Intangible Assets, Net

12 Months Ended

Dec. 31, 2020

Goodwill and Intangible Assets Disclosure [Abstract]

Intangible Assets, NetAt December 31, 2020, intangible assets, net consisted of the following (in thousands):


	Useful Life (Years)	Gross January 1, 2020		Additions		Impairment/ Disposal		Gross December 31, 2020		Accumulated Amortization		Net December 31, 2020
Amortized intangible assets:
Network relationships	11-15	143,930		—		—		143,930		(73,169)		70,761
Management contracts	15	22,832		—		—		22,832		(11,715)		11,117
Member relationships	12	6,696		—		—		6,696		(3,234)		3,462
Patient management platform	5	2,060		—		—		2,060		(1,270)		790
Tradename/trademarks	20	1,011		—		—		1,011		(156)		855
		$	176,529	$	—	$	—	$	176,529	$	(89,544)	$	86,985

At December 31, 2019, intangible assets, net consisted of the following (in thousands):


	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	$	—	$	(1,994)	$	—	$	—	$	—
Amortized intangible assets:
Network relationships	11-15	109,883		34,047		—		143,930		(60,525)		83,405
Management contracts	15	22,832		—		—		22,832		(9,677)		13,155
Member relationships	12	6,696		—		—		6,696		(2,352)		4,344
Patient management platform	5	2,060		—		—		2,060		(858)		1,202
Tradename/trademarks	20	1,011		—		—		1,011		(105)		906
		$	144,476	$	34,047	$	(1,994)	$	176,529	$	(73,517)	$	103,012

Amortization expense was $16.0 million, $16.3 million and $17.1 million for the years ended December 31, 2020, 2019, and 2018, respectively, which is included in depreciation and amortization in the accompanying consolidated statements of income.

During the year ended December 31, 2019, the Company wrote off indefinite-lived intangible assets of $2.0 million related to Medicare licenses it acquired as part of the Merger. The Company will no longer utilize these licenses and as such the Company will not receive future economic benefits. There was no impairment loss recorded related to intangibles for the year ended December 31, 2020.

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


	Amount

2021	$	14,524
2022	12,673
2023	10,842
2024	9,830
2025	8,758
Thereafter	30,358
	$	86,985