Property and Equipment (Tables)

6 Months Ended

Jun. 30, 2020

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment [Table Text Block]

Property and equipment consisted of the following (in thousands): 

	June 30, 2020		December 31, 2019
Machinery and equipment	$	246,955	$	219,057
Land, building and building improvements	233,931		230,454
Molds	60,378		60,155
Computer equipment and software	96,711		83,217
Furniture and fixtures	7,495		7,498
Instruments placed with customers(1)	80,445		74,434
Construction in progress	76,733		101,425
Total property and equipment, cost	802,648		776,240
Accumulated depreciation	(347,824)		(320,155)
Property and equipment, net	$	454,824	$	456,085