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Balance Sheet Components (Tables)

12 Months Ended

Dec. 31, 2023

Balance Sheet Related Disclosures [Abstract]

Schedule of Inventories

Inventories consist of the following (in thousands): 

						December 31,
						2023						2022
Raw materials						$	145,492					$	172,758
Work in progress						91,259						96,558
Finished goods						60,151						69,436
Total inventories						$	296,902					$	338,752

Schedule of Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets consist of the following (in thousands): 

						December 31,
						2023						2022
Value added tax receivables						$	143,728					$	140,484
Prepaid expenses						52,487						69,124
Other current assets						77,335						16,762
Total prepaid expenses and other current assets						$	273,550					$	226,370

Property, Plant and Equipment

Property, plant and equipment, net consist of the following (in thousands):

												December 31,
						Generally Used Estimated Useful Life						2023						2022
Clinical and manufacturing equipment						Up to 13 years						$	703,805					$	583,776
Building						20 years						517,554						466,003
Leasehold improvements						Lease term 1						62,216						64,238
Computer software and hardware						3 years						125,633						120,544
Land						—						63,875						58,885
Furniture, fixtures and other						2-5 years						122,820						102,933
Construction in progress						—						245,722						285,202
Total												1,841,625						1,681,581
Less: Accumulated depreciation and impairment charges												(550,762)						(449,726)
Total property, plant and equipment, net												$	1,290,863					$	1,231,855

1    Shorter of the remaining lease term or the estimated useful lives of the assets

Schedule of Accrued Liabilities

Accrued liabilities consist of the following (in thousands): 

						December 31,
						2023						2022
Accrued payroll and benefits						$	220,862					$	149,508
Accrued expenses						71,109						64,341
Accrued income taxes						38,103						74,323
Accrued sales and marketing expenses						34,035						36,407
Current operating lease liabilities						29,651						26,574
Accrued property, plant and equipment						23,618						19,922
Other accrued liabilities						108,402						83,299
Total accrued liabilities						$	525,780					$	454,374

Warranty accrual

Accrued warranty as of December 31, 2023 and 2022, which is included in the “Other accrued liabilities” category in the accrued liabilities table above, consists of the following activity (in thousands):

Accrued warranty as of December 31, 2021						$	16,169
Charged to cost of net revenues						16,429
Actual warranty expenditures						(14,725)
Accrued warranty as of December 31, 2022						17,873
Charged to cost of net revenues						18,248
Actual warranty expenditures						(13,695)
Accrued warranty as of December 31, 2023						$	22,426

Deferred Revenues

Deferred revenues consist of the following (in thousands):

						December 31,
						2023						2022
Deferred revenues - current						$	1,427,706					$	1,343,643
Deferred revenues - long-term 1						138,000						160,662

1    Included in Other long-term liabilities within our Consolidated Balance Sheets

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