メディファスト(MED)2026年第3四半期決算説明会:コーチの生産性が向上、第4四半期の収益性目標を再確認
メディファストの2026年第3四半期売上高は、アクティブ報酬獲得コーチ数の減少により前年同期比19.4%減の7,200万ドルとなった。一方、コーチ1人あたりの平均売上高は54.1%増の7,064ドルに上昇し、粗利益率の維持や事業再編「プロジェクト・カタリスト」の実行が進められた。GAAP基準の純損失は1,750万ドルに拡大したものの、無負債経営を維持し、現金及び投資資産は1億7,250万ドルとなった。経営陣は、第4四半期の黒字化達成を見込み、代謝健康分野への事業移行とコスト効率化を通じて持続的成長を目指している。
主要なポイント
- 2026年第3四半期の売上高は、主にアクティブ報酬獲得コーチ数の減少により、前年同期比19.4%減の7,200万ドルとなり、経営陣の業績予想の範囲内に収まりました。
- アクティブ報酬獲得コーチ数は前年同期の19,500人から約10,200人に減少しました。しかし、アクティブ報酬獲得コーチ1人あたりの平均売上高は54.1%増の7,064ドルに増加しました。
- GAAP基準の純損失は、粗利益の減少および「プロジェクト・カタリスト」の事業再編費用を反映し、1,750万ドル(希薄化後1株当たり1.57ドル)に拡大しました。調整後純損失は210万ドル(希薄化後1株当たり0.19ドル)でした。
- メディファストの当四半期末時点の現金・現金同等物および投資資産は1億7,250万ドルで、無負債経営を維持しています。
- 経営陣は、第4四半期の売上高を5,500万ドル〜7,500万ドル、EPSを0.00ドル〜0.25ドル、受取利息を除く調整後EBITDAを200万ドル〜600万ドルと予想しています。
- 経営陣は、コーチ数が年末まで減少傾向をたどると予想されるものの、コスト削減とコーチの生産性の継続的な向上に支えられ、メディファストは2026年第4四半期の黒字化達成に向けて順調に進展していると述べました。
主要財務データ
| 指標 | 2026年第3四半期 | 前年同期比変化 / 背景 |
|---|---|---|
| 売上高 | 7,200万ドル | 19.4%減、主にアクティブ報酬獲得コーチの減少による |
| アクティブ報酬獲得コーチ数 | 約10,200人 | 2025年第3四半期の19,500人から減少 |
| アクティブ報酬獲得コーチ1人当たり売上高 | 7,064ドル | 54.1%増 |
| 粗利益 | 5,000万ドル | 19.5%減 |
| 粗利益率 | 69.5% | 前年同期から横ばい。カタリスト関連費用230ベーシスポイントを含む |
| 調整後粗利益 | 5,170万ドル | 16.9%減 |
| 調整後粗利益率 | 71.7% | 220ベーシスポイント上昇 |
| 販売管理費 | 6,940万ドル | 4.8%増、カタリスト事業再編費用1,380万ドルを含む |
| 調整後販売管理費 | 5,560万ドル | 16.0%減 |
| 営業損失 | 1,940万ドル | 2025年第3四半期の410万ドルの損失から拡大 |
| 調整後営業損失 | 400万ドル | 3.2%改善 |
| 純損失 | 1,750万ドル | 前年同期の230万ドルの損失から拡大 |
| 希薄化後EPS | -1.57ドル | 2025年第3四半期の-0.21ドルから拡大 |
| 調整後希薄化後EPS | -0.19ドル | 調整後純損失210万ドル |
| 調整後EBITDA | 40万ドル | 29.7%増 |
| 現金・現金同等物および投資資産 | 1億7,250万ドル | 2026年9月30日時点で無負債 |
事業および業績の動向
メディファストは当四半期中、3.0戦略の展開を継続しました。同社はTrilivyブランド、Reset製品、拡充されたコーチ報酬プラン、および研修プラットフォーム「Trilivy Business Blueprint」を開始しました。
報酬プランは、コーチの昇格を簡素化し、生産性の高いエグゼクティブ・ディレクター組織の育成を重視するように設計されています。経営陣によると、エグゼクティブ・ディレクター以上のランクにあるアクティブ報酬獲得コーチの割合は、前年同期比および前四半期比の双方で上昇しました。
Trilivy Resetの初期採用率は高水準となりました。同社の速報データによると、9月時点でアクティブ報酬獲得コーチの95%が同製品ラインを顧客に提供していました。メディファストは、第4四半期末までに全SKUが新しいReset Fuelingsへと移行すると見込んでいます。
Trilivyは、Reset(リセット)、Refine(リファイン)、Renew(リニュー)の3つのフェーズで構成されています。経営陣によると、このシステムは、除脂肪体重を維持しながら体脂肪を減らし、より長期的な顧客エンゲージメントを支援することに重点を置き、メディファストの位置付けを単なる減量から代謝性健康へと広げることを目指しています。
同社は、第三者機関による16週間の臨床試験を引き合いに出し、同社の「Reset 5 & 1」プランが除脂肪体重の98%を維持しながら内臓脂肪を14%減少させたことを明らかにしました。
「プロジェクト・カタリスト」は第3四半期中に概ね実行されました。この事業再編には、拠点の閉鎖、社内ソフトウェアの廃止、人員削減、その他のコスト再配分策が含まれています。経営陣は、売上高が再び成長に転じた場合に同社の拡大能力を損なうことなく経費を削減することが、本プログラムの目的であると述べました。
経営陣による業績予想
| 予想指標 | 見通し |
|---|---|
| 2026年第4四半期 売上高 | 5,500万ドル〜7,500万ドル |
| 2026年第4四半期 EPS | 0.00ドル〜0.25ドル |
