General and Summary of Significant Accounting Policies Property and Equipment #1 (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 608,823	$ 243,955
Accumulated Depreciation	210,139	158,259
Net property and equipment	398,684	85,696
Machinery and Equipment [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	220,999	96,536
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	206,846	63,524
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	56,253	39,014
Furniture and Fixtures [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	7,361	3,243
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	15,812	0
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	44,408	26,458
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 57,144	$ 15,180