LifeStance Health Group, Inc.
Business
LifeStance Health Group, Inc. operates a tech-enabled outpatient mental healthcare platform that delivers multidisciplinary clinical services. Its primary services include psychiatric evaluations and treatment, psychological and neuropsychological testing, and individual, family and group therapy delivered through integrated virtual and in-person care supported by digital tools. The company operates through wholly‑owned centers and supported practices, employing clinicians via subsidiaries or managing centers under long‑term management services contracts and partnering with payors, physicians and employers. It provides care across the United States via a hybrid delivery model of physical centers and an online platform, with access facilitated through in‑network payor contracts and physician referrals.
Summary from filing dated 2025-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| TOTAL REVENUE | 1,424 | 1,251 | 1,056 | 860 | 668 | |
| Center costs, excluding depreciation and amortization shown separately below | 963 | 849 | 754 | 623 | — | |
| General and administrative expenses | 382 | 363 | 411 | 378 | 434 | |
| Depreciation and amortization | 55 | 71 | 80 | 69 | 54 | |
| Total operating expenses | 1,400 | 1,283 | 1,245 | 1,070 | 954 | |
| INCOME (LOSS) FROM OPERATIONS | 24 | −32 | −189 | −210 | −286 | |
| Gain on remeasurement of contingent consideration | 0 | 2 | 4 | −2 | −3 | |
| Transaction costs | 0 | −827,000 | −89,000 | −722,000 | −4 | |
| Interest expense, net | −12 | −27 | −21 | −20 | — | |
| Other expense | −123,000 | −363,000 | −112,000 | −218,000 | −1 | |
| Total other expense | −12 | −26 | −17 | −23 | −47 | |
| INCOME (LOSS) BEFORE INCOME TAXES | 12 | −58 | −207 | −233 | −333 | |
| INCOME TAX (PROVISION) BENEFIT | −3 | 170,000 | 20 | 17 | 26 | |
| NET INCOME (LOSS) | 10 | −57 | −186 | −216 | −307 | |
| EARNINGS (LOSS) PER SHARE, Basic | 0.03 | −0.15 | −0.51 | −0.61 | −1.05 | |
| EARNINGS (LOSS) PER SHARE, Diluted | 0.02 | −0.15 | −0.51 | −0.61 | −1.05 | |
| Weighted-average shares outstanding - Basic | 386 | 379 | 367 | 355 | 327,523 | |
| Weighted-average shares outstanding - Diluted | 391 | 379 | 367 | 355 | 327,523 | |
| Unrealized losses on cash flow hedge, net of tax | −929,000 | −1 | −971,000 | 3 | 0 | |
| COMPREHENSIVE INCOME (LOSS) | 9 | −59 | −187 | −212 | −307 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 249 | 155 | 79 | 109 | 148 | |
| Patient accounts receivable, net | 96 | 132 | 125 | 101 | 76 | |
| Prepaid expenses and other current assets | 72 | 26 | 22 | 24 | 42 | |
| Total current assets | 416 | 313 | 226 | 233 | 267 | |
| Property and equipment, net | 162 | 166 | 188 | 194 | 152 | |
| Right-of-use assets | 150 | 148 | 171 | 199 | 0 | |
| Intangible assets, net | 178 | 191 | 221 | 263 | 300 | |
| Goodwill | 1,293 | 1,293 | 1,293 | 1,273 | 1,205 | |
| Other noncurrent assets | 5 | 8 | 11 | 11 | 3 | |
| Total noncurrent assets | 1,788 | 1,806 | 1,884 | 1,941 | 1,661 | |
| Total assets | 2,204 | 2,118 | 2,110 | 2,174 | 1,927 | |
| Accounts payable | 6 | 7 | 7 | 12 | 14 | |
| Accrued payroll expenses | 143 | 117 | 102 | 76 | 60 | |
| Other accrued expenses | 42 | 47 | 35 | 30 | 27 | |
| Operating lease liabilities, current | 46 | 49 | 46 | 39 | 0 | |
| Other current liabilities | 15 | 8 | 4 | 3 | 2 | |
| Total current liabilities | 252 | 229 | 203 | 176 | 117 | |
