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Intangible Assets, Net (Tables) | 12 Months Ended
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Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of intangible assets | At December 31, 2017, intangible assets, net consisted of the following:
| Useful |  | Gross |  |  |  |  |  | Gross |  |  |  | Net |
| Life |  | December 31, |  |  |  | Impairment/ |  | December 31, |  | Accumulated |  | December 31, |
| (Years) |  | 2016 |  | Additions |  | Disposal |  | 2017 |  | Amortization |  | 2017 |
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | - |  | $ | 1,994,000 |  | $ | - |  | $ | 1,994,000 |  | $ | - |  | $ | 1,994,000 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  |  | 106,660,000 |  |  | 3,223,000 |  |  | - |  |  | 109,883,000 |  |  | (35,842,508) |  |  | 74,040,492 |
Management contracts | 15 |  |  | 22,832,000 |  |  | - |  |  | - |  |  | 22,832,000 |  |  | (5,014,886) |  |  | 17,817,114 |
Member relationships | 5-12 |  |  | 3,235,000 |  |  | 6,696,000 |  |  | (3,235,000) |  |  | 6,696,000 |  |  | (46,500) |  |  | 6,649,500 |
Patient management platform | 5 |  |  | - |  |  | 2,060,000 |  |  | - |  |  | 2,060,000 |  |  | (34,336) |  |  | 2,025,664 |
Tradename/trademarks | 20 |  |  | - |  |  | 1,011,000 |  |  | - |  |  | 1,011,000 |  |  | (4,212) |  |  | 1,006,788 |
|  |  | $ | 132,727,000 |  | $ | 14,984,000 |  | $ | (3,235,000) |  | $ | 144,476,000 |  | $ | (40,942,442) |  | $ | 103,533,558 |
At December 31, 2016, intangible assets, net consisted of the following:
|  | Useful |  | Gross |  |  |  |  |  | Gross |  |  |  | Net |
|  | Life |  | December 31, |  |  |  | Impairment/ |  | December 31, |  | Accumulated |  | December 31, |
|  | (Years) |  | 2015 |  | Additions |  | Disposal |  | 2016 |  | Amortization |  | 2016 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships |  |  | 11-15 |  | $ | 106,660,000 |  | $ | - |  | $ | - |  | $ | 106,660,000 |  | $ | (22,186,665) |  | $ | 84,473,335 |
Management contracts |  |  | 15 |  |  | 22,832,000 |  |  | - |  |  | - |  |  | 22,832,000 |  |  | (2,446,286) |  |  | 20,385,714 |
Member relationships |  |  | 5-7 |  |  | - |  |  | 3,235,000 |  |  | - |  |  | 3,235,000 |  |  | - |  |  | 3,235,000 |
|  |  |  |  | $ | 129,492,000 |  | $ | 3,235,000 |  | $ | - |  | $ | 132,727,000 |  | $ | (24,632,951) |  | $ | 108,094,049 |
Schedule of future amortization expense | Future amortization expense is estimated to be as follows for the years ending December 31:
|  | Amount |
2018 |  | $ | 16,657,000 |
2019 |  |  | 14,480,000 |
2020 |  |  | 12,671,000 |
2021 |  |  | 10,961,000 |
2022 |  |  | 9,448,000 |
Thereafter |  |  | 37,323,000 |
|  | $ | 101,540,000 |

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