Goodwill and other intangible assets, net - Components of intangible assets (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	$ 3,912,271	$ 3,937,653
Accumulated Amortization	(1,482,811)	(1,435,693)
In-process research and development
Finite-Lived Intangible Assets [Line Items]
Indefinite-lived intangible assets	27,476	27,476
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible assets	1,359,438	1,363,839
Accumulated Amortization	(575,902)	(561,753)
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible assets	1,873,927	1,890,957
Accumulated Amortization	(774,353)	(745,094)
Distribution rights
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible assets	23,190	23,301
Accumulated Amortization	(22,130)	(22,048)
Trade names
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible assets	606,318	610,146
Accumulated Amortization	(88,504)	(84,864)
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible assets	21,922	21,934
Accumulated Amortization	$ (21,922)	$ (21,934)