Business combinations - BioTel Research LLC Acquisition (Details) - USD ($) $ in Thousands |
3 Months Ended | 12 Months Ended | ||||
|---|---|---|---|---|---|---|
Dec. 31, 2023 |
Dec. 31, 2025 |
Dec. 31, 2024 |
Dec. 31, 2023 |
Oct. 02, 2023 |
Dec. 31, 2022 |
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| Business Combination [Line Items] | ||||||
| Initial cash consideration | $ 2,537 | $ 84,159 | $ 71,766 | |||
| Goodwill | $ 9,022,075 | $ 8,731,689 | $ 9,051,410 | $ 9,022,075 | $ 8,971,670 | |
| Biotel Research LLC | ||||||
| Business Combination [Line Items] | ||||||
| Payments to acquire businesses, net of cash acquired | 66,700 | |||||
| Initial cash consideration | 68,100 | |||||
| Cash acquired from acquisition | $ 1,400 | |||||
| Intangible assets acquired | $ 36,400 | |||||
| Goodwill | $ 23,400 | |||||
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of identifiable finite-lived intangible asset acquired in business combination and recognized at acquisition date. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The cash inflow associated with the acquisition of business during the period (for example, cash that was held by the acquired business). Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Details
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