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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)