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Property and Equipment:
6 Months Ended
Jun. 30, 2018
Property, Plant and Equipment [Abstract]  
Property and Equipment [Text Block]
Property and Equipment

Property and equipment consisted of the following (in thousands): 
 
June 30, 2018
 
December 31, 2017
Machinery and equipment
$
211,648

 
$
220,999

Land, building and building improvements
208,182

 
206,846

Molds
56,187

 
56,253

Computer equipment and software
44,821

 
44,408

Furniture and fixtures
8,285

 
7,361

Instruments placed with customers*
39,038

 
15,812

Construction in progress
83,788

 
57,144

Total property and equipment, cost
651,949

 
608,823

Accumulated depreciation
(236,222
)
 
(210,139
)
Property and equipment, net
$
415,727

 
$
398,684


______________________________
*Instruments placed with customers consist of drug-delivery and monitoring systems placed with customer under operating leases.

Depreciation expense was $13.6 million and $27.8 million for the three and six months ended June 30, 2018, respectively, as compared to $14.4 million and $22.6 million for the three and six months ended June 30, 2017.