Sonida Senior Living (SNDA) 10-K 26 Feb 16 2015 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Feb. 19, 2016	Jun. 30, 2015
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2015
Document Fiscal Year Focus	2,015
Document Fiscal Period Focus	FY
Trading Symbol	CSU
Entity Registrant Name	CAPITAL SENIOR LIVING CORP
Entity Central Index Key	1,043,000
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		29,412,484
Entity Public Float			$ 681.6

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Current assets:
Cash and cash equivalents	$ 56,087	$ 39,209
Restricted cash	13,159	12,241
Accounts receivable, net	9,252	5,903
Accounts receivable from affiliates	2	5
Deferred taxes		460
Assets held for sale		35,761
Property tax and insurance deposits	14,398	12,198
Prepaid expenses and other	4,370	6,797
Total current assets	97,268	112,574
Property and equipment, net	890,572	747,613
Other assets, net	31,193	31,183
Total assets	1,019,033	891,370
Current liabilities:
Accounts payable	3,362	2,540
Accounts payable to affiliates		7
Accrued expenses	34,300	32,154
Notes payable of assets held for sale		14,847
Current portion of notes payable, net of deferred loan costs	13,634	32,538
Current portion of deferred income	16,059	14,603
Current portion of capital lease and financing obligations	1,257	1,054
Federal and state income taxes payable	111	219
Customer deposits	1,819	1,499
Total current liabilities	70,542	99,461
Deferred income	13,992	15,949
Capital lease and financing obligations, net of current portion	38,835	40,016
Deferred taxes		460
Other long-term liabilities	4,969	1,426
Notes payable, net of deferred loan costs and current portion	$ 754,949	$ 592,884
Commitments and contingencies
Shareholders' equity:
Preferred stock, $.01 par value: Authorized shares - 15,000; no shares issued or outstanding
Common stock, $.01 par value: Authorized shares - 65,000; issued and outstanding shares 29,539 and 29,097 in 2015 and 2014, respectively	$ 299	$ 294
Additional paid-in capital	159,920	151,069
Retained deficit	(23,539)	(9,255)
Treasury stock, at cost - 350 shares in 2015 and 2014	(934)	(934)
Total shareholders' equity	135,746	141,174
Total liabilities and shareholders' equity	$ 1,019,033	$ 891,370

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2015	Dec. 31, 2014
Statement of Financial Position [Abstract]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	15,000,000	15,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	65,000,000	65,000,000
Common stock, shares issued	29,539,000	29,097,000
Common stock, shares outstanding	29,539,000	29,097,000
Treasury stock, shares	350,000	350,000

Consolidated Statements of Oper

Consolidated Statements of Operations and Comprehensive Loss - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Revenues:
Resident and health care revenue	$ 412,177	$ 380,400	$ 343,478
Affiliated management services revenue		415	797
Community reimbursement revenue		3,110	6,087
Total revenues	412,177	383,925	350,362
Expenses:
Operating expenses (exclusive of facility lease expense and depreciation and amortization expense shown below)	248,736	230,495	207,744
General and administrative expenses	20,351	19,622	20,238
Facility lease expense	61,213	59,332	56,986
Provision for bad debts	1,192	717	497
Stock-based compensation expense	8,833	7,262	4,322
Depreciation and amortization	53,017	49,487	43,238
Community reimbursement expense		3,110	6,087
Total expenses	393,342	370,025	339,112
Income from operations	18,835	13,900	11,250
Other income (expense):
Interest income	53	52	151
Interest expense	(35,732)	(31,261)	(23,767)
Write-off of deferred loan costs and prepayment premiums	(2,766)	(7,968)
Joint venture equity investment valuation gain		1,519
Gain on disposition of assets, net	6,225	784	1,454
Equity in earnings of unconsolidated joint ventures, net		105	133
Write-down of assets held for sale		(561)
Other income	1	23	34
Loss before provision for income taxes	(13,384)	(23,407)	(10,745)
Provision for income taxes	(900)	(719)	(5,759)
Net loss	$ (14,284)	$ (24,126)	$ (16,504)
Per share data:
Basic net loss per share	$ (0.50)	$ (0.83)	$ (0.58)
Diluted net loss per share	$ (0.50)	$ (0.83)	$ (0.58)
Weighted average shares outstanding - basic	28,688	28,301	27,815
Weighted average shares outstanding - diluted	28,688	28,301	27,815
Comprehensive loss	$ (14,284)	$ (24,126)	$ (16,504)

