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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2021 | Dec. 31, 2020
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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

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