, which compares to a loss of $7 million in Q2 2024. Our Q2 adjusted EBITDA margin was negative 0.3% compared to negative 16% in Q2 2024.

We are very pleased with our progress through Q2 towards reaching profitability, which has been achieved through a lot of focus by our team on building a scalable business in a disciplined manner. Moving to our balance sheet, we ended Q2 with cash and equivalents of $223 million compared to $59 million in Q1 2025, with the increase being driven by our net IPO proceeds. Our total debt at the end of Q2 was $31 million. Note that subsequent to the end of the second quarter, we paid off our debt, which we believe was a prudent use of IPO proceeds given the interest rate on our debt. Moving to guidance, we expect 2025 revenue in the range of $235 million to $241 million. This range represents 38% to 42% growth over 2024. We expect full year adjusted EBITDA in the range of negative $9 million to negative $5 million.

The midpoint of this range reflects an improvement of approximately $22 million compared to 2024. In summary, we are pleased with our strong Q2 performance and outlook, which reflect our business momentum and scalability of our business model. With that, we'll now open the call for questions.

Speaker 3

Thank you, ladies and gentlemen. If you'd like to ask a question at this time, you will need to press star 1 1 on your touch-tone telephone and wait for your name to be announced. As a reminder, in order to accommodate all participants in the queue, we ask that you please limit yourself to one question and one follow-up. Now, first question coming from the lineup. Craig Hattenbuth with Morgan Stanley, your line is now open.

Yes, thank you and appreciate all the details and the prepared remarks. Just building on the topic of kind of AI and tech, can you just expand on just how you're leveraging technology to scale the platform? Any anecdotes in terms of care team efficiencies and the ability to continue to do that moving forward?

Speaker 2

Yeah, absolutely.

Speaker 0

Craig, this is Sean. Great to hear your voice. Though we of course talk a lot about GLPs, I will say we're.

Speaker 2

Equally excited about AI.

Speaker 0

It really is the year of the GS here at Omada, and there's so much internal enthusiasm on how these technologies can benefit three aspects of what we do. Number one, how they benefit our members. Number one, how they benefit our care teams for not just more leverage but more personalization and impact. Number three, how they benefit the business. We have an innovation showcase that we call Horizon Day here at Omada that happened in May. In Wei-Li's prepared remarks, he talked about Omada Spark. That consists of AI capabilities for our members, an enhanced food tracking capability that enables AI-enabled photo recognition. It identifies the ingredients and estimates macronutrient information like protein, fiber, added sugars. It really has a wow factor for our members.

As well as reducing that barrier to inputting food, we launched a nutrition education agent which surfaces real-time nutrition information which helps with food decisions. Importantly, this was fine-tuned on over 3 million foods for more than 150 countries. Omada Spark also has a version that's a motivational interviewing agent that supports guided conversation to help members identify their own barriers. It's really exciting. We're liking what we see in the data thus far. Per your comment on the care teams, this is a moment to remind those newer to Omada that we chose in the early Omada days to build our entire proprietary platform for our care teams ourselves. This has enabled us to speedily embed AI technologies natively into a number of feature sets. One that we're particularly excited about allows our care teams to get quicker context on member behavior messages and data trends.

In 2024, we launched this tool. The pilots indicate some great data. The coaches were able to spend 23% less time during the first week of a member joining while seeing a 7% increase in the rate of substantive member replies. This represents quality at higher efficiency, which is in essence the holy grail of these technologies. We're excited about them. As you might imagine, even internally, we're leveraging them for business operations. Our engineering and product teams are having a blast coding with AI assistance tools. We love our data sets, which we feel blessed about because we have tens of millions of free text messages that give us the latitude to experiment in the context where the most valuable data for an LLM could be argued to be free text message as well as biometric data points. Net, we're excited by it.

We think we're at early innings, but we like the promise and the horizons ahead.

