Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]
Intangible assets, gross	$ 3,937,653	$ 3,563,536
Accumulated Amortization	(1,435,693)	(1,257,371)
In-process research and development
Finite-Lived Intangible Assets [Line Items]
Indefinite lived intangible assets	27,476	27,075
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,363,839	1,328,539
Accumulated Amortization	(561,753)	(497,335)
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,890,957	1,599,355
Accumulated Amortization	(745,094)	(646,643)
Distribution rights
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	23,301	23,115
Accumulated Amortization	(22,048)	(21,090)
Trade names
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	610,146	564,023
Accumulated Amortization	(84,864)	(71,128)
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	21,934	21,429
Accumulated Amortization	$ (21,934)	$ (21,175)