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Goodwill and Intangible Assets - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Nov. 30, 2015
Business Acquisition [Line Items]        
Goodwill $ 470 $ 471 $ 446  
Amortization of intangibles 3,096 2,930 $ 2,833  
Alveda Acquisition        
Business Acquisition [Line Items]        
Goodwill       $ 400
In-process research and development (IPR&D)        
Business Acquisition [Line Items]        
Intangible asset impairment 1,200      
Change in intangible assets   (14,700)    
Product Acquisition Costs        
Business Acquisition [Line Items]        
Amortization of intangibles 0      
Intangible asset impairment $ 700 100    
Change in product acquisition costs   $ 14,700