Speaker 4

Hey Craig, I would just add, from an upside perspective, we've been very judicious in terms of how we're underwriting the upside from AI. While we're still in the early innings of AI, we're not really attributing a ton of upside from a gross margin perspective in our current long term target gross margin of 70%. To the extent we start to see some early wins here in either higher member engagement or coach efficiencies, we'll continue to underwrite that here towards the end of the year and going forward into our long term targets. That's helpful.

Just as a follow up, maybe I'll do a twofer on the GLP-1s. I think on the GLP-1 Care Track you've had like around 50,000 members. Any update in terms of how that's trending and just kind of traction you're seeing in terms of growth for that program?

Speaker 2

Yeah, hi Craig, this is Wei-Li. Thanks for the question regarding GLP-1 traction. We continue to be pleased with the momentum of our GLP-1 Care Track as we've seen significant total overall number growth quarter to quarter, H1 to H1 previous to last year. A significant driver or contributor to that has been our GLP-1 business. We're really pleased to see that.

Speaker 1

It is important to note that the.

Speaker 2

GLP-1 Care Track, as it relates to total revenue as well as total numbers, still is a minority of the volume of new members that are coming into our business. GLP-1s, we're pleased with the progress, we're seeing momentum, but the broader part of our growth still is coming from our core cardiometabolic platform across Diabetes Prevention, weight health, Diabetes Management, as well as Hypertension and Musculoskeletal.

Got it. Thanks, Wei-Li.

Speaker 3

Thank you. Our next question coming from the lineup, David Roman with Goldman Sachs, is now open.

Thank you.

Speaker 2

Good afternoon, everyone. I want to start on the.

Member growth side, and maybe you could.

Speaker 1

Help us with two things.

One is maybe just deconstruct a little bit the strength that you're seeing continue here in the second quarter. I think that brings four quarters of very strong growth in membership into play here. Secondly, just remind us the way you think about members. I think in the case of Omada Health, membership is actually a good proxy for utilization based on how you define it. I had one P&L follow up.

Speaker 2

Yeah, thanks a lot for the question regarding member growth. As just mentioned as well as in the prepared remarks, a nice driver of member growth year over year has been our GLP-1 Care Track, but it still represents a minority of our total membership. We continue to see broader growth in our total membership across our cardiometabolic suite. We'd like to see that in terms of what's driving the actual growth; it is not only our continued success in upselling and bringing on new clients with multi-condition, multi-condition strategy. We continue to see success there. I would add on to that, last year in 2024, we managed to improve member outreach, productivity, and effectiveness by over 60% year over year. A lot of that improvement that we saw last year is converting and bringing and carrying over into this year.

We continue to optimize our outreach not only across email, but multi-channels. We're seeing continued improvement on the productivity front there too as well. It's really a combination of continued closing more deals, upselling more deals, bringing new covered lives into the funnel. Once we have those covered lives in the funnel, continuously improving on the productivity of our outreach, that's really kind of the underpinning of what we're seeing on the robust growth that we're reporting out.

Yeah.

Speaker 4

David, just on the second part of your question with regard to definitely our members are someone who we are actively billing on. That's someone that we've billed on at least once in the prior 12 months. You had a little bit of a question there around utilization. Historically speaking, we've demonstrated to keep 55% of our members engaged at the end of year one. We see a very slight drop, but not much of a drop off by the time we get to 24 months where we still have 50% of that same population continuing to stay engaged in the program. That's a weighted average across all of our programs. Obviously, folks who are diabetic and hypertensive tend to stay in a little bit longer, whereas the folks on the prevention weight health side tend to stay a little bit less.

Very helpful. On the P&L, appreciate the progress on profitability that you showed here in the second quarter. As you look forward, how are you thinking about the balance between reinvesting for future growth subsequent to the proceeds coming in from the IPO and achieving a fairly rapid path to profitability? Where are some of the incremental areas of investment you might deploy those resources?

Yeah, no, thank you for the question. We're extremely happy with the quarterly performance here, again growing 49%. We saw a large portion of that beat drop directly to the bottom line, really related to the comments that Wei-Li just mentioned. As we think about the back half of this year, we really want to continue making some very strategic and targeted investments. We're feeling a tremendous amount of market opportunity within the GLP-1 landscape. We motioned some investments in the front half of this year. We'll continue to make more investments in the back half of the year as well. We talked about AI, obviously a very dynamic moment in the market. We're going to continue to invest in AI in the back half of the year as well to really set us up for 2026.

