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Summary of significant accounting policies - Estimated Useful Lives of Intangible Assets (Details)
Jun. 30, 2023
Customer relationships  
Indefinite-Lived Intangible Assets [Line Items]  
Estimated Useful Life 23 years
Order backlog  
Indefinite-Lived Intangible Assets [Line Items]  
Estimated Useful Life 3 years
Trade names  
Indefinite-Lived Intangible Assets [Line Items]  
Estimated Useful Life 3 years
Patient database  
Indefinite-Lived Intangible Assets [Line Items]  
Estimated Useful Life 7 years
Technology assets  
Indefinite-Lived Intangible Assets [Line Items]  
Estimated Useful Life 5 years