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1. Basis of Presentation and Use of Estimates Organization, Consolidation and Presentation of Financial Statements (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Dec. 31, 2019
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Net sales $ 571,644 $ 553,979    
Cost of goods sold 254,276 242,217    
Deferred Revenue 50,900   $ 45,800  
Retained earnings 6,156,691   5,470,779  
Accumulated other comprehensive loss (148,955)   (87,348)  
Total stockholders' equity $ 6,293,079 $ 4,863,855 5,755,057 $ 4,020,331
Revenue Allocation Percent To Lease Elements 3.00% 3.00%    
Additional paid-in-capital $ 423,742   $ 410,020  
Selling, general and administrative expense 193,692 $ 207,581    
Research and Development Expense 49,303 47,575    
Interest expense 5,690 5,986    
Other Nonoperating Income (Expense) 3,273 18,696    
Europe [Member]        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Net sales 195,700 185,900    
Asia Pacific [Member]        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Net sales 111,400 106,400    
UNITED STATES        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Net sales 229,500 226,100    
Americas [Member]        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Net sales $ 35,000 $ 35,600