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Goodwill
12 Months Ended
Dec. 31, 2020
Goodwill [Abstract]  
Goodwill
6. Goodwill


The changes in the carrying amount of goodwill as of December 31, 2020 and 2019 consisted of the following (in thousands):

 
Year Ended
December 31, 2020
   
Year Ended
December 31, 2019
 
             
Beginning balance
 
$
317,676
   
$
293,525
 
Goodwill acquired
   
28,540
     
31,330
 
Goodwill related to partnership interest sold
   
-
     
(7,325
)
Goodwill derecognition (write-off) related to closed clinics
   
(1,859
)
   
-
 
Goodwill adjustments for purchase price allocation of businesses acquired in prior year
   
1,289
     
146
 
Ending balance
 
$
345,646
   
$
317,676