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.

Historical Timeline

Fiscal YearFiled
2025Feb 27, 2026Showing above
2024Mar 3, 2025
2023Feb 29, 2024
2022Mar 1, 2023
2021Mar 1, 2022
2020Mar 1, 2021
2019Mar 10, 2020

About Revenue Disclosures

Revenue disclosures under ASC 606 explain how a company identifies performance obligations, allocates transaction prices, and determines when revenue is recognized. This section is essential for understanding whether reported revenue reflects genuine economic activity or aggressive accounting choices. Analysts examine the mix of point-in-time versus over-time recognition, which directly affects revenue timing and comparability.

Key signals: rising contract liabilities (deferred revenue) suggest strong future revenue visibility, while declining contract assets may indicate slowing project milestones. Watch for variable consideration estimates — rebates, returns, and performance bonuses that require management judgment. Significant changes in disaggregated revenue by geography or product line can reveal shifting business mix before it appears in headline numbers. Compare revenue growth against contract liability growth to assess sustainability, and scrutinize any changes in the timing of recognition that coincide with earnings pressure.