Property and Equipment (Details) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 1,174,544	$ 1,162,557
Accumulated depreciation	(550,432)	(526,444)
Net property and equipment	624,112	636,113	[1]
Machinery and Equipment, Gross	430,258	414,811
Furniture and Fixtures, Gross	30,166	29,876
Construction in Progress, Gross	138,996	152,909
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	275,463	274,063
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	77,557	77,203
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	119,438	115,214
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 102,666	$ 98,481

[1] December 31, 2022 balances were derived from audited consolidated financial statements.