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General and Summary of Significant Accounting Policies Property and Equipment #1 (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost $ 905,104 $ 843,096
Accumulated Depreciation 436,739 376,468
Net property and equipment 468,365 466,628
Machinery and Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 321,078 291,331
Land, Buildings and Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 243,377 241,199
Molds [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 60,463 60,381
Computer Equipment and Software [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 102,979 98,311
Furniture and Fixtures [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 7,670 7,767
Instruments Placed with Customers [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost 97,384 90,383
Construction in Progress [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment, cost $ 72,153 $ 53,724