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Acquisitions and Joint Venture - Narrative (Details) - USD ($) |  | 1 Months Ended | 3 Months Ended | 6 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Dec. 17, 2021 | Mar. 31, 2022 | Jul. 31, 2022 | Apr. 30, 2022 | Apr. 30, 2022 | Apr. 30, 2021 | Oct. 31, 2021 | Feb. 01, 2021 | Jan. 19, 2021
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Finite-lived intangible asset, useful life |  |  |  |  | 14 years |  |  |  |
Goodwill |  |  |  | $ 3,719,400,000 | $ 3,719,400,000 |  | $ 2,574,000,000 |  |
Proceeds from sale of interest in a subsidiary |  | $ 52,600,000 |  |  | $ 52,600,000 | $ 0 |  |  |
Equity method investment, ownership percentage |  | 50.00% |  | 50.00% | 50.00% |  |  |  |
Payments to form joint venture |  | $ 10,000,000 |  |  |  |  |  |  |
Equity method investments |  | 90,000,000 |  |  |  |  |  |  |
Equity method investment realized gain |  | 57,400,000 |  |  |  |  |  |  |
Essilor International SAS |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payments to form joint venture |  | 10,000,000 |  |  |  |  |  |  |
Privately-Held Medical Device Company, Developed Mara Water Vapor Ablation System |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  |  |  | $ 0 |
Customer relationships |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Finite-lived intangible asset, useful life |  |  |  |  | 13 years |  |  |  |
Trademarks |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Finite-lived intangible asset, useful life |  |  |  |  | 14 years |  |  |  |
Line of Credit | 2021 Term Loan Facility |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Proceeds from line of credit | $ 1,500,000,000 |  |  |  |  |  |  |  |
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Aggregate consideration |  |  | $ 875,000,000 |  |  |  |  |  |
Payments to acquire business |  |  | 675,000,000 |  |  |  |  |  |
Payables incurred in acquisition |  |  | 200,000,000 |  |  |  |  |  |
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables First Installment |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payables incurred in acquisition |  |  | 50,000,000 |  |  |  |  |  |
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Second Installment |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payables incurred in acquisition |  |  | 50,000,000 |  |  |  |  |  |
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Third Installment |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payables incurred in acquisition |  |  | 50,000,000 |  |  |  |  |  |
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Fourth Installment |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payables incurred in acquisition |  |  | $ 50,000,000 |  |  |  |  |  |
Generate Life Sciences |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Payments to acquire business | $ 1,663,000,000 |  |  |  |  |  |  |  |
Ownership percentage | 100.00% |  |  |  |  |  |  |  |
Measurement period adjustment to goodwill |  |  |  | $ 62,200,000 |  |  |  |  |
Actual revenue generated |  |  |  |  | $ 104,800,000 |  |  |  |
Actual net income generated |  |  |  |  | $ 4,200,000 |  |  |  |
Goodwill | $ 1,230,400,000 |  |  |  |  |  |  |  |
Generate Life Sciences | Customer relationships |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Finite-lived intangible asset, useful life |  |  |  |  | 13 years |  |  |  |
Generate Life Sciences | Trademarks |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Finite-lived intangible asset, useful life |  |  |  |  | 14 years |  |  |  |
Generate Life Sciences | Line of Credit | 2021 Term Loan Facility |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Proceeds from line of credit | $ 1,500,000,000 |  |  |  |  |  |  |  |
Privately-Held Medical Device Company, Spectacle Lenses, Portion Attributable To Former Equity Interest Owners |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Undiscounted range of the contingent consideration, minimum |  |  |  |  |  |  |  |  | $ 0
Undiscounted range of the contingent consideration, maximum |  |  |  |  |  |  |  |  | $ 139,100,000
Payment to settle former equity interest owners |  | $ 42,900,000 |  |  |  |  |  |  |
Net gains recognized |  |  |  | 15,700,000 | $ 12,200,000 |  |  |  |
Contingent consideration |  |  |  | $ 31,800,000 | $ 31,800,000 |  |  |  |

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