Hims & Hers Health, Inc. (HIMS) Earnings Call Transcript & Summary
May 10, 2023
Earnings Call Speaker Segments
Michael Cherny
analystThank you, everyone, for joining us for this session BofA Healthcare Conference. I'm Mike Cherny, the healthcare tech and distribution analyst at BofA. Much more importantly with us, we have Hims & Hers Chief Financial Officer, Yemi Okupe, making his first BofA conference appearance. So thank you for joining us. And we also have Alice Lopatto from IR in the audience, who anyone has any questions, she can help you out. Yemi didn't bring any slides, which I appreciate because I didn't want any. But maybe just to kick things off, you reported results Monday night and the ability for me to set my watch to your beaten raises has been pretty consistent over the last couple of years. Maybe I just want to start with some highlights of the quarter and what really stood out to you that led to outperform and also obviously, pretty strong guidance raise at start of the year.
Yemi Okupe
executiveYes, no absolutely. I think that really 2023 is a reflection of continuing to execute across each of the pillars that we've kind of spoken through previously. And so I think that we're very excited by the way how we started the year. And so when you think around just even setting aside the financial performance and the record level of subscriber growth that we saw, so we added 169,000 net new subscribers in the quarter, which is one of the highest quarters ever. I think just looking at how the teams are executing across so many different dimensions and what's to come through the remainder of the year really is what got us excited to be able to raise the outlook. And so when you think around things that we've rolled out across the quarters, such as starting to diversify the way that we speak to our consumers, particularly using Hers as an example, the Kristen Bell and multi-category campaigns that we've really seen to be able to start to accelerate mental health, starting to innovate on our products where previously throughout last year, we talked around how we were setting the foundation for the future. But what we believe which helped, which is around offering personalized products through the launch of the Hard Mints products. And so I think that what we're seeing is so many things come together across our pillars, building a trusted brand, enabling technology to better connect consumers and providers, offering personalized solutions and driving high clinical excellence. We're seeing all of those things come together, and I think we're very excited by the pipeline of what we have for the remainder of the year on each of those fronts. That's what gave us the conviction to take some of the strong performance that we saw in Q1 of this year and roll that forward in the form of a much stronger outlook for the remainder of the year.
Michael Cherny
analystAnd it's a great start. And you made some interesting comments on the call about giving some differences between some of your older product lines versus new product lines and the fact that both are accelerating at a pretty healthy clip. Maybe give us a little more details on what you're seeing under the hood there and that dynamic of both your new cool stuff, but also the old tried and true really continuing to contribute?
Yemi Okupe
executiveYes, sure. I think on the newer front around some of the newer Hers offerings, such as mental health, I think what we've been able to do there is take the learnings that we've seen that fundamentally drove success in the Hims platform and incorporate those earlier. And so through having diversified messages and multiple touch points with users across their journey, we're seeing continued growth in several categories that are scaling north of 10%. I think what was a surprise for us this quarter is that we knew personalization was important to users. What we started to do now with 1 million users across the platform is they're providing feedback to us around what are the elements that are important to them, what are also potential elements for why they may stay on the platform or potentially get off. We've responded to that. We started to offer personalized solutions across some of our longer tenured offerings, such as we continue to offer in men's health specifically hair loss. We rolled out the ED Hard Mints in men's sexual health in Q1. And we are just seeing a rapid uptick in the adoption of the personalized products where in the categories that we've launched them in that have been out for a couple of quarters, the vast majority of the users are opting to select the more personalized products on the plan. And so as a result of that, we have made the choice and the decision to continue to lean into that. And so across the year, we will continue to roll out that to a broader set of categories. This quarter, we expect to bring similar types of personalized treatments to the Hers hair loss category.
Michael Cherny
analystAnd that brings up an interesting dynamic. One of the questions I know we've talked about in the past and comes up a lot is Hims & Hers' role in the broader pharmacy market. Pharmacy and the ability to get prescription drugs, especially generic prescription drugs, is not new. Yes, you brought an all-encompassing full suite kind of compact transaction to make it easier, convenient, faster, whatever terms you want to use, with conditions that are chronic almost entirely in nature. And so you have that repeatability in the retention side. How much more is stuff like this personalization, especially for your existing base, continue to change where you sit versus the potential for one of the large traditional pharmacies to try and take some share?
