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Equity Incentive Schemes and Stock Compensation Charges - Narrative (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended 24 Months Ended 252 Months Ended
Feb. 14, 2017
May 11, 2015
Jan. 17, 2003
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2020
Dec. 31, 2017
May 18, 2020
May 16, 2019
May 31, 2018
Feb. 13, 2017
Sep. 23, 2013
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Weighted average contractual term of options outstanding       5 years 4 months 20 days 4 years 10 months 9 days                
Exercisable - weighted average remaining contractual life       4 years 6 months 18 days 3 years 7 months 6 days                
Total compensation costs       $ 133,844 $ 26,271 $ 26,819              
Income tax benefit related to stock compensation       22,700 6,900 8,200              
Cash tax benefit related to stock options exercised       $ 23,900 2,500 $ 1,900              
The 2020 Legacy PRA Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)                 2,500,000        
The 2018 Legacy PRA Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)                     2,000,000    
2013 Legacy PRA Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)                         2,052,909
Percentage of outstanding shares authorized                         12.50%
Consultants Stock Plan, 2008 Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares) 1,000,000                     400,000  
Limit of shares issued or to be issued pursuant to options granted (in shares) 1,000,000                        
Employee Stock Plan, 2008 Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares) 6,000,000                        
Maximum number of shares per employee (in shares) 400,000                        
Option Plans 2008 | Minimum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Percentage of option price for fair value of ordinary share (in percent) 100.00%                        
Employee Stock Plan, 2003 Plan                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)     6,000,000                    
Maximum number of shares per employee (in shares)     400,000                    
Maximum number of award as percentage of shares outstanding (in percent)     10.00%                    
Employee Stock Option | Minimum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Shares vesting period       5 years                  
Employee Stock Option | Maximum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Shares vesting period       8 years                  
Employee Stock Option | Award date, prior to 2018                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Shares vesting period               5 years          
Shares expiration period               8 years          
Employee Stock Option | Award date, 2018 and thereafter                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Shares vesting period           12 months              
Shares expiration period           8 years              
Restricted Stock Units 2013                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)   4,100,000                      
Additional number of ordinary shares which have been reserved for issuance (in shares)   2,500,000                      
Consultants Restricted Stock Units 2019                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Ordinary shares which have been reserved for issuance (in shares)                   250,000      
Consultants Restricted Stock Units 2019 | Non-executive director                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Shares vesting period             12 months            
Restricted Stock Units (RSUs)                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Fair value of stock units vested       $ 83,500 $ 14,300                
Restricted Stock Units (RSUs) | Minimum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Share price of equity instruments other than options, vested in period (in USD per share)       $ 115.11 $ 83.47   $ 83.47            
Restricted Stock Units (RSUs) | Maximum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Share price of equity instruments other than options, vested in period (in USD per share)       $ 206.71 $ 156.21   156.21            
Performance Share Unit (PSUs)                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Fair value of stock units vested       $ 5,100 $ 5,300                
Performance Share Unit (PSUs) | Minimum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Share price of equity instruments other than options, vested in period (in USD per share)       $ 115.11 $ 83.47   83.47            
Performance Share Unit (PSUs) | Maximum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Share price of equity instruments other than options, vested in period (in USD per share)       $ 125.74 $ 90.03   $ 90.03            
PSUs Based on Service and EPS Targets | Maximum                          
Compensation Related Costs Share Based Payments Disclosure [Line Items]                          
Stock units to be granted (in shares)       71,890