Hinge Health (...and Reddit)

(The “and Reddit” part first…a couple weeks ago @wpr101 and I started a subreddit: https://www.reddit.com/r/GrowthStockInvesting/ I just wanted to announce this as of course you’re all invited to join. We’re both Reddit shareholders and thought it would be cool to get more involved there as users / moderators. We’re hoping to have discussions there similar to the ones here on Saul’s. Nothing on Saul’s will change, btw…I think I’ll try posting my thoughts in both places…which leads me to Hinge Health…below is a post I made on Reddit last week after Hinge reported Q1 earnings. I thought they were a blowout! Hinge Health Q1 2026)

Hinge just crushed it!

In Q4 they had given a FY guide of 742m revenue (+26% Yoy) and 156m net income.

In Q1 they raised it to 804m revenue (+37% YoY) and – wait for it – 215m net income!

Clearly they know how to play the beat and raise game. Obviously they will raise again in Q2 and Q3, and then beat in Q4. It’s just a question of how much. I don’t imagine they’ll be able to do what they did here, but clearly growth will be over 40% and maybe even around 50% YoY going forward.

Even as I wrote that I was thinking…how on earth are they able to raise it that much? Here’s at least part of it: One big leading metric is LTM calculated billings which came in at 769.9m. Last quarter that was 671.4m. It’s not enough to say that this was their largest add ever. I need to show you the numbers:

Q3 2024: 49.1

Q4 2024: 50.6

Q1 2025: 39.5

Q2 2025: 61.4

Q3 2025: 55.8

Q4 2025: 47.2

Q1 2026: 98.5 (wow)

Anyway, I’m pretty glad they had such a huge quarter. Their initial FY guide was kind of meh at +26%, but raising to +37% immediately changes things! I had been trimming but I just added back a few shares in the after hours market today.


(Adding more as I post this here at Saul’s…I think it’s interesting that the market hasn’t had a stronger reaction to the quarter. I guess there’s still plenty of doubters with this business. The price seems pretty attractive to me…but I’m curious to hear what others think.)

Bear

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Also as I now realize we haven’t discussed Hinge Health here before now…a little background:

Hinge Health is an app-based platform for physical therapy, and they also issue devices that can be used to soothe pain (and now migraines). They IPO’d on May 22, 2025, and when they announced their first public quarter back in August, I liked the story and the numbers and bought in. I’ve held ever since, but it’s never been exciting enough to bring to the board here…Thankfully Q1 changed that.

Hinge is also quite profitable, EPS was 49 cents and 45 cents in Q4 and Q1 respectively, and I believe that will expand with revenue throughout the remainder of 2026 and beyond. Today per SeekingAlpha analysts expect about 2.50 for the year, so they agree. And that would put fwd PE at about 22.

From what I can tell HNGE works alongside the healthcare system rather than trying to disrupt it like Teladoc.

I hope some of you will get interested and dive deeper and add your thoughts!

Bear

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