Form 8-K

8-K — LifeStance Health Group, Inc.

Accession: 0001193125-26-209709

Filed: 2026-05-07

Period: 2026-05-07

CIK: 0001845257

SIC: 8000 (SERVICES-HEALTH SERVICES)

Item: Results of Operations and Financial Condition

Item: Regulation FD Disclosure

Item: Financial Statements and Exhibits

Documents

8-K — lfst-20260507.htm (Primary)

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8-K

8-K (Primary)

Filename: lfst-20260507.htm · Sequence: 1

8-K

0001845257false00018452572026-05-072026-05-07

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 07, 2026

LifeStance Health Group, Inc.

(Exact name of Registrant as Specified in Its Charter)

Delaware

001-40478

86-1832801

(State or Other Jurisdiction

of Incorporation)

(Commission File Number)

(IRS Employer

Identification No.)

4800 N. Scottsdale Road

Suite 2500

Scottsdale, Arizona

85251

(Address of Principal Executive Offices)

(Zip Code)

Registrant’s Telephone Number, Including Area Code: 602 767-2100

(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading

Symbol(s)

Name of each exchange on which registered

Common Stock, par value $0.01 per share

LFST

The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Item 2.02 Results of Operations and Financial Condition.

On May 7, 2026, LifeStance Health Group, Inc. ("LifeStance Health Group", "LifeStance" or the "Company") issued a press release announcing its results of operations for the first quarter ended March 31, 2026. A copy of the press release is furnished as Exhibit 99.1.

The information furnished under Item 2.02 of this Current Report on Form 8-K, including the exhibit, shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), nor shall it be deemed incorporated by reference into LifeStance Health Group's filings with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

Item 7.01 Regulation FD Disclosure.

A slide presentation, which includes supplemental information related to LifeStance Health Group, is furnished as Exhibit 99.2. The information furnished under Item 7.01 of this Current Report on Form 8-K, including the exhibit, shall not be deemed "filed" for purposes of Section 18 of the Exchange Act, nor shall it be deemed incorporated by reference into LifeStance Health Group's filings with the SEC under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

Exhibit

Description

99.1

Press Release dated May 7, 2026.

99.2

Slide presentation providing supplemental information.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

LifeStance Health Group, Inc.

Date:

May 7, 2026

By:

/s/ Ryan McGroarty

Ryan McGroarty

Chief Financial Officer and Treasurer

(principal financial and accounting officer)

EX-99.1

Filename: lfst-ex99_1.htm · Sequence: 2

EX-99.1

Exhibit 99.1

Investor Relations Contact

Monica Prokocki

VP of Finance & Investor Relations

602-767-2100

investor.relations@lifestance.com

LifeStance Reports First Quarter 2026 Results

SCOTTSDALE, Ariz. – May 7, 2026 – LifeStance Health Group, Inc. (Nasdaq: LFST), one of the nation’s largest providers of outpatient mental healthcare, today announced financial results for the first quarter ended March 31, 2026.

(All results compared to prior-year comparative period, unless otherwise noted)

2026 Highlights and FY 2026 Outlook

•

Revenue of $403.5 million increased 21% compared to revenue of $333.0 million

•

Clinician base increased 11% to 8,349 clinicians, a sequential net increase of 309 in the first quarter

•

First quarter visit volumes increased 18% to 2.5 million

•

Net income of $14.2 million compared to net income of $0.7 million

•

Adjusted EBITDA of $51.1 million compared to Adjusted EBITDA of $34.6 million

•

Net cash provided by operations of $33.1 million in the first quarter

•

Free Cash Flow generation of $22.3 million in the first quarter

•

For full year 2026, raising revenue expectations to $1.640 billion to $1.680 billion, Center Margin expectations to $547 million to $571 million, and Adjusted EBITDA of $200 million to $220 million

“We delivered an exceptional quarter to begin the year, highlighted by strong revenue growth of 21%, net income growth of $13.5 million, and Adjusted EBITDA growth of 48%,” said Dave Bourdon, CEO of LifeStance. “Our performance demonstrates that our differentiated model is meeting the societal trend of growing demand for mental healthcare. We also took an important step forward in our commitment to clinical excellence by announcing an outcomes study on approximately 180,000 LifeStance patients that showed roughly three quarters reported clinically significant improvement in anxiety and depression.”

Financial Highlights

Q1 2026

Q1 2025

Y/Y

(in millions)

Total revenue

403.5

333.0

Income from operations

22.3

1.6

Center Margin

135.9

109.8

Net income

14.2

0.7

Adjusted EBITDA

51.1

34.6

As % of Total revenue:

Income from operations

5.5

0.5

Center Margin

33.7

33.0

Net income

3.5

0.2

Adjusted EBITDA

12.7

10.4

NM - not meaningful

(All results compared to prior-year period, unless otherwise noted)

•

Revenue grew 21% to $403.5 million. Revenue growth in the first quarter was driven primarily by higher visit volumes from net clinician growth, improved clinician productivity, and higher total revenue per visit.

