5. Goodwill

The changes in the carrying amount of goodwill as of December 31, 2014 and 2013 consisted of the following (in thousands):

	Year Ended December 31, 2014			Year Ended December 31, 2013
Beginning balance	$	143,955		$	100,188
Goodwill acquired during the year		12,974			52,213
Goodwill allocated to specific assets for businesses acquired in 2013		(9,760	)		-
Goodwill allocated to specific assets for businesses acquired in 2012		-			(2,340	)
Goodwill adjustments for purchase price allocation of businesses acquired		880			(48	)
Goodwill written off		(135	)		(6,058	)
Ending balance	$	147,914		$	143,955

The goodwill written off in 2014 related to the closure of a clinic and, in 2013, the goodwill written off related to the sale of the physician services business.