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Teladoc Health (NYSE: TDOC) trims 2025 loss but guides cautious 2026

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Teladoc Health reported Fourth Quarter 2025 revenue of $642.3 million, roughly flat year-over-year, and a net loss of $25.1 million, or $0.14 per share. Adjusted EBITDA rose 12% to $83.8 million as Integrated Care offset softer BetterHelp performance.

For Full Year 2025, revenue declined 2% to $2.53 billion while net loss narrowed sharply to $200.3 million from $1.00 billion, helped by much lower goodwill impairments. Adjusted EBITDA fell 10% to $281.1 million. Operating cash flow was $294.4 million and free cash flow was $166.9 million. Guidance for 2026 calls for revenue of $2.47–$2.59 billion, adjusted EBITDA of $266–$308 million, and free cash flow of $130–$170 million, with Integrated Care growing modestly and BetterHelp expected to decline or remain roughly flat.

Positive

  • None.

Negative

  • None.

Insights

Results show stabilizing revenue, narrower losses, but tempered 2026 outlook.

Teladoc Health delivered essentially flat Q4 2025 revenue at $642.3 million, with Full Year 2025 revenue down 2% to $2.53 billion. The notable improvement is in profitability metrics: net loss shrank to $200.3 million from $1.00 billion, reflecting far smaller goodwill impairments.

However, operating trends are mixed. Integrated Care revenue grew 3% for 2025 with adjusted EBITDA up 3%, while BetterHelp revenue fell 9% and its adjusted EBITDA dropped 46%. Consolidated adjusted EBITDA declined 10% to $281.1 million, and free cash flow eased slightly to $166.9 million despite strong operating cash generation.

Guidance for 2026 points to revenue of $2.47–$2.59 billion and adjusted EBITDA of $266–$308 million, implying modest growth at best and potential further pressure at BetterHelp. The company still expects solid free cash flow of $130–$170 million, so subsequent quarterly results in 2026 will clarify whether Integrated Care can offset continued softness in direct-to-consumer mental health.

FALSE0001477449New YorkNY1001700014774492026-02-252026-02-25

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________________
FORM 8-K
___________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934

Date of Report (date of earliest event reported) February 25, 2026
___________________________________
Teladoc Health, Inc.
(Exact name of registrant as specified in its charter)
___________________________________

Delaware
(State or other jurisdiction of
incorporation)
001-37477
(Commission File Number)
04-3705970
(I.R.S. Employer Identification No.)
155 E 44th Street Suite 1700
New York, NY 10017
(Address of principal executive offices and zip code)
(203) 635-2002
(Registrant's telephone number, including area code)
___________________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading Symbol
Name of each exchange on which registered
Common stock, par value $0.001 per share
TDOC
The New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or Rule 12b-2 of the Securities Exchange Act of 1934.
Emerging growth company    
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐




Item 2.02.    Results of Operations and Financial Condition.

On February 25, 2026, Teladoc Health, Inc. (the “Company”) issued a press release relating to its financial results for the fourth quarter and full year 2025. A copy of the press release, which is incorporated by reference herein, is attached hereto as Exhibit 99.1.

The foregoing information (including the exhibit set forth in Item 9.01 hereto) is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, except as expressly set forth by specific reference in such filing.

Item 9.01.    Financial Statements and Exhibits.
(d) Exhibits.

Exhibit No.
Description
99.1*
Teladoc Health, Inc. press release, dated February 25, 2026.
104
Cover Page Interactive Data File (embedded within the Inline XBRL document).
* Furnished herewith.







SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: February 25, 2026
Teladoc Health, Inc.
By:
/s/ Adam C. Vandervoort
Name:
Adam C. Vandervoort
Title:
Chief Legal Officer and Secretary




Exhibit 99.1
image_0.jpg                                                
Teladoc Health Reports Fourth Quarter and Full Year 2025 Results

NEW YORK, NY, February 25, 2026Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today reported financial results for the three months ended December 31, 2025 (“Fourth Quarter 2025”) and full year ended December 31, 2025 (“Full Year 2025”). Unless otherwise noted, percentage and other changes are relative to the three months ended December 31, 2024 (“Fourth Quarter 2024”) and full year ended December 31, 2024 (“Full Year 2024”).

