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Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands | Sep. 30, 2020 | Dec. 31, 2019
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Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | $ 13,296 |
Intangible assets subject to amortization: |  |
Gross carrying amount | 96,793 |
Accumulated amortization | (57,216) |
Intangible assets subject to amortization, net | 39,577 |
Total intangible assets at September 30, 2020 | 52,873 | $ 57,079
Customer and Referral Relationships [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 48,028 |
Accumulated amortization | (37,263) |
Intangible assets subject to amortization, net | 10,765 |
Total intangible assets at September 30, 2020 | 10,765 |
Trade Names And Trademarks [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 31,946 |
Accumulated amortization | (14,671) |
Intangible assets subject to amortization, net | 17,275 |
Total intangible assets at September 30, 2020 | 17,275 |
Noncompete Agreements |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 4,655 |
Accumulated amortization | (2,716) |
Intangible assets subject to amortization, net | 1,939 |
Total intangible assets at September 30, 2020 | 1,939 |
State Licenses [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | 13,296 |
Intangible assets subject to amortization: |  |
Gross carrying amount | 12,164 |
Accumulated amortization | (2,566) |
Intangible assets subject to amortization, net | 9,598 |
Total intangible assets at September 30, 2020 | $ 22,894 |

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