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INTANGIBLE ASSETS, NET (Tables)
9 Months Ended
Sep. 30, 2019
INTANGIBLE ASSETS, NET [Abstract]  
Intangible Assets, Net
Intangible assets, net as of September 30, 2019 and December 31, 2018 consisted of the following (in thousands):

  
September 30, 2019
  
December 31, 2018
 
Tradenames
 
$
32,049
  
$
30,256
 
Referral relationships, net of accumulated amortization of $10,714 and $9,370, respectively
  
18,967
   
16,895
 
Non-compete agreements, net of accumulated amortization of $4,901 and $4,716, respectively
  
2,369
   
1,677
 
  
$
53,385
  
$
48,828
 
Amortization Expenses
The following table details the amount of amortization expense recorded for intangible assets for the nine months ended September 30, 2019 and 2018 (in thousands):

  
Three Months Ended
  
Nine Months Ended
 
  
September 30, 2019
  
September 30, 2018
  
September 30, 2019
  
September 30, 2018
 
Referral relationships
 
$
593
  
$
569
  
$
1,707
  
$
1,648
 
Non-compete agreements
  
172
   
172
   
510
   
460
 
  
$
765
  
$
741
  
$
2,217
  
$
2,108
 
Amortization of Tradename, Referral Relationships and Non-Competition Agreements
Based on the balance of referral relationships and non-compete agreements as of September 30, 2019, the expected amount to be amortized in the last three months of 2019 and thereafter by year is as follows (in thousands):

Referral Relationships
  
Non-Compete Agreements
 
Years
 
Annual Amount
  
Years
  
Annual Amount
 
Ending December 31,
    
Ending December 31,
    
2019 (excluding the nine months ended September 30, 2019)
 
$
601
  
2019 (excluding the nine months ended September 30, 2019)
  
$
198
 
2020
 
$
2,403
  
2020
  
$
619
 
2021
 
$
2,403
  
2021
  
$
541
 
2022
 
$
2,354
  
2022
  
$
363
 
2023
 
$
2,247
  
2023
  
$
294
 
2024
 
$
2,082
  
2024
  
$
238
 
Thereafter
 
$
6,877
  
Thereafter
  
$
116