| 第4四半期 受取利息を除く調整後EBITDA | 200万ドル〜600万ドル |
| 2026年通期 売上高 | 2億8,000万ドル〜3億ドル |
| 2026年通期 EPS | 1.80ドル〜2.05ドルの赤字 |
| 2026年通期 調整後EPS | 0.45ドル〜0.70ドルの赤字 |
| 通期 受取利息を除く調整後EBITDA | 1,000万ドル〜1,400万ドル |
経営陣は、アクティブ報酬獲得コーチ数が2026年末まで減少を続けると予想しています。それにもかかわらず、第4四半期のコーチの生産性は前年同期比および前四半期比の双方で向上すると見込んでいます。
同社は2026年第4四半期に黒字化を達成するという目標を改めて表明しました。経営陣は、カタリストによる削減効果、プロセス改善、および人工知能(AI)の活用拡大が営業レバレッジを支援すると期待しており、2027年にもさらなる効率化の機会が残されている可能性があると指摘しています。
リスクと注目事項
- アクティブ報酬獲得コーチの基盤は前年同期の水準を大幅に下回ったままであり、年末にかけてさらに減少すると見込まれています。
- 経営陣は、従来の減量カテゴリー全体におけるGLP-1薬剤の急速な普及が、コーチ数および売上高の減少要因になっていると指摘しました。
- 第3四半期のGAAP業績は、販売管理費に含まれる1,380万ドルのカタリスト事業再編費用と、売上原価に含まれる追加費用によって大幅な影響を受けました。
- 売上高の安定化は、小規模化したコーチネットワークをコーチの生産性向上で補えるかどうかに一部依存しています。コーチ数および売上高の成長回帰はまだ実現していません。
- メディファストは個別の顧客注文レベルでGLP-1薬剤の使用状況を一元的に追跡していないため、GLP-1薬剤を使用している顧客と使用していない顧客との支出額の違いを定量化する能力が制限されています。
アナリスト質疑応答の主な要点
経営陣は、Trilivyの発売後もフィールドエンゲージメントは高い水準を維持したと述べました。また、コーチ数が減少する中で生産性が上昇した背景の一部として、アクティブコーチの絶対数よりも生産性の高いエグゼクティブ・ディレクター組織を重視する再設計された報酬プランを挙げました。
GLP-1薬剤との競合について、経営陣は、コーチが除脂肪体重の維持や筋肉の健康を含む「減量の質」に焦点を当てて顧客と対話することが増えていると述べました。メディファストは、薬剤を栄養摂取、ライフスタイル支援、コーチングの単独の代替手段としてではなく、顧客が健康プログラムを開始するための潜在的なきっかけと捉えています。
同社は個別の注文ごとに薬剤の使用状況を追跡していないため、GLP-1使用者の比較的な顧客支出データを提供できませんでした。利用可能な情報は、匿名調査や現場からの逸話的なフィードバックに基づいています。
費用に関して、経営陣はプロセスの改善や人工知能(AI)からさらなるコスト削減が得られる可能性があると述べました。また、よりスリムな事業構造により、売上高が成長に復帰した際に再開が必要となる固定費の額が減少すると見込んでいます。
業績発表電話会議 トランスクリプト全文
決算説明会の完全なトランスクリプト
経営陣による説明
Operator
Greetings. Welcome to Medifast's Third Quarter 2026 Earnings Conference Call. [Operator Instructions] Please note that this conference is being recorded. At this time, I'll turn the conference over to Matt Daryman, Manager of Investor Relations. Thank you, Matt. You may now begin.
Matthew Daryman
Good morning, and welcome to Medifast's Third Quarter 2026 Earnings Conference Call. On the call with me today are Nick Johnson, Chief Executive Officer; and Jim Maloney, Chief Financial Officer. By now, everyone should have access to the earnings release for the third quarter ended September 30, 2026, that went out this morning at approximately 8:05 a.m. Eastern Time. If you have not received the release, it is available on the Investor Relations portion of Medifast's website at www.medifastinc.com. This call is being webcast, and a replay will also be available on the company's website.
