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This &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;direct &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;ownership had previously been prohibited by state &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;law&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;. Due to this prohibition, the Company had historically used a combination of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;administrative service&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; contracts&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, stock option agreements,&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and asset acquisitions to &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;qualify for consolidation of&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; such facilities &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;under guidance originally issued as Emerging Issues Task Force 97-2, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-style:italic;"&gt;Application of FASB Statement No. 94 and APB Opinion No. 16 to Physicians Practice Management Entities and Certain Other Entities with Contractual Management &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-style:italic;"&gt;Arrangements &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;which is now included within&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; FASB&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; Accounting Standards Codification Topic 810-10, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-style:italic;"&gt;Conso&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-style:italic;"&gt;lidation&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;font-style:italic;"&gt;: Overall&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;. In such qualifying transaction&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;s&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;a portion of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;the purchase price was allocated to identifiable intangible assets with the remainder classified as a&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;n &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;"&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;Administrative Services Agreement&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;" intangible asset that was treated as an equivalent to goodwill&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; and was shown on our Balance Sheet &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;at &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;December&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; 31, 200&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;9&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;, &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;under the category Management Contracts&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; within Intangible Assets&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;. With the regulatory approval, the Company obtained the &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;full&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; ownership of these facilities and reclassified the $214,706 of &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;Administrative Services Agreement &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;intangible asset to goodwill within our &lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt;North America&lt;/font&gt;&lt;font style="font-family:Times New Roman;font-size:10pt;"&gt; segment, effective April 1, 2010, to be consistent with other clinic acquisitions where the Company obtained control via legal ownership. &lt;/font&gt;&lt;/p&gt;&lt;p style='margin-top:0pt; margin-bottom:0pt'&gt;&amp;#160;&lt;/p&gt;</NonNumbericText>
          <NonNumericTextHeader>4.    Intangible Assets and Goodwill&amp;#160;On April 1, 2010 the Company received approval from the state of New York to directly own facilities in that state.</NonNumericTextHeader>
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      <ElementDefenition>Discloses the aggregate amount of goodwill and a description of intangible assets, which may include (a) for amortizable intangible assets (also referred to as finite-lived intangible assets), the carrying amount, the amount of any significant residual value, and the weighted-average amortization period, (b) for intangible assets not subject to amortization (also referred to as indefinite-lived intangible assets), the carrying amount, and (c) the amount of research and development assets acquired and written off in the period, including the line item in the income statement in which the amounts written off are aggregated, if not readily apparent from the income statement. Also discloses (a) for amortizable intangibles assets in total and by major class, the gross carrying amount and accumulated amortization, the total amortization expense for the period, and the estimated aggregate amortization expense for each of the five succeeding fiscal years, (b) for intangible assets not subject to amortization the carrying amount in total and by major class, and (c) for goodwill, in total and for each reportable segment, the changes in the carrying amount of goodwill during the period (including the aggregate amount of goodwill acquired, the aggregate amount of impairment losses recognized, and the amount of goodwill included in the gain or loss on disposal of a reporting unit). If any part of goodwill has not been allocated to a reportable segment, discloses the unallocated amount and the reasons for not allocating. For each impairment loss recognized related to an intangible asset (excluding goodwill), discloses: (a) a description of the impaired intangible asset and the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method for determining fair value, (c) the caption in the income statement or the statement of activities in which the impairment loss is aggregated, and (d) the segment in which the impaired intangible asset is reported. For each goodwill impairment loss recognized, discloses: (a) a description of the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method of determining the fair value of the associated reporting unit, and (c) if a recognized impairment loss is an estimate not finalized and the reasons why the estimate is not final.  May also disclose the nature and amount of any significant adjustments made to a previous estimate of an impairment loss. This element may be used as a single block of text to include the entire intangible asset disclosure including data and tables.</ElementDefenition>
      <ElementReferences>Reference 1: http://www.xbrl.org/2003/role/presentationRef
 -Publisher FASB
 -Name Statement of Financial Accounting Standard (FAS)
 -Number 142
 -Paragraph 42, 43, 44, 45, 46, 47

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