Property and Equipment (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Property and equipment, gross	$ 30,472	$ 25,769
Less: accumulated depreciation and amortization	(12,737)	(11,667)
Property and equipment, net	17,735	14,102
Land and Land Improvements
Property and equipment, gross	2,688	2,452
Buildings and Improvements
Property and equipment, gross	8,962	6,949
Machinery and Equipment
Property and equipment, gross	13,621	12,709
Rental Equipment
Property and equipment, gross	$ 5,201	$ 3,659

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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