On the IPO side and the public company side of the equation, we are carrying some more additional costs in the back half of the year in G&A associated with increased cost for D&O insurance, as well as we made some investments in the accounting team to make sure that we can operate as a public company. We're right now about to enter the back half of the year where we enter our annual planning process, and we're really attempting to balance growth and profitability. We're going to be really adjudicating over the next couple of months making sure we make targeted and strategic investments to continue to grow the top line while also having a lens to continue to run the business profitably. Thank you.

Speaker 3

Thank you. Our next question coming from the line of Saket Kalia with Barclays. Your line is now open.

Great. Hey, guys, thanks for taking my questions here, and congrats on your first quarter as a public company.

Speaker 0

Thank you.

Speaker 4

Thank you.

Speaker 0

Sure.

Sean or Wei-Li, maybe for both of you.

Speaker 1

I was wondering if you could talk.

About the landscape a little bit. You know, there's great secular adoption within your existing customer base, but I'm curious what you're seeing competitively with new customers.

Speaker 2

Yeah, thanks a lot for the question. Obviously, as we approach the closing season, which really is in H2, we're really, really focused on the competitive dynamics. What we're continuing to see really can be characterized into two buckets. The first one, of course, as mentioned in prepared remarks and answers to some questions, is continued momentum around the GLP-1 Care Track. We like what we see there, especially as it relates to the high levels of engagement we're seeing in the program as well as the clinical outcomes we're posting not only while on a GLP-1.

Speaker 1

After a number discontinued the.

Speaker 2

GLP-1 continued efficacy in terms of when it comes to maintaining weight loss. That is a big differentiator in the marketplace right now as it relates to any competitive situation where we're trying to sell through our GLP-1 Care Track. The other category of competitiveness that I would talk about in dynamics is related to really the rest of our portfolio regarding our cardiometabolic business as well as MSK. It really comes back to kind of the strategy we've just been methodically executing on, and I feel like the team's been super disciplined on over the last several years around the dimensions of competitiveness that continue to resonate with our buyers, not only against existing customers that have been in the marketplace for a while, but also maybe even newer competitors that are trying to gain some traction in the marketplace. As a reminder, they're pretty straightforward.

That's what, you know, Omada Health for, but they are the following. The first one is a human-led proactive care approach, of course enabled by technology and the latest generative AI features. For instance, Omada Spark AI agent that we launched. Secondly, our commitment to clinical evidence and demonstrating healthy return on investment that continues to be important. Also on top of that, of course, is our multi-condition platform and strategy approach. There are other factors like post-sale experience, which is really important to get that additional second, third, fourth product upsell, but we find that still to continue to resonate in the marketplace very, very competitively. In our particular marketplace, there are no really reliable or there are no real market share reports. One of the questions oftentimes is, well, how do you.

Speaker 1

Can you give us a.

Speaker 2

Sense for how that is resonating and translating into sales performance? We think that maybe a decent surrogate is looking at global app downloads. There's a company called Sensor Tower that provides global app download data and we've been tracking that for quite some time. For sequential quarters and months, we find that a pretty big gap between total global app downloads for Omada Health versus any number of competitors within our.

Speaker 1

Sector, and that continues to be true.

Speaker 2

Even with the latest updated data, we feel like there's a good translation of not only our GLP-1 Care Track and what we've done there, but also just the strategy around competitive positioning that we've been executing for years, continuing to resonate in the marketplace with our buyers.

Speaker 0

Second, this is Sean, the only build I'd offer on top is the vast majority of deals we close do consist in the white space. I shared in my remarks that Omada Health has penetrated 14% of self-insured, 9% of fully insured, 1% of Medicare Advantage. It's quite common that we meet clients that don't have anything. Equally, in Wei-Li's prepared remarks we talked about the takeover of an incumbent diabetes vendor. That's equally something that we're seeing with increased frequency and are watching for opportunities to progress more of that as we enter closing season.

