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15. Restructuring Costs (Tables)
 12 Months Ended
Dec. 31, 2018
Restructuring Cost and Reserve [Line Items]  
Restructuring and Related Costs [Table Text Block] The following table summarizes the activity for the termination of the diagnostics research and development project and the facility closures restructuring reserves for severance and exit costs (in millions):

 
 
2018
 
2017
Balance as of January 1
 
$
14.1

 
$
—

Charged to expense
 
5.8

 
14.0

Adjustment to expense
 
0.3

 
—

Cash payments
 
(8.4
)
 
—

Foreign currency translation (gains) losses
 
(0.3
)
 
0.1

Balance as of December 31
 
$
11.5

 
$
14.1

The following table summarizes the activity of our European reorganization restructuring reserves for severance (in millions):

 
 
2018
 
2017
 
 
Life Science
 
Clinical Diagnostics
 
Total
 
Life Science
 
Clinical Diagnostics
 
Total
Balance as of January 1
 
$
2.2

 
$
4.1

 
$
6.3

 
$
3.2

 
$
5.8

 
$
9.0

Adjustment to expense
 
(0.1
)
 
(0.1
)
 
(0.2
)
 
0.2

 
0.3

 
0.5

Cash payments
 
(1.5
)
 
(2.9
)
 
(4.4
)
 
(1.5
)
 
(2.7
)
 
(4.2
)
Foreign currency translation (gains) losses
 
—

 
(0.1
)
 
(0.1
)
 
0.3

 
0.7

 
1.0

Balance as of December 31
 
$
0.6

 
$
1.0

 
$
1.6

 
$
2.2

 
$
4.1

 
$
6.3