Consolidated Statements of Shar

Consolidated Statements of Shareholders' Equity - USD ($) $ in Thousands	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Treasury Stock [Member]
Beginning Balance at Dec. 31, 2012	$ 168,594	$ 286	$ 137,867	$ 31,375	$ (934)
Beginning Balance, Shares at Dec. 31, 2012		28,218,000
Exercise of stock options	$ 3,159	$ 2	3,157
Exercise of stock options, Shares	246,930	247,000
Restricted stock awards	$ 4	$ 4
Restricted stock awards, Shares		380,000
Stock-based compensation	4,322		4,322
Excess tax benefits on stock options exercised	(1,625)		(1,625)
Net loss	(16,504)			(16,504)
Ending Balance at Dec. 31, 2013	157,950	$ 292	143,721	14,871	(934)
Ending Balance, Shares at Dec. 31, 2013		28,845,000
Exercise of stock options	$ 168		168
Exercise of stock options, Shares	13,000	13,000
Restricted stock awards	$ 2	$ 2
Restricted stock awards, Shares		239,000
Stock-based compensation	7,262		7,262
Excess tax benefits on stock options exercised	(82)		(82)
Net loss	(24,126)			(24,126)
Ending Balance at Dec. 31, 2014	141,174	$ 294	151,069	(9,255)	(934)
Ending Balance, Shares at Dec. 31, 2014		29,097,000
Exercise of stock options	$ 38	$ 1	37
Exercise of stock options, Shares	3,000	3,000
Restricted stock awards	$ 4	$ 4
Restricted stock awards, Shares		439,000
Stock-based compensation	8,833		8,833
Excess tax benefits on stock options exercised	(19)		(19)
Net loss	(14,284)			(14,284)
Ending Balance at Dec. 31, 2015	$ 135,746	$ 299	$ 159,920	$ (23,539)	$ (934)
Ending Balance, Shares at Dec. 31, 2015		29,539,000

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Operating Activities
Net loss	$ (14,284)	$ (24,126)	$ (16,504)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	53,017	49,487	43,238
Amortization of deferred financing charges	1,029	1,361	1,100
Amortization of deferred lease costs and lease intangibles	1,421	1,230	1,164
Deferred income	(677)	(616)	(1,666)
Deferred income taxes			10,793
Lease incentives	2,464
Write-off of deferred loan costs and prepayment premiums	2,766	7,968
Joint venture equity investment valuation gain		(1,519)
Gain on disposition of assets, net	(6,225)	(784)	(1,454)
Equity in earnings of unconsolidated joint ventures, net		(105)	(133)
Write-down of assets held for sale		561
Provision for bad debts	1,192	717	497
Stock-based compensation expense	8,833	7,262	4,322
Changes in operating assets and liabilities:
Accounts receivable	(2,931)	(2,868)	980
Accounts receivable from affiliates	3	411	337
Property tax and insurance deposits	(2,200)	(1,162)	406
Prepaid expenses and other	2,427	(192)	(1,847)
Other assets	(1,289)	(163)	(1,745)
Accounts payable	815	(1,267)	(3,166)
Accrued expenses	2,146	2,833	4,876
Federal and state income taxes receivable/payable	(108)	5,342	(1,222)
Deferred resident revenue	176	1,932	2,719
Customer deposits	320	10	(51)
Net cash provided by operating activities	48,895	46,312	42,644
Investing Activities
Capital expenditures	(42,430)	(18,742)	(13,562)
Cash paid for acquisitions	(162,460)	(160,105)	(150,391)
Proceeds from SHPIII/CSL Transaction		2,532
Proceeds from disposition of assets	43,463	796	1,460
Distributions from joint ventures		102	197
Net cash used in investing activities	(161,427)	(175,417)	(162,296)
Financing Activities
Proceeds from notes payable	250,944	300,820	140,237
Repayments of notes payable	(115,896)	(140,950)	(23,539)
Cash payments for capital lease and financing obligations	(978)	(971)	(871)
Increase in restricted cash	(918)	(816)	(1,246)
Cash proceeds from the issuance of common stock	42	170	3,163
Excess tax benefits on stock options exercised	(19)	(82)	(1,625)
Deferred financing charges paid	(3,765)	(3,468)	(1,593)
Net cash provided by financing activities	129,410	154,703	114,526
Increase (Decrease) in cash and cash equivalents	16,878	25,598	(5,126)
Cash and cash equivalents at beginning of year	39,209	13,611	18,737
Cash and cash equivalents at end of year	56,087	39,209	13,611
Cash paid during the year for:
Interest	33,642	28,856	21,953
Income taxes	1,039	$ 724	$ 702
Non-cash operating, investing, and financing activities:
Notes payable assumed by purchaser through disposition of assets	$ 6,764

