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Cash received for the settlement of litigation during the current period.

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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Amount of transaction price allocated to performance obligation that has not been recognized as revenue.

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Period in which remaining performance obligation is expected to be recognized as revenue, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days.

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Balance Sheet Components Narrative (Details) - USD ($) $ in Thousands		1 Months Ended	3 Months Ended		9 Months Ended
	Mar. 29, 2019	Jul. 31, 2019	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Condensed Balance Sheet Statements, Captions [Line Items]
Net revenues			$ 607,341	$ 505,289	$ 1,757,009	$ 1,432,472
Revenue, remaining performance obligation			558,100		558,100
Deferred Revenue
Condensed Balance Sheet Statements, Captions [Line Items]
Contract with Customer, Liability			$ 70,100	$ 45,500	$ 207,000	$ 145,400
Minimum
Condensed Balance Sheet Statements, Captions [Line Items]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period			1 year		1 year
Maximum
Condensed Balance Sheet Statements, Captions [Line Items]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period			5 years		5 years
Straumann Group
Condensed Balance Sheet Statements, Captions [Line Items]
Proceeds from Legal Settlements	$ 35,000	$ 16,000