Goodwill and Intangible Assets - Changes in Intangibles (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Finite-lived Intangible Assets [Roll Forward]
Finite-lived intangible assets beginning balance	$ 44,645
Amortization of intangible assets	(741)	$ (756)
Finite-lived intangible assets ending balance	34,699
Indefinite-lived Intangible Assets [Roll Forward]
Impairment charges	8,373	$ 0
Product acquisition costs
Indefinite-lived Intangible Assets [Roll Forward]
Indefinite-lived intangible assets, beginning balance	13,103
Loss on impairment	(3,512)
Foreign currency translation	(366)
Indefinite-lived intangible assets, ending balance	9,225
Impairment charges, indefinite-lived	3,512
In process research and development ("IPR&D")
Indefinite-lived Intangible Assets [Roll Forward]
Indefinite-lived intangible assets, beginning balance	327
Loss on impairment	0
Foreign currency translation	(72)
Indefinite-lived intangible assets, ending balance	255
Impairment charges, indefinite-lived	0
Trademarks and Technology
Finite-lived Intangible Assets [Roll Forward]
Finite-lived intangible assets beginning balance	29,058
Amortization of intangible assets	(652)
Loss on impairment	(4,861)
Foreign currency translation	(238)
Finite-lived intangible assets ending balance	23,307
Indefinite-lived Intangible Assets [Roll Forward]
Impairment charges, finite-lived	4,861
Customer relationships
Finite-lived Intangible Assets [Roll Forward]
Finite-lived intangible assets beginning balance	2,157
Amortization of intangible assets	(89)
Loss on impairment	0
Foreign currency translation	(156)
Finite-lived intangible assets ending balance	1,912
Indefinite-lived Intangible Assets [Roll Forward]
Impairment charges, finite-lived	$ 0