Before we begin, we would like to remind everyone that today's prepared remarks contain forward-looking statements, and management may make additional forward-looking statements in response to your questions. The words believe, expect, anticipate and other similar expressions generally identify forward-looking statements. These statements do not guarantee future performance, and therefore, undue reliance should not be placed on them. Actual results could differ materially from those projected in any forward-looking statements. All of the forward-looking statements contained herein speak only as of the date of this call. Medifast assumes no obligation to update any forward-looking statements that may be made in today's release or call. Now I would like to turn the call over to Medifast's Chief Executive Officer, Nick Johnson.
Nicholas Johnson
Thanks, Matt, and good morning, everyone. Thanks for joining us on the call today and for your continued interest in Medifast. Our third quarter was all about execution. With our new brand, Trilivy, now live, new products available and an enhanced compensation plan and unified coach training platform launched, our 3.0 business is rolling out. Early results are already showing up in the field. We delivered revenue in line with guidance at $72 million, continuing the trend of stabilizing revenue around $75 million for the fourth consecutive quarter, and coach productivity continues to improve.
We believe these trends leave us well positioned to deliver profitability in the fourth quarter. We ended the quarter with $173 million in cash and investments and no debt, and our enterprise value continues to sit below the value of our cash and investments. A debt-free balance sheet and a leaner cost structure give us a stable base from which to grow and invest in initiatives that can help deliver scale and profitability. Trilivy is differentiating Medifast in a large and growing metabolic health market, a market that we believe our coaches are well positioned to own.
Over the past few months, we launched the Medifast Metabolic Health Institute, introduced our MetaVantage Technology ingredient platform and brought new products and trainings to market that are designed to give us a solid foundation to deliver for clients in the metabolic health category. The brand marks the latest step in our transition from a weight loss company to a metabolic health business, where weight loss is just one outcome of better overall metabolic health. Weight loss remains important, but the quality of the weight loss matters more than ever. That means preserving lean mass, protecting muscle and over time, building it. Our 3-phase metabolic health system is designed to deliver those outcomes, starting with Reset as the first phase.