•

income from operations was $22.3 million and net income was $14.2 million.

•

Center Margin grew 24% to $135.9 million, or 33.7% of total revenue.

•

Adjusted EBITDA increased 48% to $51.1 million, or 12.7% of total revenue. Adjusted EBITDA as a percentage of revenue increased in the first quarter as a result of higher total revenue per visit, lower center costs as a percentage of revenue, and improved operating leverage from revenue growing faster than general and administrative expenses.

Balance Sheet, Cash Flow, and Capital Allocation

For the three months ended March 31, 2026, LifeStance generated $33.1 million cash flow from operations. The Company ended the first quarter with cash of $194.8 million and net long-term debt of $262.5 million.

2026 Guidance

LifeStance is providing the following outlook for 2026:

•

The Company is raising full year revenue to $1.640 billion to $1.680 billion, Center Margin to $547 million to $571 million, and Adjusted EBITDA to $200 million to $220 million.

•

For the second quarter of 2026, the Company expects total revenue of $405 million to $425 million, Center Margin of $135 million to $147 million, and Adjusted EBITDA of $50 million to $60 million.

Conference Call, Webcast Information, and Presentations

LifeStance will hold a conference call today, May 7, 2026 at 8:30 a.m. Eastern Time to discuss the first quarter 2026 results. Investors who wish to participate in the call should dial 1-800-715-9871, domestically, or 1-646-307-1963, internationally, approximately 10 minutes before the call begins and provide conference ID number 8795477 or ask to be joined into the LifeStance call. A real-time audio webcast can be accessed via the Events and Presentations section of the LifeStance Investor Relations website (https://investor.lifestance.com), where related materials will be posted prior to the conference call.

About LifeStance Health Group, Inc.

Founded in 2017, LifeStance (Nasdaq: LFST) is reimagining mental health. We are one of the nation’s largest providers of virtual and in-person outpatient mental healthcare for children, adolescents and adults experiencing a variety of mental health conditions. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. LifeStance and its supported practices employ over 8,300 psychiatrists, advanced practice nurses, psychologists and therapists and operates across 33 states and more than 550 centers. To learn more, please visit www.LifeStance.com.

We routinely post information that may be important to investors on the “Investor Relations” section of our website at investor.lifestance.com. We encourage investors and potential investors to consult our website regularly for important information about us.

Forward-Looking Statements

Statements in this press release and on the related teleconference that express a belief, expectation or intention, as well as those that are not historical fact, are forward-looking statements. These statements include, but are not limited to, statements with respect to: full year and second quarter guidance and management's related assumptions; business plans and objectives; our share repurchase authorization and repurchases thereunder; and other statements contained in this press release that are not historical facts. When used in this press release and on the related teleconference, words such as “may,” “will,” “should,” “could,” “intend,” “potential,” “continue,” “anticipate,” “believe,” “estimate,” “expect,” “plan,” “target,” “predict,” “project,” “seek” and similar expressions as they relate to us are intended to identify forward-looking statements. They involve a number of risks and uncertainties that may cause actual events and results to differ materially from such forward-looking statements. These risks and uncertainties include, but are not limited to: if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be materially harmed; we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide healthcare services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business and financial performance would be harmed; the impact on us of healthcare reform legislation and other changes in the healthcare industry and in healthcare spending is currently unknown, but may harm our business; if our or our vendors’ security measures fail or are breached and unauthorized access to our employees’, patients’ or partners’ data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our

business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; our existing indebtedness could adversely affect our business and growth prospects; and other risks and uncertainties set forth under “Risk Factors” included in the reports we have filed or will file with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2025 and subsequent filings made with the Securities and Exchange Commission. LifeStance does not undertake to update any forward-looking statements made in this press release to reflect any change in management's expectations or any change in the assumptions or circumstances on which such statements are based, except as otherwise required by law.

Non-GAAP Financial Information

This press release contains certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA margin. Tables showing the reconciliation of these non-GAAP financial measures to the comparable GAAP measures are included at the end of this release. Management believes these non-GAAP financial measures are useful in evaluating the Company’s operating performance, and may be helpful to securities analysts, institutional investors and other interested parties in understanding the Company’s operating performance and prospects. This press release also refers to Free Cash Flow, which is calculated as net cash provided by (used in) operating activities less purchases of property and equipment. Management believes Free Cash Flow is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. These non-GAAP financial measures, as calculated, may not be comparable to companies in other industries or within the same industry with similarly titled measures of performance. Therefore, the Company’s non-GAAP financial measures should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP, such as net income or income from operations.