Highlights

Fourth Quarter 2025 revenue of $642.3 million, flat year-over-year, and Full Year 2025 revenue of $2,530.0 million, down 2% year-over-year
Fourth Quarter 2025 net loss of $25.1 million, or $0.14 per share, and Full Year 2025 net loss of $200.3 million, or $1.14 per share
Fourth Quarter 2025 adjusted EBITDA of $83.8 million, up 12% year-over-year, and Full Year 2025 adjusted EBITDA of $281.1 million, down 10% year-over-year
Full Year 2025 operating cash flow of $294.4 million, flat year-over-year, and free cash flow of $166.9 million, down 2% year-over-year; ended the year with $781.1 million in cash and cash equivalents

“We closed 2025 with a solid finish, delivering consolidated revenue and adjusted EBITDA above the midpoint of our guidance ranges for the fourth quarter. I’m encouraged by the progress we made last year against each of our strategic priorities, as we strengthened our product portfolio, advanced innovation across Integrated Care and BetterHelp, and positioned the company to build on this momentum in 2026,” said Chuck Divita, Chief Executive Officer of Teladoc Health.

“Our focus remains on disciplined execution and performance acceleration as we progress through the year, with a clear commitment to advancing care and delivering better outcomes. Through continued product innovation and by leveraging advancements in our technology, we are strengthening our ability to meet the evolving needs of our clients and members to support sustainable growth over time.”

Key Financial Data
($ in thousands, except per share data, unaudited)
Three Months EndedYear Ended
December 31,December 31,
20252024Change20252024Change
Revenue$642,269 $640,491 — %$2,529,977 $2,569,574 (2)%
Net loss$(25,143)$(48,409)48 %$(200,322)$(1,001,245)80 %
Net loss per share, basic and diluted$(0.14)$(0.28)50 %$(1.14)$(5.87)81 %
Adjusted EBITDA (1)$83,782 $74,835 12 %$281,095 $310,711 (10)%
See note (1) in the Notes section that follows.

Fourth Quarter 2025

Revenue of $642.3 million was up slightly compared to $640.5 million in Fourth Quarter 2024. Access fees revenue decreased 4% to $521.6 million while other revenue increased 24% to $120.7 million. U.S. revenue decreased 3% to $517.3 million while International revenue increased 19% to $125.0 million.
1



Integrated Care segment revenue increased 5% to $409.1 million in Fourth Quarter 2025 while BetterHelp segment revenue decreased 7% to $233.2 million.

Net loss totaled $25.1 million, or $0.14 per share, for Fourth Quarter 2025, compared to $48.4 million, or $0.28 per share, for Fourth Quarter 2024. Results for Fourth Quarter 2025 included amortization of intangible assets of $92.0 million, or $0.52 per share pre-tax, and stock-based compensation expense of $15.9 million, or $0.09 per share pre-tax. Net loss for Fourth Quarter 2025 also included restructuring costs related to severance costs and costs associated with office space reductions of $6.8 million, or $0.04 per share pre-tax. These items were partially offset by a tax benefit of $3.9 million, or $0.02 per share, related to the current year's acquisitions.

Results for Fourth Quarter 2024 primarily included amortization of intangible assets of $86.5 million, or $0.50 per share pre-tax, and stock-based compensation expense of $27.5 million, or $0.16 per share pre-tax. Net loss for Fourth Quarter 2024 also included restructuring costs related to severance costs and costs associated with office space reductions of $5.6 million, or $0.03 per share pre-tax.

Adjusted EBITDA(1) increased 12% to $83.8 million, compared to $74.8 million for Fourth Quarter 2024. Integrated Care segment adjusted EBITDA increased 23% to $65.3 million in Fourth Quarter 2025 while BetterHelp segment adjusted EBITDA decreased 15% to $18.5 million in Fourth Quarter 2025.

Full Year 2025

Revenue decreased 2% to $2,530.0 million from $2,569.6 million for Full Year 2024. Access fees revenue decreased 6% to $2,091.9 million, while other revenue increased 24% to $438.0 million. For Full Year 2025, U.S. revenue decreased 4% to $2,071.7 million while International revenue increased 12% to $458.2 million.

