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Inventories (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Inventories [abstract]      
Products available for sale $ 16,930 $ 18,963  
Products available for rent 526 547  
Goods in transit 1,509 2,472  
Total inventories at lower of cost and net realizable value $ 18,965 $ 21,982 $ 23,669