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Teladoc Health (NYSE: TDOC) Q2 2026 revenue dips as BetterHelp weakens

(High)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Teladoc Health reported Second Quarter 2026 revenue of $606.9 million, down 4% year over year, and a net loss of $38.9 million, or $0.21 per share. Adjusted EBITDA was $65.7 million, a 5% decrease from the prior year, and results were within previously communicated consolidated guidance ranges.

The Integrated Care segment generated revenue of $394.3 million, up 1%, with adjusted EBITDA of $65.2 million and a 16.5% margin, compared with 14.7% a year earlier. U.S. Integrated Care members totaled 100.3 million and chronic care program enrollment rose 14% to 1.272 million. BetterHelp revenue declined 12% to $212.6 million, and adjusted EBITDA fell to $0.5 million, a 0.2% margin, amid weaker cash-pay demand and rapid growth in insurance-covered services.

For the first six months of 2026, revenue declined 3% to $1.22 billion and net loss was $102.7 million, versus $125.7 million in 2025, when results included a $59.1 million non-cash goodwill impairment. Second Quarter 2026 operating cash flow was $64.7 million and free cash flow $35.7 million. For full-year 2026, Teladoc forecasts revenue of $2.362–$2.447 billion, adjusted EBITDA of $271–$303 million, free cash flow of $130–$170 million, and a net loss per share between $1.00 and $0.75.

Positive

  • Integrated Care margin expansion: Q2 2026 Integrated Care revenue grew 1% to $394.3 million, while adjusted EBITDA margin improved to 16.5% from 14.7% a year earlier.
  • Continued positive cash generation outlook: Full-year 2026 guidance calls for adjusted EBITDA of $271–$303 million and free cash flow of $130–$170 million, indicating expectations for ongoing cash profitability.

Negative

  • Significant pressure in BetterHelp segment: Q2 2026 BetterHelp revenue fell 12% to $212.6 million and adjusted EBITDA dropped to $0.5 million, a 0.2% margin, with cash-pay revenue under pressure.
  • Lower revenue and free cash flow: Consolidated Q2 2026 revenue declined 4% year over year and free cash flow decreased to $35.7 million from $61.2 million in Second Quarter 2025.

Filing Explained

As of June 30, convertible senior notes classified as current were $996,700 thousand versus $774,348 thousand of cash, with 181,649,591 shares outstanding.

Teladoc Health furnished its second-quarter 2026 results and financial outlook on July 29, 2026; the disclosure is a completed results report rather than an announced transaction. Its balance sheet presents $996,700 thousand of convertible senior notes as current liabilities and 181,649,591 common shares issued and outstanding as of June 30, 2026.

Form 8-K reports specified material events, and this filing uses that form to furnish the company’s results through its press-release exhibit. The current classification of the convertible notes identifies an obligation reported as due within the current-liability section, without stating that it was repaid or converted.

