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Acquisitions of Businesses (Tables)
12 Months Ended
Dec. 31, 2017
Acquisitions of Businesses [Abstract]  
Schedule of Multi Clinic Acquisition
During the last three years, the Company completed the following multi-clinic acquisitions:

  
Date
 
% Interest Acquired
 
Number of Clinics
       
  
2017
    
January 2017 Acquisition
 
January 1
 
70%
 
17
May 2017 Acquisition
 
May 31
 
70%
 
4
June 2017 Acquisition
 
June 30
 
60%
 
9
October 2017 Acquisition
 
October 31
 
70%
 
9
       
  
2016
    
February 2016 Acquisition
 
February 29
 
55%
 
8
November 2016 Acquisition
 
November 30
 
60%
 
12
       
  
2015
    
January 2015 Acquisition
 
January 31
 
60%
 
9
April 2015 Acquisition
 
April 30
 
70%
 
3
June 2015 Acquisition
 
June 30
 
70%
 
4
December 2015 Acquisition
 
December 31
 
59%
 
4
Schedule of Preliminary Purchase Prices Allocation
The purchase price for the 2017 acquisitions has been preliminarily allocated as follows (in thousands):

Cash paid, net of cash acquired
 
$
36,682
 
Seller notes
  
2,150
 
Total consideration
 
$
38,832
 
Estimated fair value of net tangible assets acquired:
    
Total current assets
 
$
6,248
 
Total non-current assets
  
1,818
 
Total liabilities
  
(2,909
)
Net tangible assets acquired
 
$
5,157
 
Referral relationships
  
3,885
 
Non-compete
  
1,224
 
Tradename
  
8,439
 
Goodwill
  
44,292
 
Fair value of non-controlling interest (classified as redeemable non-controlling interests)
  
(13,883
)
Fair value of non-controlling interest (originally classified as mandatorily redeemable non-controlling interests)
  
(10,282
)
  
$
38,832
 
The purchase price for the 2016 acquisitions were allocated as follows (in thousands):

Cash paid, net of cash acquired
 
$
23,623
 
Seller notes
  
1,000
 
Total consideration
 
$
24,623
 
Fair value of net tangible assets acquired:
    
Total current assets
 
$
1,372
 
Total non-current assets
  
839
 
Total liabilities
  
(399
)
Net tangible assets acquired
 
$
1,812
 
Referral relationships
  
4,919
 
Non-compete
  
847
 
Tradename
  
3,802
 
Goodwill
  
32,123
 
Fair value of non-controlling interest (originally classified as mandatorily redeemable non-controlling interests)
  
(18,880
)
  
$
24,623
 
The purchase prices for the 2015 acquisitions have been allocated as follows (in thousands):

Cash paid, net of cash acquired
 
$
18,965
 
Seller notes
  
1,800
 
Total consideration
 
$
20,765
 
Fair value of net tangible assets acquired:
    
Total current assets
 
$
1,952
 
Total non-current assets
  
1,068
 
Total liabilities
  
(1,067
)
Net tangible assets acquired
 
$
1,953
 
Referral relationships
  
3,655
 
Non-compete
  
594
 
Tradename
  
3,417
 
Goodwill
  
23,437
 
Fair value of non-controlling interest
  
(12,291
)
  
$
20,765