Business Combinations - Purchase Price Allocation (Details) - USD ($) $ in Thousands		12 Months Ended
	Jul. 03, 2017	Dec. 31, 2019	Dec. 31, 2018
Business Acquisition [Line Items]
Goodwill		$ 7,656	$ 7,813
Estimated Useful Life of Finite-Lived Intangible Assets		16 years 4 months 24 days	16 years
Crossmed
Business Acquisition [Line Items]
Current assets	$ 5,749
Other current and non-current assets	1,596
Property and equipment, net	829
Current liabilities	(5,080)
Other non-current liabilities	(797)
Goodwill	7,867
Total purchase price	18,704
Customer relationships
Business Acquisition [Line Items]
Estimated Useful Life of Finite-Lived Intangible Assets		15 years	15 years
Customer relationships | Crossmed
Business Acquisition [Line Items]
Finite-lived intangible assets acquired	$ 6,790
Estimated Useful Life of Finite-Lived Intangible Assets	15 years
Other
Business Acquisition [Line Items]
Estimated Useful Life of Finite-Lived Intangible Assets		5 years	5 years
Other | Crossmed
Business Acquisition [Line Items]
Finite-lived intangible assets acquired	$ 1,750
Estimated Useful Life of Finite-Lived Intangible Assets	5 years