Composition of Certain Financial Statement Captions (Details) - USD ($) $ in Thousands	Jun. 30, 2022	Dec. 31, 2021
Accounts receivable, net:
Accounts receivable	$ 165,226	$ 261,476
Less: allowance for credit losses	(6,801)	(1,839)
Accounts receivable, net	158,425	259,637
Inventories, net:
Consumable supplies	37,054	39,447
Finished products	42,321	44,107
Work in-process	1,892	1,615
Raw materials	7,256	6,112
Less: inventory reserve	(5,217)	(4,779)
Inventory, net	83,306	86,502
Other current assets and prepaid expenses:
Taxes recoverable	5,442	5,598
Prepaid expenses	12,324	10,641
Prepaid insurance	7,166	4,383
Other receivables	11,273	353
Other	6,358	6,195
Other current assets and prepaid expenses	42,563	27,170
Intangible assets, net:
Less: accumulated amortization	(352,488)	(320,820)
Intangible assets, net	862,409	321,683
Accrued expenses:
Inventory received but not invoiced	18,853	40,446
Commitments and contingencies	12,745	27,819
Employee benefits	34,368	45,939
Contract liabilities	257	258
Clinical trials	4,245	4,867
Contingent consideration	487	487
Finance leases short-term	2,625	2,257
Professional fees	4,116	2,121
Other	50,558	69,299
Accrued expenses	128,254	193,493
Other long-term liabilities:
Contingent consideration	2,416	2,350
Mortgages and other debts payable	1,680	2,224
Finance leases long-term	4,588	2,924
Contract liabilities	192	208
Other	7,361	7,356
Other long-term liabilities	16,237	15,062
Customer relationships
Intangible assets, net:
Intangible assets	311,864	314,823
Technologies
Intangible assets, net:
Intangible assets	822,323	246,101
Trade names
Intangible assets, net:
Intangible assets	49,735	49,770
Covenants not to compete
Intangible assets, net:
Intangible assets	12,907	12,920
Licenses
Intangible assets, net:
Intangible assets	5,873	5,766
Product registrations
Intangible assets, net:
Intangible assets	6,440	6,995
Other
Intangible assets, net:
Intangible assets	$ 5,755	$ 6,128