Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 106,850	$ 106,799
Accumulated Amortization	(63,030)	(56,943)
Net Carrying Amount	43,820	49,856
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	25,635	23,669
Accumulated Amortization	(7,826)	(6,460)
Net Carrying Amount	17,809	17,209
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	3,250
Accumulated Amortization	(2,469)	(2,319)
Net Carrying Amount	781	931
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	12,678	14,453
Accumulated Amortization	(7,478)	(6,647)
Net Carrying Amount	5,200	7,806
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,252	30,273
Accumulated Amortization	(14,566)	(12,414)
Net Carrying Amount	15,686	17,859
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	35,035	35,154
Accumulated Amortization	(30,691)	(29,103)
Net Carrying Amount	$ 4,344	$ 6,051