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12. Restructuring Costs (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended 17 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Dec. 31, 2021
Restructuring Cost and Reserve [Line Items]            
Cost of goods sold $ 295,118 $ 314,333 $ 591,620 $ 640,502    
European Reorganization            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 37,800   37,800   $ 37,800 $ 47,100
Restructuring Charges         64,400  
Payments for Restructuring     (6,000)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (3,300)      
Restructuring Reserve, Accrual Adjustment     0      
European Reorganization | Accounts Payable and Accrued Liabilities [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 37,400   37,400   37,400  
European Reorganization | Other Noncurrent Liabilities [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 400   400   400  
European Reorganization | Life Science [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 3,200   3,200   3,200 5,200
Payments for Restructuring     (1,700)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (200)      
Restructuring Reserve, Accrual Adjustment     (100)      
European Reorganization | Clinical Diagnostics [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve $ 34,600   34,600   $ 34,600 $ 41,900
Payments for Restructuring     (4,300)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (3,100)      
Restructuring Reserve, Accrual Adjustment     $ 100