Shares outstanding increased from 178,315,400 at December 31, 2025 to 181,649,591 at June 30, 2026; under the supplied definition, additional shares can reduce an existing holder’s percentage ownership absent offsetting changes. At June 30, cash and equivalents were $774,348 thousand, compared with total current liabilities of $1,381,730 thousand.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q2 2026 Revenue $606.9 million Three months ended June 30, 2026; down 4% year-over-year
Q2 2026 Net loss $38.9 million Net loss for Second Quarter 2026; $0.21 per share
Q2 2026 Adjusted EBITDA $65.7 million Adjusted EBITDA for Second Quarter 2026; 5% lower than 2025
Integrated Care Q2 2026 revenue $394.3 million Integrated Care segment revenue in Q2 2026; up 1% year-over-year
BetterHelp Q2 2026 revenue $212.6 million BetterHelp segment revenue in Q2 2026; down 12% year-over-year
Q2 2026 Operating cash flow $64.7 million Cash flow from operations in Second Quarter 2026
Q2 2026 Free cash flow $35.7 million Free cash flow in Second Quarter 2026
Cash and cash equivalents $774.3 million Cash and cash equivalents at June 30, 2026
Adjusted EBITDA financial
"Adjusted EBITDA decreased 5% to $65.7 million, compared to $69.3 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
Free cash flow financial
"Free cash flow was $35.7 million in Second Quarter 2026"
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
Convertible senior notes financial
"Convertible senior notes, net—current, totaled $996,700"
Convertible senior notes are a type of loan that a company issues to investors, which can be turned into company shares later on. They are called "senior" because they are paid back before other debts if the company runs into trouble. This allows investors to earn interest like a loan but also have the chance to own part of the company if its value rises.
Goodwill impairment financial
"included a non-cash goodwill impairment charge of $59.1 million"
Goodwill impairment occurs when a company’s valued reputation or brand strength, known as goodwill, is found to be worth less than previously recorded on its financial statements. This usually happens when the company's performance declines or market conditions change, signaling that the expected benefits from acquisitions or brand value are no longer as strong. It matters to investors because it can indicate that a company's assets are less valuable than initially thought, potentially affecting its overall financial health.
BetterHelp Paying Users financial
"BetterHelp Paying Users averaged 0.346 million in Q2 2026, down 11%"
Revenue $606.9 million Down 4% year-over-year from $631.9 million in Second Quarter 2025
Net loss $38.9 million Compared to net loss of $32.7 million in Second Quarter 2025
Adjusted EBITDA $65.7 million Compared to $69.3 million in Second Quarter 2025
Free cash flow $35.7 million Compared to $61.2 million in Second Quarter 2025
Guidance

For full-year 2026, Teladoc expects revenue of $2.362–$2.447 billion, adjusted EBITDA of $271–$303 million, net loss per share of ($1.00)–($0.75), and free cash flow of $130–$170 million.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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FAQ

What were Teladoc Health (TDOC) revenue and earnings for Q2 2026?

Teladoc reported Q2 2026 revenue of $606.9 million, down 4% year over year, and a net loss of $38.9 million, or $0.21 per share. Adjusted EBITDA was $65.7 million, a 5% decline from Second Quarter 2025.

How did Teladoc Health’s Integrated Care segment perform in Q2 2026?

Integrated Care generated $394.3 million in Q2 2026 revenue, up 1% year over year, with adjusted EBITDA of $65.2 million and a margin of 16.5%. U.S. Integrated Care members were 100.3 million, and chronic care enrollment rose 14% to 1.272 million.

What is happening with Teladoc Health’s BetterHelp segment in 2026?

In Q2 2026, BetterHelp revenue declined 12% to $212.6 million and adjusted EBITDA fell to $0.5 million, a 0.2% margin. Average BetterHelp Paying Users were 0.346 million, down 11% year over year, and full-year 2026 outlook implies negative revenue growth.

What full-year 2026 guidance did Teladoc Health (TDOC) provide?

For 2026, Teladoc expects revenue of $2.362–$2.447 billion and adjusted EBITDA of $271–$303 million. Guidance also includes a net loss per share of $1.00–$0.75 and free cash flow of $130–$170 million.

How strong are Teladoc Health’s cash flow and liquidity as of June 30, 2026?

Second Quarter 2026 cash flow from operations was $64.7 million and free cash flow was $35.7 million. Teladoc held $774.3 million in cash and cash equivalents and had $996.7 million in current convertible senior notes on its balance sheet.

How many members and users does Teladoc Health (TDOC) serve in its key businesses?

As of June 30, 2026, U.S. Integrated Care Members totaled 100.3 million, and chronic care program enrollment was 1.272 million. Average Q2 2026 BetterHelp Paying Users were 0.346 million, down from 0.388 million a year earlier.
FALSE000147744900014774492026-07-292026-07-29

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) July 29, 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 July 29, 2026, Teladoc Health, Inc. (the “Company”) issued a press release relating to its financial results for the second quarter of 2026. 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 July 29, 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: July 29, 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 Second Quarter 2026 Results

NEW YORK, July 29, 2026Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today reported financial results for the three months ended June 30, 2026 (“Second Quarter 2026”). Unless otherwise noted, percentage and other changes are relative to the three months ended June 30, 2025 (“Second Quarter 2025”).

