Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 106,799	$ 131,390
Accumulated Amortization	(56,943)	(65,607)
Net Carrying Amount	49,856	65,783
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	23,669	22,703
Accumulated Amortization	(6,460)	(6,863)
Net Carrying Amount	17,209	15,840
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	8,012
Accumulated Amortization	(2,319)	(6,794)
Net Carrying Amount	931	1,218
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	14,453	26,987
Accumulated Amortization	(6,647)	(12,746)
Net Carrying Amount	7,806	14,241
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,273	30,240
Accumulated Amortization	(12,414)	(9,477)
Net Carrying Amount	17,859	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	35,154	39,984
Accumulated Amortization	(29,103)	(28,763)
Net Carrying Amount	$ 6,051	11,221
In-process technology
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount		2,500
Net Carrying Amount		$ 2,500