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13. Restructuring Costs (Tables)
 3 Months Ended
Mar. 31, 2019
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):

Balances as of December 31, 2018:
 
$
11.5

Adjustment to expense
 
(0.2
)
Cash payments
 
(3.6
)
Foreign currency translation gains
 
(0.2
)
Balances as of March 31, 2019:
 
$
7.5