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Property and Equipment (Details) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Property and equipment    
Gross $ 133,449,000 $ 138,685,000
Less accumulated depreciation (70,374,000) (67,328,000)
Net 63,075,000 71,357,000
Accelerated depreciation expense   1,172,000
Costs to remove long-lived assets 341,000 1,170,000
Land [Member]    
Property and equipment    
Gross 29,037,000 36,503,000
Facilities [Member]    
Property and equipment    
Gross 93,055,000 92,932,000
Furniture Fixtures and Equipment [Member]    
Property and equipment    
Gross 9,372,000 9,087,000
Construction in progress    
Property and equipment    
Gross $ 1,985,000 $ 163,000