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14. Segment Information Segment Profit Reconciliation (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Goodwill, Impairment Loss |  | $ 0 | $ 282,000 |
Income before income taxes |  | 2,261,081 | 512,659 | $ 97,805
Unrealized Gain on Securities | $ 646,000 | 2,030,987 | 606,230 | 0
Operating Segments [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Income before income taxes |  | 219,100 | (116,800) | 106,300
Segment Reconciling Items [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Unrealized Gain on Securities |  | 2,031,000 | 606,200 | 0
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Income before income taxes |  | (12,900) | (10,400) | (10,100)
Foreign Currency Gain (Loss) [Member] | Segment Reconciling Items [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Income before income taxes |  | (2,200) | (2,900) | (9,100)
Other Nonoperating Income (Expense) [Member] | Segment Reconciling Items [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Income before income taxes |  | 26,100 | 36,600 | $ 10,700
Clinical Diagnostics [Member] |  |  |  |
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] |  |  |  |
Goodwill, Impairment Loss |  | $ 0 | $ 276,100 |

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