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Intangible Assets, Net (Tables) | 12 Months Ended
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Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Intangible Assets, Net | At December 31, 2024, intangible assets, net consisted of the following (in thousands):
| Useful Life (Years) |  | Gross January 1, 2024 |  |  | Additions |  |  | Impairment/ Disposal |  |  | Gross December 31, 2024 |  |  | Accumulated Amortization |  |  | Net December 31, 2024 |
Indefinite lived assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Trademarks | N/A |  | $ | 2,150 |  |  | $ | — |  |  | $ | — |  |  | $ | 2,150 |  |  | $ | — |  |  | $ | 2,150 |
Licenses | N/A |  |  | — |  |  |  | 1,900 |  |  |  | — |  |  |  | 1,900 |  |  |  | — |  |  |  | 1,900 |
Amortized intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 10-21 |  |  | 150,679 |  |  |  | 21,238 |  |  |  | — |  |  |  | 171,917 |  |  |  | (114,046 | ) |  |  | 57,871 |
Management contracts | 15 |  |  | 22,832 |  |  |  | — |  |  |  | — |  |  |  | 22,832 |  |  |  | (17,953 | ) |  |  | 4,879 |
Member relationships | 7-14 |  |  | 24,077 |  |  |  | 49,000 |  |  |  | — |  |  |  | 73,077 |  |  |  | (22,406 | ) |  |  | 50,671 |
Patient management platform | 5 |  |  | 2,060 |  |  |  | — |  |  |  | — |  |  |  | 2,060 |  |  |  | (2,060 | ) |  |  | — |
Tradename/trademarks | 20 |  |  | 1,011 |  |  |  | — |  |  |  | — |  |  |  | 1,011 |  |  |  | (358 | ) |  |  | 653 |
Developed technology | 6 |  |  | 107 |  |  |  | — |  |  |  | — |  |  |  | 107 |  |  |  | (52 | ) |  |  | 55 |
|  |  | $ | 202,916 |  |  | $ | 72,138 |  |  | $ | — |  |  | $ | 275,054 |  |  | $ | (156,875 | ) |  | $ | 118,179 |
At December 31, 2023, intangible assets, net consisted of the following (in thousands):
| Useful Life (Years) |  | Gross January 1, 2023 |  |  | Additions |  |  | Impairment/ Disposal |  |  | Gross December 31, 2023 |  |  | Accumulated Amortization |  |  | Net December 31, 2023 |
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Trademarks | N/A |  | $ | 2,150 |  |  | $ | — |  |  | $ | — |  |  | $ | 2,150 |  |  | $ | — |  |  | $ | 2,150 |
Amortized intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-21 |  |  | 150,679 |  |  |  | — |  |  |  | — |  |  |  | 150,679 |  |  |  | (104,859 | ) |  |  | 45,820 |
Management contracts | 15 |  |  | 22,832 |  |  |  | — |  |  |  | — |  |  |  | 22,832 |  |  |  | (16,662 | ) |  |  | 6,170 |
Member relationships | 10-14 |  |  | 16,633 |  |  |  | 7,444 |  |  |  | — |  |  |  | 24,077 |  |  |  | (7,345 | ) |  |  | 16,732 |
Patient management platform | 5 |  |  | 2,060 |  |  |  | — |  |  |  | — |  |  |  | 2,060 |  |  |  | (2,060 | ) |  |  | — |
Tradename/trademarks | 20 |  |  | 1,011 |  |  |  | — |  |  |  | — |  |  |  | 1,011 |  |  |  | (308 | ) |  |  | 703 |
Developed technology | 6 |  |  | 107 |  |  |  | — |  |  |  | — |  |  |  | 107 |  |  |  | (34 | ) |  |  | 73 |
|  |  | $ | 195,472 |  |  | $ | 7,444 |  |  | $ | — |  |  | $ | 202,916 |  |  | $ | (131,268 | ) |  | $ | 71,648 |
Schedule of Future Amortization Expense | Future amortization expense is estimated to be as follows for the years ending December 31 (in thousands):
| Amount |
2025 | $ | 24,658 |
2026 |  | 20,295 |
2027 |  | 16,808 |
2028 |  | 14,077 |
2029 |  | 11,397 |
Thereafter |  | 26,894 |
| $ | 114,129 |

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