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Intangible Assets, Net (Tables)
9 Months Ended
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