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Intangible Assets, Net (Tables) | 12 Months Ended
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Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of intangible assets | At December 31, 2018, intangible assets, net consisted of the following:
|  | Useful |  | Gross |  |  |  |  |  |  |  |  | Gross |  |  |  |  |  | Net |
|  | Life |  | December 31, |  |  |  |  |  | Impairment/ |  |  | December 31, |  |  | Accumulated |  |  | December 31, |
|  | (Years) |  | 2017 |  |  | Additions |  |  | Disposal |  |  | 2018 |  |  | Amortization |  |  | 2018 |
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license |  | N/A |  | $ | 1,994,000 |  |  | $ | - |  |  | $ | - |  |  | $ | 1,994,000 |  |  | $ | - |  |  | $ | 1,994,000 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships |  | 11-15 |  |  | 109,883,000 |  |  |  | - |  |  |  | - |  |  |  | 109,883,000 |  |  |  | (48,361,773 | ) |  |  | 61,521,227 |
Management contracts |  | 15 |  |  | 22,832,000 |  |  |  | - |  |  |  | - |  |  |  | 22,832,000 |  |  |  | (7,447,581 | ) |  |  | 15,384,419 |
Member relationships |  | 12 |  |  | 6,696,000 |  |  |  | - |  |  |  | - |  |  |  | 6,696,000 |  |  |  | (1,289,667 | ) |  |  | 5,406,333 |
Patient management platform |  | 5 |  |  | 2,060,000 |  |  |  | - |  |  |  | - |  |  |  | 2,060,000 |  |  |  | (446,333 | ) |  |  | 1,613,667 |
Tradename/trademarks |  | 20 |  |  | 1,011,000 |  |  |  | - |  |  |  | - |  |  |  | 1,011,000 |  |  |  | (54,763 | ) |  |  | 956,237 |
|  |  |  | $ | 144,476,000 |  |  | $ | - |  |  | $ | - |  |  | $ | 144,476,000 |  |  | $ | (57,600,117 | ) |  | $ | 86,875,883 |
|  | Useful |  | Gross |  |  |  |  |  |  |  |  | Gross |  |  |  |  |  | Net |
|  | Life |  | January 1, |  |  |  |  |  | Impairment/ |  |  | December 31, |  |  | Accumulated |  |  | December 31, |
|  | (Years) |  | 2017 |  |  | 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 |
Schedule of future amortization expense | Future amortization expense is estimated to be as follows for the years ending December 31:
|  | Amount |
2019 |  | $ | 14,480,000 |
2020 |  |  | 12,671,000 |
2021 |  |  | 10,960,000 |
2022 |  |  | 9,448,000 |
2023 |  |  | 7,793,000 |
Thereafter |  |  | 29,530,000 |
|  | $ | 84,882,000 |

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