Taxes Textual - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Effective Income Tax Rate Reconciliation, Percent	19.50%	17.70%	21.40%
Deferred Tax Benefit, net related to Swiss Tax Reform	$ 0	$ (15,833)	$ 0
Provisional one-time charge on US tax reform	$ 0	$ 0	$ 3,597
Impact on tax rate related to Swiss Tax Reform	2.30%
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate		21.00%	21.00%
Impact on effective tax rate related to US Tax Reform, percent		0.60%
US Federal Corporate Income Tax Rate	21.00%
Unrecognized Tax Benefits that Would Impact Effective Tax Rate	$ 38,300	$ 29,900
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued	6,200	$ 4,500
Impact on tax rate related to Biotix Contingent Consideration Gain		0.70%
Gross Deferred Tax Asset for Swiss Tax Reform	48,100
Valuation Allowance, Swiss Tax Reform	$ 31,900