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Basis of Presentation and Significant Accounting Policies - Valuation of Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Goodwill [Line Items]    
Goodwill impairment loss $ 0 $ (476)
Medical Device Sales and Service    
Goodwill [Line Items]    
Goodwill impairment loss (1,100)  
ATRM Holdings, Inc.    
Goodwill [Line Items]    
Goodwill, acquired during period 8,233  
ATRM Holdings, Inc. | Medical Device Sales and Service    
Goodwill [Line Items]    
Goodwill, acquired during period 0  
Telerhythmics    
Goodwill [Line Items]    
Goodwill impairment loss $ (500)