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Teladoc Health Reports Second Quarter 2024 Results PURCHASE, NY

Key Takeaway: Teladoc Health reported its financial results for Q2 2024, showing a 2% decline in revenue year-over-year, totaling $642.4 million. The company experienced a significant net loss of $837.7 million, largely due to a goodwill impairment charge of $790 million related to its BetterHelp segment. Despite challenges, the Integrated Care segment has grown in revenue by 5% and adjusted EBITDA rose by 24%. The company has withdrawn its financial outlook for the full year of 2024 amid ongoing market uncertainties.

Market Sentiment Analysis

POSITIVE FACTORS

  • Adjusted EBITDA increased 24% year-over-year, indicating operational strength.
  • Revenue from Integrated Care segment grew by 5% year-over-year.
  • Chuck Divita expressed confidence in leading the company and enhancing performance.

CONCERNS & RISKS

  • Net loss increased significantly to $837.7 million, including a hefty goodwill impairment charge.
  • Total revenue declined by 2% year-over-year to $642.4 million.
  • BetterHelp segment revenue decreased by 9%, impacting overall performance.

Full Press Release Details

Teladoc Health Reports Second Quarter 2024 Results
PURCHASE, NY, July 31, 2024- Teladoc Health, Inc. (NYSE TDOC), the global leader in whole-person virtual care, today reported financial results for the three months ended June 30, 2024 ("Second Quarter 2024"). Unless otherwise noted, percentage and other changes are relative to the three months ended June 30, 2023 ("Second Quarter 2023").
Financial and Operational Highlights for Second Quarter 2024
Second Quarter 2024 revenue of $642.4 million, down 2% year-over-year
Second Quarter 2024 net loss of $837.7 million, or $4.92 per share, including a goodwill impairment charge of $790.0 million, or $4.64 per share
Second Quarter 2024 adjusted EBITDA of $89.5 million, up 24% year-over-year
Integrated Care segment revenue of $377.4 million, up 5% year-over-year and adjusted EBITDA margin of 17.0%
BetterHelp segment revenue of $265.0 million, down 9% year-over-year and adjusted EBITDA margin of 9.6%
"I am excited to have joined Teladoc Health and for the opportunity to lead the company going forward, building on our strengths while driving higher levels of performance. Our scaled position, core capabilities, and talented employees position us well in this regard," said Chuck Divita, Chief Executive Officer of Teladoc Health.
"I also see opportunities to strengthen execution and to streamline the organization to ensure we are delivering for our customers and stakeholders. While we achieved solid performance in the Integrated Care segment, continued headwinds in the BetterHelp segment impacted overall results. We are focused on addressing the work ahead of us with urgency to unlock greater value across the company over time," Divita added.
Key Financial Data
($ in thousands, except per share data, unaudited)
Three Months Ended Six Months Ended
June 30, June 30,
2024 2023 Change 2024 2023 Change
Revenue $ 642,444 $ 652,406 (2) % $ 1,288,575 $ 1,281,650 1 %
Net loss $ (837,671) $ (65,177) N M $ (919,560) $ (134,405) N M
Net loss per share, basic and diluted $ (4.92) $ (0.40) N M $ (5.44) $ (0.82) N M
Adjusted EBITDA (1) $ 89,481 $ 72,155 24 % $ 152,621 $ 124,920 22 %
See note (1) in the Notes section that follows.
N M - not meaningful
Revenue decreased 2% to $642.4 million from $652.4 million in Second Quarter 2023. Access fees revenue decreased 3% to $559.6 million and other revenue grew 8% to $82.8 million. U.S. revenue decreased 4% to $540.8 million and International revenue grew 12% to $101.6 million.
Teladoc Health Integrated Care ( Integrated Care ) segment revenue increased 5% to $377.4 million in Second Quarter 2024 and BetterHelp segment revenue decreased 9% to $265.0 million.
