Goodwill and Other Intangibles (Tables)

6 Months Ended

Jun. 30, 2014

Changes in Carrying Amount of Goodwill

Changes in the carrying amount of goodwill are as follows:

	Gross Amount		Accumulated Impairment Loss			Net Carrying Value
December 31, 2013	$	23,019,309	$	(22,045,382	)	$	973,927
June 30, 2014	$	23,019,309	$	(22,045,382	)	$	973,927

Changes in Carrying Amount of Intangible Assets

Changes in the carrying amount of intangible assets during the six months ended June 30, 2014 were as follows:

	Carrying		Accumulated
	Amount		Amortization			Net
December 31, 2013	$	14,524,500	$	(3,385,879	)	$	11,138,621
Amortization		—		(1,027,735	)		(1,027,735	)
June 30, 2014	$	14,524,500	$	(4,413,614	)	$	10,110,886

Intangible Assets

Intangible assets as of June 30, 2014 and December 31, 2013 include the following:

		June 30, 2014							December 31,
	Useful	Carrying		Accumulated					2013
	Life (Years)	Value		Amortization			Net		Net
Management fee contracts	6 - 8	$	3,498,500	$	(1,952,472	)	$	1,546,028	$	1,763,463
Non-compete	5		2,027,000		(646,444	)		1,380,556		1,583,256
Physician memberships	7		6,468,000		(1,540,000	)		4,928,000		5,390,000
Trade Name	5		381,000		(71,882	)		309,118		347,218
Service Contracts	10		2,150,000		(202,816	)		1,947,184		2,054,684
		$	14,524,500	$	(4,413,614	)	$	10,110,886	$	11,138,621

Amortization Expense for Next Five Years Related to Intangible Assets

Amortization expense for the next five years related to these intangible assets is expected to be as follows:

Twelve months ended June 30,
2015	$	2,055,474
2016		2,055,474
2017		2,055,474
2018		1,618,673
2019		1,145,607
Thereafter		1,180,184