Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross (Excluding Goodwill)	$ 3,392,898	$ 3,534,799
Accumulated Amortization	(1,103,831)	(1,015,053)
In-process research and development
Finite-Lived Intangible Assets [Line Items]
Indefinite lived intangible assets	28,158	29,627
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,328,611	1,377,943
Accumulated Amortization	(441,059)	(425,692)
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,440,643	1,458,924
Accumulated Amortization	(560,740)	(479,612)
Distribution rights
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	23,434	23,866
Accumulated Amortization	(20,630)	(20,280)
Trade names
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	549,269	619,847
Accumulated Amortization	(59,249)	(65,955)
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	22,783	24,592
Accumulated Amortization	$ (22,153)	$ (23,514)