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Segment and Geographic Information - Segment Operating Results (Details) - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Segment Reporting Information [Line Items] |  |  |
Total revenue | $ 452,871,000 | $ 405,356,000 | $ 538,199,000
Stock-based compensation expense | (23,213,000) | (20,316,000) | (32,857,000)
Depreciation and amortization | (19,916,000) | (21,108,000) | (18,331,000)
Impairment, restructuring and other charges | 0 | (19,616,000) | (51,222,000)
Amortization of intangible assets | 0 | 0 | (536,000)
Interest expense | 10,974,000 | 7,627,000 | 845,000
Other income, net | 9,453,000 | 3,951,000 | 1,600,000
Loss before income taxes | (30,595,000) | (106,389,000) | (124,890,000)
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenue | 452,871,000 | 405,356,000 | 538,199,000
Segment profit | 80,589,000 | 11,565,000 | 33,626,000
Operating Segments | Medicare |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenue | 406,467,000 | 361,687,000 | 471,217,000
Segment profit | 54,748,000 | (9,873,000) | (12,079,000)
Operating Segments | Employer and Individual |  |  |
Segment Reporting Information [Line Items] |  |  |
Total revenue | 46,404,000 | 43,669,000 | 66,982,000
Segment profit | 25,841,000 | 21,438,000 | 45,705,000
Corporate |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment profit | $ (66,534,000) | $ (53,238,000) | $ (56,325,000)

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