Understood, very helpful. Maybe for the follow-up for you, Steve. Great to hear about more GLP-1 Care Track adoption. Can you just remind us how pricing there looks versus the other modules? Just as we maybe think about blended ARPU over time as presumably GLP-1 Care Track becomes a bigger and bigger portion of the mix.

Speaker 4

Yeah, no, great question, Saket. Just a reminder, GLP-1s are still currently in the minority of our total enrollees. Their ability to move our weighted average ARPU is going to take some time. As you know, we still have a lot of our total enrollees in the core cardiometabolic offerings. In terms of where it sits within our pricing structures, it's priced at a premium to our prevention and weight health products, but still below hypertension and below diabetes. It's really the relative growth rate that we'll see in GLP-1s. To the extent it overperforms and outpaces prevention and weight health, it does have the ability to lift blended ARPU over time. Diabetes and hypertension do as well. That's why we're extremely focused on those condition areas.

Speaker 1

Very helpful.

Thanks guys.

Speaker 3

Thank you. Our next question coming from the line of Elizabeth Anderson with Evercore ISI. Your line is now open.

Hi guys, congrats on your first quarter out in the market. It's great to see the results here. I had just a question about the selling season. Obviously you signed CVS Caremark, which gives you sort of access to, you know, some of a bunch of their members. Is there anything you could specifically call out that's sort of resonating with that client book, and just any progress on the early selling or selling there? Maybe as a follow up, you know, obviously Steve was just talking about the sort of industry leading retention results in terms of users still on the platform one to two years later. How do you think about how the evolution of that as we move through the next couple of years?

That number has obviously been high and coming up over time, but how do we think about sort of incremental nudges or the use case of AI that you guys are mentioning on the food side maybe as an example?

Speaker 2

Yeah. Hi Elizabeth, this is Wei-Li. Great to hear from you. Thanks for your question regarding selling season. You also mentioned CVS. Yes, we went to market and have a relationship with CVS Caremark. All of our products, including our GLP-1 Care Track, are listed on their platform. We went to market through CVS earlier this year and we're kind of pleased with the early signs. Obviously in 2025, because the enterprise motion usually takes 12, 18 months to kind of gain any traction, we don't expect any material contribution in total membership growth in 2025, but we do look for growth in our pipe as it relates to closing new deals, as it relates to CVS as well as across our portfolio. Our pipe is building nicely. As we all know, we're just entering the selling and closing season, literally just.

We're going to be excited and anxiously awaiting to kind of see how those deals convert into closed won towards the end of the year. Nothing to share right now in terms of total progress on closed won deals or pipe. We do like what we're seeing and again we'll be tracking it very, very closely over here over the back.

Speaker 1

Half of this particular year.

Speaker 2

As far as other traction on.

Speaker 0

In.

Speaker 2

Engagement of our membership, we continue to see continued engagement. Our membership we're going to be tracking very, very closely. Obviously the GLP-1 Care Track members are newer to our business just over the last maybe 18, 24 months. We're going to continue to track how that engagement goes. We again like what we see there, and we're gaining momentum.

Speaker 0

Elizabeth, this is one thing we love about our pricing model. As you know, and for those who perhaps don't, we charge when people sign up and we continue to.

Speaker 1

Build such that they're engaged.

Speaker 0

The better our product experience becomes, the more engagement ideally we can get, the more revenue we'll capture. Ultimately, it's about the outcomes and bending the curve. Advances like AI are just one additional arrow in the quiver to build experiences that members absolutely love, that feel personalized to them, that let them feel that they're getting just incredible support from Omada. Optimally, that'll be reflected in engagement progress over time, which will be one of the levers of growth for Omada.

Great, that's super helpful. I'm interested personally in this food scanner thing too. Let me know.

Speaker 2

Let you try it.

Speaker 1

It's pretty fun.

Speaker 3

Thank you. Our next question coming from the line of Richard Close with Canaccord Genuity.

