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Goodwill and other intangible assets, net - Components of intangible assets (Details) - USD ($) $ in Thousands | Mar. 31, 2024 | Dec. 31, 2023
--- | --- | ---
Finite-Lived Intangible Assets [Line Items] |  |
Gross carrying amount | $ 3,912,271 | $ 3,937,653
Accumulated Amortization | (1,482,811) | (1,435,693)
In-process research and development |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite-lived intangible assets | 27,476 | 27,476
Customer relationships |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,359,438 | 1,363,839
Accumulated Amortization | (575,902) | (561,753)
Intellectual property |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 1,873,927 | 1,890,957
Accumulated Amortization | (774,353) | (745,094)
Distribution rights |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 23,190 | 23,301
Accumulated Amortization | (22,130) | (22,048)
Trade names |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 606,318 | 610,146
Accumulated Amortization | (88,504) | (84,864)
Non-compete agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-lived intangible assets | 21,922 | 21,934
Accumulated Amortization | $ (21,922) | $ (21,934)

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