Property and Equipment (Tables)

9 Months Ended

Sep. 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
	September 30, 2022		December 31, 2021
Machinery and equipment	$	409,349	$	321,078
Land, building and building improvements	272,426		243,377
Molds	75,874		60,463
Computer equipment and software	114,378		102,979
Furniture and fixtures	29,110		7,670
Instruments placed with customers(1)	106,245		97,384
Construction in progress	147,099		72,153
Total property, plant and equipment, cost	1,154,481		905,104
Accumulated depreciation	(498,098)		(436,739)
Property, plant and equipment, net	$	656,383	$	468,365