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INTANGIBLE ASSETS AND GOODWILL (Tables)
 12 Months Ended
Dec. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of intangible assets
Intangible assets consist of the following:
(Amounts in 000's)
 
Bed Licenses
(included in
property and
equipment)
 
Bed Licenses—
Separable
 
Lease
Rights
 
Total
Balances, January 1, 2015
 

 

 

 

Gross
 
$
35,690

 
$
2,471

 
$
7,406

 
$
45,567

Accumulated amortization
 
(3,587
)
 
—

 
(3,319
)
 
(6,906
)
Net carrying amount
 
$
32,103

 
$
2,471

 
$
4,087

 
$
38,661

 
 
 
 
 
 
 
 
 
Dispositions
 
 
 
 
 
 
 
 
Gross
 
—

 
—

 
(525
)
 
(525
)
Accumulated amortization
 
—

 
—

 
525

 
525

Amortization expense
 
(1,173
)
 
—

 
(667
)
 
(1,840
)
Reclass to held for sale
 
 
 
 
 
 
 
 
Gross
 
—

 
—

 
—

 
—

Accumulated amortization
 
—

 
—

 
—

 
—

 
 
 
 
 
 
 
 
 
Balances, December 31, 2015
 

 

 

 

Gross
 
35,690

 
2,471

 
6,881

 
45,042

Accumulated amortization
 
(4,760
)
 
—

 
(3,461
)
 
(8,221
)
Net carrying amount
 
30,930

 
2,471

 
3,420

 
36,821

 
 
 
 
 
 
 
 
 
Dispositions
 
 
 
 
 
 
 
 
Gross
 
(12,879
)
 
—

 
—

 
(12,879
)
Accumulated amortization
 
2,123

 
—

 
—

 
2,123

Amortization expense
 
(846
)
 
—

 
(666
)
 
(1,512
)
 
 
 
 
 
 
 
 
 
Balances, December 31, 2016
 
 
 
 
 
 
 
 
Gross
 
$
22,811

 
$
2,471

 
$
6,881

 
$
32,163

Accumulated amortization
 
(3,483
)
 
—

 
(4,127
)
 
(7,610
)
Net carrying amount
 
$
19,328

 
$
2,471

 
$
2,754

 
$
24,553
Schedule of estimated amortization expense for all definite lived intangibles
Estimated amortization expense for all finite-lived intangibles for each of the future years ending December 31 is as follows:
Amounts in (000's)
 
Bed
Licenses
 
Lease
Rights
2017
 
$
683

 
$
667

2018
 
683

 
667

2019
 
683

 
667

2020
 
683

 
482

2021
 
683

 
203

Thereafter
 
15,913

 
68

Total
 
$
19,328

 
$
2,754
Summary of the changes in the carrying amount of goodwill
The following table summarizes the changes in the carrying amount of goodwill for the years ended December 31, 2016 and 2015.
 
 
(Amounts in 000's)
Balances, January 1, 2015
 
 
Goodwill
 
$
5,023

Accumulated impairment losses
 
(799
)
Total
 
$
4,224

 
 
 
Impairment losses
 
(41
)
Net change during year
 
(41
)
 
 
 
Balances, December 31, 2015
 
 
Goodwill
 
$
5,023

Accumulated impairment losses
 
(840
)
Total
 
$
4,183

 
 
 
Disposals
 
(2,078
)
Net change during year
 
(2,078
)
 
 
 
Balances, December 31, 2016
 
 
Goodwill
 
$
2,945

Accumulated impairment losses
 
(840
)
Total
 
$
2,105