Our 10-year growth strategy is a road map that is designed to expand what we offer coaches and clients within a comprehensive metabolic health system. We are still at the start of that journey. But with our major launches now in market, we are shifting our focus to getting the best possible return out of what we have built. Whether we are talking to investors, coaches or employees, I consistently emphasize how we are building our 3.0 organization around 4 core tenets: speed, simplicity, scale and stewardship. Each of these showed up across our business in concrete ways this quarter.
Speed is evident in the pace of the launches we've brought to market this year. We took Reset Fuelings from an employee and coach pilot in the spring to having products available for coaches and clients by August, with all SKUs expected to be converted to the new Reset Fuelings by the end of Q4. We also introduced our new compensation plan and product line within days of each other. We have to make decisions quickly and move resources toward the areas that we believe can best drive growth and do that on a consistent and effective basis.
Simplicity is at the heart of the new compensation plan and the new unified training system called the Trilivy Business Blueprint. The new compensation plan simplifies the structure of our coach organization, rewards coach productivity and streamlines how coaches advance through the plan. The Trilivy Business Blueprint consists of the 6 fundamental skill sets every coach needs to build their business. By focusing on these 6 core fundamentals, we reduce low value-add administrative tasks, which allows coaches to focus their energy on activities that fuel the flywheel, namely consistent client acquisition, quality client support and sponsoring new coaches.
An example of our commitment to scaling is the Coach Hub. The Coach Hub, created by a group of our top field leaders, is where coaches go to learn how to put those 6 fundamental skill sets into practice with everything they need housed in one place. Alongside this, our Trilivy Coach Certification sets a consistent standard of knowledge across the field. When coaches increase their productivity and reach the rank of Executive Director, then sponsor new coaches and teach them to do the same, we fuel the flywheel that grows our business.
Finally, stewardship is our commitment to making sure that we are providing coaches with an environment in which they can grow their businesses over the long term while also being profitable as a business. That means holding firm on cost while protecting the capabilities that drive growth. This is the principle behind Catalyst, which I'll speak more about in a moment. On the whole, the indicators we are seeing in our business right now are those that have historically come before coach growth and revenue growth.
Coach productivity improved year-over-year for the fourth consecutive quarter to 54% in Q3 and grew an estimated 8% sequentially, and we expect that trend to continue through the rest of 2026. The percentage of active earning coaches at Executive Director rank or above rose both year-over-year and sequentially. Retention among Premier+ clients from the first to the second month has stabilized with September coming in 6 percentage points higher than Premier. Our enhanced compensation plan was designed to accelerate this kind of leadership development, and we are encouraged by what we have seen in the first 2 months since launch.
While these results are promising and represent historical indicators of growth, the total number of active earning coaches remains below last year's level, and we expect that trend to continue in the near term. Our Trilivy metabolic health system is designed as a 3-part system. Our foundational phase, Reset, is followed by Phase II and Phase III, Refine and Renew, respectively. These will support clients in maintaining their progress over time and ultimately help them to achieve optimal metabolic health. Refine is designed to improve metabolic flexibility and refine body composition with the overall goal to help enhance metabolism through better fuel use, leading to less fat storage and more muscle mass. The Renew phase is focused on optimizing metabolic health for long-term vitality. For our coaches, they provide additional tools to help support long-term client engagement with the Trilivy metabolic system.
The energy we saw at our sold-out convention in July has carried through this quarter. We're seeing coaches embrace the new brand and products enthusiastically, and we're hearing from them that their conversations with clients increasingly center on metabolic health markers like visceral fat and lean mass. That shift in how our coaches describe what we do is an important part of what makes Trilivy different. Trilivy is giving our coaches something new to talk about as well as a clearer way to talk about it. Medifast's work is built on more than 45 years of clinical and scientific heritage. It's that understanding that has led us to metabolic synchronization, our proprietary science focused on burning fat, preserving lean muscle and protecting metabolic health. In an independent clinical study, our Reset 5 & 1 plan reduced visceral fat by 14% while retaining 98% of lean mass over 16 weeks.
