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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)