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    SBC
    Earnings call· Jun 2026(Q2 FY26)

    SBC Medical Group Holdings Q2 FY26 earnings call SBC

    Aug 13, 2026 Source

    Executive summary

    SBC Medical Group Holdings Q2 FY26 — Structural Reforms Drive Reacceleration and Profit Growth

    SBC Medical Group Holdings completed its 2025 structural reforms, entering a phase of reacceleration with profit growth outpacing revenue. The company is leveraging AI to enhance efficiency and customer experience, while expanding its multi-brand aesthetic strategy and non-aesthetic healthcare business. Global expansion is underway with strategic partnerships and a focus on longevity as a core objective.

    Highlights

    5
    • Q2 revenue increased 13% year-on-year to $49 million.

    • Adjusted EBITDA grew 32% year-on-year to $20 million, with adjusted EBITDA margin at 41%.

    • Number of locations reached 287, up 34 year-on-year.

    • Annual customer visits over the trailing 12 months increased 10% to 6.92 million.

    • Same-clinic revenue was up 6% and average spend per visit increased 9%.

    Concerns

    1
    • SG&A expenses were higher than expected due to one-time costs from a secondary offering.

    Guidance & targets

    7
    CategoryTargetConfidence
    Clinic network expansion
    1,000 clinics
    high materiality
    High
    AI call center release
    Scheduled for release during 2026
    medium materiality
    High
    Longevity center establishment
    Longevity center for 2027
    medium materiality
    High
    Annual service fee upside from enhanced functions
    roughly $15 million per year
    medium materiality
    High
    AI call center launch
    before the end of the year
    medium materiality
    High
    AI preceptor launch
    before the end of the year
    low materiality
    High
    Longevity center and online platform
    establish next year
    medium materiality
    High

    Segment performance

    4
    SegmentRevenueYoYQoQMargin
    Clinic Business
    The clinic business is showing renewed strength with both customer volume and unit price rising.
    Annual customer visits (TTM): 6.92 millionAnnual customer visits (TTM) growth: 10%Same-clinic revenue growth: 6%Average spend per visit growth: 9%
    Aesthetic Healthcare
    Still the majority of the business, but expected to decrease in proportion over the next 10 years as other categories grow.
    Transaction value mix: 84%
    Non-Aesthetic Healthcare
    Significant potential upside, with a dedicated team established to drive growth and M&A for expansion.
    Transaction value mix: 16%
    Gorilla Clinic
    First half transaction value growth driven by deeper penetration of existing customer base through hair removal and oral AGA treatments.
    $62 million19%

    Operational metrics

    14
    Number of locations
    287up 34 year-on-year
    Q2 FY26 end

    As of the end of June 2026.

    Year-to-date clinic revenue growth
    11%
    YTD Q2 FY26

    Reflects renewed strength in the clinic business.

    Adjusted EBITDA
    $20 millionup 32%
    Q2 FY26

    Profit growth outpaced revenue growth.

    Adjusted EBITDA margin
    41%
    Q2 FY26

    Profitability improved in the quarter.

    Aesthetic dermatology first half transaction value growth
    19%year-on-year
    H1 FY26

    Strong growth driven by multi-brand strategy.

    Shareholder base growth
    4.7xyear-on-year
    July 2026

    Reflects broadening investor base since NASDAQ listing.

    AI chatbot release
    Released
    August

    AI chatbot for round-the-clock inquiries.

    AI interpreter (Talk Bridge) release
    Released
    Current

    Provides on-the-spot English and Chinese interpretation.

    Enhanced call center functions fee upside
    $11 million
    Annual

    Expected annual addition to service fees.

    Gorilla and Rize Clinic support fee upside
    $4 million
    Annual

    Expected annual addition to service fees.

    Vietnam population
    100 million
    Current

    Indicates significant market potential for clinic expansion.

    Rize Clinics and Gorilla Clinics total turnover (past)
    JPY 25 billion
    Initial acquisition

    Total turnover when SBC acquired these clinics.

    Rize Clinics and Gorilla Clinics total turnover (current)
    JPY 33 billionincreased from JPY 25 billion
    Last 3-4 years

    Growth achieved in turnover for these acquired clinics.

    Net cash as percentage of market cap
    45%
    Current

    Ample cash on hand for investments and M&A.

    Industry KPIs

    5
    MetricValueDetails
    Same facility volumes6%%
    Pharmacy scripts specialty$62 millionUSD
    Membership covered lives by line287locations
    Segment revenue operating income84% aesthetic / 16% non-aesthetic%
    Adjusted EPS EBITDA leverage guidance$20 millionUSD

    Product announcements

    5
    ProductTypeDetails
    SBC Skin Cliniclaunch
    NEO Skin Clinicexpansion
    JUN CLINICexpansion
    THE LASERlaunch
    SBC MEN'S FLASHlaunch

    Deals & partnerships

    2
    OrangeTwistCollaboration and minority stake investment

    SBC took a minority stake in OrangeTwist in December 2025. They are sharing operating know-how and expanding the service menu across OrangeTwist's 24 locations in 6 states. The aim is to export the model to Japan and Asia.

    AHHAcquisition of clinics in Singapore

    SBC acquired AHH clinics in Singapore last year and plans to expand them.

