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Business Combinations - Schedule of Acquisitions, PRA Acquisition (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Jul. 01, 2021
Business Acquisition [Line Items]        
Goodwill $ 9,022,075 $ 8,971,670 $ 9,037,931  
PRA Health Sciences, Inc        
Business Acquisition [Line Items]        
Cash and cash equivalents       $ 259,971
Accounts receivable and unbilled revenue       934,308
Other current assets       125,156
Fixed assets       156,851
Operating lease right-of-use assets       180,601
Goodwill       8,084,314
Intangible assets       4,919,000
Deferred tax assets       25,190
Other assets       33,928
Accounts payable       (50,259)
Accrued expenses and other current liabilities       (380,048)
Current portion of operating lease liabilities       (36,506)
Unearned revenue       (739,278)
Non-current portion of operating lease liabilities       (147,204)
Deferred tax liabilities       (1,119,762)
Other non-current liabilities       (204,291)
Net assets acquired       $ 12,041,971