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Related Party Transactions - Additional Information (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2021
USD ($)
RenewalOption
Agreement
Building
Mar. 31, 2020
USD ($)
Dec. 31, 2018
RenewalOption
Agreement
Dec. 31, 2020
USD ($)
Related Party Transaction [Line Items]        
Advanced billings $ 6,100     $ 6,500
Accounts receivable and unbilled, net 2,200     2,600
Operating lease cost recognized 5,730 $ 3,768    
Operating lease right-of-use assets 112,266     113,809
Current portion of lease liability 16,111     15,890
Long-term portion of lease liabilities 114,144     115,143
Employee Loans | Prepaid Expenses and Other Current Assets and Other Assets        
Related Party Transaction [Line Items]        
Employee advances receivables 200     200
Service Agreements | LIB        
Related Party Transaction [Line Items]        
Advanced billings 600     700
Accounts receivable and unbilled, net 100     300
Service Agreements | LIB | Revenue Net        
Related Party Transaction [Line Items]        
Revenue with related parties 500 1,000    
Service Agreements | CinRx Pharma and Subsidiaries        
Related Party Transaction [Line Items]        
Advanced billings 5,500     5,800
Accounts receivable and unbilled, net 2,000     2,200
Service Agreements | CinRx Pharma and Subsidiaries | Revenue Net        
Related Party Transaction [Line Items]        
Revenue with related parties 4,800 4,400    
Service Agreements | The Summit        
Related Party Transaction [Line Items]        
Expenses incurred $ 100 200    
Leased Real Estate | Chief Executive Officer        
Related Party Transaction [Line Items]        
Term of lease 12 years      
Lease expiration period 2022-11      
Number of lease renewal, 10-year option | RenewalOption 1      
Lease term upon renewal 10 years      
Leased Real Estate | Chief Executive Officer | Office Space        
Related Party Transaction [Line Items]        
Number of lease renewal, 10-year option | RenewalOption     2  
Lease term upon renewal     10 years  
Current portion of lease liability       700
Long-term portion of lease liabilities       66,800
Lease expiration year     2040  
Number of lease agreements | Agreement     1  
Leased Real Estate | Chief Executive Officer | Direct Costs and Selling, General And Administrative        
Related Party Transaction [Line Items]        
Operating lease cost recognized $ 500 500    
Leased Real Estate | Chief Executive Officer | Direct Costs and Selling, General And Administrative | Office Space        
Related Party Transaction [Line Items]        
Operating lease cost recognized $ 1,400      
Leased Real Estate | Chief Executive Officer And Immediate Family        
Related Party Transaction [Line Items]        
Number of lease renewal, 10-year option | RenewalOption 1      
Lease term upon renewal 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        
Related Party Transaction [Line Items]        
Operating lease cost recognized $ 900 900    
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer        
Related Party Transaction [Line Items]        
Operating lease right-of-use assets 3,000     3,500
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer | Office Space        
Related Party Transaction [Line Items]        
Operating lease right-of-use assets 56,200     56,600
Leased Real Estate | Operating Lease Right-of-Use Assets | Chief Executive Officer And Immediate Family        
Related Party Transaction [Line Items]        
Operating lease right-of-use assets 19,100     19,700
Leased Real Estate | Other Current Liabilities | Chief Executive Officer        
Related Party Transaction [Line Items]        
Current portion of lease liability 1,900     1,900
Leased Real Estate | Other Current Liabilities | Chief Executive Officer | Office Space        
Related Party Transaction [Line Items]        
Current portion of lease liability 800      
Leased Real Estate | Other Current Liabilities | Chief Executive Officer And Immediate Family        
Related Party Transaction [Line Items]        
Current portion of lease liability 2,500     2,400
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer        
Related Party Transaction [Line Items]        
Long-term portion of lease liabilities 1,100     1,600
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer | Office Space        
Related Party Transaction [Line Items]        
Long-term portion of lease liabilities 66,600      
Leased Real Estate | Operating Lease Liabilities | Chief Executive Officer And Immediate Family        
Related Party Transaction [Line Items]        
Long-term portion of lease liabilities 16,600     $ 17,200
Travel Services | Chief Executive Officer        
Related Party Transaction [Line Items]        
Travel expenses with related party $ 100 $ 200