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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2018
Accounting Policies [Abstract]  
Cash and escrow deposits - restricted
The Company defines cash and cash equivalents as cash and investments with maturities of 90 days or less when purchased. Restricted cash consists principally of deposits required by certain lenders and lessors pursuant to the applicable agreement and consists of the following:
 
December 31,
(in thousands)
2018
 
2017
Current:
 

 
 

Real estate tax and property insurance escrows
$
18,177

 
$
21,603

Replacement reserve escrows
8,273

 
10,960

Resident deposits
489

 
678

Other
744

 
3,948

Subtotal
27,683

 
37,189

Long term:
 

 
 

Insurance deposits
14,370

 
12,364

CCRC escrows
9,618

 
8,526

Debt service reserve
280

 
1,820

Subtotal
24,268

 
22,710

Total
$
51,951

 
$
59,899

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, 2018 and 2017, 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)
2018
 
2017
Land
$
456,912

 
$
449,295

Buildings and improvements
4,919,789

 
4,923,621

Leasehold improvements
123,366

 
124,850

Furniture and equipment
1,036,113

 
1,006,889

Resident and leasehold operating intangibles
477,827

 
594,748

Construction in progress
57,636

 
74,678

Assets under capital and financing leases
1,251,159

 
1,742,384

Property, plant and equipment and leasehold intangibles
8,322,802

 
8,916,465

Accumulated depreciation and amortization
(3,047,375
)
 
(3,064,320
)
Property, plant and equipment and leasehold intangibles, net
$
5,275,427

 
$
5,852,145

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, 2018
(in thousands) 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Community purchase options
$
4,738

 
$

 
$
4,738

Health care licenses
42,323

 

 
42,323

Trade names
27,800

 
(26,295
)
 
1,505

Management contracts
9,610

 
(6,704
)
 
2,906

Total
$
84,471

 
$
(32,999
)
 
$
51,472


 
December 31, 2017
(in thousands) 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Community purchase options
$
9,533

 
$

 
$
9,533

Health care licenses
50,927

 

 
50,927

Trade names
27,800

 
(23,714
)
 
4,086

Management contracts
11,360

 
(7,929
)
 
3,431

Total
$
99,620

 
$
(31,643
)
 
$
67,977