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Goodwill and Other Intangible Assets, Net - Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2017 | Dec. 31, 2016
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Finite-Lived Intangible Assets [Line Items] |  |
Accumulated Amortization | $ (33,017) | $ (28,188)
Intangible assets, gross carrying amount | 97,894 | 111,195
Intangible assets, net | 64,877 | 83,007
Community Purchase Options [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite lived assets, gross carrying amount | 4,738 | 4,738
Health care licenses [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite lived assets, gross carrying amount | 51,825 | 65,126
Trade names [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite lived assets, gross carrying amount | 27,800 | 27,800
Accumulated Amortization | (23,070) | (21,135)
Finite lived assets, net | 4,730 | 6,665
Management Contracts [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite lived assets, gross carrying amount | 13,531 | 13,531
Accumulated Amortization | (9,947) | (7,053)
Finite lived assets, net | $ 3,584 | $ 6,478

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- Definition Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 + Details
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- Definition Amount before amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 + Details
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- Definition Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16212-109274 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph ((a)(1),(b)) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 + Details
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