Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 131,390	$ 128,702
Accumulated Amortization	(65,607)	(49,136)
Net Carrying Amount	65,783	79,566
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	22,703	19,378
Accumulated Amortization	(6,863)	(5,012)
Net Carrying Amount	15,840	14,366
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	8,012	8,012
Accumulated Amortization	(6,794)	(5,766)
Net Carrying Amount	1,218	2,246
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	26,987	26,930
Accumulated Amortization	(12,746)	(7,411)
Net Carrying Amount	14,241	19,519
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,240	29,998
Accumulated Amortization	(9,477)	(6,586)
Net Carrying Amount	20,763	23,412
Covenants not to compete
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	964	1,028
Accumulated Amortization	(964)	(1,000)
Net Carrying Amount		28
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	39,984	39,936
Accumulated Amortization	(28,763)	(23,361)
Net Carrying Amount	11,221	16,575
In-process technology
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	2,500	3,420
Net Carrying Amount	$ 2,500	$ 3,420