Non-cash goodwill impairment charge of $790.0 million was recorded in Second Quarter 2024 and was attributable to changes in estimates of future cash flows related to the company's BetterHelp segment. The non-cash charge had no impact on the provision for income taxes.
Net loss totaled $837.7 million, or $4.92 per share, for Second Quarter 2024, compared to $65.2 million, or $0.40 per share, for Second Quarter 2023. Results for Second Quarter 2024 included a non-cash goodwill impairment charge of $790.0 million, or $4.64 per share, stock-based compensation expense of $42.1 million, or $0.25 per share, and amortization of acquired intangibles of $64.1 million, or $0.38 per share. The amortization of acquired intangibles increased over the prior year period reflecting a change in the useful lives of certain intangibles in the third quarter of 2023. Net loss for Second Quarter 2024 also included $1.5 million, or $0.01 per share, of restructuring costs, primarily related to severance payments.
Results for Second Quarter 2023 primarily included stock-based compensation expense of $55.7 million, or $0.34 per share, and amortization of acquired intangibles of $52.8 million, or $0.32 per share. Net loss for Second Quarter 2023 also included $7.5 million, or $0.05 per share, of restructuring costs related to the abandonment of certain excess leased office space.
Adjusted EBITDA(1) increased 24% to $89.5 million, compared to $72.2 million for Second Quarter 2023. Integrated Care segment adjusted EBITDA increased 69% to $64.0 million in Second Quarter 2024 and BetterHelp segment adjusted EBITDA decreased 26% to $25.5 million in Second Quarter 2024.
GAAP gross margin, which includes amortization of intangible assets and depreciation of property and equipment, was 66.7% for Second Quarter 2024, compared to 67.5% for Second Quarter 2023.
Adjusted gross margin(1) was 70.7% for Second Quarter 2024, compared to 70.8% for Second Quarter 2023.
Six Months Ended June 30, 2024
Revenue increased 1% to $1,288.6 million from $1,281.7 million in the first six months of 2023. Access fees revenue decreased 1% to $1,116.8 million, and other revenue grew 11% to $171.8 million. U.S. revenue decreased 1% to $1,088.4 million, and International revenue grew 12% to $200.2 million for the first six months of 2024.
Revenue increased 6% to $754.5 million for the Integrated Care segment in the first six months of 2024 and decreased 7% to $534.0 million for the BetterHelp segment.
Non-cash goodwill impairment charge of $790.0 million was recorded in the first six months of 2024 and was attributable to changes in estimates of future cash flows related to the company's BetterHelp segment. The non-cash charge had no impact on the provision for income taxes.
Net loss totaled $919.6 million, or $5.44 per share, for the first six months of 2024, compared to $134.4 million, or $0.82 per share, for the first six months of 2023. Results for the first six months of 2024 included a non-cash goodwill impairment charge of $790.0 million, or $4.68 per share, stock-based compensation expense of $84.4 million, or $0.50 per share, restructuring costs of $11.2 million, or $0.07 per share, and amortization of acquired intangibles of $128.3 million, or $0.76 per share.
Results for the first six months of 2023 primarily included stock-based compensation expense of
$101.8 million, or $0.62 per share, and amortization of acquired intangibles of $103.0 million, or $0.63 per share. Net loss for the first six months of 2023 also included $15.6 million, or $0.10 per share, of restructuring costs related to the abandonment of certain excess leased office space.
Adjusted EBITDA(1) increased 22% to $152.6 million, compared to $124.9 million for the first six months of 2023. Integrated Care segment adjusted EBITDA increased 53% to $111.7 million in the first six months of 2024 and BetterHelp segment adjusted EBITDA decreased 21% to $40.9 million in the first six months of 2024.
