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Property and Equipment:
9 Months Ended
Sep. 30, 2023
Property, Plant and Equipment [Abstract]  
Property and Equipment [Text Block] Property, Plant and Equipment
Property, plant and equipment consists of the following (in thousands): 
As of
 September 30, 2023December 31, 2022
Machinery and equipment$477,444 $414,811 
Land, building and building improvements275,997 274,063 
Molds87,757 77,203 
Computer equipment and software120,743 115,214 
Furniture and fixtures30,311 29,876 
Instruments placed with customers(1)
107,673 98,481 
Construction in progress106,051 152,909 
Total property, plant and equipment, cost1,205,976 1,162,557 
Accumulated depreciation(597,214)(526,444)
Property, plant and equipment, net$608,762 $636,113 
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(1)    Instruments placed with customers consist of drug-delivery and monitoring systems placed with customers under operating leases.

Depreciation expense was $25.0 million and $72.8 million for the three and nine months ended September 30, 2023, respectively, and $23.0 million and $69.4 million for the three and nine months ended September 30, 2022, respectively.