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Hedging - Cash Flow Hedging Instruments (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Derivative Instruments, Gain (Loss) [Line Items]        
Revenues $ 949,828 $ 784,535 $ 2,749,556 $ 2,177,491
Other (expense) income (31,747) (60,995) 64,802 89,662
Unrealized Holding Gains (Losses), Net of Tax, On Foreign Currency Forward Contracts | Reclassification out of Accumulated Other Comprehensive Income | Foreign currency forward contracts | Not designated as hedging instruments        
Derivative Instruments, Gain (Loss) [Line Items]        
Other (expense) income (8,812) (782) (10,874) 1,832
Product revenues, net        
Derivative Instruments, Gain (Loss) [Line Items]        
Revenues 949,828 782,511 2,747,461 2,170,152
Product revenues, net | Unrealized Holding Gains (Losses), Net of Tax, On Foreign Currency Forward Contracts | Reclassification out of Accumulated Other Comprehensive Income | Foreign currency forward contracts | Designated as hedging instruments        
Derivative Instruments, Gain (Loss) [Line Items]        
Revenues $ 10,304 $ 1,721 $ 25,381 $ (7,438)