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Property and Equipment (Tables)
3 Months Ended
Mar. 31, 2023
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment [Table Text Block]
Property, plant and equipment consists of the following (in thousands): 
As of
 March 31, 2023December 31, 2022
Machinery and equipment$430,258 $414,811 
Land, building and building improvements275,463 274,063 
Molds77,557 77,203 
Computer equipment and software119,438 115,214 
Furniture and fixtures30,166 29,876 
Instruments placed with customers(1)
102,666 98,481 
Construction in progress138,996 152,909 
Total property, plant and equipment, cost1,174,544 1,162,557 
Accumulated depreciation(550,432)(526,444)
Property, plant and equipment, net$624,112 $636,113