| Intangibles |
Intangible
assets were comprised of the following:
|
|
|
|
|
|
|
|
|
| |
|
December 31, |
|
| |
|
2013 |
|
|
2012 |
|
|
Customer
relationships
|
|
$ |
1,503,426 |
|
|
$ |
1,486,160 |
|
|
Trade names
|
|
|
170,994 |
|
|
|
170,494 |
|
|
Provider network and
practice management tools
|
|
|
184,558 |
|
|
|
184,264 |
|
|
Noncompetition and other
agreements
|
|
|
495,475 |
|
|
|
460,011 |
|
|
Lease agreements
|
|
|
8,889 |
|
|
|
9,574 |
|
|
Deferred debt financing
costs
|
|
|
121,872 |
|
|
|
121,176 |
|
|
Indefinite-lived
assets
|
|
|
22,932 |
|
|
|
762 |
|
|
|
|
|
|
|
|
|
|
|
|
|
2,508,146 |
|
|
|
2,432,441 |
|
|
Less accumulated
amortization
|
|
|
(483,773 |
) |
|
|
(304,323 |
) |
|
|
|
|
|
|
|
|
|
|
Total intangible
assets
|
|
$ |
2,024,373 |
|
|
$ |
2,128,118 |
|
|
|
|
|
|
|
|
|
|
Amortization
expense from amortizable intangible assets, other than lease
agreements and deferred debt financing costs, was $160,960, $47,489
and $21,589 for 2013, 2012 and 2011, respectively. Deferred debt
issuance costs were amortized to debt expense as described in Note
14 to these consolidated financial statements. Lease agreement
intangible assets and liabilities were amortized to rent expense in
the amounts of $(1,447), $103 and $361 for 2013, 2012 and 2011,
respectively.
Amortizable
intangible liabilities were comprised of the following:
|
|
|
|
|
|
|
|
|
| |
|
December 31, |
|
| |
|
2013 |
|
|
2012 |
|
|
Alliance and product supply
agreement commitment (See Note 18)
|
|
$ |
68,200 |
|
|
$ |
68,200 |
|
|
Less accumulated
amortization
|
|
|
(58,873 |
) |
|
|
(53,543 |
) |
|
|
|
|
|
|
|
|
|
|
Net Alliance and product
supply agreement
|
|
|
9,327 |
|
|
|
14,657 |
|
|
Lease agreements (net of
accumulated amortization of $2,628 and $606)
|
|
|
12,563 |
|
|
|
14,585 |
|
|
|
|
|
|
|
|
|
|
|
|
$ |
21,890 |
|
|
$ |
29,242 |
|
|
|
|
|
|
|
|
|
|
Amortization
benefit recognized from the alliance and product supply agreement
was $5,330 each for 2013, 2012 and 2011, respectively. Lease
agreement intangible liabilities are classified in other long-term
liabilities and amortized to rent expense.
Scheduled
amortization charges from amortizable intangible assets and
liabilities as of December 31, 2013 were as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
Customer
relationships |
|
|
Trade
names |
|
|
Provider
network and
practice
management
tools |
|
|
Noncompetition
and other
agreements |
|
|
Lease
agreements, net |
|
|
Deferred
debt
financing
costs |
|
|
Alliance and
product
supply
agreement
liability |
|
|
2014
|
|
|
75,307 |
|
|
|
16,423 |
|
|
|
26,394 |
|
|
|
43,142 |
|
|
|
(2,156 |
) |
|
|
18,724 |
|
|
|
(5,330 |
) |
|
2015
|
|
|
75,358 |
|
|
|
16,418 |
|
|
|
26,403 |
|
|
|
38,439 |
|
|
|
(2,107 |
) |
|
|
17,097 |
|
|
|
(3,997 |
) |
|
2016
|
|
|
75,358 |
|
|
|
16,418 |
|
|
|
26,353 |
|
|
|
29,256 |
|
|
|
(1,506 |
) |
|
|
12,888 |
|
|
|
— |
|
|
2017
|
|
|
75,328 |
|
|
|
16,407 |
|
|
|
26,161 |
|
|
|
26,068 |
|
|
|
(1,185 |
) |
|
|
9,715 |
|
|
|
— |
|
|
2018
|
|
|
75,312 |
|
|
|
16,353 |
|
|
|
26,075 |
|
|
|
18,902 |
|
|
|
(849 |
) |
|
|
6,885 |
|
|
|
— |
|
|
Thereafter
|
|
|
1,037,146 |
|
|
|
70,209 |
|
|
|
23,130 |
|
|
|
47,639 |
|
|
|
(4,760 |
) |
|
|
12,133 |
|
|
|
— |
|
|