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Summary of Significant Accounting Policies - Summary of Impact of Adoption of Accounting Standards (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands | 3 Months Ended |  |
--- | --- | --- | ---
Mar. 31, 2018 | Mar. 31, 2017 | Jan. 01, 2018 | Dec. 31, 2017
Revenue: |  |  |  |
Revenue, net | $ 163,077 | $ 0 |  |
Service revenue, net | 0 | 93,781 |  |
Reimbursed out-of-pocket revenue | 0 | 12,830 |  |
Total revenue | 163,077 | 106,611 |  |
Operating expenses: |  |  |  |
Direct service costs, excluding depreciation and amortization | 60,341 | 51,105 |  |
Reimbursed out-of-pocket expenses | 56,913 | 12,830 |  |
Total direct costs | 117,254 | 63,935 |  |
Total operating expenses | 142,958 | 90,667 |  |
Income from operations | 20,119 | 15,944 |  |
Income before income taxes | 17,657 | 13,778 |  |
Income tax provision | 3,106 | 5,331 |  |
Net income | $ 14,551 | $ 8,447 |  |
Net income per share attributable to common shareholders: |  |  |  |
Basic | $ 0.41 | $ 0.21 |  |
Diluted | $ 0.40 | $ 0.20 |  |
Weighted average common shares outstanding: |  |  |  |
Basic | 35,486 | 40,669 |  |
Diluted | 36,449 | 41,508 |  |
Current assets: |  |  |  |
Accounts receivable and unbilled, net | $ 110,654 |  |  | $ 83,079
Total current assets | 153,754 |  |  | 129,971
Deferred income taxes | 9,970 |  |  | 6,343
Total assets | 973,024 |  |  | 950,717
Current liabilities: |  |  |  |
Accrued expenses | 63,576 |  |  | 23,673
Pre-funded study costs | 0 |  |  | 57,406
Advanced billings | 126,387 |  |  | 73,756
Other current liabilities | 8,105 |  |  | 4,697
Total current liabilities | 232,492 |  |  | 192,706
Total liabilities | 461,951 |  |  | 447,187
Shareholders’ equity: |  |  |  |
Accumulated deficit | (115,521) |  |  | (120,402)
Total shareholders’ equity | 511,073 |  |  | 503,530
Total liabilities and shareholders’ equity | 973,024 |  |  | $ 950,717
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |  |
Net income | 14,551 | $ 8,447 |  |
Changes in assets and liabilities: |  |  |  |
Accounts receivable and unbilled, net | (17,760) | (2,292) |  |
Accrued expenses | 5,268 | (10,508) |  |
Pre-funded study costs | 0 | (3,497) |  |
Advanced billings | 6,817 | (5,246) |  |
Other assets and liabilities, net | 3,089 | 1,884 |  |
Net cash (used in) provided by operating activities | 23,298 | $ (675) |  |
ASC 606 |  |  |  |
Current assets: |  |  |  |
Accounts receivable and unbilled, net |  |  | $ 92,832 |
Current liabilities: |  |  |  |
Advanced billings |  |  | 119,451 |
ASC 606 | Impact of Adoption of ASC 606 - Adjustments |  |  |  |
Revenue: |  |  |  |
Revenue, net | (163,077) |  |  |
Service revenue, net | 108,428 |  |  |
Reimbursed out-of-pocket revenue | 15,017 |  |  |
Total revenue | (39,632) |  |  |
Operating expenses: |  |  |  |
Reimbursed out-of-pocket expenses | (41,896) |  |  |
Total direct costs | (41,896) |  |  |
Total operating expenses | (41,896) |  |  |
Income from operations | 2,264 |  |  |
Income before income taxes | 2,264 |  |  |
Income tax provision | 511 |  |  |
Net income | $ 1,753 |  |  |
Net income per share attributable to common shareholders: |  |  |  |
Basic | $ 0.05 |  |  |
Diluted | $ 0.05 |  |  |
Current assets: |  |  |  |
Accounts receivable and unbilled, net | $ (12,733) |  | 9,753 |
Total current assets | (12,733) |  |  |
Deferred income taxes | (3,347) |  | 3,300 |
Total assets | (16,080) |  |  |
Current liabilities: |  |  |  |
Accrued expenses | (45,145) |  | 34,500 |
Pre-funded study costs | 57,487 |  | (57,406) |
Advanced billings | (40,356) |  | 45,695 |
Other current liabilities | 511 |  |  |
Total current liabilities | (27,503) |  |  |
Total liabilities | (27,503) |  |  |
Shareholders’ equity: |  |  |  |
Accumulated deficit | 11,423 |  | $ (9,700) |
Total shareholders’ equity | 11,423 |  |  |
Total liabilities and shareholders’ equity | (16,080) |  |  |
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |  |
Net income | 1,753 |  |  |
Changes in assets and liabilities: |  |  |  |
Accounts receivable and unbilled, net | 2,980 |  |  |
Accrued expenses | (10,664) |  |  |
Pre-funded study costs | 50 |  |  |
Advanced billings | 5,370 |  |  |
Other assets and liabilities, net | 511 |  |  |
ASC 606 | Impact of Adoption of ASC 606 - As Revised under ASC 605 |  |  |  |
Revenue: |  |  |  |
Revenue, net | 0 |  |  |
Service revenue, net | 108,428 |  |  |
Reimbursed out-of-pocket revenue | 15,017 |  |  |
Total revenue | 123,445 |  |  |
Operating expenses: |  |  |  |
Direct service costs, excluding depreciation and amortization | 60,341 |  |  |
Reimbursed out-of-pocket expenses | 15,017 |  |  |
Total direct costs | 75,358 |  |  |
Total operating expenses | 101,062 |  |  |
Income from operations | 22,383 |  |  |
Income before income taxes | 19,921 |  |  |
Income tax provision | 3,617 |  |  |
Net income | $ 16,304 |  |  |
Net income per share attributable to common shareholders: |  |  |  |
Basic | $ 0.46 |  |  |
Diluted | $ 0.45 |  |  |
Weighted average common shares outstanding: |  |  |  |
Basic | 35,486 |  |  |
Diluted | 36,449 |  |  |
Current assets: |  |  |  |
Accounts receivable and unbilled, net | $ 97,921 |  |  |
Total current assets | 141,021 |  |  |
Deferred income taxes | 6,623 |  |  |
Total assets | 956,944 |  |  |
Current liabilities: |  |  |  |
Accrued expenses | 18,431 |  |  |
Pre-funded study costs | 57,487 |  |  |
Advanced billings | 86,031 |  |  |
Other current liabilities | 8,616 |  |  |
Total current liabilities | 204,989 |  |  |
Total liabilities | 434,448 |  |  |
Shareholders’ equity: |  |  |  |
Accumulated deficit | (104,098) |  |  |
Total shareholders’ equity | 522,496 |  |  |
Total liabilities and shareholders’ equity | 956,944 |  |  |
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |  |
Net income | 16,304 |  |  |
Changes in assets and liabilities: |  |  |  |
Accounts receivable and unbilled, net | (14,780) |  |  |
Accrued expenses | (5,396) |  |  |
Pre-funded study costs | 50 |  |  |
Advanced billings | 12,187 |  |  |
Other assets and liabilities, net | 3,600 |  |  |
Net cash (used in) provided by operating activities | $ 23,298 |  |  |

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