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Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022
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Intangible assets subject to amortization: |  |
Accumulated amortization | $ (78,039) | $ 70,940
Net carrying value | 45,655 |
Total intangible assets, Gross carrying value | 170,022 | 143,128
Total intangible assets, Net carrying value | $ 91,983 | 72,188
Minimum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 1 year |
Maximum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 25 years |
Customer and Referral Relationships [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying value | $ 44,672 | 44,672
Accumulated amortization | (39,566) | (38,088)
Net carrying value | $ 5,106 | 6,584
Customer and Referral Relationships [Member] | Minimum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 5 years |
Customer and Referral Relationships [Member] | Maximum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 10 years |
Trade Names and Trademarks [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying value | $ 59,566 | 52,046
Accumulated amortization | (23,857) | (21,058)
Net carrying value | $ 35,709 | 30,988
Trade Names and Trademarks [Member] | Minimum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 1 year |
Trade Names and Trademarks [Member] | Maximum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 20 years |
Non-competition Agreements [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying value | $ 6,785 | 6,785
Accumulated amortization | (5,601) | (4,785)
Net carrying value | $ 1,184 | 2,000
Non-competition Agreements [Member] | Minimum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 3 years |
Non-competition Agreements [Member] | Maximum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 5 years |
State Licenses [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying value | $ 12,671 | 12,517
Accumulated amortization | (9,015) | (7,009)
Net carrying value | 3,656 | 5,508
Indefinite-Lived Intangible Assets (Excluding Goodwill) | $ 46,328 | $ 27,108
State Licenses [Member] | Minimum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 6 years |
State Licenses [Member] | Maximum [Member] |  |
Finite Lived Intangible Assets [Line Items] |  |
Intangible assets, estimated useful lives | 10 years |

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