Yeah, thanks for the questions. Congratulations on a very strong start. Maybe a question for Steve here. Just curious if you could talk a little bit about the gross margin progression through the rest of the year. Obviously outperformed us by a significant amount here in the second quarter. Just curious if we should assume sort of that typical continued stair step in the back half that you have done in the past.

I'll start there, Richard.

Speaker 4

Yeah, thank you so much for the question. Obviously, extremely proud of what we did in Q2 ending at 60% gross margin. Maybe just to reorient everyone, we do observe gross margin seasonality in our business. Q1 historically has been our lowest gross margin quarter. That's associated with being our largest quarter for net new enrollment volume associated with the annual benefit cycle. What you have happen there is we have increased care team costs because our care teams are ramping up our new members. We're also shipping a higher amount of hardware in the first quarter to make sure that folks are set up on the program. What we've typically observed historically is that you then see a tick up from Q2 and then the rest of the year. If you look back to 2024, we started the year at 52% gross margin.

We exited the year at 69% gross margin. We really like setup that we currently have for the back half of the year going from 60% in Q1 and then increasing to 68% in Q2. We really like how that's currently being set up, but we're not commenting on how that's going to build for the back half. Thank you.

Okay, and then my follow up is to maybe better understand the member progression through the year. You know, you sell during the year. That's the benefit year launches. You get a lot of members signing up in that first quarter. Obviously, in the second quarter, you significantly outperformed. I'm just curious, are the dynamics changing a little bit, now that you have the GLP-1 Care Track? How should we think about membership in the back half in terms of new members coming on?

Speaker 0

Yeah.

Speaker 2

Hi, Richard. Let me comment on that. Regarding member kind of volume progression, I think there's a couple of things to note. The first one is that as we continue to study our member outreach and optimize and do all the AB testing that we've been doing for several years now, that could influence changes in member volume that may look a little bit different compared to last year. Better enrollment rate or member outreach effectiveness obviously will influence quarter to quarter sequentially, and they show up with some differences there. As mentioned a little bit earlier, we continue to optimize there and we continue to see some improvement year over year as we did in 2024 compared to 2023. The second thing to think about that you brought up in terms of GLP-1s, this space is still relatively new to everybody.

It's dynamic, it's unsettled, and we need to continue to monitor exactly what the annual flow will be for GLP-1 numbers. One of the things that we do need to watch carefully is that the GLP-1 prescription volume continues to grow across the weight health category as physicians continue to prescribe, and as physicians continue to prescribe and as our utilization and support for our GLP-1 companion program continues to grow, we're going to have to watch how that changes member volume.

Speaker 1

Sequentially from quarter to quarter.

All right, thank you.

Speaker 3

Thank you. Our next question coming from Delina, Ryan MacDonald with Needham and Company. Your line is now open.

Hi. Thanks for taking my questions. Congrats on a great first quarter out. I understand you're obviously not quantifying sort of GLP-1 Care Track success, but maybe qualitatively, if you look at sort of the buckets or sources of where you might be getting the member adds from, can you talk about what you're seeing in terms of the magnitude of success within Omada Health's program versus sort of the broader GLP-1 Care Track adoption in terms of member adds? Thanks.

Speaker 2

Yeah, hi, Ryan Whaley here. Yeah, sure. I mean, of course, you know, we're proud to be a partner for the EncircleRx program, which is part of the Evernorth business there. We work very, very closely with them, they work closely with us, and we have a pretty good large-scale go-to-market there. That is a part of the increasing growth attribution of GLP-1 Care Track numbers to our total overall membership growth. In terms of other types of business, we continue to sell through our GLP-1 Care Track. Most recently, of course, we launched with CVS Caremark, the largest PBM in the entire marketplace here in the U.S., not only our GLP-1 Care Track, but also our other programs. We continue to closely partner with their sales teams to build pipe. We don't anticipate significant volume this year from that relationship because the enterprise motion takes a little bit while.