    Risks & headwinds

    3
    Weaker yenQ2 FY26

    Impacted reported results

    Mitigation: Absorbed impact and still delivered strong revenue and operating income through higher management services revenue and service fee revisions.

    Fierce competition in aesthetic medicine market2024-2025

    Competitive landscape became very fierce in 2024 and 2025

    Mitigation: Undertook structural reforms, renewed marketing methods, fees, and treatments. Appointed a new CMO and reviewed social media/TV marketing. Expects market to expand with fewer players, strengthening SBC's position.

    Higher than expected SG&AQ2 FY26

    Increased slightly

    Mitigation: Attributed to one-time costs from a secondary offering, not an overall increasing trend.

    What to watch in Q3 FY26

    5

    Full contribution of $15M annual fee upside

    Next fiscal year
    CurrentPartial impact included in Q2 FY26, about half of unrealized gains in Q3/Q4 FY26
    TargetFull contribution starting next fiscal year

    Why it matters

    This fee upside is expected to directly contribute to profits due to its fixed-cost basis, significantly impacting future profitability.

    So full contribution will be seen starting from next fiscal year. But in Q3 and Q4 for this fiscal year, about half of the unrealized gains will be included.

    Q&A highlights

    10

    What structural changes led to the improved performance in domestic aesthetic clinics compared to 2024/2025, and can further improvement be expected?

    Management reviewed customer satisfaction, competitive edges, and weaknesses, renewing website information, fee structures, and expressions. A new Chief Marketing Officer was appointed, and social media and TV commercial marketing strategies were thoroughly reviewed. These efforts are yielding good results, and strong growth is expected to continue.

    Marketing methods and fees, the treatment, these were all renewed. And in such an environment, we were able to demonstrate that we can achieve strong growth. We are determined to continue this strong growth.

    asked by Unknown Analyst · answered by Yoshiyuki Aikawa

    3 min read7 chapters

    Detailed Narrative

    01

    Structural Reforms and Reacceleration

    SBC Medical Group Holdings completed structural reforms initiated in 2025, leading to a reacceleration of growth in Q2 FY26. The company reported profit growth outpacing revenue growth, driven by an expanding business base and sophisticated support functions, particularly AI. Management emphasized that renewed marketing methods, fee structures, and treatment offerings contributed to overcoming fierce competition in the Japanese aesthetic medicine market.

    02

    Multi-Brand Aesthetic Strategy

    The company is accelerating its multi-brand strategy in aesthetic dermatology to cater to diverse customer needs. This includes renaming Shonan Aesthetic Dermatology to SBC Skin Clinic to lower entry barriers, and expanding high-value brands like NEO Skin Clinic (adding 3 locations for a total of 4) and JUN CLINIC (adding 1 for a total of 7). New formats like THE LASER and SBC MEN'S FLASH are being launched to address specific demands in men's aesthetics and hair removal, contributing to a 19% year-on-year growth in first-half transaction value for Gorilla Clinic.

    03

    Non-Aesthetic Business Expansion

    SBC positions non-aesthetic healthcare as its second growth engine, aiming for longevity. While the transaction value mix is currently 84% aesthetic and 16% non-aesthetic, the company sees significant potential upside. A dedicated team was established in June 2026 to strengthen customer acquisition and medical management, focusing on increasing utilization and revenue per clinic, alongside M&A for location expansion in areas like orthopedics, ophthalmology, and fertility treatment.

    04

    Global Expansion Initiatives

    Global expansion is built on a stable earnings base in Japan. In the US, SBC is collaborating with OrangeTwist, in which it took a minority stake in December 2025, sharing operating know-how and expanding service menus across its 24 locations. In Southeast Asia, SBC is exporting an asset-light 'powered by SBC' model, starting with BLEZ CLINIC in Thailand, where local partners provide capital and operations while SBC supplies procurement, standardization, training, and patient acquisition for recurring fees.

    05

    AI as a Foundational Strategy

    AI is a core strategy for both growth and efficiency, leveraging over 26 years of accumulated management data. AI deployments include a chatbot for inquiries, an AI interpreter (Talk Bridge), marketing AI, and a call center AI scheduled for release in 2026. These initiatives aim to enhance customer experience, improve marketing, and support network expansion through site candidate recommendation AI and knowledge sharing AI, ultimately increasing the average fee per clinic (AFPC) and supporting profitability.

    06

    Capital and IR Strategy

    SBC's capital strategy focuses on EPS growth and valuation normalization, backed by ample cash for organic growth and disciplined M&A. The company acknowledges limited capital market recognition, particularly in the US, but notes rapid shareholder base growth (4.7x year-on-year as of July 2026). Active participation in IR conferences and year-round investor engagement are planned to expand analyst coverage and enhance shareholder value.

    07

    Longevity Vision and Future Growth

    The company's long-term vision is to be a 'longevity company,' helping people live healthy and vibrant lives. This includes expanding into non-aesthetic areas like orthopedics, ophthalmology, and fertility treatment, with a target of 1,000 clinics by 2035. The proportion of aesthetic healthcare is expected to decrease over 10 years as other categories grow. A longevity center and online platform are planned for 2027 to solidify this branding.

    AI-generated summary of the company’s earnings call. Not investment advice.