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Segment Information - Summary of Net Sale and Income (Loss) from Operations (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales | $ 198,632 | $ 213,897 | $ 221,666 | $ 213,256 | $ 199,477 | $ 205,683 | $ 197,010 | $ 168,487 |  |  |
Income (loss) from operations |  |  |  |  |  |  |  |  | $ 9,889 | $ (179,864) | $ 31,780
Paragon Medical |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  |  | 116,998 |
Income (loss) from operations |  |  |  |  |  |  |  |  |  | 8,086 | 0
Other |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  |  | 42,636 | 6,682
Income (loss) from operations |  |  |  |  |  |  |  |  |  | $ 1,816 | $ (458)

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