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LifeStance Health Group (LFST) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 25, 2026

LifeStance Health Group (LFST) reported revenue of $382M for the fourth quarter 2025 (Q4 2025), +17% from a year earlier and +5% from the quarter before. Operating margin was 4.7%, net earnings $11.7M (3.1% of revenue).

Revenue$382M
Year over year+17%
Quarter over quarter+5%
Operating margin4.7%
Net earnings$11.7M

LifeStance Health Group, Q4 2025: revenue $382M (+17% year over year), operating margin 4.7%, net earnings $11.7M, operating cash flow $57.6M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$382M+5%+17%
Operating profit$18.1M+144%17×
Net earnings$11.7M+983%—
Operating cash flow$57.6M+111%-8%
Free cash flow$46.6M+174%-17%

What changed

Revenue was $382.2M in Q4 2025, up 17% year over year and up 5% from the previous quarter.

Operating profit was $18.1M, a 4.7% margin (up 4.4 points year over year). Of the extra revenue versus a year earlier, 30% reached operating profit, above the 0% margin then. Total costs grew 12% against revenue growth of 17%. The fastest-growing cost line was Other operating costs (+17%). Net earnings were $11.7M. The effective tax rate was 23.3%.

Operating cash flow was $57.6M (down 8% year over year), 493% of net earnings. Non-cash charges added back $10.3M of depreciation and amortization and $16.7M of share-based compensation. Working capital and other items added $18.8M. Capital expenditures of $10.9M left free cash flow of $46.6M.

Questions

What was LifeStance Health Group's revenue in the fourth quarter 2025?

LifeStance Health Group (LFST) reported revenue of $382M for the fourth quarter 2025 (Q4 2025), +17% from a year earlier and +5% from the quarter before.

Was LifeStance Health Group profitable in the fourth quarter 2025?

Operating profit was $18.1M (4.7% of revenue) and net earnings $11.7M.

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Source: LifeStance Health Group 10-K on SEC EDGAR.