presentation about sports and health

• Milano Cortina 2026
• Brisbane 2032
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• Let's Move

How sport can have a positive impact on mental and physical health

It’s not always easy to start a workout, but research shows that sport and exercise are beneficial not only for your physical health, but your mental well-being, too. Let us help!

Health experts and Olympic athletes agree: Your mental and physical health benefit when you get active and participate in sport – whatever that means for you.

From daily exercise to choosing a sport to practice or play, the body and mind are worked in new and different ways each time you move your body.

On June 23rd every year we come together to celebrate that, as part of Olympic Day.

For the 2020 edition, we connected with Olympians around the world for Olympic Day 2020 at-home workouts – and a reminder: We’re stronger together, especially when we stay active!

And those are still available online to help inspire you today.

Sport benefits: Both the physical and mental

While the physical benefits are numerous (more on that below), the UK's National Health Service (NHS) report that people who take part in regular physical activity have up to a 30 percent lower risk of depression.

Additionally, exercise can help lower anxiety, reduce the risk of illness and increase energy levels. Want better sleep? Work up a good sweat!

Exercise can help you fall asleep faster and sleep for longer, research says.

It was in June 2020 that the IOC partnered with the World Health Organization and United Nations to promote the #HEALTHYTogether campaign , which highlights the benefits of physical activity in the face of the pandemic.

Over 50 at-home workouts are searchable across Olympics.com for you, each which help further the idea that moving and challenging the body can only prove beneficial for your physical and mental well-being.

The athletes' perspective: 'I used this strength to survive'

“If I had sat doing nothing, I would have gone crazy,” says Syria's Sanda Aldass , who fled the trauma of civil war in her country, leaving behind her husband and infant child.

Instead, she had judo - and has been selected for the IOC Refugee Olympic Team Tokyo 2020 for the Games in 2021.

“Running around and doing some exercises filled up my time and also kept me in good mental health,” Sanda said of the impact of sport on her life during nine months spent in a refugee camp in the Netherlands in 2015.

The same power of sport goes for Iranian taekwondo athlete Ali Noghandoost.

"When I had to leave my family and my home in Iran, the first things I packed in my bag were my belt, my dobok, my shoes and my mitt for taekwondo," Noghandoost said . "I took some documents that said I was a champion in Iran and in a national team, so I could prove I was a fighter and continue to train in any city I went to."

"Taekwondo did not only help me physically; mentally, it stopped me from thinking about giving up and that we wouldn’t make it. I used this strength to survive," he added.

Noghandoost has worked as a coach for refugees in Croatia, where he has tried to pass the power of sport on to the next generation.

"When you’re living in a refugee camp, it’s a really hard situation, but when you play sport, you can release any negative energy and feel free. It’s a space – a paradise – for them to be themselves."

A member of the IOC Refugee Olympic Team Rio 2016, Yiech Pur Biel says that the team provided a message of hope for those watching around the world.

"We were ambassadors for a message of hope, that anything is possible," Biel said . "A good thing had come out of our situations. The world understood. I am called a refugee, but you never know when someone else might become a refugee, through war or persecution. We wanted to show that we responded positively. So that made me very happy. Through sport, we can unite and make the world better."

Sport as a tool for much - including mental health

Sport is a powerful tool no matter from what angle you look at it, including mental health. The Olympic Refugee Foundation (ORF) has recently launched two different programs that are aimed at helping young refugees dream of a brighter future - through sport.

One of those programs, Game Connect, is a three-year initiative that was launched in August 2020 and aims to "improve the mental health and psychosocial wellbeing of young refugees by improving their access to safe sport," as explained on Olympics.com last year.

We are "embarking on a three-year project to improve the psychosocial wellbeing and mental health of young refugees, working together with well-trained community-based coaches to deliver a Sport for Protection program and activities," explained Karen Mukiibi of Youth Sport Uganda, which has partnered with the ORF.

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Benefits of Physical Activity

Obesity and Excess Weight Increase Risk of Severe Illness; Racial and Ethnic Disparities Persist

Food Assistance and Food Systems Resources

Immediate Benefits

Weight management, reduce your health risk, strengthen your bones and muscles, improve your ability to do daily activities and prevent falls, increase your chances of living longer, manage chronic health conditions & disabilities.

Regular physical activity is one of the most important things you can do for your health. Being physically active can improve your brain health , help manage weight , reduce the risk of disease , strengthen bones and muscles , and improve your ability to do everyday activities .

Adults who sit less and do any amount of moderate-to-vigorous physical activity gain some health benefits. Only a few lifestyle choices have as large an impact on your health as physical activity.

Everyone can experience the health benefits of physical activity – age, abilities, ethnicity, shape, or size do not matter.

Some benefits of physical activity on brain health [PDF-14.4MB] happen right after a session of moderate-to-vigorous physical activity. Benefits include improved thinking or cognition for children 6 to 13 years of age and reduced short-term feelings of anxiety for adults. Regular physical activity can help keep your thinking, learning, and judgment skills sharp as you age. It can also reduce your risk of depression and anxiety and help you sleep better.

Both eating patterns and physical activity routines play a critical role in weight management. You gain weight when you consume more calories through eating and drinking than the amount of calories you burn , including those burned during physical activity.

To maintain your weight:  Work your way up to 150 minutes a week of moderate physical activity, which could include dancing or yard work. You could achieve the goal of 150 minutes a week with 30 minutes a day, 5 days a week.

People vary greatly in how much physical activity they need for weight management. You may need to be more active than others to reach or maintain a healthy weight.

To lose weight and keep it off: You will need a high amount of physical activity unless you also adjust your eating patterns and reduce the amount of calories you’re eating and drinking. Getting to and staying at a healthy weight requires both regular physical activity and healthy eating.

See more information about:

• Getting started with weight loss .
• Getting started with physical activity .
• Improving your eating patterns .

Learn more about the health benefits of physical activity  for children, adults, and adults age 65 and older.

See these tips  on getting started.

The good news [PDF-14.5MB]  is that  moderate physical activity , such as brisk walking, is generally  safe for most people .

Cardiovascular Disease

Heart disease and stroke are two leading causes of death in the United States. Getting at least 150 minutes a week of moderate physical activity can put you at a lower risk for these diseases. You can reduce your risk even further with more physical activity. Regular physical activity can also lower your blood pressure and improve your cholesterol levels.

Type 2 Diabetes and Metabolic Syndrome

Regular physical activity can reduce your risk of developing type 2 diabetes  and metabolic syndrome. Metabolic syndrome is some combination of too much fat around the waist, high blood pressure, low high-density lipoproteins (HDL) cholesterol, high triglycerides, or high blood sugar. People start to see benefits at levels from physical activity even without meeting the recommendations for 150 minutes a week of moderate physical activity. Additional amounts of physical activity seem to lower risk even more.

Infectious Diseases

Physical activity may help reduce the risk of serious outcomes from infectious diseases, including COVID-19, the flu, and pneumonia. For example:

• People who do little or no physical activity are more likely to get very sick from COVID-19 than those who are physically active. A CDC systematic review [PDF-931KB] found that physical activity is associated with a decrease in COVID-19 hospitalizations and deaths, while inactivity increases that risk.
• People who are more active may be less likely to die from flu or pneumonia. A CDC study found that adults who meet the aerobic and muscle-strengthening physical activity guidelines are about half as likely to die from flu and pneumonia as adults who meet neither guideline.

Some Cancers

Being physically active lowers your risk for developing several common cancers .  Adults who participate in greater amounts of physical activity have reduced risks of developing cancers of the:

• Colon (proximal and distal)
• Endometrium
• Esophagus (adenocarcinoma)
• Stomach (cardia and non-cardia adenocarcinoma)

If you are a cancer survivor, getting regular physical activity  not only helps give you a better quality of life, but also improves your physical fitness.

