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Tag Archive for: (HIMS)

april@madhedgefundtrader.com

Telehealth's New Weight Class

Biotech Letter

Clinging to Mount Everest at 20,000 feet, fingers numb and oxygen tank hissing like an annoyed cobra, I had an epiphany that would later serve me well on Wall Street: the most promising paths aren't always the obvious ones — they're the routes that quietly keep you alive while everyone else is busy with their cameras and guided tours.

That same principle is quietly guiding Hims & Hers Health (HIMS) right now.

While the market obsesses over their new Wegovy partnership with Novo Nordisk (NVO), sending HIMS stock jumping 25% to $35, savvy investors should look deeper.

The company isn't suddenly becoming a weight-loss play — they're eliminating doubt and positioning themselves at the center of healthcare's digital transformation.

This reminds me of a pattern I've observed across decades of tracking successful businesses and leaders. The most effective ones don't chase trends. Instead, they position themselves to win regardless of which way the wind blows.

I witnessed this firsthand during a memorable interview with Deng Xiaoping back in the late 70s. Despite the chaotic economic landscape he inherited, his focus remained steadfastly on fundamentals rather than fleeting opportunities.

That's precisely the Hims playbook with these GLP-1 partnerships.

Fascinatingly, they're charging $599 monthly for Wegovy — $100 more than Novo's direct offering.

In my decades managing hedge fund portfolios, I've learned that pricing power is the ultimate business aphrodisiac. It signals you have something people genuinely value enough to pay a premium for.

Wall Street, in its infinite wisdom, is once again squinting at the wrong spreadsheet.

Hims projects $2.35 billion in 2025 revenue, with $725 million from weight management alone — a forecast that completely excluded branded GLP-1s. Their core business in sexual health, dermatology, and mental wellness already generates $1.2 billion annually.

That's 83% of revenue from decidedly non-injectable sources!

Their growth figures are impressive, too: 60% projected sales growth and 70% adjusted EBITDA growth. Yet HIMS trades at just 3.5x 2025 revenue estimates.

If I pitched you a company growing this fast in any other sector at that multiple, you'd think I was selling oceanfront property in Nebraska.

But what truly separates Hims from competitors is retention. Their internal data shows 70% patient retention after 12 weeks, compared to 42% in standard clinical settings. Their users interact with providers three times more frequently in the first month and five times more over three months.

That's not marginally better — it's an entirely different universe of care.

Like those guerrilla fighters I once interviewed in Southeast Asia, who held territory against superior forces by knowing the terrain better — Hims isn’t just in the healthcare war, they know exactly where to strike.

The stock previously touched $70 after posting 95% year-over-year growth in Q4. It retreated on fears about GLP-1 access that were largely imaginary.

Now it's climbing again on news that merely confirms what company executives already knew: their business model doesn't hinge on any single medication.

This situation reminds me of trading Japanese equities in the late '80s—watching rational people make irrational decisions based on incomplete information. The market is simultaneously overvaluing the importance of GLP-1s while undervaluing Hims' overall growth trajectory.

With $300 million in projected 2025 adjusted EBITDA (13% margins), expanding to 20% as they scale, HIMS at 27x EBITDA represents the kind of opportunity that makes me sit up straighter in my ergonomic chair. That multiple would make perfect sense for a company growing at half this rate.

What's more telling than spreadsheets, though, is customer loyalty. During my years managing portfolios worth more than some small nations' GDPs, I developed a simple litmus test: if a company disappeared tomorrow, would its customers feel inconvenienced or devastated?

Hims has clearly crossed into "devastated" territory for its growing user base - the kind of emotional moat that Warren Buffett probably dreams about between bites of his McDonald's breakfast.

For those hunting increasingly endangered species - growth with reasonable valuation, momentum with sustainable model, actual substance beneath the hype - HIMS offers a compelling specimen. These GLP-1 deals aren't the main story; they're just the latest chapter in a much longer narrative about healthcare's digital transformation.

And if there’s one thing I’ve learned from diving shipwrecks in Truk Lagoon to decoding market trends from Tokyo to New York — it’s that the journey tells you more than any single milestone ever could.

This one looks increasingly profitable for those with the patience to stay the course.

 

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 april@madhedgefundtrader.com https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png april@madhedgefundtrader.com2025-05-01 12:00:162025-05-01 12:35:28Telehealth's New Weight Class
april@madhedgefundtrader.com

March 13, 2025

Biotech Letter

Mad Hedge Biotech and Healthcare Letter
March 13, 2025
Fiat Lux

 

Featured Trade:

(THE 10,000 DAILY CONSULTATIONS YOU'LL NEVER SEE)

(HIMS), (TDOC), (GDRX), (NVO), (LLY)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 april@madhedgefundtrader.com https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png april@madhedgefundtrader.com2025-03-13 12:02:022025-03-13 12:52:51March 13, 2025
april@madhedgefundtrader.com

The 10,000 Daily Consultations You'll Never See

Biotech Letter

Did you know that 100 years ago, the average American lifespan was just 54 years? Today, we're approaching 80.

