Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 107,877	$ 131,390
Accumulated Amortization	(56,913)	(65,607)
Net Carrying Amount	50,964	65,783
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	25,202	22,703
Accumulated Amortization	(8,320)	(6,863)
Net Carrying Amount	16,882	15,840
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	8,012
Accumulated Amortization	(2,269)	(6,794)
Net Carrying Amount	981	1,218
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	14,425	26,987
Accumulated Amortization	(6,244)	(12,746)
Net Carrying Amount	8,181	14,241
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,257	30,240
Accumulated Amortization	(11,675)	(9,477)
Net Carrying Amount	18,582	20,763
Covenants not to compete
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount		964
Accumulated Amortization		(964)
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	34,743	39,984
Accumulated Amortization	(28,405)	(28,763)
Net Carrying Amount	$ 6,338	11,221
In-process technology
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount		2,500
Net Carrying Amount		$ 2,500