Intangible Assets, Net (Tables)

9 Months Ended

Sep. 30, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of intangible assets

At September 30, 2018, the Company’s intangible assets, net, consisted of the following:

	Useful	Gross					Net
	Life	September 30,		Accumulated			September 30,
	(Years)	2018		Amortization			2018
Indefinite Lived Assets:
Medicare license	N/A	$	1,994,000	$	-		$	1,994,000
Amortized Intangible Assets:
Network relationships	11-15		109,883,000		(45,485,494	)		64,397,506
Management contracts	15		22,832,000		(6,863,192	)		15,968,808
Member relationships	12		6,696,000		(978,876	)		5,717,124
Patient management platform	5		2,060,000		(343,333	)		1,716,667
Tradename/trademarks	20		1,011,000		(42,125	)		968,875
		$	144,476,000	$	(53,713,020	)	$	90,762,980

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

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

Schedule of future amortization expense

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

	Amount
2018 (remaining three months)	$	3,886,000
2019		14,480,000
2020		12,671,000
2021		10,961,000
2022		9,448,000
Thereafter		37,323,000
	$	88,769,000