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14. Segment Reporting (Details)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Segment Reporting Information [Line Items]                      
Number Of Products And Services                 9,000    
Net sales $ 621,300 $ 534,100 $ 504,700 $ 500,100 $ 571,500 $ 508,700 $ 516,800 $ 471,200 $ 2,160,153 $ 2,068,172 $ 2,019,441
Interest expense                 21,914 21,942 21,692
Depreciation and amortization                 148,700 142,900 131,800
Segment profit 45,900 $ 30,700 $ 1,100 $ 20,100 (28,200) $ 22,700 $ 26,900 $ 20,200 116,650 53,194 166,708
Total assets 4,273,012       3,850,504       4,273,012 3,850,504  
Payments to Acquire Property, Plant, and Equipment                 111,332 141,436 112,000
Life Science [Member]                      
Segment Reporting Information [Line Items]                      
Net sales                 785,200 730,700 695,000
Interest expense                 7,000 6,400 6,100
Depreciation and amortization                 36,200 31,700 30,700
Segment profit                 (10,100) (19,200) (700)
Total assets 453,000       380,800       453,000 380,800  
Payments to Acquire Property, Plant, and Equipment                 12,600 14,300  
Clinical Diagnostics [Member]                      
Segment Reporting Information [Line Items]                      
Net sales                 1,360,800 1,323,300 1,310,400
Interest expense                 14,900 15,500 15,400
Depreciation and amortization                 80,200 80,500 77,800
Segment profit                 112,500 57,000 152,400
Total assets 1,038,400       909,100       1,038,400 909,100  
Payments to Acquire Property, Plant, and Equipment                 59,000 67,100  
All Other Segments [Member]                      
Segment Reporting Information [Line Items]                      
Net sales                 14,200 14,200 14,000
Interest expense                 0 0 100
Depreciation and amortization                 0 0 100
Segment profit                 1,400 900 $ 700
Total assets $ 4,800       $ 4,900       4,800 4,900  
Payments to Acquire Property, Plant, and Equipment                 $ 0 $ 0