Reset Fuelings are the first products to fully use our MetaVantage Technology platform, a set of proprietary ingredient formulas designed to optimize metabolic health. The MetaVantage Reset formula helps unlock key metabolic pathways, reducing waist circumference while also supporting normal fat metabolism and healthy insulin. Since the new Trilivy brand and Reset launch in August, MetaVantage has been well received. Early feedback indicates strong interest in the new formula and its role in supporting the full spectrum of metabolic health.
We are continuing to monitor results and coach feedback to determine the impact of launch, but preliminary data indicates fast adoption of our new Trilivy Reset products with 95% of our active earning coaches in September already offering the line to clients. We believe that this product line will extend our ability to meet the needs of an expanded set of clients and deepen our differentiation in a crowded market.
Metabolic health is a large global business opportunity. Key members of our Medifast Metabolic Health Institute recently attended McKinsey and Stanford Medicine's Metabolic Health Business Building Summit 2026, where panelists size the existing metabolic health market at $12 trillion with an additional $16 trillion in prevention and optimization that is still largely untapped. The panelists expect that the biggest returns will go to companies that build ecosystems and business models, not just new interventions.
Our own view of the market opportunity supports this. More than 90% of U.S. adults are metabolically unhealthy, and we see similar issues around the globe. Our survey of more than 1,000 U.S. adults conducted last September shows that nearly 94% of Americans are concerned about at least one aspect of their metabolic health and 85% believe metabolic dysfunction can be reversed, yet 80% say they have limited understanding of what metabolic health means. That gap between concern and understanding is an area of opportunity for our coaches to educate and support.
GLP-1 medications continue to accelerate interest in metabolic health. Our view is that long-lasting and sustainable results depend on lifestyle change, nutrition, support and coaching in addition to the medications and that the businesses that win will be capable of providing an offer that works alongside them rather than competing with them. Weight loss remains important, but the quality of the weight loss matters more than ever. That means preserving lean mass, protecting muscle and over time, building it. Our 3-phase Trilivy system is designed to do exactly that, supporting people across the entire spectrum of their health journey, whether they are on medication, transitioning off it or never started.
One of the clearest signs of confidence in our direction this quarter comes from further developments in the field. This company was built on the belief of our founder of the mission and independent Trilivy Coach, Dr. Wayne Scott Andersen, who after leaving his medical practice as a critical care physician, dedicated himself to a new mission of lifelong transformation. He invested capital into the business, but also brought incredible energy to the mission as well as deep trust in the power of people to carry that mission into the world. Dr. Andersen continues to play a leadership role in our coach community today. And what we're seeing now is the next generation of leaders stepping forward with that same level of conviction.
Like Dr. Andersen did all those years ago, a select group of coach leaders are now raising their hands to lead the future growth of the business. They are choosing to invest their time and leadership as well as their own capital through ownership in the company. The same energy and sense of collaboration that we saw earlier in our journey with Dr. Andersen and others is now being demonstrated by a new generation of leaders at key events such as the Trilivy Leadership Symposium or even at the ringing of the closing bell at the New York Stock Exchange in September. This all reflects their deep belief in our mission, confidence in the direction we're headed and their clear view of the market opportunity in front of us.
We view this as a generational moment for our company. What started with the vision and belief of one founder is now being amplified by a new generation of leaders who are choosing to put something meaningful behind their belief and take greater ownership for building what comes next. I'm proud of the partnership with our leaders in the field, which was built and strengthened through my almost 10 years as President. I'm also honored to work alongside the incredible team members at Medifast.
Since I stepped into the CEO role in June, my focus has been on accelerating the 3.0 strategy that our leadership team developed together. That means changing the way our teams work so that we can move faster while keeping firm control on cost. Bringing a comprehensive metabolic health system to market this year, built on new science and new products and supported by a new digital ecosystem and a dedicated research arm shows what we can accomplish when we align around our 4 tenets. Together, they give us the platform to deliver our 10-year growth strategy and become a global leader in metabolic health.
