0001193125-26-338107 | 10-Q | XBRL Viewer | Lifestance Health Group INC

Fair Value Measurements (Tables)

6 Months Ended

Jun. 30, 2026

Summary of the Significant Assumptions Used for the Fair Value Measurement of the Contingent Consideration Liability

The following is the summary of the significant assumptions used for the fair value measurement of the contingent consideration liability as of June 30, 2026.


Valuation Technique	Range of Significant Assumptions
		June 30, 2026
Probability-weighted analysis	Probability	0% - 100%
based earn-outs	Discount rate	5.7%

Schedule of Fair Value, Assets Measured at Recurring Basis

The following table presents information about the Company’s assets that are measured at fair value on a recurring basis:


	June 30, 2026		December 31, 2025
Assets Measured at Fair Value
Money market funds	$	32,746	$	175,520
Level 1	$	32,746	$	175,520
Total assets measured at fair value	$	32,746	$	175,520

Liabilities Measured at Fair Value
Level 3
Contingent consideration liability:
Beginning balance	$	—	$	—
Additions related to acquisitions		3,646		—
Loss on remeasurement		31		—
Ending balance		3,677		—
Level 3	$	3,677		—
Total liabilities measured at fair value	$	3,677	$	—

Property and Equipment, Net - Schedule of Property and Equipment (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Property Plant And Equipment [Line Items]
Total	$ 314,351	$ 293,657
Less: Accumulated depreciation	(149,655)	(132,074)
Total property and equipment, net	164,696	161,583
Leasehold Improvements
Property Plant And Equipment [Line Items]
Total	203,349	194,653
Computers and Peripherals
Property Plant And Equipment [Line Items]
Total	29,031	25,237
Internal-use software
Property Plant And Equipment [Line Items]
Total	15,920	11,269
Furniture, Fixtures and Equipment
Property Plant And Equipment [Line Items]
Total	50,133	48,045
Medical Equipment
Property Plant And Equipment [Line Items]
Total	2,317	1,073
Construction in Process
Property Plant And Equipment [Line Items]
Total	$ 13,601	$ 13,380

Long-Term Debt - Summary of Interest Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Debt Disclosure [Abstract]
Interest expense, net	$ 2,632	$ 2,900	$ 4,425	$ 5,973

- Definition

Amount of interest expense classified as operating and nonoperating. Includes, but is not limited to, cost of borrowing accounted for as interest expense.

+ References

+ Details

Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2026

Intangible Asset, Goodwill and Other [Abstract]

Summary of Goodwill

The following table summarizes changes in the carrying amount of goodwill:


	Amount
Balance as of December 31, 2025	$	1,293,346
Business acquisitions (Note 7)		11,210
Balance as of June 30, 2026	$	1,304,556

Summary of Intangible Assets

Intangible assets consist of the following:


June 30, 2026	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Useful Life (Years)
Regional trade names	$	37,329	$	(36,622	)	$	707		4.0
LifeStance trade names		235,500		(64,191	)		171,309		22.5
Non-competition agreements		94,932		(94,143	)		789		4.2
Total intangible assets	$	367,761	$	(194,956	)	$	172,805


December 31, 2025	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Useful Life (Years)
Regional trade names	$	36,694	$	(36,319	)	$	375		4.0
LifeStance trade names		235,500		(58,957	)		176,543		22.5
Non-competition agreements		94,535		(93,788	)		747		4.2
Total intangible assets	$	366,729	$	(189,064	)	$	177,665

Summary of Intangible Assets Amortization Expense

Gross carrying amount is based on the fair value of the intangible assets determined at the acquisition date. Total intangible asset amortization expense consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Amortization expense	$	2,940	$	3,367	$	5,892	$	6,833

- Definition

Tabular disclosure of goodwill.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
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Reference 8: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 9: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 12: http://www.xbrl.org/2009/role/commonPracticeRef
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482573/350-20-50-1A

+ Details

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (unaudited) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital [Member]	Accumulated Other Comprehensive Income [Member]	Accumulated Deficit [Member]
Balance at Dec. 31, 2024	$ 1,446,285	$ 3,827	$ 2,259,818	$ 929	$ (818,289)
Shares, Outstanding at Dec. 31, 2024		382,735,000
Net income (loss)	(3,082)				(3,082)
Issuance of common stock upon vesting of restricted stock units	(8,398)	$ 65	(8,463)
Issuance of common stock upon vesting of restricted stock units, Shares		6,424,000
Forfeitures, value		$ (1)	1
Forfeitures, shares		(82,000)
Other comprehensive loss	(584)			(584)
Stock-based compensation expense	39,700		39,700
Balance at Jun. 30, 2025	1,473,921	$ 3,891	2,291,056	345	(821,371)
Shares, Outstanding at Jun. 30, 2025		389,077,000
Balance at Mar. 31, 2025	1,457,099	$ 3,888	2,270,179	612	(817,580)
Shares, Outstanding at Mar. 31, 2025		388,826,000
Net income (loss)	(3,791)				(3,791)
Issuance of common stock upon vesting of restricted stock units	(236)	$ 4	(240)
Issuance of common stock upon vesting of restricted stock units, Shares		320,000
Forfeitures, value		$ (1)	1
Forfeitures, shares		(69,000)
Other comprehensive loss	(267)			(267)
Stock-based compensation expense	21,116		21,116
Balance at Jun. 30, 2025	1,473,921	$ 3,891	2,291,056	$ 345	(821,371)
Shares, Outstanding at Jun. 30, 2025		389,077,000
Balance at Dec. 31, 2025	1,521,015	$ 3,883	2,325,758		(808,626)
Shares, Outstanding at Dec. 31, 2025		388,318,000
Net income (loss)	37,855				37,855
Issuance of common stock upon vesting of restricted stock units	(24,414)	$ 68	(24,482)
Issuance of common stock upon vesting of restricted stock units, Shares		6,818,000
Forfeitures, value		$ (8)	8
Forfeitures, shares		(819,000)
Exercise of stock options, shares		705,000
Exercise of stock options, value	5,368	$ 7	5,361
Repurchases of common stock, shares		13,000,000
Repurchases of common stock, amount	(97,625)	$ (130)	(97,495)
Stock-based compensation expense	34,949		34,949
Balance at Jun. 30, 2026	1,477,148	$ 3,820	2,244,099		(770,771)
Shares, Outstanding at Jun. 30, 2026		382,022,000
Balance at Mar. 31, 2026	1,477,416	$ 3,878	2,267,921		(794,383)
Shares, Outstanding at Mar. 31, 2026		387,813,000
Net income (loss)	23,612				23,612
Issuance of common stock upon vesting of restricted stock units	(478)	$ 3	(481)
Issuance of common stock upon vesting of restricted stock units, Shares		302,000
Forfeitures, value		$ (8)	8
Forfeitures, shares		(798,000)
Exercise of stock options, shares		705,000
Exercise of stock options, value	5,368	$ 7	5,361
Repurchases of common stock, shares		6,000,000
Repurchases of common stock, amount	(48,518)	$ (60)	(48,458)
Stock-based compensation expense	19,748		19,748
Balance at Jun. 30, 2026	$ 1,477,148	$ 3,820	$ 2,244,099		$ (770,771)
Shares, Outstanding at Jun. 30, 2026		382,022,000

Property and Equipment, Net (Tables)

6 Months Ended

Jun. 30, 2026

Property, Plant, and Equipment [Abstract]

Schedule of Property and Equipment

Property and equipment, net consists of the following:


	June 30, 2026			December 31, 2025
Leasehold improvements	$	203,349		$	194,653
Computers and peripherals		29,031			25,237
Internal-use software		15,920			11,269
Furniture, fixtures and equipment		50,133			48,045
Medical equipment		2,317			1,073
Construction in process		13,601			13,380
Total	$	314,351		$	293,657
Less: Accumulated depreciation		(149,655	)		(132,074	)
Total property and equipment, net	$	164,696		$	161,583

Schedule of Depreciation Expense

Depreciation expense consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Depreciation expense	$	11,309	$	10,639	$	21,675	$	20,929

Fair Value Measurements - Summary of the Significant Assumptions Used for the Fair Value Measurement of the Contingent Consideration Liability (Details)	Jun. 30, 2026
F T E Based Earn Outs \| Discount Rate
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.057
Minimum \| Probability Weighted Analysis \| Probability
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0
Maximum \| Probability Weighted Analysis \| Probability
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	1

Summary of Significant Accounting Policies

6 Months Ended

Jun. 30, 2026

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

NOTE 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The Company's significant accounting policies are discussed in Note 2 "Summary of Significant Accounting Policies" in Item 15 of its Annual Report on Form 10-K for the year ended December 31, 2025. During the six months ended June 30, 2026, there have been no significant changes to these policies.

Basis of Presentation and Principles of Consolidation

The Company has prepared the accompanying unaudited consolidated financial statements pursuant to the rules and regulations of the SEC regarding interim financial reporting, which include the accounts of LifeStance, its wholly-owned subsidiaries and variable interest entities ("VIEs") in which LifeStance has an interest and is the primary beneficiary. Pursuant to these rules and regulations, the Company has omitted certain information and footnote disclosures it normally includes in its annual consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). All intercompany balances and transactions have been eliminated in consolidation. In management’s opinion, the Company has made all adjustments (consisting only of normal, recurring adjustments, except as otherwise indicated) necessary to fairly state its consolidated financial condition, results of operations and cash flows. The Company’s interim period operating results do not necessarily indicate the results that may be expected for any other interim period or the full fiscal year. These financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto in the Company’s audited financial statements for the year ended December 31, 2025 in the Company's Annual Report on Form 10-K.