Center Margin and Adjusted EBITDA anticipated for the second quarter of 2026 and full year 2026 are calculated in a manner consistent with the historical presentation of these measures at the end of this release. Reconciliation for the forward-looking second quarter of 2026 and full year 2026 Center Margin, Adjusted EBITDA guidance and Free Cash Flow is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. As such, LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results.

Management acknowledges that there are many items that impact a company’s reported results and the adjustments reflected in these non-GAAP measures are not intended to present all items that may have impacted these results.

# # # #

Consolidated Financial Information and Reconciliations

CONSOLIDATED BALANCE SHEETS

(unaudited)

(In thousands, except for par value)

March 31, 2026

December 31, 2025

CURRENT ASSETS

Cash and cash equivalents

194,797

248,642

Patient accounts receivable, net

122,916

95,710

Prepaid expenses and other current assets

38,198

71,848

Total current assets

355,911

416,200

NONCURRENT ASSETS

Property and equipment, net

161,468

161,583

Right-of-use assets

151,526

149,720

Intangible assets, net

175,141

177,665

Goodwill

1,296,999

1,293,346

Other noncurrent assets

4,837

5,419

Total noncurrent assets

1,789,971

1,787,733

Total assets

2,145,882

2,203,933

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES

Accounts payable

4,292

6,122

Accrued payroll expenses

117,306

143,327

Other accrued expenses

52,408

42,187

Operating lease liabilities, current

47,369

45,544

Other current liabilities

18,357

14,782

Total current liabilities

239,732

251,962

NONCURRENT LIABILITIES

Long-term debt, net

262,459

265,927

Operating lease liabilities, noncurrent

148,821

148,553

Deferred tax liability, net

16,408

Other noncurrent liabilities

1,046

Total noncurrent liabilities

428,734

430,956

Total liabilities

668,466

682,918

COMMITMENTS AND CONTINGENCIES

STOCKHOLDERS’ EQUITY

Preferred stock – par value $0.01 per share; 25,000 shares authorized as of

March 31, 2026 and December 31, 2025; 0 shares issued and outstanding as

of March 31, 2026 and December 31, 2025

—

Common stock – par value $0.01 per share; 800,000 shares authorized as of

March 31, 2026 and December 31, 2025; 387,813 and 388,318 shares

issued and outstanding as of March 31, 2026 and December 31, 2025,

respectively

3,878

3,883

Additional paid-in capital

2,267,921

2,325,758

Accumulated deficit

(794,383

)

(808,626

)

Total stockholders' equity

1,477,416

1,521,015

Total liabilities and stockholders’ equity

2,145,882

2,203,933

consolidated statements of operations and comprehensive income

(unaudited)

(In thousands, except per share amounts)

Three Months Ended March 31,

2026

2025

TOTAL REVENUE

403,476

332,970

OPERATING EXPENSES

Center costs, excluding depreciation and

amortization shown separately below

267,544

223,179

General and administrative expenses

100,330

94,431

Depreciation and amortization

13,318

13,756

Total operating expenses

381,192

331,366

INCOME FROM OPERATIONS

22,284

1,604

OTHER EXPENSE

Loss on remeasurement of contingent consideration

)

—

Transaction costs

(544

)

—

Interest expense, net

(1,793

)

(3,073

)

Other expense

(182

)

Total other expense

(2,524

)

(3,074

)

INCOME (LOSS) BEFORE INCOME TAXES

19,760

(1,470

)

INCOME TAX (PROVISION) BENEFIT

(5,517

)

2,179

NET INCOME

14,243

709

EARNINGS PER SHARE

Basic

0.04

0.00

Diluted

0.04

0.00

Weighted-average shares outstanding

Basic

387,264

383,272

Diluted

395,084

390,666

NET INCOME

14,243

709

OTHER COMPREHENSIVE LOSS

Unrealized losses on cash flow hedge, net of tax

—

(317

)

COMPREHENSIVE INCOME

14,243

392

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(In thousands)

Three Months Ended March 31,

2026

2025

CASH FLOWS FROM OPERATING ACTIVITIES

Net income

14,243

709

Adjustments to reconcile net income to net cash provided by

(used in) operating activities:

Depreciation and amortization

13,318

13,756

Non-cash operating lease costs

10,717

10,231

Stock-based compensation

15,201

18,584

Amortization of discount and debt issue costs

251

Other, net

129

357

Change in operating assets and liabilities, net of businesses acquired:

Patient accounts receivable, net

(26,953

)

(8,568

)

Prepaid expenses and other current assets

33,779

(4,515

)

Accounts payable

(1,017

)

(77

)

Accrued payroll expenses

(26,362

)

(17,540

)

Operating lease liabilities

(9,955

)

(11,894

)

Other accrued expenses

9,758

(4,386

)

Net cash provided by (used in) operating activities

33,109

(3,092

)

CASH FLOWS FROM INVESTING ACTIVITIES

Purchases of property and equipment

(10,767

)