But what's truly remarkable isn't just that we're living longer—it's that a 36-year-old former Tinder executive named Andrew Dudum is revolutionizing how we access healthcare.

His company, Hims & Hers (HIMS), has exploded from a niche men's health startup into a $1.5 billion healthcare powerhouse in just a few years.

What exactly does HIMS do?

HIMS is transforming healthcare with a tech-first approach. They began by solving embarrassing men's health problems like ED and hair loss through an online platform, but have since built a vertically integrated healthcare powerhouse.

Now they handle everything from virtual doctor's visits and AI-powered diagnostics to personalized medication compounding and doorstep delivery.

All without the patient ever leaving their couch or explaining their problems to three different receptionists. It's healthcare reimagined for the digital age—and patients are flocking to it.

The numbers don't lie. By the end of 2024, they hit 10,000 patient visits per day - that's more than some mid-sized hospitals.

Their subscriber base swelled to 2.2 million, up 45% year-over-year. Even more impressive is that 55% of those subscribers are using at least one personalized solution, not just generic treatments.

What makes HIMS so disruptive is their mastery of the tech playbook that Wall Street has been drooling over for years. They're capturing data at every patient touchpoint and have built one of healthcare's largest proprietary datasets.

My sources tell me they've got over 500,000 square feet of compounding pharmacies and fulfillment centers spread across Ohio, Arizona, and California. These aren't your father's drugstores.

Unlike Teladoc (TDOC) and GoodRx (GDRX), who dabble in AI for basic tasks, HIMS goes much deeper.

They're personalizing treatments, fine-tuning dosages, improving adherence, and creating custom supplement plans. Their AI chatbots handle everything from prescription refills to progress tracking.

I met a guy last week who manages a tech fund in Boston who put it best: "Each new subscriber makes their entire system smarter." That's a competitive moat that gets wider by the day.

Revenue has followed this growth trajectory like a heat-seeking missile. In 2024, the company raked in $1.5 billion, a staggering 69% increase year-over-year. Their Q4 revenue hit $481 million, nearly doubling with a 95% year-over-year increase.

But here's where it gets even more interesting. Their weight loss treatments have been absolute rocket fuel for growth.

Their oral-based offering reached a $100 million revenue run rate within just seven months of launch. And their GLP-1 offering (launched in Q2-24) generated more than $225 million in incremental revenue during 2024 alone.

My friend Janet at the Fed would be impressed by their margins, too.

Adjusted EBITDA margins reached 12% in 2024, with adjusted EBITDA increasing by 160% year-over-year to $54 million in Q4.

They hit their first full year of GAAP profitability with net income of $126 million and strong cash flow of approximately $200 million. That's what I call a healthy business.

But here's the rub. HIMS is betting big—perhaps too big—on weight loss treatments.

They generated $225 million from GLP-1 offerings in 2024 and project $725 million in 2025. That's a massive chunk of revenue hanging on one specialty.

The FDA isn't thrilled about compounded semaglutide, which HIMS relies on. If regulators clamp down, they're in trouble.

Worse, supply is controlled by Novo Nordisk (NVO) and Eli Lilly (LLY), creating a precarious position for HIMS. If insurance coverage expands for branded GLP-1s, patients might flee HIMS' alternatives.

They're trying to pivot to oral therapies and AI coaching, but it's a high-stakes gamble. As my hedge fund buddies would say, that's a lot of eggs in one regulatory basket.

So, what about valuation? There's no getting around it—HIMS is trading at premium multiples: 3.76x forward EV/Sales versus the sector median of 3.19x, an EV/EBITDA of 29.69x compared to 12.12x, and a sky-high forward P/E of 65.96x against the sector's more modest 25.46x.

When you stack it up against competitors, the gap grows even wider. HIMS' forward P/E makes GoodRx (29.65x) seem downright affordable, and its EV/Sales ratio towers over both Teladoc (0.74x) and GoodRx (2.42x).

Is that premium justified? With revenue growth cruising at 69%, there's a case to be made—but investors should be cautious. I've watched this story unfold countless times: today's darling of Wall Street can easily turn into tomorrow's cautionary tale.

Still, for those with a strong stomach and the patience to see this through, HIMS is definitely worth a closer look. After all, we're witnessing one of the most significant transformations in healthcare in over a century.

Just think about it – In 1924, Americans relied on house calls and patent medicines. Today, personalized treatments arrive at our doorsteps after a five-minute video chat.

And the company leading this healthcare revolution? Founded by a guy who used to help people swipe right on Tinder.

From patent tonics to AI-prescribed pharmaceuticals in a century. Seems our approach to awkward health problems has evolved even faster than our lifespans.

Who knew swiping right would someday fix more than just your dating life?

 

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