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Intangibles (Tables)
12 Months Ended
Dec. 31, 2016
Intangible Assets Gross Excluding Goodwill [Abstract]  
Amortizable intangible assets other than goodwill

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

 

 

Amortizable Intangible Liabilities

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

 

 

Scheduled Amortization Charges from Intangible Assets and Liabilities

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

)