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Acquisitions (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 03, 2026
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Business Combination [Line Items]          
Revenues before reimbursable expenses   $ 475,042 $ 411,755 $ 926,809 $ 815,896
Goodwill recorded in connection with business acquisitions(1)       $ 18,550  
Business Combination, Provisional Information, Initial Accounting Incomplete, Items       The acquisition date values of assets acquired and liabilities assumed in the acquisition are considered preliminary and are based on the information that was available as of the date of the acquisition. We believe that the information provides a reasonable basis for estimating the preliminary values of assets acquired and liabilities assumed but certain items, such as the valuations of the intangible assets and deferred taxes and purchase price adjustments, among other items, may be subject to change as additional information is received. Thus, the provisional measurements of assets acquired, including goodwill, and liabilities assumed related to the acquisition are subject to change. We expect to finalize the valuations as soon as practicable, but not later than one year from the acquisition date.  
2025 Acquisitions          
Business Combination [Line Items]          
Business Combination, Consideration Transferred       $ 159,700  
us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired       110,200  
Business Combination, Consideration Transferred, Equity Interest       29,200  
Asset Acquisition, Contingent Consideration, Liability       20,300  
Goodwill recorded in connection with business acquisitions(1)       108,100  
Business Combination, Goodwill, Expected Tax Deductible, Amount   98,700   98,700  
Intangible Asset, Finite-Lived, Acquired       58,100  
Healthcare          
Business Combination [Line Items]          
Revenues before reimbursable expenses   236,852 203,271 466,037 406,592
Commercial:          
Business Combination [Line Items]          
Revenues before reimbursable expenses   $ 96,002 76,798 188,973 152,602
Goodwill recorded in connection with business acquisitions(1)       209  
Education/Healthcare | 2025 Acquisitions          
Business Combination [Line Items]          
Goodwill recorded in connection with business acquisitions(1)       10,400  
TVG_Treliant Holdings, LLC | Customer relationships | 2025 Acquisitions          
Business Combination [Line Items]          
Intangible Asset, Finite-Lived, Acquired       $ 19,100  
Useful Life  (in years)   10 years   10 years  
TVG_Treliant Holdings, LLC | Commercial: | 2025 Acquisitions          
Business Combination [Line Items]          
Goodwill recorded in connection with business acquisitions(1)       $ 27,400  
Eclipse LLC | 2025 Acquisitions          
Business Combination [Line Items]          
Intangible Asset, Finite-Lived, Acquired       27,600  
Eclipse LLC | Customer relationships | 2025 Acquisitions          
Business Combination [Line Items]          
Intangible Asset, Finite-Lived, Acquired       $ 25,500  
Useful Life  (in years)   10 years   10 years  
Eclipse LLC | Technology and software | 2025 Acquisitions          
Business Combination [Line Items]          
Intangible Asset, Finite-Lived, Acquired       $ 2,100  
Useful Life  (in years)   5 years   5 years  
Eclipse LLC | Healthcare | 2025 Acquisitions          
Business Combination [Line Items]          
Goodwill recorded in connection with business acquisitions(1)       $ 53,800  
Wilson Perumal and Company, Inc. | Commercial: | 2025 Acquisitions          
Business Combination [Line Items]          
Goodwill recorded in connection with business acquisitions(1)       16,500  
RelateCare          
Business Combination [Line Items]          
Goodwill recorded in connection with business acquisitions(1)       18,300  
Business Combination, Goodwill, Expected Tax Deductible, Amount   $ 18,300   18,300  
Intangible Asset, Finite-Lived, Acquired       $ 16,400  
Useful Life  (in years)   10 years   10 years  
Business Combination, Effective Date of Acquisition Jun. 03, 2026        
Business Combination, Voting Equity Interest Acquired, Percentage 100.00%        
Business Combination, Description of Acquiree a provider of AI-enabled clinical and patient access solutions        
Business Combination, Name of Acquiree Akusus Holdings Limited        
2025 Acquisitions          
Business Combination [Line Items]          
Revenues before reimbursable expenses     $ 2,100   $ 2,400