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17. Quarterly Financial Data (Details) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2022 | Sep. 30, 2022 | Jun. 30, 2022 | Mar. 31, 2022 | Dec. 31, 2021 | Sep. 30, 2021 | Jun. 30, 2021 | Mar. 31, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Quarterly Financial Data [Abstract] |  |  |  |  |  |  |  |  |  |  |
Income from operations |  |  |  |  |  |  |  |  | $ 482,616 | $ 500,336 | $ 421,326
Research and development expense |  |  |  |  |  |  |  |  | 256,889 | 260,638 | 217,763
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  | 1,234,919 | 1,284,449 | 1,107,739
Selling, general and administrative expense |  |  |  |  |  |  |  |  | $ 827,825 | $ 877,122 | $ 798,798
Earnings Per Share, Diluted | $ 27.78 | $ (5.48) | $ (31.05) | $ (112.5) | $ (52.54) | $ 130.02 | $ 30.41 | $ 32.46 | $ (121.79) | $ 140.83 | $ 126.47
Earnings Per Share, Basic | $ 27.89 | $ (5.48) | $ (31.05) | $ (112.5) | $ (52.54) | $ 131.80 | $ 30.80 | $ 32.86 | $ (121.79) | $ 142.61 | $ 128.13
Net Income (Loss) Attributable to Parent | $ 827,700 | $ (162,800) | $ (925,100) | $ (3,367,300) | $ (1,572,200) | $ 3,929,600 | $ 916,800 | $ 980,000 | $ (3,627,535) | $ 4,254,257 | $ 3,814,229
Gross Profit | 397,100 | 372,600 | 395,000 | 402,600 | 399,900 | 436,500 | 401,100 | 400,500 | 1,567,330 | 1,638,096 | 1,437,887
Net cash used in investing activities |  |  |  |  |  |  |  |  | (1,207,593) | (797,381) | (69,894)
Net sales | 730,300 | 680,800 | 691,100 | 700,100 | 732,800 | 747,000 | 715,900 | 726,800 | 2,802,249 | 2,922,545 | 2,545,626
Net cash provided by operating activities |  |  |  |  |  |  |  |  | 194,447 | 669,464 | 584,972
Error Corrections and Prior Period Adjustments Restatement [Line Items] |  |  |  |  |  |  |  |  |  |  |
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  | 1,234,919 | 1,284,449 | 1,107,739
Selling, general and administrative expense |  |  |  |  |  |  |  |  | 827,825 | 877,122 | 798,798
Research and development expense |  |  |  |  |  |  |  |  | 256,889 | 260,638 | 217,763
Income from operations |  |  |  |  |  |  |  |  | 482,616 | 500,336 | 421,326
Net Income (Loss) Attributable to Parent | $ 827,700 | $ (162,800) | $ (925,100) | $ (3,367,300) | $ (1,572,200) | $ 3,929,600 | $ 916,800 | $ 980,000 | (3,627,535) | 4,254,257 | 3,814,229
Net cash provided by operating activities |  |  |  |  |  |  |  |  | 194,447 | 669,464 | 584,972
Net cash used in investing activities |  |  |  |  |  |  |  |  | $ (1,207,593) | (797,381) | (69,894)
Previously Reported |  |  |  |  |  |  |  |  |  |  |
Quarterly Financial Data [Abstract] |  |  |  |  |  |  |  |  |  |  |
Income from operations |  |  |  |  |  |  |  |  |  | 489,400 | 411,000
Research and development expense |  |  |  |  |  |  |  |  |  | 271,700 | 226,600
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  |  | 1,281,900 | 1,107,800
Selling, general and administrative expense |  |  |  |  |  |  |  |  |  | $ 879,600 | $ 800,300
Earnings Per Share, Diluted |  |  |  |  |  |  |  |  |  | $ 140.56 | $ 126.20
Earnings Per Share, Basic |  |  |  |  |  |  |  |  |  | $ 142.33 | $ 127.86
Net Income (Loss) Attributable to Parent |  |  |  |  |  |  |  |  |  | $ 4,245,900 | $ 3,806,300
Net cash used in investing activities |  |  |  |  |  |  |  |  |  | (784,400) | (60,300)
Net cash provided by operating activities |  |  |  |  |  |  |  |  |  | 656,500 | 575,300
Error Corrections and Prior Period Adjustments Restatement [Line Items] |  |  |  |  |  |  |  |  |  |  |
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  |  | 1,281,900 | 1,107,800
Selling, general and administrative expense |  |  |  |  |  |  |  |  |  | 879,600 | 800,300
Research and development expense |  |  |  |  |  |  |  |  |  | 271,700 | 226,600
Income from operations |  |  |  |  |  |  |  |  |  | 489,400 | 411,000
Net Income (Loss) Attributable to Parent |  |  |  |  |  |  |  |  |  | 4,245,900 | 3,806,300
Net cash provided by operating activities |  |  |  |  |  |  |  |  |  | 656,500 | 575,300
Net cash used in investing activities |  |  |  |  |  |  |  |  |  | (784,400) | (60,300)
Revision of Prior Period, Adjustment |  |  |  |  |  |  |  |  |  |  |
Quarterly Financial Data [Abstract] |  |  |  |  |  |  |  |  |  |  |
Income from operations |  |  |  |  |  |  |  |  |  | 10,900 | 10,400
Research and development expense |  |  |  |  |  |  |  |  |  | (11,100) | (8,800)
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  |  | 2,600 | (100)
Selling, general and administrative expense |  |  |  |  |  |  |  |  |  | $ (2,500) | $ (1,500)
Earnings Per Share, Diluted |  |  |  |  |  |  |  |  |  | $ 0.27 | $ 0.27
Earnings Per Share, Basic |  |  |  |  |  |  |  |  |  | $ 0.28 | $ 0.27
Net Income (Loss) Attributable to Parent |  |  |  |  |  |  |  |  |  | $ 8,400 | $ 8,000
Net cash used in investing activities |  |  |  |  |  |  |  |  |  | (13,000) | (9,600)
Net cash provided by operating activities |  |  |  |  |  |  |  |  |  | 13,000 | 9,600
Error Corrections and Prior Period Adjustments Restatement [Line Items] |  |  |  |  |  |  |  |  |  |  |
Cost of Goods and Services Sold |  |  |  |  |  |  |  |  |  | 2,600 | (100)
Selling, general and administrative expense |  |  |  |  |  |  |  |  |  | (2,500) | (1,500)
Research and development expense |  |  |  |  |  |  |  |  |  | (11,100) | (8,800)
Income from operations |  |  |  |  |  |  |  |  |  | 10,900 | 10,400
Net Income (Loss) Attributable to Parent |  |  |  |  |  |  |  |  |  | 8,400 | 8,000
Net cash provided by operating activities |  |  |  |  |  |  |  |  |  | 13,000 | 9,600
Net cash used in investing activities |  |  |  |  |  |  |  |  |  | $ (13,000) | $ (9,600)

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