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Property Plant and Equipment - Schedule of Property Plant and Equipment Net (Detail) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross $ 1,504,909 $ 1,421,317
Accumulated depreciation (535,609) (472,635)
Total property, plant and equipment, net 969,300 948,682 [1]
Building and improvements    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 709,990 694,447
Manufacturing and laboratory equipment    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 365,348 345,947
Computer hardware and software    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 165,235 157,787
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 52,379 41,188
Furniture and equipment    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 37,603 33,234
Land improvements    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 7,239 6,551
Land    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross 83,094 77,993
Construction-in-progress    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, gross $ 84,021 $ 64,170
[1]
December 31, 2018 balances were derived from the audited Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018, filed with the SEC on February 28, 2019.