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14. Restructuring Costs (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended 20 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Dec. 31, 2021
Restructuring Cost and Reserve [Line Items]            
Cost of goods sold $ 307,008 $ 309,614 $ 898,628 $ 950,116    
Selling, General and Administrative Expenses [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve, Accrual Adjustment 2,800   3,000      
Cost of Sales [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve, Accrual Adjustment 1,300   1,300      
Research and Development Expense [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve, Accrual Adjustment 500   300      
European Reorganization            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 36,400   36,400   $ 36,400 $ 47,100
Restructuring Charges         69,000  
Payments for Restructuring     (9,500)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (5,800)      
Restructuring Reserve, Accrual Adjustment     4,600      
European Reorganization | Life Science [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve 3,300   3,300   3,300 5,200
Payments for Restructuring     (2,600)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (500)      
Restructuring Reserve, Accrual Adjustment     1,200      
European Reorganization | Clinical Diagnostics [Member]            
Restructuring Cost and Reserve [Line Items]            
Restructuring Reserve $ 33,100   33,100   $ 33,100 $ 41,900
Payments for Restructuring     (6,900)      
Restructuring Reserve, Foreign Currency Translation (Gain) Loss     (5,300)      
Restructuring Reserve, Accrual Adjustment     $ 3,400