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Intangible Assets, Net (Tables)
3 Months Ended
Mar. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of intangible assets
At March 31, 2019, the Company’s intangible assets, net, consisted of the following:
 
 
 
Useful
 
Gross
 
 
 
 
 
Net
 
 
 
Life
 
March 31,
 
 
Accumulated
 
 
March 31,
 
 
 
(Years)
 
2019
 
 
Amortization
 
 
2019
 
Indefinite Lived Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicare license
 
N/A
 
$
1,994,000
 
 
$
-
 
 
$
1,994,000
 
Amortized Intangible Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Network relationships
 
11
-
15
 
 
109,883,000
 
 
 
(51,215,352
)
 
 
58,667,648
 
Management contracts
 
15
 
 
22,832,000
 
 
 
(8,031,971
)
 
 
14,800,029
 
Member relationships
 
12
 
 
6,696,000
 
 
 
(1,555,286
)
 
 
5,140,714
 
Patient management platform
 
5
 
 
2,060,000
 
 
 
(549,333
)
 
 
1,510,667
 
Tradename/trademarks
 
20
 
 
1,011,000
 
 
 
(67,400
)
 
 
943,600
 
 
 
 
 
$
144,476,000
 
 
$
(61,419,342
)
 
$
83,056,658
 
 
At December 31, 2018, the Company’s intangible assets, net, consisted of the following:
 
 
 
Useful
 
Gross
 
 
 
 
 
Net
 
 
 
Life
 
December 31,
 
 
Accumulated
 
 
December 31,
 
 
 
(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
 
 
 
(48,361,773
)
 
 
61,521,227
 
Management contracts
 
15
 
 
22,832,000
 
 
 
(7,447,581
)
 
 
15,384,419
 
Member relationships
 
12
 
 
6,696,000
 
 
 
(1,289,667
)
 
 
5,406,333
 
Patient management platform
 
5
 
 
2,060,000
 
 
 
(446,333
)
 
 
1,613,667
 
Tradename/trademarks
 
20
 
 
1,011,000
 
 
 
(54,763
)
 
 
956,237
 
 
 
 
 
$
144,476,000
 
 
$
(57,600,117
)
 
$
86,875,883
 
Schedule of future amortization expense
Future amortization expense is estimated to be as follows for the years ending December 31:
 
 
 
Amount
 
 
 
 
 
2019 (excluding the three months ended March 31, 2019)
 
$
10,661,000
 
2020
 
 
12,671,000
 
2021
 
 
10,960,000
 
2022
 
 
9,448,000
 
2023
 
 
7,790,000
 
Thereafter
 
 
29,532,000
 
 
 
 
 
 
 
 
$
81,062,000