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12. Restructuring Costs (Details) - USD ($)
$ in Thousands
 3 Months Ended 14 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Mar. 31, 2022
Dec. 31, 2021
Restructuring Cost and Reserve [Line Items]        
Cost of goods sold $ 296,502 $ 326,169    
European Reorganization        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 42,500   $ 42,500 $ 47,100
Restructuring Charges     64,500  
Payments for Restructuring (3,600)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss (1,100)      
Restructuring Reserve, Accrual Adjustment 100      
European Reorganization | Accounts Payable and Accrued Liabilities [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 41,900   41,900  
European Reorganization | Other Current Liabilities [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 200   200  
European Reorganization | Other Noncurrent Liabilities [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 400   400  
European Reorganization | Selling, General and Administrative Expenses [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve, Accrual Adjustment 200      
European Reorganization | Research and Development Expense [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve, Accrual Adjustment (100)      
European Reorganization | Life Science [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 3,900   3,900 5,200
Payments for Restructuring (1,300)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss 0      
Restructuring Reserve, Accrual Adjustment 0      
European Reorganization | Clinical Diagnostics [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring Reserve 38,600   $ 38,600 $ 41,900
Payments for Restructuring (2,300)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss (1,100)      
Restructuring Reserve, Accrual Adjustment $ 100