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Property and Equipment - Schedule of Property, Plant and Equipment (Details) - USD ($)
$ in Thousands
Sep. 30, 2018
Sep. 30, 2017
Property, Plant and Equipment [Line Items]    
Total property and equipment $ 223,408 $ 193,684
Less accumulated depreciation (51,005) (45,274)
Property and equipment, net 172,403 148,410
Buildings and Land [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 149,683 122,996
Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 34,572 30,107
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 30,414 31,969
Furniture [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment $ 8,739 $ 8,612