Consolidated Revenue and EBITDA Beat
Q1 consolidated revenue of $614M and adjusted EBITDA of $58M (9.5% margin) both exceeded the midpoint of guidance, demonstrating better-than-expected execution.
Integrated Care Growth and Margin Expansion
Integrated Care Q1 revenue of $395M, up 1.5% year-over-year (acquisitions contributed ~170 bps). Adjusted EBITDA rose 12% YoY to $56M, with a 14.2% margin (up ~130 bps YoY) driven by revenue upside and disciplined cost management.
Membership and Chronic Care Traction
U.S. Integrated Care membership finished at 101.2M (above guidance). Chronic Care enrollment reached 1.2M, up ~1% sequentially and ~4% YoY, with multi-condition bundles adoption increasing.
BetterHelp Insurance Rollout Momentum
BetterHelp is live in 30 states + DC, credentialed/enrolled >6,000 providers, insurance contracted lives >150M (increase of 30M since year-end 2025). Insurance-covered users average ~20% more sessions in first 90 days vs cash-pay, and states live by Q3'25 show ~800 bps improvement vs cash-only markets.
BetterHelp Insurance Revenue Acceleration
BetterHelp insurance revenue was $13M in Q1 (up $6M sequentially). Total insurance-covered sessions run >14,000/week (annualized revenue run rate >$75M); company expects exit-2026 run rate of $125M+ and raised full-year insurance revenue expectation to $90M–$105M.
Operational and AI-Driven Efficiency Gains
Investments in AI and data (Pulse engine, Prism Care) delivered operational gains: AI-assisted clinical documentation produced >300,000 notes, used by >2,000 therapists across ~30,000 insurance sessions, saving ~15 minutes per session (~4M minutes saved to date). BetterHelp ad spend down 12% YoY.
Financial Position and Cost Reduction Targets
Q1 cash balance $751M; net debt to trailing adjusted EBITDA under 0.9x (gross debt 3.6x). Full-year stock-based compensation now expected below $55M (decline >30% vs 2025 and >70% since 2023). Company affirmed full-year guidance (revenue, adjusted EBITDA, free cash flow midpoints unchanged).