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Income taxes (Reconciliation of Federal Statutory Tax Rate) (Details)	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Federal statutory tax rate	21.00%	21.00%	21.00%
Foreign earnings	(5.60%)	(7.80%)	(4.70%)
Foreign-derived intangible income	(1.30%)	(1.00%)	(0.70%)
Credits, Puerto Rico excise tax	(2.80%)	(3.40%)	(2.90%)
Interest on uncertain tax positions	1.90%	1.10%	1.10%
Credits, primarily federal R&D	(2.00%)	(2.10%)	(1.40%)
Acquisition IPR&D	0.00%	4.90%	0.00%
Audit settlements	0.00%	0.00%	(1.00%)
Other, net	(0.40%)	(0.60%)	(0.70%)
Effective tax rate	10.80%	12.10%	10.70%

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Effective Income Tax Rate Reconciliation, Interest On Uncertain Tax Positions, Percent

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Percentage of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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Percentage of domestic federal statutory tax rate applicable to pretax income (loss).

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Percentage of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations applicable to statutory income tax expense (benefit) outside of the country of domicile.

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