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Property and Equipment (Tables)
9 Months Ended
Sep. 30, 2025
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment [Table Text Block]
Property, plant and equipment consists of the following (in thousands): 
As of
 September 30, 2025December 31, 2024
Machinery and equipment(1)
$427,864 $400,861 
Land, building and building improvements(1)
179,894 177,089 
Molds108,026 96,318 
Computer equipment and software(1)
114,191 122,208 
Furniture and fixtures(1)
26,589 27,871 
Instruments placed with customers(2)
145,251 124,290 
Construction in progress(1)
89,774 87,006 
Total property, plant and equipment, cost(1)
1,091,589 1,035,643 
Accumulated depreciation(1)
(635,622)(592,897)
Property, plant and equipment, net(1)
$455,967 $442,746