Use of Accounting Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Segment Information

The Company has a single operating and reportable segment – mental health services. As the Company operates as one operating segment, all required segment financial information is found in the accompanying unaudited consolidated financial statements.

The chief operating decision maker assesses performance for the mental health services segment and decides how to allocate resources based on net income (loss), which is reported on the accompanying unaudited consolidated statements of operations and comprehensive income (loss) as net income (loss). Net income (loss) is used to monitor budget versus actual results for assessment of segment performance. The chief operating decision maker considers budget-to-actual variances on a monthly basis when making decisions about allocating resources and assessing the performance of the segment. The chief operating decision maker utilizes consolidated expense information regularly provided in the budget-to-actual analysis in order to assist with assessing performance and deciding how to allocate resources, which align with the consolidated expense categories as disclosed on the face of the accompanying unaudited consolidated statements of operations and comprehensive income (loss).

The measure of segment assets is reported on the accompanying consolidated balance sheets as total assets. The chief operating decision maker does not utilize total assets in the assessment of performance and allocation of resource decisions as the assessment and decisions are not made on the basis of total assets.

Variable Interest Entities

The Company evaluates its ownership, contractual and other interests in entities to determine if it has any variable interest in a VIE. These evaluations are complex, involve judgment, and the use of estimates and assumptions based on available information. If the Company determines that an entity in which it holds a contractual or ownership interest is a VIE and that the Company is the primary beneficiary, the Company consolidates such entity in its consolidated financial statements. The primary beneficiary of a VIE is the party that meets both of the following criteria: (i) has the power to make decisions that most significantly affect the economic performance of the VIE; and (ii) has the obligation to absorb losses or the right to receive benefits that in either case could potentially

be significant to the VIE. The Company performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change.

The Company acquires and operates certain care centers which are deemed to be Friendly-Physician Entities (“FPEs”). As part of an FPE acquisition, the Company acquires 100% of the non-medical assets; however, due to legal requirements the physician-owners must retain 100% of the equity interest. The Company’s agreements with FPEs generally consist of both a Management Service Agreement, which provides for various administrative and management services to be provided by the Company to the FPE, and Stock Transfer Restriction (“STR”) agreements with the physician-owners of the FPEs, which provide for the transition of ownership interests of the FPEs under certain conditions. The outstanding voting equity instruments of the FPEs are owned by the nominee shareholders appointed by the Company under the terms of the STR agreements. The Company has the right to receive income as an ongoing management fee, which effectively absorbs all of the residual interests and has also provided financial support through loans to the FPEs. The Company has exclusive responsibility for the provision of all nonmedical services including facilities, technology and intellectual property required for the day-to-day operation and management of each of the FPEs, and makes recommendations to the FPEs in establishing the guidelines for the employment and compensation of the physicians and other employees of the FPEs. In addition, the STR agreements provide that the Company has the right to designate an appropriately licensed person(s) to purchase the equity interest of the FPE for a nominal amount in the event of a succession event at the Company’s discretion. Based on the provisions of these agreements, the Company determined that the FPEs are VIEs due to the equity holder having insufficient capital at risk, and the Company has a variable interest in the FPEs.

The contractual arrangements described above allow the Company to direct the activities that most significantly affect the economic performance of the FPEs. Accordingly, the Company is the primary beneficiary of the FPEs and consolidates the FPEs under the VIE model. Furthermore, as a direct result of nominal initial equity contributions by the physicians, the financial support the Company provides to the FPEs (e.g., loans) and the provisions of the contractual arrangements and nominee shareholder succession arrangements described above, the interests held by noncontrolling interest holders lack economic substance and do not provide them with the ability to participate in the residual profits or losses generated by the FPEs. Therefore, all income and expenses recognized by the FPEs are allocated to the Company. The Company does not hold interests in any VIEs for which the Company is not deemed to be the primary beneficiary.

As noted previously, the Company acquires 100% of the non-medical assets of the VIEs. The aggregate carrying values of the VIEs' total assets and total liabilities not purchased by the Company but included on the consolidated balance sheets were not material at June 30, 2026 and December 31, 2025.

Recent Accounting Pronouncements Not Yet Adopted

In November 2024, the FASB issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses ("ASU 2024-03"). ASU 2024-03 requires disclosure of additional information about specific expense categories in the notes to the financial statements. ASU 2024-03 is effective for public business entities for annual reporting periods beginning after December 15, 2026, and interim reporting periods within those fiscal years. Early adoption is permitted and should be applied either prospectively to financial statements issued for reporting periods after the effective date of ASU 2024-03 or retrospectively to any or all periods presented in the financial statements. The Company is in the process of evaluating the impact of the adoption of ASU 2024-03 on the Company's consolidated financial statements and disclosures.

Stock-Based Compensation and Stockholders' Equity - Summary of Stock Option Activity (Details) - Employee Stock Option Member - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2026	Dec. 31, 2025
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of shares options outstanding, Beginning Balance	13,476
Number of options, granted	0
Number of options, exercised	(705)
Number of options, Canceled and forfeited	(2,116)
Number of shares options outstanding, Ending Balance	10,655	13,476
Number of shares options, exercisable	2,664
Number of shares options, vested or expected to vest	10,655
Weighted average exercise price outstanding, Beginning Balance	$ 7.42
Weighted average exercise price, granted	0
Weighted average exercise price, exercised	7.61
Weighted average exercise price, Canceled and forfeited	7.61
Weighted average exercise price outstanding, Ending Balance	7.37	$ 7.42
Weighted average exercise price, exercisable	7.37
Weighted average exercise price, vested or expected to vest	$ 7.37
Weighted average remaining term in years, Outstanding, Ending	6 years 2 months 19 days	5 years 5 months 4 days
Weighted average remaining contractual life, exercisable	6 years 2 months 19 days
Weighted average remaining contractual life, vested or expected to vest	6 years 2 months 19 days
Aggregate intrinsic value outstanding, Beginning Balance	$ 1,888
Aggregate intrinsic value, exercised	2,187
Aggregate intrinsic value outstanding, Ending Balance	35,629	$ 1,888
Aggregate Intrinsic Value, exercisable	8,907
Aggregate intrinsic value, vested or expected	$ 35,629

Total Revenue - Additional Information (Details)	6 Months Ended
Total Revenue - Additional Information (Details)	Jun. 30, 2026
Minimum \| Customer Concentration Risk \| Revenue Benchmark
Disaggregation of Revenue [Line Items]
Percentage of total revenue	10.00%

- Definition

For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

+ References + Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

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+ Details

Earnings Per Share - Schedule of Basic and Diluted Earnings (Loss) Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Numerator
Net income (loss) available to common stockholders'	$ 23,612	$ (3,791)	$ 37,855	$ (3,082)
Denominator
Weighted-average shares - basic	383,516	386,733	385,379	385,015
Dilutive effect of outstanding stock-based awards	3,783	0	5,802	0
Weighted-average shares - diluted	387,299	386,733	391,181	385,015
Earnings (loss) per share
Basic	$ 0.06	$ (0.01)	$ 0.1	$ (0.01)
Diluted	$ 0.06	$ (0.01)	$ 0.1	$ (0.01)

- Definition

The amount of net income (loss) from continuing operations per each share of common stock or unit outstanding during the reporting period.

+ References

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Amount, after deduction of tax, noncontrolling interests, dividends on preferred stock and participating securities; of income (loss) available to common shareholders.

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Goodwill and Intangible Assets - Summary of Intangible Assets (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2026	Dec. 31, 2025
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 367,761	$ 366,729
Accumulated Amortization	(194,956)	(189,064)
Net Carrying Amount	172,805	177,665
Regional Trade Names
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	37,329	36,694
Accumulated Amortization	(36,622)	(36,319)
Net Carrying Amount	$ 707	$ 375
Weighted Average Useful Life (Years)	4 years	4 years
Life Stance Trade Names
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 235,500	$ 235,500
Accumulated Amortization	(64,191)	(58,957)
Net Carrying Amount	$ 171,309	$ 176,543
Weighted Average Useful Life (Years)	22 years 6 months	22 years 6 months
Non-Competition Agreements
Finite Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 94,932	$ 94,535
Accumulated Amortization	(94,143)	(93,788)
Net Carrying Amount	$ 789	$ 747
Weighted Average Useful Life (Years)	4 years 2 months 12 days	4 years 2 months 12 days

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482686/350-30-45-1

Reference 38: http://www.xbrl.org/2003/role/disclosureRef
-Topic 350
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)(1)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482665/350-30-50-2

Reference 39: http://www.xbrl.org/2003/role/disclosureRef
-Topic 926
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-Name Accounting Standards Codification
-Section 50
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-URI https://asc.fasb.org/1943274/2147483154/926-20-50-5

+ Details

Stock-Based Compensation and Stockholders' Equity - Summary of Restricted Stock Awards (RSA) Activity (Details) - Restricted Stock Award shares in Thousands	6 Months Ended
	Jun. 30, 2026 $ / shares shares
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Outstanding \| shares	1,268
Vested \| shares	0
Forfeited \| shares	(819)
Outstanding \| shares	449
Outstanding \| $ / shares	$ 11.98
Vested \| $ / shares	11.98
Forfeited \| $ / shares	11.98
Outstanding \| $ / shares	$ 11.98

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Income Taxes

6 Months Ended

Jun. 30, 2026

Income Tax Disclosure [Abstract]

Income Taxes

NOTE 11 INCOME TAXES

The provision (benefit) for income taxes is as follows:


	Three Months Ended June 30,					Six Months Ended June 30,
	2026		2025			2026		2025
Provision (benefit) for income taxes	$	3,845	$	(2,151	)	$	9,362	$	(4,330	)

The effective tax rates are as follows:


	Three Months Ended June 30,						Six Months Ended June 30,
	2026			2025			2026			2025
Effective tax rate		14.0	%		36.2	%		19.8	%		58.4	%

The difference between the Company’s effective tax rate and the U.S. statutory tax rate of 21% was primarily the result of non-deductible equity awards. The Company regularly evaluates the realizability of its deferred tax assets and establishes a valuation allowance if it is more likely than not that some or all the deferred tax assets will not be realized.