Yemi Okupe
executiveI think it's an immense opportunity ahead for us. And so I think that one of the differentiating factors for Hims & Hers has been the fact that we put consumers first and foremost. And so what that means is even in terms of how we, in the early days, orchestrated the brand, in the earlier days, also listened to the direct response of what were some of the pain points, where there was lack of education, stigma around some of the conditions or accessibility and approachability, removed those barriers. And I think a lot of the success of the company has been in direct response to doing that better and better for consumers. Given the fact that we've also built the proprietary EMR technology stack that enables providers and consumers to engage, it was also built on the feedback from providers that we got. What we are now seeing is, as we've responded to consumer feedback, it's not as if we're designing products in the ecosystem. We use a variety of medical experts, many of which we augmented the Medical Advisory Board this quarter. Pair that with the feedback that we're getting from users around what are some of the additional friction points that they're suffering today. Whether it's they'd like to see a certain type of impact, whether in the case of Hard Mints, it was the ability to have long-acting and fast-acting care together. Or even if it's concerned with a given formulation where there a subset of users, potentially cannot or do not have the desire to take a pill every day. Reacting to the feedback from our users, we've seen an immense amount of success thus far, but we really only think that we're scratching the surface. Maybe a signal of that is even just seeing some of the most longer tenured category offerings on the platform accelerate on what was already a pretty strong, strong growth base.
Michael Cherny
analystAnd what's the type of regulatory complexity that gets introduced with personalized products? It's one of those things where the ease of use with traditional just generic pills is easy to source, easy to dispense. How much more have you introduced now with this personalized approach? And maybe talk about some of the risk mitigation efforts, the investments you made to make sure that there's no issues.
Yemi Okupe
executiveYes, it's a really good question. So we do ensure that we are using FDA-approved ingredients. I think also the affiliated pharmacies that these products are produced out of undergo a vast array of different regulations. So each one of those facilities is subject to inspections and is regulated by state and federal institutions. I think in addition to listening to the feedback from consumers, what we also do is we have a set of internal doctors that are led by Dr. Pat, our Chief Medical Officer, as well as also augment that with the Medical Advisory Board. And so oftentimes what we're doing is, not necessarily anything that is completely new and unheard of, we're able to talk to many of the leading specialists across the country, pick their brains around what are some of the things that they're seeing, pair that with the consumer feedback they're getting from over 1 million-plus subscribers, and then have a combination that is safe, effective, and quite frankly, in our opinion, more desirable because it's in direct response to what the consumer is telling us.
Michael Cherny
analystAnd along those lines, the 1 million-plus members is a really strong number, especially given you're still a fairly new company. You spent a lot of time talking about retention in the 85-plus percent retention. Maybe you can just redefine what exactly that means to have 85%-plus retention and how much that evolves to as you especially build out stuff like multi-month orders.
Yemi Okupe
executiveYes, absolutely. Another great question. So I think what we define long-term retention as those are the users that have been -- or have had a subscription on the platform for at least 2 years. And the revenue that we collect from those users is, in all of our allocation models, we look for that number to be well north of 80%, 85%. I think what we see when you look at some of the primary reasons why users churn off of the platform, setting aside external life events and things with the sort, the conditions are all chronic in nature. But often what we see is, early on to a given treatment plan, adherence oftentimes can be a challenge. And so that can come from a host of reasons and that oftentimes for some of the medications, it could take several months for the effects to show up. And despite the best level setting that you can do with the user, at times, like if you don't see the results in 3 weeks, I think we as a society have grown to become impatient and expect immediate results. I think when you're able to get a user to commit upfront to multiple months, whether that's 90 days or 6 months, the overall willingness to -- they don't see the results in 3 weeks, which generally you wouldn't expect for certain categories like hair loss or skin. There's constant interaction with the providers to just give more time to get them on the appropriate treatment plan or even just give the time for the results to show up. I think as a result of that, we are seeing the platform become stickier. I think when you also pair that with the personalization of products, a platform and providers, they are continuously getting more efficient and engaged with the patients. That becomes a powerful combination where we do see immense amount of opportunity for further improvements to retention in the future.
