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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		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Mar. 31, 2021	Dec. 31, 2020	Mar. 31, 2020	Dec. 31, 2019
Organization, Consolidation and Presentation of Financial Statements [Line Items]
Net sales	$ 715,931	$ 536,880	$ 1,442,727	$ 1,108,524
Cost of goods sold	314,333	243,892	640,502	498,168
Deferred Revenue	66,200		66,200			$ 60,000
Retained earnings	11,159,475		11,159,475			9,268,012
Accumulated other comprehensive loss	125,166		125,166			282,456
Total stockholders' equity	$ 11,594,880	$ 7,353,402	$ 11,594,880	$ 7,353,402	$ 10,609,059	9,879,940	$ 6,293,079	$ 5,755,057
Revenue Allocation Percent To Lease Elements	2.00%	3.00%	2.00%	3.00%
Additional paid-in-capital	$ 459,698		$ 459,698			429,376
Selling, general and administrative expense	213,425	$ 189,262	439,278	$ 382,954
Research and Development Expense	63,391	51,984	137,303	101,287
Interest expense	363	5,740	761	11,430
Other Nonoperating Income (Expense)	(96)	17,229	17,311	20,502
Deferred Revenue, Current	47,500		47,500			$ 42,500
Europe [Member]
Organization, Consolidation and Presentation of Financial Statements [Line Items]
Net sales	229,100	174,000	476,700	369,700
Asia Pacific [Member]
Organization, Consolidation and Presentation of Financial Statements [Line Items]
Net sales	172,100	129,000	341,000	240,400
UNITED STATES
Organization, Consolidation and Presentation of Financial Statements [Line Items]
Net sales	274,600	205,400	546,000	434,900
Americas [Member]
Organization, Consolidation and Presentation of Financial Statements [Line Items]
Net sales	$ 40,100	$ 28,500	$ 79,000	$ 63,500

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