Property and Equipment (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 1,133,026	$ 905,104
Accumulated depreciation	(458,614)	(436,739)
Net property and equipment	674,412	468,365	[1]
Machinery and Equipment, Gross	432,649	321,078
Furniture and Fixtures, Gross	10,646	7,670
Construction in Progress, Gross	123,448	72,153
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	289,866	243,377
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	60,499	60,463
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	112,661	102,979
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 103,257	$ 97,384

[1] December 31, 2021 balances were derived from audited consolidated financial statements.