Revenue from Contracts with Customers Contract Assets and Liabilities (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Dec. 31, 2019
Revenue from Contracts with Customers [Abstract]
Accounts Receivable, after Allowance for Credit Loss	$ 7,865	$ 10,377
Disaggregation of Revenue [Line Items]
Contract with Customer, Asset, after Allowance for Credit Loss	4,830	3,512
Contract asset payments received	3,659
Contract assets recognized	(2,341)
Contract with Customer, Liability	5,680	4,024
Medical devices [Member]
Disaggregation of Revenue [Line Items]
Contract with Customer, Asset, after Allowance for Credit Loss	0	0
Contract asset payments received	0
Contract assets recognized	0
Contract with Customer, Liability	1,018
Pharmaceutical [Member]
Disaggregation of Revenue [Line Items]
Contract with Customer, Asset, after Allowance for Credit Loss	4,830	$ 3,512
Contract asset payments received	3,659
Contract assets recognized	(2,341)
Contract with Customer, Liability	$ 4,662