Executive Summary
Teladoc Health reported Q3 2025 revenue of $626.4 million, down 2.2% year over year and 0.9% quarter over quarter, reflecting ongoing headwinds in a highly competitive telehealth market. Despite a robust gross margin of ~70% (70.12%), the company continues to incur negative operating and net income with an EBITDA of -$51.96 million and net income of -$49.51 million for the quarter, underscoring persistent fixed-cost pressure and investments in growth initiatives. The sequential improvement in operating margin (QoQ up about 4.5% to -8.29%) signals some operating leverage but remains well short of breakeven. Liquidity remains strong with a current ratio of 2.70 and cash per share of $4.13, while free cash flow per share stood at $0.552 and operating cash flow per share at $0.565, providing a cushion to fund product development and potential strategic initiatives. The market remains nervous about sustainable profitability, as reflected in valuation multiples (P/S ~2.17, P/B ~0.98) and a negative enterprise value despite a solid cash balance. The absence of formal guidance in QQ3 2025 adds to near-term uncertainty, though the long-term addressable market for chronic disease management, employer telehealth adoption, and mental health solutions continues to offer a meaningful growth backdrop if operating efficiency can be improved.
Key Performance Indicators
QoQ: -51.58% | YoY:-48.78%
QoQ: -47.37% | YoY:-40.00%
Key Insights
Revenue: $626.439m; YoY -2.20%, QoQ -0.86%
Gross Profit: $439.260m; Gross Margin 70.12%; YoY -4.67%, QoQ -0.48%
Operating Income: -$51.962m; Operating Margin -8.29%; YoY -17.03%, QoQ +4.46%
EBITDA: -$51.962m; EBITDA Margin -8.29%
Net Income: -$49.507m; Net Margin -7.90%; YoY -48.78%, QoQ -51.58%
EPS (Diluted): -$0.28; YoY -40.00%, QoQ -47.37%
Cash Flow & Liquidity: Operating Cash Flow per Share $0.565; Free Cash Flow per Share $0.552; Cash per Share $4.13; Current Ratio 2.70; Quick Ratio 2.6...
Financial Highlights
Revenue: $626.439m; YoY -2.20%, QoQ -0.86%
Gross Profit: $439.260m; Gross Margin 70.12%; YoY -4.67%, QoQ -0.48%
Operating Income: -$51.962m; Operating Margin -8.29%; YoY -17.03%, QoQ +4.46%
EBITDA: -$51.962m; EBITDA Margin -8.29%
Net Income: -$49.507m; Net Margin -7.90%; YoY -48.78%, QoQ -51.58%
EPS (Diluted): -$0.28; YoY -40.00%, QoQ -47.37%
Cash Flow & Liquidity: Operating Cash Flow per Share $0.565; Free Cash Flow per Share $0.552; Cash per Share $4.13; Current Ratio 2.70; Quick Ratio 2.60; Cash Ratio 1.793; DSO 30.28 days; CCC ~24.37 days; Receivables Turnover 2.97; Inventory Turnover 4.69; Payables Turnover 3.59
Leverage & Efficiency: Debt Ratio 0.358; Debt/Equity 0.741; Long-Term Debt to Capitalization 0.426; Interest Coverage -11.48; Cash Conversion Cycle 24.37 days; ROA -0.017; ROE -0.036; ROCE -0.021; Price to Sales 2.17; Price to Book 0.98; Price to Cash Flows 13.68; EV Multiple -13.26; Free Cash Flow to Operating Cash Flow Ratio 0.977
Income Statement
| Metric |
Value |
YoY Change |
QoQ Change |
| Revenue |
626.44M |
-2.20% |
-0.86% |
| Gross Profit |
439.26M |
-4.67% |
-0.48% |
| Operating Income |
-51.96M |
-17.03% |
4.46% |
| Net Income |
-49.51M |
-48.78% |
-51.58% |
| EPS |
-0.28 |
-40.00% |
-47.37% |
Key Financial Ratios
operatingProfitMargin
-8.29%
operatingCashFlowPerShare
$0.57
freeCashFlowPerShare
$0.55
Management Commentary
Note: The earningsTranscript data set provided contains no transcripts for QQ3 2025. Consequently, there are no management quotes or themes from an earnings call to quote or summarize. If transcript data are supplied, this section would be populated with: - Thematic groupings (strategy, operations, market conditions) - Relevant quotes with attribution - Commentary on how management framed revenue durability, cost discipline, and path to profitability.
Forward Guidance
No formal forward guidance was disclosed in the QQ3 2025 filing. Investors should monitor: (1) any updates to revenue growth drivers (enterprise telehealth contracts, chronic care management, mental health/services expansion), (2) trajectory toward operating profitability through monetization of higher-margin services, cost discipline, and scale benefits, (3) payer and employer adoption trends affecting utilization and ARPU, and (4) balance sheet management including cash burn, investment in product development, and potential capital allocation moves. In a slowing macro environment for healthcare spend, favorable outcomes would hinge on improving fixed-cost leverage, expanding high-margin multi-service offerings, and accumulating durable, multi-year enterprise contracts.