Learn more about Physical Activity and Cancer

As you age, it’s important to protect your bones, joints, and muscles – they support your body and help you move. Keeping bones, joints, and muscles healthy can help ensure that you’re able to do your daily activities and be physically active.

Muscle-strengthening activities like lifting weights can help you increase or maintain your muscle mass and strength. This is important for older adults who experience reduced muscle mass and muscle strength with aging. Slowly increasing the amount of weight and number of repetitions you do as part of muscle strengthening activities will give you even more benefits, no matter your age.

Everyday activities include climbing stairs, grocery shopping, or playing with your grandchildren. Being unable to do everyday activities is called a functional limitation. Physically active middle-aged or older adults have a lower risk of functional limitations than people who are inactive.

For older adults, doing a variety of physical activity improves physical function and decreases the risk of falls or injury from a fall . Include physical activities such as aerobic, muscle strengthening, and balance training. Multicomponent physical activity can be done at home or in a community setting as part of a structured program.

Hip fracture is a serious health condition that can result from a fall. Breaking a hip have life-changing negative effects, especially if you’re an older adult. Physically active people have a lower risk of hip fracture than inactive people.

See physical activity recommendations for different groups, including:

• Children age 3-5 .
• Children and adolescents age 6-17 .
• Adults age 18-64 .
• Adults 65 and older .
• Adults with chronic health conditions and disabilities .
• Healthy pregnant and postpartum women .

An estimated 110,000 deaths  per year could be prevented if US adults ages 40 and older increased their moderate-to-vigorous physical activity by a small amount. Even 10 minutes more a day would make a difference.

Taking more steps a day also helps lower the risk of premature death from all causes. For adults younger than 60, the risk of premature death leveled off at about 8,000 to 10,000 steps per day. For adults 60 and older, the risk of premature death leveled off at about 6,000 to 8,000 steps per day.

Regular physical activity can help people manage existing chronic conditions and disabilities. For example, regular physical activity can:

• Reduce pain and improve function, mood, and quality of life for adults with arthritis.
• Help control blood sugar levels and lower risk of heart disease and nerve damage for people with type 2 diabetes.
• Health Benefits Associated with Physical Activity for People with Chronic Conditions and Disabilities [PDF-14.4MB]
• Key Recommendations for Adults with Chronic Conditions and Disabilities [PDF-14.4MB]

Active People, Healthy Nation SM is a CDC initiative to help people be more physically active.

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10 Creative Sports Presentation Templates

Doing a bit of exercise or sports is a must-have if you’re planning on staying healthy.

Our example gallery of sports themed presentation templates includes a variety of choices, for presenting about simple & personal staying-healthy sports and up to professional team games.

As with any presentation, it’s best to stay creative, that’s why these are no regular boring PowerPoint templates… but creative and zoomable Prezi templates.

Zoom in anywhere on the canvas and insert your own sports themed content. All template have been filled demo slides and content, so creating your presentation is a breeze.

So let’s get this sprint started and find a suitable template:

1. Sports Exercise Infographic Presentation

Prezi Template with a sports, health or fitness theme. A running shoe with infographic elements. Present about healthy lifestyles, dieting, running , staying fit, jogging. Light background turns into a grunge style while zooming in (ads your own images) Customize by changing the color of the circles, lines and text. Illustrate your slides with images or icons.

2. Man Sports Infographic Presentation Template

Infographic template sport concept with light gray world map background and a silhouette of a running man  front view silhouette.  Colorful fitness infographics design elements can be used for sport related topics like running, sport and activity, health and fitness, healthy lifestyle, training, sprinting, jogging, performance, gym, exercise, sport drink, training infographics, sports infographics, sports equipment.

3. Woman SPorts Infographic Template

The presentation has light gray world map background and a running woman silhouette on the foreground. Can be used for topics like women running a marathon, fitness, sport and activity, health and fitness, healthy lifestyle, training, sprinting, jogging, achievement, trainer, gym, exercise, sport food, training. Change headlines and texts.

4. Basketball Presentation Templates

What’s your strategy for the upcoming ballgame? Whose side are you on? A professional 3D Prezi Next template for a basketball related presentation. A dark basketball court with a basketball, board and empty spectator seats on the background. Transparent squares form the body of the presentation with various business related icons. Talk about a single basketball team or about a league and present about the financial side of basketball. Template includes various business related icons and elements: delete or modify the existing elements and add your own content.

5. Soccer Pitch Presentation Template

3D soccer/football Prezi template with a 3D football sports field. Football players, a large ball flags and markers on a green 3D hovering football pitch. Talk about game results, strategy, historic games and moments in sports. Background turns into a dark football pitch grass image while zooming in and reveals white text. Create a creative soccer/sports themed infographic presentation. Talk about players, teams, scores, competitions, world cup or the euro final. Good template for illustrating the international scale of the sport around the world. Present about the political influence and scandals related with organization like UEFA and FIFA.

6. Football Pitch Presentation Template

Prezi Template with an american football theme. A 3D football pitch, ball and player silhouettes. Zoom in for details and the background turns into a grass image, revealing white text. Present about famous football players, the super bowl or some great games in history football. Move the silhouettes around and create a unique presentation.

7. Gym Weight Training Presentation Template

Prezi Template for a sports and weight training related presentation. Gym equipment, kettlebell, weight plates, dumbbells on a gray 3D background. Talk about training routines and exercises, discuss about diet, nutrition and meal plans. Show the best foods, how and what to eat and how to achieve your body related goals. Present about sports results, right dieting, gym, food supplements, strongman competition.

8. Obstacles Presentation Templates

Running a business, or actually doing anything requires overcoming obstacles. You must overcome problems just like jumping over hurdles. Make a Prezi presentation about problems, illustrated with hurdles on a sports track. Whatever you’re up to, just make sure you can jump… you don’t want to end up like those steeplechase athletes on TV who fail to jump and fall into the water?

9. Soccer World Presentation Template

3D soccer/football Prezi template with an animated video background. Half world/half soccer ball revolving with yellow stars above it. Create a soccer/sports themed infographic presentation. Talk about players, teams, scores, competitions, world cup or the euro final. Good template for illustrating the international scale of the sport around the world. Present about the political influence and scandals related with organization like UEFA and FIFA.

10. Game Plan Presentation Template

Prezi Template with a strategy/game plan concept. A hand drawing a sketch style soccer/football field on a blurred background. Present your business/game plan and illustrate your moves with circle, lines and arrows. A good template for sports or business related strategy/goal presentations. Present about sports strategy, trainers, business plans, marketing strategy, reaching your goals.

and here’s the finish line already… I hope you landed on the podium ?

Didn’t find a suitable template for your presentation? Don’t worry, you can always check our library for all our sports themed presentation templates or check if there’s anything else you like from our selection of 1000+ Prezi Templates .

As with any sports activity, be sure to prepare for your presentation, set your goals, and you will succeed… hopefully, but this depends on the amount of competition you have 🙂

Amp Up Your Presentation Game

Download our best 25 eye-catching templates that will Wow your audience every time.

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Sports Presentation Templates

Venngage's Sports Presentation Templates simplify the creation of visually captivating and informative sports presentations for athletes, coaches, and enthusiasts.

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Sport and health ppt powerpoint presentation outline templates

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Health and Sport

Nov 05, 2014

1.15k likes | 4.12k Views

Health and Sport. -do sports -drink water -move a lot -relax and sleep -healthy diet -don’t smoke -don’t eat fast foods -avoid stress -eat fruits and vegetables. Live an active and healthy life!.

