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Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands | Sep. 30, 2024 | Dec. 31, 2023
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Intangible assets subject to amortization: |  |
Accumulated amortization | $ (83,416) | $ (78,039)
Total intangible assets, Gross carrying value | 170,022 | 170,022
Total intangible assets, Net carrying value | $ 86,606 | 91,983
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 | 20 years |
Customer and Referral Relationships [Member] |  |
Intangible assets subject to amortization: |  |
Gross carrying value | $ 44,672 | 44,672
Accumulated amortization | (40,588) | (39,566)
Net carrying value | $ 4,084 | 5,106
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 | 59,566
Accumulated amortization | (26,112) | (23,857)
Net carrying value | $ 33,454 | 35,709
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 | (6,213) | (5,601)
Net carrying value | $ 572 | 1,184
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 | 12,671
Accumulated amortization | (10,503) | (9,015)
Net carrying value | 2,168 | 3,656
Indefinite-Lived Intangible Assets (Excluding Goodwill) | $ 46,328 | $ 46,328
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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