Guarantor Subsidiaries Financial Information - Balance Sheet (Details) - USD ($) $ in Thousands	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017
Condensed Financial Statements, Captions [Line Items]
Cash and cash equivalents	$ 461,371		$ 2,342,354	$ 245,574		$ 233,401
Receivables, net	1,707,409		1,146,778
Inventories	1,881,791		844,886
Current assets - other	178,569		115,649
Total current assets	4,229,140		4,449,667
Property, plant and equipment, net	1,646,097		563,737
Goodwill	8,150,671		2,396,544
Investment in subsidiaries	0		0
Other intangibles, net	4,364,356		1,129,880
Other long-term assets	552,329		109,406
Total Assets	18,942,593		8,649,234
Current liabilities	3,211,315		1,646,690
Inter-company	0		0
Long-term debt	4,528,768		3,792,774
Long-term liabilities - other	1,367,353		340,695
Total Liabilities	9,107,436		5,780,159
Shareholders' equity	9,801,760		2,865,131
Noncontrolling interest	33,397		3,944
Total Equity	9,835,157	$ 9,780,446	2,869,075	2,874,628	$ 2,988,229	2,828,532
Total Liabilities and Equity	18,942,593		8,649,234
Elimination
Condensed Financial Statements, Captions [Line Items]
Cash and cash equivalents	0		0	0		0
Receivables, net	0		0
Inventories	0		0
Current assets - other	0		0
Total current assets	0		0
Property, plant and equipment, net	0		0
Goodwill	0		0
Investment in subsidiaries	(23,012,362)		(10,730,086)
Other intangibles, net	0		0
Other long-term assets	0		0
Total Assets	(23,012,362)		(10,730,086)
Current liabilities	0		0
Inter-company	0		0
Long-term debt	0		0
Long-term liabilities - other	0		0
Total Liabilities	0		0
Shareholders' equity	(23,012,362)		(10,730,086)
Noncontrolling interest	0		0
Total Equity	(23,012,362)		(10,730,086)
Total Liabilities and Equity	(23,012,362)		(10,730,086)
Parent | Reportable Legal Entities
Condensed Financial Statements, Captions [Line Items]
Cash and cash equivalents	7,011		1,782,682	741		933
Receivables, net	134,298		106,815
Inventories	141,400		149,622
Current assets - other	15,094		11,884
Total current assets	297,803		2,051,003
Property, plant and equipment, net	57,966		51,551
Goodwill	504,818		25,275
Investment in subsidiaries	16,878,245		6,707,979
Other intangibles, net	28,594		29,254
Other long-term assets	27,223		8,775
Total Assets	17,794,649		8,873,837
Current liabilities	472,747		264,630
Inter-company	2,858,761		1,947,504
Long-term debt	4,274,718		3,779,627
Long-term liabilities - other	386,662		16,945
Total Liabilities	7,992,888		6,008,706
Shareholders' equity	9,786,761		2,865,131
Noncontrolling interest	15,000		0
Total Equity	9,801,761		2,865,131
Total Liabilities and Equity	17,794,649		8,873,837
Guarantors | Reportable Legal Entities
Condensed Financial Statements, Captions [Line Items]
Cash and cash equivalents	9,820		(119)	573		625
Receivables, net	252,077		61,513
Inventories	662,717		69,116
Current assets - other	30,484		690
Total current assets	955,098		131,200
Property, plant and equipment, net	36,879		24,755
Goodwill	283,241		283,241
Investment in subsidiaries	6,134,117		4,022,107
Other intangibles, net	77,301		78,547
Other long-term assets	166,012		149
Total Assets	7,652,648		4,539,999
Current liabilities	1,036,279		91,004
Inter-company	(1,606,278)		(1,436,222)
Long-term debt	0		0
Long-term liabilities - other	135,254		48,714
Total Liabilities	(434,745)		(1,296,504)
Shareholders' equity	8,087,393		5,836,503
Noncontrolling interest	0		0
Total Equity	8,087,393		5,836,503
Total Liabilities and Equity	7,652,648		4,539,999
Non-Guarantors | Reportable Legal Entities
Condensed Financial Statements, Captions [Line Items]
Cash and cash equivalents	444,540		559,791	$ 244,260		$ 231,843
Receivables, net	1,321,034		978,450
Inventories	1,077,674		626,148
Current assets - other	132,991		103,075
Total current assets	2,976,239		2,267,464
Property, plant and equipment, net	1,551,252		487,431
Goodwill	7,362,612		2,088,028
Investment in subsidiaries	0		0
Other intangibles, net	4,258,461		1,022,079
Other long-term assets	359,094		100,482
Total Assets	16,507,658		5,965,484
Current liabilities	1,702,289		1,291,056
Inter-company	(1,252,483)		(511,282)
Long-term debt	254,050		13,147
Long-term liabilities - other	845,437		275,036
Total Liabilities	1,549,293		1,067,957
Shareholders' equity	14,939,968		4,893,583
Noncontrolling interest	18,397		3,944
Total Equity	14,958,365		4,897,527
Total Liabilities and Equity	$ 16,507,658		$ 5,965,484