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Acquisition - Narrative (Details) - USD ($)
3 Months Ended 6 Months Ended
May 08, 2018
Jun. 30, 2018
Jun. 30, 2018
Acquisition-related Costs      
Business Acquisition [Line Items]      
Pro forma earnings adjustment to exclude from 2018 and include in 2017     $ 11,900,000
Intermedix      
Business Acquisition [Line Items]      
Purchase price, subject to customary adjustments $ 460,000,000    
Fair value of accounts receivable acquired   $ 35,800,000 35,800,000
Accounts receivable, gross contractual amounts   37,400,000 37,400,000
Accounts receivable, estimated uncollectible   1,600,000 1,600,000
Pro forma, net sales since the acquisition   27,600,000 27,600,000
Pro forma, loss before income taxes since the acquisition   $ 1,800,000 1,800,000
Advisory and financing services related fees     $ 4,100,000