Goodwill and Other Intangible Assets - Schedule of Finite-Lived Intangible Assets by Major Class (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	$ 175,153	$ 175,191
Accumulated Amortization	(129,525)	(123,071)
Accumulated Impairment Losses	(10,828)	(10,828)
Net	34,800	41,292
Licenses
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	23,779	23,779
Accumulated Impairment Losses	(6,800)	(6,800)
Net	16,979	16,979
Customer relationships and customer lists
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	108,704	108,742
Accumulated Amortization	(89,736)	(83,307)
Accumulated Impairment Losses	(1,403)	(1,403)
Net	17,565	24,032
Value of business acquired
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	20,200	20,200
Accumulated Amortization	(20,200)	(20,200)
Accumulated Impairment Losses	0	0
Net	0	0
Software
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	12,230	12,230
Accumulated Amortization	(12,230)	(12,230)
Accumulated Impairment Losses	0	0
Net	0	0
Patents and intellectual property
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	4,500	4,500
Accumulated Amortization	(1,875)	(1,875)
Accumulated Impairment Losses	(2,625)	(2,625)
Net	0	0
Covenants not-to-compete
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	4,030	4,030
Accumulated Amortization	(4,030)	(4,030)
Accumulated Impairment Losses	0	0
Net	0	0
Trademarks and trade names
Schedule of Finite and Indefinite-lived Intangible Assets [Line Items]
Gross  Carrying   Value	1,710	1,710
Accumulated Amortization	(1,454)	(1,429)
Accumulated Impairment Losses	0	0
Net	$ 256	$ 281