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Goodwill and Other Intangible Assets, Net (Tables)
9 Months Ended
Sep. 30, 2011
Goodwill and Intangible Assets Disclosure [Abstract] 
Summary of changes in the carrying amount of goodwill
Following is a summary of changes in the carrying amount of goodwill for the nine months ended September 30, 2011 and the year ended December 31, 2010 presented on an operating segment basis (dollars in thousands):
 
   
September 30, 2011
  
December 31, 2010
 
   
Gross
Carrying
Amount
  
Adjustments
  
Accumulated
Impairment and Other Charges
  
Net
  
Gross
Carrying
Amount
  
Adjustments
  
Accumulated
Impairment and Other Charges
  
Net
 
Retirement Centers
 $7,642  $(34) $(487) $7,121  $7,642  $-  $(487) $7,155 
Assisted Living
  102,680   (106)  (142)  102,432   102,680   (142)  -   102,538 
CCRCs
  214,999   -   (214,999)  -   214,999   -   (214,999)  - 
Total
 $325,321  $(140) $(215,628) $109,553  $325,321  $(142) $(215,486) $109,693 
Other intangible assets
Intangible assets with definite useful lives are amortized over their estimated lives and are tested for impairment whenever indicators of impairment arise.  No indicators of impairment were present during the nine months ended September 30, 2011.  The following is a summary of other intangible assets at September 30, 2011 and December 31, 2010 (dollars in thousands):

   
September 30, 2011
  
December 31, 2010
 
   
Gross
Carrying
Amount
  
Accumulated
Amortization
  
Net
  
Gross
Carrying
Amount
  
Accumulated
Amortization
  
Net
 
Community purchase options
 $147,610  $(16,641) $130,969  $147,782  $(13,867) $133,915 
Management contracts and other
  158,041   (158,041)  -   158,041   (140,463)  17,578 
Home health licenses
  24,096   -   24,096   19,848   -   19,848 
Total
 $329,747  $(174,682) $155,065  $325,671  $(154,330) $171,341