Integrated Care segment revenue increased 3% to $1,579.6 million while BetterHelp segment revenue decreased 9% to $950.4 million for Full Year 2025.

Net loss totaled $200.3 million, or $1.14 per share, for Full Year 2025, compared to $1,001.2 million, or $5.87 per share, for Full Year 2024. Results for Full Year 2025 included non-cash goodwill impairment charges of $71.8 million, or $0.41 per share pre-tax, amortization of intangibles of $350.8 million, or $1.99 per share pre-tax, and stock-based compensation expense of $80.4 million, or $0.46 per share pre-tax. Net loss for Full Year 2025 also included restructuring costs related to severance costs and costs associated with office space reductions of $18.8 million, or $0.11 per share pre-tax. These items were partially offset by tax benefits of $20.1 million, or $0.11 per share, primarily related to the completion of a research and development tax credit study and $15.0 million, or $0.08 per share, related to the current year's acquisitions.    

The non-cash goodwill impairment charges recorded for Full Year 2025 were the result of the fair value of the Integrated Care segment being less than its carrying value at the time of the acquisitions of Catapult Health, LLC and Telecare Australia Pty Ltd.

Results for Full Year 2024 primarily included a non-cash goodwill impairment charge of $790.0 million, or $4.63 per share pre-tax, amortization of intangible assets of $363.4 million, or $2.13 per share pre-tax, stock-based compensation expense of $146.0 million, or $0.86 per share pre-tax, as well as restructuring costs related to severance costs and costs associated with office space reductions of $20.4 million, or $0.12 per share pre-tax.

Adjusted EBITDA(1) decreased 10% to $281.1 million, compared to $310.7 million for Full Year 2024. Integrated Care segment adjusted EBITDA increased 3% to $239.2 million and BetterHelp segment adjusted EBITDA decreased 46% to $41.9 million for the Full Year 2025.

Capex and Cash Flow

Cash flow from operations was $87.7 million in Fourth Quarter 2025, compared to $85.9 million in Fourth Quarter 2024, and was $294.4 million in Full Year 2025, compared to $293.7 million in Full Year 2024. Capitalized expenditures and capitalized software development costs (together, “Capex”) were $34.3 million in Fourth Quarter 2025, compared to $29.6 million in Fourth Quarter 2024, and were $127.5 million in Full Year 2025, compared to $124.1 million in Full Year 2024. Free cash flow was $53.4 million in Fourth
2


Quarter 2025, compared to $56.3 million in Fourth Quarter 2024, and was $166.9 million in Full Year 2025, compared to $169.6 million in Full Year 2024.

Financial Outlook

The outlook provided below is based on current market conditions and expectations and what we know today.

For the full year of 2026, we expect:
Full Year 2026 Outlook Range
Revenue$2,470 - $2,587 million
Adjusted EBITDA$266 - $308 million
Net loss per share($1.10) - ($0.70)
Free Cash Flow$130 - $170 million
U.S. Integrated Care Members (2)97 - 100 million
Integrated Care
Revenue growth percentage (year-over-year)0.40% - 3.90%
Adjusted EBITDA margin15.10% - 16.10%
BetterHelp
Revenue growth percentage (year-over-year)(7.00%) - (0.50%)
Adjusted EBITDA margin3.00% - 4.60%
For the first quarter of 2026, we expect:
1Q 2026 Outlook Range
Revenue$598 - $620 million
Adjusted EBITDA$50 - $62 million
Net loss per share($0.45) - ($0.35)
U.S. Integrated Care Members (2)99 - 100 million
Integrated Care
Revenue growth percentage (year-over-year)(1.20%) - 2.00%
Adjusted EBITDA margin12.50% - 14.00%
BetterHelp
Revenue growth percentage (year-over-year)(11.25%) - (7.00%)
Adjusted EBITDA margin0.75% - 2.75%
See note (2) in the Notes section that follows.

