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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2023
Dec. 31, 2022
Other    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 108,423 $ 108,130
Accumulated Amortization (71,742) (69,780)
Net Carrying Amount 36,681 38,350
Patents    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 29,716 29,445
Accumulated Amortization (10,888) (10,203)
Net Carrying Amount 18,828 19,242
Distribution agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 3,250 3,250
Accumulated Amortization (2,766) (2,715)
Net Carrying Amount 484 535
License agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 11,119 11,109
Accumulated Amortization (7,536) (7,250)
Net Carrying Amount 3,583 3,859
Trademarks    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 30,229 30,221
Accumulated Amortization (18,522) (17,863)
Net Carrying Amount 11,707 12,358
Customer Lists    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 34,109 34,105
Accumulated Amortization (32,030) (31,749)
Net Carrying Amount $ 2,079 $ 2,356