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Property, Plant and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Jan. 01, 2019
Dec. 31, 2018
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross $ 278,484   $ 278,484     $ 276,288
Less: accumulated depreciation and amortization (193,994)   (193,994)     (186,799)
Total property, plant, and equipment, net 84,490   84,490   $ 81,421 89,489
Depreciation expense 7,800 $ 7,500 23,000 $ 22,300    
Land            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 634   634     644
Buildings            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 4,046   4,046     24,558
Furniture and fixtures            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 13,332   13,332     13,121
Machinery and equipment            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 26,603   26,603     27,452
Equipment leased to third parties under operating leases            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 29,943   29,943     30,093
Leasehold improvements            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross 129,029   129,029     111,247
Computers and software            
Property, Plant and Equipment, Net            
Total property, plant, and equipment, gross $ 74,897   $ 74,897     $ 69,173