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Acquisitions of Businesses (Details) |  |  |  |  |  |  |  |  |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Dec. 31, 2015 USD ($) Installment | Aug. 31, 2015 USD ($) | Jun. 30, 2015 USD ($) | Apr. 30, 2015 USD ($) Installment | Jan. 31, 2015 USD ($) Installment | Aug. 31, 2014 USD ($) | Apr. 30, 2014 USD ($) Installment | Dec. 13, 2013 USD ($) Installment | Dec. 09, 2013 USD ($) | May. 31, 2013 USD ($) Installment | Apr. 30, 2013 USD ($) Installment | Feb. 18, 2013 USD ($) Installment | Dec. 31, 2015 USD ($) Clinic | Dec. 31, 2014 USD ($) Clinic | Dec. 31, 2013 USD ($) Clinic
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic | $ 1,800,000 |  |  |  |  |  |  |  |  |  |  |  | $ 1,800,000 | $ 400,000 | $ 1,300,000
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  | 18,965,000 | 12,270,000 | 46,628,000
Seller notes | 1,800,000 |  |  |  |  |  |  |  |  |  |  |  | 1,800,000 | 400,000 | 1,300,000
Total consideration | 20,765,000 |  |  |  |  |  |  |  |  |  |  |  | 20,765,000 | 12,670,000 | 47,928,000
Estimated fair value of net tangible assets acquired: [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets | 2,146,000 |  |  |  |  |  |  |  |  |  |  |  | 2,146,000 | 1,213,000 | 3,177,000
Total non-current assets | 1,404,000 |  |  |  |  |  |  |  |  |  |  |  | 1,404,000 | 1,051,000 | 1,541,000
Total liabilities | (1,036,000) |  |  |  |  |  |  |  |  |  |  |  | (1,036,000) | (406,000) | (538,000)
Net tangible assets acquired | 2,514,000 |  |  |  |  |  |  |  |  |  |  |  | 2,514,000 | 1,858,000 | 4,180,000
Referral relationships | 3,069,000 |  |  |  |  |  |  |  |  |  |  |  | 3,069,000 | 280,000 | 6,140,000
Non-compete | 731,000 |  |  |  |  |  |  |  |  |  |  |  | 731,000 | 330,000 | 1,080,000
Tradename | 3,315,000 |  |  |  |  |  |  |  |  |  |  |  | 3,315,000 | 1,600,000 | 3,700,000
Goodwill | 23,428,000 |  |  |  |  |  |  |  |  |  |  |  | 23,428,000 | 13,327,000 | 43,369,000
Fair value of noncontrolling interest | (12,292,000) |  |  |  |  |  |  |  |  |  |  |  | (12,292,000) | (4,725,000) | (10,541,000)
Total consideration | $ 20,765,000 |  |  |  |  |  |  |  |  |  |  |  | $ 20,765,000 | $ 12,670,000 | $ 47,928,000
Minimum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 5.00% |  |  |  |  |  |  |  |  |  |  |  | 5.00% | 1.00% |
Maximum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 35.00% |  |  |  |  |  |  |  |  |  |  |  | 35.00% | 35.00% |
Referral Relationships [Member] | Minimum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  |  | 4 years 6 months |  |
Referral Relationships [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  |  | 13 years |  |
Non-compete Agreements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  |  | 6 years |  |
Tradenames [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  |  | 6 years |  |
January 2015 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Jan. 31, 2015 |  |
Percentage of interest acquired | 60.00% |  |  |  |  |  |  |  |  |  |  |  | 60.00% |  |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 9 |  |
April 2015 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Apr. 30, 2015 |  |
Percentage of interest acquired | 70.00% |  |  |  |  |  |  |  |  |  |  |  | 70.00% |  |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 3 |  |
June 2015 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Jun. 30, 2015 |  |
Percentage of interest acquired | 70.00% |  |  |  |  |  |  |  |  |  |  |  | 70.00% |  |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 4 |  |
December 2015 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Dec. 31, 2015 |  |
Percentage of interest acquired | 59.00% |  |  |  |  |  |  |  |  |  |  |  | 59.00% |  |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 4 |  |
April 2014 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Apr. 30, 2014 | Apr. 30, 2014 |
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 70.00% |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 13 | 13 |
August 2014 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Aug. 01, 2014 | Aug. 01, 2014 |
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00% |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 3 | 3 |
February 2013 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Feb. 28, 2013 |  | Feb. 28, 2013
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 72.00%
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 9 |  | 9
April 2013 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Apr. 30, 2013 |  | Apr. 30, 2013
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 50.00%
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  | 5
May 2013 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | May 24, 2013 |  | May 24, 2013
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 80.00%
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  | 5
December 9, 2013 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Dec. 09, 2013 |  | Dec. 09, 2013
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 60.00%
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 12 |  | 12
December 13, 2013 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition date |  |  |  |  |  |  |  |  |  |  |  |  | Dec. 13, 2013 |  | Dec. 13, 2013
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 90.00%
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 11 |  | 11
Acquisition Of Single Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 60.00% | 60.00% |  |  |  |  |  |  |  |  |  |  | 60.00% |  |
Number of Clinics | Clinic |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 4 | 3
Cash paid for acquisition of interest in clinic |  | $ 150,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic |  | 50,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price for the acquired clinic practices |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 238,000
Seller notes |  | 50,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Single Clinic Practices [Member] | August 2016 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  | $ 50,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Three Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 70.00% |  |  |  |  |  |  |  |  |  |  |
