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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2021
Dec. 31, 2020
Other    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 106,314 $ 106,799
Accumulated Amortization (60,993) (56,943)
Net Carrying Amount 45,321 49,856
Patents    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 25,036 23,669
Accumulated Amortization (7,358) (6,460)
Net Carrying Amount 17,678 17,209
Distribution agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 3,250 3,250
Accumulated Amortization (2,419) (2,319)
Net Carrying Amount 831 931
License agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 12,710 14,453
Accumulated Amortization (7,198) (6,647)
Net Carrying Amount 5,512 7,806
Trademarks    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 30,260 30,273
Accumulated Amortization (13,865) (12,414)
Net Carrying Amount 16,395 17,859
Customer Lists    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 35,058 35,154
Accumulated Amortization (30,153) (29,103)
Net Carrying Amount $ 4,905 $ 6,051