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Derivative Instruments, Hedging Activities and Fair Value - Derivatives Designated as Hedging Instruments (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2021 | Sep. 30, 2020 | Sep. 30, 2021 | Sep. 30, 2020
Derivative [Line Items] |  |  |  |
Product Revenues | $ 544,301 | $ 509,398 | $ 1,642,976 | $ 1,355,520
Interest Expense | (16,004) | (15,794) | (48,854) | (43,396)
Gain or (loss) reclassified from AOCI into income | (454) | (1,225) | (2,134) | (1,199)
Product Revenues | Interest rate swaps |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 0 | 0 |  |
Product Revenues | Foreign exchange contracts |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 418 | (174) | 465 | 1,562
Amount excluded from effectiveness testing recognized in earnings | 24 | 12 | 62 | 208
Derivative Instruments, Loss Recognized in Income, Ineffective Portion and Amount Excluded from Effectiveness Testing | (1) | 3 | (1) | 24
Product Revenues | Cross-currency interest rate swaps |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 0 | 0 |  |
Interest Expense | Interest rate swaps |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | (872) | (739) | (2,599) | (1,849)
Interest Expense | Foreign exchange contracts |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 0 | 0 |  |
Amount excluded from effectiveness testing recognized in earnings | 0 | 0 |  |
Interest Expense | Cross-currency interest rate swaps |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 0 | (312) | 0 | (912)
Cost of services and products sold | Foreign currency exchange forward contracts |  |  |  |
Derivative [Line Items] |  |  |  |
Gain or (loss) reclassified from AOCI into income | 418 | (174) | 465 | 1,562
Amount of Gain Recognized in Income on Derivatives | 4,105 | (12,279) | 8,109 | (5,001)
Product Revenues |  |  |  |
Derivative [Line Items] |  |  |  |
Product Revenues | $ 105,677 | $ 124,892 | $ 343,171 | $ 333,782

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- Definition The portion of losses on derivative instruments designated and qualifying as hedging instruments representing (a) the amount of the hedge ineffectiveness and (b) the amount, if any, excluded from the assessment of hedge effectiveness. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 25 -Section 50 -Paragraph 1 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=121577467&loc=d3e76258-113986 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 25 -Section 50 -Paragraph 1 -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=121577467&loc=d3e76258-113986 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4C -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=121590274&loc=SL5624171-113959 + Details
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- Definition Amount of realized and unrealized gain (loss) of derivative instruments not designated or qualifying as hedging instruments. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4CC -URI http://asc.fasb.org/extlink&oid=121590274&loc=SL109998890-113959 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4C -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=121590274&loc=SL5624171-113959 + Details
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- Definition Amount, before tax and adjustments, of gain (loss) from increase (decrease) in value of excluded component of derivative designated and qualifying as hedge. Adjustments include, but are not limited to, reclassifications for sale and settlement, and amounts recognized under systematic and rational method. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 10A -Subparagraph (dd) -URI http://asc.fasb.org/extlink&oid=121641772&loc=SL7669646-108580 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4C -Subparagraph (bb) -URI http://asc.fasb.org/extlink&oid=121590274&loc=SL5624171-113959 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=121641772&loc=d3e637-108580 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 10 -Section 50 -Paragraph 4CCC -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=121590274&loc=SL109998896-113959 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 815 -SubTopic 20 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=121577181&loc=SL110061190-113977 + Details
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