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Segment and Geographic Information - Revenues (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Segment Reporting Information [Line Items]      
Revenues $ 1,139,231 $ 1,016,195 $ 1,047,627
Service      
Segment Reporting Information [Line Items]      
Revenues 1,102,032 982,492 1,005,802
Reimbursements      
Segment Reporting Information [Line Items]      
Revenues $ 37,199 $ 33,703 $ 41,825