Property and Equipment (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 1,154,481	$ 905,104
Accumulated depreciation	(498,098)	(436,739)
Net property and equipment	656,383	468,365	[1]
Machinery and Equipment, Gross	409,349	321,078
Furniture and Fixtures, Gross	29,110	7,670
Construction in Progress, Gross	147,099	72,153
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	272,426	243,377
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	75,874	60,463
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	114,378	102,979
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 106,245	$ 97,384

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