Michael Cherny
analystAnd you have a great point, which is that provider interaction. Typically, when I think of Hims, I think you have your first virtual visit and you get prescribed. These are typical conditions that can be prescribed. And then I'm not really sure what happens there in terms of that interaction beyond the prescribing side. What is the role of the provider for that individual that's already made their order, be it single month, multi-month, somebody has even been here for 2 years. How often are they interacting with your medical professionals?
Yemi Okupe
executiveIt varies by user and it also varies by category. I think that what the subscription provides is the access and the ability to do that. I think for treatments that can be more standardized. And like once the user the form factor that they do want, then I think the provider interactions are really up to the user. For other types of categories, there are a little bit more complex such as mental health, where you're having to titrate dosages and find specific medication that works. The interaction with the provider is heavy. I think that there's a lot of comfort from our users of just understanding that the providers there if they have a question and whether that's if they want to switch formulations, try something new. Generally, what we do see is before a user switches a formulation, even if it's just a different form factor such as when we rolled out the Hard Mints, they're usually wanting to engage and have the provider ask a host of questions and having a subscription service that provides you with the ability to do that, the ability to have your treatment plan show up door-to-door. I think we're really seeing to start and continue to resonate with consumers.
Michael Cherny
analystAnd just on stay on mental health for a second, mental health drugs through mail. Obviously, you got a lot of scrutiny for, call it, bad actors. What's changed about your business? And what have customers come to look to you to do given some of the changing landscapes of the competitive environment, substitute environment, wherever you want to call some of the other players that are ceasing to exist?
Yemi Okupe
executiveAbsolutely. So I think, first and foremost, at the forefront of our strategy is, again, just going back to the strategic pillars, the trusted brand is so important. And so even if something was necessarily legal, it doesn't necessarily mean that we would go and do it. So we've always been very thoughtful around the choices that we've made on the platform. And so in the mental health category, there were several players that opted to offer controlled substances on the platform that fundamentally led to abuse in certain areas. We have never offered controlled substances in the platform and continue not to do so. And that necessarily wasn't because if you rewind back a year ago, it wasn't illegal, I think we just felt that to provide the level of clinical excellence that we want to provide on our platform, which is so critical and such a critical ingredient of establishing that trusted brand, we couldn't really identify a way to do that, that we felt comfortable with. And as a result, we opted away from that. We got a ton of questions around why we weren't doing that and why we made that choice. But I think as you fast forward and look at today, I think it further has reinforced trust for the consumers that are already on our platform. It's also reinforced trust for the providers on our platform that there are tools on the Hims & Hers platform, we're able to avoid some of the negative impacts that happen to providers there. And so I think, as a result, that has enabled us to draw a greater share of new users when you compound it with some of the other strategic elements that we have, such as the celebrity ambassadors and the broader-based awareness campaigns.
Michael Cherny
analystMaybe just walk us through the strategic mentality behind the celebrity ambassadors. Within health care, it's not something that we tend to be used to evaluating in terms of the role of Kristen Bell or Rob Gronkowski in terms of driving value. So how do -- what is the organizational approach towards going through finding the right person for the right category?
Yemi Okupe
executiveYes. I think what we generally look to is someone that can genuinely talk to the condition and that someone that consumers will inherently resonate, like we want the message to come across as something that consumers can relate to. And so I think that -- again, what we would look for there is, is this person genuine, do they have the credibility to speak around this condition, and importantly, do they have a story that would resonate with consumers? And so through hearing the stories of oftentimes people that you look at, you think that they're absolutely perfect or why would they suffer with this. We have found that that's made it more approachable to start the dialogue. And as a result of that, through having those key components, we've seen a lot of success, and we expect to continue to look to roll more of those out in the future.
Michael Cherny
analystAnd what do you use as your own internal measures of return to make sure that you're putting this person out there that actually is turning into the volume, the subscribers that you want?
Yemi Okupe
executiveAbsolutely. I think we look at a few things. We look at, I mean, just the overall lift in brand awareness that we're getting. I think oftentimes, we are able to look at the traffic patterns as we roll out campaigns for some of the more digital-oriented media. The direct tracking on that is there. And so at times, it's not hard to attribute everything to you given an individual. But through conservative measurement and assumption, we're able to basically do ROI measurement and figure out how many eyeballs has this resulted in, how many -- how much brand awareness has this resulted in, how many new subscribers in attribution model do we think that this given individual has brought us? And then going back and speaking with consumers around it resonated as well. Having that feedback loop and then doing the financial measurement because we do want to ensure that these are accretive as well is what we generally look to ensure that the celebrities that we bring on are adding value.