Earnings Conference Call

The Fourth Quarter and Full Year 2025 earnings conference call and webcast will be held Wednesday, February 25, 2026 at 5:00 p.m. E.T. The conference call can be accessed by dialing 1-833-470-1428 for U.S. participants and using the access code #330912. For international participants, please visit the following link for global dial-in numbers: https://www.netroadshow.com/events/global-numbers?confId=95347. A live audio webcast will also be available online at http://ir.teladoc.com/news-and-events/events-and-presentations/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

3


About Teladoc Health

Teladoc Health is the global leader in virtual care. The company is delivering and orchestrating care across patients, care providers, platforms, and partners — transforming virtual care into a catalyst for how better health happens. Through our relationships with health plans, employers, providers, health systems and consumers, we are enabling more access, driving better outcomes, extending provider capacity and lowering costs. Learn more at www.teladochealth.com.

Cautionary Note Regarding Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Examples of forward-looking statements include, among others, the information under the caption “Financial Outlook” and statements we make regarding future financial or operating results, future numbers of members, BetterHelp paying users or clients, litigation outcomes, regulatory developments, market developments, new products and growth strategies, initiatives to improve our efficiency and competitiveness, and the effects of any of the foregoing on our future results of operations or financial condition.

Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market conditions and receptivity to our services and offerings, including our ability to effectively compete; (iii) results of litigation or regulatory actions; (iv) the loss of one or more key clients or the loss of a significant number of members or BetterHelp paying users; (v) changes in valuations or useful lives of our assets; (vi) changes to our abilities to recruit and retain qualified providers into our network; (vii) the impact of and risk related to impairment losses with respect to goodwill or other assets; (viii) the success of our initiatives to improve our efficiency and competitiveness; and (ix) imposed and threatened tariffs by the United States and its trading partners, and any resulting disruptions or inefficiencies in our supply chain. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to, our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, as filed with the SEC.

Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

4


TELADOC HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share data, unaudited)

Three Months Ended
December 31,
Year Ended
December 31,
2025202420252024
Revenue$642,269 $640,491 $2,529,977 $2,569,574 
Costs and expenses:
Cost of revenue (exclusive of depreciation and amortization, which are shown separately below)197,048 188,928 771,593 751,270 
Advertising and marketing149,655 174,726 653,372 705,787 
Sales47,665 52,726 194,518 204,993 
Technology and development71,608 76,752 277,922 307,274 
General and administrative108,422 99,996 431,891 435,490 
Goodwill impairments— — 71,763 790,000 
Acquisition, integration, and transformation costs2,233 456 9,010 1,743 
Restructuring costs6,796 5,602 18,785 20,355 
Amortization of intangible assets92,039 86,540 350,764 363,365 
Depreciation of property and equipment2,800 2,980 13,314 10,183 
Total costs and expenses678,266 688,706 2,792,932 3,590,460 
Loss from operations(35,997)(48,215)(262,955)(1,020,886)
Interest income(6,951)(14,231)(36,770)(57,071)
Interest expense4,950 6,846 19,714 23,803 
Other expense (income), net(378)7,341 (10,369)6,035 
Loss before provision for income taxes(33,618)(48,171)(235,530)(993,653)
Provision for income taxes(8,475)238 (35,208)7,592 
Net loss$(25,143)$(48,409)$(200,322)$(1,001,245)
Net loss per share, basic and diluted$(0.14)$(0.28)$(1.14)$(5.87)
Weighted-average shares used to compute basic and diluted net loss per share177,831,580172,765,307176,221,530170,564,088

Stock-based Compensation Summary

Compensation expense for stock-based awards was classified as follows (in thousands, unaudited):

Three Months Ended
December 31,
Year Ended
December 31,
2025202420252024
Cost of revenue (exclusive of depreciation and amortization, which are shown separately)$494 $1,000 $2,082 $4,782 
Advertising and marketing1,006 1,552 4,894 12,575 
Sales2,808 4,683 13,817 24,807 
Technology and development3,316 7,721 17,477 34,855 
General and administrative8,287 12,516 42,144 68,932 
Total stock-based compensation expense (3)$15,911 $27,472 $80,414 $145,951 
See note (3) in the Notes section that follows.

