v3.26.3
Segments - Schedule of Segment Reporting Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Segment Reporting [Line Items]        
Revenue $ 605,102 $ 626,439 $ 1,825,874 $ 1,887,708
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 190,258 187,179 578,621 574,545
Advertising and marketing, exclusive of stock-based compensation 123,978 167,985 418,902 503,717
Adjusted EBITDA 79,358 69,909 203,240 197,313
Stock-based compensation 11,616 16,996 35,528 64,503
Legal settlement costs and recoveries, net (600)   (600)  
Goodwill impairment 0 12,625 0 71,763
Acquisition, integration, and transformation costs 1,565 1,931 4,319 6,777
Restructuring costs 4,404 1,950 17,283 11,989
Amortization of intangible assets 88,286 85,757 266,554 258,725
Depreciation of property and equipment 2,186 2,612 7,115 10,514
Other expense (income), net 285 815 2,672 (9,991)
Interest expense 4,935 4,526 15,412 14,764
Interest income (7,040) (7,081) (20,011) (29,819)
Loss before provision for income taxes (26,279) (50,222) (125,032) (201,912)
Provision for income taxes 655 (715) 4,647 (26,733)
Net loss (26,934) (49,507) (129,679) (175,179)
Operating Segments | Integrated Care        
Segment Reporting [Line Items]        
Revenue 398,461 389,538 1,188,211 1,170,516
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 128,677 124,254 394,454 381,649
Advertising and marketing, exclusive of stock-based compensation 24,737 32,302 89,910 97,965
Other segment expenses 170,166 166,914 507,447 517,005
Adjusted EBITDA 74,881 66,068 196,400 173,897
Operating Segments | BetterHelp        
Segment Reporting [Line Items]        
Revenue 206,641 236,901 637,663 717,192
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation 61,478 62,417 183,593 191,308
Advertising and marketing, exclusive of stock-based compensation 98,769 134,599 327,235 401,863
Other segment expenses 41,917 36,044 119,995 100,605
Adjusted EBITDA $ 4,477 $ 3,841 $ 6,840 $ 23,416