Intangible Assets, Net (Tables)

12 Months Ended

Dec. 31, 2017

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of intangible assets

At December 31, 2017, intangible assets, net consisted of the following:

	Useful	Gross						Gross				Net
	Life	December 31,				Impairment/		December 31,		Accumulated		December 31,
	(Years)	2016		Additions		Disposal		2017		Amortization		2017
Indefinite Lived Assets:
Medicare license	N/A	$	-	$	1,994,000	$	-	$	1,994,000	$	-	$	1,994,000
Amortized Intangible Assets:
Network relationships	11-15		106,660,000		3,223,000		-		109,883,000		(35,842,508)		74,040,492
Management contracts	15		22,832,000		-		-		22,832,000		(5,014,886)		17,817,114
Member relationships	5-12		3,235,000		6,696,000		(3,235,000)		6,696,000		(46,500)		6,649,500
Patient management platform	5		-		2,060,000		-		2,060,000		(34,336)		2,025,664
Tradename/trademarks	20		-		1,011,000		-		1,011,000		(4,212)		1,006,788
		$	132,727,000	$	14,984,000	$	(3,235,000)	$	144,476,000	$	(40,942,442)	$	103,533,558

At December 31, 2016, intangible assets, net consisted of the following:

	Useful		Gross						Gross				Net
	Life		December 31,				Impairment/		December 31,		Accumulated		December 31,
	(Years)		2015		Additions		Disposal		2016		Amortization		2016
Amortized Intangible Assets:
Network relationships		11-15	$	106,660,000	$	-	$	-	$	106,660,000	$	(22,186,665)	$	84,473,335
Management contracts		15		22,832,000		-		-		22,832,000		(2,446,286)		20,385,714
Member relationships		5-7		-		3,235,000		-		3,235,000		-		3,235,000
			$	129,492,000	$	3,235,000	$	-	$	132,727,000	$	(24,632,951)	$	108,094,049

Schedule of future amortization expense

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

	Amount
2018	$	16,657,000
2019		14,480,000
2020		12,671,000
2021		10,961,000
2022		9,448,000
Thereafter		37,323,000
	$	101,540,000