SEGMENT REPORTING
Our chief operating decision maker (“CODM”) utilizes two operating segments, “Financial Health” and “Patient Care,” based on our two distinct business units with unique market dynamics and opportunities. These two segments are distinct business units with unique market dynamics and opportunities. They represent the components of the Company for which separate financial information is available and is utilized on a regular basis by the CODM in assessing segment performance and in allocating the Company's resources.
The Company’s CODM is its Chief Executive Officer. The CODM uses revenues and Adjusted EBITDA to assess the performance of and allocated resources to each of the reportable segments during the annual budgeting and forecasting process. The significant expenses regularly reviewed by the CODM include costs of revenues, product development, sales and marketing, and general and administrative expenses. Monthly, the CODM considers forecast-to-actual variances for each of revenues and Adjusted EBITDA to assess the performance for each segment. The CODM believes Adjusted EBITDA is a useful measure to assess the performance and liquidity of the Company, as it provides meaningful operating results by excluding the effects of expenses that are not reflective of the Company’s operating business performance. Accounting policies for each of the reportable segments are the same as those used on a consolidated basis.
“Adjusted EBITDA” consists of GAAP net income (loss) as reported and adjusts for (i) depreciation expense; (ii) amortization of software development costs; (iii) amortization of acquisition-related intangible assets; (iv) stock-based compensation; (v) severance and other non-recurring charges; (vi) interest expense and other income, net; (vii) impairment of goodwill; (viii) impairment of trademark intangibles; (ix) change of fair value of contingent consideration; (x) (gain) loss on disposal of property and equipment; (xi) gain on sale of AHT; and (xii) the provision (benefit) for income taxes. There are no intersegment revenues to be eliminated in computing segment revenue.
The CODM does not evaluate operating segments nor make decisions regarding operating segments based on assets. Consequently, we do not disclose total assets by reportable segment.
The following table presents a summary of the revenues and Adjusted EBITDA of our two operating segments for the years ended December 31, 2025, 2024, and 2023:
Year Ended December 31,
(In thousands)202520242023
Revenues:
Financial Health$221,657 $217,366 $193,334 
Patient Care125,179 124,839 143,630 
Total consolidated revenues346,836 342,205 336,964 
Less:
Financial Health expenses (excluding stock-based compensation expense):
Cost of revenue (excluding depreciation and amortization)$113,101 $116,342 $108,187 
Product development12,681 8,644 9,985 
Sales and marketing14,278 15,855 16,715 
General and administrative expenses41,619 39,680 34,008 
Total Financial Health expenses$181,679 $180,521 $168,895 
Patient Care expenses (excluding stock-based compensation expense):
Cost of revenue (excluding depreciation and amortization)$48,319 $51,857 $65,122 
Product development18,675 25,898 28,836 
Sales and marketing8,108 9,354 10,823 
General and administrative expenses21,386 18,676 18,941 
Total Patient Care expenses$96,488 $105,785 $123,722 
Total segment expenses$278,167 $286,306 $292,617 
Adjusted EBITDA by Segment:
Financial Health39,978 36,845 24,439 
Patient Care28,691 19,054 19,908 
Total Adjusted EBITDA$68,669 $55,899 $44,347 
The following table reconciles Adjusted EBITDA to income (loss) before taxes:

Year Ended December 31,
(In thousands)202520242023
Total Adjusted EBITDA$68,669 $55,899 $44,347 
Less:
Interest expense and other, net12,136 15,517 11,659 
Depreciation expense1,092 1,346 1,946 
Amortization of software development costs12,995 14,715 7,951 
Amortization of acquisition-related intangibles12,190 12,505 16,426 
Stock-based compensation8,661 5,520 3,271 
Severance and other non-recurring charges12,899 15,442 22,186 
Impairment of goodwill— — 35,913 
Impairment of trademark intangibles— — 2,342 
Change in fair value of contingent consideration5,000 (1,044)— 
(Gain) loss on disposal of property and equipment(120)3,895 117 
Gain on sale of AHT(53)(1,529)— 
Income (loss) before taxes$3,869 $(10,468)$(57,464)

Historical Timeline

Fiscal YearFiled
2025Mar 31, 2026Showing above
2024Mar 17, 2025
2023Mar 15, 2024
2022Mar 16, 2023
2021Mar 15, 2022
2020Mar 12, 2021
2019Mar 11, 2020
2018Mar 18, 2019
2017Mar 14, 2018
2016Mar 15, 2017

About Segments Disclosures

Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.

Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.