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Non-current Bank Credit Lines and Loan Facilities - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 30, 2022
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Dec. 29, 2021
Sep. 27, 2021
Jul. 01, 2021
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Debt Instrument [Line Items]                    
Total financing costs               $ 229,731 $ 182,423 $ 13,019
Cash paid for interest               210,918 106,205 $ 13,062
Long-term debt at fair value               4,650,300 5,507,200  
PRA Health Sciences, Inc                    
Debt Instrument [Line Items]                    
Total financing costs               $ 17,700 $ 86,700  
Senior Secured Term Loan | Minimum                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               0.50%    
Senior Secured Term Loan | London Interbank Offered Rate (LIBOR)                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)             2.25%      
Senior secured revolving loan facility | Variable rate component one | Base rate                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               0.60%    
Senior secured revolving loan facility | Variable rate component one | Base rate | Maximum                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               1.00%    
Senior secured revolving loan facility | Variable rate component one | Base rate | Minimum                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               0.25%    
Senior secured revolving loan facility | Variable rate component two | London Interbank Offered Rate (LIBOR)                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               1.60%    
Senior secured revolving loan facility | Variable rate component two | London Interbank Offered Rate (LIBOR) | Maximum                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               2.00%    
Senior secured revolving loan facility | Variable rate component two | London Interbank Offered Rate (LIBOR) | Minimum                    
Debt Instrument [Line Items]                    
Basis spread on variable rate (in percent)               1.25%    
Credit Facilities: | Senior secured credit facility and senior secured notes                    
Debt Instrument [Line Items]                    
Debt discount paid             $ 27,600      
Credit Facilities: | Senior Secured Term Loan                    
Debt Instrument [Line Items]                    
Debt instrument, face amount             $ 5,515,000      
Debt instrument, interest rate (in percent)             1.00% 7.092% 2.75%  
Repayments of senior debt $ 200,000 $ 200,000 $ 100,000 $ 300,000 $ 500,000 $ 13,800        
Cash paid for interest 66,100 53,600 39,400 35,100 40,800 $ 40,400        
Payments of debt restructuring costs $ 1,800 $ 1,900 $ 900 $ 3,200 $ 5,600          
Credit Facilities: | Senior Secured Revolving Credit Facility                    
Debt Instrument [Line Items]                    
Remaining borrowing capacity               $ 300,000    
Line of credit | Senior secured revolving loan facility | Revolving loan facility                    
Debt Instrument [Line Items]                    
Maximum borrowing capacity             $ 300,000      
Senior Secured Notes | Senior Secured Notes                    
Debt Instrument [Line Items]                    
Debt instrument, face amount             $ 500,000      
Debt instrument, interest rate (in percent)             2.875% 2.875% 2.875%