Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2024	Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]
Intangible assets, gross	$ 3,896,260	$ 3,937,653
Accumulated Amortization	(1,627,546)	(1,435,693)
In-process research and development
Finite-Lived Intangible Assets [Line Items]
Indefinite lived intangible assets	23,666	27,476
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,354,087	1,363,839
Accumulated Amortization	(620,619)	(561,753)
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,870,407	1,890,957
Accumulated Amortization	(863,066)	(745,094)
Distribution rights
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	23,004	23,301
Accumulated Amortization	(22,524)	(22,048)
Trade names
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	603,202	610,146
Accumulated Amortization	(99,443)	(84,864)
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	21,894	21,934
Accumulated Amortization	$ (21,894)	$ (21,934)