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1. Significant Accounting Policies Details (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Interest expense $ 38,114 $ 1,551 $ 21,861  
Selling, general and administrative expense 827,825 877,122 798,798  
Research and development expense 256,889 260,638 217,763  
Stockholders' Equity Attributable to Parent 9,615,252 13,685,236 9,889,687 $ 5,756,842
Restricted investments 5,560 5,560    
Retained earnings 9,898,203 13,525,343    
Prepaid Taxes (7,800)      
Accumulated other comprehensive (loss) income (466,822) (175,553)    
Other (income) expense, net 44,574 26,775 24,488  
Deferred Tax Assets, Gross 268,700 271,900    
Deferred Income Tax Expense (Benefit) (1,241,600) 1,084,900 981,400  
Cost of Goods and Services Sold 1,234,919 1,284,449 1,107,739  
Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill) 0 0    
Goodwill, Impairment Loss 0 0    
Accounts Receivable, Allowance for Credit Loss, Period Increase (Decrease) 1,700 1,400 1,200  
Accounts Receivable, Allowance for Credit Loss, Writeoff (1,900) (6,400) (1,600)  
Accounts Receivable, Allowance for Credit Loss, Recovery 100 300 0  
Error Corrections and Prior Period Adjustments Restatement [Line Items]        
Cost of Goods and Services Sold $ 1,234,919 $ 1,284,449 $ 1,107,739