Revenue Up 35%, Net Income Attributable to SBC Medical Up 22%, and Adjusted EBITDA1 Up 66% Year-over-Year; Net Income Margin of 27% and Adjusted EBITDA Margin of 47% — Previously Announced Service Fee Revisions and New Clinic Openings Contribute to Revenue Growth and Operating Margin Improvement

 

IRVINE, Calif. — SBC Medical Group Holdings Incorporated (Nasdaq: SBC) (“SBC Medical” or the “Company”), a Medical Services Organization (MSO) providing management support across a wide range of healthcare fields to medical institutions in Japan and abroad, today announced its consolidated financial results for the third quarter of fiscal year 2026 (the three months ended September 30, 2026) and the three cumulative quarters of fiscal year 2026 (the nine months ended September 30, 2026).

 

■ Third Quarter 2026 Financial Highlights

  • Total revenues were $59 million, up 35% year-over-year.
  • Income from operations was $26 million, up 66% year-over-year, with an operating margin of 45%.
  • Net income attributable to SBC Medical was $16 million, up 22% year-over-year. Net income margin was 27%, a decrease of 3 percentage points year-over-year.
  • Adjusted EBITDA1 was $28 million, up 66% year-over-year. Adjusted EBITDA margin1 expanded 9 percentage points year-over-year to 47%.
  • Basic earnings per share (EPS) was $0.15, up 25% year-over-year.
  • Net cash provided by operating activities totaled $50 million for the nine months ended September 30, 2026.

Third-quarter results reflected both growth and improved profitability in the core MSO business. Revenue growth was driven by higher management services revenue, including the impact of service fee structure revisions announced in August, as well as  the consolidation of Waqoo.

The medical corporations supported by SBC Medical continued to expand. As of September 30, 2026, the clinic network had increased by 36 locations year-over-year to 293 locations2. Patient visits3 over the trailing twelve months totaled 7.06 million, up 9% year-over-year. Average spend per visit was $290, up 4% year-over-year.

 

■ Comment from SBC Medical’s Chairman and CEO Yoshiyuki Aikawa:

“The third quarter of 2026 marked a strong reacceleration in SBC Medical’s growth. Revenue increased 35% year-over-year, income from operations rose 66%, and net income attributable to SBC Medical rose 22%, with a net income margin of 27% and an Adjusted EBITDA1 margin of 47%. Following the structural reforms implemented in 2025, growth and profitability are improving in tandem, demonstrating the strength of our highly profitable MSO model.

Our MSO revenue growth is supported by two key levers: expanding our clinic network and increasing service fees per clinic. Our goal is not simply to add locations. We aim to raise productivity and profitability at the clinics we support while expanding the network efficiently. This quarter’s growth in management services revenue, including the effect of service fee revisions, demonstrates progress in this model.

To strengthen this model further, we are investing in AI and technology. Specifically, we are developing a proprietary local large language model (LLM) infrastructure designed to enable the secure use of medical data while optimizing AI costs, while also advancing our clinic operating systems through our capital and business alliance with Atomic Software. Together, these initiatives are intended to improve profitability at existing clinics and make new clinic openings more efficient, enabling our scalable MSO platform to generate greater earnings power as the business expands.

Our Longevity business, which we view as our next growth opportunity, is also making tangible progress. As a first step, we are developing an in-house DNA methylation-based test to estimate biological age, drawing on the Waqoo Group’s research and technology capabilities. By adding diagnostics to our existing medical network and combining AI with physicians’ expertise, we aim to build an integrated platform spanning testing, personalized treatment and evaluation of outcomes.

In Japan, we will continue expanding our multi-brand presence in aesthetic dermatology and broadening our non-aesthetic medical services. Internationally, we are pursuing collaboration with OrangeTwist in the United States and expansion across ASEAN markets. These initiatives are designed to unlock further growth in our existing business while pursuing opportunities in new markets.

