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Summary of Significant Accounting Policies (Property and Equipment) (Details) - USD ($)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Property, Plant and Equipment [Line Items]      
Depreciation $ 21,147,000 $ 21,641,000 $ 22,605,000
Impairment of long-lived assets held-for-use $ 0 0 0
Minimum      
Property, Plant and Equipment [Line Items]      
Property and equipment, estimated useful life 3 years    
Maximum      
Property, Plant and Equipment [Line Items]      
Property and equipment, estimated useful life 39 years    
Rental Equipment      
Property, Plant and Equipment [Line Items]      
Property and equipment, estimated useful life 15 years    
Rentals      
Property, Plant and Equipment [Line Items]      
Depreciation $ 20,861,000 21,325,000 22,308,000
Sales      
Property, Plant and Equipment [Line Items]      
Depreciation 265,000 291,000 281,000
Service & Maintenance      
Property, Plant and Equipment [Line Items]      
Depreciation $ 21,000 $ 25,000 $ 16,000