Oct 29, 2026: a 25% gain, with the open as the low

Teladoc reported after the close on Oct 28. The first premarket trades at 4am were at $7.24, up 5.2%, and the stock rose to $7.95 by 7:35am. It opened the regular session at $7.91, which was also the day's low, then reached $8.99 at 9:45am, up 30.7%. At 12:04pm it was $8.59.

What happened:

  • Profit above the guide. Integrated Care adjusted EBITDA was $75 million, up 13.3%, and its 18.8% margin came in "well above the high end of our guidance range," Grasher said. Consolidated adjusted EBITDA of $79.4 million topped the range by $5.4 million.
  • Insurance is ramping. BetterHelp insurance revenue was $32 million, up $10 million from the second quarter. CEO Chuck Divita said weekly covered sessions recently reached 27,000, "an annualized insurance revenue run rate of over $140 million." Insurance accounted for 36% of new US BetterHelp users in the quarter, MarketBeat reported from the call.
  • A plan for the notes. Grasher said the first phase "would potentially involve repurchasing a substantial portion of the outstanding notes," and that Teladoc expects "to repay the remaining balance with cash at maturity in June 2027."
  • A narrower guide. The 2026 loss range moved to $0.75 to $0.95 a share from $0.75 to $1.00, and the adjusted EBITDA floor rose $6 million.
  • The Street. Stifel and Needham kept neutral ratings on Oct 29.

Other virtual care names moved about 1%, so this was a Teladoc move. From the Oct 28 close, at 12:04pm:

Stock or fundOct 28 closeOct 29, 12:04pmChange
Teladoc Health (TDOC)$6.88$8.59+24.8%
Health Care Select SPDR (XLV)$179.72$183.52+2.1%
Hims & Hers (HIMS)$29.32$29.74+1.4%
LifeStance (LFST)$13.39$13.57+1.3%
Doximity (DOCS)$34.25$34.00-0.7%

After the jump, RSI(14) stood at 82, the shares sat 39% above their 50-day average and 33% above their 200-day average, and the stock was 13% below its 52-week high of $9.89.

The numbers: shrinking sales, growing profit

Bar chart of Teladoc third-quarter 2026 adjusted EBITDA: $62 million at the low end of guidance, $74 million at the high end and $79.4 million reported

Revenue fell 3% from a year earlier: access fees fell 10% to $466.7 million while other revenue rose 31% to $138.4 million. BetterHelp's paying users fell 12% to 336,000, MarketBeat reported. But profit rose. The net loss narrowed to $26.9 million from $49.5 million, operating cash flow was $106.5 million and capital spending $30.5 million. For the fourth quarter, Teladoc guides revenue of $569 million to $615 million and adjusted EBITDA of $74 million to $100 million. Our explainer on free cash flow yield shows how to set that cash against the share price.

The bull case: cash, and a fix for the debt

  • Cheap on cash flow. Enterprise value is about $1.74 billion, about six times the midpoint of the 2026 adjusted EBITDA guide, and the shares trade at 0.6 times sales and 1.2 times book.
  • The maturity is manageable. Net debt was 0.5 times trailing adjusted EBITDA, down from 1.0 a year earlier, MarketBeat reported. Our guide to debt maturity walls and refinancing risk explains why a plan announced early matters.
  • Short interest. At 17.8% of the float, short sellers would need to cover positions if results keep improving. Our explainer on short interest and days to cover covers how that can extend a move.

The risks

  • Revenue. Full-year revenue growth for BetterHelp is guided at minus 12.9% to minus 16.1%, and Integrated Care at only 1.1% to 2.1%.
  • The cost of new debt. The repurchase depends on market conditions, and the terms of the new debt are not yet known.
  • The price. After the jump, the stock sits near the average analyst target, so further gains need estimates to rise.

What comes next

Watch for the note repurchase, which Grasher said could come before year-end, and for its terms. The fourth-quarter report, expected around February 24, 2027, brings 2027 guidance, including the BetterHelp insurance path toward a $200 million run rate by the end of 2027. Our explainer on why guidance changes move stocks covers what to look for in it. More of the day's swings are in today's biggest stock moves.