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SBC Medical Group Holdings (SBC) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Aug 13, 2026

Source: earnings call transcript

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

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

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%——

Product announcements

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

Deals & partnerships

OrangeTwist Collaboration 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.

AHH Acquisition of clinics in Singapore

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

Risks & headwinds

Weaker yen Q2 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 market 2024-2025

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&A Q2 FY26

Increased slightly

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

What to watch in Q3 FY26

Full contribution of $15M annual fee upside

Next fiscal year
Current Partial impact included in Q2 FY26, about half of unrealized gains in Q3/Q4 FY26
Target Full 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.

Find out whether SBC delivers this. Inve re-checks your case every morning.

Q&A highlights

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 read 7 chapters

Detailed narrative

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.

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.

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.

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.

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.

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.

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.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.