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Property and Equipment:
3 Months Ended
Mar. 31, 2020
Property, Plant and Equipment [Abstract]  
Property and Equipment [Text Block] Property and Equipment

Property and equipment consisted of the following (in thousands): 
 
March 31, 2020
 
December 31, 2019
Machinery and equipment
$
241,059

 
$
219,057

Land, building and building improvements
233,548

 
230,454

Molds
60,312

 
60,155

Computer equipment and software
93,475

 
83,217

Furniture and fixtures
7,416

 
7,498

Instruments placed with customers(1)
74,292

 
74,434

Construction in progress
77,483

 
101,425

Total property and equipment, cost
787,585

 
776,240

Accumulated depreciation
(331,961
)
 
(320,155
)
Property and equipment, net
$
455,624

 
$
456,085


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(1)Instruments placed with customers consist of drug-delivery and monitoring systems placed with customers.

Depreciation expense was $15.2 million and $15.1 million for the three months ended March 31, 2020 and 2019, respectively.