- Definition

The entire disclosure for income tax.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 740
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-Section 50
-Paragraph 1
-Subparagraph (a)
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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-Publisher FASB
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12

Reference 5: http://www.xbrl.org/2003/role/exampleRef
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-Section 50
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-Name Accounting Standards Codification
-Section S99
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 14: http://www.xbrl.org/2003/role/disclosureRef
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Reference 15: http://www.xbrl.org/2003/role/disclosureRef
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Reference 17: http://www.xbrl.org/2003/role/disclosureRef
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-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482603/740-30-50-2

+ Details

Leases - Summary of Components of Lease Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Leases [Abstract]
Operating lease costs	$ 14,897	$ 14,184	$ 29,458	$ 28,185

Fair Value Measurements

6 Months Ended

Jun. 30, 2026

Fair Value Disclosures [Abstract]

Fair Value Measurements

NOTE 8 FAIR VALUE MEASUREMENTS

Contingent Consideration

The Company measures its contingent consideration liability at fair value on a recurring basis using Level 3 inputs. The Company estimates the fair value of the contingent consideration liability based on the likelihood and timing of the contingent earn-out payments. The following is the summary of the significant assumptions used for the fair value measurement of the contingent consideration liability as of June 30, 2026.


Valuation Technique	Range of Significant Assumptions
		June 30, 2026
Probability-weighted analysis	Probability	0% - 100%
based earn-outs	Discount rate	5.7%

As of June 30, 2026, the Company adjusted the fair value of the contingent consideration liability due to remeasurement at the reporting date. The contingent consideration liability is included within other current liabilities on the unaudited consolidated balance sheets.

Fair Value Measured on a Recurring Basis

The following table presents information about the Company’s assets that are measured at fair value on a recurring basis:


	June 30, 2026		December 31, 2025
Assets Measured at Fair Value
Money market funds	$	32,746	$	175,520
Level 1	$	32,746	$	175,520
Total assets measured at fair value	$	32,746	$	175,520

Liabilities Measured at Fair Value
Level 3
Contingent consideration liability:
Beginning balance	$	—	$	—
Additions related to acquisitions		3,646		—
Loss on remeasurement		31		—
Ending balance		3,677		—
Level 3	$	3,677		—
Total liabilities measured at fair value	$	3,677	$	—

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (bbb)(1)
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-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

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-Topic 820
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-Section 55
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
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Reference 12: http://www.xbrl.org/2003/role/disclosureRef
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-Section 50
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478119/940-820-50-1

+ Details

Total Revenue

6 Months Ended

Jun. 30, 2026

Revenues [Abstract]

Total Revenue

NOTE 3 TOTAL REVENUE

The Company’s total revenue is dependent on a series of contracts with third-party payors, which is typical for providers in the healthcare industry. The Company has determined that the nature, amount, timing and uncertainty of revenue and cash flows are affected by the payor mix with third-party payors, which have different reimbursement rates.

The payor mix of fee-for-service revenue from patients and third-party payors consists of the following:


	Three Months Ended June 30,										Six Months Ended June 30,
	2026					2025					2026					2025
	Amount		% of Total Revenue			Amount		% of Total Revenue			Amount		% of Total Revenue			Amount		% of Total Revenue
Commercial	$	385,050		88	%	$	312,418		90	%	$	742,015		88	%	$	613,295		90	%
Government		30,062		7	%		17,825		5	%		55,661		7	%		34,894		5	%
Self-pay		17,864		4	%		12,522		4	%		36,139		4	%		24,838		4	%
Total patient service revenue		432,976		99	%		342,765		99	%		833,815		99	%		673,027		99	%
Nonpatient service revenue		2,378		1	%		2,546		1	%		5,015		1	%		5,254		1	%
Total	$	435,354		100	%	$	345,311		100	%	$	838,830		100	%	$	678,281		100	%

Among the commercial payors, the table below represents insurance companies that individually represented 10% or more of revenue:


	Three Months Ended June 30,						Six Months Ended June 30,
	2026			2025			2026			2025
Payor A		14	%		14	%		13	%		15	%
Payor B		15	%		15	%		15	%		15	%

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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+ Details

Summary of Significant Accounting Policies - Additional Information (Details)	Jun. 30, 2026
Accounting Policies [Abstract]
Acquisition of Non Medical Assets	100.00%

Total Revenue (Tables)

6 Months Ended

Jun. 30, 2026

Disaggregation of Revenue [Abstract]

Schedule of revenue from patients and third - party payors

The payor mix of fee-for-service revenue from patients and third-party payors consists of the following:


	Three Months Ended June 30,										Six Months Ended June 30,
	2026					2025					2026					2025
	Amount		% of Total Revenue			Amount		% of Total Revenue			Amount		% of Total Revenue			Amount		% of Total Revenue
Commercial	$	385,050		88	%	$	312,418		90	%	$	742,015		88	%	$	613,295		90	%
Government		30,062		7	%		17,825		5	%		55,661		7	%		34,894		5	%
Self-pay		17,864		4	%		12,522		4	%		36,139		4	%		24,838		4	%
Total patient service revenue		432,976		99	%		342,765		99	%		833,815		99	%		673,027		99	%
Nonpatient service revenue		2,378		1	%		2,546		1	%		5,015		1	%		5,254		1	%
Total	$	435,354		100	%	$	345,311		100	%	$	838,830		100	%	$	678,281		100	%

Schedule of percentage of revenue from insurance companies

Among the commercial payors, the table below represents insurance companies that individually represented 10% or more of revenue:


	Three Months Ended June 30,						Six Months Ended June 30,
	2026			2025			2026			2025
Payor A		14	%		14	%		13	%		15	%
Payor B		15	%		15	%		15	%		15	%

Income Taxes - Schedule of Effective Tax Rates (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Statement [Abstract]
Effective tax rate	14.00%	36.20%	19.80%	58.40%

Long-Term Debt (Tables)

6 Months Ended

Jun. 30, 2026

Debt Disclosure [Abstract]

Summary of Long-term Debt Instruments

Long-term debt consists of the following:


	June 30, 2026			December 31, 2025
Term loan	$	275,500		$	282,750
Less: Current portion of long-term debt		(14,500	)		(14,500	)
Less: Unamortized discount and debt issue costs (1)		(2,009	)		(2,323	)
Total Long-Term Debt, Net of Current Portion and Unamortized Discount and Debt Issue Costs	$	258,991		$	265,927

(1)

The unamortized debt issue costs related to long-term debt are presented as a reduction of the carrying amount of the corresponding liabilities on the unaudited consolidated balance sheets. Unamortized debt issue costs related to revolving loans are presented within other noncurrent assets on the unaudited consolidated balance sheets.

Summary of Interest Expense

Interest expense, net consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Interest expense, net	$	2,632	$	2,900	$	4,425	$	5,973

Summary of Maturities of Long-term Debt

Future principal payments on long-term debt as of June 30, 2026 are as follows:


Year Ended December 31,	Amount
Remainder of 2026	$	7,250
2027		14,500
2028		21,750
2029		232,000
Total	$	275,500

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

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+ Details

Commitments and Contingencies

6 Months Ended

Jun. 30, 2026

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

NOTE 12 COMMITMENTS AND CONTINGENCIES

Healthcare Industry

The healthcare industry is subject to numerous laws and regulations of federal, state, and local governments. These laws and regulations include, but are not necessarily limited to, matters such as licensure, accreditation, and government healthcare program participation requirements, reimbursement for patient services, and Medicare fraud and abuse. Recently, government activity has increased with respect to investigations and allegations concerning possible violations of fraud and abuse statutes and regulations by healthcare providers. Violation of these laws and regulations could result in expulsion from government healthcare programs together with imposition of significant fines and penalties, as well as significant repayments for patient services billed.

Laws and regulations concerning government programs, including Medicare and Medicaid, are complex and subject to varying interpretation. As a result of investigations by governmental agencies, various healthcare companies have received requests for information and notices regarding alleged noncompliance with those laws and regulations, which, in some instances, have resulted in companies entering into significant settlement agreements. Compliance with such laws and regulations may also be subject to future government review and interpretation as well as significant regulatory action, including fines, penalties, and potential exclusion from the related programs. There can be no assurance that regulatory authorities will not challenge the Company’s compliance with these laws and regulations, and it is not possible to determine the impact (if any) such claims or penalties would have upon the Company. In addition, the contracts the Company has with commercial payors also provide for retroactive audit and review of claims.

