Property and Equipment (Details) - USD ($) $ in Thousands	Jun. 30, 2023	Dec. 31, 2022
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 1,191,307	$ 1,162,557
Accumulated depreciation	(574,767)	(526,444)
Net property and equipment	616,540	636,113	[1]
Machinery and Equipment, Gross	449,210	414,811
Furniture and Fixtures, Gross	30,309	29,876
Construction in Progress, Gross	127,795	152,909
Land, Buildings and Improvements [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	276,062	274,063
Molds [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	79,845	77,203
Computer Equipment and Software [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	120,805	115,214
Instruments Placed with Customers [Member]
Property, Plant and Equipment [Line Items]
Total property and equipment, cost	$ 107,281	$ 98,481

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