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Effect of New Accounting Standards (Details Textual) - USD ($)
$ in Thousands
Jan. 01, 2019
Dec. 31, 2018
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Right of use assets at contract manufacturing organizations   $ 5,894 $ 2,909
Scenario, Forecast | Accounting Standards Update 2016-02      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Operating Lease, liability $ 5,100    
Right of use assets at contract manufacturing organizations $ 5,100