5


Revenues

Three Months Ended
December 31,
Year Ended
December 31,
($ in thousands, unaudited)20252024Change20252024Change
Revenue by Type
Access Fees$521,595 $543,123 (4)%$2,091,941 $2,215,220 (6)%
Other120,674 97,368 24 %438,036 354,354 24 %
Total Revenue$642,269 $640,491 — %$2,529,977 $2,569,574 (2)%
Revenue by Geography
U.S. Revenue$517,306 $535,396 (3)%$2,071,739 $2,159,959 (4)%
International Revenue124,963 105,095 19 %458,238 409,615 12 %
Total Revenue$642,269 $640,491 — %$2,529,977 $2,569,574 (2)%

Summary Operating Metrics

Consolidated
Three Months Ended
December 31,
Year Ended
December 31,
(In millions)20252024Change20252024Change
Total Visits4.34.4(1)%17.117.3(1)%

Integrated Care
As of December 31,
(In millions)20252024Change
U.S. Integrated Care Members (2)101.893.8%
Chronic Care Program Enrollment (4)1.1881.203(1)%

Three Months Ended
December 31,
Year Ended
December 31,
20252024Change20252024Change
Average Monthly Revenue
Per U.S. Integrated Care Member (5)
$1.34 $1.39 (4)%$1.29 $1.37 (6)%

BetterHelp
Average forAverage for
Three Months Ended
December 31,
Year Ended
December 31,
(In millions)20252024Change20252024Change
BetterHelp Paying Users (6)0.3750.400(6)%0.3860.405(5)%
See notes (2), (4), (5), and (6) in the Notes section that follows.

6


Operating Results by Segment (see note (7) in the Notes section that follows)

The following table presents operating results by reportable segment for the periods indicated:

Three Months Ended
December 31,
Year Ended
December 31,
($ in thousands, unaudited)20252024Change20252024Change
Integrated Care
Revenue$409,094$390,672%$1,579,610$1,528,870%
Adjusted EBITDA$65,325$53,16123 %$239,222$232,902%
Adjusted EBITDA Margin %16.0 %13.6 %15.1 %15.2 %
BetterHelp
Therapy Services$229,056$244,352(6)%$930,700$1,017,725(9)%
Other Wellness Services4,1195,467(25)%19,66722,979(14)%
Total Revenue$233,175$249,819(7)%$950,367$1,040,704(9)%
Adjusted EBITDA$18,457$21,674(15)%$41,873$77,809(46)%
Adjusted EBITDA Margin %7.9 %8.7 %4.4 %7.5 %

7


TELADOC HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)

Year Ended
December 31,
20252024
Cash flows from operating activities:
Net loss$(200,322)$(1,001,245)
Adjustments to reconcile net loss to net cash flows from operating activities:
Goodwill impairments71,763 790,000 
Amortization of intangible assets 350,764 363,365 
Stock-based compensation80,414 145,951 
Depreciation of property and equipment13,314 10,183 
Amortization of right-of-use assets12,356 9,295 
Provision for allowances for doubtful accounts3,795 
Deferred income taxes(41,407)(1,145)
Other, net6,399 9,796 
Changes in operating assets and liabilities:
Accounts receivable25,126 (375)
Prepaid expenses and other current assets6,688 5,188 
Inventory399 (9,749)
Other assets7,997 (1,257)
Accounts payable11,454 (10,365)
Accrued expenses and other current liabilities(22,984)30,178 
Accrued compensation13,296 (20,499)
Deferred revenue(19,762)(18,246)
Operating lease liabilities(13,628)(10,892)
Other liabilities(7,511)(298)
Net cash provided by operating activities294,357 293,680 
Cash flows from investing activities:
Capital expenditures(8,893)(10,790)
Capitalized software development costs(118,562)(113,262)
Proceeds from the sale of investment740 — 
Acquisitions accounted for as business combinations, net of cash acquired(81,904)— 
Asset acquisition resulting in net intangible assets(29,569)— 
Payments for investments(27,875)— 
Other, net60 — 
Net cash used in investing activities(266,003)(124,052)
Cash flows from financing activities:
Proceeds from the exercise of stock options85 3,566 
Proceeds from employee stock purchase plan3,000 4,748 
Repayment of convertible senior notes(550,629)— 
Payment of credit facility issuance costs(4,108)— 
Other, net— (2)
Net cash (used in) provided by financing activities(551,652)8,312 
Net (decrease) increase in cash and cash equivalents(523,298)177,940 
Effect of foreign currency exchange rate changes6,055 (3,288)
Cash and cash equivalents at beginning of the period1,298,327 1,123,675 
Cash and cash equivalents at end of the period$781,084 $1,298,327 

