General and Summary of Significant Accounting Policies Property and Equipment #1 (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 776,240	$ 694,864
Accumulated Depreciation	320,155	262,223
Net property and equipment	456,085	432,641
Machinery and Equipment [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	219,057	203,431
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	230,454	212,283
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	60,155	59,700
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	83,217	80,420
Furniture and Fixtures [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	7,498	7,409
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	74,434	60,757
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 101,425	$ 70,864