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Presentation Transcript

Health and Sport • -do sports -drink water • -move a lot -relax and sleep • -healthy diet -don’t smoke • -don’t eat fast foods -avoid stress • -eat fruits and vegetables Live an active and healthy life!

Sport for your life! If you don’t move: • shape: fat, plump, chubby • illnesses • difficult movement If you move: • shape: well-built, muscular • mental health, immune system strong, physically fitter • easier life in every days

Types of sport: physically: ball games athletics water sports combes sports winter sports extreme sports mental: -chess -poker -darts -quizes -crosswords Do your favourite sport!

Study easier! If you do sports: • easier studying • physically fitter • bigger attention

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Home > Templates > presentations > Sports & Health Club Presentation Template

Sports & Health Club Presentation Template

Template:    SF0012501

Page size:    10x7.5

No. of pages:    3

File formats:    Microsoft PowerPoint

Includes:    Stock photos and artwork

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Get the facts about transgender & non-binary athletes.

Transgender and non-binary people, in particular trans and non-binary student athletes, are under attack by politicians at all levels of government, as well as in the media. 2021 officially surpassed 2015 as the worst year for anti-LGBTQ+ legislation in recent history, with 27 anti-LGBTQ+ bills enacted. 2022 looks to be continuing this trend, with the first weeks of the year seeing anti-LGBTQ+ bills under consideration in state legislatures across the country. More than 55 directly target transgender girls and women in sports and would prevent them from playing on the team that aligns with their gender identity.

When reporting on issues related to transgender and gender non-confirming people, please use the Human Rights Campaign’s Brief Guide to Getting Transgender Coverage Right in order to ensure inclusive and accurate coverage. In addition, if you’re reporting on trans youth in sports, please find some facts and resources below.

Transgender and non-binary people have been under attack for years - the pivot to sports is yet another front in this fight.

For the last two decades, anti-LGBTQ+ politicians have attempted to sow disinformation about LGBTQ+ people’s rights to score cheap political points with their base. Transgender and non-binary people have been the target of many of these attacks, especially since the 2015 state legislative sessions. Then, so-called bathroom bills were a major focus and politicians lied about threats to women and girls’ safety that never materialized. Today, trans and non-binary youth are the target of these attacks, with baseless arguments about sports participation and misinformation about affirming healthcare access .

At least 35 of the more than 250 bills proposed in 2021 would unnecessarily regulate or prohibit transgender youth from being able to access best-practice, age-appropriate, gender-affirming medical care. So far, two bills of this kind have become law -- in Arkansas , when the state House and Senate overrode Governor Asa Hutchinson’s veto of House Bill 1570, which is aimed at denying medically-necessary, gender-affirming services to transgender youth, and in Tennessee , when Republican Governor Bill Lee signed SB 126, which unnecessarily regulates life-saving, best practice medical care for transgender youth. Such bills have proliferated in the last two years, despite no evidence that there has been any issue with youth receiving inappropriate care. In fact, these bills are opposed by organizations dedicated to children’s health, including the American Academy of Pediatrics, the American Association of Child and Adolescent Psychiatry, the National Association of Social Workers, and more.

These attacks on transgender youth generally, and trans athletes specifically, are fueled by discrimination, not facts . These bills represent a cruel effort to further stigmatize and discriminate against LGBTQ+ people across the country, specifically trans youth who simply want to live as their true selves and grow into who they are. After failing to prohibit trans and non-binary people’s access to restrooms, legislators have pivoted to using misinformation about sports as the next way to score political points.

Proponents of anti-trans sports bans are relying on stereotypes that have sexist implications.

While it may be true that a particular transgender youth has physical abilities that help them in the sport of their choice (like height, which is helpful in volleyball for instance), natural variations in physical characteristics are part of sports, especially at younger ages. Many of these bills would govern play at elementary and middle school as well as high school, when all youth’s bodies are undergoing tremendous change at significantly varying speeds. In other sports, a smaller physique might be to an athlete’s advantage. And, like all other youth, trans youth are short and tall, strong and not, fast and slow.

Breaking down these stereotypes also breaks down these arguments. Transgender girls are not new, and they’re not taking over girls’ sports. In fact, transgender youth:

are a small part of the overall population in schools, and only about half of trans youth identify as girls ( opponents don’t seem as interested in trans boys, who they assume will not be able to compete with cisgender boys - a sexist assumption),

just like other other youth, have varying interest in playing sports,

just like other youth, will have varying degrees of physical ability and attributes that may/may not lend themselves to success in the sport of their choice,

just like all other youth, will have varying degrees of seriousness and commitment to sports.

Transgender youth already face very high levels of discrimination, including in school.

Transgender youth experience all kinds of mistreatment (such as harassment, harsher discipline, or physical or sexual assault) because of their gender identity. There are many very real challenges that face transgender youth, including mistreatment in schools, family rejection, threats of physical violence, and other discrimination. Anti-trans sports bans risk further marginalizing young people who already face tremendous challenges in school. Proponents of these bans suggest that trans athletes are pretending to be trans in order to do well at sports - ignoring entirely the incredible stigma trans youth face.

Twenty states, the IOC, and the NCAA have allowed trans athletes to play sports for decades, with no problems.

If there was truly an existential issue with transgender athletes competing in sports, these bodies would be taking more specific steps to address it. What we’re actually seeing is the opposite - legislators using transgender youth as a culture war talking point are attempting to put into place bans that nobody is asking for. The NCAA’s recent change to remove non-discrimination protections from its constitution and defer to IOC guidelines was a political decision that abdicates their responsibility to protect student athletes, but it does not meaningfully change the current state of play: transgender students can play sports, with specific requirements in place for each sport.

Playing sports comes with well-known academic, emotional, mental, and social benefits. Transgender youth should not be shut off from these opportunities.

Playing sports helps young people maintain good physical health, build self-confidence and self-esteem, grow leadership skills, understand the value of teamwork, and much more, according to the President’s Council on Sports, Fitness, & Nutritional Science .

Numerous athletes at both the amateur and professional level have spoken out in support of their transgender teammates and competitors.

These athletes include Women’s World Cup champion soccer player Megan Rapinoe , tennis icon Billie Jean King , Stanford swimmer Brooke Forde , NBA star Dwyane Wade , Canadian soccer phenom Erin McLeod , WNBA star Napheesa Collier , and many more. Additionally, sports organizations like the Ivy League , the College Swimming & Diving Coaches Association of America (CSCAA), and others have spoken out publicly to defend trans people’s presence in sports.

For more information, please visit hrc.org/transgender , HRC’s Transgender and Non-Binary People FAQ and HRC’s Brief Guide to Getting Transgender Coverage Right .

Related Resources

Transgender

HRC’s Brief Guide to Reporting on Transgender Individuals

Understanding the transgender community.

Transgender, Health & Aging, Workplace

Debunking the Myths: Transgender Health and Well-Being

Love conquers hate., wear your pride this year..

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Q1 2024 teladoc health inc earnings call, participants.

Adam Christian Vandervoort; Chief Legal Officer & Secretary; Teladoc Health, Inc.

Laizer D. Kornwasser; President of Enterprise Growth & Global Markets; Teladoc Health, Inc.

Mala Murthy; CFO & Acting CEO; Teladoc Health, Inc.

