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Schedule of Intangible Assets and Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]      
Gross $ 55,900 $ 55,900 $ 55,900
Accumulated amortization (47,296) (44,268) (41,240)
Net carrying amount 8,604 11,632 14,660
Amortization (3,028) (3,028)  
Goodwill Including CON Licenses [Member]      
Finite-Lived Intangible Assets [Line Items]      
Gross 1,323 1,323 1,323
Accumulated amortization
Net carrying amount 1,323 1,323 1,323
Amortization  
Lease Rights [Member]      
Finite-Lived Intangible Assets [Line Items]      
Gross 54,577 54,577 54,577
Accumulated amortization (47,296) (44,268) (41,240)
Net carrying amount 7,281 10,309 $ 13,337
Amortization $ (3,028) $ (3,028)