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Property and Equipment (Tables)
 12 Months Ended
Dec. 31, 2019
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment
Property and equipment consist of the following at December 31:
 
2019
 
2018
Land
$
1,490

 
$
2,030

Buildings and improvements
10,246

 
8,197

Leasehold improvements
198,975

 
201,445

Equipment and information systems
151,375

 
162,750

Construction in progress
4,560

 
5,549

 
366,646

 
379,971

Less accumulated depreciation
(215,471
)
 
(199,703
)
 
$
151,175

 
$
180,268