For the first nine months of 2026, net cash provided by operating activities totaled $50 million. As of September 30, 2026, we held $198 million in cash and cash equivalents and $154 million in Net Cash4. We intend to deploy this strong financial position toward disciplined growth investment, with the goal of sustaining EPS growth over the medium- to long-term and enhancing corporate value.”

 

■ Summary of Key Financials

 

Unit3Q263Q25YoY9M269M25YoY
 Total Revenues$MM5943+35%151134+13%
 Net Income Attributable to
SBC Medical
$MM1613+22%3837+2%
 Net Income Margin%2730(3)pt2527(2)pt
 Adjusted EBITDA 1$MM2817+66%6657+17%
 Adjusted EBITDA Margin 1%4738+9pt4442+2pt
 ROE (Annualized) 5%2323(0)pt1922(3)pt
 Basic EPS 6$0.150.12+25%0.370.36+3%

 

1 Adjusted EBITDA and Adjusted EBITDA margin are non-GAAP financial measures. For more information on non-GAAP financial measures, please refer to “Use of Non-GAAP Financial Measures” and “Reconciliation of GAAP to Non-GAAP Measures (unaudited).”

2 Represents the total number of locations across the Company’s support and partnership network, including franchised locations of SBC-branded clinics, Rize Clinic, Gorilla Clinic, AHH Clinic and JUN CLINIC, as well as locations operated by OrangeTwist, in which the Company holds a minority equity interest through its equity method investment in OT Midco Holdings, LLC.

3 Patient visits include patients of SBC-branded clinics, Rize Clinic, Gorilla Clinic, AHH Clinic, and JUN CLINIC. The period covered is from October 1, 2025 to September 30, 2026.

4 Net Cash is a non-GAAP financial measure, calculated as cash and cash equivalents ($198 million), less bank and other borrowings and finance lease liabilities, current and non-current ($34 million), and operating lease liabilities, current and non-current ($10 million), each as presented in the unaudited consolidated balance sheet as of September 30, 2026, resulting in Net Cash of $154 million.

5 Return on equity (ROE) is calculated as net income attributable to SBC Medical divided by average shareholders’ equity (beginning and end of period).

6 Basic EPS is calculated as net income attributable to SBC Medical divided by the weighted average number of shares outstanding.

 

Conference Call

The Company will hold a conference call on Friday, November 13th, 2026 at 08:30 a.m. Eastern Time (or Friday, November 13th, 2026 at 10:30 p.m. Japan Time) to discuss the financial results for the third quarter ended September 30, 2026. A question-and-answer session will follow the prepared remarks.

During the live webcast, participants may submit questions in real-time using the Zoom Q&A button.

All attendees, regardless of their current stock ownership status, are welcome to submit questions. Please note that due to time constraints and the nature of the inquiries, we may not be able to address every question during the call.

Please register in advance of the conference using the link provided below:

https://zoom.us/webinar/register/WN_CLFqOL3XTourhX2qjAJnxw#/registration

Upon registration, you will be able to access the dedicated conference call viewing site.

Additionally, the earnings release, accompanying slides, and a separate link to the archived webcast of this conference call will be available on the Company’s Investor Relations website at https://ir.sbc-holdings.com/.

 

About SBC Medical

SBC Medical is a Medical Services Organization providing management support across a wide range of healthcare fields, including advanced aesthetic healthcare, dermatology, orthopedics, fertility treatment, gynecology, dentistry, alopecia treatment (AGA), and ophthalmology. The Company manages a diverse portfolio of clinic brands and is actively expanding its global presence, particularly in the United States and Asia, through both direct operations and medical tourism initiatives. In September 2024, the Company was listed on Nasdaq, and in June 2025, it was selected for inclusion in the Russell 3000® Index, a broad benchmark of the U.S. equity market. Guided by its Group Purpose “Contributing to the well-being of people around the world through medical innovation,” SBC Medical continues to provide safe, trusted, and high-quality medical services while further strengthening its international reputation for quality and trust in medical care.

