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Intangible Assets, net (Tables)
12 Months Ended
Dec. 31, 2018
Intangible Assets, net [Abstract]  
Intangible Assets, Net
Intangible assets, net as of December 31, 2018 and 2017 consisted of the following (in thousands):

  
December 31, 2018
  
December 31, 2017
 
Tradenames
 
$
30,256
  
$
29,673
 
Referral relationships, net of accumulated amortization of $9,370 and $7,209, respectively
  
16,895
   
16,811
 
Non-compete agreements, net of accumulated amortization of $4,716 and $4,100, respectively
  
1,677
   
2,470
 
  
$
48,828
  
$
48,954
 
Amortization Expenses
The following table details the amount of amortization expense recorded for intangible assets for the years ended December 31, 2018, 2017 and 2016 (in thousands):

  
Year Ended
  
Year Ended
  
Year Ended
 
  
December 31, 2018
  
December 31, 2017
  
December 31, 2016
 
Tradenames
 
$
-
  
$
-
  
$
330
 
Referral relationships
  
2,161
   
1,934
   
1,512
 
Non-compete agreements
  
616
   
720
   
525
 
  
$
2,777
  
$
2,654
  
$
2,367
 
Amortization of Referral Relationships and Non Competition Agreements
The remaining balances of the referral relationships and non-compete agreements is expected to be amortized as follows (in thousands):

Referral Relationships
  
Non-Compete Agreements
 
Years
Ending December 31,
  
Annual Amount
    
Years
Ending December 31,
    
Annual Amount
  
2019
 
$
2,133
   
2019
  
$
632
 
2020
 
$
2,133
   
2020
  
$
418
 
2021
 
$
2,133
   
2021
  
$
340
 
2022
 
$
2,084
   
2022
  
$
163
 
2023
 
$
1,977
   
2023
  
$
94
 
2024
 
$
1,791
   
2024
  
$
30
 
Thereafter
 
$
4,644