Property and Equipment (Tables)

6 Months Ended

Jun. 30, 2022

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment [Table Text Block]

Property, plant and equipment consists of the following (in thousands): 

	As of
	June 30, 2022		December 31, 2021
Machinery and equipment	$	407,580	$	321,078
Land, building and building improvements	271,723		243,377
Molds	75,765		60,463
Computer equipment and software	115,371		102,979
Furniture and fixtures	29,538		7,670
Instruments placed with customers(1)	110,592		97,384
Construction in progress	136,723		72,153
Total property, plant and equipment, cost	1,147,292		905,104
Accumulated depreciation	(479,509)		(436,739)
Property, plant and equipment, net	$	667,783	$	468,365