Hydreight Technologies Inc. ($NURS)

Earnings Call Transcript · May 1, 2026

TSXV CA Health Care Health Care Technology Earnings Calls 19 min

Highlights from the call

In Q4 2025, Hydreight Technologies Inc. reported total revenue of $14.9 million, reflecting a significant 270% year-over-year growth, with full-year revenue reaching $35.4 million, up 121% from the previous year. The company achieved an adjusted EBITDA margin of 11% in Q4, a substantial increase from 3.4% earlier in the year. Management reaffirmed guidance for fiscal 2026, projecting a minimum of $150 million in revenue, driven by the ramp-up of existing licensees and continued onboarding of new partners, indicating strong operational momentum heading into 2026.

Main topics

  • Revenue Growth: Hydreight reported a Q4 revenue of $14.9 million, up from $4 million in Q4 2024, marking a 270% year-over-year increase. For the full year, revenue was $35.4 million, a 121% growth compared to $16 million in 2024, driven primarily by pharmacy sales.
  • Operating Leverage: The company demonstrated significant operating leverage, with revenue growth of 157% in the second half of 2025 while operating expenses increased by only 18%. This resulted in an adjusted EBITDA margin that tripled from earlier in the year, reaching 11% in Q4.
  • Balance Sheet Improvement: Hydreight transformed its balance sheet, ending 2025 with $16 million in cash and a working capital surplus of $16 million, compared to just over $1 million in cash at the beginning of the year. This improvement was bolstered by a $15 million oversubscribed financing in January 2026.
  • Future Guidance: Management reaffirmed guidance for fiscal 2026, projecting a minimum of $150 million in revenue. This guidance is based on the ramp-up of existing partners and increased prescription volumes, indicating strong confidence in operational execution.
  • Market Expansion: Hydreight is expanding into new product categories, particularly peptides and longevity-focused treatments, which are expected to drive future growth. The CEO noted that the longevity medicine market is projected to expand significantly, providing new revenue opportunities.

Key metrics mentioned

  • Q4 Revenue: $14.9 million (vs $4 million in Q4 2024, +270% YoY)
  • Full Year Revenue: $35.4 million (vs $16 million in 2024, +121% YoY)
  • Adjusted EBITDA Margin: 11% (up from 3.4% in Q2 2025)
  • Operating Expenses: $7.6 million (vs $6.1 million in 2024, +$1.5 million)
  • Cash Position: $30 million (after $15 million financing in January 2026)
  • Adjusted EBITDA: $2.5 million (vs $136,000 in 2024)

Hydreight Technologies is positioned for strong growth in 2026, supported by a solid balance sheet and operational leverage. The focus on ramping existing licensees and expanding into new product categories presents a compelling investment thesis. However, investors should monitor the sustainability of revenue growth and margin pressures as the company scales.

Earnings Call Speaker Segments

Abbey Vogt

Executives
#1

And perfect. Thank you so much. This webinar will be recorded as well. So if you do have to leave for any reason, not to worry, we will be sending it out. So and no worries about that. And for anyone who couldn't join us as well, we'll be sending it to the shareholder list to -- so please be advised that certain statements made on today's call may constitute forward-looking information under applicable Canadian securities laws. These statements involve known and unknown risks, uncertainties and other factors that may cause actual results to differ materially. Listeners are encouraged to review the company's MD&A and other continuous disclosure documents filed on SEDAR for the full discussion of the risk factors. You can find our profile on SEDAR+ as well. This call is being recorded, like I mentioned, so for anyone just joining or if you do have to hop off or maybe you're on your commute to work, not where we'll send the replay and it will be made available to our Investor Relations website as well after the call. I'll now turn it over to our CEO, Mr. Shane Madden, CEO Hydreight Technologies. So we'll just give it probably 1 minute to let everyone else and I see some people in the wait room, and then Shane, you can take it away for you as well.