GAAP gross margin, which includes depreciation and amortization, was 66.2% for the first six months of 2024, compared to 67.6% for the first six months of 2023.
Adjusted gross margin(1) was 70.3% for the first six months of 2024, compared to 70.3% for the first six months of 2023.
Cash flow from operations was $88.7 million in Second Quarter 2024, compared to $101.2 million in Second Quarter 2023, and was $97.6 million in the first six months of 2024, compared to $114.3 million in the first six months of 2023. Capitalized expenditures and capitalized software development costs (together, "Capex") were $27.7 million in Second Quarter 2024, compared to $36.6 million in Second Quarter 2023, and were $63.3 million for the first six months of 2024, compared to $82.2 million for the first six months of 2023. Free cash flow was $60.9 million in Second Quarter 2024, compared to $64.6 million in Second Quarter 2023, and was $34.3 million for the first six months of 2024, compared to $32.1 million for the first six months of 2023.
Teladoc Health is withdrawing the financial outlook for the Full Year of 2024 for its Consolidated operations and its BetterHelp segment that was last provided on April 25, 2024. It is also withdrawing its three year outlook on its Consolidated operations and its operating segments that had last been reaffirmed on April 25, 2024.
The outlook provided for the Integrated Care segment is based on current market conditions and expectations and what we know today. Accordingly, we believe our outlook ranges provide a reasonable baseline for future financial performance.
For the third quarter of 2024, we expect
Revenue growth percentage (year-over-year) (1)% - 2%
Adjusted EBITDA margin 14.5% - 16.0%
U.S. Integrated Care Members (2) 92.5 - 93.5 million
For the full year of 2024, we expect
Revenue growth percentage (year-over-year) Low single digits to mid-single digits
Adjusted EBITDA margin expansion (year-over-year) +150bps to +200bps
U.S. Integrated Care Members (2) 92.5 - 94.0 million
Earnings Conference Call
The Second Quarter 2024 earnings conference call and webcast will be held Wednesday, July 31, 2024 at 4 30 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 #453227. For international participants, please visit the following link for global dial-in numbers https www.netroadshow.com conferencing global-numbers confId 68682. 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 empowers all people everywhere to live their healthiest lives by transforming the healthcare experience. As the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care, at every stage in a person's health journey. Teladoc Health leverages more than two decades of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals. For more information, please visit 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, 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, 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 and (viii) the success of our operational review of the company to achieve a more balanced approach to growth and margin. 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.
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,
2024 2023 2024 2023
Revenue $ 642,444 $ 652,406 $ 1,288,575 $ 1,281,650
Costs and expenses
Cost of revenue (exclusive of depreciation and amortization, which are shown separately below) 188,059 190,540 382,597 380,647
Advertising and marketing 170,270 178,756 353,599 355,546
Sales 50,438 53,530 104,802 108,020
Technology and development 76,751 87,309 158,139 174,294
General and administrative 109,552 125,841 221,249 239,986
Goodwill impairment 790,000 - 790,000 -
Acquisition, integration, and transformation costs 457 5,080 830 11,024
Restructuring costs 1,500 7,530 11,173 15,632
Amortization of intangible assets 94,862 72,511 189,919 139,371
Depreciation of property and equipment 1,703 2,954 4,537 5,877