Highlights

Second Quarter 2026 revenue of $606.9 million, down 4% year-over-year
Second Quarter 2026 net loss of $38.9 million, or $0.21 per share
Second Quarter 2026 adjusted EBITDA of $65.7 million, down 5% year-over-year
Integrated Care segment revenue of $394.3 million, up 1% year-over-year, and adjusted EBITDA margin of 16.5%
BetterHelp segment revenue of $212.6 million, down 12% year-over-year, and adjusted EBITDA margin of 0.2%

“We continue to make progress on the priorities we believe are most important to the long-term success of Teladoc Health. Our second-quarter results were within our guidance ranges on a consolidated basis and reflected distinct dynamics across our two segments,” said Chuck Divita, Chief Executive Officer of Teladoc Health. “We delivered solid Integrated Care segment performance, with revenue growth and adjusted EBITDA margin above the midpoint of our guidance ranges and continued to advance new innovations designed to strengthen the value we provide to clients and members, including the launch of Teladoc One, our new connected care model for the U.S. market.”

“In the BetterHelp segment, insurance revenue came in near the high end of our expectations. However, pressure on cash pay revenue accelerated further in late May and into June, beyond the assumptions underlying our prior outlook. We saw stronger than anticipated demand for insurance covered services that outpaced available provider capacity, limiting our ability to convert a greater share of that demand into sessions and revenue to offset the cash pay decline. Given strong consumer preference for insurance, we accelerated the nationwide insurance rollout ahead of plan, and we are taking focused actions to further support the scaling of insurance.

We continue to expect 2026 insurance revenue within our previously communicated range, but we have lowered our BetterHelp segment revenue outlook to reflect updated assumptions for cash pay including prioritization of the growing insurance market. We are addressing BetterHelp’s near-term challenges with urgency and discipline and believe these actions will strengthen our ability to meet growing insurance demand and position the segment for more durable performance over time.”

Key Financial Data
(In thousands, except per share data, unaudited)
Three Months EndedSix Months Ended
June 30,June 30,
20262025Change20262025Change
Revenue$606,927 $631,900 (4)%$1,220,772 $1,261,269 (3)%
Net loss$(38,908)$(32,660)(19)%$(102,745)$(125,672)18 %
Net loss per share$(0.21)$(0.19)(11)%$(0.57)$(0.72)21 %
Adjusted EBITDA (1)$65,713 $69,311 (5)%$123,882 $127,404 (3)%
See note (1) in the Notes section that follows.
1



Second Quarter 2026

Revenue decreased 4% to $606.9 million from $631.9 million in Second Quarter 2025. Access fees revenue decreased 9% to $474.2 million while other revenue increased 23% to $132.7 million. U.S. revenue decreased 6% to $487.4 million while International revenue increased 7% to $119.6 million.

Integrated Care segment revenue increased 1% to $394.3 million in Second Quarter 2026 while BetterHelp segment revenue decreased 12% to $212.6 million.

Net loss totaled $38.9 million, or $0.21 per share, for Second Quarter 2026, compared to $32.7 million, or $0.19 per share, for Second Quarter 2025. Results for Second Quarter 2026 included amortization of intangibles of $88.4 million, or $0.49 per share pre-tax, and stock-based compensation expense of $9.3 million, or $0.05 per share pre-tax.

Results for Second Quarter 2025 included amortization of intangibles of $88.7 million, or $0.50 per share pre-tax, and stock-based compensation expense of $22.3 million or $0.13 per share pre-tax. Net loss for Second Quarter 2025 also included restructuring costs related to severance costs and costs associated with office space reductions of $5.7 million, or $0.03 per share pre-tax. These items were partially offset by an acquisition related tax benefit of $9.7 million, or $0.06 per share.

Adjusted EBITDA(1) decreased 5% to $65.7 million, compared to $69.3 million for Second Quarter 2025. The Integrated Care segment adjusted EBITDA increase of $7.8 million was offset by a $11.4 million decrease of the BetterHelp segment adjusted EBITDA in Second Quarter 2026.