(7,168

)

Acquisitions of businesses, net of cash acquired

(3,144

)

—

Net cash used in investing activities

(13,911

)

(7,168

)

CASH FLOWS FROM FINANCING ACTIVITIES

Payments of long-term debt

—

(1,813

)

Taxes related to net share settlement of equity awards

(23,936

)

(8,162

)

Repurchases of common stock

(49,107

)

—

Net cash used in financing activities

(73,043

)

(9,975

)

NET DECREASE IN CASH AND CASH EQUIVALENTS

(53,845

)

(20,235

)

Cash and cash equivalents - beginning of period

248,642

154,571

CASH AND CASH EQUIVALENTS – END OF PERIOD

194,797

134,336

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION

Cash paid for interest, net

4,382

Cash paid for taxes, net of refunds

349

609

SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND

FINANCING ACTIVITIES

Contingent consideration incurred in acquisitions of businesses

1,008

—

Acquisition of property and equipment included in liabilities

2,489

2,348

RECONCILIATION OF income FROM OPERATIONS TO CENTER MARGIN

Three Months Ended March 31,

2026

2025

(in thousands)

Income from operations

22,284

1,604

Adjusted for:

Depreciation and amortization

13,318

13,756

General and administrative expenses (1)

100,330

94,431

Center Margin

135,932

109,791

(1)

Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees.

RECONCILIATION OF NET income TO ADJUSTED EBITDA

Three Months Ended March 31,

2026

2025

(in thousands)

Net income

14,243

709

Adjusted for:

Interest expense, net

1,793

3,073

Depreciation and amortization

13,318

13,756

Income tax provision (benefit)

5,517

(2,179

)

Loss on remeasurement of contingent consideration

—

Stock-based compensation expense

15,201

18,584

Loss on disposal of assets

182

Transaction costs (1)

544

—

Executive transition costs

—

185

Litigation costs (2)

(197

)

205

Strategic initiatives (3)

—

Real estate optimization and restructuring charges (4)

—

(45

)

Amortization of cloud-based software implementation costs (5)

418

357

Adjusted EBITDA

51,110

34,646

(1)

Primarily includes capital markets advisory, consulting, accounting and legal expenses related to the underwritten public offering of shares of our common stock by certain selling stockholders completed in the first quarter of 2026.

(2)

Litigation costs, net of insurance recoveries, include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During each of the three months ended March 31, 2026 and 2025, litigation costs included cash expenses related to certain litigation matters, including a privacy class action litigation, and for the three months ended March 31, 2025, a compensation model class action litigation.

(3)

Strategic initiatives consist of expenses directly related to evaluating and implementing a critical enterprise-wide scalable electronic health resources system in connection with our significant expansion. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to this enterprise-wide system. We considered the frequency and scale of this enterprise upgrade when determining that the expenses were not normal, recurring operating expenses.

(4)

Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which included certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures was greater than what would be expected as part of ordinary business operations and did not constitute normal recurring operating activities. During the three months ended March 31, 2025, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023.

(5)

Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive income.

EX-99.2

Filename: lfst-ex99_2.htm · Sequence: 3

ReimaginingMental Health Q1 2026 Earnings Presentation • May 7, 2026 Exhibit 99.2

Forward-Looking Statements DISCLAIMERS Cautionary Note Regarding Forward-Looking Statements This presentation and related oral statements, including during any question and answer portion of the presentation, contain forward-looking statements about LifeStance Health Group, Inc. and its subsidiaries (“LifeStance”) and the industry in which LifeStance operates, including statements regarding: full-year and second quarter guidance and management’s related assumptions; the Company's financial position; business plans and objectives; our share repurchase authorization and repurchases thereunder; including planned capital allocation; and potential for disciplined acquisitions; operating results; working capital and liquidity; and other statements contained in this presentation that are not historical facts. These statements are subject to known and unknown uncertainties and contingencies outside of LifeStance's control and which are largely based on our current expectations and projections about future events and financial trends that we believe may affect LifeStance's financial condition, results of operations, business strategy, and prospects. LifeStance's actual results, events, or circumstances may differ materially from these statements. Forward-looking statements include all statements that are not historical facts. Words such as “anticipate,” “believe,” “envision,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” “contemplate” and other similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements are subject to a number of risks, uncertainties, factors and assumptions, including, among other things: if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be materially harmed; we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide health care services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business and financial performance would be harmed; the impact on us of healthcare reform legislation and other changes in the healthcare industry and in healthcare spending is currently unknown, but may harm our business; if our or our vendors' security measures fail or are breached and unauthorized access to our employees', patients' or partners' data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; our existing indebtedness could adversely affect our business and growth prospects; and the other factors set forth in our filings with the Securities and Exchange Commission. The forward-looking statements, together with statements relating to our past performance, should not be regarded as a reliable indicator of our future performance. We undertake no obligation to update any forward-looking statements made in this presentation to reflect events or circumstances after the date of this presentation or to reflect new information or the occurrence of unanticipated events, except as may be required by law. We may not actually achieve the plans, intentions, or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Our forward-looking statements do not reflect the potential impact of any future mergers, dispositions, joint ventures, or investments. Use of Non-GAAP Financial Measures In addition to financial measures presented in accordance with U.S. generally accepted accounting principles (“GAAP”), this presentation includes certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA Margin. These non-GAAP measures are in addition to, and not a substitute for, or superior to, measures of financial performance prepared in accordance with U.S. GAAP. The non-GAAP financial measures used by LifeStance may differ from the non-GAAP financial measures used by other companies. A reconciliation of these measures to the most directly comparable U.S. GAAP measure is included in the Appendix to these slides or as otherwise described in these slides. Market and Industry Data This presentation also contains information regarding our market and industry that is derived from third-party research and publications. This information involves a number of assumptions and limitations. Forecasts, assumptions, expectations, beliefs, estimates and projections involve risk and uncertainties and are subject to change based on various factors.

