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Significant Accounting Policies (Narrative) (Details)
12 Months Ended
Dec. 31, 2018
USD ($)
segment
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Accounting Policies [Line Items]      
Number of principal reporting segments | segment 3    
Restricted cash $ 0 $ 0  
Accumulated depreciation relating to rental equipment $ 131,905,000 125,629,000  
Options      
Accounting Policies [Line Items]      
Award vesting period (years) 5 years    
Minimum      
Accounting Policies [Line Items]      
Estimated useful lives 3 years    
Maximum      
Accounting Policies [Line Items]      
Estimated useful lives 25 years    
Option term (years) 10 years    
Rental Equipment      
Accounting Policies [Line Items]      
Accumulated depreciation relating to rental equipment $ 11,145,000 9,413,000  
Selling, General and Administrative expenses      
Accounting Policies [Line Items]      
Advertising expense 11,773,000 9,566,000 $ 7,742,000
Product development and engineering costs $ 10,429,000 $ 9,849,000 $ 8,847,000