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Taxes (Textuals) (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]      
Effective Income Tax Rate Reconciliation, Percent 17.70% 21.40% 34.50%
Deferred Tax Benefit, net related to Swiss Tax Reform $ 15,833 $ 0 $ 0
Provisional one-time charge on US tax reform $ 0 $ 3,597 71,982
Impact on tax rate related to Swiss Tax Reform 2.30%    
Cash Tax Portion of the One Time Provisional Transition Tax Charge $ 62,000    
Unrepatriated foreign earnings due to the estimated Transition Tax 54,000    
Foreign withholdings taxes related to transition tax $ 8,000    
One-time non-cash charge related to tax changes in the current year     $ 13,000
Tax Cuts and Jobs Act Pay Period 8 years    
Long Term Portion of Taxes Payable related to the Tax Cuts and Jobs Act $ 46,000    
Deferred Tax Portion of the taxes payable related to Tax Cuts and Jobs Act 8,000    
Short Term Portion of Taxes Payable related to the Tax Cuts and Jobs Act 4,000    
US Tax Reform Payment $ 8,000    
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate   35.00% 35.00%
Impact on effective tax rate related to US Tax Reform, percent   0.60% 12.50%
US Federal Corporate Income Tax Rate 21.00%    
Unrecognized Tax Benefits that Would Impact Effective Tax Rate $ 29,900 $ 25,700  
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued 4,500 $ 3,700  
Impact on tax rate related to Biotix Contingent Consideration Gain   0.70%  
Gross Deferred Tax Asset for Swiss Tax Reform 48,100    
Valuation Allowance, Swiss Tax Reform $ 31,900