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Property and Equipment - Schedule of Property, Plant and Equipment (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Sep. 30, 2018
Property, Plant and Equipment [Line Items]    
Total property and equipment $ 239,261 $ 223,408
Less accumulated depreciation (55,305) (51,005)
Property and equipment, net 183,956 172,403
Buildings and Land [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 159,969 149,683
Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 37,031 34,572
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment 32,868 30,414
Furniture [Member]    
Property, Plant and Equipment [Line Items]    
Total property and equipment $ 9,393 $ 8,739