Six Months Ended June 30, 2026

Revenue decreased 3% to $1,220.8 million from $1,261.3 million in the first six months of 2025. Access fees revenue decreased 9% to $958.9 million while other revenue increased 24% to $261.9 million. U.S. revenue decreased 6% to $978.9 million while International revenue increased 12% to $241.9 million.

Integrated Care segment revenue increased 1% to $789.8 million in the first six months of 2026 while BetterHelp segment revenue decreased 10% to $431.0 million.

Net loss totaled $102.7 million, or $0.57 per share, for the first six months of 2026, compared to $125.7 million, or $0.72 per share, for the first six months of 2025. Results for the first six months of 2026 included amortization of intangibles of $178.3 million, or $0.99 per share pre-tax, and stock-based compensation expense of $23.9 million, or $0.13 per share pre-tax. Net loss for the first six months of 2026 also included restructuring costs of $12.9 million, or $0.07 per share pre-tax, primarily related to severance costs.

Results for the first six months of 2025 included a non-cash goodwill impairment charge of $59.1 million, or $0.34 per share pre-tax, amortization of intangibles of $173.0 million, or $0.99 per share pre-tax, and stock-based compensation expense of $47.5 million, or $0.27 per share pre-tax. Net loss for the first six months of 2025 also included restructuring costs related to severance costs and costs associated with office space reductions of $10.0 million, or $0.06 per share pre-tax. These items were partially offset by a discrete tax benefit of $20.1 million, or $0.11 per share, related to the completion of a research and development tax credit study and acquisition related tax benefits of $11.1 million, or $0.06 per share.

The non-cash goodwill impairment charge recorded in the first six months of 2025 was the result of the fair value of the Integrated Care segment being less than its carrying value at the time of the acquisition of Catapult Health, LLC.

Adjusted EBITDA(1) decreased 3% to $123.9 million, compared to $127.4 million for the first six months of 2025. The Integrated Care segment adjusted EBITDA increase of $13.7 million was offset by a $17.2 million decrease of the BetterHelp segment adjusted EBITDA in the first six months of 2026.

Capex and Cash Flow

Cash flow from operations was $64.7 million in Second Quarter 2026, compared to $91.4 million in Second Quarter 2025, and was $74.2 million in the first six months of 2026, compared to $107.4 million in the first six months of 2025. Capital expenditures and capitalized software development costs (together, “Capex”)
2


were $28.9 million in Second Quarter 2026, compared to $30.2 million in Second Quarter 2025, and were $64.7 million in the first six months of 2026, compared to $61.8 million in the first six months of 2025. Free cash flow was $35.7 million in Second Quarter 2026, compared to $61.2 million in Second Quarter 2025, and was $9.4 million in the first six months of 2026, compared to $45.5 million in the first six months of 2025.

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$2,362 - $2,447 million
Adjusted EBITDA$271 - $303 million
Net loss per share($1.00) - ($0.75)
Free Cash Flow$130 - $170 million
U.S. Integrated Care Members (2)98.5 - 100.5 million
Integrated Care
Revenue growth percentage (year-over-year)0.8% - 2.4%
Adjusted EBITDA margin15.6% - 16.4%
BetterHelp
Revenue growth percentage (year-over-year)(19.0%) - (12.7%)
Adjusted EBITDA margin3.0% - 4.6%

For the third quarter of 2026, we expect:
3Q 2026 Outlook Range
Revenue$569 - $609 million
Adjusted EBITDA$62 - $74 million
Net loss per share($0.30) - ($0.20)
U.S. Integrated Care Members (2)99.0 - 100.5 million
Integrated Care
Revenue growth percentage (year-over-year)0.0% - 3.0%
Adjusted EBITDA margin15.7% - 17.2%
BetterHelp
Revenue growth percentage (year-over-year)(24.2%) - (12.3%)
Adjusted EBITDA margin0.5% - 2.5%

See note (2) in the Notes section that follows.

3


Earnings Conference Call

The Second Quarter 2026 earnings conference call and webcast will be held Wednesday, July 29, 2026 at 5:00 p.m. E.T. The conference call can be accessed by dialing 833-461-5787 for U.S. participants and using the conference ID # 478 236 923. For international participants, please visit the following link for global dial-in numbers, using the same conference ID # 478 236 923: https://help.events.q4inc.com/eahc/international-dial-in-numbers. 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.

