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Revenue
 12 Months Ended
Dec. 31, 2025
Revenue from Contract with Customer [Abstract]  
Revenue Revenue
Disaggregated revenue
The following table disaggregates revenue by service (in thousands):
Year Ended
December 31,
202520242023
Revenue
Fertility benefit services revenue (1)
$830,929 $729,551 $676,295 
Pharmacy benefit services revenue457,732437,670412,303
Total revenue$1,288,661 $1,167,221 $1,088,598 
(1) Includes revenue from the Other solutions, which is not significant in any of the periods presented.
Concentration of Major Clients
For the year ended December 31, 2025, no client accounted for more than 10% of total revenue. For the year ended December 31, 2024 and December 31, 2023, one client represented 12% and 13% of total revenue, respectively.