Teladoc(US:TDOC)2025-10-29 22:00Financial Data and Key Metrics Changes - Consolidated revenue for Q3 2025 was $626 million, a decline of 2.2% year over year, with adjusted EBITDA of $70 million representing an 11.2% margin [16][17] - Net loss per share was $0.28, which included a non-cash goodwill impairment charge of $0.07 per share pre-tax [16][17] - Free cash flow was $68 million in Q3, bringing year-to-date free cash flow to $113 million, with cash and cash equivalents at $726 million, an increase of $47 million sequentially [17][25] Business Line Data and Key Metrics Changes - Integrated Care revenue was $390 million, up 1.5% year over year, with U.S. Integrated Care membership at 102.5 million, a 9% increase year over year [17][18] - Chronic care program enrollment grew 4% sequentially, reaching 1.17 million [18] - BetterHelp segment revenue was $236.9 million, with average paying users declining 4% year over year to 382,000 [19][20] Market Data and Key Metrics Changes - International integrated care revenues grew 14% year over year on a constant currency basis [12] - The acquisitions of Catapult and Telecare contributed approximately 245 basis points to Integrated Care segment growth [18] Company Strategy and Development Direction - The company is focusing on integrated care, emphasizing performance, innovation, and client impact, with over 100 million people having access to its services [4][8] - The shift towards fee-for-service visit models is evident, with visit-based revenues now comprising over 50% of U.S. virtual care revenues [8] - The company aims to leverage its scaled mental health position and is excited about the new employee assistance program offering called Wellbound [9][10] Management's Comments on Operating Environment and Future Outlook - Management acknowledged substantial challenges in healthcare, including affordability, rising costs, and unmet mental health needs, while expressing commitment to driving the next evolution of virtual care [14][15] - The company expects 2025 consolidated revenue of $2.510 billion to $2.539 billion and adjusted EBITDA of $270 million to $287 million, with a focus on maintaining strong cash flow generation [21][24] Other Important Information - The company achieved ISO 9001 certification for key processes within U.S. integrated care, reflecting operational excellence [12] - The company was recognized as one of Time magazine's top health tech companies of 2025, highlighting its innovative contributions to healthcare [26] Q&A Session Summary Question: Insights on 2026 Selling Season - Management characterized 2025 as a repositioning year, focusing on driving higher performance and product innovation, with positive discussions with clients regarding new products and services for 2026 [29][30][32] Question: BetterHelp Margins and Transition to Insurance - Management indicated that BetterHelp margins are impacted by the transition to insurance offerings, with expectations for improved margins as the insurance business scales [34][36][67] Question: Chronic Care Enrollment Trends - Management expressed satisfaction with the sequential growth in chronic care enrollment and highlighted opportunities for further engagement and clinical interventions [78][81]