Shane Madden

Executives
#2

Thank you. I'm just going to get started. Thank you, and good morning, everyone. Appreciate you joining us. I want to use the first part of this call to review what we achieved in 2025, why we were able to achieve it and what it means for where this company is going. The financial results were strong, and I'll get to those in detail. But I think more important story is the structural shift that occurred in the business this past year and why we're so excited about 2026 and beyond. For those new to the story, let me ground you in what we've built. Hydreight is a health care infrastructure company. we provide complete back-end solution that allows businesses to operate regulatory compliant, direct-to-consumer, digital health brands across all 50 U.S. states. That sounds simple, but it isn't. Health care is the most heavily regulated industry in the United States, and that regulation differs state-by-state. Setting up a compliant telehealth operation from scratch with a physician network, a lab testing network, a licensed pharmacy network, electronic medical record keeping prescription workflows and the compliance framework to operate within corporate practice of medicine guidelines both legally and cohesively across all 50 states, takes years and tens of millions of dollars. The good news is we've already built that and we license it to others business that comes on to our platform can be operationally can be operational across multiple states in a fraction of the time and at a fraction of the cost of building it themselves. That is the core value proposition that we provide our customers, and it is proving to be compelling. Coming into 2025, we had 3 clear priorities. First and foremost, prove that our VSDHOne platform could generate meaningful repeatable revenue at scale. We launched a midyear and the results exceeded our expectations. Secondly, demonstrate operating leverage. We wanted to show that as a revenue -- as the revenue grew, the platform economics would hold and drive profitability. We believe we've done that. Thirdly, put the balance sheet in a position of strength. We came into 2025 with just over $1 million in cash. That's not a position from which we felt we could be aggressive. We needed to fix that, and we did. Delving a little bit deeper into each of these. Firstly, our VSDHOne platform after a few quarters of client onboarding, VSDHOne went live partway through 2025 and immediately began generating activity. When a business signs a license and goes through our onboarding process, it gains access to our infrastructure, our physician network, pharmacy fulfillment compliance framework, patient intake and all the other components that go with operating a fully functional telehealth brand. The products flowing through the platform include GLP-1 medications, peptides, hormone replacement therapy, air loss treatments, skin care and sexual health meds, everything that falls into the patient-specific self-administered category for longevity medicine. These are high demand recurring prescription categories. A patient who starts on, for example, a TRT or a GLP-1 program doesn't stop after 1 prescription. It can be anywhere from 18 months to lifetime in the case of TRT, so reorders are monthly and scalable. That recurring nature is central to the economics of our licensees and it flows directly through our platform revenue. From a standing start last year, today, we currently have over 12,000 licenses signed across VSDHOne. Now to be clear about what that number means and what it doesn't mean signing a license is just the start of the relationship. It's not the peak. A licensee that signed in Q3 is still ramping up. a licensee that signed in Q4, for example, is still in the early stages of onboarding and the revenue generated in 2025 from VSDHOne represents a fraction of what those licenses where licenses will eventually produce. That embedded ramp in the existing license base is, in my view, 1 of the single most important things to understand about hydrate as we move into 2026. Next, I'd like to discuss the operating leverage we're seeing in the business and how it's already driving profitability even at the same scale we're currently at, at the small scale we're currently at. In the second half of 2025, post launch of VSDHOne, our revenue grew 157% versus the first half. During that same time, our OpEx increased by only 18% or to put it in another way, in the second half of 2025, we grew revenue by over $16 million. and our OpEx only increased by $600,000. This is the platform model working exactly as it's supposed to. The economics here are straightforward with our infrastructure built adding a new partner adds transaction volume, not headcount. We don't rebuild the compliance framework for each new licensee. We don't hire a new physician network all those operating costs are sunk in at a scale across to help us scale it across an even larger revenue base. This operating leverage ultimately flows down into our EBITDA and EBITDA margins. which have more than tripled since we launched the platform. We ended the year with a Q4 adjusted EBITDA margin of approximately 11% and a substantial increase from 2 quarters prior when it was only 3.4%. And what we find so promising is that we are achieved -- we achieved an 11% adjusted EBITDA margin, so early in our scale up. which means the operating leverage story is still in its early chapters, and it should only improve as we continue to scale going forward. Next, we wanted to touch on our balance sheet and how we've transformed it. We entered 2025, as we said, with $1.2 million in cash and a working capital deficiency. In contrast, we ended the year with $16 million in cash and $16 million working capital surplus. That is a fundamental change in the financial position of this company. We accomplished that through a combination of operating cash generation and disciplined financing, including convertible debenture that allowed us to invest in the platform and build our cash reserves without excess of dilution then in January 2026, we closed an oversubscribed $15 million bought deal financing, which brought our total cash position to over $30 million. That financing was notable not just for the size but for what it's signaled, conviction from institutional investors and where hydrate is going. Finally, before we talk about the financials, I wanted to discuss what we see as we look ahead to 2026, and I want to be direct about this because many investors have been asking this question. In 2025, we were building improving. We were launching VSDHOne, onboarding initial partners, getting our internal processes in place, building our pharmacy fulfillment and overall establishing the model. That's a very different phase of the business than where we are now. In 2026, we are operating a scaled, proven infrastructure with over 12 licensees, licenses signed a national pharmacy network a growing physician network and a heavily capitalized