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Property, Plant and Equipment (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Property, Plant and Equipment [Line Items]                      
Depreciation of property, plant and equipment $ 14,813 $ 13,648 $ 13,619 $ 14,642 $ 15,984 $ 16,002 $ 15,871 $ 14,652 $ 56,722 $ 62,509 $ 64,620
Interest Costs Capitalized                 $ 800 $ 300 $ 400
Graham Healthcare Group [Member]                      
Property, Plant and Equipment [Line Items]                      
Property plant and equipment impairment charges   $ 200       $ 400          
Other Businesses [Member] | Forney [Member]                      
Property, Plant and Equipment [Line Items]                      
Property plant and equipment impairment charges             $ 600