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Description of Business and Basis of Presentation (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Jan. 31, 2019
USD ($)
market
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Jan. 01, 2017
USD ($)
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Decrease to research and development   $ (22,630) $ (23,574) $ (44,404) $ (48,069)    
Increase to selling, general and administrative   278,545 289,427 579,527 592,237    
Decrease in short-term finance receivables and advance billings           $ 6,000  
Other receivables   101,000   101,000   76,000  
Retained earnings   (5,282,374)   (5,282,374)   $ (5,279,682)  
ASU 2016-02              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Retained earnings             $ 137,000
Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Decrease to research and development     7,000   13,000    
Increase to selling, general and administrative     7,000   13,000    
Business services              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales   337,918 290,567 664,964 584,946    
Business services | Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales     (3,000)   (5,000)    
Equipment sales              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales   58,570 58,948 122,235 121,417    
Equipment sales | Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales     3,000   5,000    
Equipment sales | Income Statement Adjustment | Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales     (1,000)   (3,000)    
Rentals              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales   8,418 8,464 18,133 21,212    
Rentals | Income Statement Adjustment | Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales     (1,000)   (2,000)    
Support services              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales   $ 40,448 42,306 $ 82,227 88,371    
Support services | Income Statement Adjustment | Adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Increase (decrease) to cost of products and sales     $ 2,000   $ 5,000    
Disposed of by Sale              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Number of smaller markets sold | market 6            
Loss on sale $ 18,000