Company Name: SBC Medical Group Holdings Incorporated | Listed Market: NASDAQ Global Market | Ticker: SBC | Address: 200 Spectrum Center Drive, Suite 300, Irvine, CA 92618 USA | IR Website: https://ir.sbc-holdings.com/ | LinkedIn: https://www.linkedin.com/company/sbc-medical-group-holdings-inc

 

Use of Non-GAAP Financial Measures

The Company uses non-GAAP measures, such as Adjusted EBITDA, Adjusted EBITDA margin and Net Cash, in evaluating its operating results and financial position and for financial and operational decision-making purposes. The Company believes that the non-GAAP financial measures help identify underlying trends in its business, provide useful information about the Company’s results of operations, enhance the overall understanding of the Company’s past performance and future prospects, and allow for greater visibility with respect to key metrics used by the Company’s management in its financial and operational decision-making. In particular, the Company believes Net Cash is useful to investors in evaluating the Company’s liquidity and financial position, including its capacity to fund growth investments.

The non-GAAP financial measures are not defined under U.S. GAAP and are not presented in accordance with U.S. GAAP. The presentations of these measures have limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentations of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company. For reconciliations of these non-GAAP financial measures to the most directly comparable GAAP measures, see the reconciliations included at the end of this press release and, for Net Cash, footnote 4 to the “Summary of Key Financials.”

 

Forward-Looking Statements

This press release contains forward-looking statements. Forward-looking statements are not historical facts or statements of current conditions, but instead represent only the Company’s beliefs regarding future events and performance, many of which, by their nature, are inherently uncertain and outside of the Company’s control. These forward-looking statements reflect the Company’s current views with respect to, among other things, the Company’s plans and strategies for service expansion; growth in revenue and earnings; and business prospects. In some cases, forward-looking statements can be identified by the use of words such as “may,” “should,” “expects,” “anticipates,” “contemplates,” “estimates,” “believes,” “plans,” “projected,” “predicts,” “potential,” “targets,” or “hopes” or the negative of these or similar terms. The Company cautions readers not to place undue reliance upon any forward-looking statements, which are current only as of the date of this release and are subject to various risks, uncertainties, assumptions, or changes in circumstances that are difficult to predict or quantify. The forward-looking statements are based on management’s current expectations and are not guarantees of future performance. The Company does not undertake or accept any obligation to release publicly any updates or revisions to any forward-looking statements to reflect any change in its expectations or any change in events, conditions, or circumstances on which any such statement is based, except as required by law. Factors that may cause actual results to differ materially from current expectations may emerge from time to time, and it is not possible for the Company to predict all of them; such factors include, among other things, changes in global, regional, or local economic, business, competitive, market and regulatory conditions, and those listed under the heading “Risk Factors” and elsewhere in the Company’s filings with the U.S. Securities and Exchange Commission (the “SEC”), which are accessible on the SEC’s website at www.sec.gov.

 

SBC MEDICAL GROUP HOLDINGS INCORPORATED

UNAUDITED CONSOLIDATED BALANCE SHEETS

 

  September 30,
2026
  December 31,
2025
 
ASSETS
Current assets:
Cash and cash equivalents$198,428,275$163,773,838
Time deposits4,000,000—
Accounts receivable2,540,2192,388,021
Accounts receivable – related parties30,931,51727,511,730
Inventories2,949,2182,792,617
Short-term investments – related parties318,297319,193
Finance lease receivables, current – related parties16,143,69512,832,355
Income tax recoverable1,292,6601,175,510
Customer loans receivable, current3,966,5318,705,999
Prepaid expenses and other current assets10,762,65911,724,852
Prepaid expenses and other receivables – related parties2,522,970—
Total current assets 273,856,041  231,224,115 
Non-current assets:
Property and equipment, net8,527,5307,539,392
Intangible assets, net45,226,99447,742,888
Long-term investments, net1,880,1121,299,366
Equity method investments19,157,29120,312,642
Goodwill, net15,075,25615,432,061
Finance lease receivables, non-current – related parties14,448,12613,746,513
Operating lease right-of-use assets10,150,9128,366,569
Finance lease right-of-use assets277,827450,874
Deferred tax assets8,000,3834,014,294
Customer loans receivable, non-current2,325,2894,824,977
Long-term prepayments522,473393,270
Long-term investments in MCs – related parties17,787,21717,837,293
Other assets7,587,6087,263,692
Total non-current assets 150,967,018  149,223,831 
Total assets$424,823,059 $380,447,946 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable$23,408,185$16,988,384
Accounts payable – related parties918,135651,463
Bank and other borrowings, current8,757,9569,099,046
Advances from customers877,6641,415,762
Advances from customers – related parties3,600,5235,357,221
Income tax payable16,707,8228,821,853
Operating lease liabilities, current5,754,1614,416,960
Finance lease liabilities, current88,091132,946
Accrued liabilities and other current liabilities14,552,61311,544,695
Due to related party—2,692,673
Total current liabilities 74,665,150  61,121,003 
 