Organization

Organization	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	1. Organization Capital Senior Living Corporation, a Delaware corporation (together with its subsidiaries, the “Company”), is one of the largest operators of senior living communities in the United States in terms of resident capacity. The Company owns, operates, develops and manages senior living communities throughout the United States. As of December 31, 2015, the Company operated 121 senior living communities in 23 states with an aggregate capacity of approximately 15,400 residents, including 71 senior living communities which the Company owned and 50 senior living communities that the Company leased. As of December 31, 2015, the Company also operated one home care agency. The accompanying consolidated financial statements include the financial statements of Capital Senior Living Corporation and its wholly owned subsidiaries. All material intercompany balances and transactions have been eliminated in consolidation. The Company accounts for significant investments in unconsolidated companies, in which the Company has significant influence, using the equity method of accounting.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies Cash and Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposit must remain so long as the letter of credit is outstanding which is subject to renewal annually. Long-Lived Assets Property and equipment are stated at cost and depreciated on a straight-line basis over the estimated useful lives of the assets. At each balance sheet date, the Company reviews the carrying value of its property and equipment to determine if facts and circumstances suggest that they may be impaired or that the depreciation period may need to be changed. The Company considers internal factors such as net operating losses along with external factors relating to each asset, including contract changes, local market developments, and other publicly available information. If an indicator of impairment is identified, the carrying value of a long-lived asset is considered impaired when the anticipated undiscounted cash flows from such asset is separately identifiable and is less than its carrying value. In that event, a loss is recognized based on the amount the carrying value exceeds the fair market value, generally based on discounted cash flows, of the long-lived asset. The Company does not believe there are any indicators of impairment that would require an adjustment to the carrying value of the property and equipment or their remaining useful lives as of December 31, 2015 and 2014. Assets Held for Sale Assets are classified as held for sale when the Company has determined all of the held-for-sale criteria have been met. The Company determines the fair value, net of costs of disposal, of an asset on the date the asset is categorized as held for sale, and the asset is recorded at the lower of its fair value, net of cost of disposal, or carrying value on that date. The Company periodically reevaluates assets held for sale to determine if the assets are still recorded at the lower of fair value, net of cost of disposal, or carrying value. The fair values are generally determined based on market rates, industry trends and recent comparable sales transactions. The actual sales price of these assets could differ significantly from the Company’s estimates. During the fourth quarter of fiscal 2014, the Company classified four senior living communities as held for sale and determined the assets had an aggregate fair value, net of cost of disposal, that exceeded the carrying values, using level 2 inputs as defined in the accounting standards codification, and a remeasurement write-down of approximately $0.6 million was recorded to adjust the carrying values of the assets held for sale to $35.8 million at December 31, 2014. The four senior living communities were sold during the first quarter of fiscal 2015 in a single transaction for its carrying value. There were no senior living communities classified as held for sale by the Company at December 31, 2015. Investments in Unconsolidated Joint Ventures The Company accounted for its investments in unconsolidated joint ventures under the equity method of accounting. The Company had not consolidated these joint venture interests because the Company had concluded that the other member of each joint venture had substantive kick-out rights or substantive participating rights. Under the equity method of accounting, the Company recorded its investments in the unconsolidated joint ventures at cost and adjusted such investments for its share of the earnings and losses of the joint ventures. On June 30, 2014, the Company acquired 100% of the member interests in these joint ventures. For additional information refer to Note 4, “Acquisitions.” Off-Balance Sheet Arrangements The Company had no material off-balance sheet arrangements at December 31, 2015. Income Taxes Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial-statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that its position is “more likely than not” (i.e., a greater than 50 percent likelihood) to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense. Revenue Recognition Resident and health care revenue is recognized at estimated net realizable amounts, based on historical experiences, due from residents in the period in which the rental and other services are provided. Additionally, substantially all community fees received from residents are non-refundable and are recorded initially by the Company as deferred revenue. The deferred amounts are amortized over the respective residents’ initial lease term which is consistent with the contractual obligation associated with the estimated stay of the resident. Revenues from the Medicaid program accounted for approximately 5% of the Company’s revenue in fiscal 2015 and 4% of the Company’s revenue in each of fiscal 2014 and 2013. During fiscal 2015, 2014, and 2013, 34, 30, and 29, respectively, of the Company’s communities were providers of services under the Medicaid program. Accordingly, these communities were entitled to reimbursement under the foregoing program at established rates that were lower than private pay rates. Patient service revenue for Medicaid patients was recorded at the reimbursement rates as the rates were set prospectively by the applicable state upon the filing of an annual cost report. None of the Company’s communities were providers of services under the Medicare program during fiscal 2015 or 2014. Laws and regulations governing the Medicaid program are complex and subject to interpretation. The Company believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing. While no such regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from the Medicaid program. Management services revenue was recognized when earned and related to the Company providing certain management and administrative support services under management contracts which were terminated when the Company acquired 100% of the member interests in its unconsolidated joint ventures on June 30, 2014. Community reimbursement revenue is comprised of reimbursable expenses from the non-consolidated communities that the Company operated under long-term management agreements, which were terminated when the Company acquired 100% of the member interests in its unconsolidated joint ventures on June 30, 2014. Lease Accounting The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of the lease agreement. This determination of classification requires significant judgment relating to certain information, including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. The lease rates under the Company’s lease agreements are subject to certain conditional escalation clauses which are recognized when probable or incurred and are based on changes in the consumer price index or certain operational performance measures. As of December 31, 2015 and 2014, the Company leased 50 communities, 48 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term. No new communities were leased by the Company during fiscal 2015 or 2014. Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive loss includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives. Credit Risk and Allowance for Doubtful Accounts The Company’s resident receivables are generally due within 30 days from the date billed. Accounts receivable are reported net of an allowance for doubtful accounts, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses. Employee Health and Dental Benefits, Workers’ Compensation, and Insurance Reserves The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior living communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs, including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at December 31, 2015; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined. The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events, including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined. Advertising Advertising is expensed as incurred. Advertising expenses for the years ended December 31, 2015, 2014, and 2013 were $13.9 million, $12.7 million, and $10.5 million, respectively, and are included as a component of operating expenses within the Consolidated Statements of Operations and Comprehensive Loss. Net loss Per Share Basic net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. Potentially dilutive securities consist of unvested restricted shares and shares that could be issued under outstanding stock options. Potentially dilutive securities are excluded from the computation of net loss per common share if their effect is antidilutive. The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Year Ended December 31, 2015 2014 2013 Net loss $ (14,284 ) $ (24,126 ) $ (16,504 ) Net loss allocated to unvested restricted shares — (598 ) (513 ) Undistributed net loss allocated to common shares $ (14,284 ) $ (23,528 ) $ (15,991 ) Weighted average shares outstanding — basic 28,688 28,301 27,815 Effects of dilutive securities: Employee equity compensation plans — — — Weighted average shares outstanding — diluted 28,688 28,301 27,815 Basic net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 ) Diluted net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 ) Awards of unvested restricted stock representing approximately 0.8 million, 0.7 million, and 0.9 million shares were outstanding for the fiscal years ended December 31, 2015, 2014, and 2013, respectively, and are antidilutive. During fiscal 2015, the unvested restricted stock did not meet all of the requirements to be deemed participating securities. Therefore, for current and future reporting periods, (losses) earnings per share will be calculated under the treasury method and the two-class method will no longer be utilized by the Company. Treasury Stock The Company accounts for treasury stock under the cost method and includes treasury stock as a component of shareholders’ equity. There were no repurchases of the Company’s stock during fiscal 2015 or 2014. The Company has repurchased 144,315 shares during the first quarter of fiscal 2016 through the date of the filing of our 2015 annual report on Form 10-K with the SEC. Stock-Based Compensation The Company recognizes compensation expense for share-based payment awards to certain employees and directors, including grants of stock options and awards of restricted stock, in the Consolidated Statements of Operations and Comprehensive Loss based on their fair values. On May 8, 2007, the Company’s stockholders approved the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (as amended, the “2007 Plan”) which provides for, among other things, the grant of restricted stock awards and stock options to purchase shares of the Company’s common stock. The 2007 Plan authorizes the Company to issue up to 4.6 million shares of common stock and the Company has reserved 2.0 million shares of common stock for future issuance pursuant to awards under the 2007 Plan. Effective May 8, 2007, the 1997 Omnibus Stock and Incentive Plan (as amended, the “1997 Plan”) was terminated and no additional shares will be granted under the 1997 Plan. The Company has reserved 0.3 million shares of common stock for future issuance upon the exercise of outstanding stock options pursuant to the 1997 Plan. Segment Information The Company evaluates the performance and allocates resources of its senior living facilities based on current operations and market assessments on a property-by-property basis. The Company does not have a concentration of operations geographically or by product or service as its management functions are integrated at the property level. The Company has determined that all of its operating units meet the criteria in Accounting Standards Codification (“ASC”) Topic 280, Segment Reporting Recently Issued Accounting Guidance In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-02, Leases In November 2015, the FASB issued ASU 2015-17, Income Taxes – Balance Sheet Reclassification of Deferred Taxes (Topic 740) In September 2015, the FASB issued ASU 2015-16, Business Combinations — Simplifying the Accounting for Measurement-Period Adjustments In April 2015, the FASB issued ASU 2015-03, Interest — Imputation of Interest- Simplifying the Presentation of Debt Issuance Costs (Subtopic 835-30) In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers Use of Estimates and Critical Accounting Policies The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the accompanying financial statements and related footnotes. Management bases its estimates and assumptions on historical experience, observance of industry trends and various other sources of information and factors, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results could differ from these estimates. Critical accounting policies are defined as those that are reflective of significant judgments and uncertainties, and potentially could result in materially different results under different assumptions and conditions. The Company believes revenue recognition, credit risk and allowance for doubtful accounts, investments in unconsolidated joint ventures, lease accounting, employee health and dental benefits, workers’ compensation and insurance reserves, long-lived assets, assets held for sale, and income taxes are its most critical accounting policies and require management’s most difficult and subjective judgments. Reclassifications Certain reclassifications have been made to prior period amounts to conform to current period presentation. The Company’s Consolidated Statements of Cash Flows now reflect changes in deferred resident revenue separately from other components of deferred income. Accordingly, the Company reclassified changes in deferred resident revenue from changes in deferred income to a separate line item within the Consolidated Statements of Cash Flows for the years ended December 31, 2014 and 2013, to be consistent with the presentation for the year ended December 31, 2015. This reclassification had no impact on net cash provided by operating activities.