With the organizational and structural work now complete, our team is focused on delivery. We launched our Catalyst program in the second quarter and the majority of its execution took place this quarter. These cost realignment initiatives are designed to accelerate our path to profitability and growth. Catalyst is driving additional savings through facility rationalization, AI-related efficiencies, sunsetting of nonstrategic IT applications and reductions in force to align with our current revenue levels. The program is designed so that it brings down costs while not negatively impacting our ability to grow. It builds on initiatives over the past several years that significantly reduced our cost base while preserving our core capabilities, and we will continue to review our costs for further opportunities.
We are also applying AI more broadly across the business. And over time, we anticipate it helping us move faster in product development and in the tools used by our coaches. Our near-term commitment has not changed. We are targeting profitability in the fourth quarter of 2026, and we believe we are on track to deliver it. Speed, simplicity, scale and stewardship are how we will get there. This quarter, we moved quickly to put 3.0 into the market, made it simpler for coaches to build their businesses, put in place standards and systems that will allow the field to grow and held firm on costs.
We believe we have a solid strategy for long-term growth, a brand and product line that set us apart, science that continues to strengthen and a coach network that is leaning into the metabolic health opportunity. We still have work to do, particularly in growing our coach count, but we enter the fourth quarter with each piece of our strategy in place. Our attention is now on delivering results. With that, I'll hand over to Jim to run through the financials.
James Maloney
Thank you, Nick. Good morning, everyone. Third quarter 2026 revenue and EPS were within our guidance range, supported by a successful Trilivy launch and a fourth consecutive quarter of year-over-year coach productivity growth. Revenue for the third quarter was $72 million, a decrease of 19.4% versus the year earlier period, primarily due to a decrease in the number of active earning coaches. We ended the quarter with approximately 10,200 active earning coaches compared to 19,500 for the third quarter of 2025.
The company continues to see an impact from the rapid adoption of GLP-1 medication across the traditional weight loss category, which is contributing to this decline. During the third quarter, we continued to focus on developing a network of the most productive Executive Director organizations, which we believe is an important step in returning to coach growth and ultimately, revenue growth. This work resulted in average revenue per active earning coach for the third quarter of $7,064, a year-over-year increase of 54.1%. As Nick mentioned, this metric is now at its highest level in many years, trending notably higher on both a year-over-year and sequential basis.
We executed on a restructuring action during the quarter, Project Catalyst, which included facility closures, sunsetting of internal use software and other related restructuring activities. These changes primarily impacted SG&A with smaller amounts impacting cost of sales. The specific actions were designed to realign the cost structure of the business with current sales volumes while maintaining sufficient capacity to scale the business upon our return to growth. Gross profit for Q3 2026 decreased 19.5% year-over-year to $50 million, driven by lower sales volumes. Gross profit margin for the current quarter was 69.5% for both the current and prior period, with current period Catalyst charges of 230 basis points, substantially offset by 220 basis points of costs to reformulate the Essential line in the prior period.
On a non-GAAP adjusted basis, which excludes expenses related to Catalyst, gross profit decreased 16.9% to $51.7 million and moved 220 basis points higher as a percent of revenue to 71.7%. SG&A expense was up 4.8% year-over-year to $69.4 million, primarily due to $13.8 million of Catalyst Restructuring charges, partially offset by a $6.6 million decrease in coach compensation on lower volume and fewer active earning coaches and a $1.4 million decrease in IT consulting spend. SG&A as a percentage of revenue increased 22 percentage points, primarily due to approximately 19 percentage points of Catalyst Restructuring costs and 3 percentage points related to our Trilivy convention, for which no convention was held in the comparable year ago period. On a non-GAAP adjusted basis, which excludes expenses related to Catalyst, SG&A decreased 16% to $55.6 million and moved 310 basis points higher as a percent of revenue to 77.2%.
