v3.26.1
Segments - Reconciliation of Segment Adjusted EBITDA to Consolidated Net Loss (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Revenue $ 606,927 $ 631,900 $ 1,220,772 $ 1,261,269
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 190,837 190,537 388,363 387,366
Advertising and marketing, exclusive of stock-based compensation 143,397 167,547 294,924 335,732
Adjusted EBITDA 65,713 69,311 123,882 127,404
Stock-based compensation 9,301 22,344 23,912 47,507
Goodwill impairment 0 0 0 59,138
Acquisition, integration, and transformation costs 1,690 2,658 2,754 4,846
Restructuring costs 904 5,692 12,879 10,039
Amortization of intangible assets 88,442 88,664 178,268 172,968
Depreciation of property and equipment 2,468 4,338 4,929 7,902
Other expense (income), net 2,191 (8,371) 2,387 (10,806)
Interest expense 5,109 4,473 10,477 10,238
Interest income (6,481) (10,064) (12,971) (22,738)
Loss before provision for income taxes (37,911) (40,423) (98,753) (151,690)
Provision for income taxes 997 (7,763) 3,992 (26,018)
Net loss (38,908) (32,660) (102,745) (125,672)
Operating Segments | Integrated Care        
Segment Reporting [Line Items]        
Revenue 394,305 391,510 789,750 780,978
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 129,903 126,387 265,777 257,395
Advertising and marketing, exclusive of stock-based compensation 31,259 31,953 65,173 65,663
Other segment expenses 167,901 175,720 337,281 350,091
Adjusted EBITDA 65,242 57,450 121,519 107,829
Operating Segments | BetterHelp        
Segment Reporting [Line Items]        
Revenue 212,622 240,390 431,022 480,291
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 60,810 63,643 122,115 128,891
Advertising and marketing, exclusive of stock-based compensation 111,714 134,292 228,466 267,264
Other segment expenses 39,627 30,594 78,078 64,561
Adjusted EBITDA $ 471 $ 11,861 $ 2,363 $ 19,575