Transactions with Affiliates

Transactions with Affiliates	12 Months Ended
	Dec. 31, 2015
Related Party Transactions [Abstract]
Transactions with Affiliates	3. Transactions with Affiliates The Company was party to a series of property management agreements (the “SHPIII/CSL Management Agreements”) with three joint ventures (collectively “SHPIII/CSL”) owned 90% by Seniors Housing Partners III, LP (“SHPIII”), a fund managed by Prudential Investment Management, Inc. (“Prudential Investment”) and 10% by the Company, which collectively owned and operated three senior living communities. The SHPIII/CSL Management Agreements were for initial terms of ten years from the date the certificate of occupancy was issued and extended until various dates through January 2019. The SHPIII/CSL Management Agreements generally provided for management fees of 5% of gross revenue plus reimbursement for costs and expenses related to the communities. On June 30, 2014, the Company acquired 100% of the member interests in these joint ventures. For additional information refer to Note 4, “Acquisitions.”

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2015
Business Combinations [Abstract]
Acquisitions	4. Acquisitions Fiscal 2015 Effective October 30, 2015, the Company closed the acquisition of one senior living community located in Virginia Beach, Virginia, for $38.0 million (the “Virginia Beach Transaction”). The community consists of 111 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Protective Life Insurance Company (“Protective Life”) for $28.0 million of the acquisition price at a fixed interest rate of 4.25% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective September 30, 2015, the Company closed the acquisition of one senior living community located in Mahomet, Illinois, for $15.5 million Mahomet Transaction (the “Mahomet Transaction”). The community consists of 78 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $11.1 million of the acquisition price at a fixed interest rate of 4.69% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective August 11, 2015, the Company closed the acquisition of one senior living community located in Indianapolis, Indiana, for $21.0 million (the “Indianapolis Transaction”). The community consists of 124 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Protective Life for $13.2 million of the acquisition price at a fixed interest rate of 4.25% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. The note with Protective Life associated with the Indianapolis Transaction includes a loan commitment for up to $2.6 million of supplemental funding at the same terms and 4.25% fixed interest rate. The loan commitment is based on meeting certain funding requirements and is available through February 28, 2018. Effective July 28, 2015, the Company closed the acquisition of one senior living community located in Columbiana, Ohio, for approximately $13.3 million (the “Columbiana Transaction”). The community consists of 68 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Protective Life for approximately $9.9 million of the acquisition price at a fixed interest rate of 4.25% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective May 29, 2015, the Company closed the acquisition of one senior living community located in Oneonta, New York, for $14.9 million (the “Heritage Transaction”). The community consists of 64 independent living units and 44 assisted living units. The Company incurred approximately $0.4 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $11.2 million of the acquisition price at a fixed interest rate of 4.79% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective May 21, 2015, the Company closed the acquisition of two senior living communities located in Hartford and West bend, Wisconsin, for $12.0 million (the “Emerald Transaction”). The communities consist of 79 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $9.2 million of the acquisition price at a fixed interest rate of 4.55% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective March 27, 2015, the Company closed the acquisition of one senior living community located in Baytown, Texas, for approximately $29.6 million (the “Baytown Transaction”). The community consists of 9 independent living cottages and 120 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Protective Life for approximately $21.4 million of the acquisition price at a fixed interest rate of 3.55% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective January 13, 2015, the Company closed the acquisition of one senior living community located in Green Bay, Wisconsin, for approximately $18.3 million (the “Green Bay Transaction”). The community consists of 78 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $14.1 million of the acquisition price at a fixed interest rate of 4.35% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. As a result of these acquisitions, the Company recorded additions to property and equipment of approximately $148.0 million and other assets of approximately $14.6 million, primarily consisting of in-place lease intangibles, within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives. The purchase accounting for the fourth quarter 2015 acquisition is preliminary as it is subject to final valuation adjustments. During fiscal 2015, these acquisitions generated $17.2 million of revenue and $(6.5) million of losses before income taxes which are included in the Company’s Consolidated Statements of Operations and Comprehensive Loss from the dates of acquisition. Losses before income taxes primarily result from the amortization of in-place lease intangibles associated with acquisitions during fiscal 2015 and 2014. The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2014, as follows (in thousands): December 31, 2015 2014 Total revenues $ 425,789 $ 416,518 Loss before income taxes $ (3,616 ) $ (40,880 ) The unaudited