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Intangible Assets, Net (Tables) | 9 Months Ended
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Sep. 30, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Intangible Assets, Net | At September 30, 2019, the Company’s intangible assets, net, consisted of the following:
| Useful Life (Years) |  | Gross September 30, 2019 |  | Accumulated Amortization |  | Net September 30, 2019
Indefinite lived assets: |  |  |  |  |  |  |
Medicare license | N/A |  | $ | — |  |  | $ | — |  |  | $ | — |
Amortized intangible assets: |  |  |  |  |  |  |
Network relationships | 11-15 |  | 151,152,000 |  |  | (57,503,773 | ) |  | 93,648,227 |
Management contracts | 15 |  | 22,832,000 |  |  | (9,146,391 | ) |  | 13,685,609 |
Member relationships | 12 |  | 6,696,000 |  |  | (2,086,523 | ) |  | 4,609,477 |
Patient management platform | 5 |  | 2,060,000 |  |  | (755,333 | ) |  | 1,304,667 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | (92,675 | ) |  | 918,325 |
|  |  | $ | 183,751,000 |  |  | $ | (69,584,695 | ) |  | $ | 114,166,305 |
At December 31, 2018, the Company’s intangible assets, net, consisted of the following:
| Useful Life (Years) |  | Gross December 31, 2018 |  | Accumulated Amortization |  | Net December 31, 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 Intangible Assets, Net | At September 30, 2019, the Company’s intangible assets, net, consisted of the following:
| Useful Life (Years) |  | Gross September 30, 2019 |  | Accumulated Amortization |  | Net September 30, 2019
Indefinite lived assets: |  |  |  |  |  |  |
Medicare license | N/A |  | $ | — |  |  | $ | — |  |  | $ | — |
Amortized intangible assets: |  |  |  |  |  |  |
Network relationships | 11-15 |  | 151,152,000 |  |  | (57,503,773 | ) |  | 93,648,227 |
Management contracts | 15 |  | 22,832,000 |  |  | (9,146,391 | ) |  | 13,685,609 |
Member relationships | 12 |  | 6,696,000 |  |  | (2,086,523 | ) |  | 4,609,477 |
Patient management platform | 5 |  | 2,060,000 |  |  | (755,333 | ) |  | 1,304,667 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | (92,675 | ) |  | 918,325 |
|  |  | $ | 183,751,000 |  |  | $ | (69,584,695 | ) |  | $ | 114,166,305 |
At December 31, 2018, the Company’s intangible assets, net, consisted of the following:
| Useful Life (Years) |  | Gross December 31, 2018 |  | Accumulated Amortization |  | Net December 31, 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 following years ending December 31:
| Amount
2019 (excluding the nine months ended September 30, 2019) | $ | 4,212,000 |
2020 | 15,757,000 |
2021 | 14,436,000 |
2022 | 13,559,000 |
2023 | 12,341,000 |
Thereafter | 53,861,000 |
Total | $ | 114,166,000 |

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