Composition of Certain Financial Statement Captions - Composition of Certain Financial Statement Captions (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Accounts receivable, net
Accounts receivable	$ 131,474	$ 261,476
Less: allowance for doubtful accounts	(4,162)	(1,839)
Accounts receivable, net	127,312	259,637
Inventories, net
Finished products	37,139	44,107
Consumable supplies	31,275	39,447
Work in-process	2,449	1,615
Raw materials	6,771	6,112
Less: inventory reserve	(3,574)	(4,779)
Inventory, net	74,060	86,502
Other current assets and prepaid expenses
Prepaid supplies	7,918	10,641
Prepaid insurance	4,496	4,383
Taxes recoverable	8,191	5,598
Other receivables	13,105	353
Other	6,252	6,195
Prepaid expenses and other current assets	39,962	27,170
Property, plant and equipment, net:
Less: accumulated depreciation	(142,406)	(133,326)
Property, plant and equipment, net	82,879	79,727
Intangible assets, net:
Less: accumulated amortization	(398,959)	(320,820)
Intangible assets, net	823,520	321,683
Accrued expenses:
Employee benefits	33,765	45,939
Inventory received but not invoiced	7,830	40,446
Commitments and contingencies	4,295	27,819
Clinical trials	4,700	4,867
Finance leases short-term	2,809	2,257
Professional fees	1,820	2,121
Contingent consideration	62	487
Contract liabilities	0	258
Other	42,988	69,299
Accrued expenses	98,269	193,493
Other long-term liabilities:
Mortgages and other debts payable	9,098	2,224
Finance leases long-term	7,089	2,924
Contingent consideration	974	2,350
Contract liabilities	138	208
Other	10,072	7,356
Other long-term liabilities	27,371	15,062
Technologies
Intangible assets, net:
Intangible assets	826,282	246,101
Customer relationships
Intangible assets, net:
Intangible assets	314,854	314,823
Trade names
Intangible assets, net:
Intangible assets	49,752	49,770
Covenants not to compete
Intangible assets, net:
Intangible assets	12,911	12,920
Licenses
Intangible assets, net:
Intangible assets	5,988	5,766
Product registrations
Intangible assets, net:
Intangible assets	6,831	6,995
Other
Intangible assets, net:
Intangible assets	5,861	6,128
Machinery, medical and other equipment
Property, plant and equipment, net:
Property, plant and equipment, gross	136,048	127,633
Leasehold improvements
Property, plant and equipment, net:
Property, plant and equipment, gross	25,516	27,478
Furniture and fixtures
Property, plant and equipment, net:
Property, plant and equipment, gross	11,271	11,638
Automobiles and aircraft
Property, plant and equipment, net:
Property, plant and equipment, gross	12,808	12,602
Software
Property, plant and equipment, net:
Property, plant and equipment, gross	14,218	14,507
Building
Property, plant and equipment, net:
Property, plant and equipment, gross	18,314	10,661
Land
Property, plant and equipment, net:
Property, plant and equipment, gross	2,317	2,421
Construction in process
Property, plant and equipment, net:
Property, plant and equipment, gross	$ 4,793	$ 6,113