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Goodwill and Intangible Assets
3 Months Ended
Mar. 31, 2017
Goodwill and Intangible Assets [Abstract]  
Goodwill and Intangible Assets

4. Goodwill and Intangible Assets

A summary of the goodwill activity for the three months ended March 31, 2017 is provided below:

 

    Goodwill
    (Amounts in
    Thousands)
Goodwill, at December 31, 2016 $ 73,906
Additions for acquisitions  
Adjustments to previously recorded goodwill  
Goodwill, at March 31, 2017 $ 73,906

 

     The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of March 31, 2017 and December 31, 2016:

    Customer and               Non-        
    referral     Trade names and           competition        
    relationships     trademarks     State licenses     agreements     Total  
          (Amounts in Thousands)              
Gross balance at December 31, 2016 $ 34,672   $ 13,261   $ 150 $   2,155   $ 50,238  
Accumulated amortization   (26,766 )   (6,296 )       (1,763 )   (34,825 )
Net Balance at December 31, 2016   7,906     6,965     150     392     15,413  
Gross balance at January 1, 2017   34,672     13,261     150     2,155     50,238  
Accumulated amortization   (27,342 )   (6,739 )       (1,790 )   (35,871 )
Net Balance at March 31, 2017 $ 7,330   $ 6,522   $ 150 $   365   $ 14,367  

 

     Amortization expense related to the identifiable intangible assets amounted to $1.0 million for the three months ended March 31, 2017 and 2016. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.