Michael Cherny
analystSo with that said, let's turn to category expansion. I mean this is something that being part of celebrity expansion, part of just other organic growth or inorganic growth with derm. Walk us through the time line of the process from an idea to be on a white board saying we should be in category X to you announcing that you're now in category X.
Yemi Okupe
executiveYes. I think the short answer is that it's going to vary. I think that we'll provide a little bit of insight into like kind of what does that overall process look like. And depending on the level of complexity, the time frame can vary pretty significantly across categories. I think the first and foremost, as we look at, number one, does a category fit the traditional characteristics where we've demonstrated success? Is it typically chronic in nature? Is it emotionally resonant? And then do we have -- do we feel that we have a unique way to provide some type of value to consumers across that category? The next is like we want to ensure that we're able to bring a clinically safe solution to consumers through a given category. And so the reason why you see, even in the early days of the Hims & Hers platform, we've had a panel of medical advisers and internal doctors that we hire. We then start to go and speak to the specialists around what are they currently seeing in the market? What are the pros and cons? What are some of the areas that we would need to consider as we think around? How would we potentially enter that category? And then we start to then model out what is the true potential of the business look like once we've identified a clinically safe way to do it and then start to test usually in small audiences and then do the real full rollout. That's a pretty extensive process. And that's one of the reasons why we're not going to be the type of organization that goes and launches 5 new categories in a year. Like fundamentally, I think that our confidence and our ability to do that in a safe and effective way. I think we -- create more of a distraction. But we generally can support is in a thoughtful way and ability to go launch up to 1 to 2 categories per year, 2 being at the higher end of maximum just because we want to ensure that we have the full ability to go through and do the full diligence on that process to kind of walk through.
Michael Cherny
analystGot it. And so that obviously brings up the question of weight loss in GLP-1. It's, I think, dominating every market discussion across a whole litany of companies at this conference in the market. So -- and you have a peer that has built out its own full population health-oriented pitch of managed weight loss with also the GLP-1 drugs. How do you think about that as a category? Obviously not trying to get ahead of yourself, but it doesn't check a lot of the boxes you mentioned on high-touch model. It resonates from an emotional perspective, somewhere where Hims theoretically could very much add value. One piece you didn't mention is part of that, but typically all generic drugs. This is a branded class. So how much does that factor into the dynamics, especially since it is still a very new and kind of in vogue class growing in the market?
Yemi Okupe
executiveYes. I don't think that branded drugs are necessarily off limits for us per se. I do think when we look at the weight management category, we're very much excited by it, and we do see ourselves playing in it in some form or fashion. I think because of this one execution that we've had historically, we've not necessarily always had the need to be first. And I think that weight management is such a broad category that's not going away. It is more important for us to enter that category in a thoughtful way with the solution that we have confidence in via a mechanism that is durable. And so I think we're very much in the early days. So a ton of excitement around the current GLP-1 drugs that are in the market. I think, again, weight management is a category that we are excited by and we're thinking through a multitude of ways to do it, and we sent some signals in that in terms of the advisers that we brought on and the messages that we've given. I think that we want to ensure that what we do place into the market is differentiated. It's a durable model that consumers are going to want to be on and can be on if they choose to do so. And we're continuing to monitor what's currently out there. We're also continuing to do our own diligence around what is the best approach for us to offer it. We're confident that we will be in it at some point, but we're going to take our time and be very thoughtful. Again, I think that the reason why the company has been able to execute with the way -- in the way that it has, has been a result of really having that consumer trust. I think it'll also be on us as well. I think also having a platform, particularly the online business that's close to doubling every year affords us the flexibility to be very thoughtful from a growth perspective around where do we go after one.
Michael Cherny
analystAnd I guess just along those lines, whether it's weight management or some other category, are there any bottlenecks that you run into as you expand those categories? I mean one I could think of would be, if you're in a category, you need specialist docs. Is recruiting those doctors to get on the platform something that ever becomes a bottleneck? Or are there anything else that I'm missing in terms of other than just being measured and prudent how you approach the category?
