Since June 2024, Teladoc has been in a holding pattern, posting a small return of 0.6% while floating around $9.38. The stock also fell short of the S&P 500’s 8.8% gain during that period.
Is there a buying opportunity in Teladoc, or does it present a risk to your portfolio? Get the full breakdown from our expert analysts, it’s free.We don't have much confidence in Teladoc. Here are three reasons why you should be careful with TDOC and a stock we'd rather own.
Why Is Teladoc Not Exciting?
Founded to help people in rural areas get online medical consultations, Teladoc Health (NYSE:TDOC) is a telemedicine platform that facilitates remote doctor’s visits.
1. Change in U.S. Integrated Care Members Points to Soft Demand
As an online marketplace, Teladoc generates revenue growth by increasing both the number of users on its platform and the average order size in dollars.
Over the last two years, Teladoc’s u.s. integrated care members, a key performance metric for the company, increased by 7.2% annually to 93.9 million in the latest quarter. This growth rate is slightly below average for a consumer internet business. If Teladoc wants to reach the next level, it likely needs to enhance the appeal of its current offerings or innovate with new products. 
2. Customer Spending Decreases, Engagement Falling?
Average revenue per user (ARPU) is a critical metric to track for online marketplace businesses like Teladoc because it measures how much the company earns in transaction fees from each user. ARPU also gives us unique insights into a user’s average order size and Teladoc’s take rate, or "cut", on each order.
Teladoc’s ARPU fell over the last two years, averaging 1.3% annual declines. This isn’t great when combined with its weaker u.s. integrated care members performance. If Teladoc tries boosting ARPU by taking a more aggressive approach to monetization, it’s unclear whether user growth would be sustainable. 
3. Inefficient Marketing Strategy Eats Into Profits
Unlike enterprise software that’s typically sold by dedicated sales teams, consumer internet businesses like Teladoc grow from a combination of product virality, paid advertisement, and incentives.
It’s relatively expensive for Teladoc to acquire new users as the company has spent 45.7% of its gross profit on sales and marketing expenses over the last year. This inefficiency indicates that Teladoc operates in a competitive market and must continue investing to maintain an acceptable growth trajectory. 
Final Judgment
Teladoc isn’t a terrible business, but it isn’t one of our picks. With its shares underperforming the market lately, the stock trades at 4.6× forward EV-to-EBITDA (or $9.38 per share). This valuation is reasonable, but the company’s shakier fundamentals present too much downside risk. We're pretty confident there are more exciting stocks to buy at the moment. Let us point you toward CrowdStrike, the most entrenched endpoint security platform.
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