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 have in the past and/or may in the future 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) a decrease in revenue from users who pay directly out-of-pocket without offsetting growth in insurance-covered services in our BetterHelp segment; (vi) changes in valuations or useful lives of our assets; (vii) changes to our abilities to recruit and retain qualified providers into our network; (viii) the impact of and risk related to impairment losses with respect to goodwill or other assets; (ix) the success of our initiatives to improve our efficiency and competitiveness; (x) imposed and threatened tariffs by the United States and its trading partners, and any resulting disruptions or inefficiencies in our supply chain; (xi) the rate and magnitude of declines in BetterHelp cash-pay users and revenue; (xii) the extent to which insurance availability changes users’ payment choices; (xiii) available provider capacity including on a state and payer specific basis; (xiv) the timing, cost and effectiveness of provider recruitment, credentialing, enrollment, activation, compensation and retention; (xv) the performance of insurance-specific eligibility, matching, booking, scheduling, utilization, session-duration, claims and collection workflows; (xvi) the effectiveness and revenue consequences of changes in advertising and marketing spending; (xvii) the effects of BetterHelp’s reduced near term emphasis and investment outside the United States; (xviii) the cost, timing and effectiveness of platform and provider-capacity investments; (xix) the margin effects of the insurance mix; and (xx) potential impairment of BetterHelp goodwill. 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.

4


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, except as required by law.

5


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

Three Months Ended
June 30,
Six Months Ended
June 30,
2026202520262025
Revenue$606,927 $631,900 $1,220,772 $1,261,269 
Costs and expenses:
Cost of revenue (exclusive of depreciation and amortization, which are shown separately below)190,837 190,537 388,363 387,366 
Advertising and marketing143,397 167,547 294,924 335,732 
Sales49,391 49,951 100,667 98,644 
Technology and development62,861 68,784 130,726 138,742 
General and administrative104,029 108,114 206,122 220,888 
Goodwill impairment— — — 59,138 
Acquisition, integration, and transformation costs1,690 2,658 2,754 4,846 
Restructuring costs904 5,692 12,879 10,039 
Amortization of intangible assets88,442 88,664 178,268 172,968 
Depreciation of property and equipment2,468 4,338 4,929 7,902 
Total costs and expenses644,019 686,285 1,319,632 1,436,265 
Loss from operations(37,092)(54,385)(98,860)(174,996)
Interest income(6,481)(10,064)(12,971)(22,738)
Interest expense5,109 4,473 10,477 10,238 
Other expense (income), net2,191 (8,371)2,387 (10,806)
Loss before provision for income taxes(37,911)(40,423)(98,753)(151,690)
Provision for income taxes997 (7,763)3,992 (26,018)
Net loss$(38,908)$(32,660)$(102,745)$(125,672)
Net loss per share, basic and diluted$(0.21)$(0.19)$(0.57)$(0.72)
Weighted-average shares used to compute basic and diluted net loss per share181,026,004175,917,380180,079,395175,040,625

Stock-based Compensation Summary

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

Three Months Ended
June 30,
Six Months Ended
June 30,
2026202520262025
Cost of revenue (exclusive of depreciation and amortization, which are shown separately)$124 $506 $471 $1,079 
Advertising and marketing426 1,302 1,286 2,805 
Sales1,460 3,594 3,537 7,853 
Technology and development1,735 4,247 4,462 10,032 
General and administrative5,556 12,695 14,156 25,738 
Total stock-based compensation expense (3)$9,301 $22,344 $23,912 $47,507 

See note (3) in the Notes section that follows.