We do anticipate contribution across the portfolio, including GLP-1s, more so to hit next year. That's what I would say in terms of GLP-1 Care Track membership progression. It is also important to note that even clients that don't have the GLP-1 Care Track, it doesn't preclude members who decide to come into our program either with diabetes or hypertension or with weight health that might be on a GLP-1. We certainly support those members in kind, although not with the enhanced GLP-1 care services that are associated with.

Speaker 0

Care Track and Ryan building. This is Sean building upon Wei-Li. Just a couple of observations on the end market for GLP.

Speaker 1

We find that there are really two customer types.

Speaker 0

There is an employer who covers GLP-1s for their population. They may have interest in Omada's GLP-1 Care Track equally. Our contracts with both CVS Caremark and Evernorth allow them to deploy our broader solution. It is quite often that they look at the Care Track and think, you know what, it makes a lot of sense to just deploy Omada's, you know, prevention and weight health more broadly or other solutions, given that they know that a minority of their population that has cardiometabolic challenges and wants to lose weight may be on a GLP-1.

Speaker 1

That's customer type A.

Speaker 0

It really lifts all those equally. There's customer type B, which are employers who just are not in a financial position to be able to cover GLP-1s for obesity. That's also a conversation we can have because those HR leaders are getting emails from their employees saying, you know, how come GLP-1s are not on our benefits design? It's a nice thing for them to be able to say, look, at this point, we can't afford GLP-1s, but we'd like you to meet Omada. There's really two buyer personas there. In many ways, GLP-1 has become a tailwind for the broader business writ large, which is such a dynamic. I wanted to make sure to punctuate.

Yeah, super helpful color there and appreciate all that. As we think about the selling season, we're still obviously early in that, but we hear a bit of crosswinds in terms of obviously heavy demand at looking at potential GLP-1 companion solutions because of the heavy costs and how that's driving up healthcare costs, but then also a lot of uncertainty around decision making because of the tariff situation, the macro. How is that playing out or shaking out in terms of the conversations that you're having? Are you seeing any signs at all in terms of delayed decision making?

Is it too early to tell?

Thanks.

Speaker 2

Yeah, we, you know, year to date, we're not seeing really any influence or material difference in pipe development, pipe movements. As you've noted, we're clearly early in the season. Just like every year as we approach the closing and selling season, we'll watch things very, very closely in terms of how things accelerate through the pipeline. Here to date, we've not seen any particular influence in terms of customers churning or slowing down their decision making or being interested in the portfolio programs we have. Again, we'll be watching, of course, this very, very closely over the second.

Speaker 1

Half of the year.

Speaker 0

Yeah, I mean, chronic disease is very topical right now. You've got obviously the administration's focus on chronic disease. You've got GLP-1. It's creating a nice spotlight on just metabolic care generally. I think that's reflected in what.

Speaker 1

We see in the pipeline.

Appreciate the color.

Congrats again.

Speaker 3

Thank you. Our next question coming from the lineup, Jean Benheimer with Freedom Capital Markets. Jaelina Smaufman.

Oh, thanks. Good afternoon and congrats on the IPO and the great results.

Speaker 0

I just want to really.

Two part question, just building on the last one. Understanding that you're seeing nice growth on the GLP-1 Care Track, how would you intend and kind of maintain your edge there in weight management given that competitors that do offer GLP-1 treatments are beginning to integrate GLP-1 support in their programs? The second question is really more on the narrowing losses, which have been impressive even as you incur public company costs and you scale your investments. What level of revenue do you think the company can achieve?

Speaker 1

Positive operating margins.

Thanks.

Speaker 0

Yeah, Hygiene.

Thank you.

Speaker 2

This is Wei-Li. Appreciate the question. I'll tackle the one regarding GLP, then Steve, I'll hand it over to you to talk about the second question. You know, it's a good question. We've often said and even have said on this call that the GLP-1 marketplace is dynamic, it's unsettled, it has not reached a steady state. That would be certainly the case for enterprise buyers looking for solutions. We think the antidote for that is continued innovation. As Steve had indicated earlier in some of his other comments, we have the investments or continuing investments in our GLP-1 space even slated for the back half of this year. One of the things that I think is important to note and I think is important to reinforce is that one of the key aspects we believe that our purchasers, our buyers, our clients care about is around results.

