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Intangible Assets - Schedule of Finite-Lived Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost $ 5,199,004 $ 5,147,971
Accumulated amortization (1,639,212) (1,292,106)
Net book value 3,559,792 3,855,865
Customer relationships    
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost 4,129,501 4,090,393
Order backlog    
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost 543,933 541,302
Trade names & brands    
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost 204,588 204,653
Patient database    
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost 170,324 170,366
Technology assets    
Acquired Finite-Lived Intangible Assets [Line Items]    
Total cost $ 150,658 $ 141,257