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Goodwill and other intangible assets, net - Components of intangible assets (Details) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018
--- | --- | ---
Finite-Lived Intangible Assets [Line Items] |  |
Gross carrying amount | $ 3,018,607 | $ 3,033,706
Accumulated Amortization | (744,119) | (708,654)
In-process research and development |  |
Finite-Lived Intangible Assets [Line Items] |  |
In-process research and development | 28,137 | 28,457
Accumulated Amortization | 0 | 0
Customer relationships |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,022,131 | 1,030,194
Accumulated Amortization | (333,633) | (322,972)
Intellectual property |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,358,049 | 1,363,516
Accumulated Amortization | (341,986) | (322,539)
Distribution rights |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 23,405 | 23,465
Accumulated Amortization | (18,075) | (17,860)
Trade names |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 564,045 | 565,070
Accumulated Amortization | (39,904) | (36,379)
Non-compete agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 22,840 | 23,004
Accumulated Amortization | $ (10,521) | $ (8,904)

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