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Goodwill and Intangible Assets (Tables)
6 Months Ended
Jun. 30, 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 June 30, 2017 $ 73,906
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset
    Customer     Trade         Non-        
    and referral     names and     State   competition        
    relationships     trademarks     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 June 30, 2017   34,672     13,261     150   2,155     50,238  
Accumulated amortization   (27,918 )   (7,182 )     (1,818 )   (36,918 )
Net Balance at June 30, 2017 $ 6,754   $ 6,079   $ 150 $ 337   $ 13,320