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v3.25.4

Acquisitions (Details) - USD ($) $ in Thousands |  |  |  | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | --- | ---
Aug. 08, 2025 | Apr. 30, 2025 | Feb. 28, 2025 | Sep. 30, 2025 | Mar. 31, 2025 | Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payments to acquire businesses |  |  |  |  |  | $ 81,904 | $ 0 | $ 0 |
Goodwill |  |  |  |  |  | 283,190 | 283,190 | 1,073,190 | $ 1,073,190
Goodwill impairments |  |  |  |  |  | 71,763 | $ 790,000 | $ 0 |
UpLift Health Technologies, Inc |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Consideration transferred |  | $ 29,600 |  |  |  |  |  |  |
Contingent consideration |  | $ 12,700 |  |  |  |  |  |  |
Catapult Health |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payments to acquire businesses |  |  | $ 65,300 |  |  |  |  |  |
Cash acquired from acquisition |  |  | 100 |  |  |  |  |  |
Contingent earnout consideration |  |  | 3,800 |  |  |  |  |  |
Intangible assets |  |  | 12,700 |  |  |  |  |  |
Goodwill |  |  | $ 59,100 |  |  |  |  |  |
Intangible assets, expected tax deductible, amount |  |  |  |  |  | 9,400 |  |  |
Goodwill, expected tax deductible, amount |  |  |  |  |  | $ 43,200 |  |  |
Goodwill impairments |  |  |  |  | $ 59,100 |  |  |  |
Catapult Health | Integrated Care |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Goodwill impairments |  |  |  |  | 59,100 |  |  |  |
Telecare Australia Pty Ltd |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payments to acquire businesses | $ 16,600 |  |  |  |  |  |  |  |
Cash acquired from acquisition | 1,100 |  |  |  |  |  |  |  |
Intangible assets | 6,300 |  |  |  |  |  |  |  |
Goodwill | 12,600 |  |  |  |  |  |  |  |
Goodwill, expected tax deductible, amount | $ 0 |  |  |  |  |  |  |  |
Goodwill impairments |  |  |  | $ 12,600 |  |  |  |  |
Telecare Australia Pty Ltd | Integrated Care |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Goodwill impairments |  |  |  | $ 12,600 |  |  |  |  |
Teladoc Health |  |  |  |  |  |  |  |  |
Asset Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Business combination, cash transaction amount |  |  |  |  | $ 27,000 |  |  |  |

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