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Stock-based Compensation (Tables)
12 Months Ended
Dec. 31, 2017
Stock-based Compensation [Abstract]  
Schedule of Nonvested Restricted Stock Units Activity [Table Text Block]
Non-vested restricted share awards outstanding under both the Plan and the Director Plan as of December 31, 2017 and changes during the year were as follows:
 
Number of Shares
 
Weighted Average Grant Date Fair Value per Share
Non-vested at December 31, 2016
545,614

 
$
110.11

Granted
203,512

 
101.97

Vested
(191,022
)
 
114.11

Forfeited
(21,354
)
 
114.89

Non-vested at December 31, 2017
536,750

 
$
105.42

Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table Text Block]
For the years ended December 31, 2017, 2016 and 2015, stock-based compensation expense under both the Plan and the Director Plan recognized in the income statement is as follows (in thousands):
 
2017
 
2016
 
2015
Cost of product sales and services
$
8,879

 
$
10,073

 
$
10,126

General and administrative
14,063

 
12,006

 
11,153

  Total stock-based compensation expense
$
22,942

 
$
22,079

 
$
21,279