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Goodwill and Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2017
Goodwill and Intangible Assets [Abstract]  
Summary of Goodwill Activity
    Goodwill
    (Amounts in
    Thousands)
Goodwill, at December 31, 2016 $ 73,906
Additions for acquisitions   —
Adjustments to previously recorded goodwill   —
Goodwill, at March 31, 2017 $ 73,906
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset
    Customer and               Non-        
    referral     Trade names and           competition        
    relationships     trademarks     State licenses     agreements     Total  
          (Amounts in Thousands)              
Gross balance at December 31, 2016 $ 34,672   $ 13,261   $ 150 $   2,155   $ 50,238  
Accumulated amortization   (26,766 )   (6,296 )   —     (1,763 )   (34,825 )
Net Balance at December 31, 2016   7,906     6,965     150     392     15,413  
Gross balance at January 1, 2017   34,672     13,261     150     2,155     50,238  
Accumulated amortization   (27,342 )   (6,739 )   —     (1,790 )   (35,871 )
Net Balance at March 31, 2017 $ 7,330   $ 6,522   $ 150 $   365   $ 14,367