6


Revenues

Three Months EndedSix Months Ended
June 30,June 30,
(In thousands, unaudited)20262025Change20262025Change
Revenue by Type
Access Fees$474,215 $523,703 (9)%$958,870 $1,049,439 (9)%
Other132,712 108,197 23 %261,902 211,830 24 %
Total Revenue$606,927 $631,900 (4)%$1,220,772 $1,261,269 (3)%
Revenue by Geography
U.S.$487,360 $519,689 (6)%$978,865 $1,044,659 (6)%
International119,567 112,211 %241,907 216,610 12 %
Total Revenue$606,927 $631,900 (4)%$1,220,772 $1,261,269 (3)%

Summary Operating Metrics

Consolidated
Three Months EndedSix Months Ended
June 30,June 30,
(In millions)20262025Change20262025Change
Total Visits4.14.1(2)%8.48.6(2)%

Integrated Care
As of June 30,
(In millions)
20262025Change
U.S. Integrated Care Members (2)100.3102.4(2)%
Chronic Care Program Enrollment (4)1.2721.11714 %

Three Months EndedSix Months Ended
June 30,June 30,
20262025Change20262025Change
Average Monthly Revenue
Per U.S. Integrated Care Member (5)
$1.31 $1.27 %$1.31 $1.27 %

BetterHelp
Average forAverage for
Three Months EndedSix Months Ended
June 30,June 30,
(In millions)20262025Change20262025Change
BetterHelp Paying Users (6)0.3460.388(11)%0.3530.393(10)%

See notes (2), (4), (5), and (6) in the Notes section that follows.

7


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 EndedSix Months Ended
June 30,June 30,
(In thousands, unaudited)20262025Change20262025Change
Integrated Care
Revenue$394,305$391,510%$789,750$780,978%
Adjusted EBITDA$65,242$57,45014 %$121,519$107,82913%
Adjusted EBITDA margin %16.5 %14.7 %15.4 %13.8 %
BetterHelp
Consumer and Other$190,852$238,262(20)%$396,315$478,163(17)%
Insurance Covered Services21,7702,128N/M34,7072,128N/M
Total Revenue$212,622$240,390(12)%$431,022$480,291(10)%
Adjusted EBITDA$471$11,861(96)%$2,363$19,575(88)%
Adjusted EBITDA margin %0.2 %4.9 %0.5 %4.1 %

N/M - not meaningful
8


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

Six Months Ended
June 30,
20262025
Cash flows from operating activities:
Net loss$(102,745)$(125,672)
Adjustments to reconcile net loss to net cash flows from operating activities:
Goodwill impairment— 59,138 
Amortization of intangible assets 178,268 172,968 
Stock-based compensation23,912 47,507 
Depreciation of property and equipment4,929 7,902 
Amortization of right-of-use assets3,394 4,190 
Provision for allowances for doubtful accounts807 377 
Deferred income taxes(1,673)(34,072)
Other, net2,812 2,049 
Changes in operating assets and liabilities:
Accounts receivable(28,647)(8,497)
Prepaid expenses and other current assets(17,071)(16,434)
Inventory8,628 861 
Other assets2,337 7,616 
Accounts payable(9,656)19,278 
Accrued expenses and other current liabilities44,676 (5,149)
Accrued compensation(31,246)(9,545)
Deferred revenue(44)(6,084)
Operating lease liabilities(4,586)(5,170)
Other liabilities83 (3,912)
Net cash provided by operating activities74,178 107,351 
Cash flows from investing activities:
Capital expenditures(2,588)(3,994)
Capitalized software development costs(62,152)(57,824)
Proceeds from the sale of investment— 740 
Acquisitions accounted for as business combinations, net of cash acquired— (65,302)
Asset acquisition resulting in net intangible assets(12,675)(29,569)
Payments for investments(700)(27,075)
Other, net60 
Net cash used in investing activities(78,112)(182,964)
Cash flows from financing activities:
Proceeds from the exercise of stock options33 81 
Proceeds from employee stock purchase plan1,241 1,384 
Repayment of convertible senior notes— (550,629)
Other, net(2,848)— 
Net cash used in financing activities(1,574)(549,164)
Net decrease in cash and cash equivalents(5,508)(624,777)
Effect of foreign currency exchange rate changes(1,228)6,071 
Cash and cash equivalents at beginning of the period781,084 1,298,327 
Cash and cash equivalents at end of the period$774,348 $679,621 