Allen Charles Lutz; Associate; BofA Securities, Research Division

Daniel R. Grosslight; Senior Research Analyst of Healthcare Technology; Citigroup Inc., Research Division

Dylan Christopher Finley; Associate Analyst; UBS Investment Bank, Research Division

Elizabeth Hammell Anderson; MD & Fundamental Research Analyst; Evercore ISI Institutional Equities, Research Division

George Robert Hill; MD & Equity Research Analyst; Deutsche Bank AG, Research Division

Jack A. Senft; Research Analyst; William Blair & Company L.L.C., Research Division

Jailendra P. Singh; Analyst; Truist Securities, Inc., Research Division

Jessica Elizabeth Tassan; VP & Senior Research Analyst; Piper Sandler & Co., Research Division

Lisa Christine Gill; Analyst; JPMorgan Chase & Co, Research Division

Sarah Elizabeth James; Research Analyst; Cantor Fitzgerald & Co., Research Division

Sean Wilfred Dodge; Analyst; RBC Capital Markets, Research Division

Stephanie July Davis; MD & Senior Research Analyst; Barclays Bank PLC, Research Division

Presentation

Good afternoon. Thank you for attending the Teladoc Health Q1 2024 Earnings Call. My name is Matt, and I'll be your moderator for today's call. (Operator Instructions) I would now like to pass the conference over to our host, Adam Vandervoort, Chief Legal Officer, Teladoc. Adam, please go ahead.

Adam Christian Vandervoort

Thank you, and good afternoon. Today, after the market closed, we issued a press release announcing our first quarter 2024 financial results. This press release and the accompanying slide presentation are available in the Investor Relations section of the teladochealth.com website. On this call to discuss the results are Mala Murthy, our acting Chief Executive Officer and Chief Financial Officer; and Laizer Kornwasser, our President of Enterprise Growth and Global Markets. During this call, we will also discuss our outlook, and our prepared remarks will be followed by a question-and-answer session. Please note that we will be discussing certain non-GAAP financial measures that we believe are important in evaluating Teladoc Health's performance. Details on the relationship between these non-GAAP measures to the most comparable GAAP measures and reconciliations thereof can be found in the press release that is posted on our website. Also, please note that certain statements made during this call will be forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are subject to risks, uncertainties and other factors that could cause the actual results for Teladoc Health to differ materially from those expressed or implied on this call. For additional information, please refer to our cautionary statement in our press release and our filings with the SEC, all of which are available on our website. I would now like to turn the call over to Mala.

