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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, 2019
Mar. 31, 2018
Dec. 31, 2018
Jan. 01, 2018
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Net sales $ 553,979 $ 551,519      
Cost of goods sold 242,217 249,316      
Deferred Revenue 41,100   $ 37,300    
Deferred Revenue, Period Increase (Decrease) 15,200        
Revenue, Net 11,400        
Retained earnings 4,585,701   3,722,073    
Accumulated other comprehensive income (80,965)   (46,958)    
Total Stockholders' Equity $ 4,863,855 $ 4,488,091 4,020,331   $ 2,930,250
Revenue Allocation Percent To Lease Elements 3.00% 5.00%      
Additional paid-in-capital $ 402,847   $ 394,342    
Unrealized Gain on Securities 1,059,230 $ 815,934      
Selling, general and administrative expense 207,581 209,130      
Research and Development Expense 47,575 49,427      
Interest expense 5,986 5,782      
Accounting Standards Update 2014-09 [Member]          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Retained earnings       $ 100  
Adjustments for New Accounting Pronouncement [Member]          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Capitalized Cloud Computing Arrangements 700        
Europe [Member]          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Net sales 185,900 199,600      
Asia Pacific [Member]          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Net sales 106,400 109,400      
UNITED STATES          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Net sales 226,100 209,900      
Americas [Member]          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Net sales $ 35,600 $ 32,600