Non-current liabilities:
Bank and other borrowings, non-current24,845,17733,734,438
Deferred tax liabilities15,614,45516,374,832
Operating lease liabilities, non-current4,541,6854,136,257
Finance lease liabilities, non-current62,857116,527
Other liabilities1,620,7861,660,183
Total non-current liabilities 46,684,960  56,022,237 
Total liabilities 121,350,110  117,143,240 
 
Stockholders’ equity:
Preferred stock ($0.0001 par value, 20,000,000 shares authorized; no shares issued and outstanding as of September 30, 2026 and December 31, 2025)——
Common stock ($0.0001 par value, 400,000,000 shares authorized, 103,881,251 shares issued, and 102,576,943 shares outstanding as of September 30, 2026 and December 31, 2025)10,38810,388
Additional paid-in capital75,660,74372,867,424
Treasury stock (at cost, 1,304,308 shares as of September 30, 2026 and December 31, 2025)(7,749,997)(7,749,997)
Retained earnings278,142,255240,448,620
Accumulated other comprehensive loss(59,214,802)(57,294,239)
Total SBC Medical Group Holdings Incorporated stockholders’ equity 286,848,587  248,282,196 
Non-controlling interests16,624,36215,022,510
Total stockholders’ equity 303,472,949  263,304,706 
Total liabilities and stockholders’ equity$424,823,059 $380,447,946 

 

 

SBC MEDICAL GROUP HOLDINGS INCORPORATED

UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME

 

  For the Three Months
Ended September 30,
  For the Nine Months
Ended September 30,
 
  2026  2025  2026  2025 
Revenues, net – related parties$53,518,360$39,617,548$135,205,614$123,819,591
Revenues, net5,063,1603,735,68715,624,53610,221,192
Total revenues, net 58,581,520  43,353,235  150,830,150  134,040,783 
Cost of revenues (including cost of revenues from related parties of $1,749,587 and $4,018,377 for the three months ended September 30, 2026 and 2025, and $2,012,569 and $12,144,907 for the nine months ended September 30, 2026 and 2025, respectively)16,402,50012,741,74842,327,08035,685,635
Gross profit 42,179,020  30,611,487  108,503,070  98,355,148 
Operating expenses:
Selling, general and administrative expenses (including selling, general and administrative expenses from related parties of $877,328 and $154,063 for the three months ended September 30, 2026 and 2025, and $1,562,231 and $569,830 for the nine months ended September 30, 2026 and 2025, respectively)15,761,75314,730,24745,405,23843,717,642
Total operating expenses 15,761,753  14,730,247  45,405,238  43,717,642 
Income from operations 26,417,267  15,881,240  63,097,832  54,637,506 
 
