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Intangible Assets, Net
6 Months Ended
Jun. 30, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets, Net
Intangible Assets, Net
At June 30, 2019, the Company’s intangible assets, net, consisted of the following:
 
Useful
Life
(Years)
 
Gross
June 30,
2019
 
Accumulated
Amortization
 
Net
June 30,
2019
Indefinite Lived Assets:
 
 
 
 
 
 
 
Medicare license
N/A
 
$
1,994,000

 
$

 
$
1,994,000

Amortized Intangible Assets:
 
 
 
 
 
 
 
Network relationships
11-15
 
139,741,000

 
(54,094,505
)
 
85,646,495

Management contracts
15
 
22,832,000

 
(8,616,362
)
 
14,215,638

Member relationships
12
 
6,696,000

 
(1,820,905
)
 
4,875,095

Patient management platform
5
 
2,060,000

 
(652,333
)
 
1,407,667

Tradename/trademarks
20
 
1,011,000

 
(80,037
)
 
930,963

 
 
 
$
174,334,000

 
$
(65,264,142
)
 
$
109,069,858

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
20
 
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


Included in depreciation and amortization on the accompanying condensed consolidated statements of income is amortization expense of $3.8 million and $4.2 million (excluding $0.1 million of amortization expense for exclusivity incentives) for the three months ended June 30, 2019 and 2018, respectively, and $7.7 million and $8.6 million (excluding $0.2 million of amortization expense for exclusivity incentives) for the six months ended June 30, 2019 and 2018, respectively.
Future amortization expense is estimated to be as follows for the years ending December 31:
 
Amount
 
 
2019 (excluding the six months ended June 30, 2019)
$
8,155,000

2020
14,968,000

2021
13,257,000

2022
11,744,000

2023
10,090,000

Thereafter
48,862,000

 
 
 
$
107,076,000