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Goodwill and other intangible assets, net - Components of intangible assets (Details) - USD ($) $ in Thousands | Sep. 30, 2018 | Dec. 31, 2017
--- | --- | ---
Finite-Lived Intangible Assets [Line Items] |  |
Gross carrying amount | $ 2,940,362 | $ 2,964,632
Accumulated Amortization | (677,544) | (580,884)
In-process research and development |  |
Finite-Lived Intangible Assets [Line Items] |  |
In-process research and development | 29,377 | 34,672
Accumulated Amortization | 0 | 0
Customer relationships |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,020,603 | 1,023,837
Accumulated Amortization | (314,051) | (281,263)
Intellectual property |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,273,503 | 1,287,487
Accumulated Amortization | (305,350) | (258,580)
Distribution rights |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 23,637 | 23,697
Accumulated Amortization | (17,756) | (16,996)
Trade names |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 569,570 | 571,510
Accumulated Amortization | (33,001) | (22,069)
Non-compete agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 23,672 | 23,429
Accumulated Amortization | $ (7,386) | $ (1,976)

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