Goodwill and Other Indefinite-Lived Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2017

Indefinite-Lived Intangible Assets (Including Goodwill) [Abstract]

Schedule of Goodwill [Table Text Block]

The following table represents activity in goodwill by segment as of and for the year ended December 31, :

	Goodwill
	Transitional and Skilled Services		Assisted and Independent Living Services		Home Health and Hospice Services		All Other			Total
January 1, 2015	$	14,221	$	1,756	$	10,929	$	3,363		$	30,269
Additions	—		1,782		5,173		3,662			10,617
December 31, 2015	$	14,221	$	3,538	$	16,102	$	7,025		$	40,886
Less: Dispositions	—		—		—		(4,103		)	(4,103		)
Purchase price adjustment	—		—		—		(26		)	(26		)
Additions	26,415		—		1,799		2,129			30,343
December 31, 2016	$	40,636	$	3,538	$	17,901	$	5,025		$	67,100
Additions	4,850		420		6,421		2,271			13,962
December 31, 2017	$	45,486	$	3,958	$	24,322	$	7,296		$	81,062

Schedule of Acquired Indefinite-lived Intangible Assets by Major Class [Table Text Block]

Other indefinite-lived intangible assets consists of the following:

	December 31, 2017		December 31, 2016
Trade name	$	1,181	$	1,146
Medicare and Medicaid licenses	24,068		18,440
	$	25,249	$	19,586