Composition of Certain Financial Statement Captions (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Accounts receivable, net:
Accounts receivable	$ 129,576	$ 261,476
Less: allowance for credit losses	(6,388)	(1,839)
Accounts receivable, net	123,188	259,637
Inventories, net:
Consumable supplies	30,211	39,447
Finished products	37,188	44,107
Work in-process	2,580	1,615
Raw materials	6,417	6,112
Less: inventory reserve	(4,967)	(4,779)
Inventory, net	71,429	86,502
Other current assets and prepaid expenses:
Taxes recoverable	5,161	5,598
Prepaid expenses	9,785	10,641
Prepaid insurance	7,331	4,383
Other receivables	9,899	353
Other	6,340	6,195
Other current assets and prepaid expenses	38,516	27,170
Intangible assets, net:
Less: accumulated amortization	(366,921)	(320,820)
Intangible assets, net	835,136	321,683
Accrued expenses:
Inventory received but not invoiced	13,545	40,446
Commitments and contingencies	1,647	27,819
Employee benefits	45,124	45,939
Contract liabilities	257	258
Clinical trials	4,073	4,867
Contingent consideration	0	487
Finance leases short-term	2,580	2,257
Professional fees	1,630	2,121
Other	43,159	69,299
Accrued expenses	112,015	193,493
Other long-term liabilities:
Contingent consideration	1,671	2,350
Mortgages and other debts payable	8,970	2,224
Finance leases long-term	4,350	2,924
Contract liabilities	136	208
Other	7,425	7,356
Other long-term liabilities	22,552	15,062
Customer relationships
Intangible assets, net:
Intangible assets	309,758	314,823
Technologies
Intangible assets, net:
Intangible assets	812,118	246,101
Trade names
Intangible assets, net:
Intangible assets	49,713	49,770
Covenants not to compete
Intangible assets, net:
Intangible assets	12,897	12,920
Licenses
Intangible assets, net:
Intangible assets	5,969	5,766
Product registrations
Intangible assets, net:
Intangible assets	6,119	6,995
Other
Intangible assets, net:
Intangible assets	$ 5,483	$ 6,128