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Related Party Transactions - Additional Information (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2022
USD ($)
Building
RenewalOption
Agreement
Jun. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
Related Party Transaction [Line Items]          
Advanced billings $ 12,000   $ 12,000   $ 8,300
Accounts receivable and unbilled, net 6,600   6,600   2,700
Operating lease cost recognized 6,375 $ 5,817 12,875 $ 11,547  
Operating lease right-of-use assets 135,389   135,389   129,558
Current portion of lease liability 18,770   18,770   16,276
Long-term portion of lease liabilities 134,977   134,977   130,965
Accounts payable 300   300   300
Employee Loans | Prepaid Expenses and Other Current Assets and Other Assets          
Related Party Transaction [Line Items]          
Employee advances receivables 300   300   200
Service Agreement | LIB          
Related Party Transaction [Line Items]          
Advanced billings 3,500   3,500   2,900
Accounts receivable and unbilled, net 4,200   4,200   500
Service Agreement | LIB | Revenue Net          
Related Party Transaction [Line Items]          
Revenue with related parties 9,700 2,800 17,100 3,300  
Service Agreement | CinRx Pharma and Subsidiaries          
Related Party Transaction [Line Items]          
Advanced billings 8,500   8,500   5,400
Accounts receivable and unbilled, net 2,400   2,400   2,100
Service Agreement | CinRx Pharma and Subsidiaries | Revenue Net          
Related Party Transaction [Line Items]          
Revenue with related parties 7,500 7,100 13,300 11,900  
Service Agreement | The Summit          
Related Party Transaction [Line Items]          
Expenses incurred     $ 100 100  
Service Agreement | The Summit | Maximum          
Related Party Transaction [Line Items]          
Expenses incurred $ 100 100      
Leased Real Estate | Chief Executive Officer          
Related Party Transaction [Line Items]          
Term of lease 12 years   12 years    
Lease expiration period     2022-11    
Number of lease renewal, 10-year option | RenewalOption     1    
Lease term upon renewal 10 years   10 years    
Lease term reassessment Description     In Q3 2021, the Company accounted for the renewal option, as it became reasonably certain it would be exercised per the agreement, by extending the lease term through November 2032.    
Leased Real Estate | Chief Executive Officer | Direct Costs and Selling, General And Administrative          
Related Party Transaction [Line Items]          
Operating lease cost recognized $ 500 500 $ 1,100 1,000  
Leased Real Estate | Chief Executive Officer And Immediate Family | Office Space          
Related Party Transaction [Line Items]          
Number of lease renewal, 10-year option | RenewalOption     2    
Lease term upon renewal 10 years   10 years    
Lease expiration year     2040    
Leased Real Estate | Chief Executive Officer And Immediate Family | Building          
Related Party Transaction [Line Items]          
Number of lease renewal, 10-year option | RenewalOption     1    
Lease term upon renewal 10 years   10 years    
Lease expiration year     2027    
Number of lease agreements | Agreement     2    
Number of buildings | Building     2    
Lease occupancy year     2012    
Leased Real Estate | Chief Executive Officer And Immediate Family | Direct Costs and Selling, General And Administrative | Office Space          
Related Party Transaction [Line Items]          
Operating lease cost recognized $ 1,400 1,400 $ 2,800 2,800  
Leased Real Estate | Chief Executive Officer And Immediate Family | Direct Costs and Selling, General And Administrative | Building          
Related Party Transaction [Line Items]          
Operating lease cost recognized 900 900 1,800 1,800  
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer          
Related Party Transaction [Line Items]          
Operating lease right-of-use assets 19,000   19,000   19,700
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer And Immediate Family | Office Space          
Related Party Transaction [Line Items]          
Operating lease right-of-use assets 54,300   54,300   55,100
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer And Immediate Family | Building          
Related Party Transaction [Line Items]          
Operating lease right-of-use assets 15,900   15,900   17,200
Leased Real Estate | Other Current Liabilities | Chief Executive Officer          
Related Party Transaction [Line Items]          
Current portion of lease liability 1,500   1,500   1,500
Leased Real Estate | Other Current Liabilities | Chief Executive Officer And Immediate Family | Office Space          
Related Party Transaction [Line Items]          
Current portion of lease liability 1,000   1,000   900
Leased Real Estate | Other Current Liabilities | Chief Executive Officer And Immediate Family | Building          
Related Party Transaction [Line Items]          
Current portion of lease liability 2,700   2,700   2,600
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer          
Related Party Transaction [Line Items]          
Long-term portion of lease liabilities 17,500   17,500   18,300
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer And Immediate Family | Office Space          
Related Party Transaction [Line Items]          
Long-term portion of lease liabilities 65,400   65,400   65,900
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer And Immediate Family | Building          
Related Party Transaction [Line Items]          
Long-term portion of lease liabilities 13,300   13,300   14,600
Travel Services          
Related Party Transaction [Line Items]          
Accounts payable 200   200   $ 200
Travel Services | Chief Executive Officer          
Related Party Transaction [Line Items]          
Travel expenses with related party $ 600 $ 400 $ 1,000 $ 500