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Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands | Sep. 30, 2023 | Dec. 31, 2022
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Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | $ 46,328 |
Intangible assets subject to amortization: |  |
Gross carrying amount | 123,694 |
Accumulated amortization | (76,223) |
Intangible assets subject to amortization, net | 47,471 |
Total intangible assets at September 30, 2023 | 93,799 | $ 72,188
Customer And Referral Relationships [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 44,672 |
Accumulated amortization | (39,203) |
Intangible assets subject to amortization, net | 5,469 |
Total intangible assets at September 30, 2023 | 5,469 |
Trade Names and Trademarks [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 59,567 |
Accumulated amortization | (23,104) |
Intangible assets subject to amortization, net | 36,463 |
Total intangible assets at September 30, 2023 | 36,463 |
Noncompete Agreements |  |
Intangible assets subject to amortization: |  |
Gross carrying amount | 6,785 |
Accumulated amortization | (5,397) |
Intangible assets subject to amortization, net | 1,388 |
Total intangible assets at September 30, 2023 | 1,388 |
State Licenses [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets with indefinite lives | 46,328 |
Intangible assets subject to amortization: |  |
Gross carrying amount | 12,670 |
Accumulated amortization | (8,519) |
Intangible assets subject to amortization, net | 4,151 |
Total intangible assets at September 30, 2023 | $ 50,479 |

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