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Segments and Geographical Information - Segment Information (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Segment Reporting Information [Line Items]    
Net revenues $ 550,963 $ 548,971
Gross profit 394,356 402,096
Income from operations 69,918 87,701
Interest income 1,986 2,633
Impairments and other charges 0 29,782
Depreciation and amortization 20,738 18,316
Other income (expense), net (18,549) (5,746)
Net income before provision for income taxes and equity in losses of investee 53,355 84,588
Operating Segments    
Segment Reporting Information [Line Items]    
Income from operations 180,777 186,900
Clear Aligner    
Segment Reporting Information [Line Items]    
Net revenues 481,611 469,205
Gross profit 351,492 351,358
Income from operations 166,388 158,641
Impairments and other charges 0 29,782
Depreciation and amortization 10,121 9,090
Scanner    
Segment Reporting Information [Line Items]    
Net revenues 69,352 79,766
Gross profit 42,864 50,738
Income from operations 14,389 28,259
Depreciation and amortization 1,785 1,508
Corporate, Non-Segment    
Segment Reporting Information [Line Items]    
Income from operations (110,859) (99,199)
Unallocated corporate expenses    
Segment Reporting Information [Line Items]    
Income from operations (110,859) (99,199)
Depreciation and amortization $ 8,832 $ 7,718