pro forma consolidated amounts are presented for informational purposes only and do not necessarily reflect the results of operations of the Company that would have actually resulted had the acquisitions occurred on January 1, 2014. Fiscal 2014 Effective December 17, 2014, the Company closed the acquisition of one senior living community located in Canton, Georgia, for approximately $14.6 million (the “Canton Transaction”). The community consists of 49 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $10.4 million of the acquisition price at a fixed interest rate of 4.50% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources. Effective August 27, 2014, the Company closed the acquisition of one senior living community located in Plymouth, Wisconsin, for $13.5 million (the “Plymouth Transaction”). The community consists of 69 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $10.4 million of the acquisition price at a fixed interest rate of 4.70% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective August 4, 2014, the Company closed the acquisition of one senior living community located in Roanoke, Virginia, for approximately $16.8 million (the “Roanoke Transaction”). The community consists of 60 assisted living units and 34 independent living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $12.9 million of the acquisition price at a fixed interest rate of 4.59% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective August 4, 2014, the Company closed the acquisition of one senior living community located in Oshkosh, Wisconsin, for approximately $17.1 million (the “Oshkosh Transaction”). The community consists of 90 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for approximately $13.2 million of the acquisition price at a fixed interest rate of 4.59% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. Effective June 30, 2014, the Company acquired 100% of the members’ equity interests in SHPIII/CSL Miami, LLC (“SHPIII/CSL Miami”), SHPIII/CSL Richmond Heights, LLC (“SHPIII/CSL Richmond Heights”), and SHPIII/CSL Levis Commons, LLC (“SHPIII/CSL Levis Commons”) for approximately $83.6 million (the “SHPIII/CSL Transaction”). Prior to the acquisition, SHP III, a fund managed by Prudential Investment maintained a 90% equity interest in each joint venture with the remaining 10% equity interest in each joint venture held by wholly owned subsidiaries of the Company. Based on the Company acquiring the remaining ownership interests of the joint ventures, the Company concluded the acquisition took the form of a “step-acquisition” or a “business combination achieved in stages.” Further, with the Company obtaining complete ownership of the joint ventures, the act of obtaining control triggered the application of the acquisition model in Accounting Standards Codification (“ASC”) 805, Business Combinations On June 30, 2014, in conjunction with the SHPIII/CSL Transaction, the Company obtained approximately $16.4 million of mortgage debt from Fannie Mae for the acquisition of SHPIII/CSL Miami. The new mortgage loan has a 10-year term with a fixed interest rate of 4.30% and the principal amortized over a 30-year term. The Company also obtained approximately $23.7 million of mortgage debt from Fannie Mae for the acquisition of SHPIII/CSL Richmond Heights. The new mortgage loan has a 10-year term with a fixed interest rate of 4.48% and the principal amortized over a 30-year term. The Company obtained interim, interest only, financing of $21.6 million from Wells Fargo Bank, N.A. (“Wells Fargo”) for the acquisition of SHPIII/CSL Levis Commons with a variable interest rate of LIBOR plus 2.75% and a 24-month term. The balance of the acquisition price was paid from the Company’s existing cash resources. The Company incurred approximately $0.3 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. Effective March 26, 2014, the Company closed the acquisition of one senior living community located in Lambertville, Michigan, for $14.6 million (the “Aspen Grove Transaction”). The community consists of 78 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company obtained financing from Fannie Mae for $11.0 million of the acquisition price at a fixed interest rate of 5.43% with a 12-year term with the balance of the acquisition price paid from the Company’s existing cash resources. As a result of these acquisitions, the Company recorded additions to property and equipment of approximately $146.1 million and other assets of approximately $14.1 million, primarily consisting of in-place lease intangibles, within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives. The purchase accounting for the Canton Transaction which closed during the fourth quarter of fiscal 2014 was preliminary as it was subject to final valuation adjustments. During the first quarter of fiscal 2015, final valuation adjustments resulted in the Company reclassifying approximately $0.4 million from other assets to property and equipment and the 2014 Consolidated Balance Sheet has been recast to reflect the final purchase price allocation. During fiscal 2014, these acquisitions generated $16.6 million of revenue and $(4.6) million of losses before income taxes which are included in the Company’s Consolidated Statements of Operations and Comprehensive Loss from the dates of acquisition. Losses before income taxes primarily result from the amortization of in-place lease intangibles associated with acquisitions during fiscal 2014 and 2013. The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2013, as follows (in thousands): December 31, 2014 2013 Total revenues $ 400,653 $ 378,737 Loss before income taxes $ (15,655 ) $ (25,963 ) The unaudited pro forma consolidated amounts are presented for informational purposes only and do not necessarily reflect the results of operations of the Company that would have actually resulted had the acquisitions occurred on January 1, 2013.

