Teladoc Health Inc (0LDR.L) Q1 2025 Earnings Report

Teladoc Health reported QQ1 2025 revenue of $629.4 million, a YoY decline of 2.6% and a QoQ decline of 1.7%, signaling continued top-line stability but near-term growth headwinds. The gross margin stood at 68.7%, validating a high-margin services mix, yet the company generated an operating loss of $120.6 million and a net loss of $93.0 million for the quarter, translating to an EPS of $(0.53). EBITDA was negative at $(9.0) million, highlighting fixed-cost drag on the near-term profitability trajectory. Despite the negative bottom-line, Teladoc generated operating cash flow of $16.0 million and free cash flow of $13.2 million, underpinning a solid liquidity position with cash and equivalents of approximately $1.19 billion and a net debt of about $393 million at quarter-end. The balance sheet remains structurally levered, with total debt of roughly $1.59 billion and total liabilities of $2.02 billion against total assets of $3.44 billion. Management commentary and forward-looking signals were not embedded in the provided transcript data, limiting explicit guidance; nonetheless, the cash generation capability and a high gross margin point to a path toward earnings expansion if fixed costs can be absorbed through scale, and if the revenue mix can be shifted toward higher-margin, higher-velocity segments. The company remains exposed to ongoing profitability challenges, reimbursement dynamics, and competitive intensity in the evolving telehealth landscape. Investors should monitor progress on cost discipline, operating leverage, international growth, and payer mix rationalization as drivers of a credible margin recovery.