Property and Equipment (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Machinery and Equipment, Gross	$ 477,444	$ 414,811
Total property and equipment, cost	1,205,976	1,162,557
Furniture and Fixtures, Gross	30,311	29,876
Construction in Progress, Gross	106,051	152,909
Accumulated depreciation	(597,214)	(526,444)
Net property and equipment	608,762	636,113	[1]
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	275,997	274,063
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	87,757	77,203
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	120,743	115,214
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 107,673	$ 98,481

[1] December 31, 2022 balances were derived from audited consolidated financial statements.