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Revenue, Deferred Revenue, and Deferred Device and Contract Costs | 12 Months Ended
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Dec. 31, 2025
Revenue from Contract with Customer [Abstract] |
Revenue, Deferred Revenue, and Deferred Device and Contract Costs | Revenue, Deferred Revenue, and Deferred Device and Contract Costs The Company generates access fees from Clients, as well as individual paying users, accessing the THMG Association professional provider network, the Uplift Association professional provider network, and the Company's therapy and other wellness platforms, hosted virtual care platform, and chronic care management platforms. Visit fee revenue is generated for general medical, expert medical service, virtual therapy, and other specialty visits and is reported as a component of other revenue. Revenue associated with virtual care device equipment sales included with the Company’s hosted virtual care platform is also reported in other revenue. The following table presents the Company’s revenues disaggregated by revenue source and geography (in thousands):
| Year Ended December 31,
| 2025 |  | 2024 |  | 2023
Revenue by Type |  |  |  |  |
Access Fees | $ | 2,091,941 |  |  | $ | 2,215,220 |  |  | $ | 2,282,521 |
Other | 438,036 |  |  | 354,354 |  |  | 319,894 |
Total Revenue | $ | 2,529,977 |  |  | $ | 2,569,574 |  |  | $ | 2,602,415 |
Revenue by Geography |  |  |  |  |
U.S. Revenue | $ | 2,071,739 |  |  | $ | 2,159,959 |  |  | $ | 2,237,533 |
International Revenue | 458,238 |  |  | 409,615 |  |  | 364,882 |
Total Revenue | $ | 2,529,977 |  |  | $ | 2,569,574 |  |  | $ | 2,602,415 |
Deferred Revenue For certain services, payment is required for future periods before the service is delivered to the member. The Company records deferred revenue when cash payments are received in advance of the Company’s performance obligation to provide services. The following table summarizes deferred revenue activities for the periods presented (in thousands):
| Year Ended December 31,
| 2025 |  | 2024
Beginning balance | $ | 89,082 |  |  | $ | 109,282 |
Balances assumed as part of business acquisitions | 890 |  |  | — |
Cash collected | 59,846 |  |  | 66,262 |
Revenue recognized | (78,374) |  |  | (86,462) |
Ending balance | $ | 71,444 |  |  | $ | 89,082 |
The Company expects to recognize revenue of $62.3 million in 2026, $7.0 million in 2027, and $2.1 million in 2028 and thereafter related to future performance obligations that are unsatisfied or partially unsatisfied as of December 31, 2025. Deferred Device and Contract Costs Deferred device and contract costs are classified as a component of prepaid expenses and other current assets or other assets, depending on term, and consisted of the following (in thousands):
| As of
| December 31, |  | December 31,
| 2025 |  | 2024
Deferred device and contract costs, current | $ | 31,820 |  |  | $ | 33,188 |
Deferred device and contract costs, non-current | 14,129 |  |  | 17,057 |
Total deferred device and contract costs | $ | 45,949 |  |  | $ | 50,245 |
Deferred device and contract costs were as follows (in thousands):
| Deferred Device and Contract Costs
Beginning balance as of December 31, 2024 | $ | 50,245 |
Additions | 39,484 |
Cost of revenue recognized | (43,780) |
Ending balance as of December 31, 2025 | $ | 45,949 |

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- Definition The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 7 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-7 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 9 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-9 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 10 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-10 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-15 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 13 -Subparagraph (b)(2) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-13 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Name Accounting Standards Codification -Topic 606 -Publisher FASB -URI https://asc.fasb.org/606/tableOfContent + Details
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