Intangible Assets, Net (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of intangible assets

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

	Useful	Gross						Gross					Net
	Life	December 31,				Impairment/		December 31,		Accumulated			December 31,
	(Years)	2017		Additions		Disposal		2018		Amortization			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

	Useful	Gross							Gross					Net
	Life	January 1,				Impairment/			December 31,		Accumulated			December 31,
	(Years)	2017		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

Schedule of future amortization expense

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

	Amount
2019	$	14,480,000
2020		12,671,000
2021		10,960,000
2022		9,448,000
2023		7,793,000
Thereafter		29,530,000
	$	84,882,000