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Intangible Assets, Net | 12 Months Ended
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Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract] |
Goodwill and Intangible Assets |
| 5. | Intangible Assets, Net
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 |
At December 31, 2017, intangible assets, net consisted of the following:
|  | 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 |
Amortization expense was $17.1 million and $17.5 million, (excluding $0.4 million of amortization expense for exclusivity incentives) for the years ended December 31, 2018 and 2017, respectively, which is included in depreciation and amortization on the accompanying consolidated statements of income. During the year ended December 31, 2017, the Company recorded an impairment of member relationship intangible assets with a cost of approximately $3.2 million. 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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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI http://asc.fasb.org/topic&trid=2144416 + Details
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