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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
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
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     4 years 8 months 8 days 5 years 4 months 20 days                
Exercisable - weighted average remaining contractual life     4 years 3 months 4 years 6 months 18 days                
Total compensation costs     $ 70,523 $ 133,844 $ 26,271              
Income tax benefit related to stock compensation     12,900 22,700 6,900              
Cash tax benefit related to stock options exercised     $ 7,700 23,900 $ 2,500              
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    
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%
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        
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 Option                        
Compensation Related Costs Share Based Payments Disclosure [Line Items]                        
Shares vesting period     5 years                  
Employee Stock Option | Award date, prior to 2018                        
Compensation Related Costs Share Based Payments Disclosure [Line Items]                        
Shares expiration period             8 years          
Shares vesting period             5 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     $ 34,100 $ 83,500                
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)     $ 137.47 $ 115.11                
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)     $ 265.96 $ 206.71                
Performance Share Unit (PSUs)                        
Compensation Related Costs Share Based Payments Disclosure [Line Items]                        
Fair value of stock units vested     $ 6,500 $ 5,100                
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)     $ 137.47 $ 115.11                
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)     $ 166.51 $ 125.74                
PSUs Based on Service and EPS Targets | Maximum                        
Compensation Related Costs Share Based Payments Disclosure [Line Items]                        
Stock units to be granted (in shares)     76,210