Composition of Certain Financial Statement Captions - Composition of Certain Financial Statement Captions (Details) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Accounts receivable, net:
Accounts receivable	$ 123,553	$ 131,474
Less: allowance for credit losses	(2,067)	(4,162)
Accounts receivable, net	121,486	127,312
Inventories, net:
Consumable supplies	30,176	31,275
Finished products	39,260	37,139
Work in-process	2,897	2,449
Raw materials	7,671	6,771
Less: inventory reserve	(4,593)	(3,574)
Inventory, net	75,411	74,060
Other current assets and prepaid expenses:
Taxes recoverable	7,653	8,191
Prepaid expenses	9,058	7,918
Prepaid insurance	1,628	4,496
Other receivables	74,271	13,105
Other	6,081	6,252
Other current assets and prepaid expenses	98,691	39,962
Intangible assets, net:
Less: accumulated amortization	(422,881)	(398,959)
Intangible assets, net	803,616	823,520
Accrued expenses:
Inventory received but not invoiced	7,830	7,830
Commitments and contingencies	4,006	4,295
Employee benefits	40,323	33,765
Clinical trials	5,708	4,700
Contingent consideration	65	62
Finance leases short-term	2,968	2,809
Professional fees	2,041	1,820
Other	43,117	42,988
Accrued expenses	106,058	98,269
Other long-term liabilities:
Contingent consideration	1,114	974
Mortgages and other debts payable	8,801	9,098
Finance leases long-term	7,890	7,089
Contract liabilities	140	138
Other	10,035	10,072
Other long-term liabilities	27,980	27,371
Customer relationships
Intangible assets, net:
Intangible assets	315,586	314,854
Technologies
Intangible assets, net:
Intangible assets	829,021	826,282
Trade names
Intangible assets, net:
Intangible assets	49,767	49,752
Covenants not to compete
Intangible assets, net:
Intangible assets	12,913	12,911
Licenses
Intangible assets, net:
Intangible assets	6,100	5,988
Product registrations
Intangible assets, net:
Intangible assets	7,176	6,831
Other
Intangible assets, net:
Intangible assets	$ 5,934	$ 5,861