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Segment Information - Components of Segment Information (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Components of Segment Information    
Revenues before reimbursable expenses $ 395,690 $ 355,961
Operating income 32,732 19,921
Revenues before reimbursable expenses 404,141 363,385
Reimbursable expenses 8,451 7,424
Other losses 0 1,568
Restructuring charges 1,338 2,337
Depreciation and amortization 6,949 5,972
Other expense, net (11,280) (2,361)
Income before taxes 21,452 17,560
Direct costs (exclusive of depreciation and amortization included below) 278,043 253,303
Reimbursable expenses 8,445 7,584
Selling, general and administrative expenses 76,634 72,700
Costs and Expenses 371,409 343,464
Healthcare    
Components of Segment Information    
Revenues before reimbursable expenses 198,490 180,742
Revenues before reimbursable expenses 203,321 184,969
Education    
Components of Segment Information    
Revenues before reimbursable expenses 122,748 111,583
Revenues before reimbursable expenses 125,016 113,545
Commercial:    
Components of Segment Information    
Revenues before reimbursable expenses 74,452 63,636
Revenues before reimbursable expenses 75,804 64,871
Operating segments    
Components of Segment Information    
Revenues before reimbursable expenses 395,690 355,961
Operating income 90,672 78,689
Revenues before reimbursable expenses 404,141 363,385
Reimbursable expenses 8,451 7,424
Operating segments | Healthcare    
Components of Segment Information    
Revenues before reimbursable expenses 198,490 180,742
Operating income 56,316 42,694
Revenues before reimbursable expenses 203,321 184,969
Reimbursable expenses 4,831 4,227
Depreciation and amortization 1,567 1,737
Direct costs (exclusive of depreciation and amortization included below) 130,312 123,659
Reimbursable expenses 4,831 4,326
Selling, general and administrative expenses 10,331 12,435
Segment Reporting, Other Segment Item, Amount (36) 118
Costs and Expenses 147,005 142,275
Operating segments | Education    
Components of Segment Information    
Revenues before reimbursable expenses 122,748 111,583
Operating income 23,060 21,956
Revenues before reimbursable expenses 125,016 113,545
Reimbursable expenses 2,268 1,962
Depreciation and amortization 969 147
Direct costs (exclusive of depreciation and amortization included below) 90,365 84,557
Reimbursable expenses 2,268 1,994
Selling, general and administrative expenses 8,362 4,894
Segment Reporting, Other Segment Item, Amount (8) (3)
Costs and Expenses 101,956 91,589
Operating segments | Commercial:    
Components of Segment Information    
Revenues before reimbursable expenses 74,452 63,636
Operating income 11,296 14,039
Revenues before reimbursable expenses 75,804 64,871
Reimbursable expenses 1,352 1,235
Depreciation and amortization 236 60
Direct costs (exclusive of depreciation and amortization included below) 57,179 45,070
Reimbursable expenses 1,352 1,264
Selling, general and administrative expenses 5,752 4,449
Segment Reporting, Other Segment Item, Amount (11) (11)
Costs and Expenses 64,508 50,832
Segment reconciling items    
Components of Segment Information    
Operating income 32,732 19,921
Unallocated corporate expenses 52,371 50,939
Other losses 0 1,568
Restructuring charges 1,392 2,233
Depreciation and amortization 4,177 4,028
Other expense, net $ (11,280) $ (2,361)