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Property and Equipment (Tables)
3 Months Ended
Mar. 31, 2024
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, 2024December 31, 2023
Machinery and equipment$493,147 $483,382 
Land, building and building improvements284,287 278,251 
Molds90,754 89,573 
Computer equipment and software125,150 122,038 
Furniture and fixtures30,578 30,662 
Instruments placed with customers(1)
117,844 115,672 
Construction in progress105,287 117,219 
Total property, plant and equipment, cost1,247,047 1,236,797 
Accumulated depreciation(644,430)(623,888)
Property, plant and equipment, net$602,617 $612,909