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Investments and Fair Value Measurements - Narrative (Details)
$ in Thousands, shares in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Aug. 18, 2021
USD ($)
Dec. 31, 2021
USD ($)
shares
Apr. 30, 2019
Oct. 01, 2023
USD ($)
Oct. 02, 2022
USD ($)
Jan. 02, 2022
USD ($)
Jul. 04, 2021
USD ($)
Dec. 31, 2023
USD ($)
venture
Jan. 01, 2023
USD ($)
Jan. 02, 2022
USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Marketable equity securities               $ 6,000 $ 26,000  
Strategic equity investments, without readily determinable fair values               28,000 28,000  
Revenue               4,504,000 4,584,000 $ 4,526,000
Gain on exchange of GRAIL contingent value rights               0 0 86,000
Business combination, contingent consideration arrangements, change in amount of contingent consideration, liability               24,000 205,000 (4,000)
Helix Holdings I, LLC                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Contingent value right, terms     7 years              
Business Combination, Contingent Consideration, Liability                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Cash payments           $ 15,000   (1,000)   (15,000)
Investee                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Revenue               69,000 113,000 74,000
GRAIL Inc                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Contingent value right, terms 12 years                  
Covered revenues of GRAIL       $ 85,000 $ 42,000          
Payment for contingent consideration   $ 57,000           803 396  
Contingent consideration liabilities   $ 145,000           387,000 412,000  
Contingent consideration, noncurrent               $ 385,000 411,000  
Contingent value rights exchanged (in shares) | shares   73                
Number of shares issued in exchange for contingent consideration | shares   2                
Gain on exchange of GRAIL contingent value rights   $ 86,000                
Business combination, consideration transferred for contingent consideration transferred   $ 59,000                
Fair value of contingent consideration $ 757,000                  
GRAIL Inc | Payment Rights Of One Billion Each Twelve Years                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Contingent payment rights, first percentage 2.50%                  
Business acquisition, contingent value rights, revenue threshold $ 1,000,000                  
GRAIL Inc | Payment Rights Of Above One Billion Each Twelve Years                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Business acquisition, contingent value rights, revenue threshold $ 1,000,000                  
Contingent payment rights, second percentage 9.00%                  
Series of Individually Immaterial Business Acquisitions                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Fair value of contingent consideration             $ 14,000      
Business combination, contingent consideration arrangements, change in amount of contingent consideration, liability                   1,000
Venture Capital Investment Fund (the Fund)                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Number of venture capital investment funds | venture               2    
Equity method investments               $ 168,000 183,000  
Unrealized gain (loss) on equity method investments               (33,000) $ (25,000) $ 55,000
Venture Capital Investment Fund (the Funds), One                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Commitment in new venture capital investment fund               100,000    
Remaining capital commitment               4,000    
Venture Capital Investment Fund (the Funds), Two                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Commitment in new venture capital investment fund               150,000    
Remaining capital commitment               $ 71,000