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12. Restructuring Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2021 | Jun. 30, 2020 | Jun. 30, 2021 | Jun. 30, 2020 | Dec. 31, 2020
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Cost of goods sold | $ 314,333 | $ 243,892 | $ 640,502 | $ 498,168 |
European Reorganization |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve | 61,600 |  | 61,600 |  | $ 0
Restructuring Charges |  |  | 75,600 |  |
Payments for Restructuring |  |  | (4,800) |  |
Restructuring Reserve, Foreign Currency Translation (Gain) Loss |  |  | (1,500) |  |
Restructuring Reserve, Accrual Adjustment |  |  | (7,700) |  |
European Reorganization | Accounts Payable and Accrued Liabilities [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve | 31,500 |  | 31,500 |  |
European Reorganization | Other Noncurrent Liabilities [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve | 30,100 |  | 30,100 |  |
European Reorganization | Selling, General and Administrative Expenses [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve, Accrual Adjustment | (6,900) |  | 27,800 |  |
European Reorganization | Cost of Sales [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve, Accrual Adjustment | 1,100 |  | 25,000 |  |
European Reorganization | Research and Development Expense [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve, Accrual Adjustment | (1,900) |  | 15,100 |  |
European Reorganization | Life Science [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve | 9,200 |  | 9,200 |  | 0
Restructuring Charges |  |  | 12,900 |  |
Payments for Restructuring |  |  | (900) |  |
Restructuring Reserve, Foreign Currency Translation (Gain) Loss |  |  | (200) |  |
Restructuring Reserve, Accrual Adjustment |  |  | (2,600) |  |
European Reorganization | Clinical Diagnostics [Member] |  |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |  |
Restructuring Reserve | $ 52,400 |  | 52,400 |  | $ 0
Restructuring Charges |  |  | 62,700 |  |
Payments for Restructuring |  |  | (3,900) |  |
Restructuring Reserve, Foreign Currency Translation (Gain) Loss |  |  | (1,300) |  |
Restructuring Reserve, Accrual Adjustment |  |  | $ (5,100) |  |

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- Definition The aggregate costs related to goods produced and sold and services rendered by an entity during the reporting period. This excludes costs incurred during the reporting period related to financial services rendered and other revenue generating activities. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 924 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SAB Topic 11.L) -URI http://asc.fasb.org/extlink&oid=6472922&loc=d3e499488-122856 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.2(a),(d)) -URI http://asc.fasb.org/extlink&oid=123367319&loc=SL114868664-224227 + Details
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