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Goodwill and Other Intangible Assets, Net - Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018
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Finite-Lived Intangible Assets, Net [Abstract] |  |
Accumulated Amortization | $ (27,800) | $ (32,999)
Intangible assets, gross carrying amount | 70,576 | 84,471
Intangible assets, net | 42,776 | 51,472
Community purchase options |  |
Indefinite-lived Intangible Assets (Excluding Goodwill) [Abstract] |  |
Indefinite lived assets, gross carrying amount |  | 4,738
Health care licenses |  |
Indefinite-lived Intangible Assets (Excluding Goodwill) [Abstract] |  |
Indefinite lived assets, gross carrying amount | 42,776 | 42,323
Trade names |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Finite lived assets, gross carrying amount | 27,800 | 27,800
Accumulated Amortization | (27,800) | (26,295)
Finite lived assets, net | $ 0 | 1,505
Management contracts |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Finite lived assets, gross carrying amount |  | 9,610
Accumulated Amortization |  | (6,704)
Finite lived assets, net |  | $ 2,906

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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/disclosureRef -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/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 928 -SubTopic 340 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6473545&loc=d3e61844-108004 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -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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