Management believes that the Company is in substantial compliance with fraud and abuse as well as other applicable government laws and regulations. While no regulatory inquiries have been made, compliance with such laws and regulations is subject to government review and interpretation, as well as regulatory actions unknown or unasserted at this time.

General Contingencies

The Company is exposed to various risks of loss related to torts; theft of, damage to and destruction of assets; errors and omissions, injuries to employees, and natural disasters. These risks are covered by commercial insurance purchased from independent third parties. There has been no significant reduction in insurance coverage from the previous year in any of the Company’s policies.

Litigation

The Company may be involved from time-to-time in legal actions relating to the ownership and operations of its business. Liabilities related to loss contingencies are recognized when the Company believes it is probable a liability has occurred and the amount can be reasonably estimated by management.

Summary of Significant Accounting Policies (Policies)	6 Months Ended
Summary of Significant Accounting Policies (Policies)	Jun. 30, 2026
Accounting Policies [Abstract]
Basis of Presentation and Principles of Consolidation	Basis of Presentation and Principles of Consolidation The Company has prepared the accompanying unaudited consolidated financial statements pursuant to the rules and regulations of the SEC regarding interim financial reporting, which include the accounts of LifeStance, its wholly-owned subsidiaries and variable interest entities ("VIEs") in which LifeStance has an interest and is the primary beneficiary. Pursuant to these rules and regulations, the Company has omitted certain information and footnote disclosures it normally includes in its annual consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). All intercompany balances and transactions have been eliminated in consolidation. In management’s opinion, the Company has made all adjustments (consisting only of normal, recurring adjustments, except as otherwise indicated) necessary to fairly state its consolidated financial condition, results of operations and cash flows. The Company’s interim period operating results do not necessarily indicate the results that may be expected for any other interim period or the full fiscal year. These financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto in the Company’s audited financial statements for the year ended December 31, 2025 in the Company's Annual Report on Form 10-K.
Use of Accounting Estimates	Use of Accounting Estimates The preparation of consolidated financial statements in conformity with GAAP requires management to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Segment Information	Segment Information The Company has a single operating and reportable segment – mental health services. As the Company operates as one operating segment, all required segment financial information is found in the accompanying unaudited consolidated financial statements. The chief operating decision maker assesses performance for the mental health services segment and decides how to allocate resources based on net income (loss), which is reported on the accompanying unaudited consolidated statements of operations and comprehensive income (loss) as net income (loss). Net income (loss) is used to monitor budget versus actual results for assessment of segment performance. The chief operating decision maker considers budget-to-actual variances on a monthly basis when making decisions about allocating resources and assessing the performance of the segment. The chief operating decision maker utilizes consolidated expense information regularly provided in the budget-to-actual analysis in order to assist with assessing performance and deciding how to allocate resources, which align with the consolidated expense categories as disclosed on the face of the accompanying unaudited consolidated statements of operations and comprehensive income (loss). The measure of segment assets is reported on the accompanying consolidated balance sheets as total assets. The chief operating decision maker does not utilize total assets in the assessment of performance and allocation of resource decisions as the assessment and decisions are not made on the basis of total assets.
Variable Interest Entities	Variable Interest Entities The Company evaluates its ownership, contractual and other interests in entities to determine if it has any variable interest in a VIE. These evaluations are complex, involve judgment, and the use of estimates and assumptions based on available information. If the Company determines that an entity in which it holds a contractual or ownership interest is a VIE and that the Company is the primary beneficiary, the Company consolidates such entity in its consolidated financial statements. The primary beneficiary of a VIE is the party that meets both of the following criteria: (i) has the power to make decisions that most significantly affect the economic performance of the VIE; and (ii) has the obligation to absorb losses or the right to receive benefits that in either case could potentially be significant to the VIE. The Company performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. The Company acquires and operates certain care centers which are deemed to be Friendly-Physician Entities (“FPEs”). As part of an FPE acquisition, the Company acquires 100% of the non-medical assets; however, due to legal requirements the physician-owners must retain 100% of the equity interest. The Company’s agreements with FPEs generally consist of both a Management Service Agreement, which provides for various administrative and management services to be provided by the Company to the FPE, and Stock Transfer Restriction (“STR”) agreements with the physician-owners of the FPEs, which provide for the transition of ownership interests of the FPEs under certain conditions. The outstanding voting equity instruments of the FPEs are owned by the nominee shareholders appointed by the Company under the terms of the STR agreements. The Company has the right to receive income as an ongoing management fee, which effectively absorbs all of the residual interests and has also provided financial support through loans to the FPEs. The Company has exclusive responsibility for the provision of all nonmedical services including facilities, technology and intellectual property required for the day-to-day operation and management of each of the FPEs, and makes recommendations to the FPEs in establishing the guidelines for the employment and compensation of the physicians and other employees of the FPEs. In addition, the STR agreements provide that the Company has the right to designate an appropriately licensed person(s) to purchase the equity interest of the FPE for a nominal amount in the event of a succession event at the Company’s discretion. Based on the provisions of these agreements, the Company determined that the FPEs are VIEs due to the equity holder having insufficient capital at risk, and the Company has a variable interest in the FPEs. The contractual arrangements described above allow the Company to direct the activities that most significantly affect the economic performance of the FPEs. Accordingly, the Company is the primary beneficiary of the FPEs and consolidates the FPEs under the VIE model. Furthermore, as a direct result of nominal initial equity contributions by the physicians, the financial support the Company provides to the FPEs (e.g., loans) and the provisions of the contractual arrangements and nominee shareholder succession arrangements described above, the interests held by noncontrolling interest holders lack economic substance and do not provide them with the ability to participate in the residual profits or losses generated by the FPEs. Therefore, all income and expenses recognized by the FPEs are allocated to the Company. The Company does not hold interests in any VIEs for which the Company is not deemed to be the primary beneficiary. As noted previously, the Company acquires 100% of the non-medical assets of the VIEs. The aggregate carrying values of the VIEs' total assets and total liabilities not purchased by the Company but included on the consolidated balance sheets were not material at June 30, 2026 and December 31, 2025.
Recent Accounting Pronouncements Not Yet Adopted	Recent Accounting Pronouncements Not Yet Adopted In November 2024, the FASB issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses ("ASU 2024-03"). ASU 2024-03 requires disclosure of additional information about specific expense categories in the notes to the financial statements. ASU 2024-03 is effective for public business entities for annual reporting periods beginning after December 15, 2026, and interim reporting periods within those fiscal years. Early adoption is permitted and should be applied either prospectively to financial statements issued for reporting periods after the effective date of ASU 2024-03 or retrospectively to any or all periods presented in the financial statements. The Company is in the process of evaluating the impact of the adoption of ASU 2024-03 on the Company's consolidated financial statements and disclosures.

- Definition

Disclosure of accounting policy for segment reporting.

+ References

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+ Details

Total Revenue - Schedule of Revenue From Patients And Third - Party Payors (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Disaggregation of Revenue [Line Items]
Amount	$ 435,354	$ 345,311	$ 838,830	$ 678,281
% of Total Revenue	100.00%	100.00%	100.00%	100.00%
Commercial
Disaggregation of Revenue [Line Items]
Amount	$ 385,050	$ 312,418	$ 742,015	$ 613,295
% of Total Revenue	88.00%	90.00%	88.00%	90.00%
Government
Disaggregation of Revenue [Line Items]
Amount	$ 30,062	$ 17,825	$ 55,661	$ 34,894
% of Total Revenue	7.00%	5.00%	7.00%	5.00%
Self-pay
Disaggregation of Revenue [Line Items]
Amount	$ 17,864	$ 12,522	$ 36,139	$ 24,838
% of Total Revenue	4.00%	4.00%	4.00%	4.00%
Total patient service revenue
Disaggregation of Revenue [Line Items]
Amount	$ 432,976	$ 342,765	$ 833,815	$ 673,027
% of Total Revenue	99.00%	99.00%	99.00%	99.00%
Nonpatient service revenue
Disaggregation of Revenue [Line Items]
Amount	$ 2,378	$ 2,546	$ 5,015	$ 5,254
% of Total Revenue	1.00%	1.00%	1.00%	1.00%

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

- Definition

Amount, including tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value-added and excise.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 40
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-40

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-Paragraph 1
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-URI https://asc.fasb.org/1943274/2147479806/606-10-50-4

+ Details

Property and Equipment, Net

6 Months Ended

Jun. 30, 2026

Property, Plant, and Equipment [Abstract]

Property and Equipment, Net

NOTE 4 PROPERTY AND EQUIPMENT, NET

Property and equipment, net consists of the following:


	June 30, 2026			December 31, 2025
Leasehold improvements	$	203,349		$	194,653
Computers and peripherals		29,031			25,237
Internal-use software		15,920			11,269
Furniture, fixtures and equipment		50,133			48,045
Medical equipment		2,317			1,073
Construction in process		13,601			13,380
Total	$	314,351		$	293,657
Less: Accumulated depreciation		(149,655	)		(132,074	)
Total property and equipment, net	$	164,696		$	161,583

Depreciation expense consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Depreciation expense	$	11,309	$	10,639	$	21,675	$	20,929

- Definition

The entire disclosure for property, plant, and equipment. Includes, but is not limited to, land and land improvement; building; machinery and equipment; furniture and fixture; and work of art, historical treasure, or similar asset classified as collection.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 360
-SubTopic 10
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-Section 50
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-Subparagraph (b)
-Publisher FASB
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147477798/958-360-50-7

