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Property and Equipment (Details) - USD ($) $ in Thousands | Sep. 30, 2018 | Dec. 31, 2017
--- | --- | ---
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | $ 674,334 | $ 608,823 |
Accumulated depreciation | (249,437) | (210,139) |
Net property and equipment | 424,897 | 398,684 | [1]
Machinery and Equipment, Gross | 195,278 | 220,999 |
Furniture and Fixtures, Gross | 8,284 | 7,361 |
Construction in Progress, Gross | 98,967 | 57,144 |
Land, Buildings and Improvements [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 213,764 | 206,846 |
Molds [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 56,304 | 56,253 |
Computer Equipment and Software [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 43,490 | 44,408 |
Instruments Placed with Customers [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | $ 58,247 | $ 15,812 |
[1] | December 31, 2017 balances were derived from audited consolidated financial statements.

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