TDOC vs. TRUP

Last updated Apr 2, 2026

Compare and contrast key facts about Teladoc Health, Inc. (TDOC) and Trupanion, Inc. (TRUP).

Performance

TDOC vs. TRUP - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Teladoc Health, Inc. (TDOC) and Trupanion, Inc. (TRUP). The values are adjusted to include any dividend payments, if applicable.

TDOC vs. TRUP - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
TDOC Teladoc Health, Inc.	-24.57%	-22.99%	-57.82%	-8.88%	-74.24%	-54.08%	138.84%	68.89%	42.24%	111.21%
TRUP Trupanion, Inc.	-31.92%	-22.47%	57.98%	-35.81%	-64.00%	10.29%	219.57%	47.13%	-13.02%	88.60%

Fundamentals

Market Cap TDOC : $930.45M TRUP : $1.11B
EPS TDOC : -$1.14 TRUP : $0.45
PS Ratio TDOC : 0.37 TRUP : 0.77
PB Ratio TDOC : 0.67 TRUP : 2.89
Total Revenue (TTM) TDOC : $2.53B TRUP : $1.44B
Gross Profit (TTM) TDOC : $1.76B TRUP : $280.02M
EBITDA (TTM) TDOC : $9.64M TRUP : $51.59M

Returns By Period

In the year-to-date period, TDOC achieves a -24.57% return, which is significantly higher than TRUP's -31.92% return. Over the past 10 years, TDOC has underperformed TRUP with an annualized return of -6.22%, while TRUP has yielded a comparatively higher 10.11% annualized return.

TDOC

• 1D: -3.12%
• 1M: 2.33%
• YTD: -24.57%
• 6M: -32.31%
• 1Y: -31.96%
• 3Y*: -41.15%
• 5Y*: -50.78%
• 10Y*: -6.22%

TRUP

• 1D: -0.66%
• 1M: -4.75%
• YTD: -31.92%
• 6M: -41.44%
• 1Y: -31.22%
• 3Y*: -15.98%
• 5Y*: -20.15%
• 10Y*: 10.11%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Return for Risk

TDOC vs. TRUP — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

TDOC

TDOC Risk / Return Rank: 17
TDOC Sharpe Ratio Rank: 16
TDOC Sortino Ratio Rank: 17
TDOC Omega Ratio Rank: 19
TDOC Calmar Ratio Rank: 19
TDOC Martin Ratio Rank: 12

TRUP

TRUP Risk / Return Rank: 16
TRUP Sharpe Ratio Rank: 13
TRUP Sortino Ratio Rank: 13
TRUP Omega Ratio Rank: 14
TRUP Calmar Ratio Rank: 22
TRUP Martin Ratio Rank: 21

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

TDOC vs. TRUP - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Teladoc Health, Inc. (TDOC) and Trupanion, Inc. (TRUP). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	TDOC	TRUP	Difference
Sharpe ratio Return per unit of total volatility	-0.56	-0.66	+0.10
Sortino ratio Return per unit of downside risk	-0.60	-0.87	+0.28
Omega ratio Gain probability vs. loss probability	0.94	0.90	+0.04
Calmar ratio Return relative to maximum drawdown	-0.64	-0.57	-0.07
Martin ratio Return relative to average drawdown	-1.40	-1.07	-0.33
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

TDOC vs. TRUP - Sharpe Ratio Comparison

The current TDOC Sharpe Ratio is -0.56, which is comparable to the TRUP Sharpe Ratio of -0.66. The chart below compares the historical Sharpe Ratios of TDOC and TRUP, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	TDOC	TRUP	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.56	-0.66	+0.10
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.80	-0.28	-0.52
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	-0.10	0.16	-0.27
Sharpe Ratio (All Time) Calculated using the full available price history	-0.24	0.12	-0.36

Correlation

The correlation between TDOC and TRUP is 0.35, which is considered to be low. This implies their price changes are not closely related. A low correlation is generally favorable for portfolio diversification, as it helps to reduce overall risk by spreading it across multiple assets with different performance patterns.

Dividends

TDOC vs. TRUP - Dividend Comparison

Neither TDOC nor TRUP has paid dividends to shareholders.

Tickers have no history of dividend payments

Drawdowns

TDOC vs. TRUP - Drawdown Comparison

The maximum TDOC drawdown since its inception was -98.48%, which is greater than TRUP's maximum drawdown of -87.34%. Use the drawdown chart below to compare losses from any high point for TDOC and TRUP.

Drawdown Indicators

	TDOC	TRUP	Difference
Max Drawdown Largest peak-to-trough decline	-98.48%	-87.34%	-11.14%
Max Drawdown (1Y) Largest decline over 1 year	-52.75%	-56.17%	+3.42%
Max Drawdown (5Y) Largest decline over 5 years	-97.68%	-87.34%	-10.34%
Max Drawdown (10Y) Largest decline over 10 years	-98.48%	-87.34%	-11.14%
Current Drawdown Current decline from peak	-98.21%	-83.63%	-14.58%
Average Drawdown Average peak-to-trough decline	-53.45%	-39.39%	-14.06%
Ulcer Index Depth and duration of drawdowns from previous peaks	24.06%	29.59%	-5.53%

Volatility

TDOC vs. TRUP - Volatility Comparison

Teladoc Health, Inc. (TDOC) has a higher volatility of 14.57% compared to Trupanion, Inc. (TRUP) at 12.42%. This indicates that TDOC's price experiences larger fluctuations and is considered to be riskier than TRUP based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	TDOC	TRUP	Difference
Volatility (1M) Calculated over the trailing 1-month period	14.57%	12.42%	+2.15%
Volatility (6M) Calculated over the trailing 6-month period	42.96%	30.12%	+12.84%
Volatility (1Y) Calculated over the trailing 1-year period	57.48%	47.37%	+10.11%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	63.31%	71.68%	-8.37%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	60.34%	62.46%	-2.12%

Financials

TDOC vs. TRUP - Profitability Comparison

The chart below illustrates the profitability comparison between Teladoc Health, Inc. and Trupanion, Inc. over time, highlighting three key metrics: Gross Profit Margin, Operating Margin, and Net Profit Margin.

TDOC - Gross Margin

Gross margin is calculated as gross profit divided by revenue. For the three months ending on Apr 2026, Teladoc Health, Inc. reported a gross profit of 445.22M and revenue of 642.27M. Therefore, the gross margin over that period was 69.3%.

TRUP - Gross Margin

Gross margin is calculated as gross profit divided by revenue. For the three months ending on Apr 2026, Trupanion, Inc. reported a gross profit of 114.04M and revenue of 376.85M. Therefore, the gross margin over that period was 30.3%.

TDOC - Operating Margin

Operating margin is calculated as operating income divided by revenue. For the three months ending on Apr 2026, Teladoc Health, Inc. reported an operating income of -36.00M and revenue of 642.27M, resulting in an operating margin of -5.6%.

TRUP - Operating Margin

Operating margin is calculated as operating income divided by revenue. For the three months ending on Apr 2026, Trupanion, Inc. reported an operating income of 6.29M and revenue of 376.85M, resulting in an operating margin of 1.7%.

TDOC - Net Margin

Net margin is calculated as net income divided by revenue. For the three months ending on Apr 2026, Teladoc Health, Inc. reported a net income of -25.14M and revenue of 642.27M, resulting in a net margin of -3.9%.

TRUP - Net Margin

Net margin is calculated as net income divided by revenue. For the three months ending on Apr 2026, Trupanion, Inc. reported a net income of 5.63M and revenue of 376.85M, resulting in a net margin of 1.5%.