Total costs and expenses 1,483,592 724,051 2,216,845 1,430,397
Loss from operations (841,148) (71,645) (928,270) (148,747)
Interest income (13,572) (11,558) (27,514) (20,469)
Interest expense 5,648 5,835 11,297 11,098
Other expense (income), net 563 207 933 (4,700)
Loss before provision for income taxes (833,787) (66,129) (912,986) (134,676)
Provision for income taxes 3,884 (952) 6,574 (271)
Net loss $ (837,671) $ (65,177) $ (919,560) $ (134,405)
Net loss per share, basic and diluted $ (4.92) $ (0.40) $ (5.44) $ (0.82)
Weighted-average shares used to compute basic and diluted net loss per share 170,229,583 164,171,372 168,980,165 163,550,481
Stock-based Compensation Summary
Compensation costs for stock-based awards were classified as follows (in thousands)
Three Months Ended June 30, Six Months Ended June 30,
2024 2023 2024 2023
Cost of revenue (exclusive of depreciation and amortization, which are shown separately) $ 1,313 $ 1,243 $ 2,707 $ 2,596
Advertising and marketing 3,378 4,002 7,167 7,128
Sales 6,953 9,870 14,920 17,947
Technology and development 9,683 15,689 18,982 28,416
General and administrative 20,780 24,921 40,656 45,676
Total stock-based compensation expense (3) $ 42,107 $ 55,725 $ 84,432 $ 101,763
See note (3) in the Notes section that follows.
Three Months Ended Six Months Ended
June 30, June 30,
($ in thousands, unaudited) 2024 2023 Change 2024 2023 Change
Revenue by Type
Access fees $ 559,648 $ 575,661 (3) % $ 1,116,822 $ 1,126,531 (1) %
Other 82,796 76,745 8 % 171,753 155,119 11 %
Total Revenue $ 642,444 $ 652,406 (2) % $ 1,288,575 $ 1,281,650 1 %
Revenue by Geography
U.S. Revenue $ 540,802 $ 561,787 (4) % $ 1,088,402 $ 1,103,448 (1) %
International Revenue 101,642 90,619 12 % 200,173 178,202 12 %
Total Revenue $ 642,444 $ 652,406 (2) % $ 1,288,575 $ 1,281,650 1 %
Summary Operating Metrics
Three Months Ended Six Months Ended
June 30, June 30,
(In millions) 2024 2023 Change 2024 2023 Change
Total Visits 4.2 4.7 (11) % 8.8 9.5 (7) %
As of June 30,
(In millions) 2024 2023 Change
U.S. Integrated Care Members (2) 92.4 85.9 8 %
Chronic Care Program Enrollment (4) 1.173 1.073 9 %
Three Months Ended Six Months Ended
June 30, June 30,
2024 2023 Change 2024 2023 Change
Average Monthly Revenue Per U.S. Integrated Care Member (5) $ 1.36 $ 1.41 (4) % $ 1.37 $ 1.40 (2) %
Average for Average for
Three Months Ended Six Months Ended
June 30, June 30,
(In millions) 2024 2023 Change 2024 2023 Change
BetterHelp Paying Users (6) 0.407 0.476 (14) % 0.411 0.471 (13) %
See notes (2), (4), (5), and (6) in the Notes section that follows.
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 Six Months Ended
June 30, June 30,
($ in thousands, unaudited) 2024 2023 Change 2024 2023 Change
Teladoc Health Integrated Care
Revenue $ 377,421 $ 360,050 5 % $ 754,532 $ 710,022 6 %
Adjusted EBITDA $ 64,028 $ 37,968 69 % $ 111,702 $ 73,095 53 %
Adjusted EBITDA Margin % 17.0 % 10.5 % 642 bps 14.8 % 10.3 % 451 bps
BetterHelp
Therapy Services $ 259,073 $ 288,288 (10) % $ 522,785 $ 564,216 (7) %
Other Wellness Services 5,950 4,068 46 % 11,258 7,412 52 %
Total Revenue $ 265,023 $ 292,356 (9) % $ 534,043 $ 571,628 (7) %
Adjusted EBITDA $ 25,453 $ 34,187 (26) % $ 40,919 $ 51,825 (21) %
Adjusted EBITDA Margin % 9.6 % 11.7 % (209) bps 7.7 % 9.1 % (140) bps
TELADOC HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
Six Months Ended June 30,
2024 2023
Cash flows from operating activities
Net loss $ (919,560) $ (134,405)
Adjustments to reconcile net loss to net cash flows from operating activities
Goodwill impairment 790,000 -
Amortization of intangible assets 189,919 139,371
Depreciation of property and equipment 4,537 5,877
Amortization of right-of-use assets 4,902 5,778
Provision for allowances for doubtful accounts 810 3,048
Stock-based compensation 84,432 101,763
Deferred income taxes 1,368 (3,557)
Other, net 2,695 7,587
Changes in operating assets and liabilities
Accounts receivable (2,971) (7,032)
