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Property and Equipment:
9 Months Ended
Sep. 30, 2020
Property, Plant and Equipment [Abstract]  
Property and Equipment [Text Block] Property and Equipment
Property and equipment consisted of the following (in thousands): 
 September 30, 2020December 31, 2019
Machinery and equipment$258,083 $219,057 
Land, building and building improvements234,368 230,454 
Molds60,379 60,155 
Computer equipment and software96,990 83,217 
Furniture and fixtures7,602 7,498 
Instruments placed with customers(1)
83,844 74,434 
Construction in progress78,557 101,425 
Total property and equipment, cost819,823 776,240 
Accumulated depreciation(363,475)(320,155)
Property and equipment, net$456,348 $456,085 
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(1) Instruments placed with customers consist of drug-delivery and monitoring systems placed with customers under operating leases.

    Depreciation expense was $15.6 million and $46.7 million for the three and nine months ended September 30, 2020, respectively, as compared to $14.8 million and $44.6 million for the three and nine months ended September 30, 2019, respectively.