Property and Equipment (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Property and equipment, gross	$ 25,769	$ 20,608
Less: accumulated depreciation and amortization	(11,667)	(10,741)
Property and equipment, net	14,102	9,867
Land and Land Improvements
Property and equipment, gross	2,452	1,538
Building
Property and equipment, gross	6,949	10,913
Machinery and Equipment
Property and equipment, gross	12,709	5,394
Rental Equipment
Property and equipment, gross	$ 3,659	$ 2,763

Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services.

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Amount before accumulated depreciation, depletion and amortization of physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, and furniture and fixtures.

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