Dispositions

Dispositions	12 Months Ended
	Dec. 31, 2015
Discontinued Operations and Disposal Groups [Abstract]
Dispositions	5. Dispositions Effective August 6, 2015, the Company closed a transaction to sell one of its senior living communities located in Wichita, KS, for approximately $14.8 million (the “Sedgwick Sale Transaction”). As a result of the sale, outstanding mortgage debt totaling approximately $6.8 million was assumed by the buyer. The Company recognized a gain on sale of approximately $6.4 million and received net proceeds, less the debt assumption, of approximately $8.0 million. For income tax purposes, the Company executed a like-kind exchange and acquired a replacement property shortly after the sale which resulted in the deferral of the gain without the Company incurring any current federal or state income tax liabilities. The Company contracted with a qualified intermediary for purposes of reaching its determination that the transaction satisfied all requirements of a like-kind exchange under applicable federal and state income tax law. Effective January 22, 2015, the Company closed a transaction to sell four of its senior living communities located in Oklahoma City, Oklahoma, Shreveport, Louisiana, Southfield, Michigan, and Winston-Salem, North Carolina, in a single transaction for approximately $36.5 million (the “Four Property Sale Transaction”). As a result of the sale, the outstanding mortgage debt on the Company’s senior living communities located in Oklahoma City and Shreveport was repaid without incurring any prepayment penalties as these notes were short-term, bridge loan interim financing. However, the mortgage loan associated with the Company’s senior living community located in Winston-Salem could not be prepaid under the existing loan agreement as it did not offer a prepayment provision. Additionally, this mortgage loan was cross-collateralized with another mortgage loan on one of the Company’s senior living communities located in Peoria, IL, which also did not offer a prepayment provision. Therefore, the Company determined it would defease the Winston-Salem and Peoria mortgage loans by acquiring certain treasury securities to serve as collateral for the outstanding principal balance as of the date of the sale until the note matured on September 1, 2015. The Company contracted with a third party trust to assume the mortgage debt and assigned all of its rights to the treasury securities to serve as collateral until the balance remaining comes due. Based on this structure, the Company concluded it met the requirements to report the debt transaction as a legal defeasance which resulted in the Company removing the respective assets and liabilities from its Consolidated Balance Sheet during the first quarter of fiscal 2015 when the transaction closed. The Company had reported these assets as held for sale at December 31, 2014, and recorded a remeasurement write-down of $0.6 million to adjust the carrying values of these assets to the sales price, less costs to sell. As a result of the sale, the Company received net proceeds of approximately $35.7 million.

Property and Equipment

Property and Equipment	12 Months Ended
	Dec. 31, 2015
Property, Plant and Equipment [Abstract]
Property and Equipment	6. Property and Equipment Property and equipment consists of the following (in thousands): December 31, Asset Lives 2015 2014 Land $ 61,254 $ 54,115 Land improvements 5 to 20 years 17,613 13,209 Buildings and building improvements 10 to 40 years 897,668 764,794 Furniture and equipment 5 to 10 years 42,879 34,921 Automobiles 5 to 7 years 4,977 3,829 Leasehold improvements (1) 58,466 41,679 Construction in progress NA 5,700 1,520 1,088,557 914,067 Less accumulated depreciation and amortization. 197,985 166,454 Property and equipment, net $ 890,572 $ 747,613 (1) Leasehold improvements are amortized over the shorter of the useful life of the asset or the remaining lease term. At December 31, 2015 and 2014, furniture and equipment include $3.0 million of capitalized computer software development costs of which $2.6 million and $2.5 million, respectively, has been amortized and is included as a component of accumulated depreciation and amortization. During fiscal 2015, final valuation adjustments associated with 2014 senior living community acquisitions resulted in the Company reclassifying approximately $0.4 million from other assets to property and equipment and the 2014 Consolidated Balance Sheet has been recast to reflect the final purchase price allocation. Property and equipment includes $32.4 million of assets under capital lease in connection with the Ventas Lease Transaction, as discussed at Note 17, “Leases”, of which $13.7 million and $12.8 million has been amortized and is included as a component of accumulated depreciation and amortization at December 31, 2015 and 2014, respectively.

Other Assets

Other Assets	12 Months Ended
	Dec. 31, 2015
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Other Assets	7. Other Assets Other assets consist of the following (in thousands): December 31, 2015 2014 Deferred lease costs, net 8,211 9,684 Security and other deposits 12,953 11,324 In-place lease intangibles, net 7,719 7,443 Other 2,310 2,732 $ 31,193 $ 31,183 In connection with the Company’s acquisitions and certain lease transactions, subject to final valuation adjustments, the Company records additions to in-place lease intangibles in order to reflect the value associated with the resident operating leases acquired. In-place lease intangibles are being amortized over the estimated remaining useful life of the respective resident operating leases. The value of in-place leases includes lost revenue that would be realized if the resident operating leases were to be replaced by the Company. During fiscal 2015, final valuation adjustments associated with 2014 senior living community acquisitions resulted in the Company reclassifying approximately $0.4 million from other assets to property and equipment and the 2014 Consolidated Balance Sheet has been recast to reflect the final purchase price allocations. Additionally, other assets at December 31, 2014, was revised from amounts previously reported to reflect the impact of reclassifying $6.3 million in debt issuance costs, net of accumulated amortization, to notes payable. This revision was due to the Company’s adoption of ASU 2015-03, Interest—Imputation of Interest- Simplifying the Presentation of Debt Issuance Costs At December 31, 2015 and 2014, the Company had gross in-place lease intangibles of $74.9 million and $60.6 million, respectively, of which $67.2 million and $52.8 million, respectively, has been amortized. The unamortized balance at December 31, 2015 is expected to be fully amortized during fiscal 2016.

