v3.26.1
Segments
 6 Months Ended
Jun. 30, 2026
Segment Reporting [Abstract]  
Segments Segments
ASC Subtopic 280-10, “Segment Reporting,” establishes standards for reporting information about operating segments. Operating segments are defined as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker (“CODM”) in deciding how to allocate resources and assess performance. The Company’s Chief Executive Officer is the CODM and is responsible for reviewing financial information presented on a segment basis for purposes of making operating decisions and assessing financial performance.

The CODM measures and evaluates segments based on segment operating revenues, segment expenses, and Adjusted EBITDA. The CODM reviews annual-operating-plan-to-actual variances for these measures on a regular basis to assess the performance of the segments and to make decisions about allocating resources. The Company does not include the following items in segment expenses and Adjusted EBITDA: provision for income taxes; interest income; interest expense; other expense (income), net; depreciation of property and equipment; amortization of intangible assets; restructuring costs; acquisition, integration, and transformation charges; goodwill impairment; and stock-based compensation. Although these amounts are excluded from segment Adjusted EBITDA, they are included in reported consolidated net loss and are included in the reconciliations that follow.

The Company’s computation of segment Adjusted EBITDA may not be comparable to other similarly titled metrics computed by other companies because all companies do not calculate segment Adjusted EBITDA in the same fashion.

Operating revenues and expenses directly associated with each segment are included in determining its operating results. Other expenses that are not directly attributable to a particular segment are based upon allocation methodologies, including the following: revenue, headcount, time and other relevant usage measures, and/or a combination of such.

The Company has two reportable segments: Integrated Care and BetterHelp. The Integrated Care segment includes a suite of global virtual medical services including general medical, expert medical services, specialty medical, chronic condition management, mental health, and enabling technologies and enterprise telehealth solutions for hospitals and health systems. The BetterHelp segment includes virtual therapy and other wellness services provided on a global basis which are predominantly marketed and sold on a direct-to-consumer basis, including both those who pay directly out-of-pocket and those who utilize their insurance coverage.

The CODM does not review any information regarding total assets on a segment basis. Segments do not record intersegment revenues, and, accordingly, there is none to be reported. The accounting policies for segment reporting are the same as for the Company as a whole.
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):

Three Months Ended June 30, 2026Integrated CareBetterHelpConsolidated
Revenue$394,305 $212,622 $606,927 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)129,903 60,810 
Advertising and marketing, exclusive of stock-based compensation (1)31,259 111,714 
Other segment expenses (2)167,901 39,627 
Adjusted EBITDA$65,242 $471 65,713 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation9,301 
Acquisition, integration, and transformation costs1,690 
Restructuring costs904 
Amortization of intangible assets88,442 
Depreciation of property and equipment2,468 
Other expense (income), net2,191 
Interest expense5,109 
Interest income(6,481)
Loss before provision for income taxes(37,911)
Provision for income taxes997 
Net loss$(38,908)

Three Months Ended June 30, 2025Integrated CareBetterHelpConsolidated
Revenue$391,510 $240,390 $631,900 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)126,387 63,643 
Advertising and marketing, exclusive of stock-based compensation (1)31,953 134,292 
Other segment expenses (2)175,720 30,594 
Adjusted EBITDA$57,450 $11,861 69,311 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation22,344 
Acquisition, integration, and transformation costs2,658 
Restructuring costs5,692 
Amortization of intangible assets88,664 
Depreciation of property and equipment4,338 
Other expense (income), net(8,371)
Interest expense4,473 
Interest income(10,064)
Loss before provision for income taxes(40,423)
Provision for income taxes(7,763)
Net loss$(32,660)
Six Months Ended June 30, 2026Integrated CareBetterHelpConsolidated
Revenue$789,750 $431,022 $1,220,772 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)265,777 122,115 
Advertising and marketing, exclusive of stock-based compensation (1)65,173 228,466 
Other segment expenses (2)337,281 78,078 
Adjusted EBITDA$121,519 $2,363 123,882 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation23,912 
Acquisition, integration, and transformation costs2,754 
Restructuring costs12,879 
Amortization of intangible assets178,268 
Depreciation of property and equipment4,929 
Other expense (income), net2,387 
Interest expense10,477 
Interest income(12,971)
Loss before provision for income taxes(98,753)
Provision for income taxes3,992 
Net loss$(102,745)

Six Months Ended June 30, 2025Integrated CareBetterHelpConsolidated
Revenue$780,978 $480,291 $1,261,269 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)257,395 128,891 
Advertising and marketing, exclusive of stock-based compensation (1)65,663 267,264 
Other segment expenses (2)350,091 64,561 
Adjusted EBITDA$107,829 $19,575 127,404 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation47,507 
Goodwill impairment59,138 
Acquisition, integration, and transformation costs4,846 
Restructuring costs10,039 
Amortization of intangible assets172,968 
Depreciation of property and equipment7,902 
Other expense (income), net(10,806)
Interest expense10,238 
Interest income(22,738)
Loss before provision for income taxes(151,690)
Provision for income taxes(26,018)
Net loss$(125,672)
(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.
Geographic data for long-lived assets (representing property and equipment, net) were as follows (in thousands):

As of
June 30,December 31,
20262025
United States$19,913 $22,796 
International4,777 4,176 
Total long-lived assets$24,690 $26,972