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.

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):

Year Ended December 31, 2025Integrated CareBetterHelpConsolidated
Revenue$1,579,610 $950,367 $2,529,977 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)516,326 253,185 
Advertising and marketing, exclusive of stock-based compensation (1)130,023 518,455 
Other segment expenses (2)694,039 136,854 
Adjusted EBITDA$239,222 $41,873 281,095 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation80,414 
Goodwill impairments71,763 
Acquisition, integration, and transformation costs9,010 
Restructuring costs18,785 
Amortization of intangible assets350,764 
Depreciation of property and equipment13,314 
Other expense (income), net(10,369)
Interest expense19,714 
Interest income(36,770)
Loss before provision for income taxes(235,530)
Provision for income taxes(35,208)
Net loss$(200,322)

Year Ended December 31, 2024Integrated CareBetterHelpConsolidated
Revenue$1,528,870 $1,040,704 $2,569,574 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)474,955 271,533 
Advertising and marketing, exclusive of stock-based compensation (1)134,453 558,759 
Other segment expenses (2)686,560 132,603 
Adjusted EBITDA$232,902 $77,809 310,711 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation145,951 
Goodwill impairments790,000 
Acquisition, integration, and transformation costs1,743 
Restructuring costs20,355 
Amortization of intangible assets363,365 
Depreciation of property and equipment10,183 
Other expense (income), net6,035 
Interest expense23,803 
Interest income(57,071)
Loss before provision for income taxes(993,653)
Provision for income taxes7,592 
Net loss$(1,001,245)
Year Ended December 31, 2023Integrated CareBetterHelpConsolidated
Revenue$1,468,794 $1,133,621 $2,602,415 
Cost of revenue, exclusive of depreciation, amortization, and stock-based compensation (1)440,996 313,572 
Advertising and marketing, exclusive of stock-based compensation (1)131,738 541,815 
Other segment expenses (2)704,189 141,985 
Adjusted EBITDA$191,871 $136,249 328,120 
Less adjustments to reconcile to consolidated net loss:
Stock-based compensation201,550 
Goodwill impairments— 
Acquisition, integration, and transformation costs21,110 
Restructuring costs16,942 
Amortization of intangible assets325,933 
Depreciation of property and equipment11,138 
Other expense (income), net(4,445)
Interest expense22,282 
Interest income(46,782)
Loss before provision for income taxes(219,608)
Provision for income taxes760 
Net loss$(220,368)
(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
December 31,December 31,
20252024
United States$22,796 $25,686 
International4,176 3,801 
Total long-lived assets$26,972 $29,487 

Historical Timeline

Fiscal YearFiled
2025Feb 26, 2026Showing above
2024Feb 27, 2025
2023Feb 23, 2024

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.