Goodwill and Other Intangibles (Tables)

6 Months Ended

Jun. 30, 2016

Goodwill And Intangible Assets Disclosure [Abstract]

Changes in Carrying Amount of Goodwill

Changes in the carrying amount of goodwill as follows:

			Accumulated			Net
	Gross		Impairment			Carrying
	Amount		Loss			Value
December 31, 2015	$	29,647,191	$	(22,045,382	)	$	7,601,809
Acquisition - 99 Mgmt (Note 4)		5,936,000		—			5,936,000
June 30, 2016	$	35,583,191	$	(22,045,382	)	$	13,537,809

Changes in Carrying Amount of Intangible Assets

Changes in the carrying amount of intangible assets during the six months ended June 30, 2016 were as follows:

	Carrying		Accumulated
	Amount		Amortization			Net
December 31, 2015	$	18,454,500	$	(7,502,330	)	$	10,952,170
Amortization		—		(1,125,407	)		(1,125,407	)
June 30, 2016	$	18,454,500	$	(8,627,737	)	$	9,826,763

Intangible Assets

Intangible assets as of June 30, 2016 and December 31, 2015 include the following:

		June 30, 2016							December 31,
	Useful	Carrying		Accumulated					2015
	Life (Years)	Value		Amortization			Net		Net
Management fee contracts	6 - 8	$	3,498,500	$	(2,822,807	)	$	675,693	$	893,723
Non-compete agreements	5		2,027,000		(1,458,925	)		568,075		771,161
Physician memberships	7		6,468,000		(3,388,000	)		3,080,000		3,542,000
Medicare provider agreements	20		3,930,000		(95,241	)		3,834,759		3,930,000
Trade name	5		381,000		(227,447	)		153,553		192,379
Service Contracts	10		2,150,000		(635,317	)		1,514,683		1,622,907
		$	18,454,500	$	(8,627,737	)	$	9,826,763	$	10,952,170

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 ending June 30,
2017	$	2,248,629
2018		1,808,554
2019		1,329,931
2020		713,931
2021		405,931
Thereafter		3,319,786