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Acquisition Of On-X Life Technologies (Pro Forma Information) (Details) - On-X Agreement [Member] - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Business Acquisition [Line Items]      
Total revenues $ 182,007    
Net income (loss) $ 17,692    
Pro forma income (loss) per common share - basic $ 0.54    
Pro forma income (loss) per common share - diluted $ 0.53    
Pro forma tax rate 38.00% 38.00% 38.00%