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Segments (Tables) | 12 Months Ended
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Dec. 31, 2025
Segment Reporting [Abstract] |
Schedule of Reconciliation of Segment Adjusted EBITDA to Consolidated Net Loss | The following tables present the financial results of the Company's reportable segments, along with reconciliations of the segments' total consolidated Adjusted EBITDA to the consolidated net loss for the periods indicated (in thousands):
Year Ended December 31, 2025 | Integrated Care |  | BetterHelp |  | Consolidated
Revenue | $ | 1,579,610 |  |  | $ | 950,367 |  |  | $ | 2,529,977 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1) | 516,326 |  |  | 253,185 |  |  |
Advertising and marketing, exclusive of stock-based compensation (1) | 130,023 |  |  | 518,455 |  |  |
Other segment expenses (2) | 694,039 |  |  | 136,854 |  |  |
Adjusted EBITDA | $ | 239,222 |  |  | $ | 41,873 |  |  | 281,095 |
Less adjustments to reconcile to consolidated net loss: |  |  |  |  |
Stock-based compensation |  |  |  |  | 80,414 |
Goodwill impairments |  |  |  |  | 71,763 |
Acquisition, integration, and transformation costs |  |  |  |  | 9,010 |
Restructuring costs |  |  |  |  | 18,785 |
Amortization of intangible assets |  |  |  |  | 350,764 |
Depreciation of property and equipment |  |  |  |  | 13,314 |
Other expense (income), net |  |  |  |  | (10,369) |
Interest expense |  |  |  |  | 19,714 |
Interest income |  |  |  |  | (36,770) |
Loss before provision for income taxes |  |  |  |  | (235,530) |
Provision for income taxes |  |  |  |  | (35,208) |
Net loss |  |  |  |  | $ | (200,322) |
Year Ended December 31, 2024 | Integrated Care |  | BetterHelp |  | Consolidated
Revenue | $ | 1,528,870 |  |  | $ | 1,040,704 |  |  | $ | 2,569,574 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1) | 474,955 |  |  | 271,533 |  |  |
Advertising and marketing, exclusive of stock-based compensation (1) | 134,453 |  |  | 558,759 |  |  |
Other segment expenses (2) | 686,560 |  |  | 132,603 |  |  |
Adjusted EBITDA | $ | 232,902 |  |  | $ | 77,809 |  |  | 310,711 |
Less adjustments to reconcile to consolidated net loss: |  |  |  |  |
Stock-based compensation |  |  |  |  | 145,951 |
Goodwill impairments |  |  |  |  | 790,000 |
Acquisition, integration, and transformation costs |  |  |  |  | 1,743 |
Restructuring costs |  |  |  |  | 20,355 |
Amortization of intangible assets |  |  |  |  | 363,365 |
Depreciation of property and equipment |  |  |  |  | 10,183 |
Other expense (income), net |  |  |  |  | 6,035 |
Interest expense |  |  |  |  | 23,803 |
Interest income |  |  |  |  | (57,071) |
Loss before provision for income taxes |  |  |  |  | (993,653) |
Provision for income taxes |  |  |  |  | 7,592 |
Net loss |  |  |  |  | $ | (1,001,245) |
Year Ended December 31, 2023 | Integrated Care |  | BetterHelp |  | Consolidated
Revenue | $ | 1,468,794 |  |  | $ | 1,133,621 |  |  | $ | 2,602,415 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1) | 440,996 |  |  | 313,572 |  |  |
Advertising and marketing, exclusive of stock-based compensation (1) | 131,738 |  |  | 541,815 |  |  |
Other segment expenses (2) | 704,189 |  |  | 141,985 |  |  |
Adjusted EBITDA | $ | 191,871 |  |  | $ | 136,249 |  |  | 328,120 |
Less adjustments to reconcile to consolidated net loss: |  |  |  |  |
Stock-based compensation |  |  |  |  | 201,550 |
Goodwill impairments |  |  |  |  | — |
Acquisition, integration, and transformation costs |  |  |  |  | 21,110 |
Restructuring costs |  |  |  |  | 16,942 |
Amortization of intangible assets |  |  |  |  | 325,933 |
Depreciation of property and equipment |  |  |  |  | 11,138 |
Other expense (income), net |  |  |  |  | (4,445) |
Interest expense |  |  |  |  | 22,282 |
Interest income |  |  |  |  | (46,782) |
Loss before provision for income taxes |  |  |  |  | (219,608) |
Provision for income taxes |  |  |  |  | 760 |
Net loss |  |  |  |  | $ | (220,368) |
(1)The significant segment expense categories and amounts align with the information that is regularly provided to the CODM. (2)Other segment expenses for the corresponding reportable segment includes sales expenses, technology and development expenses, and general and administrative expenses, each exclusive of stock-based compensation.
Schedule of Geographic Data for Long-Lived Assets | Geographic data for long-lived assets (representing property and equipment, net) were as follows (in thousands):
| As of
| December 31, |  | December 31,
| 2025 |  | 2024
United States | $ | 22,796 |  |  | $ | 25,686 |
International | 4,176 |  |  | 3,801 |
Total long-lived assets | $ | 26,972 |  |  | $ | 29,487 |

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