Yemi Okupe
executiveI think it's -- yes, I wouldn't say that we necessarily had any bottlenecks. I think it's really around being just fundamentally thoughtful. So at times, we may move in a more measured way, but we view that the long-term value of that accrues. I think also as a result of that, the trust works on both sides of the marketplace, right? So if we're able to build a trusted brand, historically, we've traditionally engaged directly with the consumers. But I think, again, just using the mental health and the controlled substances as an example. You rewind back at 12 to 18 months ago, that was a popular topic that was generating a lot of excitement. A lot of companies were seeing a lot of growth around it. They think they're being very thoughtful and even opting to forgo the growth that could have come with that and avoid doing that. That also enables trust with providers. And so we see our ability to recruit providers, both in the form of the technology that we provide them, it makes them more efficient and their lives easier as well as the trust that we established with both the provider and consumer community is one that doesn't necessarily create a challenge with going out and recruiting providers.
Michael Cherny
analystI want to spend a little time on the long-term guidance, the '25 targets you put out on the 4Q earnings call because I don't think I was really expecting you to. You did, and obviously it was comfortably above consensus expectations. Maybe give a sense on the comfort factor you had in building to those numbers and now, too, that you increased your guidance by, I think, almost $100 million in revenue. I apologize, my maths getting little fuzzy at the end of the day. But that gets you a heck of lot closer to $1.2 billion in terms of that bridge. So walk through the stepping stones you get to as part of that build to $1.2 billion.
Yemi Okupe
executiveI think, first and foremost, I think that the way that the guidance was positioned for 2025, I think it's important to just anchor around, we set that as at least number. So all the numbers are more floors versus ceilings. And so those targets were at least $1.2 billion of revenue by 2025 and at least $100 million of EBITDA. I think what gave us the conviction in that is when we looked at the pipeline of current products that we have and some of the aspects on the Hims side around personalization and what we're seeing there, we have the conviction that we continue to scale the current categories that we're in. Traditionally, we also saw a very strong pipeline on the Hers side in the categories that we're already in to continue to scale those and through enabling a similar playbook to what we've seen on the Hims side and taking those learnings and applying them to Hers, we see a ton of potential. And we're very much in the early innings for Hers. I think that we do expect clearly over the next 2 years to enter additional categories. There's so much white space that we can have. Embedded in the guidance, though, is the effect of needing to go into a new category as more de minimis in nature. We view that as really setting the foundation for in a post-2025 world, how do we continue to have strong growth, continue to have the platform scale. The newer categories that we expect to come in over the coming years will be more for that. But even the orientation around scaling Hers and continuing to innovate on the core categories that we're in today, which we're very much in the early innings of the TAM we feel, I think will enable us to get to those targets.
Michael Cherny
analystAnd you've been using those numbers as a floor, which is perfectly fine with me. That still also gives you a pretty nice uptick in EBITDA margins. Your first 2 quarters of EBITDA positive. How do you think about the growth versus investment trade-off that builds -- bridges that '25 number? And I guess, second question for all the ones. But what does that mean from a cash flow generation perspective alongside that $100 million of EBITDA?
Yemi Okupe
executiveYes. I think what I'd point to there is the capital allocation framework that we have in place looks at a few things. First and foremost, we're going to go after things that are high degree of NPV and we feel will generate ROI returns on the platform. We've also opted to invest in is -- and this is what we're benefiting from today is setting the foundation for, as you see the platform continue to scale, the benefits in the form of leverage directly accrue. And so when you look at something like rewind several years ago and you look at the affiliated pharmacies that are on the Hims & Hers platform, at the moment, that did require investment. When you look at the efficiency that we're having now around being able to offer personalized products, but then also now moving towards a world where the most recent quarter, north of 60% of the products were fulfilled with the affiliated pharmacies, that's the type of investment that has more of a longer-term orientation that we're benefiting from now, but it was years in the making. We view kind of the concept in 2023 around the same thing. We've seen opportunity to capture broader awareness across a multitude of our categories for users early in their journey. We've seen the ability to bring forward the pipeline for personalized products that are clearly resonating with users. And so embedded in our guidance is the appetite to take those as well as having the flexibility to do so. What you saw like last year as we were still investing in marketing with the levers that we got in the business, given the recurring nature of the business, was 8 points in a year. And so if you kind of take the points in 2025, we still have a lot of flexibility to get there and that we're assuming that from where we're at today, it'd be roughly 5 points of expansion kind of at the floors above those points. And so we are solid in our conviction to do that. I think that there are going to be periods of time where we do have CapEx investment over kind of the long term though. You see EBITDA track pretty closely to what our cash flow less our investment in capital expenditures looks like. And so we do expect over time to converge, but there would be some lumpiness in between as we really start to lean into some of the areas that we -- that I mentioned before.
