XML 90 R31.htm IDEA: XBRL DOCUMENT
v3.19.3.a.u2

Goodwill and Intangible Assets (Tables) | 12 Months Ended
--- | ---
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Summary of Intangible Assets, Net | Intangible assets, net, consist of the following (in thousands):
|  | December 31, 2019 |
|  | Gross Carrying Value |  |  | Accumulated Amortization |  |  | Net Carrying Value |
Physician and hospital agreements |  | $ | 384,059 |  |  | $ | (269,889 | ) |  | $ | 114,170 |
Customer relationships |  |  | 156,530 |  |  |  | (29,595 | ) |  |  | 126,935 |
Trade names |  |  | 19,990 |  |  |  | (2,326 | ) |  |  | 17,664 |
Patented and other technology |  |  | 34,528 |  |  |  | (18,890 | ) |  |  | 15,638 |
|  | $ | 595,107 |  |  | $ | (320,700 | ) |  | $ | 274,407 |
|  | December 31, 2018 |
|  | Gross Carrying Value |  |  | Accumulated Amortization |  |  | Net Carrying Value |
Physician and hospital agreements |  | $ | 375,344 |  |  | $ | (222,818 | ) |  | $ | 152,526 |
Customer relationships |  |  | 156,530 |  |  |  | (29,595 | ) |  |  | 126,935 |
Trade names |  |  | 19,990 |  |  |  | (2,326 | ) |  |  | 17,664 |
Patented and other technology |  |  | 33,129 |  |  |  | (17,089 | ) |  |  | 16,040 |
|  | $ | 584,993 |  |  | $ | (271,828 | ) |  | $ | 313,165 |
Amortization Expenses for Existing Intangible Assets for the Next Five Years | Amortization expense for existing intangible assets for the next five years is expected to be as follows (in thousands):
2020 |  | $ | 42,502 |
2021 |  |  | 36,502 |
2022 |  |  | 29,482 |
2023 |  |  | 24,482 |
2024 |  |  | 10,590 |

X
- Definition Tabular disclosure of amortization expense of assets, excluding financial assets, that lack physical substance, having a limited useful life. + References No definition available. + Details
Name: | us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_GoodwillAndIntangibleAssetsDisclosureAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of assets, excluding financial assets and goodwill, lacking physical substance with a finite life, by either major class or business segment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275 + Details
Name: | us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration