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Property and Equipment, Net (Tables)
12 Months Ended
Dec. 31, 2020
Property, Plant and Equipment [Abstract]  
Schedule of Estimated Useful Lives for Property and Equipment We provide for depreciation and amortization primarily using the straight-line method by charges to the consolidated statements of income in amounts that allocate the cost of property and equipment over their estimated useful lives as follows:
Asset Classification Estimated Useful Life
  
Land improvements 
15 to 20 years
Buildings and improvements 
10 to 40 years
Leasehold improvements Shorter of remaining lease term or useful life of improvements
Machinery and equipment 
3 to 8 years
Office furniture and equipment 
3 to 7 years
Computer hardware and software 
3 to 7 years
Schedule of Property and Equipment Property and equipment, net, consisted of the following:
(in thousands)December 31, 2020December 31, 2019
  
Land and improvements$13,982 $8,725 
Buildings and improvements319,384 249,918 
Leasehold improvements82,459 74,602 
Machinery and equipment353,301 322,814 
Office furniture and equipment67,527 53,210 
Computer hardware and software265,664 240,406 
Construction in progress39,764 103,200 
1,142,081 1,052,875 
Less accumulated depreciation and amortization586,914 519,030 
Total property and equipment, net$555,167 $533,845 
Summary of Depreciation and Amortization, Capitalized Computer Software for Internal Use and Unpaid Property Equipment Reflected in Accounts Payable and Accrued Expenses Below are the amounts of depreciation and amortization of property and equipment, capitalized computer software for internal use, unpaid property and equipment reflected in accounts payable and accrued expenses, and rental and reagent rental program instruments transferred from inventory to property and equipment:
For the Years Ended December 31,
(in thousands)202020192018
   
Depreciation and amortization expense$86,095 $78,495 $74,208 
Capitalized computer software developed for internal use$18,472 $20,130 $17,115 
Unpaid property and equipment, reflected in accounts payable and accrued liabilities$13,343 $24,688 $17,894 
Rental and operating-type reagent rental program instruments transferred from inventory to property and equipment (Note 3)$9,645 $14,498 $20,360