Goodwill and Other Intangible Assets (Intangible Assets) (Details) - USD ($) $ in Thousands			12 Months Ended
	Aug. 09, 2022	Jun. 13, 2022	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Intangible assets, gross carrying amount			$ 1,005,816	$ 761,368
Intangible assets, accumulated amortization			(324,017)	(290,319)
Amortization of Intangible Assets			33,700	33,300	$ 34,200
Future amortization expense [Abstract]
2023			35,351
2024			35,059
2025			35,551
2026			35,308
2027			36,347
Expense [Member]
Future amortization expense [Abstract]
2023			29,351
2024			29,059
2025			29,551
2026			29,308
2027			30,347
Reduction of Revenue [Member]
Future amortization expense [Abstract]
2023			6,000
2024			6,000
2025			6,000
2026			6,000
2027			6,000
Trademarks and Trade Names [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Unamortized intangible assets, gross carrying amount			86,544	86,544
Customer and Distributor Relationships [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			369,854	342,452
Intangible assets, accumulated amortization			(170,870)	(152,934)
Sales representation, marketing and promotional rights [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			149,376	149,376
Intangible assets, accumulated amortization			(66,000)	(60,000)
Patents and Other Intangible Assets [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			79,838	76,392
Intangible assets, accumulated amortization			(52,472)	(50,890)
Technology-Based Intangible Assets [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			320,204	106,604
Intangible assets, accumulated amortization			$ (34,675)	$ (26,495)
Weighted Average [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			22 years
Weighted Average [Member] | Customer and Distributor Relationships [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			24 years
Weighted Average [Member] | Sales representation, marketing and promotional rights [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			25 years
Weighted Average [Member] | Patents and Other Intangible Assets [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			16 years
Weighted Average [Member] | Technology-Based Intangible Assets [Member]
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			18 years
In2Bones Global Inc
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-lived Intangible Assets Acquired		$ 64,900
Biorez Inc
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-lived Intangible Assets Acquired	$ 177,900