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Intangible Assets and Goodwill Schedule of Finite-Lived Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Referral relationships $ 8,898 $ 8,898
Non-compete agreements 3,155 3,155
Tradename 747 747
Identifiable intangible assets, gross 12,800 12,800
Accumulated amortization (6,176) (4,814)
Identifiable intangible assets, net $ 6,624 $ 7,986