Intangible Assets and Goodwill (Tables)

6 Months Ended

Jun. 30, 2014

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, December 31, 2013
Gross	$	38,407		$	2,471	$	7,913		$	48,791
Accumulated amortization	(2,620		)	—		(3,024		)	(5,644		)
Net carrying amount	$	35,787		$	2,471	$	4,889		$	43,147
Reclass to held for sale	(1,530		)	—		—			(1,530		)
Accumulated amortization reclass to held for sale	68			—		—			68
Amortization expense	(616		)	—		(423		)	(1,039		)
Balances, June 30, 2014
Gross	36,877			2,471		7,913			47,261
	—			—		—			—
Accumulated amortization	(3,168		)	—		(3,447		)	(6,615		)
Net carrying amount	$	33,709		$	2,471	$	4,466		$	40,646

Schedule of estimated amortization expense for all definite lived intangibles

Expected amortization expense for all definite lived intangibles for each of the years ended December 31 is as follows: 

(Amounts in 000’s)	Bed Licenses		Lease Rights
2014 (a)	$	616	$	378
2015	1,232		667
2016	1,232		667
2017	1,232		667
2018	1,232		667
Thereafter	28,165		1,420
Total expected amortization expense	$	33,709	$	4,466

^(a) Estimated amortization expense for the year ending December 31, 2014 includes only amortization to be recorded after June 30, 2014.

Summary of the changes in the carrying amount of goodwill

The following table summarizes the carrying amount of goodwill at June 30, 2014 compared to December 31, 2013:

(Amounts in 000’s)	June 30, 2014			December 31, 2013
Beginning balances	$	5,023		$	5,023
Accumulated impairment losses	(799		)	(799		)
Ending balances	$	4,224		$	4,224