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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 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Jan. 01, 2018
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Net sales $ 545,138 $ 534,141 $ 1,672,568 $ 1,538,858    
Cost of goods sold 258,422 235,133 781,982 696,412    
Deferred Revenue 39,300   39,300     $ 36,700
Deferred Revenue, Period Increase (Decrease)     30,800      
Revenue, Net     28,200      
Retained earnings 4,550,601   4,550,601     1,830,439
Accumulated other comprehensive income (32,299)   (32,299)     738,794
Total stockholders' equity 4,900,481   $ 4,900,481     2,930,250
Revenue Allocation Percent To Lease Elements     5.00%      
Additional paid-in-capital 382,393   $ 382,393     $ 361,231
Unrealized Gain on Securities 318,007 0 1,420,339 0    
Selling, general and administrative expense 201,196 198,169 620,751 605,060    
Research and Development Expense 49,245 62,077 146,122 174,116    
Interest expense 6,064 5,872 17,823 17,233    
Prepaid Taxes         $ (22,800)  
Deferred Tax Assets, Net, Noncurrent         5,200  
Accounting Standards Update 2014-09 [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Retained earnings         100  
Accounting Standards Update 2016-01 [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Other Investments 600   600      
Accumulated other comprehensive income         679,200  
Adjustments for New Accounting Pronouncement [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Investments         1,097,400  
Deferred Income Tax Expense (Benefit) 70,000   313,700      
Cost of goods sold   (76)   (228)    
Retained earnings         1,543,700  
Deferred Income Tax Assets, Net         232,900  
Total stockholders' equity         864,500  
Unrealized Gain on Securities 318,000   1,420,300      
Selling, general and administrative expense   (538)   (1,614)    
Research and Development Expense   (36)   (108)    
Interest expense   275   825    
Other Nonoperating Income (Expense)   375   1,125    
Restricted Cash 1,100 1,100 1,100 1,100    
Accounting Standards Update 2016-16 [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Retained earnings         $ (17,600)  
Europe [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Net sales 182,700 190,300 579,500 539,300    
Asia Pacific [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Net sales 110,300 105,700 341,700 307,900    
UNITED STATES            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Net sales 218,300 203,300 649,800 593,200    
Americas [Member]            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]            
Net sales $ 33,800 $ 34,800 $ 101,600 $ 98,500