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Property and Equipment (Tables)
9 Months Ended
Sep. 30, 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
 September 30, 2024December 31, 2023
Machinery and equipment$498,423 $483,382 
Land, building and building improvements295,267 278,251 
Molds94,436 89,573 
Computer equipment and software124,509 122,038 
Furniture and fixtures29,135 30,662 
Instruments placed with customers(1)
127,796 115,672 
Construction in progress111,077 117,219 
Total property, plant and equipment, cost1,280,643 1,236,797 
Accumulated depreciation(685,016)(623,888)
Property, plant and equipment, net$595,627 $612,909