8


TELADOC HEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data, unaudited)

December 31,
2025
December 31,
2024
ASSETS
Current assets:
Cash and cash equivalents$781,084 $1,298,327 
Accounts receivable, net of allowance for doubtful accounts of $4,033 and $5,134 at December 31, 2025 and December 31, 2024, respectively
192,826 214,146 
Inventories38,203 38,138 
Prepaid expenses and other current assets107,016 113,296 
Total current assets1,119,129 1,663,907 
Property and equipment, net26,972 29,487 
Goodwill283,190 283,190 
Intangible assets, net1,297,087 1,431,360 
Operating lease—right-of-use assets26,119 27,092 
Other assets105,803 81,488 
Total assets$2,858,300 $3,516,524 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable$47,967 $33,130 
Accrued expenses and other current liabilities198,208 202,157 
Accrued compensation96,258 76,229 
Deferred revenue—current62,305 79,296 
Convertible senior notes, net—current— 550,723 
Total current liabilities404,738 941,535 
Other liabilities643 720 
Operating lease liabilities, net of current portion34,204 32,135 
Deferred revenue, net of current portion9,139 9,786 
Deferred taxes, net28,945 49,851 
Convertible senior notes, net—non-current994,925 991,418 
Total liabilities 1,472,594 2,025,445 
Commitments and contingencies
Stockholders’ equity:
Common stock, $0.001 par value; 300,000,000 shares authorized; 178,315,400 shares and 173,405,016 shares issued and outstanding as of December 31, 2025 and December 31, 2024 respectively
178 173 
Additional paid-in capital17,850,478 17,759,194 
Accumulated deficit(16,430,222)(16,229,900)
Accumulated other comprehensive loss(34,728)(38,388)
Total stockholders’ equity1,385,706 1,491,079 
Total liabilities and stockholders’ equity$2,858,300 $3,516,524 
9


Non-GAAP Financial Measures:

To supplement our financial information presented in accordance with generally accepted accounting principles in the United States (“GAAP”), we use certain non-GAAP financial measures to clarify and enhance an understanding of past performance, which include adjusted EBITDA and free cash flow. We believe that the presentation of these financial measures enhances an investor’s understanding of our financial performance, and are commonly used by investors to evaluate our performance and that of our competitors. We further believe that these financial measures are useful to assess our operating performance and financial and business trends from period-to-period by excluding certain items that we believe are not representative of our core business, and that free cash flow reflects an additional way of viewing our liquidity that, when viewed together with GAAP results, provides management, investors, and other users of our financial information with a more complete understanding of factors and trends affecting our cash flows. We use these non-GAAP financial measures for business planning purposes and in measuring our performance relative to that of our competitors. We utilize adjusted EBITDA as a key measure of our performance.

Adjusted EBITDA consists of net loss before provision for income taxes; other expense (income), net; interest income; interest expense; depreciation of property and equipment; amortization of intangible assets; restructuring costs; acquisition, integration, and transformation cost; goodwill impairments; and stock-based compensation.

Free cash flow is net cash provided by operating activities less capital expenditures and capitalized software development costs.

Our use of these non-GAAP terms may vary from that of others in our industry, and other companies may calculate such measures differently than we do, limiting their usefulness as comparative measures.

Non-GAAP measures have important limitations as analytical tools and you should not consider them in isolation, and they should not be considered as an alternative to net loss before provision for income taxes, net loss, net loss per share, net cash from operating activities or any other measures derived in accordance with GAAP. Some of these limitations are:

adjusted EBITDA eliminates the impact of the provision for income taxes on our results of operations, and does not reflect other expense (income), net, interest income, or interest expense;

adjusted EBITDA does not reflect restructuring costs. Restructuring costs may include certain lease impairment costs, certain losses related to early lease terminations, and severance;

