Intangible Assets, Net (Tables)

12 Months Ended

Dec. 31, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Indefinite-Lived Intangible Assets, Net

At December 31, 2019, intangible assets, net consisted of the following:

	Useful Life (Years)	Gross January 1, 2019		Additions		Impairment/ Disposal			Gross December 31, 2019		Accumulated Amortization			Net December 31, 2019
Indefinite Lived Assets:
Medicare license	N/A	$	1,994,000	$	—	$	(1,994,000	)	$	—	$	—		$	—
Amortized Intangible Assets:
Network relationships	11-15	109,883,000		34,047,000		—			143,930,000		(60,524,996		)	83,405,004
Management contracts	15	22,832,000		—		—			22,832,000		(9,676,381		)	13,155,619
Member relationships	12	6,696,000		—		—			6,696,000		(2,352,133		)	4,343,867
Patient management platform	5	2,060,000		—		—			2,060,000		(858,329		)	1,201,671
Tradename/trademarks	20	1,011,000		—		—			1,011,000		(105,312		)	905,688
		$	144,476,000	$	34,047,000	$	(1,994,000	)	$	176,529,000	$	(73,517,151	)	$	103,011,849

At December 31, 2018, intangible assets, net consisted of the following:

	Useful Life (Years)	Gross January 1, 2018		Additions		Impairment/ Disposal		Gross December 31, 2018		Accumulated Amortization			Net December 31, 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

Schedule of Finite-Lived Intangible Assets, Net

At December 31, 2019, intangible assets, net consisted of the following:

	Useful Life (Years)	Gross January 1, 2019		Additions		Impairment/ Disposal			Gross December 31, 2019		Accumulated Amortization			Net December 31, 2019
Indefinite Lived Assets:
Medicare license	N/A	$	1,994,000	$	—	$	(1,994,000	)	$	—	$	—		$	—
Amortized Intangible Assets:
Network relationships	11-15	109,883,000		34,047,000		—			143,930,000		(60,524,996		)	83,405,004
Management contracts	15	22,832,000		—		—			22,832,000		(9,676,381		)	13,155,619
Member relationships	12	6,696,000		—		—			6,696,000		(2,352,133		)	4,343,867
Patient management platform	5	2,060,000		—		—			2,060,000		(858,329		)	1,201,671
Tradename/trademarks	20	1,011,000		—		—			1,011,000		(105,312		)	905,688
		$	144,476,000	$	34,047,000	$	(1,994,000	)	$	176,529,000	$	(73,517,151	)	$	103,011,849

At December 31, 2018, intangible assets, net consisted of the following:

	Useful Life (Years)	Gross January 1, 2018		Additions		Impairment/ Disposal		Gross December 31, 2018		Accumulated Amortization			Net December 31, 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

Schedule of Future Amortization Expense

Future amortization expense is estimated to be as follows for the years ending December 31:

	Amount
2020	$	16,026,000
2021	14,542,000
2022	12,673,000
2023	10,842,000
2024	9,830,000
Thereafter	39,099,000
	$	103,012,000