Property and Equipment (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Property, Plant and Equipment [Abstract]
Machinery and Equipment, Gross	$ 493,147	$ 483,382
Land, building and building improvements, Gross	284,287	278,251
Molds, Gross	90,754	89,573
Computer equipment and software, Gross	125,150	122,038
Furniture and Fixtures, Gross	30,578	30,662
Instruments placed with customers, Gross	117,844	115,672
Construction in Progress, Gross	105,287	117,219
Total property and equipment, cost	1,247,047	1,236,797
Accumulated depreciation	(644,430)	(623,888)
Net property and equipment	$ 602,617	$ 612,909	[1]

[1] December 31, 2023 balances were derived from audited consolidated financial statements.