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Business Combinations - Schedule of Pro-Forma Information, PRA Acquisition (Details) - PRA Health Sciences, Inc - USD ($)
$ in Thousands
 12 Months Ended 18 Months Ended
Dec. 31, 2022
Dec. 31, 2022
Business Acquisition [Line Items]    
Cash and cash equivalents   $ 0
Accounts receivable and unbilled revenue   0
Other current assets   14,465
Fixed assets   (6,137)
Operating lease right-of-use assets   (11,744)
Goodwill   70,436
Intangible assets   44,000
Deferred tax assets   (147,039)
Other assets   (1,166)
Accounts payable   0
Accrued expenses and other current liabilities   (37,496)
Current portion of operating lease liabilities   1,865
Unearned revenue   19,623
Non-current portion of operating lease liabilities   10,454
Non-current deferred tax liabilities   193,837
Other non-current liabilities   $ (151,098)
Amortization adjustment $ 2,200  
Accounting Standards Update 2021-08    
Business Acquisition [Line Items]    
Unearned revenue $ 16,000