Michael Cherny
analystI want to turn back to the competitive environment just because there are a number of other virtual-enabled pharmacies from new startup companies and then also stuff like the Optum store. So I guess maybe a very simplistic question from a competitive perspective, what worries you and Andrew most?
Yemi Okupe
executiveI think that there's not a competitor out there that we worry about. When you look at the breadth of offering that we have on the platform today across a number of categories, being able to speak to the Hims & Hers audience in a unique way, also just being able to execute across that full flywheel ecosystem that we mentioned. I struggle to kind of identify one competitor that's doing all of those things. I think also the TAM in this space is so incredibly large that I think that we have the confidence that if we continue to execute the way that we are across those pillars, we will be in a leadership position. I think given that health care is one of the largest verticals in the U.S., it would be a naive to believe that we're going to be the only player in the space, I think, what keeps myself and Andrew up more at night, I think, thus far. The reason behind why the company is successful is we've been able to do the right things in the right order at the right time. I think the vigor that you get, there are so many different opportunities that I'm not really concerned around what is the next opportunity that we're going to go get or where is growth going to come from. Increasingly, where a lot of the time goes, when we do the annual planning processes, having the debates across the executive team for what do we view is going to be the right move to do next, having the discipline to not do too many things at once. And I think that as we continue to hopefully have success on that front, I think being able to really have the internal compass to continue to basically execute and dial on things that matter, I think it's really going to be what differentiates us. And so that's a focus of Andrew and myself to fundamentally ensure that the organization is focused on delivering against the mission of making consumers feel great.
Michael Cherny
analystAnd I think this is going to be probably the last question. I hate to end it on a downward question, but I'm going to go there anyways. Hims & Hers wasn't around during the last recession. So we don't have proof points on how the business evolves during a recession. How are you framing whether we go into recession or recession-like conditions over the next 1 year, 1.5 years, how are you framing the up-down risk weightings for your business and the potential changes in customer behavior in the event that macro conditions worsen?
Yemi Okupe
executiveYes, I think that we consistently stress test the model. And what I would just kind of caution around that is when you look at the course of the company's histories, we are relatively young. But there are moments definitely in 2020 where the world looked very different and the consumer behavior got choppy for a variety of different companies, Hims & Hers grew through that period of time. In more of the post-pandemic world where many telehealth companies saw a rapid tick through in the pandemic, but then rapidly decelerated, we continued to grow through that time. Even last year, there were certain points where a lot of consumer-oriented brands are having to pull back because the consumer -- there's talk around the consumer getting weaker, we continue to see record growth during those times. I think that there's a few underlying reasons behind that. One is, I think that we are fundamentally adding value to consumers in a way that is fundamentally differentiated from what's out there. The second element is increasingly that the consumer prototype that's coming to our platform is pretty diverse. We have different age demographics, income demographics, geographic conditions and so forth. And lastly, I think that we're serving some of the most emotionally resonant conditions to consumers. How you look every day, how you feel every day, how you engage with your partner, I think fundamentally, what we've observed thus far even in the company's short history, some of the murkiest moments from a macroeconomic perspective, consumers have still come to our platform in record levels. If anything, given the strong unit economic advantages that we're seeing and continuing to grow our platform, we view our ability to operate in the environment, but there's also upsides where we can capture opportunities in a recessionary environment as well.
Michael Cherny
analystI appreciate that. We hit the red light. So we'll wrap it there. But Yemi, thanks so much for being here. Thanks everyone for joining us.
Yemi Okupe
executiveThanks a lot, Mike.
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