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Intangible Assets and Goodwill (Tables)
12 Months Ended
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Intangible Assets
Intangible assets consisted of the following:
December 31, 2019
Gross Carrying
Amount
Accumulated
Amortization
Net Carrying
Value
Intangible assets subject to amortization:
Reacquired franchise rights$3,246,494  $1,400,086  $1,846,408  
Customer relationships1,255,975  865,478  390,497  
Reacquired development rights2,050,481  1,067,595  982,886  
$6,552,950  $3,333,159  $3,219,791  

December 31, 2018
Gross Carrying
Amount
Accumulated
Amortization
Net Carrying
Value
Intangible assets subject to amortization:
Reacquired franchise rights$1,758,000  $921,138  $836,862  
Customer relationships745,000  717,498  27,502  
Reacquired development rights1,413,316  643,620  769,696  
$3,916,316  $2,282,256  $1,634,060  
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense
Estimated amortization expense for 2020 and subsequent years is as follows:
2020$1,409,962  
20211,212,703  
2022539,750  
202357,376  
Total$3,219,791  
Schedule of Goodwill
The changes in the carrying amount of goodwill were as follows:


Corporate Clinic Segment
Balance as of December 31, 2018
Goodwill, gross$3,280,139  
Accumulated impairment losses(54,994)
Goodwill, net3,225,145  
2019 acquisitions925,316
Balance as of December 31, 2019
Goodwill, gross4,205,455  
Accumulated impairment losses(54,994) 
Goodwill, net$4,150,461