Building the Leading Outpatient Mental Health Platform Increasing access to trusted, affordable, and personalized mental healthcare A truly healthy society where mental and physical healthcare are unified to make lives better OUR VISION OUR MISSION Tech-enabled platform supporting hybrid model of virtual and in-person care In-network reimbursement providing affordable access to high-quality care National platform with unmatched scale Multidisciplinary clinician model composed of W-2 employed psychiatrists, APNs, psychologists & therapists 8,349Clinicians 11% Y/Y Growth $1,495M Revenue | TTM(1) 16% Y/Y TTM(1) Growth 9.4M Visits | TTM(1) 550+ Centers in 33 States 1 2 3 4 Note: Unless otherwise stated, data is as of March 31, 2026; (1) Trailing twelve months LifeStance: Reimagining Mental Healthcare

Q1 2026 Highlights Q1 Revenue of $403.5 million increased 21% year-over-year Total clinicians of 8,349 increased +11% Y/Y; 309 net clinician adds in Q1 Q1 visit volumes of 2.5 million increased +18% Y/Y Q1 Center Margin of $135.9 million, or 33.7% as a percentage of revenue Q1 Adjusted EBITDA of $51.1 million, or 12.7% as a percentage of revenue Ended Q1 with a Cash position of $194.8 million Note: See reconciliation of GAAP to non-GAAP measures in the Appendix to this presentation. Amounts are unaudited.

Clinicians Q1 2026 Results Adjusted EBITDA (in $M) Center Margin (in $M) Revenue (in $M) 10.4% 12.7% 33.0% 33.7% Center Margin (% of total revenue) +24% +21% +11% +48% Adj. EBITDA (% of total revenue) Note: See reconciliation of GAAP to non-GAAP measures in the Appendix to this presentation. Amounts are unaudited.

Quarterly Trends Clinicians Adjusted EBITDA (in $M) Adj. EBITDA (% of total revenue) Center Margin (in $M) Revenue (in $M) Center Margin (% of total revenue) 33.0% 31.4% 32.0% 33.0% 33.7% 10.4% 9.8% 11.1% 12.8% 12.7% Note: See reconciliation of GAAP to non-GAAP measures in the Appendix to this presentation. Amounts above may not cross-foot due to rounding. Amounts are unaudited.

Balance Sheet, Cash Flow, and Capital Allocation *Long-Term Debt is Net of Current Portion and Unamortized Discount and Debt Issue Costs Balance Sheet & Cash Flow Capital Allocation Evolving from purely growth mindset to balanced set of objectives that include operational excellence, profitable growth, and disciplined capital deployment $263M Net Long-term Debt* Cash & Cash Equivalents $195M $33M Operating Cash Flow (YTD) $11M Capital Expenditures (YTD) New Centers Selective deployment to enable clinician and market growth Opened 6 new centers in Q1 Acquisitions Disciplined investments to drive growth Completed 2 tuck-in acquisitions in Q1

2026 Guidance (All $ in M) FY 2026 Q2 2026 Revenue $1,640 – $1,680(Raised from $1,615 - $1,655) $405 – $425 Center Margin $547 – $571(Raised from $526 - $550) $135 – $147 Adj. EBITDA $200 – $220(Raised from $185 - $205) $50 – $60 Note: Center Margin and Adjusted EBITDA anticipated for second quarter of 2026 and full year 2026 are calculated in a manner consistent with the historical presentation of these measures in the Appendix to this presentation. Reconciliation for the forward-looking second quarter of 2026 and full year 2026 Center Margin and Adjusted EBITDA guidance is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results. Planning Assumptions Assumes 20 to 30 new center openings

