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v3.25.4

Segments - Reconciliation of Segment Adjusted EBITDA to Consolidated Net Loss (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting Information [Line Items] |  |  |  |
Revenue | $ 2,529,977 | $ 2,569,574 | $ 2,602,415 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation | 771,593 | 751,270 | 760,031 |
Advertising and marketing, exclusive of stock-based compensation | 653,372 | 705,787 | 688,854 |
Adjusted EBITDA | 281,095 | 310,711 | 328,120 |
Less adjustments to reconcile to consolidated net loss: |  |  |  |
Stock-based compensation | 80,414 | 145,951 | 201,550 |
Goodwill impairments | 71,763 | 790,000 | 0 |
Acquisition, integration, and transformation costs | 9,010 | 1,743 | 21,110 |
Restructuring costs | 18,785 | 20,355 | 16,942 |
Amortization of intangible assets | 350,764 | 363,365 | 325,933 |
Depreciation of property and equipment | 13,314 | 10,183 | 11,138 |
Other expense (income), net | (10,369) | 6,035 | (4,445) |
Interest expense | 19,714 | 23,803 | 22,282 |
Interest income | (36,770) | (57,071) | (46,782) |
Loss before provision for income taxes | (235,530) | (993,653) | (219,608) |
Provision for income taxes | (35,208) | 7,592 | 760 |
Net loss | (200,322) | (1,001,245) | (220,368) |
Integrated Care |  |  |  |
Less adjustments to reconcile to consolidated net loss: |  |  |  |
Goodwill impairments | 71,763 | 0 |  | $ 1,200,000
BetterHelp |  |  |  |
Less adjustments to reconcile to consolidated net loss: |  |  |  |
Goodwill impairments | 0 | 790,000 |  |
Operating Segments | Integrated Care |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue | 1,579,610 | 1,528,870 | 1,468,794 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation | 516,326 | 474,955 | 440,996 |
Advertising and marketing, exclusive of stock-based compensation | 130,023 | 134,453 | 131,738 |
Other segment expenses | 694,039 | 686,560 | 704,189 |
Adjusted EBITDA | 239,222 | 232,902 | 191,871 |
Operating Segments | BetterHelp |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue | 950,367 | 1,040,704 | 1,133,621 |
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation | 253,185 | 271,533 | 313,572 |
Advertising and marketing, exclusive of stock-based compensation | 518,455 | 558,759 | 541,815 |
Other segment expenses | 136,854 | 132,603 | 141,985 |
Adjusted EBITDA | $ 41,873 | $ 77,809 | $ 136,249 |

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