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Property and Equipment (Details) - USD ($) $ in Thousands | Sep. 30, 2021 | Dec. 31, 2020
--- | --- | ---
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | $ 879,673 | $ 843,096 |
Accumulated depreciation | (421,632) | (376,468) |
Net property and equipment | 458,041 | 466,628 | [1]
Machinery and Equipment, Gross | 310,651 | 291,331 |
Furniture and Fixtures, Gross | 7,686 | 7,767 |
Construction in Progress, Gross | 61,890 | 53,724 |
Land, Buildings and Improvements [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 242,786 | 241,199 |
Molds [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 60,380 | 60,381 |
Computer Equipment and Software [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | 99,781 | 98,311 |
Instruments Placed with Customers [Member] |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Total property and equipment, cost | $ 96,499 | $ 90,383 |
[1] | December 31, 2020 balances were derived from audited consolidated financial statements.

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