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Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Statement Of Financial Position [Abstract]    
Trade accounts receivable, allowance for doubtful accounts $ 7,448 $ 7,463
Common shares, par value $ 0.10 $ 0.10
Common shares, authorized 50,000,000 50,000,000
Common shares, issued 18,790,769 18,579,688
Common shares, outstanding 18,790,769 18,579,688