Intangible Assets, Net

12 Months Ended

Dec. 31, 2022

Goodwill and Intangible Assets Disclosure [Abstract]

Intangible Assets, Net

Intangible Assets, Net

At December 31, 2022, intangible assets, net consisted of the following (in thousands):

	Useful Life (Years)	Gross January 1, 2022		Additions		Impairment/ Disposal		Gross December 31, 2022		Accumulated Amortization		Net December 31, 2022
Indefinite lived assets:
Trademarks	N/A	$	2,150	$	—	$	—	$	2,150	$	—	$	2,150
Amortized intangible assets:
Network relationships	11-21	150,679		—		—		150,679		(95,451)		55,228
Management contracts	15	22,832		—		—		22,832		(15,208)		7,624
Member relationships	12	8,997		7,636		—		16,633		(5,619)		11,014
Patient management platform	5	2,060		—		—		2,060		(2,060)		—
Tradename/trademarks	20	1,011		—		—		1,011		(257)		754
Developed technology	6	—		107		—		107		(16)		91
		$	187,729	$	7,743	$	—	$	195,472	$	(118,611)	$	76,861

At December 31, 2021, intangible assets, net consisted of the following (in thousands):

	Useful Life (Years)	Gross January 1, 2021		Additions		Impairment/ Disposal		Gross December 31, 2021		Accumulated Amortization		Net December 31, 2021
Indefinite Lived Assets:
Trademarks	N/A	$	—	$	2,150	$	—	$	2,150	$	—	$	2,150
Amortized intangible assets:
Network relationships	11-15	$	143,930	$	6,749	$	—	$	150,679	$	(84,865)	$	65,814
Management contracts	15	22,832		—		—		22,832		(13,563)		9,269
Member relationships	12	6,696		2,301		—		8,997		(4,606)		4,391
Patient management platform	5	2,060		—		—		2,060		(1,682)		378
Tradename/trademarks	20	1,011		—		—		1,011		(206)		805
		$	176,529	$	11,200	$	—	$	187,729	$	(104,922)	$	82,807

As of December 31, 2022, network relationships, management contracts, member relationships, tradename/trademarks, and developed technology had weighted-average remaining useful lives of 10.1 years, 7.4 years, 12.0 years, 14.8 years, and 5.1 years respectively. Total weighted-average remaining useful lives for all amortized intangible assets as of December 31, 2022 was 10.2 years. Amortization expense was $13.7 million, $15.4 million and $16.0 million for the years ended December 31, 2022, 2021, and 2020, respectively, which is included in depreciation and amortization in the accompanying consolidated statements of income.

There was no impairment loss recorded related to intangibles for the years ended December 31, 2022, 2021 and 2020.

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

	Amount
2023	$	11,680
2024	11,521
2025	10,594
2026	9,354
2027	8,069
Thereafter	23,493
	$	74,711