Property and Equipment:

9 Months Ended

Sep. 30, 2024

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, 2024		December 31, 2023
Machinery and equipment	$	498,423	$	483,382
Land, building and building improvements	295,267		278,251
Molds	94,436		89,573
Computer equipment and software	124,509		122,038
Furniture and fixtures	29,135		30,662
Instruments placed with customers(1)	127,796		115,672
Construction in progress	111,077		117,219
Total property, plant and equipment, cost	1,280,643		1,236,797
Accumulated depreciation	(685,016)		(623,888)
Property, plant and equipment, net	$	595,627	$	612,909

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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 $21.4 million and $66.0 million for the three and nine months ended September 30, 2024, respectively, of which $18.5 million and $57.2 million, respectively, are included in cost of goods sold, and $25.0 million and $72.8 million for the three and nine months ended September 30, 2023, respectively, of which $19.3 million and $56.2 million, respectively, are included in cost of goods sold.