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Summary of Significant Accounting Policies (Property and Equipment) (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Property, Plant and Equipment [Line Items]      
Work in process $ 3,800,000 $ 2,389,000  
Depreciation 21,875,000 21,147,000 $ 21,641,000
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 $ 21,588,000 20,861,000 21,325,000
Sales      
Property, Plant and Equipment [Line Items]      
Depreciation 265,000 265,000 291,000
Service & Maintenance      
Property, Plant and Equipment [Line Items]      
Depreciation 22,000 21,000 $ 25,000
Rental Equipment      
Property, Plant and Equipment [Line Items]      
Work in process $ 11,900,000 $ 6,400,000