Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Dec. 20, 2013
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 66,096	$ 53,616
Accumulated Amortization	(26,603)	(22,480)
Net Carrying Amount	39,493	31,136
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	12,014	10,199
Accumulated Amortization	(2,595)	(2,196)
Net Carrying Amount	9,419	8,003
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	5,626	5,376
Accumulated Amortization	(2,853)	(2,285)
Net Carrying Amount	2,773	3,091
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	19,109	8,995	$ 700
Accumulated Amortization	(2,438)	(1,823)
Net Carrying Amount	16,671	7,172
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	7,259	7,298
Accumulated Amortization	(2,554)	(2,079)
Net Carrying Amount	4,705	5,219
Covenants not to compete
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	1,028	1,029
Accumulated Amortization	(873)	(636)
Net Carrying Amount	155	393
Customer lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	20,793	20,452
Accumulated Amortization	(15,023)	(13,194)
Net Carrying Amount	5,770	7,258
Royalty agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	267	267
Accumulated Amortization	(267)	(267)
Net Carrying Amount	$ 0	$ 0