+ Details

Earnings Per Share

6 Months Ended

Jun. 30, 2026

Earnings Per Share [Abstract]

Earnings Per Share

NOTE 13 EARNINGS PER SHARE

The following table presents the calculation of basic and diluted earnings (loss) per share for the Company’s common shares:


	Three Months Ended June 30,					Six Months Ended June 30,
	2026		2025			2026		2025
Numerator
Net income (loss) available to common stockholders'	$	23,612	$	(3,791	)	$	37,855	$	(3,082	)
Denominator
Weighted-average shares - basic		383,516		386,733			385,379		385,015
Dilutive effect of outstanding stock-based awards		3,783		—			5,802		—
Weighted-average shares - diluted		387,299		386,733			391,181		385,015
Earnings (loss) per share
Basic	$	0.06	$	(0.01	)	$	0.10	$	(0.01	)
Diluted	$	0.06	$	(0.01	)	$	0.10	$	(0.01	)

The Company has issued potentially dilutive instruments in the form of RSAs, RSUs and stock options. The following potentially dilutive shares are excluded from the computation of diluted earnings (loss) per share for the periods presented because including them would have been anti-dilutive:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
RSAs, RSUs and stock options		3,736		43,091		5,653		43,091

Stock-Based Compensation and Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2026

Share-Based Payment Arrangement [Abstract]

Summary of Restricted Stock Awards (RSA) Activity

The following is a summary of RSA transactions as of and for the six months ended June 30, 2026:


	Unvested Shares			Weighted-Average Grant Date Fair Value
Unvested, December 31, 2025		1,268		$	11.98
Vested		—			11.98
Forfeited		(819	)		11.98
Unvested, June 30, 2026		449		$	11.98

Summary of Restricted Stock Unit (RSU) Activity

The following is a summary of RSU transactions as of and for the six months ended June 30, 2026:


	Unvested Shares			Weighted-Average Grant Date Fair Value
Outstanding, December 31, 2025		25,852		$	7.02
Granted		5,557			7.04
Vested		(6,818	)		7.07
Canceled and forfeited		(5,915	)		6.72
Outstanding, June 30, 2026		18,676		$	7.11

Summary of Stock Option Activity

The following is a summary of stock option activity as of and for the six months ended June 30, 2026:


	Number of Options			Weighted-Average Exercise Price		Weighted-Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value
Outstanding, December 31, 2025		13,476		$	7.42		5.43	$	1,888
Granted		—			—
Exercised		(705	)		7.61				2,187
Canceled and forfeited		(2,116	)		7.61
Outstanding, June 30, 2026		10,655		$	7.37		6.22	$	35,629
Exercisable at June 30, 2026		2,664		$	7.37		6.22	$	8,907
Vested or expected to vest at June 30, 2026		10,655		$	7.37		6.22	$	35,629

Summary of Unit Based Compensation Expense

The Company recognized stock-based compensation expense related to RSUs and stock options within general and administrative expenses in the unaudited consolidated statements of operations and comprehensive income (loss) as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Stock-based compensation expense	$	19,748	$	21,116	$	34,949	$	39,700

Stock-Based Compensation and Stockholders' Equity - Additional Information (Details) - USD ($)	3 Months Ended	6 Months Ended
	Jun. 30, 2026	Jun. 30, 2026	Feb. 24, 2026	Jan. 01, 2026
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Share-based compensation arrangement by share-based payment award, description		On January 1, 2026, the number of shares of common stock reserved and available for issuance under the 2021 Equity Incentive Plan increased by 19,416 shares.
Unrecognized compensation expense	$ 108,484,000	$ 108,484,000
Unrecognized compensation expense, weighted-average period		2 years 2 months 12 days
Authorized amount repurchase of common stock			$ 100,000
Repurchase of common stock	$ 48,518,000	$ 97,625,000
Repurchase of common stock, shares	6,000,000	13,000,000
Common Stock
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Repurchase of common stock	$ 60,000	$ 130,000
2021 Equity Incentive Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Common Stock, Capital Shares Reserved for Future Issuance				19,416,000
2021 Employee Stock Purchase Plan \| Common Stock
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock Issued During Period, Shares, Employee Stock Purchase Plans		0

Long-Term Debt - Future Principal Payments on Long Term Debt (Details) $ in Thousands	Jun. 30, 2026 USD ($)
Debt Disclosure [Abstract]
Remainder of 2026	$ 7,250
2027	14,500
2028	21,750
2029	232,000
Total	$ 275,500

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

+ Details

CONSOLIDATED BALANCE SHEETS (unaudited) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
CURRENT ASSETS
Cash and cash equivalents	$ 225,943	$ 248,642
Patient accounts receivable, net	110,960	95,710
Prepaid expenses and other current assets	41,063	71,848
Total current assets	377,966	416,200
NONCURRENT ASSETS
Property and equipment, net	164,696	161,583
Right-of-use assets	157,007	149,720
Intangible assets, net	172,805	177,665
Goodwill	1,304,556	1,293,346
Other noncurrent assets	4,466	5,419
Total noncurrent assets	1,803,530	1,787,733
Total assets	2,181,496	2,203,933
CURRENT LIABILITIES
Accounts payable	11,053	6,122
Accrued payroll expenses	149,320	143,327
Other accrued expenses	49,551	42,187
Operating lease liabilities, current	46,500	45,544
Other current liabilities	18,329	14,782
Total current liabilities	274,753	251,962
NONCURRENT LIABILITIES
Long-term debt, net	258,991	265,927
Operating lease liabilities, noncurrent	154,159	148,553
Deferred tax liability, net	16,408	16,408
Other noncurrent liabilities	37	68
Total noncurrent liabilities	429,595	430,956
Total liabilities	704,348	682,918
COMMITMENTS AND CONTINGENCIES (see Note 12)
STOCKHOLDERS' EQUITY
Preferred stock - par value $0.01 per share; 25,000 shares authorized as of June 30,2026 and December 31, 2025; 0 shares issued and outstanding as of june 30,2026 and December 31,2025, respectively	0	0
Common stock - par value $0.01 per share; 800,000 shares authorized as of June 30, 2026 and December 31, 2025; 382,022 and 388,318 shares issued and outstanding as of June 30, 2026 and December 31, 2025, respectively	3,820	3,883
Additional paid-in capital	2,244,099	2,325,758
Accumulated deficit	(770,771)	(808,626)
Total stockholders' equity	1,477,148	1,521,015
Total liabilities and stockholders' equity	$ 2,181,496	$ 2,203,933

Business Combinations - Additional Information (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2026 USD ($) Facility
Business Combination [Abstract]
Acquisitions of outpatient mental health practices \| Facility	3
Aggregate purchase consideration	$ 13,072
Cash consideration	9,426
Contingent consideration with fair value	3,646
Goodwill deductible for tax purposes	11,210
Acquired identifiable intangible assets	$ 1,032

Leases - Summary of Weighted Average Remaining Lease Term and Discount Rate (Details)	Jun. 30, 2026	Dec. 31, 2025
Leases [Abstract]
Weighted-average remaining lease term (in years)	4 years 3 months 18 days	4 years 2 months 12 days
Weighted-average discount rate	7.87%	7.76%

Total Revenue - Schedule of Percentage Of Revenue From Insurance Companies (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Disaggregation of Revenue [Line Items]
% of Total Revenue	100.00%	100.00%	100.00%	100.00%
Payor A
Disaggregation of Revenue [Line Items]
% of Total Revenue	14.00%	14.00%	13.00%	15.00%
Payor B
Disaggregation of Revenue [Line Items]
% of Total Revenue	15.00%	15.00%	15.00%	15.00%

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

Long-Term Debt - Additional Information (Details) - USD ($)		6 Months Ended
	Dec. 19, 2024	Jun. 30, 2026	Dec. 31, 2025
Debt Instrument [Line Items]
Long-term debt fair value		$ 272,666,000	$ 277,146,000
Long term debt fair value		275,500,000
2024 Credit Agreement
Debt Instrument [Line Items]
Term loan facility	$ 290,000,000
Debt instrument, basis spread on variable rate	1.00%
2024 Credit Agreement \| Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 100,000,000
Debt instrument, basis spread on variable rate		1.00%
Unused revolving loan commitment fee percentage		0.0045
Revolving loan outstanding amount		$ 0	$ 0
Revolving loan,expiration date		Dec. 19, 2029
Term Loans
Debt Instrument [Line Items]
Long-term debt, maturities, repayment terms	December 19, 2029
Long term debt fair value	$ 290,000,000
Maximum \| 2024 Credit Agreement
Debt Instrument [Line Items]
Revolving loan outstanding amount	$ 100,000,000
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate \| 2024 Credit Agreement
Debt Instrument [Line Items]
Long-term debt, maturities, repayment terms	December 19, 2029
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate \| Minimum \| 2024 Credit Agreement
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	0.00%
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate \| Minimum \| 2024 Credit Agreement \| Revolving Credit Facility
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate		0.00%
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate \| Maximum \| 2024 Credit Agreement
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	3.00%
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate \| Maximum \| 2024 Credit Agreement \| Revolving Credit Facility
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate		3.00%
Federal Funds Rate \| 2024 Credit Agreement
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	0.50%
Federal Funds Rate \| 2024 Credit Agreement \| Revolving Credit Facility
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate		0.50%
Base Rate
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	2.00%
Base Rate \| 2024 Credit Agreement \| Revolving Credit Facility
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate		2.00%

Fair Value Measurements - Schedule of Fair Value, Assets Measured at Recurring Basis (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2026	Dec. 31, 2025
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets measured at fair value	$ 32,746	$ 175,520
Ending balance	3,646
Liabilities measured at fair value	3,677	0
Money Market Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets measured at fair value	32,746	175,520
Fair Value, Inputs, Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets measured at fair value	32,746	175,520
Fair Value, Inputs, Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Beginning balance	0	0
Additions related to acquisitions	3,646	0
Loss on remeasurement	31	0
Ending balance	3,677	0
Liabilities measured at fair value	$ 3,677	$ 0

Business Combinations

6 Months Ended

Jun. 30, 2026

Business Combination [Abstract]

Business Combinations

NOTE 7 BUSINESS COMBINATIONS

During the six months ended June 30, 2026, the Company completed the acquisitions of three outpatient mental health practices for an aggregate purchase consideration of $13,072. The aggregate purchase consideration consisted of cash of $9,426 and contingent consideration with a fair value of $3,646. The Company accounted for the acquisitions as business combinations using the acquisition method of accounting. The purchase price was allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the respective acquisition dates.