business to accelerate the growth. The playbook is written, the infrastructure is built. We are now in the phase of scaling it. The biggest driver of our 2026 revenue will not be new licenses. Although we continue to keep our foot down and bring new customers into the platform, of course, it will be a ramp-up of those partners who are already on the platform will be the primary focus. As those partners build their patient bases, increase their prescription volumes and expand their product utilization, the revenue per partner grows. This is a compounding dynamic, and we are in the early stages of it. We are also expanding into new product categories, peptides and longevity focused treatments, in particular, that represent the next wave of consumer demand in patient-directed health. Our platform is built to absorb those categories quickly. More accurately, we're uniquely positioned from a health care infrastructure perspective to be able to leverage the company and provide an ecosystem that had not previously existed. Once these licensees are on our system, we can offer those treatments to all of our existing customers effectively providing new categories and revenue opportunities to them in their existing customer bases, which we then benefit from this also materially increases our customers' reliance on us and their retention on our platform. One thing to note is that the longevity medicine industry did not exist 5 years ago. The expansion into peptides is the biggest thing in the health care industry for a long, long time. Peptides are growing twice as fast as the overall pharmacy market. 14, as I mentioned on previous communications, 14 of the previously restricted 19 peptides were released on February 27 of this year by Robert Kennedy, Jr., showcasing the movement towards the expansion into this area from a government perspective, from an oversight perspective with over 100 other peptides in clinical trials. This just showcases where this industry is going. When you consider the growth from just 1 treatment or 1 peptide, i.e., the GLP-1s in these last few years. You can see where the market is going to go when there's 100 plus on there. also wanting to note from our ecosystem is that the GLP-1 represents one particular type of customer. These other expansion into the peptides is going to be for general longevity medicine, and all manner of patient-specific needs. So again, the market that has already expanded is going to expand by 100x, and this is where everything is going. So when I step back and look at where we are today versus a year ago, the platform scale, the balance sheet, license growth and the team we've built, I feel very good about what's ahead. But let's let the numbers speak to that. Starting from the top, for Q4 2025, total revenue was $14.9 million compared to $4 million in Q4 2024. A representing a growth of 270% year-over-year. For the full year, revenue was $35.4 million versus $16 million in representing 121% growth year-over-year. Our revenue comes from 3 streams: business partner, contract revenue, commission revenue and pharmacy sales. the largest driver of the growth in 2025 was pharmacy sales, which grew rapidly as VSDHOne became active and began processing prescriptions orders through our network. Turning to gross profit. For Q4, our gross profit was $3.2 million, equal to a gross margin of approximately 22%. For the full year, gross profit was $9 million, equal to a gross margin of 25%. As we expected, our gross margin fell year-over-year driven by the shift in our revenue mix, pharmacy sales, which carry a lower margin grew significantly faster than other revenue streams as VSDHOne drove major increases in prescription volumes. The effect of this was an overall lowering of our blended gross margin. In terms of total operating expenses, we are pleased at how we have continued to keep these costs relatively flat despite the high growth we were able to achieve for the full year of 2025, operating expenses were $7.6 million compared to $6.1 million in 2024, representing an increase of approximately $1.5 million. In contrast, however, we realized an additional $19.3 million of sales growth. That ratio is the operating leverage I mentioned earlier. Putting in another way, in Q2 2025, our OpEx as a percentage of revenue was approximately 36%. As of the Q4, it fell to just 15%. As we look to adjusted EBITDA, we're happy to report that not only do we achieve positive adjusted EBITDA in every quarter in 2025, but also that every quarter was more profitable than the last. We ended the year with Q4 adjusted EBITDA of $1.6 million compared to a negative $83,000 in the year prior. For the full year, adjusted EBITDA was $2.5 million versus $136,000 in 2024. Along with that growth was an expansion of our adjusted EBITDA margins. We started the year with a 3.6% adjusted EBITDA margin in Q1 and just ended the year with 11% margin in the final quarter. Given the operating leverage we're seeing in the business, we expect profitability to continue to accelerate as we scale. Now that we've discussed the business and our 2025 results, I want to address our outlook for -- on 2026. To start, I want to reaffirm Q1 2026 revenue guidance. The activity on the platform has remained strong through the quarter, and we are tracking in line with our expectations. In terms of the full fiscal 2026 year, we continue to guide to a minimum of $150 million in revenue. We know that, that appears to be an ambitious number, but we're highly confident we can achieve it based on everything we know about the business today and what our pipeline for the remainder of the year looks. The drivers behind the guidance are not speculative as we've covered previous, they are the ramp we are seeing in our existing 12,000-plus licensed partner base, the continued onboarding of new partners and the increased per partner revenue as patient volumes and prescription utilization growth. We're not in a position where we need to discover new customers or build new products or building infrastructure from scratch. The foundation is already in place. It is a matter of execution, and execution is what we've shown we can do in 2025 and previous years. In closing, I'd like to thank everyone who joined today. We entered 2026 well capitalized with a proven platform, a large and still ramping partner base and a clear line of sight continued growth and profitability. We look forward to updating you on our Q1 results very shortly. I'd like to say thank you for all for joining.

Abbey Vogt

Executives
#3

Thank you so much, Shane. Thank you, everyone, for joining today's call. A replay will be available to everybody on hydrates website in the Investor Relations section of hydreight.com and we will also be sending an e-mail to everyone with the recording as well. So thank you very much for joining us today, and we wish you guys a great rest of your day and weekend as well. Thank you so much. Bye now.

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