adjusted EBITDA does not reflect significant acquisition, integration, and transformation costs. Acquisition, integration, and transformation costs include investment banking, financing, legal, accounting, consultancy, integration, fair value changes related to contingent consideration, and certain other transaction costs related to mergers and acquisitions. It also includes costs related to certain business transformation initiatives focused on integrating and optimizing various operations and systems, including upgrading our customer relationship management and enterprise resource planning systems. These transformation cost adjustments made to our results do not represent normal, recurring, operating expenses necessary to operate the business but, rather, incremental costs incurred in connection with our acquisition and integration activities;

adjusted EBITDA does not reflect goodwill impairment charges; and

adjusted EBITDA does not reflect the significant non-cash stock-based compensation expense which should be viewed as a component of recurring operating costs.

In addition, although amortization of intangible assets and depreciation of property and equipment are non-cash charges, the assets being amortized and depreciated will often have to be replaced in the future, and adjusted EBITDA does not reflect any expenditures for such replacements.

We compensate for these limitations by using these non-GAAP measures along with other comparative tools, together with GAAP measurements, to assist in the evaluation of operating performance. Such GAAP
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measurements include net loss, net loss per share, net cash provided by operating activities, and other performance measures.

In evaluating these financial measures, you should be aware that in the future we may incur expenses similar to those eliminated in this presentation. Our presentation of these non-GAAP measures should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

The following is a reconciliation of net loss, the most directly comparable GAAP financial measure, to adjusted EBITDA:

Reconciliation of GAAP Net Loss to Adjusted EBITDA
(In thousands, unaudited)

Outlook in millions (8)
Three Months Ended
December 31,
Year Ended
December 31,
First QuarterFull Year
202520242025202420262026
Net loss$(25,143)$(48,409)$(200,322)$(1,001,245)$(81) - (63)$(200) - (127)
Add:
Provision for income taxes(8,475)238 (35,208)7,592 
Other expense (income), net(378)7,341 (10,369)6,035 
Interest expense4,950 6,846 19,714 23,803 
Interest income(6,951)(14,231)(36,770)(57,071)
Depreciation of property and equipment2,800 2,980 13,314 10,183 
Amortization of intangible assets92,039 86,540 350,764 363,365 
Restructuring costs6,796 5,602 18,785 20,355 
Acquisition, integration, and transformation costs2,233 456 9,010 1,743 
Goodwill impairments— — 71,763 790,000 
Stock-based compensation15,911 27,472 80,414 145,951 
Total Adjustments108,925 123,244 481,417 1,311,956 113 - 143393 - 508
Consolidated Adjusted EBITDA$83,782 $74,835 $281,095 $310,711 $50 - 62$266 - 308
Segment Adjusted EBITDA
Integrated Care$65,325 $53,161 $239,222 $232,902 
BetterHelp18,457 21,674 41,873 77,809 
Consolidated Adjusted EBITDA$83,782 $74,835 $281,095 $310,711 
See note (8) in the Notes section that follows.

The following is a reconciliation of net cash provided by operating activities, the most directly comparable GAAP financial measure, to free cash flow:

Reconciliation of GAAP Net Cash Provided by Operating Activities to Free Cash Flow
(In thousands, unaudited)

Three Months EndedYear EndedOutlook (9)
December 31,December 31,Full Year
20252024202520242026 (in millions)
Net cash provided by operating activities$87,742 $85,902 $294,357 $293,680  $260 - 290
Capital expenditures(2,619)(6,132)(8,893)(10,790)
Capitalized software development costs(31,700)(23,512)(118,562)(113,262)
Capex(34,319)(29,644)(127,455)(124,052) (130) - (120)
Free Cash Flow$53,423 $56,258 $166,902 $169,628  $130 - 170
See note (9) in the Notes section that follows.
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Notes:

1.A reconciliation of each non-GAAP measure to the most comparable measure under GAAP has been provided in this press release in the accompanying tables. An explanation of these non-GAAP measures is also included under the heading “Non-GAAP Financial Measures.”

2.U.S. Integrated Care Members represent the number of unique individuals who have paid access and visit fee only access to our suite of integrated care services in the U.S. at the end of the applicable period.

3.Excluding the amount capitalized related to software development projects.

4.Chronic Care Program Enrollment represents the total number of enrollees across our suite of chronic care programs at the end of the applicable period.

