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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2017
Accounting Policies [Abstract]  
Cash and escrow deposits - restricted
Cash and escrow deposits – restricted consist principally of deposits required by certain lenders and lessors pursuant to the applicable agreement and consist of the following:
 
December 31,
(in thousands)
2017
 
2016
Current:
 

 
 

Real estate tax and property insurance escrows
$
21,603

 
$
19,671

Replacement reserve escrows
10,960

 
6,970

Resident deposits
678

 
764

Other
3,948

 
5,459

Subtotal
37,189

 
32,864

Long term:
 

 
 

Insurance deposits
12,364

 
12,941

CCRC escrows
8,526

 
13,301

Debt service reserve
1,820

 
1,819

Subtotal
22,710

 
28,061

Total
$
59,899

 
$
60,925

Property, plant and equipment, useful lives
Depreciation and amortization is computed using the straight-line method over the estimated useful lives of the assets, which are as follows:

Asset Category
 
Estimated
Useful Life
(in years)
Buildings and improvements
 
40
Furniture and equipment
 
3 – 7
Resident lease intangibles
 
1 – 3
As of December 31, 2017 and 2016, net property, plant and equipment and leasehold intangibles, which include assets under capital and financing leases, consisted of the following:
 
As of December 31,
(in thousands)
2017
 
2016
Land
$
449,295

 
$
455,307

Buildings and improvements
4,923,621

 
5,053,204

Leasehold improvements
124,850

 
126,325

Furniture and equipment
1,006,889

 
974,516

Resident and leasehold operating intangibles
594,748

 
705,000

Construction in progress
74,678

 
69,803

Assets under capital and financing leases
1,742,384

 
2,879,996

 
8,916,465

 
10,264,151

Accumulated depreciation and amortization
(3,064,320
)
 
(2,884,846
)
Property, plant and equipment and leasehold intangibles, net
$
5,852,145

 
$
7,379,305

Definite lived intangible assets, useful lives
Amortization of the Company's definite-lived intangible assets is computed using the straight-line method over the estimated useful lives of the assets, which are as follows:
Asset Category
 
Estimated
Useful Life
(in years)
Trade names
 
2 – 5
Other
 
3 – 9
The following is a summary of other intangible assets.
 
December 31, 2017
 
December 31, 2016
(in thousands) 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Community purchase options
$
9,533

 
$

 
$
9,533

 
$
4,738

 
$

 
$
4,738

Health care licenses
50,927

 

 
50,927

 
65,126

 

 
65,126

Trade names
27,800

 
(23,714
)
 
4,086

 
27,800

 
(21,135
)
 
6,665

Management contracts
11,360

 
(7,929
)
 
3,431

 
13,531

 
(7,053
)
 
6,478

Total
$
99,620

 
$
(31,643
)
 
$
67,977

 
$
111,195

 
$
(28,188
)
 
$
83,007