Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 108,130	$ 107,489
Accumulated Amortization	(69,780)	(65,053)
Net Carrying Amount	38,350	42,436
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	29,445	26,349
Accumulated Amortization	(10,203)	(8,315)
Net Carrying Amount	19,242	18,034
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	3,250
Accumulated Amortization	(2,715)	(2,519)
Net Carrying Amount	535	731
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	11,109	12,663
Accumulated Amortization	(7,250)	(7,768)
Net Carrying Amount	3,859	4,895
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,221	30,242
Accumulated Amortization	(17,863)	(15,256)
Net Carrying Amount	12,358	14,986
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	34,105	34,985
Accumulated Amortization	(31,749)	(31,195)
Net Carrying Amount	$ 2,356	$ 3,790