Cash paid for acquisition of interest in clinic |  |  |  | $ 4,700,000 |  | $ 1,000,000 |  |  |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic |  |  |  | $ 150,000 |  |  |  |  |  |  |  |  |  | $ 595,000 |
Business acquisition number of installments to payment of purchase consideration | Installment |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |
Seller notes |  |  |  | $ 150,000 |  |  |  |  |  |  |  |  |  | $ 595,000 |
Acquisition Of Three Clinic Practices [Member] | April 2016 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  | 75,000 |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Three Clinic Practices [Member] | April 2017 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  | $ 75,000 |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Four Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 59.00% |  | 70.00% |  |  |  |  |  |  |  |  |  | 59.00% |  |
Cash paid for acquisition of interest in clinic | $ 4,600,000 |  | $ 3,600,000 |  |  |  |  |  |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic | $ 400,000 |  | 700,000 |  |  |  |  |  |  |  |  |  | $ 400,000 |  |
Business acquisition number of installments to payment of purchase consideration | Installment | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Seller notes | $ 400,000 |  | 700,000 |  |  |  |  |  |  |  |  |  | $ 400,000 |  |
Acquisition Of Four Clinic Practices [Member] | December 2016 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest | 200,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Four Clinic Practices [Member] | December 2017 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest | $ 200,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Four Clinic Practices [Member] | June 2018 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  | $ 700,000 |  |  |  |  |  |  |  |  |  |  |  |
Acquisition Of Five Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  |  | 80.00% | 50.00% |  |  |  |
Cash paid for acquisition of interest in clinic |  |  |  |  |  |  |  |  |  | $ 3,600,000 | $ 2,400,000 |  |  |  |
Seller notes issued for acquisition of interest in clinic |  |  |  |  |  |  |  |  |  | $ 200,000 | $ 200,000 |  |  |  |
Business acquisition number of installments to payment of purchase consideration | Installment |  |  |  |  |  |  |  |  |  | 2 | 2 |  |  |  |
Seller notes |  |  |  |  |  |  |  |  |  | $ 200,000 | $ 200,000 |  |  |  |
Acquisition Of Five Clinic Practices [Member] | April 2015 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  |  | 100,000 |  |  |  |
Acquisition Of Five Clinic Practices [Member] | April 2014 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  |  | $ 100,000 |  |  |  |
Acquisition Of Five Clinic Practices [Member] | May 2014 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  | 100,000 |  |  |  |  |
Acquisition Of Five Clinic Practices [Member] | May 2015 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  | $ 100,000 |  |  |  |  |
Acquisition Of Nine Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  | 60.00% |  |  |  |  |  |  | 72.00% |  |  |
Cash paid for acquisition of interest in clinic |  |  |  |  | $ 6,700,000 |  |  |  |  |  |  | $ 4,300,000 |  |  |
Seller notes issued for acquisition of interest in clinic |  |  |  |  | $ 500,000 |  |  |  |  |  |  | $ 400,000 |  |  |
Business acquisition number of installments to payment of purchase consideration | Installment |  |  |  |  | 2 |  |  |  |  |  |  | 2 |  |  |
Seller notes |  |  |  |  | $ 500,000 |  |  |  |  |  |  | $ 400,000 |  |  |
Acquisition Of Nine Clinic Practices [Member] | January 2016 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  | 250,000 |  |  |  |  |  |  |  |  |  |
Acquisition Of Nine Clinic Practices [Member] | January 2017 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  | $ 250,000 |  |  |  |  |  |  |  |  |  |
Acquisition Of Nine Clinic Practices [Member] | February 2014 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  |  |  | 200,000 |  |  |
Acquisition Of Nine Clinic Practices [Member] | February 2015 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  |  |  |  |  | $ 200,000 |  |  |
Acquisition Of Eleven Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  | 90.00% |  |  |  |  |  |  |
Cash paid for acquisition of interest in clinic |  |  |  |  |  |  |  | $ 35,500,000 |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic |  |  |  |  |  |  |  | $ 500,000 |  |  |  |  |  |  |
Business acquisition number of installments to payment of purchase consideration | Installment |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |
Seller notes |  |  |  |  |  |  |  | $ 500,000 |  |  |  |  |  |  |
Acquisition Of Eleven Clinic Practices [Member] | December 2014 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  | 250,000 |  |  |  |  |  |  |
Acquisition Of Eleven Clinic Practices [Member] | December 2015 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  |  | $ 250,000 |  |  |  |  |  |  |
Acquisition Of Twelve Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  | 60.00% |  |  |  |  |  |
Cash paid for acquisition of interest in clinic |  |  |  |  |  |  |  |  | $ 1,700,000 |  |  |  |  |  |
Acquisition Of Thirteen Clinic Practices [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  | 70.00% |  |  |  |  |  |  |  |
Cash paid for acquisition of interest in clinic |  |  |  |  |  |  | $ 10,600,000 |  |  |  |  |  |  |  |
Seller notes issued for acquisition of interest in clinic |  |  |  |  |  |  | $ 400,000 |  |  |  |  |  |  |  |
Business acquisition number of installments to payment of purchase consideration | Installment |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |
Seller notes |  |  |  |  |  |  | $ 400,000 |  |  |  |  |  |  |  |
Acquisition Of Thirteen Clinic Practices [Member] | April 2016 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  | 200,000 |  |  |  |  |  |  |  |
Acquisition Of Thirteen Clinic Practices [Member] | April 2015 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Acquisition cost payable in installments including accrued interest |  |  |  |  |  |  | $ 200,000 |  |  |  |  |  |  |  |

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