Appendix

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Total revenue $403.5 $382.2 $363.8 $345.3 $333.0 Operating expenses Center costs, excluding depreciation and amortization 267.5 255.9 247.2 236.9 223.2 General and administrative expenses 100.3 94.8 95.6 97.4 94.4 Depreciation and amortization 13.3 13.4 13.6 14.0 13.8 Income (loss) from operations $22.3 $18.1 $7.4 ($3.0) $1.6 Other expense Loss on remeasurement of contingent consideration (0.0) — — — — Transaction costs (0.5) — — — — Interest expense, net (1.8) (2.9) (2.8) (2.9) (3.1) Other expense (0.2) (0.0) (0.0) (0.1) (0.0) Total other expense (2.5) (2.9) (2.8) (3.0) (3.1) Income (loss) before income taxes $19.8 $15.2 $4.6 ($5.9) ($1.5) Income tax (provision) benefit (5.5) (3.5) (3.5) 2.2 2.2 Net income (loss) $14.2 $11.7 $1.1 ($3.8) $0.7 Earnings (loss) per share Basic 0.04 0.03 0.00 (0.01) 0.00 Diluted 0.04 0.03 0.00 (0.01) 0.00 Weighted-average shares outstanding Basic 387.3 387.0 387.0 386.7 383.3 Diluted 395.1 396.0 388.9 386.7 390.7 Net income (loss) $14.2 $11.7 $1.1 ($3.8) $0.7 Other comprehensive loss Unrealized losses on cash flow hedge, net of tax — — (0.3) (0.3) (0.3) Comprehensive income (loss) $14.2 $11.7 $0.7 ($4.1) $0.4 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly Statements of Operations and Comprehensive Income (Loss)

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Income (loss) from operations $22.3 $18.1 $7.4 ($3.0) $1.6 Adjusted for: Depreciation and amortization 13.3 13.4 13.6 14.0 13.8 General and administrative expenses (1) 100.3 94.8 95.6 97.4 94.4 Center Margin $135.9 $126.3 $116.6 $108.4 $109.8 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. (1) Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees. Quarterly GAAP to Non-GAAP Reconciliations – Center Margin

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Net income (loss) $14.2 $11.7 $1.1 ($3.8) $0.7 Adjusted for: Interest expense, net 1.8 2.9 2.8 2.9 3.1 Depreciation and amortization 13.3 13.4 13.6 14.0 13.8 Income tax provision (benefit) 5.5 3.5 3.5 (2.2) (2.2) Loss on remeasurement of contingent consideration 0.0 — — — — Stock-based compensation 15.2 16.7 18.3 21.1 18.6 Loss on disposal of assets 0.2 0.0 0.0 0.1 0.0 Transaction costs (1) 0.5 — — — — Executive transition costs — 0.1 0.6 0.5 0.2 Litigation costs (2) (0.2) 0.1 (0.1) 1.0 0.2 Strategic initiatives (3) 0.1 — — — — Real estate optimization and restructuring charges (4) — (0.0) (0.0) (0.1) (0.0) Amortization of cloud-based software implementation costs (5) 0.4 0.4 0.4 0.4 0.4 Adjusted EBITDA $51.1 $48.8 $40.2 $34.0 $34.6 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. (1) - Primarily includes capital markets advisory, consulting, accounting and legal expenses related to the underwritten public offering of shares of our common stock by certain selling stockholders completed in the first quarter of 2026. (2) - Litigation costs, net of insurance recoveries, include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During each of the three months ended March 31, 2026 and 2025, litigation costs included cash expenses related to certain litigation matters, including a privacy class action litigation, and for the three months ended March 31, 2025, a compensation model class action litigation. (3) - Strategic initiatives consist of expenses directly related to evaluating and implementing a critical enterprise-wide scalable electronic health resources system in connection with our significant expansion. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to this enterprise-wide system. We considered the frequency and scale of this enterprise upgrade when determining that the expenses were not normal, recurring operating expenses. (4) - Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which included certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures was greater than what would be expected as part of ordinary business operations and did not constitute normal recurring operating activities. During the three months ended March 31, 2025, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023. (5) - Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive income (loss). Quarterly GAAP to Non-GAAP Reconciliations – Adjusted EBITDA