| Long-term debt, net | 266 | 280 | 280 | 225 | 157 | |
| Operating lease liabilities, noncurrent | 149 | 149 | 181 | 213 | 0 | |
| Deferred tax liability, net | 16 | 14 | 16 | 39 | 54 | |
| Other noncurrent liabilities | 68,000 | 309,000 | 952,000 | 3 | 54 | |
| Total noncurrent liabilities | 431 | 443 | 478 | 479 | 265 | |
| Total liabilities | 683 | 672 | 681 | 655 | 382 | |
| COMMITMENT AND CONTINGENCIES (see Note 12) | — | — | — | — | — | |
| Preferred stock - par value $0.01 per share; 25,000 shares authorized as of December 31, 2025 and December 31, 2024; 0 shares issued and outstanding as of December 31, 2025 and December 31, 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock - par value $0.01 per share; 800,000 shares authorized as of December 31, 2025 and December 31, 2024; 388,318 and 382,735 shares issued and outstanding as of December 31, 2025 and December 31, 2024 ,respectively | 4 | 4 | 4 | 4 | 4 | |
| Additional paid-in capital | 2,326 | 2,260 | 2,184 | 2,084 | 1,898 | |
| Accumulated other comprehensive income | 0 | 929,000 | 2 | 3 | 0 | |
| Accumulated deficit | −809 | −818 | −761 | −573 | −357 | |
| Total stockholders' equity | 1,521 | 1,446 | 1,429 | 1,519 | 1,545 | |
| Total liabilities and stockholders' equity | 2,204 | 2,118 | 2,110 | 2,174 | 1,927 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net income (loss) | 10 | −57 | −186 | −216 | −307 | |
| Non-cash operating lease costs | 42 | 40 | 40 | 38 | 0 | |
| Stock-based compensation | 75 | 76 | 99 | 187 | 259 | |
| Deferred income taxes | 2 | −958,000 | −22 | −17 | −27 | |
| Loss on debt extinguishment | 0 | 5 | 0 | 3 | 14 | |
| Amortization of discount and debt issue costs | 1 | 2 | 2 | 2 | 2 | |
| Gain on remeasurement of contingent consideration | 0 | −2 | −4 | 2 | 3 | |
| Other, net | 2 | 1 | 7 | 218,000 | 0 | |
| Patient accounts receivable, net | 36 | −6 | −24 | −22 | −24 | |
| Prepaid expenses and other current assets | −47 | −3 | −3 | −3 | −29 | |
| Accounts payable | −2 | 501,000 | −6 | 8 | 623,000 | |
| Accrued payroll expenses | 26 | 15 | 26 | 12 | 15 | |
| Operating lease liabilities | −48 | −47 | −38 | −13 | 0 | |
| Other accrued expenses | −6 | 14 | 10 | 2 | 40 | |
| Net cash provided by (used in) operating activities | 146 | 107 | −17 | 53 | 9 | |
| Purchases of property and equipment | −36 | −22 | −41 | −79 | −94 | |
| Acquisitions of businesses, net of cash acquired | 0 | 0 | −20 | −60 | −100 | |
| Net cash used in investing activities | −36 | −22 | −60 | −139 | −194 | |
| Proceeds from long-term debt, net of discount | 0 | 288 | 58 | 257 | 99 | |
| Payments of debt issue costs | 0 | −2 | −188,000 | −7 | −2 | |
| Payments of long-term debt | −7 | −289 | −2 | −188 | −311 | |
| Payments of contingent consideration | 0 | −6 | −8 | −13 | −12 | |
| Taxes related to net share settlement of equity awards | −9 | 0 | 0 | −904,000 | 0 | |
| Net cash (used in) provided by financing activities | −16 | −10 | 47 | 47 | 314 | |
| NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 94 | 76 | −30 | −39 | 129 | |
| Cash paid for interest, net | 18 | 25 | 21 | 14 | 22 | |
| Cash paid for taxes, net of refunds | 2 | 57,000 | 80,000 | 2 | 1 | |
| Contingent consideration incurred in acquisitions of businesses | 0 | 0 | 2 | 11 | 11 | |
| Acquisition of property and equipment included in liabilities | 3 | 1 | 4 | 8 | 16 |