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Goodwill and Other Intangible Assets, Net - Goodwill (Details) - USD ($) $ in Thousands | Dec. 31, 2018 | Dec. 31, 2017
--- | --- | ---
Goodwill [Line Items] |  |
Gross Carrying Amount | $ 760,420 | $ 760,420
Dispositions and Other Reductions | (49,637) | (49,637)
Accumulated Impairment | (556,652) | (205,000)
Net | 154,131 | 505,783
Independent Living |  |
Goodwill [Line Items] |  |
Gross Carrying Amount | 28,141 | 28,141
Dispositions and Other Reductions | (820) | (820)
Accumulated Impairment | 0 | 0
Net | 27,321 | 27,321
Assisted Living and Memory Care |  |
Goodwill [Line Items] |  |
Gross Carrying Amount | 605,469 | 605,469
Dispositions and Other Reductions | (48,817) | (48,817)
Accumulated Impairment | (556,652) | (205,000)
Net | 0 | 351,652
Health Care Services |  |
Goodwill [Line Items] |  |
Gross Carrying Amount | 126,810 | 126,810
Dispositions and Other Reductions | 0 | 0
Accumulated Impairment | 0 | 0
Net | $ 126,810 | $ 126,810

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- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=77989000&loc=SL49117168-202975 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13770-109266 + Details
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- Definition Amount before accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (h) -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 + Details
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