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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
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Other |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | $ 108,130 | $ 107,489
Accumulated Amortization | (69,780) | (65,053)
Net Carrying Amount | 38,350 | 42,436
Patents |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 29,445 | 26,349
Accumulated Amortization | (10,203) | (8,315)
Net Carrying Amount | 19,242 | 18,034
Distribution agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 3,250 | 3,250
Accumulated Amortization | (2,715) | (2,519)
Net Carrying Amount | 535 | 731
License agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 11,109 | 12,663
Accumulated Amortization | (7,250) | (7,768)
Net Carrying Amount | 3,859 | 4,895
Trademarks |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 30,221 | 30,242
Accumulated Amortization | (17,863) | (15,256)
Net Carrying Amount | 12,358 | 14,986
Customer Lists |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 34,105 | 34,985
Accumulated Amortization | (31,749) | (31,195)
Net Carrying Amount | $ 2,356 | $ 3,790

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