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Key Metrics Clinicians 8,349 8,040 7,996 7,708 7,535 Total Revenue $403.5 $382.2 $363.8 $345.3 $333.0 Center costs, excluding depreciation and amortization 267.5 255.9 247.2 236.9 223.2 Center Margin (Non-GAAP) $135.9 $126.3 $116.6 $108.4 $109.8 % Margin 33.7% 33.0% 32.0% 31.4% 33.0% General and administrative expenses 100.3 94.8 95.6 97.4 94.4 Depreciation and amortization 13.3 13.4 13.6 14.0 13.8 Income (loss) from operations 22.3 18.1 7.4 (3.0) 1.6 Other expense Other expense (8.0) (6.4) (6.3) (0.8) (0.9) Net income (loss) $14.2 11.7 1.1 (3.8) 0.7 Other comprehensive (loss) income Unrealized (losses) gains on cash flow hedge, net of tax — — (0.3) (0.3) (0.3) Comprehensive income (loss) $14.2 $11.7 $0.7 ($4.1) $0.4 Adjusted EBITDA build Net income (loss) 14.2 11.7 1.1 (3.8) 0.7 Interest expense, net 1.8 2.9 2.8 2.9 3.1 Depreciation and amortization 13.3 13.4 13.6 14.0 13.8 Income tax provision (benefit) 5.5 3.5 3.5 (2.2) (2.2) Loss on remeasurement of contingent consideration 0.0 — — — — Stock-based compensation 15.2 16.7 18.3 21.1 18.6 Loss on disposal of assets 0.2 0.0 0.0 0.1 0.0 Transaction costs 0.5 — — — — Executive transition costs — 0.1 0.6 0.5 0.2 Litigation costs (0.2) 0.1 (0.1) 1.0 0.2 Strategic initiatives 0.1 — — — — Real estate optimization and restructuring charges — (0.0) (0.0) (0.1) (0.0) Amortization of cloud-based software implementation costs 0.4 0.4 0.4 0.4 0.4 Adjusted EBITDA (Non-GAAP) $51.1 $48.8 $40.2 $34.0 $34.6 % Margin 12.7% 12.8% 11.1% 9.8% 10.4% Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. See appendix for reconciliation of prior period reported clinicians. Non-GAAP Financial Metrics

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Current assets Cash and cash equivalents 194.8 248.6 203.9 188.9 134.3 Patient accounts receivable, net 122.9 95.7 121.1 129.5 140.4 Prepaid expenses and other current assets 38.2 71.8 35.4 40.4 29.9 Total current assets 355.9 416.2 360.4 358.8 304.6 Property and equipment, net 161.5 161.6 162.7 160.6 163.7 Right-of-use assets 151.5 149.7 145.7 143.2 148.1 Intangible assets, net 175.1 177.7 180.8 184.0 187.3 Goodwill 1,297.0 1,293.3 1,293.3 1,293.3 1,293.3 Other noncurrent assets 4.8 5.4 6.1 6.9 7.6 Total noncurrent assets 1,790.0 1,787.7 1,788.6 1,788.0 1,800.0 Total assets $2,145.9 $2,203.9 $2,149.0 $2,146.8 $2,104.7 Accounts payable 4.3 6.1 12.2 7.8 7.4 Accrued payroll expenses 117.3 143.3 113.8 129.2 99.9 Other accrued expenses 52.4 42.2 42.1 46.9 43.2 Operating lease liabilities, current 47.4 45.5 47.4 47.1 47.3 Other current liabilities 18.4 14.8 13.1 11.3 9.5 Total current liabilities 239.7 252.0 228.6 242.3 207.4 Long-term debt, net 262.5 265.9 269.4 272.9 276.3 Operating lease liabilities, noncurrent 148.8 148.6 144.2 143.4 149.4 Deferred tax liability, net 16.4 16.4 14.0 14.1 14.2 Other noncurrent liabilities 1.0 0.1 0.1 0.2 0.3 Total noncurrent liabilities 428.7 431.0 427.7 430.6 440.2 Total liabilities $668.5 $682.9 $656.2 $672.9 $647.6 Common stock 3.9 3.9 3.9 3.9 3.9 Additional paid-in capital 2,267.9 2,325.8 2,309.1 2,291.1 2,270.2 Accumulated other comprehensive income — — — 0.3 0.6 Accumulated deficit (794.4) (808.6) (820.3) (821.4) (817.6) Total stockholders’ equity 1,477.4 1,521.0 1,492.7 1,473.9 1,457.1 Total liabilities and stockholders’ equity $2,145.9 $2,203.9 $2,149.0 $2,146.8 $2,104.7 Subtotals in the schedule above may not foot due to rounding. Amounts are unaudited. Quarterly Balance Sheets

