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Hedging - Cash Flow Hedging Instruments (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Derivative Instruments, Gain (Loss) [Line Items]    
Revenues $ 1,724,305 $ 1,515,107
Other expense, net (52,653) (61,130)
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, net (7,997) (16,229)
Product revenues, net    
Derivative Instruments, Gain (Loss) [Line Items]    
Revenues 1,723,305 1,515,107
Product revenues, net | 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 $ (16,518) $ 8,922