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Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Revenues [Abstract]
Total revenue	$ 313,346	$ 286,625	$ 970,258	$ 868,790
Fertility benefits services revenue
Revenues [Abstract]
Total revenue	201,946	178,758	622,294	542,090
Pharmacy benefits services revenue
Revenues [Abstract]
Total revenue	$ 111,400	$ 107,867	$ 347,964	$ 326,700

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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