Property and Equipment (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Property, Plant and Equipment [Abstract]
Machinery and Equipment, Gross	$ 495,081	$ 483,382
Land, building and building improvements, Gross	285,661	278,251
Molds, Gross	91,273	89,573
Computer equipment and software, Gross	125,020	122,038
Furniture and Fixtures, Gross	30,601	30,662
Instruments placed with customers, Gross	118,165	115,672
Construction in Progress, Gross	112,126	117,219
Total property and equipment, cost	1,257,927	1,236,797
Accumulated depreciation	(663,842)	(623,888)
Net property and equipment	$ 594,085	$ 612,909	[1]

[1] December 31, 2023 balances were derived from audited consolidated financial statements.