Intangible Assets and Goodwill (Tables)

9 Months Ended

Sep. 30, 2019

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)(a)			Bed Licenses - Separable		Lease Rights			Total
Balances, December 31, 2018
Gross	$	22,811		$	2,471	$	5,015		$	30,297
Accumulated amortization		(4,849	)		—		(4,109	)		(8,958	)
Net carrying amount	$	17,962		$	2,471	$	906		$	21,339
Acquisitions		—			—		43			43
Assets sold
Gross		(8,535	)		—		—			(8,535	)
Accumulated amortization		2,003			—		—			2,003
Fully amortized asset adjustments
Gross		—			—		(300	)		(300	)
Accumulated amortization		—			—		300			300
Amortization expense		(390	)		—		(365	)		(755	)
Balances, September 30, 2019
Gross		14,276			2,471		4,758			21,505
Accumulated amortization		(3,236	)		—		(4,174	)		(7,410	)
Net carrying amount	$	11,040		$	2,471	$	584		$	14,095

(a) Non-separable bed licenses are included in property and equipment as is the related accumulated amortization expense (see Note 5 – Property and Equipment).

Schedule of Total Amortization Expense

The following table summarizes amortization expense for the nine months ended September 30, 2019 and 2018:

	Three Months Ended September 30,				Nine Months Ended September 30,
(Amounts in 000’s)	2019		2018		2019		2018
Bed licenses	$	104	$	171	$	390	$	512
Lease rights		122		167		365		601
Total amortization expense	$	226	$	338	$	755	$	1,113

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
2019(a)	$	104	$	122
2020		414		304
2021		414		24
2022		414		24
2023		414		23
Thereafter		9,280		87
Total expected amortization expense	$	11,040	$	584

(a) Estimated amortization expense for the year ending December 31, 2019, includes only amortization to be recorded after September 30, 2019.

Summary of the Changes in the Carrying Amount of Goodwill

The following table summarizes the carrying amount of goodwill: 

(Amounts in 000’s)	September 30, 2019			December 31, 2018
Goodwill - balances, December 31, prior year	$	2,105		$	2,105
Assets sold		(520	)		—
Net carrying amount	$	1,585		$	2,105