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Segments (Tables)

12 Months Ended

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

X

- Definition

Tabular disclosure of long-lived assets, excluding financial instruments, long-term customer relationships of a financial institution, mortgage rights, deferred policy acquisition costs, and deferred tax assets, by geographic areas located in the entity's country of domicile and foreign countries in which the entity holds assets.

+ References

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-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 41
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-41

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Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 31
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-31

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-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

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