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

Property and equipment consisted of the following (in thousands): 
 
September 30, 2018
 
December 31, 2017
Machinery and equipment
$
195,278

 
$
220,999

Land, building and building improvements
213,764

 
206,846

Molds
56,304

 
56,253

Computer equipment and software
43,490

 
44,408

Furniture and fixtures
8,284

 
7,361

Instruments placed with customers*
58,247

 
15,812

Construction in progress
98,967

 
57,144

Total property and equipment, cost
674,334

 
608,823

Accumulated depreciation
(249,437
)
 
(210,139
)
Property and equipment, net
$
424,897

 
$
398,684


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

Depreciation expense was $15.1 million and $42.8 million for the three and nine months ended September 30, 2018, respectively, and $14.0 million and $36.6 million for the three and nine months ended September 30, 2017.