Property and Equipment (Tables)

6 Months Ended

Jun. 30, 2021

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment [Table Text Block]

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

	June 30, 2021		December 31, 2020
Machinery and equipment	$	301,573	$	291,331
Land, building and building improvements	242,163		241,199
Molds	60,381		60,381
Computer equipment and software	99,408		98,311
Furniture and fixtures	7,711		7,767
Instruments placed with customers(1)	97,095		90,383
Construction in progress	57,250		53,724
Total property and equipment, cost	865,581		843,096
Accumulated depreciation	(406,796)		(376,468)
Property and equipment, net	$	458,785	$	466,628