Mala Murthy

Thank you, Adam, and thanks, everyone, for joining us today. Before we begin, I'd like to take a moment to reflect on the recent leadership changes at Teladoc Health. First off, on behalf of Teladoc's more than 5,000 employees, Board of Directors and executive leadership team, I would like to extend our deepest gratitude to Jason Gorevic for his accomplishments over the past 15 years. Jason leaves a tremendous legacy having firmly established Teladoc as the industry leader in whole person virtual care. As we mentioned in our February earnings call, Teladoc is in a time of transition. And as part of this evolution, the Board of Directors decided that it was time to look for a new leader for our company, someone to help us write the next chapter in our growth story. The Board's search for a successor is well underway, and our permanent CEO is expected to be named later this year. The Board has appointed me to serve as CEO while they conduct a search, and I'm honored to play this role for a company whose work I believe in so deeply. In the meantime, however, we are wasting no time in identifying and seizing opportunities to leverage our significant assets and capabilities. As an organization, our focus is on accelerating growth on both the top and bottom lines over the medium and longer term. And my focus as acting CEO is to ensure that our strategy continues to be supported by the appropriate level of investment, that our leadership team is executing on our priorities and that we are accelerating the pace of change and innovation across our business. With that, turning now to a review of our first quarter performance. I'm pleased to report a solid start to the year across the business, exceeding our financial and operating guidance for both consolidated revenue and adjusted EBITDA in the first quarter. Our team remains laser-focused on our key initiatives, which include building upon our market leadership position, driving increased product penetration through our large installed base of over 90 million virtual care members and accelerating our bottom line performance. This focus is evident in our first quarter results. In the Integrated Care segment, we are pleased to see continued strong interest in our whole-person care suite of products. First quarter Integrated Care revenue grew 7.8% year-over-year to $377 million, benefiting from high single-digit growth in our Chronic Care book of business, as well as strong visit revenues driven by increased infectious disease activity as well as an 8% increase in membership year-over-year. Chronic Care enrollment remained strong, up 9% year-over-year in the first quarter. BetterHelp revenue of $269 million declined 3.7% versus a difficult comparison in the first quarter of last year. BetterHelp also generated modestly lower revenue on a sequential basis, driven in part by a decline in paying users following our typical pullback in ad spend in the fourth quarter, which is the most expensive time of the year in our marketing channels. Additionally, as expected, the lower returns on our social media advertising spend we experienced in the second half of 2023, persisted in the first quarter and are impacting our year-over-year growth rate in the first half of this year. We are making progress to improve our yield on advertising spend which contemplates not only cost per acquisition, but also retention and other factors as well. I will speak to our efforts to reinvigorate growth in our BetterHelp business later in the call. We continue to make progress on our bottom line performance with first quarter consolidated adjusted EBITDA margin of 9.8%, improving 140 basis points year-over-year and adjusted EBITDA of $63 million, growing nearly 20% year-over-year. We are executing against our cost savings and productivity initiatives, and we remain on track to deliver $43 million in cost savings on a GAAP basis for our business in 2024 and a total of $85 million in 2025. The breadth of our product portfolio continues to drive productive conversations with both prospective and existing clients. 2/3 of our bookings in the quarter came from cross-selling into our existing book of business, with the remaining 1/3 coming from new clients reflecting a continuation of our cross-selling momentum over the past several quarters, along with an acceleration in bookings from new business. Both existing and prospective clients are demonstrating increased interest in our Chronic Care Plus bundled solutions, and we remain optimistic about our ability to drive increased product penetration through our installed base of nearly 92 million members over the next several years. In Q1, we saw another example of our land and expand strategy playing out as we added our diabetes program into a large health benefits provider, a client who had previously only purchased our telehealth solutions. We are also seeing growing interest in our weight management solution from employers who are grappling with rising costs for GLP-1s and employee demand for these products. The addition of approximately 2.2 million members on a sequential basis since Q4 represents additional greenfield opportunity for future cross-sell and product penetration. And with more than $1 billion in cash and cash equivalents on our balance sheet, our financial strength continues to be another differentiator for our company and provides us with significant capacity and flexibility to invest and innovate in our business. We also continue to see growing benefits from our early and ongoing commitment to data and artificial intelligence with AI models now integrated across nearly all aspects of our business. From provider matching to enrollment optimization to member engagement, this automation is helping us not only reach our revenue and profitability goals, but also achieve our mission of improving health by reaching more consumers. One exciting example is our use of generative AI in member engagement to create hyper-personalized content for individuals to get them signed up for Teladoc services they need and then keep them on track. Our pilot with this AI use case while still being carefully studied, are already delivering significant improvement in member engagement over prior approaches. I would now like to spend a few minutes reviewing our first quarter financial results in detail. First quarter consolidated revenue increased 3% year-over-year to $646 million, while first quarter adjusted EBITDA was $63 million, representing a margin of 9.8%. First quarter financial performance benefited from higher revenues in our Integrated Care segment and improved expense control. Turning to segment results. Integrated Care revenue increased 8% year-over-year to $377 million in the quarter, with growth relatively balanced across the portfolio. First quarter Integrated Care adjusted EBITDA was $47.7 million, representing a 260 basis point expansion in margins to 12.6%. The margin outperformance relative to guidance was largely driven by strong Chronic Care program enrollment during the first quarter, which combined with better expense control helped deliver improved gross margin and bottom line performance. Total Chronic Care program enrollment was 1.12 million at the end of the first quarter, representing growth of 9% year-over-year. Total U.S. Integrated Care members grew 6.9 million over the prior year, representing 8% growth and grew by 2.2 million sequentially to 91.8 million. Average Integrated Care revenue per U.S. member of $1.38 was down $0.01 over the prior year's first quarter, reflecting the timing of new client onboarding and enrollment ramp. The onboarding of large populations and our expanding membership base represents a long runway for continued cross-selling of our chronic care and other B2B products as we execute against our land and expand strategy. First quarter BetterHelp segment revenue decreased 4% year-over-year to $269 million, driven by an 11% decrease in paying users. First quarter BetterHelp adjusted EBITDA was $15.5 million, representing a margin of 5.7%. As we have discussed previously, the first quarter is typically the seasonally weakest quarter from a margin perspective for our BetterHelp business as marketing expense ramps up following the fourth quarter holiday season. As such, we continue to expect the first quarter to be the low point of the year for BetterHelp segment margins, and we expect consistent quarter-over-quarter margin improvement through the course of 2024. Consolidated net loss per share in the first quarter was $0.49 compared to a net loss per share of $0.42 in the first quarter of 2023. Net loss per share in the first quarter includes stock-based compensation of $42.3 million or $0.25 per share, restructuring charges, primarily related to severance of $9.7 million or $0.06 per share and amortization of acquired intangibles of $64.2 million or $0.38 per share. During the first quarter, free cash flow was a net outflow of $27 million compared to a net outflow of $32 million in the first quarter of 2023. As a reminder, the first quarter is our seasonally lowest cash flow quarter given the payment of annual incentive compensation. We ended the quarter with $1.1 billion in cash and cash equivalents on the balance sheet. Turning now to forward guidance, beginning with our Integrated Care segment. We expect Integrated Care revenue in the second quarter to be between 2% and 5% versus the prior year period. As a reminder, in our first quarter call, we called out a delay in launching our B2B consumer engagement efforts due to a technical issue in mapping new client populations. With an expected cumulative negative impact of $20 million for the full year, particularly in the second and third quarters. The impact of this delay, coupled with strong year-over-year first quarter Chronic Care results and the seasonal falloff of infectious disease driven visit revenues versus the first quarter is expected to result in a lower year-over-year second quarter growth rate compared to our first quarter results. For the full year, as previously guided, we expect Integrated Care revenues to be in the low to mid-single digits, reflecting higher revenues in the second half versus the first half of the year due primarily to the enrollment ramp in Chronic Care and a growing contribution from the nearly 6 million new Integrated Care members we have added since the second quarter of last year. From an adjusted EBITDA perspective, we expect a 12% to 14% margin in the second quarter, and we continue to expect 150 to 250 basis points of margin expansion for the full year, reflecting revenue-driven operating leverage and the impact of our cost-saving initiatives. As it relates to U.S. Integrated Care membership, we expect 92 million to 93 million members for the second quarter and 92 million to 94 million members for the full year, an increase from previous guidance after adding 2 million members in the first quarter. Turning now to our BetterHelp segment. For the second quarter, we expect BetterHelp revenues to be in the range of a negative 8% to negative 4% over the prior year period. Our second quarter guidance reflects challenging cost per acquisition through early Q1, which caused us to pull back on our advertising dollars in the quarter in keeping with our goal of balancing growth and margin. These factors led to a decline in users in Q1, which is impacting our Q2 revenue growth rate on top of a difficult comparison relative to the second quarter of 2023. However, we are seeing signs of stabilization in our cost per acquisition in more recent weeks, which gives us increased confidence in the back half of the year for a BetterHelp business, something I will speak to momentarily. For the full year, we continue to expect flat to low single-digit revenue growth in BetterHelp. We do expect BetterHelp growth to accelerate in the second half of the year. I'd like to take a moment to discuss what's giving us increased confidence in the future of our BetterHelp business, which has been challenged in recent quarters. Late last year, we brought in new leadership for BetterHelp, who have helped inject a broader and more global perspective on growth levers for this business. We are seeing improvements in retention and in our international business, which are helping offset some of the impact from higher CPAs in the U.S. by improving our overall yield on advertising spend. The success we are starting to see with these levers along with the efforts in select international geographies that we expect to ramp in the second half of the year, give us confidence in our second half BetterHelp outlook. We expect these initiatives to lead to meaningfully higher membership growth and improve customer retention versus the first half. We are excited about the international opportunity, particularly in select English-speaking geographies that are relatively underpenetrated compared to the U.S. market, which will allow us to reallocate some advertising and marketing dollars at a higher marginal return as we continue to build out our infrastructure in those markets. Given these dynamics throughout the year, we expect BetterHelp revenue growth for the full year to be in the flat to low single-digit range as previously guided despite our lower first half growth. I would also note that we have thoroughly pressure tested the assumptions that underpin our BetterHelp guidance for the rest of the year. We take several factors into account when developing both the low end and the high end of the range, including recent trends in advertising yields, channel dynamics, consumer sentiment and other macro factors, and we have taken a close look at each one of these. That said, the impact of difficult to predict macro events create unknowns as it pertains to our yield on advertising in the second half of the year. And we will continue to provide updates on the trends that we are seeing in upcoming earnings calls. From a margin perspective, we expect BetterHelp adjusted EBITDA margins to be in the 9% to 10% range in the second quarter and continue to expect margins to be flat, plus or minus 50 basis points for the full year. The sequential margin improvements that we expect to see over the course of the year primarily reflect the cumulative effect of new members added over the course of the year, the cadence of advertising spending, including the typical seasonal pullback in the fourth quarter and innovation-driven improvements in our yield on advertising spend. On a consolidated basis, we expect second quarter revenue of $635 million to $660 million and adjusted EBITDA of $70 million to $80 million. Our full year guidance remains unchanged with the exception of the increase to our U.S. Integrated Care membership that I had mentioned previously. We continue to expect consolidated revenue to be in the range of $2.635 billion to $2.735 billion for the full year, representing revenue growth of 1% to 5%, along with consolidated adjusted EBITDA of $350 million to $390 million, representing growth of 7% to 19% on a year-over-year basis. We expect full year free cash flow of $210 million to $240 million, driven by both the growth in adjusted EBITDA and an expected decline in capitalized software development costs. We are also maintaining our prior EPS guidance for the full year. Lastly, we are reiterating the 3-year outlook that we provided you on our earnings call in February. In closing, I want to recognize my executive team and our broader leadership team for leaning in during this time of change. I've been incredibly pleased with their continued focus on living our values and delivering for our members and clients this year, especially over the past several weeks. We've had a solid start to the year and are poised to deliver significant growth in the second half of 2024. I remain focused on our strategy, our execution and on our people. With that, we will open it up for questions. Operator?

Question and Answer Session

(Operator Instructions) First question is from the line of Stephanie Davis with Barclays.

Stephanie July Davis

Mala, thank you for wearing all of the hats right now. I was hoping you could talk a little bit about some early color on the international strategy and timing for BetterHelp. Can you talk to us about the rollout, how we should be thinking about the cadence of that? And maybe if -- have you seen some of that come through already, which is giving you that confidence in that second half growth rate?

Thank you, Stephanie. Yes, I'm wearing many hats, Happy to be here. So in terms of the growth in International, as we had said on our last call, last year, international as a percentage of our total BetterHelp business was in the mid-teens. It is certainly contributing to the second half ramp of revenue this year. Remember, this is -- it's not as if we are going into international de novo. We are already in a few markets. Several of them are English-speaking markets such as the U.K., Canada, Australia. And the plan we have is for us to continue penetrating into those markets first. And that is what is driving our confidence in the second half ramp because we have been in these markets, we know the dynamics of the BetterHelp business in this -- in these markets. Based on our experience, we have knowledge of the economics of being in these markets. Obviously, as we penetrate these markets and invest more in these markets, we hope to continue to see the return on ad spend as well as the revenue growth. So the balance of both top line growth and bottom line growth that I expect to see.

