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Goodwill and Other Intangible Assets, Net - Other Intangible Assets (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Finite-Lived Intangible Assets [Line Items] |  |  |
Finite-Lived Intangible Assets, Accumulated Amortization | $ (31,643) | $ (28,188) |
Finite-Lived Intangible Assets, Net | 7,517 |  |
Intangible Assets, Gross (Excluding Goodwill) | 99,620 | 111,195 |
Intangible Assets, Net (Excluding Goodwill) | 67,977 | 83,007 |
Amortization expense related to definite-lived intangible assets | 5,600 | 9,200 | $ 12,200
Community purchase options |  |  |
Indefinite-lived Intangible Assets [Line Items] |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | 9,533 | 4,738 |
Health care licenses |  |  |
Indefinite-lived Intangible Assets [Line Items] |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | 50,927 | 65,126 |
Trade names |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Finite-Lived Intangible Assets, Gross | 27,800 | 27,800 |
Finite-Lived Intangible Assets, Accumulated Amortization | (23,714) | (21,135) |
Finite-Lived Intangible Assets, Net | $ 4,086 | 6,665 |
Weighted average useful life | 3 years |  |
Management contracts |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Finite-Lived Intangible Assets, Gross | $ 11,360 | 13,531 |
Finite-Lived Intangible Assets, Accumulated Amortization | (7,929) | (7,053) |
Finite-Lived Intangible Assets, Net | $ 3,431 | $ 6,478 |
Weighted average useful life | 9 years |  |

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- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16225-109274 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3602-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(2) -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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