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PROPERTY AND EQUIPMENT, NET (Summary Of Depreciation And Amortization, Capitalized Computer Software For Internal Use And Unpaid Property Equipment Reflected In Account Payable And Accrued Expenses) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Property, Plant and Equipment [Line Items]      
Depreciation and amortization expense $ 100,994 $ 96,746 $ 92,376
Unpaid property and equipment, reflected in accounts payable and accrued liabilities at end of year 12,061 18,334 19,326
Reagent rental arrangements      
Property, Plant and Equipment [Line Items]      
Amount of rental and operating-type reagent rental program instruments transferred from inventory to property and equipment 14,608 17,407 11,628
Capitalization of internal-use software development costs during the period      
Property, Plant and Equipment [Line Items]      
Capitalization of internal-use software development costs during the period $ 37,120 $ 20,329 $ 14,753