And for like any follow-up, is there any way to compare the kind of rollout you're seeing on those international markets where you're already in them versus what we're seeing in the U.S.?

Here's what I would say. I expect international to grow faster than the U.S. Certainly, that is something that we saw last year, and I do expect that to continue. From a rollout perspective, Stephanie, I would say we are going to start in the second half and roll out as we do our ad spending in these markets, as we go through the second half. The one thing I will remind you is Q4 typically in the U.S. is always the seasonally weakest quarter from an ad spending perspective, it's the quarter where we will typically pull back our ad spend. And I would say that dynamic is in the U.S. We will evaluate and assess how much of that dynamic also plays out in the international markets.

Next question is from the line of Lisa Gill with JPMorgan.

Lisa Christine Gill

Trying to understand two things. One, clearly, I understand the change in leadership and what the Board is going through. But just also curious if you're looking at any strategic changes to the business. And once again under pressure on the BetterHelp side. I just heard you talk about international. But are there things that the Board is reviewing would be my first question? And then secondly, I just really want to understand the opportunity around that 8% membership growth, which was really strong in the quarter. We didn't see an increase in either revenue or adjusted EBITDA. Is that just timing? Is there an opportunity for cross-sell? So just really understanding how that's going to play into the numbers.

Thanks, Lisa. Great question. So from an overall Board perspective and what might that imply for changes, obviously, as I said in our prepared remarks, right now, the focus of the leadership team, my focus and I would say the focus of the Board as well is for us to be laser heads down focused on implementing our plans, our investments, our priorities. And frankly, leading our employee base, the 5,000-plus employees we have through this period of transition and change. I would say also that I'm pleased with the solid start we have to the year. Hopefully, we have given you enough transparency and color as -- in our prepared remarks on what is really driving our confidence in our growth both from a top line perspective and our bottom line perspective as we roll through the year. We've kept our overall 2024 guidance as is from a revenue adjusted EBITDA and a cash flow perspective. We continue to make progress on our cost initiatives that we have talked about in February. So all of those are things that require execution, and I would say we are laser focused on that. Beyond that, look, we are always looking at different parts of our business. We are looking at what top line growth they bring in and what bottom line growth they bring in. Certainly, as we said in our prepared remarks, the BetterHelp business has been challenged in recent quarters. And I would say I am focused on the execution of the various initiatives that we talked about that will give us that second half ramp, whether it be improved retention, whether it be the fact that we are driving growth in international markets and the growth in the much smaller part of BetterHelp, the BetterSleep part of that business, which is also growing nicely. All of these require execution. On the Integrated Care side, I would say, I'm pleased with the strong enrollment that we have started out with. Obviously, you know this, the enrollment ramps through the year. And we are certainly working through that and that is going to drive our revenue growth and our profit -- our margin expansion on the Integrated Care side as we go through the year. So the answer to your question in terms of what we are evaluating and assessing is we are executing, we are focused on driving our plans for this year, and we continue to assess how the various parts of our business are doing and whether they are driving both the top line and the bottom line we seek. Beyond that, I would say there isn't really more to comment on it at this time. On the second question you had around membership, here's what I would say. We certainly are pleased with the 2 million-plus member adds that we had in the quarter. Remember, the benefit we have of the membership adds is always the fact that it is the underpinning of our land and expand strategy. So it gives us fertile ground to continue to penetrate, cross-sell, upsell once we get these members into our fold. And as we sell in additional products, we expect to see the revenue accretion from that in the quarters ahead.

The next question is from the line of Jailendra Singh with Truist.

Jailendra P. Singh

I wanted to ask about Chronic Care program enrollment metric. I understand it was up year-over-year, but it actually declined a little over 3% sequentially. Typically, we see a pickup from Q4 to Q1 due to new contract starts and enrollment increase in the new calendar year. So can you provide some color there, Mala? And then what are your expectations around that metric as the year progresses? And more broadly, anything you can share how you're focused on improving the positioning of your business in Chronic Care longer term in market which seems to be getting very competitive?

Yes. So look, I would say I expect the enrollment to ramp through the year. That is typically always the case in a traditional year and this year would be no different. Now the one thing I would also say is, remember, we had talked about the marketing pause. In the last earnings call, we had talked about $20 million of revenue impact for this year. I would expect most of the impact of that marketing pause to be in the second and third quarters. But despite that, I would expect for our Chronic Care program enrollment to ramp up through the year, just like in prior years. Laizer, do you want to handle Jailendra's question on competitive?

Laizer D. Kornwasser

Sure. When you look at what our customers and our clients are looking for, we're happy with where we are in the selling season. We're having productive conversations with both new and existing accounts, as Mala mentioned in her earlier remarks, for the quarter, 2/3 of our existing clients -- 2/3 of our growth in bookings came from existing clients and 1/3 came from new clients. I want to make sure that we highlight that we're happy with the growth in bookings not just in our domestic business, but also in our international business. And what are our clients looking for? Our clients are looking for value. They're looking for a scalable, reputable vendor that they can partner with that has a strong balance sheet that they can continue to partner with to drive value for them and for their consumers. And that hasn't changed. And I think that is feeding into our conversations with respect to our bookings.

And then, Jailendra, just finishing up on your question around the Chronic Care enrollment. Look, this is a function of the fact that typically when we start off the year, we onboard a number of lives. And we also, at the same time, in Q1 is typically the time we would also see enrollees come on and enrollees roll off and the net impact of that is what you're seeing. I would expect as we ramp up the year, despite the marketing pause, I would expect that to continue to go on into the rest of the year.

Next question is from the line of Jessica Tassan with Piper Sandler.

Jessica Elizabeth Tassan

Mala, congrats on the good quarter and guide. I kind of -- I wanted to ask about the 3-year outlook that you all issued on the fourth quarter call and then reiterated today. So the low to mid-single-digit annual consolidated revenue growth, mid-single Integrated Care, low-single BetterHelp, is that target achievable on an organic basis? And just maybe from an Integrated Care perspective, should we think about that growth continuing to be led by Chronic Care? And does it anticipate any new product launches? Just hoping for color around that 3-year guide.

Yes. Thanks, Jess, for the question. Look, when we put that guide outlook out there in February, we had thought about the building blocks to those numbers, that trajectory, both on the Integrated Care side and the BetterHelp side. So let me sort of comment on it one by one. On the Integrated Care side, I would say, as we had stated previously, think of it as a combination of low single-digit growth on the much more well-penetrated telehealth side, and I would say mid- to high single-digit growth in Chronic Care. So yes, we do expect Chronic Care momentum to help us achieve the overall mid-single-digit revenue growth for Integrated Care. On the BetterHelp side, from a revenue growth perspective, we had said low single-digit. Look, here's what I would say on the BetterHelp side. The second half ramp that we have talked about, the initiatives that we have going to help us achieve that second half ramp, again, whether it be retention, international, continued momentum on BetterSleep, these are the inputs into the low single-digit revenue growth for BetterHelp. And I would say we will continue to execute against it, and we will continue to monitor it, again, assuming that we don't have something very, very unfavorable happen from a cost per acquisition perspective, which will impact our advertising yields. So assuming that we see CPAs in a reasonable range, I would say the building blocks that will help us grow in the second half will continue to be contributors into the low single-digit revenue growth for BetterHelp. When it comes to margins, I would say the cost initiative programs that we have that will help us with OpEx leverage, along with the revenue growth that we will see on the top line, particularly on the Chronic Care side, will certainly be contributors into our margin expansion that we have put out there. So what I would say in summary is we have thought of the building blocks that go into the long-term outlook. And we will continue to assess how they perform. And as I said, this year and especially in the second half, BetterHelp will give us a lot more information on that.