5.Average monthly revenue per U.S. Integrated Care member is calculated by dividing the total revenue generated from the Integrated Care segment by the average number of U.S. Integrated Care Members (see note 2) during the applicable period.

6.BetterHelp Paying Users represent the average number of global monthly paying users of our BetterHelp therapy services during the applicable period, including both those who pay directly out-of-pocket and those who utilize their insurance coverage.

7.We have two segments: Integrated Care and BetterHelp. The Integrated Care segment includes a suite of global virtual medical services including general medical, expert medical services, specialty medical, chronic condition management, mental health, and enabling technologies and enterprise telehealth solutions for hospitals and health systems. The BetterHelp segment includes virtual therapy and other wellness services provided on a global basis which are predominantly marketed and sold on a direct-to-consumer basis.

8.We have not provided a full line-item reconciliation for net loss to adjusted EBITDA outlook because we do not provide outlook on the individual reconciling items between net loss and adjusted EBITDA. This is due to the uncertainty as to timing, and the potential variability, of the individual reconciling items such as impairments, stock-based compensation and the related tax impact, provision for income taxes, acquisition, integration, and transformation costs, and restructuring costs, the effect of which may be significant. Accordingly, a full line-item reconciliation of the GAAP measure to the corresponding non-GAAP financial measure outlook is not available without unreasonable effort.

9.We have not provided a line-item reconciliation for free cash flow to net cash from operating activities for this future period because we believe such a reconciliation would imply a degree of precision and certainty that could be confusing to investors and we are unable to reasonably predict certain items contained in the GAAP measure without unreasonable effort.

Investors:
Michael Minchak
617-444-9612
ir@teladochealth.com

Media:
Lou Serio
202-569-9715
pr@teladochealth.com
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FAQ

How did Teladoc Health (TDOC) perform financially in Q4 2025?

Teladoc Health reported Q4 2025 revenue of $642.3 million, essentially flat versus Q4 2024. Net loss improved to $25.1 million, or $0.14 per share, and adjusted EBITDA increased 12% to $83.8 million, reflecting better underlying profitability despite limited top-line growth.

What were Teladoc Health’s full year 2025 results?

For full year 2025, Teladoc Health generated $2.53 billion in revenue, down 2% year-over-year. Net loss narrowed significantly to $200.3 million, or $1.14 per share, and adjusted EBITDA declined 10% to $281.1 million, as lower goodwill impairments offset weaker contribution from some businesses.

How did Integrated Care and BetterHelp segments perform in 2025 for TDOC?

In 2025, the Integrated Care segment grew revenue 3% to $1.58 billion and adjusted EBITDA 3% to $239.2 million. BetterHelp revenue fell 9% to $950.4 million, with adjusted EBITDA dropping 46% to $41.9 million, highlighting pressure in the direct-to-consumer therapy business.

What is Teladoc Health’s cash flow and balance sheet position at year-end 2025?

Teladoc Health generated $294.4 million in operating cash flow and $166.9 million in free cash flow for 2025. The company ended the year with $781.1 million in cash and cash equivalents and reported total assets of $2.86 billion against total liabilities of $1.47 billion.

What guidance did Teladoc Health give for full year 2026?

For 2026, Teladoc Health expects revenue between $2.47 billion and $2.59 billion and adjusted EBITDA of $266–$308 million. The company projects net loss per share of ($1.10) to ($0.70) and free cash flow between $130 million and $170 million.

How are Teladoc Health’s usage metrics trending, including visits and membership?

Total visits were 17.1 million in 2025, down 1% year-over-year. U.S. Integrated Care Members rose to 101.8 million, up 9%, while BetterHelp Paying Users averaged 0.386 million for 2025, a 5% decline, indicating mixed demand across service lines.

What are Teladoc Health’s expectations for its Integrated Care and BetterHelp segments in 2026?

For 2026, Teladoc expects Integrated Care revenue growth of about 0.40%–3.90% with adjusted EBITDA margin of 15.10%–16.10%. BetterHelp revenue is projected to decline or be roughly flat, with growth between (7.00%) and (0.50%) and adjusted EBITDA margin of 3.00%–4.60%.

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