Other income (expenses):
Interest income (including interest income from related parties of $1,582 and nil for the three months ended September 30, 2026 and 2025, and $5,047 and nil for the nine months ended September 30, 2026 and 2025, respectively)344,937120,384474,826198,599
Interest expense(128,878)(48,635)(372,313)(104,493)
Foreign currency exchange gain (loss), net(947,087)923,671946,850(904,575)
Other income (including other income from related parties of nil and $3,069 for the three months ended September 30, 2026 and 2025, and nil and $3,069 for the nine months ended September 30, 2026 and 2025, respectively)695,2941,632,5271,323,9141,929,258
Other expenses—(2,323)(678,279)(1,003,801)
Gain on redemption of life insurance policies———8,746,138
Total other income (expenses) (35,734) 2,625,624  1,694,998  8,861,126 
Income before income taxes and equity in losses of equity method investees 26,381,533  18,506,864  64,792,830  63,498,632 
Income tax expense(9,378,075)(5,673,538)(24,729,409)(26,733,504)
Equity in losses of equity method investees, net of tax(586,699)—(1,155,351)—
Net income 16,416,759  12,833,326  38,908,070  36,765,128 
Less: net income (loss) attributable to non-controlling interests724,0178,6901,214,435(20,194)
Net income attributable to SBC Medical Group Holdings Incorporated$15,692,742 $12,824,636 $37,693,635 $36,785,322 
 
Other comprehensive income (loss):
Foreign currency translation adjustment$7,066,384$(6,791,961)$(2,502,636)$11,639,635
Total comprehensive income 23,483,143  6,041,365  36,405,434  48,404,763 
Less: comprehensive income attributable to non-controlling interests415,69810,329632,362157,908
Comprehensive income attributable to SBC Medical Group Holdings Incorporated$23,067,445 $6,031,036 $35,773,072 $48,246,855 
Net income per share attributable to SBC Medical Group Holdings Incorporated
Basic and diluted$0.15$0.12$0.37$0.36
Weighted average shares outstanding
Basic and diluted102,576,943102,642,634102,576,943103,139,851

 

 

SBC MEDICAL GROUP HOLDINGS INCORPORATED

UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS

 

  For the Nine Months
Ended September 30,
 
  2026  2025 
CASH FLOWS FROM OPERATING ACTIVITIES
Net income$38,908,070$36,765,128
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Depreciation and amortization expense2,979,9172,010,616
Non-cash lease expense4,239,7723,436,789
Provision for (reversal of) credit losses(22,236)305,963
Equity in losses of equity method investees1,155,351—
Stock-based compensation19,541—
Fair value change of long-term investments(579,154)(724,476)
Gain on redemption of life insurance policies—(8,746,138)
Loss (gain) on disposal of property and equipment9,375(414,167)
Change in fair value of cryptocurrencies—(146,036)
Deferred income taxes(4,386,410)9,104,235
Changes in operating assets and liabilities:
Accounts receivable(197,484)(1,084,316)
Accounts receivable – related parties(3,502,443)(28,031,690)
Inventories(191,314)265,052
Finance lease receivables – related parties(4,050,925)(9,227,612)
Customer loans receivable7,158,84812,153,263
Prepaid expenses and other current assets923,442(2,180,695)
Prepaid expenses and other receivables – related parties(2,500,352)—
Long-term prepayments(375,662)281,666
Other assets(390,302)77,609
Accounts payable6,551,5642,549,938
Accounts payable – related parties280,5932,144,314
Notes payable – related parties—(12,759,536)
Advances from customers(528,982)161,165
Advances from customers – related parties(1,726,044)(5,470,844)
Income tax payable7,711,189(19,936,155)
Operating lease liabilities(4,279,802)(3,639,887)
Accrued liabilities and other current liabilities3,059,724(4,096,471)
Other liabilities(18,888)(93,141)
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES 50,247,388  (27,295,426)
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of property and equipment(1,214,421)(603,484)
Prepayments for property and equipment(888,098)(838,568)
Payments made on behalf of related parties—(1,840,801)
Purchase of long-term investments—(654,070)
Placement of time deposits(4,000,000)—
Purchase of cryptocurrencies—(424,250)
Cash paid for acquisition of subsidiaries, net of cash acquired—(14,861,858)
Long-term loans to others—(14,514)
Repayments from related parties—1,911,440
Repayments from others41,76573,928
Proceeds from redemption of life insurance policies—17,735,717
Deconsolidation of VIE, net of cash disposed of1,019,909—
Proceeds from disposal of property and equipment—2,755,983
NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES (5,040,845) 3,239,523 
CASH FLOWS FROM FINANCING ACTIVITIES
Borrowings from bank and others—14,851,980
Borrowings from related parties—15,000
Proceeds from exercise of stock acquisition rights in subsidiary by non-controlling interests94,843—
Repayments of bank and other borrowings(8,912,553)(721,874)
Repayments of finance lease liabilities(99,932)(310,603)
Repayments to related parties(22,657)(46,782)
Repurchase of common stock—(4,999,997)
Deemed contribution in connection with price modification on disposal of property and equipment—9,682,277
NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES (8,940,299) 18,470,001 
     