Do people engage in your program in the Omada GLP-1 Care Track? I think our results would show and indicate that they do. At various points in time, several months out, 80 to 90% of people are still persistent on their GLP-1 compared to probably 30 percentage points less than that in the wild. We attribute that potentially to the support that they receive from their coach, the dynamic and engaging nature of our application, and ongoing support. They get across the entire journey from the point that they start on their GLP-1 and to the point that potentially if a member decides to stop their GLP-1 at that point and then well beyond the second part of it, of.

Speaker 1

course, are the outcomes.

Speaker 2

As we all know, buyers are trying to make decisions about whether or not they recover and reimburse GLP-1s because of the cost. For those that have decided they're.

Speaker 1

Still worried about the cost, and you know, certainly the price tag is something.

Speaker 2

That they're worried about the total impact of that price tag.

Speaker 1

Times the number of potential people that.

Speaker 2

Are worried about that impact, but they are.

Speaker 1

Increasingly concerned about potential waste.

Speaker 2

What I mean by that is that as many as 1/3 to 2/3 of people by the end of the year that aren't on GLP-1s will decide to come off their GLP-1. They don't want to be on it for a lifetime.

Speaker 1

We know from the data that.

Speaker 2

The overwhelming majority of people gain 66.7%.

Speaker 1

Maybe even more than 2/3 of their.

Speaker 2

Weight back once they stop their GLP-1.

Speaker 1

They're really looking for not.

Speaker 2

Only a companion program while you're on a GLP-1, but one after a program after your GLP-1 that reduces weight gain. We've shown compelling data to suggest at 16 weeks that you actually don't experience any weight regain on average, and in fact a -0.1% decrease in actual weight. That becomes an important dialogue.

Speaker 1

We are going to continue to follow.

Speaker 2

Members beyond the 16 weeks. We're going to go out six months, nine months, 12 months, and we look forward to sharing that data when it becomes available. That's an important part of doubling down on the data to make sure that everybody understands the effectiveness of our programs. As far as other investments, nothing to share today, but when the time comes, we'll be more than.

Speaker 1

Happy to do that.

Speaker 4

Yeah, regarding the second part of your question, obviously we're very happy with the quarterly progression here growing 49%. A large majority of that top line performance dropped directly to the bottom line. We continue to see operating leverage in three main areas. The first and probably most important is our care delivery platform. This is the tooling and the platform that our care teams use every day to serve our members. We've been investing in the care delivery platform for the better part of our decade, tens of millions of dollars. As we needed to add new features and new product features, we haven't needed to deploy a ton of incremental investment to spin those up. We launched our GLP-1 Care Track on our existing tech stack in just a couple of months. The next part is we're feeling a tremendous amount of operating leverage across our sales force.

Prior to 2019, we were in market with our Prevention and Weight Health product. Now we're in market with Diabetes, with Hypertension, with Musculoskeletal, and now with our GLP-1 product offering. Our sales force has become more efficient because they can now sell across a suite of products. Lastly is our marketing outreach. Last year we sent just over 100 million emails across 5,000 different campaigns across our 2,000 customers. That's the primary medium that we get folks in the doors through email marketing, and it's a very cost effective channel for us as we think about continuing to grow. We're not going to need to invest disproportionately in that team to scale with the demand that we're seeing on the other end of it. I don't want to cite a specific level of revenue at this time as to when we're going to be break even exactly.

We're going to continue to look at the back half of this year and determine where we can make strategic investments to continue to grow. We do think Q2 was a great barometer, narrowing our adjusted EBITDA loss to just $200,000 on a $61 million quarter. Thank you.

Great caller, thank you.

Speaker 3

Thank you. I'm showing there are no further questions in the Q&A queue at this time. Ladies and gentlemen, that does conclude our conference for today. Thank you all for your participation, and you may now disconnect.