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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2023 | Dec. 31, 2022
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Other |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | $ 120,753 | $ 108,130
Accumulated Amortization | (76,909) | (69,780)
Net Carrying Amount | 43,844 | 38,350
Patents |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 30,969 | 29,445
Accumulated Amortization | (12,657) | (10,203)
Net Carrying Amount | 18,312 | 19,242
Distribution agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 3,250 | 3,250
Accumulated Amortization | (2,868) | (2,715)
Net Carrying Amount | 382 | 535
License agreements |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 11,128 | 11,109
Accumulated Amortization | (8,076) | (7,250)
Net Carrying Amount | 3,052 | 3,859
Trademarks |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 35,119 | 30,221
Accumulated Amortization | (19,998) | (17,863)
Net Carrying Amount | 15,121 | 12,358
Customer Lists |  |
Finite-Lived Intangible Assets [Line Items] |  |
Gross Carrying Amount | 40,287 | 34,105
Accumulated Amortization | (33,310) | (31,749)
Net Carrying Amount | $ 6,977 | $ 2,356

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