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Taxes | 12 Months Ended
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Dec. 31, 2020
Income Tax Disclosure [Abstract] |
Schedule of Income before Income Tax, Domestic and Foreign |
| 2020 |  | 2019 |  | 2018
United States | $ | 94,651 |  |  | $ | 102,262 |  |  | $ | 60,043 |
Non-United States | 654,092 |  |  | 579,132 |  |  | 591,815 |
Earnings before taxes | $ | 748,743 |  |  | $ | 681,394 |  |  | $ | 651,858 |
Schedule of Components of Income Tax Expense (Benefit) |
| Current |  | Deferred |  | Total
Year ended December 31, 2020: |  |  |  |  |
United States federal | $ | 6,242 |  |  | $ | (6,311) |  |  | $ | (69) |
United States state and local | 5,563 |  |  | (1,736) |  |  | 3,827 |
Non-United States | 146,983 |  |  | (4,737) |  |  | 142,246 |
Total | $ | 158,788 |  |  | $ | (12,784) |  |  | $ | 146,004 |
Year ended December 31, 2019: |  |  |  |  |
United States federal | $ | 3,033 |  |  | $ | (2,622) |  |  | $ | 411 |
United States state and local | (996) |  |  | (1,950) |  |  | (2,946) |
Non-United States | 122,878 |  |  | (58) |  |  | 122,820 |
Total | $ | 124,915 |  |  | $ | (4,630) |  |  | $ | 120,285 |
Year ended December 31, 2018: |  |  |  |  |
United States federal | $ | 3,422 |  |  | $ | (4,699) |  |  | $ | (1,277) |
United States state and local | 5,073 |  |  | (161) |  |  | 4,912 |
Non-United States | 128,450 |  |  | 7,162 |  |  | 135,612 |
Total | $ | 136,945 |  |  | $ | 2,302 |  |  | $ | 139,247 |
Schedule of Effective Income Tax Rate Reconciliation |
| 2020 |  | 2019 |  | 2018
Expected tax | $ | 157,236 |  |  | $ | 143,092 |  |  | $ | 136,890 |
United States state and local income taxes, net of federal income tax benefit | 3,320 |  |  | 499 |  |  | 2,787 |
Net effect of Swiss tax reform (see below) | — |  |  | (15,833) |  |  | — |
Net effect of U.S. tax reform (see below) | — |  |  | — |  |  | 3,597 |
Non-United States income taxes at other than U.S. federal rate | 179 |  |  | 18,546 |  |  | 12,710 |
Excess tax benefits from stock option exercises | (17,261) |  |  | (28,279) |  |  | (13,836) |
Effect of Biotix contingent consideration settlement | — |  |  | — |  |  | (4,394) |
Other, net | 2,530 |  |  | 2,260 |  |  | 1,493 |
Total provision for taxes | $ | 146,004 |  |  | $ | 120,285 |  |  | $ | 139,247 |
Schedule of Deferred Tax Assets and Liabilities |
| 2020 |  | 2019
Deferred tax assets: |  |  |
Inventory | $ | 18,849 |  |  | $ | 15,756 |
Lease liability, accrued and other liabilities | 94,113 |  |  | 85,590 |
Accrued post-retirement benefit and pension costs | 56,618 |  |  | 53,078 |
Net operating loss and tax credit carryforwards | 27,717 |  |  | 30,647 |
Swiss tax reform intangible assets | 53,080 |  |  | 48,062 |
Other | 12,408 |  |  | 11,918 |
Total deferred tax assets | 262,785 |  |  | 245,051 |
Less valuation allowance | (52,388) |  |  | (50,853) |
Total deferred tax assets less valuation allowance | 210,397 |  |  | 194,198 |
Deferred tax liabilities: |  |  |
Inventory | 6,029 |  |  | 5,952 |
Lease right-of-use assets and other assets | 29,553 |  |  | 27,268 |
Property, plant, and equipment | 60,047 |  |  | 51,298 |
Acquired intangibles amortization | 62,584 |  |  | 63,451 |
Prepaid post-retirement benefit and pension costs | 28,270 |  |  | 28,542 |
International earnings | 16,526 |  |  | 24,137 |
Unrealized currency gains | — |  |  | 1,839 |
Total deferred tax liabilities | 203,009 |  |  | 202,487 |
Net deferred tax (liability) asset | $ | 7,388 |  |  | $ | (8,289) |
Summary of Income Tax Contingencies |
| 2020 |  | 2019
Unrecognized tax benefits at beginning of year | $ | 29,934 |  |  | $ | 25,676 |
Increases related to current tax positions | 9,503 |  |  | 6,215 |
Decreases related to prior year tax positions | (2,900) |  |  | (116) |
Decreases resulting from a lapse of the applicable statute of limitations | — |  |  | (1,748) |
Impact of foreign currency | 1,757 |  |  | (93) |
Unrecognized tax benefits at end of year | $ | 38,294 |  |  | $ | 29,934 |

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- Definition Tabular disclosure for tax positions taken in the tax returns filed or to be filed for which it is more likely than not that the tax position will not be sustained upon examination by taxing authorities and other income tax contingencies. Includes, but is not limited to, interest and penalties, reconciliation of unrecognized tax benefits, unrecognized tax benefits that would affect the effective tax rate, tax years that remain subject to examination by tax jurisdictions, and information about positions for which it is reasonably possible that amounts unrecognized will significantly change within 12 months. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 15A -URI http://asc.fasb.org/extlink&oid=84230637&loc=SL6600010-109319 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 15 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=84230637&loc=d3e32718-109319 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=84230637&loc=d3e32840-109319 + Details
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