Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]
Intangible assets, gross	$ 3,563,536	$ 3,392,898
Accumulated Amortization	(1,257,371)	(1,103,831)
In-process research and development
Finite-Lived Intangible Assets [Line Items]
Indefinite lived intangible assets	27,075	28,158
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,328,539	1,328,611
Accumulated Amortization	(497,335)	(441,059)
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,599,355	1,440,643
Accumulated Amortization	(646,643)	(560,740)
Distribution rights
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	23,115	23,434
Accumulated Amortization	(21,090)	(20,630)
Trade names
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	564,023	549,269
Accumulated Amortization	(71,128)	(59,249)
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	21,429	22,783
Accumulated Amortization	$ (21,175)	$ (22,153)