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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