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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2023
Dec. 31, 2022
Other    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 120,302 $ 108,130
Accumulated Amortization (74,418) (69,780)
Net Carrying Amount 45,884 38,350
Patents    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 30,451 29,445
Accumulated Amortization (11,732) (10,203)
Net Carrying Amount 18,719 19,242
Distribution agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 3,250 3,250
Accumulated Amortization (2,817) (2,715)
Net Carrying Amount 433 535
License agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 11,139 11,109
Accumulated Amortization (7,832) (7,250)
Net Carrying Amount 3,307 3,859
Trademarks    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 35,129 30,221
Accumulated Amortization (19,215) (17,863)
Net Carrying Amount 15,914 12,358
Customer Lists    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 40,333 34,105
Accumulated Amortization (32,822) (31,749)
Net Carrying Amount $ 7,511 $ 2,356