The purchase price allocations resulted in $11,210 of goodwill and $1,032 of acquired identifiable intangible assets related to regional trade names and non-competition agreements. Goodwill is primarily attributable to the assembled workforce, customer and payor relationships and anticipated synergies and economies of scale expected from the integration of the businesses. All goodwill is deductible for tax purposes.

- Definition

The entire disclosure for business combination.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 805
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+ Details

Leases - Summary of Supplemental Cash Flow Information Related to Operating Leases (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$ 33,788	$ 33,071
Noncash lease activity
Right-of-use lease assets obtained in exchange for new operating lease liabilities	$ 28,950	$ 16,340

Income Taxes - Additional Information (Details)	6 Months Ended
Income Taxes - Additional Information (Details)	Jun. 30, 2026
Income Tax Disclosure [Abstract]
Statutory tax rate	21.00%

Nature of the Business

6 Months Ended

Jun. 30, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Nature of the Business

NOTE 1 NATURE OF THE BUSINESS

Description of Business

LifeStance Health Group, Inc. ("LifeStance" or the "Company") operates as a provider of outpatient mental health services, spanning psychiatric evaluations and treatment, psychological and neuropsychological testing, and individual, family and group therapy.

Goodwill and Intangible Assets - Summary of Intangible Asset Amortization Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Intangible Asset, Goodwill and Other [Abstract]
Amortization expense	$ 2,940	$ 3,367	$ 5,892	$ 6,833

- Definition

Amount of amortization expense for finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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-Section 45
-Paragraph 28
-Subparagraph (b)
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-Topic 230
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+ Details

Income Taxes (Tables)

6 Months Ended

Jun. 30, 2026

Income Tax Disclosure [Abstract]

Schedule of Benefit for Income Taxes

The provision (benefit) for income taxes is as follows:


	Three Months Ended June 30,					Six Months Ended June 30,
	2026		2025			2026		2025
Provision (benefit) for income taxes	$	3,845	$	(2,151	)	$	9,362	$	(4,330	)

Schedule of Effective Tax Rates

The effective tax rates are as follows:


	Three Months Ended June 30,						Six Months Ended June 30,
	2026			2025			2026			2025
Effective tax rate		14.0	%		36.2	%		19.8	%		58.4	%

Stock-Based Compensation and Stockholders' Equity - Summary of Restricted Stock Unit (RSU) Activity (Details) - Restricted Stock Unit shares in Thousands	6 Months Ended
	Jun. 30, 2026 $ / shares shares
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Outstanding \| shares	25,852
Granted \| shares	5,557
Vested \| shares	(6,818)
Canceled and forfeited \| shares	(5,915)
Outstanding \| shares	18,676
Outstanding \| $ / shares	$ 7.02
Granted \| $ / shares	7.04
Vested \| $ / shares	7.07
Canceled and forfeited \| $ / shares	6.72
Outstanding \| $ / shares	$ 7.11

Leases

6 Months Ended

Jun. 30, 2026

Leases [Abstract]

Leases

NOTE 5 LEASES

The Company leases its office facilities and office equipment which are accounted for as operating leases. Some leases contain clauses for renewal at the Company's option with renewal terms that generally extend the lease term from one to seven years.

The components of lease expense for the Company's operating leases in its unaudited consolidated statements of operations and comprehensive income (loss) were as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Operating lease costs	$	14,897	$	14,184	$	29,458	$	28,185

Variable lease costs and short-term lease costs were not material.

The weighted-average remaining lease term and discount rate for operating lease liabilities included in the consolidated balance sheets are as follows:


	June 30, 2026			December 31, 2025
Weighted-average remaining lease term (in years)		4.3			4.2
Weighted-average discount rate		7.87	%		7.76	%

Supplemental cash flow information related to operating leases was as follows:


	Six Months Ended June 30,
	2026		2025
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	33,788	$	33,071
Noncash lease activity
Right-of-use lease assets obtained in exchange for new operating lease liabilities	$	28,950	$	16,340

The future minimum lease payments under non-cancellable operating leases as of June 30, 2026 are as follows:


Year Ended December 31,	Amount
Remainder of 2026	$	26,820
2027		64,676
2028		53,275
2029		37,896
2030		26,169
Thereafter		30,302
Total lease payments	$	239,138
Less: imputed interest		(38,479	)
Total lease liabilities	$	200,659

Property and Equipment, Net - Schedule of Depreciation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Property, Plant, and Equipment [Abstract]
Depreciation expense	$ 11,309	$ 10,639	$ 21,675	$ 20,929

- Definition

The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets.

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-Section 45
-Paragraph 28
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+ Details

Leases - Additional Information (Details) $ in Thousands	6 Months Ended
Leases - Additional Information (Details) $ in Thousands	Jun. 30, 2026 USD ($)
Lessee, Lease, Description [Line Items]
Variable lease costs	$ 0
Short-term lease costs	$ 0
Maximum
Lessee, Lease, Description [Line Items]
Operating leases renewal term	7 years
Minimum
Lessee, Lease, Description [Line Items]
Operating leases renewal term	1 year

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Jun. 30, 2026 shares
Trading Arrangements, by Individual
Material Terms of Trading Arrangement	During our fiscal quarter ended June 30, 2026, two of our directors or officers (as defined in Rule 16a-1(f) under the Securities Exchange Act of 1934, as amended) entered into, modified (as to amount, price or timing of trades) or terminated (i) contracts, instructions or written plans for the purchase or sale of our securities that are intended to satisfy the conditions specified in Rule 10b5-1(c) under the Exchange Act for an affirmative defense against liability for trading in securities on the basis of material nonpublic information or (ii) non-Rule 10b5-1 trading arrangements (as defined in Item 408(c) of Regulation S-K). Lisa Miller, Chief Operating Officer On May 7, 2026, Lisa Miller, Chief Operating Officer, entered into a Rule 10b5-1 trading plan pursuant to which Ms. Miller, acting through a broker, may sell up to an aggregate of 77,297 shares of our common stock, subject to adjustments for stock splits, stock combinations, stock dividends and other similar changes to our common stock. Sales of shares under the plan may only occur from August 6, 2026 to February 5, 2027. The plan is scheduled to terminate on February 5, 2027, subject to earlier termination upon the sale of all shares subject to the plan or the expiration of all sale orders under the plan, upon termination by Ms. Miller or the broker, or as otherwise provided in the plan. Vaughn Paunovich, Chief Technology Officer On May 7, 2026, Vaughn Paunovich, Chief Technology Officer, entered into a Rule 10b5-1 trading plan pursuant to which Mr. Paunovich, acting through a broker, may sell up to an aggregate of 103,917 shares of our common stock, subject to adjustments for stock splits, stock combinations, stock dividends and other similar changes to our common stock. Sales of shares under the plan may only occur from August 6, 2026 to December 31, 2026. The plan is scheduled to terminate on December 31, 2026, subject to earlier termination upon the sale of all shares subject to the plan or the expiration of all sale orders under the plan, upon termination by Mr. Paunovich or the broker, or as otherwise provided in the plan.
Lisa Miller [Member]
Trading Arrangements, by Individual
Name	Lisa Miller
Title	Chief Operating Officer
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	May 7, 2026
Expiration Date	February 5, 2027
Arrangement Duration	183 days
Aggregate Available	77,297
Vaughn Paunovich [Member]
Trading Arrangements, by Individual
Name	Vaughn Paunovich
Title	Chief Technology Officer
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	May 7, 2026
Expiration Date	December 31, 2026
Arrangement Duration	147 days
Aggregate Available	103,917

Stock-Based Compensation and Stockholders' Equity - Summary of Stock Based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock-based compensation expense	$ 19,748	$ 21,116	$ 34,949	$ 39,700

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

Leases (Tables)

6 Months Ended

Jun. 30, 2026

Leases [Abstract]

Summary of Components of Lease Expense

The components of lease expense for the Company's operating leases in its unaudited consolidated statements of operations and comprehensive income (loss) were as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Operating lease costs	$	14,897	$	14,184	$	29,458	$	28,185

The weighted-average remaining lease term and discount rate for operating lease liabilities included in the consolidated balance sheets are as follows:


	June 30, 2026			December 31, 2025
Weighted-average remaining lease term (in years)		4.3			4.2
Weighted-average discount rate		7.87	%		7.76	%

Summary of Supplemental Cash Flow Information Related to Operating Leases

Supplemental cash flow information related to operating leases was as follows:


	Six Months Ended June 30,
	2026		2025
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	33,788	$	33,071
Noncash lease activity
Right-of-use lease assets obtained in exchange for new operating lease liabilities	$	28,950	$	16,340

Summary of Future Minimum Lease Payments

The future minimum lease payments under non-cancellable operating leases as of June 30, 2026 are as follows:


Year Ended December 31,	Amount
Remainder of 2026	$	26,820
2027		64,676
2028		53,275
2029		37,896
2030		26,169
Thereafter		30,302
Total lease payments	$	239,138
Less: imputed interest		(38,479	)
Total lease liabilities	$	200,659

Stock-Based Compensation

6 Months Ended

Jun. 30, 2026

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation and Stockholders' Equity

NOTE 10 STOCK-BASED COMPENSATION AND STOCKHOLDERS' EQUITY

2021 Equity Incentive Plan

Effective June 9, 2021, the Company’s Board of Directors (the "Board") and its stockholders as of that date adopted and approved the LifeStance Health Group, Inc. 2021 Equity Incentive Plan (the “2021 Equity Incentive Plan”). The 2021 Equity Incentive Plan permits the grant of awards or restricted or unrestricted common stock, stock options, stock appreciation rights, restricted stock units, performance awards, and other stock-based awards to employees and directors of, and consultants and advisors to, the Company and its affiliates. On January 1, 2026, the number of shares of common stock reserved and available for issuance under the 2021 Equity Incentive Plan increased by 19,416 shares.

Restricted Stock Awards ("RSA")

The following is a summary of RSA transactions as of and for the six months ended June 30, 2026:


	Unvested Shares			Weighted-Average Grant Date Fair Value
Unvested, December 31, 2025		1,268		$	11.98
Vested		—			11.98
Forfeited		(819	)		11.98
Unvested, June 30, 2026		449		$	11.98

Restricted Stock Units ("RSU")

The following is a summary of RSU transactions as of and for the six months ended June 30, 2026:


	Unvested Shares			Weighted-Average Grant Date Fair Value
Outstanding, December 31, 2025		25,852		$	7.02
Granted		5,557			7.04
Vested		(6,818	)		7.07
Canceled and forfeited		(5,915	)		6.72
Outstanding, June 30, 2026		18,676		$	7.11

Stock Options

The following is a summary of stock option activity as of and for the six months ended June 30, 2026:


	Number of Options			Weighted-Average Exercise Price		Weighted-Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value
Outstanding, December 31, 2025		13,476		$	7.42		5.43	$	1,888
Granted		—			—
Exercised		(705	)		7.61				2,187
Canceled and forfeited		(2,116	)		7.61
Outstanding, June 30, 2026		10,655		$	7.37		6.22	$	35,629
Exercisable at June 30, 2026		2,664		$	7.37		6.22	$	8,907
Vested or expected to vest at June 30, 2026		10,655		$	7.37		6.22	$	35,629

Stock-Based Compensation Expense


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Stock-based compensation expense	$	19,748	$	21,116	$	34,949	$	39,700

As of June 30, 2026, the Company had $108,484 in unrecognized compensation expense related to all non-vested RSUs and stock options that will be recognized over the weighted-average remaining service period of 2.2 years.

2021 Employee Stock Purchase Plan

Effective June 9, 2021, the Board and its stockholders as of that date adopted and approved the LifeStance Health Group, Inc. 2021 Employee Stock Purchase Plan (the “ESPP”). The ESPP is more fully described in Note 10 in the consolidated financial statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2025.

As of June 30, 2026, no shares of common stock have been purchased under the Company’s ESPP.

Share Repurchases

On February 24, 2026, the Company’s Board of Directors approved a share repurchase program (“Repurchase Program”), which authorizes the Company to repurchase up to $100,000 of the Company’s outstanding shares of common stock. The Repurchase Program does not obligate the Company to repurchase any particular amount of common stock. Stock repurchases under this program may be made at such times, prices, amounts and on such terms as the Company may determine from time to time to be advisable based on a variety of factors such as the market price of the Company’s common stock, the Company’s corporate requirements, other investment opportunities, and the overall market condition, with such repurchases effectuated in the open market or through privately

negotiated transactions (including accelerated share repurchase programs), block purchases, or exchange or non-exchange transactions, and using such broker-dealer or broker-dealers as the Company may determine. The Board of Directors may suspend, modify or terminate the Repurchase Program at any time without prior notice. The Company repurchased 6,000 and 13,000 shares of its common stock for $48,518 and $97,625 during the three and six months ended June 30, 2026, respectively.

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) (unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Statement [Abstract]
TOTAL REVENUE	$ 435,354	$ 345,311	$ 838,830	$ 678,281
OPERATING EXPENSES
Center costs, excluding depreciation and amortization shown separately below	282,313	236,880	549,857	460,059
General and administrative expenses	108,139	97,375	208,469	191,806
Depreciation and amortization	14,249	14,006	27,567	27,762
Total operating expenses	404,701	348,261	785,893	679,627
INCOME (LOSS) FROM OPERATIONS	30,653	(2,950)	52,937	(1,346)
OTHER EXPENSE
Loss on remeasurement of contingent	(26)	0	(31)	0
Transaction costs	(445)	0	(989)	0
Interest expense, net	(2,632)	(2,900)	(4,425)	(5,973)
Other expense	(93)	(92)	(275)	(93)
Total other expense	(3,196)	(2,992)	(5,720)	(6,066)
INCOME (LOSS) BEFORE INCOME TAXES	27,457	(5,942)	47,217	(7,412)
INCOME TAX (PROVISION) BENEFIT	(3,845)	2,151	(9,362)	4,330
NET INCOME (LOSS)	$ 23,612	$ (3,791)	$ 37,855	$ (3,082)
EARNINGS (LOSS) PER SHARE, Basic	$ 0.06	$ (0.01)	$ 0.1	$ (0.01)
EARNINGS (LOSS) PER SHARE, Diluted	$ 0.06	$ (0.01)	$ 0.1	$ (0.01)
Weighted-average shares outstanding - Basic	383,516	386,733	385,379	385,015
Weighted-average shares outstanding - Diluted	387,299	386,733	391,181	385,015
us-gaap:NetIncomeLoss	$ 23,612	$ (3,791)	$ 37,855	$ (3,082)
OTHER COMPREHENSIVE LOSS
Unrealized losses on cash flow hedge, net of tax	0	(267)	0	(584)
COMPREHENSIVE INCOME (LOSS)	$ 23,612	$ (4,058)	$ 37,855	$ (3,666)

Goodwill and Intangible Assets

6 Months Ended

Jun. 30, 2026

Intangible Asset, Goodwill and Other [Abstract]

Goodwill and Intangible Assets

NOTE 6 GOODWILL AND INTANGIBLE ASSETS

Goodwill

The following table summarizes changes in the carrying amount of goodwill:


	Amount
Balance as of December 31, 2025	$	1,293,346
Business acquisitions (Note 7)		11,210
Balance as of June 30, 2026	$	1,304,556

Intangible Assets

Intangible assets consist of the following:


June 30, 2026	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Useful Life (Years)
Regional trade names	$	37,329	$	(36,622	)	$	707		4.0
LifeStance trade names		235,500		(64,191	)		171,309		22.5
Non-competition agreements		94,932		(94,143	)		789		4.2
Total intangible assets	$	367,761	$	(194,956	)	$	172,805


December 31, 2025	Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount		Weighted Average Useful Life (Years)
Regional trade names	$	36,694	$	(36,319	)	$	375		4.0
LifeStance trade names		235,500		(58,957	)		176,543		22.5
Non-competition agreements		94,535		(93,788	)		747		4.2
Total intangible assets	$	366,729	$	(189,064	)	$	177,665

Gross carrying amount is based on the fair value of the intangible assets determined at the acquisition date. Total intangible asset amortization expense consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Amortization expense	$	2,940	$	3,367	$	5,892	$	6,833

Document and Entity Information - shares	6 Months Ended
Document and Entity Information - shares	Jun. 30, 2026	Jul. 29, 2026
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2026
Entity Registrant Name	LifeStance Health Group, Inc.
Entity Central Index Key	0001845257
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Document Quarterly Report	true
Document Transition Report	false
Document Fiscal Year Focus	2026
Document Fiscal Period Focus	Q2
Trading Symbol	LFST
Title of 12(b) Security	Common Stock, par value $0.01 per share
Security Exchange Name	NASDAQ
Entity Common Stock, Shares Outstanding		382,055,609
Entity File Number	001-40478
Entity Tax Identification Number	86-1832801
Entity Address, Address Line Two	Suite 2500
Entity Incorporation, State or Country Code	DE
Entity Address, Address Line One	4800 N. Scottsdale Road
Entity Address, City or Town	Scottsdale
Entity Address, State or Province	AZ
Entity Address, Postal Zip Code	85251
City Area Code	602
Local Phone Number	767-2100

Long-Term Debt

6 Months Ended

Jun. 30, 2026

Debt Disclosure [Abstract]

Long-Term Debt

NOTE 9 LONG-TERM DEBT

On December 19, 2024, the Company entered into a credit agreement (the “2024 Credit Agreement”) among LifeStance Health Holdings, Inc., Lynnwood Intermediate Holdings, Inc., Capital One, National Association, and each lender party thereto. The 2024 Credit Agreement established a senior secured term loan facility of $290,000 and a senior secured revolving loan facility of up to $100,000. The Company borrowed $290,000 in term loans, payable in quarterly principal and interest payments, with a maturity date of December 19, 2029. The loans under the term loan facility bear interest at a rate per annum equal to (x) term SOFR (which term SOFR is subject to a minimum of 0.00%) plus an applicable margin of 3.00% subject to stepdowns based on leverage-based metrics or (y) an alternate base rate (which will be the highest of (i) the prime rate, (ii) 0.50% above the federal funds effective rate and (iii) one-month term SOFR (which term SOFR is subject to a minimum of 0.00%) plus 1.00%) plus an applicable margin of 2.00% subject to stepdowns based on leverage-based metrics. The term loans are collateralized by substantially all of the assets of the Company. The revolving loan has interest only payments until the maturity date of December 19, 2029.