($M) Q1’26 Q1’25 CASH FLOWS FROM OPERATING ACTIVITIES Net income $14.2 0.7 Adjustments to reconcile net income to net cash provided by (used in) operating activities: Depreciation and amortization 13.3 13.8 Non-cash operating lease costs 10.7 10.2 Stock-based compensation 15.2 18.6 Amortization of discount and debt issue costs 0.3 0.3 Other, net 0.1 0.4 Change in operating assets and liabilities, net of businesses acquired: Patient accounts receivable, net (27.0) (8.6) Prepaid expenses and other current assets 33.8 (4.5) Accounts payable (1.0) (0.1) Accrued payroll expenses (26.4) (17.5) Operating lease liabilities (10.0) (11.9) Other accrued expenses 9.8 (4.4) Net cash provided by (used in) operating activities $33.1 ($3.1) CASH FLOWS FROM INVESTING ACTIVITIES Purchases of property and equipment (10.8) (7.2) Acquisitions of businesses, net of cash acquired (3.1) — Net cash used in investing activities ($13.9) ($7.2) CASH FLOWS FROM FINANCING ACTIVITIES Payments of long-term debt — (1.8) Taxes related to net share settlement of equity awards (23.9) (8.2) Repurchases of common stock (49.1) — Net cash used in financing activities ($73.0) ($10.0) NET DECREASE IN CASH AND CASH EQUIVALENTS ($53.8) ($20.2) Cash and cash equivalents - beginning of period $248.6 $154.6 CASH AND CASH EQUIVALENTS – END OF PERIOD $194.8 $134.3 Subtotals in the schedule above may not foot due to rounding. Amounts are unaudited. Statements of Cash Flows

2026 2025 ($M) Q1 Q4 Q3 Q2 Q1 Net cash provided by (used in) operating activities $33.1 $57.6 $27.3 $64.4 ($3.1) Purchases of property and equipment ($10.8) ($10.9) ($10.3) ($7.8) ($7.2) Free Cash Flow $22.3 $46.6 $17.0 $56.6 ($10.3) We define FCF, a non-GAAP performance measure, as net cash provided by (used in) operating activities less purchases of property and equipment. We believe that FCF is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. FCF is presented for supplemental informational purposes only and has limitations as an analytical tool and should not be considered in isolation or as a substitute for analysis of other GAAP financial measures, such as net cash provided by (used in) operating activities. It is important to note that other companies, including companies in our industry, may not use this metric, may calculate metrics differently, or may use other financial measures to evaluate their liquidity, all of which could reduce the usefulness of this non-GAAP metrics as a comparative measure. The above table presents a reconciliation of net cash provided by (used in) operating activities to FCF, the most directly comparable financial measure calculated in accordance with GAAP. Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly GAAP to Non-GAAP Reconciliations – Free Cash Flow (FCF)

2026 2025 Q1 Q4 Q3 Q2 Q1 Total Revenue ($M) $403.5 $382.2 $363.8 $345.3 $333.0 Total Visits (000s) 2,468 2,394 2,299 2,199 2,098 Total Revenue Per Visit (TRPV) $163.5 $159.6 $158.2 $157.0 $158.7 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly Visits and Total Revenue Per Visit

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Two-character EDGAR code representing the state or country of incorporation.

+ References

No definition available.

+ Details

Name:

dei_EntityIncorporationStateCountryCode

Namespace Prefix:

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Data Type:

dei:edgarStateCountryItemType

Balance Type:

Period Type:

duration

- Definition

The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 12

-Subsection b-2

+ Details

Name:

dei_EntityRegistrantName

Namespace Prefix:

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Data Type:

xbrli:normalizedStringItemType

Balance Type:

Period Type:

duration

- Definition

The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 12

-Subsection b-2

+ Details

Name:

dei_EntityTaxIdentificationNumber

Namespace Prefix:

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Data Type:

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Balance Type:

Period Type:

duration

- Definition

Local phone number for entity.

+ References

No definition available.

+ Details

Name:

dei_LocalPhoneNumber

Namespace Prefix:

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Data Type:

xbrli:normalizedStringItemType

Balance Type:

Period Type:

duration

- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 13e

-Subsection 4c

+ Details

Name:

dei_PreCommencementIssuerTenderOffer

Namespace Prefix:

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Data Type:

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Balance Type:

Period Type:

duration

- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 14d

-Subsection 2b

+ Details

Name:

dei_PreCommencementTenderOffer

Namespace Prefix:

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Data Type:

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Balance Type:

Period Type:

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- Definition

Title of a 12(b) registered security.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 12

-Subsection b

+ Details

Name:

dei_Security12bTitle

Namespace Prefix:

dei_

Data Type:

dei:securityTitleItemType

Balance Type:

Period Type:

duration

- Definition

Name of the Exchange on which a security is registered.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 12

-Subsection d1-1

+ Details

Name:

dei_SecurityExchangeName

Namespace Prefix:

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Data Type:

dei:edgarExchangeCodeItemType

Balance Type:

Period Type:

duration

- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Exchange Act

-Number 240

-Section 14a

-Subsection 12

+ Details

Name:

dei_SolicitingMaterial

Namespace Prefix:

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Data Type:

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Balance Type:

Period Type:

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- Definition

Trading symbol of an instrument as listed on an exchange.

+ References

No definition available.

+ Details

Name:

dei_TradingSymbol

Namespace Prefix:

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Data Type:

dei:tradingSymbolItemType

Balance Type:

Period Type:

duration

- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Securities Act

-Number 230

-Section 425

+ Details

Name:

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Namespace Prefix:

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Data Type:

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