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Intangible Assets, Net
6 Months Ended
Jun. 30, 2018
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
4.
Intangible Assets, Net
 
At June 30, 2018, the Company’s intangible assets, net, consisted of the following:
 
  
Useful
 
Gross
     
Net
 
  
Life
 
June 30,
  
Accumulated
  
June 30,
 
  
(Years)
 
2018
  
Amortization
  
2018
 
Indefinite Lived Assets:              
Medicare license N/A $1,994,000  $-  $1,994,000 
Amortized Intangible Assets:              
Network relationships 11-15  109,883,000   (42,332,259)  67,550,741 
Management contracts 15  22,832,000   (6,278,801)  16,553,199 
Member relationships 12  6,696,000   (668,084)  6,027,916 
Patient management platform 5  2,060,000   (240,333)  1,819,667 
Tradename/trademarks 20  1,011,000   (29,487)  981,513 
    $144,476,000  $(49,548,964) $94,927,036 
 
At December 31, 2017, the Company’s intangible assets, net, consisted of the following:
 
  
Useful
 
Gross
     
Net
 
  
Life
 
December 31,
  
Accumulated
  
December 31,
 
  
(Years)
 
2017
  
Amortization
  
2017
 
Indefinite Lived Assets:              
Medicare license N/A $1,994,000  $-  $1,994,000 
Amortized Intangible Assets:              
Network relationships 11-15  109,883,000   (35,842,508)  74,040,492 
Management contracts 15  22,832,000   (5,014,886)  17,817,114 
Member relationships 12  6,696,000   (46,500)  6,649,500 
Patient management platform 5  2,060,000   (34,336)  2,025,664 
Tradename/trademarks 20  1,011,000   (4,212)  1,006,788 
    $144,476,000  $(40,942,442) $103,533,558 
 
Included in depreciation and amortization on the accompanying consolidated statements of income is amortization expense of $4,211,621 and $4,322,476 (excluding $106,000 amortization expense for exclusivity incentives) for the three months ended June 30, 2018 and 2017, respectively, and $8,606,522 and $8,697,317 (excluding $212,000 amortization expense for exclusivity incentives) for the six months ended June 30, 2018 and 2017, respectively.
 
Future amortization expense is estimated to be as follows for the years ending December 31:
 
  
Amount
 
    
2018 (remaining six months) $8,050,000 
2019  14,480,000 
2020  12,671,000 
2021  10,961,000 
2022  9,448,000 
Thereafter  37,323,000 
     
  $92,933,000