Prepaid expenses and other current assets (13,017) 16,625
Inventory (6,032) 20,613
Other assets 676 (17,463)
Accounts payable 12,614 (31,788)
Accrued expenses and other current liabilities 154 20,742
Accrued compensation (45,802) (15,532)
Deferred revenue (1,638) 7,546
Operating lease liabilities (5,424) (4,946)
Other liabilities (60) 111
Net cash provided by operating activities 97,603 114,338
Cash flows from investing activities
Capital expenditures (3,061) (4,267)
Capitalized software development costs (60,199) (77,927)
Net cash used in investing activities (63,260) (82,194)
Cash flows from financing activities
Net proceeds from the exercise of stock options 2,677 677
Proceeds from employee stock purchase plan 2,798 5,435
Cash received for withholding taxes on stock-based compensation, net 83 1,450
Other, net (2) (1)
Net cash provided by financing activities 5,556 7,561
Net increase in cash and cash equivalents 39,899 39,705
Effect of foreign currency exchange rate changes (1,191) 808
Cash and cash equivalents at beginning of the period 1,123,675 918,182
Cash and cash equivalents at end of the period $ 1,162,383 $ 958,695
The following table presents the selected cash flow information for the following quarters (in thousands, unaudited)
Three Months Ended June 30,
2024 2023
Net cash provided by operating activities $ 88,683 $ 101,182
Net cash used in investing activities (27,748) (36,570)
Net cash provided by financing activities 3,805 4,208
Effect of foreign currency exchange rate changes (292) 1,296
Net increase in cash and cash equivalents $ 64,448 $ 70,116
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data, unaudited)
June 30, 2024 December 31, 2023
ASSETS
Current assets
Cash and cash equivalents $ 1,162,383 $ 1,123,675
Accounts receivable, net of allowance for doubtful accounts of $3,881 and $4,240 at June 30, 2024 and December 31, 2023, respectively 218,420 217,423
Inventories 34,896 29,513
Prepaid expenses and other current assets 130,956 118,437
Total current assets 1,546,655 1,489,048
Property and equipment, net 29,330 32,032
Goodwill 283,190 1,073,190
Intangible assets, net 1,547,498 1,677,781
Operating lease-right-of-use assets 35,538 40,060
Other assets 81,427 80,258
Total assets $ 3,523,638 $ 4,392,369
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
Accounts payable $ 56,111 $ 43,637
Accrued expenses and other current liabilities 173,804 178,634
Accrued compensation 54,656 102,686
Deferred revenue-current 95,434 95,659
Convertible senior notes, net-current 550,722 -
Total current liabilities 930,727 420,616
Other liabilities 1,007 1,080
Operating lease liabilities, net of current portion 37,716 42,837
Deferred revenue, net of current portion 11,743 13,623
Deferred taxes, net 50,673 49,452
Convertible senior notes, net-non-current 989,686 1,538,688
Total liabilities 2,021,552 2,066,296
Commitments and contingencies
Stockholders' equity
Common stock, $0.001 par value 300,000,000 shares authorized 171,124,883 shares and 166,658,253 shares issued and outstanding as of June 30, 2024 and December 31, 2023 respectively 171 167
Additional paid-in capital 17,689,096 17,591,551
Accumulated deficit (16,148,215) (15,228,655)
Accumulated other comprehensive loss (38,966) (36,990)
Total stockholders' equity 1,502,086 2,326,073
Total liabilities and stockholders' equity $ 3,523,638 $ 4,392,369
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 gross profit, adjusted gross margin, 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 financial metrics 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 gross profit is our total revenue minus our total cost of revenue (exclusive of depreciation and amortization, which are shown separately) and adjusted gross margin is adjusted gross profit as a percentage of our total revenue.