Loss from operations was $19.4 million in the third quarter of 2026 as compared to $4.1 million for the year earlier period, primarily as a result of lower gross profit and Project Catalyst costs impacting SG&A. As a percentage of revenue, loss from operations was 26.9% in the third quarter as compared to 4.6% in the year earlier comparable period. On a non-GAAP adjusted basis, loss from operations improved by 3.2% to $4 million and moved 90 basis points lower as a percent of revenue to 5.5%. Other income, which is primarily comprised of interest income on cash, cash equivalents and investments in both the current and comparable period, increased $0.1 million year-over-year to $1.5 million.
Income tax benefit for the period was $0.3 million, an effective rate of 1.8%, as compared to $0.4 million for the third quarter of 2025, an effective rate of 14.9%. Due to the existence of a full valuation allowance against its deferred tax assets recorded as of December 31, 2025, the company calculated income tax expense for the current period based on actual results for the quarter. The company's income tax provision for the period reflects discrete items, primarily a $0.4 million change in unrecognized tax benefits due to finalization of a state tax examination, partially offset by $0.1 million of state income taxes. The non-GAAP adjustments do not impact the income tax benefit for the period as a result of the valuation allowance.
Net loss in the third quarter of 2026 was $17.5 million or $1.57 per diluted share, compared to $2.3 million or $0.21 per share in the year earlier period. On a non-GAAP adjusted basis, net loss in the third quarter was $2.1 million or $0.19 per diluted share. Adjusted EBITDA, which excludes stock-based compensation and Catalyst charges, increased 29.7% to $0.4 million, and adjusted EBITDA, excluding interest income, increased 9.7% to $1.9 million. With respect to our balance sheet, we ended the quarter with $172.5 million in cash, cash equivalents and investments, and no debt as of September 30, 2026.
Now I'll turn to guidance. We are expecting fourth quarter revenue to range from $55 million to $75 million and income per share for the quarter to range from $0 to $0.25. While we expect to continue to see the active earning coach count to decline through the end of the year, we expect to see continued coach productivity growth during the quarter, up both year-over-year and sequentially. For the full year 2026, we expect revenue to range from $280 million to $300 million and loss per share between $1.80 and $2.05. For the full year 2026, on a non-GAAP basis, we expect loss per share between $0.45 and $0.70. We are expecting fourth quarter adjusted EBITDA, excluding interest income, to range from $2 million to $6 million. For the full year 2026, we are expecting adjusted EBITDA, excluding interest income, to range from $10 million to $14 million. With that, let me turn the call back to the operator for questions.
Operator
[Operator Instructions] And our first question is from the line of Jim Salera with Stephens.
質疑応答
James Salera
Nick, I wanted to start with some conversations you've had with folks in the field given the continued increase in the coach productivity, kind of, balanced against the decline in the active number of coaches. Can you just share some thoughts, given you guys have a lot of these operational changes, how they're responding, how they're responding to the new product rebranding, reformulation and just, kind of, engagement that you're seeing with the field team?
Nicholas Johnson
Sure. Thanks for the question. What we're experiencing since the launches that took place in the quarter is actually high engagement and energy levels. From -- if you look at the compensation plan enhancement, what we did was we simplified the compensation plan, and we anchored the new plan on the creation of healthy Executive Directors, and Executive Directors are high-producing coaches. So we would expect productivity to improve while the quantity of active earning coaches goes down, we're expecting the quality of those coaches to actually improve, and that was a design change in the plan itself.
The other launches have been received very positively. As I said in my prepared remarks, we had a sold-out convention where we launched all of these 3.0 initiatives for this first phase. And we see generally excitement continue to build. As I also said in my prepared remarks, the field has unified their training system around the Trilivy Business Blueprint that's anchored on those 6 foundational core training principles. And then they launched a Coach Hub, which is really a one-stop shop for their training system, all anchored on the metabolic health opportunity.
James Salera
Can you share any feedback from the coaches just about the competitive landscape? I know if you look at any sort of sporting event or really any prominent television event, there's a lot of advertisements for all these, kind of, online places you can order GLP-1s and people talking about various kind of AI-enabled or AI-assisted weight loss. Can you just, kind of, talk about how the field team deals with that competitive set, if you see more of the customers blending some of those offerings with your offerings and how we should think about that as we, sort of, try to look at a point of stabilization for the top line?
