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Intangibles
12 Months Ended
Dec. 31, 2016
Goodwill And Intangible Assets Disclosure [Abstract]  
Intangibles

7.

Intangibles

Intangible assets other than goodwill were comprised of the following:

 

 

 

December 31,

 

 

 

2016

 

 

2015

 

Customer relationships

 

$

1,568,161

 

 

$

1,575,865

 

Trade names

 

 

190,761

 

 

 

170,883

 

Provider network and practice management tools

 

 

187,318

 

 

 

183,724

 

Noncompetition and other agreements

 

 

512,505

 

 

 

510,521

 

Lease agreements

 

 

7,624

 

 

 

7,306

 

Indefinite-lived assets

 

 

1,546

 

 

 

9,310

 

Other

 

 

583

 

 

 

408

 

 

 

 

2,468,498

 

 

 

2,458,017

 

Less accumulated amortization

 

 

(940,731

)

 

 

(770,691

)

 

 

$

1,527,767

 

 

$

1,687,326

 

 

Amortization expense from amortizable intangible assets, other than lease agreements, was $174,518, $166,537 and $167,956 for 2016, 2015 and 2014, respectively. Lease agreement intangible assets and liabilities were amortized to rent expense in the amounts of $(923), $(1,613) and $(1,798) for 2016, 2015 and 2014, respectively.

During the year ended December 31, 2016, the Company did not recognize impairment charges on any intangible assets other than goodwill. During the year ended December 31, 2015, the Company recognized a $17,400 impairment charge on an indefinite-lived intangible asset of its DMG Nevada reporting unit.

Amortizable intangible liabilities were comprised of the following:

 

 

 

December 31,

 

 

 

2016

 

 

2015

 

Lease agreements (net of accumulated amortization of $8,485

   and $6,936)

 

 

7,420

 

 

 

8,969

 

 

 

$

7,420

 

 

$

8,969

 

 

There was no amortization benefit recognized from the alliance and product supply agreement in 2016 as it expired in September 2015. Amortization benefit related to this agreement was $3,997 for 2015 and $5,330 for 2014 related to this agreement. 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, 2016 were as follows:

 

 

 

Customer

relationships

 

 

Trade

names

 

 

Provider

network and

practice

management

tools

 

 

Noncompetition

and other

agreements

 

 

Lease

agreements

 

 

Other

 

2017

 

 

82,669

 

 

 

47,046

 

 

 

26,941

 

 

 

30,156

 

 

 

(1,228

)

 

 

102

 

2018

 

 

82,664

 

 

 

47,046

 

 

 

26,881

 

 

 

19,519

 

 

 

(892

)

 

 

102

 

2019

 

 

82,625

 

 

 

11,008

 

 

 

22,492

 

 

 

15,796

 

 

 

(832

)

 

 

87

 

2020

 

 

82,609

 

 

 

3,800

 

 

 

581

 

 

 

10,437

 

 

 

(678

)

 

 

44

 

2021

 

 

82,609

 

 

 

633

 

 

 

97

 

 

 

7,005

 

 

 

(606

)

 

 

 

Thereafter

 

 

821,282

 

 

 

 

 

 

 

 

 

21,990

 

 

 

(3,184

)