Effect of exchange rate changes(1,611,807)7,973,128
NET CHANGE IN CASH AND CASH EQUIVALENTS 34,654,437  2,387,226 
CASH AND CASH EQUIVALENTS AS OF THE BEGINNING OF THE PERIOD 163,773,838  125,044,092 
CASH AND CASH EQUIVALENTS AS OF THE END OF THE PERIOD$198,428,275 $127,431,318 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Cash paid for interest expense$372,313$104,493
Cash paid for income taxes, net$21,135,092$37,555,740
NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment transferred from prepaid expenses$57,013$—
Property and equipment transferred from long-term prepayments$1,050,946$1,428,254
Operating lease right-of-use assets obtained in exchange for operating lease liabilities$221,443$105,556
Finance lease right-of-use assets obtained in exchange for finance lease liabilities$—$612,466
Remeasurement of operating lease liabilities and right-of-use assets due to lease modifications$5,845,817$2,646,028
Payables to related parties in connection with loan services provided$—$14,362,902
Issuance of common stock as incentive shares$—$86

 

 

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES (UNAUDITED)

SBC MEDICAL GROUP HOLDINGS INCORPORATED

 

For the Three Months Ended
September 30,
 For the Nine Months Ended
September 30,
 
 2026   2025   2026  2025 
Total revenues, net$58,581,520$43,353,235$150,830,150$134,040,783
Net income attributable to SBC Medical Group Holdings Incorporated15,692,74212,824,63637,693,63536,785,322
Adjusted to add (deduct) the following:
 Net income (loss) attributable to non-controlling interests724,0178,6901,214,435(20,194)
 Equity in losses of equity method investees, net of tax586,699—1,155,351—
 Income tax expense9,378,0755,673,53824,729,40926,733,504
 Gain on redemption of life insurance policies———(8,746,138)
 Other expenses—2,323678,2791,003,801
 Other income(695,294)(1,632,527)(1,323,914)(1,929,258)
 Foreign currency exchange loss (gain), net947,087(923,671)(946,850)904,575
 Interest expense128,87848,635372,313104,493
 Interest income(344,937)(120,384)(474,826)(198,599)
 Depreciation and amortization expense1,176,959746,2112,979,9172,010,616
 Adjusted EBITDA  $27,594,226    $16,627,451    $66,077,749   $56,648,122 
 Net income margin27%30%25%27%
 Adjusted EBITDA margin47%38%44%42%

 

Adjusted EBITDA is a non-GAAP financial measure defined as net income attributable to SBC Medical adjusted for net income (loss) attributable to non-controlling interests, equity in losses of equity method investees, net of tax, income tax expense, gain on redemption of life insurance policies, other expenses, other income, foreign currency exchange loss (gain), net, interest expense, interest income, and depreciation and amortization expense.

 

Net income margin is defined as net income attributable to SBC Medical divided by total revenues, net. Adjusted EBITDA margin is defined as Adjusted EBITDA divided by total revenues, net.

 

Contacts

SBC Medical Group Holdings Incorporated — Hikaru Fukui / Head of IR Department; E-mail: [email protected]

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