Intangible Assets and Goodwill (Tables)

12 Months Ended

Dec. 31, 2020

Goodwill And Intangible Assets Disclosure [Abstract]

Intangible assets consist of the following:

(Amounts in 000's)	Bed Licenses ⁽¹⁾ (included in property and equipment)			Bed Licenses— Separable		Lease Rights			Total
Balances, January 1, 2019
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
Gross		—			—		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		(493	)		—		(487	)		(980	)
Balances, December 31, 2019
Gross		14,276			2,471		4,758			21,505
Accumulated amortization		(3,339	)		—		(4,296	)		(7,635	)
Net carrying amount		10,937			2,471		462			13,870
Fully amortized asset adjustments
Gross		—			—		(4,552	)		(4,552	)
Accumulated amortization		—			—		4,552			4,552
Amortization expense		(415	)		—		(304	)		(719	)
Balances, December 31, 2020
Gross	$	14,276		$	2,471	$	206		$	16,953
Accumulated amortization		(3,754	)		—		(48	)		(3,802	)
Net carrying amount	$	10,522		$	2,471	$	158		$	13,151

⁽¹⁾	Non-separable bed licenses are included in property and equipment as is the related accumulated amortization expense (see Note 4 – Property and Equipment).

Schedule of Estimated Amortization Expense for All Definite Lived Intangibles

Expected amortization expense for the year ended December 31, for all definite-lived intangibles, for each of the next five years and thereafter is as follows:

Amounts in (000's)	Bed Licenses		Lease Rights
2021	$	414		24
2022		414		24
2023		414		23
2024		414		18
2025		414		18
Thereafter		8,452		51
Total	$	10,522	$	158

Summary of the Changes in the Carrying Amount of Goodwill

The following table summarizes the carrying amount of goodwill for the years ended December 31, 2020 and 2019.

(Amounts in 000’s)	December 31, 2020		December 31, 2019
Goodwill - balances, December 31, prior year	$	1,585	$	2,105
Assets sold		-		(520	)
Net carrying amount	$	1,585	$	1,585