Next question is from the line of Sean Dodge with RBC.

Sean Wilfred Dodge

Mala, you mentioned in BetterHelp with the new leadership team, having seen some improvement in subscriber retention, can you give us a sense of how long you're retaining BetterHelp users now on average? How much has that changed over the last couple of years? And then how much room and what kind of levers do you have to continue to drive improvements in that? What can you do to lengthen that?

Yes. So we haven't given out KPIs, metrics, et cetera, specifically on retention, Sean. So I don't want to go into specific retention metrics. What I will say is the following. We are looking -- we are seeing improved member retention primarily because of the innovation that we are driving in the platform, in our user experience, frankly, with the help of AI models that are continually improving our matching of consumers with their various needs with providers. So it's never one thing that is driving this improvement in retention, it is many things that are driving this improvement in retention. And I would say that when I talk about the new leadership at BetterHelp, one of the important things to highlight is we are looking now at pressing on more than one lever in the BetterHelp business. We are looking to beyond the traditional focus on CAC. As we've talked about, we're looking at additional geographies, how can we continue to innovate in the user experience. In some instances, and we have talked about this in the past, we're looking at small surgical targeted pricing changes, all of which, in my view, are things that will improve on our revenue growth. And it's the innovation that is helping on our improved member retention, the user retention. Laizer, is there anything you would like to add to that?

Yes. I guess the only thing I would add is historically, in BetterHelp, we've been very focused on the innovation on patient acquisition. And what I would tell you is, we are balancing spending time on increasing the value of that member, and I would say there's not one specific thing other than being very innovative and testing out little things that are driving value so that our return on our advertising dollars increase.

The next question is from the line of Allen Lutz with Bank of America.

Allen Charles Lutz

Another one on BetterHelp, Mala, have you considered at all moving from just cash paid to participating in health plan networks as a way to drive growth? Is that something that you've considered? And can you kind of talk about the pros and cons of making a move like that?

So I would say, look, we assess various initiatives to continually innovate to drive growth both on the top line and the bottom line. At this point in time, with the scale that BetterHelp has over $1 billion in revenue, it is by far one of the largest DTC players. And look, there are other competitors in the market who have done, tried DTC, moved away to B2B, we have built scale in DTC. And I would say we will continue to focus on DTC. Having said that, I would also say, we are looking for ways to improve and accelerate our growth in different ways. I don't want to comment much more on specifics at this point. To the extent that there is anything relevant to update, we will absolutely do so. But we are looking at various ways to drive top line -- to accelerate our top line growth in BetterHelp.

The next question is from the line of Sarah James with Cantor Fitzgerald.

Sarah Elizabeth James

Mala, I was hoping you could help us a little bit with the pacing of this year, specifically thinking of the items that you have control over, like some of the savings initiatives to get to that run rate of 43 at the end of the year and then the advertising spend. Can you help us pace through how the savings initiatives are going to play out? And then on the ad spend, is there any pull forward of that into 2Q versus your normal cadence? And are you thinking about because of the increased efficiency, just lower overall need for ad spend for the year?

Yes. Thanks, Sarah, for the question. So from a pacing perspective, we would be looking for the cost initiatives. And if you think about what those -- what are underpinning those cost initiatives, things like offshoring, things like automation, savings from our third-party supplier spend. Several of those are initiatives that are evenly paced through the year. Now obviously, if you think about something like offshoring and as we offshore, you will get the incremental impact, the full impact of the offshoring as we go later into the year. But I would say to you several of the others, like third-party supplier spend, et cetera, you will see sort of evenly pace through the year. On your question on ad spend, the way I would think about it is as follows: in Q1 and especially early in Q1, we did see pressure on our advertising yield. We did see pressure on our cost per acquisition. And we did pull back on our ad spend as we sort of rolled through Q1. And I would say as we went later into Q1 and into Q2, we are seeing more stable ad spend -- yield on our ad spend. When I say stable, it's -- the CPA still remain elevated relative to the back half of the -- similar to the back half of last year. But I would say to you that they are -- they have stabilized relative to the early part of Q1. Having said that, I am not satisfied with our BetterHelp segment margins in the first quarter. And so one of the things we are assessing is how do we manage the ad spend in Q2 so that we are getting the balance of top line and bottom line that we are seeking. And we have said this before. That is something that is very dynamic, right? Because we manage the BetterHelp business based on ROIs. We want to make sure that the marginal return on every dollar of spend is getting to the efficiencies we speak and sort of we toggle that to get to the balance of top line and bottom line. If I think about the second half, I would say we are looking to pull back in Q4 as we typically do. And we would be looking to spend a little bit more on ad spend relative to the second quarter, provided again that we see the -- we get to the efficiencies, we see -- we seek. And then the last point I would make is, remember, international typically is slightly more efficient from an ad yield perspective. So as we roll out international in the second half, I would expect to see that spend on international market being more efficient.

Next question is from the line of Kevin Caliendo with UBS.

Dylan Christopher Finley

Mala, this is Dylan on for Kevin Caliendo. Earlier this week, one of your competitors announced that they are winding down their telehealth business. Could you maybe speak to whether or not the guidance today contemplates any tailwinds from a competitive perspective?

Laizer, would you like to address that?

Sure, Mala. So clearly, there's been some noise in the marketplace. And we're really not going to comment on the specifics, and we would refer you to that partner of ours that made that comment. But what I do want to highlight is we have a very strong relationship partnership, and we value the relationship that we have with UnitedHealthcare, and we foresee that strong relationship continuing.

The next question is from the line of George Hill with Deutsche Bank.

George Robert Hill

Mala, I do like to kind of come back to Lisa's topic, which is, I guess, can you talk about the degree to which the current management team kind of feels empowered to make change at the company as it either relates to margins or growth or strategic direction? And then, because I know we're trying to keep people to one question, if I can sneak in a second one. Just if there's any way you can kind of quantify the success you're seeing in BetterHelp? And what metrics you guys are looking at internally? I think we'd find that helpful.

Yes. Your question on whether the leadership team is empowered to act I would say, absolutely unhesitatingly a big yes. As I said in our prepared remarks, we are not waiting. We have a plan to deliver, we have investments to execute and that is absolutely our focus. We are also reiterating our longer-term outlook. That is certainly going to require us to, as a leadership team as we do every single year, look at our strategy, look at various aspects of that strategy and think about how do we want to stack our investments against those, what's working, what's not working. Again, that is part of what we do every single year. And we will absolutely continue to drive that. So the answer to your question is we are -- I'm empowered to drive this business forward. And we, as a leadership team, as I said in our prepared remarks, are all in, we are leaning in, and we are focusing on driving this business forward. In terms of BetterHelp metrics, the things that we typically will look at from an internal operating perspective is we will look at, obviously, the CAC and where it is. We will look at the ROIs of our ad spend. We will look at retention, churn, the lifetime value of the CAC that we are placing. And we will also look at the users that we are attracting to the platform. So we also -- so that is -- those are things that we look at. And besides that, we look at a number of other things that inform the user experience as well as the provider experience, the provider NPS, the user -- the NPS, all of which, by the way, continue to remain very strong because of the strong experience that people have on the platform. So those are the typical metrics that we would be looking at.

Next question is from the line of Ryan Daniels with William Blair.

