Property and Equipment (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Property, Plant and Equipment [Abstract]
Machinery and Equipment, Gross	$ 498,423	$ 483,382
Land, building and building improvements, Gross	295,267	278,251
Molds, Gross	94,436	89,573
Computer equipment and software, Gross	124,509	122,038
Furniture and Fixtures, Gross	29,135	30,662
Instruments placed with customers, Gross	127,796	115,672
Construction in Progress, Gross	111,077	117,219
Total property and equipment, cost	1,280,643	1,236,797
Accumulated depreciation	(685,016)	(623,888)
Net property and equipment	$ 595,627	$ 612,909	[1]

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