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Goodwill and other intangible assets - Components of intangible assets (Detail) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022
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Finite-Lived Intangible Assets [Line Items] |  |
Intangible assets, gross | $ 3,937,653 | $ 3,563,536
Accumulated Amortization | (1,435,693) | (1,257,371)
In-process research and development |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite lived intangible assets | 27,476 | 27,075
Customer relationships |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 1,363,839 | 1,328,539
Accumulated Amortization | (561,753) | (497,335)
Intellectual property |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 1,890,957 | 1,599,355
Accumulated Amortization | (745,094) | (646,643)
Distribution rights |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 23,301 | 23,115
Accumulated Amortization | (22,048) | (21,090)
Trade names |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 610,146 | 564,023
Accumulated Amortization | (84,864) | (71,128)
Non-compete agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 21,934 | 21,429
Accumulated Amortization | $ (21,934) | $ (21,175)

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