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Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | ---
Finite-Lived Intangible Assets [Line Items] |  |
Intangible assets, gross | $ 3,563,536 | $ 3,392,898
Accumulated Amortization | (1,257,371) | (1,103,831)
In-process research and development |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite lived intangible assets | 27,075 | 28,158
Customer relationships |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 1,328,539 | 1,328,611
Accumulated Amortization | (497,335) | (441,059)
Intellectual property |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 1,599,355 | 1,440,643
Accumulated Amortization | (646,643) | (560,740)
Distribution rights |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 23,115 | 23,434
Accumulated Amortization | (21,090) | (20,630)
Trade names |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 564,023 | 549,269
Accumulated Amortization | (71,128) | (59,249)
Non-compete agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 21,429 | 22,783
Accumulated Amortization | $ (21,175) | $ (22,153)

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- Definition Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI https://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(16)) -URI https://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
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