XML 120 R100.htm IDEA: XBRL DOCUMENT v3.22.4
Segment and Geographic Information - Revenues and Long-lived Assets (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues $ 1,231,226 $ 1,139,231 $ 1,016,195
Long-lived assets 204,116    
TPA      
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues 1,189,482 1,102,032 982,492
Long-lived assets   208,892 216,738
U.S.      
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues 734,264 658,785 570,820
Long-lived assets 131,680 128,211 141,032
U.K.      
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues 121,814 134,663 128,674
Long-lived assets 17,103 15,939 20,287
Canada      
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues 97,766 84,945 89,162
Long-lived assets 19,457 21,803 17,332
All Other International      
Revenues From External Customers And Long Lived Assets [Line Items]      
Revenues 235,638 223,639 193,836
Long-lived assets $ 35,876 $ 42,939 $ 38,087