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Goodwill and Other Intangibles
9 Months Ended
Sep. 30, 2011
Goodwill and Other Intangibles [Abstract] 
Goodwill and Other Intangibles
Note 5 — Goodwill and Other Intangibles
The carrying amount of goodwill as of September 30, 2011 and December 31, 2010 follows:
                 
    September 30,     December 31,  
    2011     2010  
Gross amount
  $ 16,950,734     $ 16,950,734  
Accumulated impairment losses
    (4,106,511 )     (4,106,511 )
 
           
Carrying value
  $ 12,844,223     $ 12,844,223  
 
           
Goodwill and intangible assets with indefinite lives must be tested for impairment at least once a year. Carrying values are compared with fair values, and when the carrying value exceeds the fair value, the carrying value of the impaired asset is reduced to its fair value. The Company tests goodwill for impairment on an annual basis in the fourth quarter or more frequently if management believes indicators of impairment exist. The performance of the test involves a two-step process. The first step of the impairment test involves comparing the fair values of the applicable reporting units with their aggregate carrying values, including goodwill. The Company generally determines the fair value of its reporting units using the income approach methodology of valuation that includes the discounted cash flow method as well as other generally accepted valuation methodologies. If the carrying amount of a reporting unit exceeds the reporting unit’s fair value, the Company performs the second step of the goodwill impairment test to determine the amount of impairment loss. The second step of the goodwill impairment test involves comparing the implied fair value of the affected reporting unit’s goodwill with the carrying value of that goodwill.
The carrying amount of intangible assets as of September 30, 2011 and December 31, 2010 follows:
                 
    September 30,     December 31,  
    2011     2010  
Gross amount
  $ 2,085,000     $ 2,085,000  
Accumulated impairment losses
    (365,945 )     (365,945 )
 
           
Carrying value
  $ 1,719,055     $ 1,719,055  
 
           
Intangible assets as of September 30, 2011 and December 31, 2010 include the following:
                                     
    Useful   September 30, 2011     December 31,  
    Life   Carrying     Accumulated             2010  
    (Years)   Value     Amortization     Net     Net  
Customer relationships
  8 – 15   $ 1,139,333     $ (297,558 )   $ 841,775     $ 908,000  
Trademark
  10 – 15     229,611       (54,652 )     174,959       191,533  
Covenants not to compete
  3 – 15     160,111       (137,500 )     22,611       41,111  
Payor contracts
  15     190,000       (26,389 )     163,611       173,112  
 
                           
Total
      $ 1,719,055     $ (516,099 )   $ 1,202,956     $ 1,313,756  
 
                         
Amortization expense for the three months ended September 30, 2011 and 2010 was approximately $37,000 and $52,000, respectively. Amortization expense for the nine months ended September 30, 2011 and 2010 was approximately $111,000 and $156,000, respectively. Amortization expense for the next five years related to these intangible assets is expected to be as follows:
         
Twelve months ended September 30,
       
2012
  $ 146,000  
2013
    123,000  
2014
    123,000  
2015
    123,000  
2016
    116,000