Jack A. Senft

This is Jack Senft on for Ryan Daniels. I think in your prepared remarks, you mentioned reallocating some of the dollars in the second half as the international penetration ramps up. So first, did I get that right? And then two, can you just talk a bit more about where you plan to reallocate these dollars? Was it just reallocating dollars to ramp up the international portion? Or is there something else? Just curious if you can dive deeper into this.

Yes. So we've been talking over the last 2 calls about the fact that we do expect international in BetterHelp to ramp. The -- where we are placing our ad spend dollars internationally and BetterHelp is in the markets that we already have a presence in, those are largely English-speaking markets like U.K., Canada, Australia. So these are the markets where we would be putting our ad spend dollars in.

Next question is from the line of Elizabeth Anderson with Evercore.

Elizabeth Hammell Anderson

Mala, when you think about the longer-term growth, I appreciate your commentary, but was there other changes in the international focus, et cetera, how do we think about the component that pricing plays in both the Integrated Care outlook as well as BetterHelp?

Yes. Great question, Elizabeth. So I think about the pricing lever we have on both sides in a couple of different ways. First, if you think about our Integrated Care side and think about Chronic Care and the momentum that we are seeing in Chronic Care, we've spoken about this dynamic in the past couple of calls. Firstly, we are seeing nice momentum in Chronic Care bookings. And if you think about the momentum you're seeing in Chronic Care bookings, part of what's driving that is the fact that we are selling more Chronic Care bundles. And if you think about the pricing that -- with these bundles, it is accretive from a -- on a per client basis from a revenue perspective. And that is certainly something that as we increasingly gaining traction on our land and expand, the fact that we've added over 2 million members in the first quarter, again, that gives us fertile ground for us to cross-sell more of our Chronic Care products into that population. The fact that Chronic Care at the end of the day is still relatively underpenetrated, right? If you think of our overall 90-plus million base, it is still 16% of our overall Chronic Care -- of our overall telehealth base. And so it's things like that, that will allow us to get more revenue accretion. And that certainly is something that we are focused on. On the BetterHelp side, when I think about pricing, I would say it really is us thinking more broadly about how we can do more of targeted surgical pricing as we think about the different, whether it be BetterHelp and BetterSleep, and when I say targeted and surgical, it could be by geography. It could be in other ways. And by the way, that is something that we are doing constantly continuously, right? This is a business that is dynamic in multiple ways, including in pricing.

The next question is from the line of Daniel Grosslight with Citi.

Daniel R. Grosslight

There's been some noise out in the market questioning the cost and efficacy of some digital diabetes management programs. I know it's still pretty early in the selling season for you guys. But I was curious if that report is having any impact on what you're seeing out there in the market. And maybe if you can comment a little bit on where you're currently seeing the greatest uptick from a new sales perspective in terms of indications, that would be great.

Yes. Thanks, Daniel, for the question. Let me start, and then I will turn it over to Laizer for more comments. Look, if I think about the momentum that we are seeing in the market, the things that we are seeing traction on is a few. The first is, obviously, I've talked about our land and expand. The second is when we talk to our clients about both the breadth of our products and solutions and second, the fact that we are able to show value and ROI, that is certainly resonating in the marketplace. And the last is, as I've said before, the strength of our balance sheet relative to many of the other competitors in our markets. And the strength of the balance sheet certainly is compelling if you think about our ability to bring innovation into our products -- into all our products, including chronic care. So those are broadly the trends that we are seeing in the market as we sell. Let me turn it over to Laizer to address your specific questions.

Yes. So with respect to that specific study, I would say we haven't seen any impact from that study on our business. What I would tell you is just some caveats to keep in mind. The first is that report was a review of limited, selected secondary research and the party did not conduct any original testing or any primary analysis of patient data. And I just want to highlight that based on our studies and those of third parties, we believe that our Chronic Care programs provide a clear ROI for our customers. Our programs have demonstrated meaningful reductions in A1c over a sustained period of time, but it's more than just A1cs. We also have shown improvements in blood pressure, and in weight and the whole concept of value is one that we are having good conversations with our clients about. Our members in our diabetes programs also demonstrate higher adherence to their diabetes-related drugs. And so it's really important that you understand what's based in the research, what's included. But what I would tell you is we aren't seeing an impact, but we are having good conversations with our clients related to the ROI and the value of our products.

Yes. And just to wrap up on that, Daniel. What I would say is, look, we continue to see strength and momentum in Chronic Care. I would say, as I think about our guidance this year, Integrated Care is off to a solid start. I expect Integrated Care, both from a revenue growth perspective as well as a margin expansion perspective, as indicated in our guidance to continue its momentum. I would say, certainly, if you think about the BetterHelp business, we have had a couple of challenging quarters. And we have the set of drivers that are driving the back half of the year ramp. So I would say, certainly on the Integrated Care side, we are continuing to drive -- get traction, especially on our Chronic Care book.

There are no additional questions waiting at this time. That will conclude the conference call. Thank you for your participation. You may now disconnect your lines.

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Health grant awarded.

The Iron Area Health Foundation recently awarded a $2,500 grant to the West End Players for new sound equipment and headsets to help sustain and promote local participation in the arts for social, physical and emotional health. Pictured at the grant check presentation, from left, are Zach Hautala, IAHF Board Member; Elliette Thibodeau, “Into the Woods” cast member; Jason Mattson, “Into the Woods” co-director; Matthew McPherson, cast member; P. Jane Adams, co-director; Catharina Rypstra, cast member; and Lyle Smithson Jr, IAHF Director. The IAHF is pleased to support the West End Players in this healthy living arts initiative.

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Steelers Rookie LB Has Interesting Medical Concern

The Pittsburgh Steelers third-round pick has some unique headlines surrounding him.

• Author: Noah Strackbein
• Publish date: Apr 27, 2024

In this story:

PITTSBURGH -- The Pittsburgh Steelers added their first defensive player of the 2024 NFL Draft in linebacker Payton Wilson. The N.C. State product comes to the league with two years of injury-free football, but there's one medical concern that he'll bring to the field in Pittsburgh.

Wilson suffered two torn ACL injuries during his time in college. Now, heading into the NFL, he has no ACL in one of the knees, according to the NFL Network broadcast during the NFL Draft.

"First off, he has a multitude of injuries," Rapoport explained as to why Wilson fell. "First, there's a left shoulder injury that was operated on. It was not a great operation. That certainly is a lingering injury. But that's actually not the worst of it. He has torn his ACL twice, and my understanding, after talking to several sources, is that one of his knees does not have an ACL. It does not have an ACL."

From our NFL Draft coverage: The #Steelers selected at No. 98 a stud LB with stellar tape (but very real injury history) -- NC State LB Payton Wilson. Despite all that, never misses games and had a million tackles. pic.twitter.com/zaRRSUcsfp — Ian Rapoport (@RapSheet) April 27, 2024

Wilson won't be the first Pittsburgh athlete to play without an ACL, and he won't be the first in the Steelers locker room, either. Former Steelers Super Bowl MVP Hines Ward didn't have an ACL in one of his knees, and Pitt basketball star Dejuan Blair played his entire professional career without an ACL.

Wilson's injury concerns don't bother the Steelers as the rookie finished his career with over 400 tackles, 48 tackles for loss, 15 sacks and seven interceptions. In his rookie season, he'll be given an opportunity to earn playing time with Patrick Queen, Elandon Roberts and Mark Robinson, but should be viewed as one of the team's top weapons on special teams.

Make sure you bookmark All Steelers for the latest news, exclusive interviews, film breakdowns and so much more!

• Steelers Could Have Steal in Payton Wilson
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