Teladoc Health Inc. (TDOC) experienced a significant after-hours plunge of 10.59% following the release of its first quarter 2026 financial results.

The virtual care company reported a quarterly loss per share of $0.36, which missed analyst estimates. While revenue of $613.8 million slightly exceeded expectations, it represented a 2% decline compared to the same period last year. Investor sentiment was particularly impacted by weakness in the company's BetterHelp segment, which saw revenue drop 9% year-over-year as paying users declined.

Further pressure came from Teladoc's forward-looking guidance. The company's outlook for the second quarter includes adjusted EBITDA projections of $55-67 million, falling short of the consensus estimate of $68.5 million. The Q2 revenue guidance range of $597-626 million also suggests potential continued headwinds, particularly in the direct-to-consumer mental health business.