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 impairment 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 gross margin has been and will continue to be affected by a number of factors, including the fees we charge our clients, the number of visits and cases we complete, the costs paid to providers and medical experts, as well as the costs of our provider network operations center
adjusted gross margin does not reflect the significant depreciation and amortization to cost of revenue
adjusted EBITDA eliminates the impact of the provision for income taxes on our results of operations, and it 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 (CRM) and enterprise resource planning (ERP) 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 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 depreciated and amortized will often have to be replaced in the future, and adjusted gross profit, adjusted gross margin, and adjusted EBITDA do 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 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 gross profit, the most directly comparable GAAP financial measures, to adjusted gross profit
Reconciliation of GAAP Gross Profit to Adjusted Gross Profit
(In thousands, unaudited)
Three Months Ended June 30, Six Months Ended June 30,
2024 2023 2024 2023
Revenue $ 642,444 $ 652,406 $ 1,288,575 $ 1,281,650
Cost of revenue (exclusive of depreciation and amortization, which are shown separately below) (188,059) (190,540) (382,597) (380,647)
Amortization of intangible assets and depreciation of property and equipment (26,146) (21,474) (52,458) (34,005)
Gross Profit 428,239 440,392 853,520 866,998
Amortization of intangible assets and depreciation of property and equipment 26,146 21,474 52,458 34,005
Adjusted gross profit $ 454,385 $ 461,866 $ 905,978 $ 901,003
Gross margin 66.7 % 67.5 % 66.2 % 67.6 %
Adjusted gross margin 70.7 % 70.8 % 70.3 % 70.3 %
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, except for outlook data, unaudited)
Three Months Ended June 30, Six Months Ended June 30,
2024 2023 2024 2023
Net loss $ (837,671) $ (65,177) $ (919,560) $ (134,405)
Add
Provision for income taxes 3,884 (952) 6,574 (271)
Other expense (income), net 563 207 933 (4,700)
Interest expense 5,648 5,835 11,297 11,098
Interest income (13,572) (11,558) (27,514) (20,469)
Depreciation of property and equipment 1,703 2,954 4,537 5,877
Amortization of intangible assets 94,862 72,511 189,919 139,371
Restructuring costs 1,500 7,530 11,173 15,632
Acquisition, integration, and transformation costs 457 5,080 830 11,024
Goodwill impairment 790,000 - 790,000 -
Stock-based compensation 42,107 55,725 84,432 101,763
Total Adjustments 834,064 68,335 886,435 128,419
Consolidated Adjusted EBITDA $ 89,481 $ 72,155 $ 152,621 $ 124,920
Segment Adjusted EBITDA
Teladoc Health Integrated Care $ 64,028 $ 37,968 $ 111,702 $ 73,095
BetterHelp 25,453 34,187 40,919 51,825
Consolidated Adjusted EBITDA $ 89,481 $ 72,155 $ 152,621 $ 124,920
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 Ended Six Months Ended
June 30, June 30,
2024 2023 2024 2023
Net cash provided by operating activities $ 88,683 $ 101,182 $ 97,603 $ 114,338
Capital expenditures (1,912) (1,904) (3,061) (4,267)
Capitalized software development costs (25,836) (34,666) (60,199) (77,927)
Capex (27,748) (36,570) (63,260) (82,194)
Free Cash Flow $ 60,935 $ 64,612 $ 34,343 $ 32,144
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."

Frequently Asked Questions

What were Teladoc's revenues for Q2 2024?

Teladoc reported revenues of $642.4 million for Q2 2024.

What was the net loss in Q2 2024?

The net loss for Q2 2024 was $837.7 million, or $4.92 per share.

How did Adjusted EBITDA change in Q2 2024?

Adjusted EBITDA increased by 24% to $89.5 million in Q2 2024.

What was the revenue change for BetterHelp segment?

BetterHelp segment revenue decreased by 9% in Q2 2024.

What is the revenue growth outlook for 2024?

Teladoc expects low to mid-single digits revenue growth for 2024.

Last updated: Jul 31, 2024