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12. Restructuring Costs (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Restructuring Cost and Reserve [Line Items]          
Cost of goods sold $ 309,614 $ 279,952 $ 950,116 $ 778,120  
European Reorganization          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve 58,000   58,000   $ 0
Restructuring Charges     75,600    
Payments for Restructuring     (7,500)    
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (2,400)    
Restructuring Reserve, Accrual Adjustment     (7,700)    
European Reorganization | Accounts Payable and Accrued Liabilities [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve 38,500   38,500    
European Reorganization | Other Noncurrent Liabilities [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve 19,500   19,500    
European Reorganization | Selling, General and Administrative Expenses [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve, Accrual Adjustment (300)   27,500    
European Reorganization | Cost of Sales [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve, Accrual Adjustment 100   25,100    
European Reorganization | Research and Development Expense [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve, Accrual Adjustment 200   15,300    
European Reorganization | Life Science [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve 8,100   8,100   0
Restructuring Charges     12,900    
Payments for Restructuring     (1,700)    
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (400)    
Restructuring Reserve, Accrual Adjustment     (2,700)    
European Reorganization | Clinical Diagnostics [Member]          
Restructuring Cost and Reserve [Line Items]          
Restructuring Reserve $ 49,900   49,900   $ 0
Restructuring Charges     62,700    
Payments for Restructuring     (5,800)    
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (2,000)    
Restructuring Reserve, Accrual Adjustment     $ (5,000)