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Revenue - Disaggregated Revenue (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2025	Sep. 30, 2025	Jun. 30, 2025	Mar. 31, 2025	Dec. 31, 2024	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Disaggregation of Revenue [Line Items]
Revenue	$ 318,403	$ 313,346	$ 332,874	$ 324,038	$ 298,431	$ 286,625	$ 304,087	$ 278,078	$ 1,288,661	$ 1,167,221	$ 1,088,598
Fertility benefit services revenue
Disaggregation of Revenue [Line Items]
Revenue									830,929	729,551	676,295
Pharmacy benefit services revenue
Disaggregation of Revenue [Line Items]
Revenue									$ 457,732	$ 437,670	$ 412,303

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