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Teladoc(TDOC) - 2025 Q2 - Earnings Call Transcript
2025-07-29 21:30
Financial Data and Key Metrics Changes - The second quarter consolidated revenue was $631.9 million, down 1.6% year over year, but near the high end of the guidance range [22] - Adjusted EBITDA was $69.3 million, representing a margin of 11%, also at the upper end of the guidance range [22] - Net loss per share was $0.19 compared to a net loss of $4.92 in the previous year, which included a significant goodwill impairment charge [22] - Free cash flow was $61 million in the second quarter, slightly ahead of the prior year period [23] Business Line Data and Key Metrics Changes - Integrated Care segment revenue increased by 3.7% year over year to $391.5 million, exceeding guidance [25] - U.S. Integrated Care segment membership reached 102.4 million, up 11% year over year, while virtual visit volume increased by 6% [26] - Better Health segment revenue was $240.4 million, slightly above the midpoint of guidance, but average paying users declined by 5% year over year [27][28] Market Data and Key Metrics Changes - The international integrated care business delivered mid-teens growth on a constant currency basis, contributing to overall revenue growth [25] - The U.S. cash pay users saw a high single-digit percentage decline compared to the previous year, reflecting softening consumer sentiment [29] Company Strategy and Development Direction - The company is focused on enhancing integrated care offerings, particularly in the U.S., to drive clinical outcomes and cost efficiency [12][13] - There is an emphasis on product innovation, including the launch of WellBound and enhancements to the cardiometabolic health program [6][7] - The company aims to leverage its scale in mental health and expand insurance capabilities through BetterHelp [15][16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to return to a growth trajectory despite broader market dynamics impacting healthcare [21] - The company is committed to maintaining a balanced approach between financial performance and investments in strategic priorities [21] - Management highlighted the importance of virtual care in addressing healthcare challenges, including affordability and access [11][12] Other Important Information - The company has retired $551 million in convertible senior notes and has a strong cash position of $618 million [23][41] - The company is making strategic investments to scale its insurance business and enhance operational capabilities [73][74] Q&A Session Summary Question: Transition from subscription to pay-per-visit model - Management indicated that over 50% of revenues in virtual care are now from visit-based arrangements, with a significant portion in mental health being around 70% [46][47] Question: Margin differences between cash pay and insurance - Management acknowledged that insurance margins would be lower than the cash pay business, but the scale of consumer demand is expected to drive conversion rates [50][51] Question: Opportunities to drive cost in healthcare - Management emphasized the importance of access to care and the potential for virtual care to complement local delivery systems [58][60] Question: Chronic Care Solutions selling season and competition - Management noted good interest in chronic care solutions, with ongoing pressure in the health plan channel but positive activity in employer channels [64][66] Question: Revenue contribution from Better Health Insurance in 2026 - Management expects insurance revenue to scale over a 6 to 12 month period, with ongoing investments needed to support this growth [72][75] Question: Overall readiness for revenue and EBITDA growth - Management believes considerable progress has been made, but acknowledges that ongoing investments and innovations are necessary to sustain growth [78][82]