HIMSDecember 4, 2025 at 5:17 PM UTCHealth Care Equipment & Services

Hims & Hers buys Livewell to enter Canada as generic semaglutide looms — shares rise, thesis largely intact

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What happened

Hims & Hers announced it is entering Canada via the acquisition of Livewell, a Canadian telehealth weight‑loss and wellness platform, and plans to launch a Canadian weight‑loss program in 2026 timed to the first availability of generic semaglutide. The deal is a clear execution of the company’s stated international optionality and metabolic‑care play, expanding its operating footprint beyond the U.S. and U.K. but also adding another integration and regulatory front for management to handle. Management will position the move as a way to capture early demand when generics arrive, but generics change the economics — lower drug cost may reduce per‑patient revenue while increasing margin pressure from marketing and fulfilment if price competition intensifies. The acquisition was funded from growth capital (recall the 2025 $1.0B 0% convert proceeds and recent M&A spree), so the balance‑sheet flexibility noted in the DeepValue report helps but does not eliminate dilution and execution risk. Given existing GLP‑1 regulatory uncertainty, heavy marketing spend and the stock’s premium to our DCF (~$24 intrinsic vs ~$36–37 market), this Canadian expansion is material strategically but not transformational for the valuation or risk profile today.

Implication

The Livewell purchase adds genuine optionality: Canada offers a different regulatory environment and an early addressable market when generic semaglutide becomes available in 2026, which could boost growth if Hims converts Livewell’s base and replicates U.S. unit economics. That upside is counterbalanced by realistic downsides — integration complexity, potential pricing pressure from generics, and the same physician/regulatory scrutiny that has hit U.S. compounded GLP‑1 offerings. For investors this means monitoring a short list of concrete indicators: any disclosed purchase price and earn‑out structure, Canadian regulatory approvals or prescribing limits, the split of GLP‑1 vs non‑GLP‑1 revenue by geography, and whether gross margin and marketing intensity improve or worsen post‑integration. The company’s strong cash position and net‑cash leverage reduce financial stress, but the acquisition does not materially change dilution risk tied to $1.0B converts or the need for sustained high‑efficiency marketing to justify current multiples. Until we see evidence that the Canadian program drives durable, profitable subscriber growth and margin stabilization, the move is a constructive strategic step but not a reason to add exposure at current prices.

Thesis delta

Small positive to optionality and geographic diversification: the Livewell deal marginally reduces single‑market concentration of the weight‑loss play and gives Hims an explicit runway to commercialize when generic semaglutide is available in 2026. It does not, however, reduce the core risks that constrain our valuation — regulatory exposure around GLP‑1 prescribing, heavy marketing/stock‑based comp, integration execution and the fact that the shares trade well above our DCF. Our stance (WAIT) remains unchanged until management demonstrates improved unit economics, margin resilience, and regulatory clarity.

Confidence

High — acquisition and timing are factual; the strategic implications are clear but execution and margin impacts remain uncertain.