9


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

June 30,
2026
December 31,
2025
ASSETS
Current assets:
Cash and cash equivalents$774,348 $781,084 
Accounts receivable, net of allowance for doubtful accounts of $3,628 and $4,033 at June 30, 2026 and December 31, 2025, respectively
221,015 192,826 
Inventories28,823 38,203 
Prepaid expenses and other current assets124,175 107,016 
Total current assets1,148,361 1,119,129 
Property and equipment, net24,690 26,972 
Goodwill283,190 283,190 
Intangible assets, net1,175,669 1,297,087 
Operating lease—right-of-use assets22,718 26,119 
Other assets103,997 105,803 
Total assets$2,758,625 $2,858,300 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable$37,496 $47,967 
Accrued expenses and other current liabilities226,550 198,208 
Accrued compensation60,172 96,258 
Deferred revenue, current60,812 62,305 
Convertible senior notes, net—current996,700 — 
Total current liabilities1,381,730 404,738 
Operating lease liabilities, net of current portion29,537 34,204 
Deferred revenue, net of current portion9,669 9,139 
Deferred taxes, net26,881 28,945 
Convertible senior notes, net—non-current— 994,925 
Other liabilities700 643 
Total liabilities 1,448,517 1,472,594 
Commitments and contingencies
Stockholders’ equity:
Common stock, $0.001 par value; 300,000,000 shares authorized; 181,649,591 shares and 178,315,400 shares issued and outstanding as of June 30, 2026 and December 31, 2025 respectively
182 178 
Additional paid-in capital17,876,827 17,850,478 
Accumulated deficit(16,532,967)(16,430,222)
Accumulated other comprehensive loss(33,934)(34,728)
Total stockholders’ equity1,310,108 1,385,706 
Total liabilities and stockholders’ equity$2,758,625 $2,858,300 
10


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 costs; 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 enterprise resource planning system. 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 measurements include net loss, net loss per share, net cash from operating activities, and other performance measures.

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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
June 30,
Six Months Ended
June 30,
Second QuarterFull Year
202620252026202520262026
Net loss$(38,908)$(32,660)$(102,745)$(125,672)$(55) - (36)$(181) - (136)
Add:
Provision for income taxes997 (7,763)3,992 (26,018)
Other expense (income), net2,191 (8,371)2,387 (10,806)
Interest expense5,109 4,473 10,477 10,238 
Interest income(6,481)(10,064)(12,971)(22,738)
Depreciation of property and equipment2,468 4,338 4,929 7,902 
Amortization of intangible assets88,442 88,664 178,268 172,968 
Restructuring costs904 5,692 12,879 10,039 
Acquisition, integration, and transformation costs1,690 2,658 2,754 4,846 
Goodwill impairment— — — 59,138 
Stock-based compensation9,301 22,344 23,912 47,507 
Total Adjustments104,621 101,971 226,627 253,076 98 - 129407 - 484
Consolidated Adjusted EBITDA$65,713 $69,311 $123,882 $127,404 $62 - 74$271 - 303
Segment Adjusted EBITDA
Integrated Care$65,242 $57,450 $121,519 $107,829 
BetterHelp471 11,861 2,363 19,575 
Consolidated Adjusted EBITDA$65,713 $69,311 $123,882 $127,404 

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 EndedSix Months EndedOutlook (9)
June 30,June 30,Full Year
20262025202620252026 (in millions)
Net cash provided by operating activities$64,662 $91,432 $74,178 $107,351 $260 - 290
Capital expenditures(928)(1,268)(2,588)(3,994)
Capitalized software development costs(27,990)(28,965)(62,152)(57,824)
Capex(28,918)(30,233)(64,740)(61,818)(130) - (120)
Free Cash Flow$35,744 $61,199 $9,438 $45,533 $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 at the end of the applicable period who have access to our suite of integrated care services in the U.S. under paid access fee and/or visit-based arrangements.

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 and psychiatry 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, including both those who pay directly out-of-pocket and those who utilize their insurance coverage. Within the BetterHelp segment, Consumer and Other primarily includes revenue from BetterHelp Paying Users that pay for services directly out-of-pocket while Insurance Covered Services reflects revenue from BetterHelp Paying Users that utilize insurance coverage to pay for services, which includes any copayments.

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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Filing Exhibits & Attachments

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