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Revenue, Deferred Revenue, and Deferred Device and Contract Costs
 12 Months Ended
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,
202520242023
Revenue by Type
Access Fees$2,091,941 $2,215,220 $2,282,521 
Other438,036 354,354 319,894 
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 Revenue458,238 409,615 364,882 
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,
20252024
Beginning balance$89,082 $109,282 
Balances assumed as part of business acquisitions890 — 
 Cash collected59,846 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,
20252024
Deferred device and contract costs, current$31,820 $33,188 
Deferred device and contract costs, non-current14,129 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 
Additions39,484 
Cost of revenue recognized(43,780)
Ending balance as of December 31, 2025$45,949