The 2024 Credit Agreement requires the Company to maintain compliance with certain restrictive financial covenants related to earnings, leverage ratios, and other financial metrics. The Company was in compliance with all debt covenants at June 30, 2026 and December 31, 2025.

Long-term debt consists of the following:


	June 30, 2026			December 31, 2025
Term loan	$	275,500		$	282,750
Less: Current portion of long-term debt		(14,500	)		(14,500	)
Less: Unamortized discount and debt issue costs (1)		(2,009	)		(2,323	)
Total Long-Term Debt, Net of Current Portion and Unamortized Discount and Debt Issue Costs	$	258,991		$	265,927

(1)

The current portion of long-term debt is included within other current liabilities on the unaudited consolidated balance sheets.

Interest expense, net consists of the following:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
Interest expense, net	$	2,632	$	2,900	$	4,425	$	5,973

Future principal payments on long-term debt as of June 30, 2026 are as follows:


Year Ended December 31,	Amount
Remainder of 2026	$	7,250
2027		14,500
2028		21,750
2029		232,000
Total	$	275,500

The fair value of long-term debt is based on the present value of future payments discounted by the market interest rates or the fixed rates based on current rates offered to the Company for debt with similar terms and maturities, which is a Level 2 fair value measurement. Long-term debt is presented at carrying value on the unaudited consolidated balance sheets. The fair value of long-term debt at June 30, 2026 and December 31, 2025 was $272,666 and $277,146, respectively.

Revolving Loan

Under the 2024 Credit Agreement, the Company has a revolving loan commitment in the amount of $100,000. Any borrowing on the revolving loan under the 2024 Credit Agreement is due in full on December 19, 2029. The revolving loan bears interest at a rate per annum equal to (x) term SOFR (which term SOFR is subject to a minimum of 0.00%) plus an applicable margin of 3.00% subject to stepdowns based on leverage-based metrics or (y) an alternate base rate (which will be the highest of (i) the prime rate, (ii) 0.50% above the federal funds effective rate and (iii) one-month term SOFR (which term SOFR is subject to a minimum of 0.00%) plus 1.00%) plus an applicable margin of 2.00% subject to stepdowns based on leverage-based metrics. The unused revolving loan incurs a quarterly undrawn commitment fee of 0.45% per annum subject to stepdowns based on leverage-based metrics.

There are no amounts outstanding on the revolving loan as of June 30, 2026 and December 31, 2025.

Earnings Per Share - Computation of Diluted Earnings (Loss) Per Share (Details) - shares shares in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
RSAs, RSUs and stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Schedule of antidilutive securities excluded from computation of earnings per share	3,736	43,091	5,653	43,091

Leases - Summary of Future Minimum Lease Payments (Details) $ in Thousands	Jun. 30, 2026 USD ($)
Leases [Abstract]
Remainder of 2026	$ 26,820
2027	64,676
2028	53,275
2029	37,896
2030	26,169
Thereafter	30,302
Total lease payments	239,138
Less: imputed interest	(38,479)
Total lease liabilities	$ 200,659

CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025
CASH FLOWS FROM OPERATING ACTIVITIES
Net income (loss)	$ 37,855	$ (3,082)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	27,567	27,762
Non-cash operating lease costs	21,663	20,669
Stock-based compensation	34,949	39,700
Amortization of discount and debt issue costs	504	506
Other, net	1,283	753
Change in operating assets and liabilities, net of businesses acquired:
Patient accounts receivable, net	(14,402)	2,318
Prepaid expenses and other current assets	30,810	(15,179)
Accounts payable	3,946	(277)
Accrued payroll expenses	5,430	11,725
Operating lease liabilities	(22,536)	(23,498)
Other accrued expenses	5,952	(93)
Net cash provided by operating activities	133,021	61,304
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment	(22,761)	(14,923)
Acquisitions of businesses, net of cash acquired	(9,038)	0
Net cash used in investing activities	(31,799)	(14,923)
CASH FLOWS FROM FINANCING ACTIVITIES
Payments of long-term debt	(7,250)	(3,625)
Taxes related to net share settlement of equity awards	(24,414)	(8,398)
Proceeds from the exercise of stock options	5,368	0
Repurchases of common stock	(97,625)	0
Net cash used in financing activities	(123,921)	(12,023)
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS	(22,699)	34,358
Cash and cash equivalents - beginning of period	248,642	154,571
CASH AND CASH EQUIVALENTS – END OF PERIOD	225,943	188,929
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Cash paid for interest, net	8,185	8,753
Cash paid for taxes, net of refunds	1,041	1,459
SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND FINANCING ACTIVITIES
Contingent consideration incurred in acquisitions of businesses	3,646	0
Acquisition of property and equipment included in liabilities	$ 5,142	$ 2,286

CONSOLIDATED BALANCE SHEETS (unaudited) (Parenthetical) - $ / shares	Jun. 30, 2026	Dec. 31, 2025
Preferred Stock, par value	$ 0.01	$ 0.01
Preferred Stock, Shares Authorized	25,000,000	25,000,000
Preferred Stock, Shares Issued	0	0
Preferred Stock, Shares Outstanding	0	0
Common Stock, par value	$ 0.01	$ 0.01
Common Stock, Shares Authorized	800,000,000	800,000,000
Common Stock, Shares, Issued	382,022,000	388,318,000
Common Stock, Shares, Outstanding	382,022,000	388,318,000

- Definition

Number of shares of common stock outstanding. Common stock represent the ownership interest in a corporation.

+ References

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+ Details

- Definition

The maximum number of nonredeemable preferred shares (or preferred stock redeemable solely at the option of the issuer) permitted to be issued by an entity's charter and bylaws.

+ References + Details

- Definition

Number of shares issued for nonredeemable preferred shares and preferred shares redeemable solely at option of issuer. Includes, but is not limited to, preferred shares issued, repurchased, and held as treasury shares. Excludes preferred shares classified as debt.

+ References + Details

- Definition

Aggregate share number for all nonredeemable preferred stock (or preferred stock redeemable solely at the option of the issuer) held by stockholders. Does not include preferred shares that have been repurchased.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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+ Details

Long-Term Debt - Summary of Long-term Debt Instruments (Details) - USD ($)
$ in Thousands

Jun. 30, 2026

Dec. 31, 2025

Debt Instrument [Line Items]

Less: Current portion of long-term debt

$ (14,500)

Less: Unamortized discount and debt issue costs

^[1]

(2,009)

(2,323)

Total Long-Term Debt, Net of Current Portion and Unamortized Discount and Debt Issue Costs

258,991

265,927

Term Loan

Debt Instrument [Line Items]

Term loans

$ 275,500

$ 282,750

[1]

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

- Definition

Amount of unamortized debt discount (premium) and debt issuance costs.

+ References + Details

Earnings Per Share (Tables)

6 Months Ended

Jun. 30, 2026

Earnings Per Share [Abstract]

Schedule of Basic and Diluted Earnings (Loss) Per Share

The following table presents the calculation of basic and diluted earnings (loss) per share for the Company’s common shares:


	Three Months Ended June 30,					Six Months Ended June 30,
	2026		2025			2026		2025
Numerator
Net income (loss) available to common stockholders'	$	23,612	$	(3,791	)	$	37,855	$	(3,082	)
Denominator
Weighted-average shares - basic		383,516		386,733			385,379		385,015
Dilutive effect of outstanding stock-based awards		3,783		—			5,802		—
Weighted-average shares - diluted		387,299		386,733			391,181		385,015
Earnings (loss) per share
Basic	$	0.06	$	(0.01	)	$	0.10	$	(0.01	)
Diluted	$	0.06	$	(0.01	)	$	0.10	$	(0.01	)

Computation of Diluted Earnings (Loss) Per Share

The following potentially dilutive shares are excluded from the computation of diluted earnings (loss) per share for the periods presented because including them would have been anti-dilutive:


	Three Months Ended June 30,				Six Months Ended June 30,
	2026		2025		2026		2025
RSAs, RSUs and stock options		3,736		43,091		5,653		43,091

Goodwill and Intangible Assets - Summary of Goodwill (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2026 USD ($)
Goodwill [Line Items]
Beginning balance	$ 1,293,346
Business acquisitions	11,210
Ending balance	$ 1,304,556

- Definition

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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+ Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

Income Taxes - Schedule of Provision (Benefit) for Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Statement [Abstract]
Provision (benefit) for income taxes	$ 3,845	$ (2,151)	$ 9,362	$ (4,330)

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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