Nicholas Johnson
I think a good way to think about that, well, first of all, yes, the GLP-1s are ubiquitous in the marketplace, and our coaches do experience them with their clients. Many of them have coached multiple clients on GLP-1s, and we have stats to support that. So they're not running away from the conversation. The conversation is inside of their conversations with their clients and their coaches.
And so what I can tell you is that the nature of the conversation has changed from simply the amount of weight that you're losing, which is just one indication, to the quality of the weight that you're losing. And that's very, very encouraging, because what we see with people who are on GLP-1s without the type of system to support the changes that they're undergoing is that many people are losing a lot of lean mass. They're losing lean muscle, skeletal muscle, which is very difficult to rebuild after a certain age in particular. And so those conversations are happening. So the shift, I would characterize as a conversation from just the quantity of the weight that's being lost to the quality of the weight that is lost, the preservation of lean mass, the building of lean muscle.
And not only that, it's the key role that, that muscle plays in resetting one's metabolism and then building metabolic flexibility. So I would say that the conversations are evolving, and they're developing in the metabolic health space in the field today. And in the words of many of our top leaders, the GLP-1s are simply a catalyst for many people to start on their health journey. But they know because they've seen and watch these clients progress through that cycle that the GLP-1s alone without a system to support those changes are simply not enough to sustain long-term and lifelong transformation.
James Salera
Do you have any color around average spending per customer that's on a GLP-1 versus one that's just exclusively using your program?
James Maloney
Yes. I mean, Jim, this is Jim Maloney. So that -- that data, we have some anecdotal data, which we don't want to really share anecdotal data, but it's -- we have -- we don't know exactly each and every customer that's on a GLP-1 centrally as a company. To get the data we have presented before, we have taken surveys of people that are anonymous that we know the percent of clients that are on a GLP-1, but we don't specifically track it by order, if that makes sense.
James Salera
Yes. Understood. Maybe, Jim, one more on your end. Is there anything else in SG&A? I know you guys have had this kind of ongoing cost-out program. Is there anything else in SG&A that we should think about as being able to come out other than the coach compensation adjustment, which is obviously variable based on the top line? But any other, sort of, efficiencies that we can extract from the operating model?
James Maloney
Yes. I mean we're not -- the Catalyst program was designed around the concept of, as Nick mentioned, speed and simplicity, and we're looking at removing costs all the time that do not impact growth. And we believe we've got a good balance there. So we're continuing to look at process improvement. In our prepared remarks, we mentioned regarding AI and capabilities with AI. We're actually starting to see real results on that. I would say the Q4 results, we feel very -- when you look at the bottom line, we feel good about where we're at in removing costs that don't impact growth.
But we're -- as we're looking into 2027, we believe there's more to do on that front. And it's going to be more regarding process improvement, looking at artificial intelligence and capabilities on that front. And as we get back to growth, and this is the more important part of that, as we get back to growth, we believe we're not going to have to add back certain fixed costs that we had in the past because of process improvement in AI. So we do believe there's going to be leverage in our P&L as we grow in the out quarters that are very improved that will help our operating income in the future.
Operator
At this time, I'll turn the floor back to Nicholas Johnson for any closing comments.
Nicholas Johnson
Thank you for joining us today and for your continued interest in Medifast. Our quarter was all about execution, and we remain focused on delivering 3.0, which is our 10-year growth strategy. We are energized by the positive momentum in coach productivity and engagement, and we are confident that the foundational work we are doing today, centering on speed, simplicity, scale and stewardship, leave us well positioned to deliver profitability in the fourth quarter. We look forward to seeing you all on our next call. Have a great day.
Operator
Ladies and gentlemen, thank you for your participation. This does conclude today's teleconference. You may disconnect your lines at this time, and have a wonderful day.
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