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Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
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Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | $ 27,108 | $ 21,124
Intangible assets subject to amortization: |  |
Gross carrying amount | 116,020 | 106,891
Accumulated amortization | (70,940) | (63,694)
Intangible assets subject to amortization, net | 45,080 | 43,197
Net balance at end of period | 72,188 | 64,321
Customer and Referral Relationships [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 44,672 | 44,672
Accumulated amortization | (38,088) | (36,342)
Intangible assets subject to amortization, net | 6,584 | 8,330
Net balance at end of period | 6,584 | 8,330
Trade Names and Trademarks [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 52,046 | 42,926
Accumulated amortization | (21,058) | (18,494)
Intangible assets subject to amortization, net | 30,988 | 24,432
Net balance at end of period | 30,988 | 24,432
Non-competition Agreements [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 6,785 | 6,785
Accumulated amortization | (4,785) | (3,831)
Intangible assets subject to amortization, net | 2,000 | 2,954
Net balance at end of period | 2,000 | 2,954
State Licenses [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | 27,108 | 21,124
Intangible assets subject to amortization: |  |
Gross carrying amount | 12,517 | 12,508
Accumulated amortization | (7,009) | (5,027)
Intangible assets subject to amortization, net | 5,508 | 7,481
Net balance at end of period | $ 32,616 | $ 28,605

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