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Convertible Senior Notes - Debt Outstanding (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
2027 Notes    
Debt Instrument [Line Items]    
Principal Amount Outstanding $ 1,000,000  
Interest Rate Per Year 1.25%  
Fair value $ 822,000 $ 768,200
Conversion ratio 0.0041258  
Remaining contractual life 3 years 4 months 24 days  
2025 Notes    
Debt Instrument [Line Items]    
Principal Amount Outstanding $ 700  
Interest Rate Per Year 1.375%  
Fair value $ 300 300
Conversion ratio 0.0186621  
Remaining contractual life 1 year 4 months 24 days  
Livongo Notes    
Debt Instrument [Line Items]    
Principal Amount Outstanding $ 550,000  
Interest Rate Per Year 0.875%  
Fair value $ 513,700 $ 480,600
Conversion ratio 0.01394  
Remaining contractual life 1 year 4 months 24 days  
Convertible Notes Payable    
Debt Instrument [Line Items]    
Principal multiple amount used in the conversion of the debt instrument $ 1