Accrued Expenses

Accrued Expenses	12 Months Ended
	Dec. 31, 2015
Text Block [Abstract]
Accrued Expenses	8. Accrued Expenses Accrued expenses consist of the following (in thousands): December 31, 2015 2014 Accrued salaries, bonuses and related expenses $ 11,121 $ 9,865 Accrued property taxes 14,087 13,050 Accrued interest 3,035 2,485 Accrued health claims and workers comp 3,230 4,026 Accrued professional fees 748 771 Other 2,079 1,957 $ 34,300 $ 32,154

Notes Payable

Notes Payable	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Notes Payable	9. Notes Payable Notes payable consists of the following (in thousands): Lender Average Payment Net Book Value Of Collateral(1) Interest Rate Maturity Date Notes Payable 2015 2014 Fannie Mae — — — (4) $ — $ 26,809 Fannie Mae — — — (4) — 5,372 Fannie Mae 78 15,214 5.69 August 2021 12,716 12,915 Fannie Mae 26 5,594 4.97 October 2021 4,502 4,582 Fannie Mae 101 21,093 4.92 October 2021 17,779 18,096 Fannie Mae 27 21,093 5.19 October 2021 4,978 — Fannie Mae 117 24,283 4.92 November 2021 20,674 21,041 Fannie Mae 27 6,273 4.38 March 2022 5,036 5,132 Fannie Mae 60 12,507 4.76 April 2022 10,814 11,007 Fannie Mae 135 28,287 4.69 April 2022 24,584 25,026 Fannie Mae 60 15,981 4.48 May 2022 11,141 11,348 Fannie Mae 144 34,998 4.34 November 2022 27,462 27,970 Fannie Mae 33 7,685 4.50 November 2022 6,113 6,222 Fannie Mae 43 26,987 5.49 November 2022 7,592 — Fannie Mae 84 18,439 4.32 January 2023 16,164 16,460 Fannie Mae 49 18,439 5.39 January 2023 8,684 — Fannie Mae 39 8,682 4.58 January 2023 7,224 7,350 Fannie Mae 85 18,782 4.66 April 2023 15,700 15,967 Fannie Mae 18 5,524 5.46 April 2023 3,150 — Fannie Mae 45 8,700 5.93 October 2023 7,411 7,506 Fannie Mae 67 14,242 5.50 November 2023 11,526 11,686 Fannie Mae 67 13,028 5.38 November 2023 11,591 11,756 Fannie Mae 282 55,740 5.56 January 2024 48,071 48,722 Fannie Mae 632 118,792 4.24 July 2024(5) 125,677 134,650 Fannie Mae 120 27,851 4.48 July 2024 23,196 23,572 Fannie Mae 81 20,660 4.30 July 2024 16,035 16,304 Fannie Mae 134 29,273 4.59 September 2024 25,666 26,070 Fannie Mae 54 11,550 4.70 September 2024 10,200 10,357 Fannie Mae 53 13,093 4.50 January 2025 10,258 10,406 Fannie Mae 95 6,579 4.46 January 2025 18,651 18,923 Fannie Mae 70 16,630 4.35 February 2025 13,909 — Fannie Mae 109 9,434 3.85 March 2025 22,939 — Fannie Mae 102 26,078 3.84 April 2025 21,548 — Fannie Mae 47 10,404 4.55 June 2025 9,087 — Fannie Mae 59 13,014 4.79 June 2025 11,095 — Fannie Mae 81 16,535 5.30 June 2025 14,029 14,237 Fannie Mae 58 13,677 4.69 October 2025 11,122 — Fannie Mae 44 10,380 4.70 October 2025 8,406 — Fannie Mae 273 41,027 4.68 December 2025 52,774 — Fannie Mae 62 12,144 5.43 April 2026 10,761 10,908 Protective Life 96 26,385 3.55 April 2025 21,081 — Protective Life 49 12,207 4.25 August 2025 9,882 — Protective Life 65 19,045 4.25 September 2025 13,145 — Protective Life 138 34,327 4.25 November 2025 27,961 — Berkadia — — — (6) — 13,777 Berkadia — — — (7) — 4,550 Berkadia — — — (6) — 9,300 Berkadia — — — (8) — 8,472 Berkadia — — — (7) — 9,500 Berkadia 48 14,359 (3) July 2017(9) 11,800 11,800 Wells Fargo — — — (10) — 21,600 HUD 16 5,759 4.48 September 2045 3,093 3,142 Insurance Financing 71 — 1.73 October 2016 711 — Insurance Financing 138 — 1.73 April 2016 553 — Insurance Financing 208 — 1.79 March 2016 625 3,095 Insurance Financing — — — February 2015 — 390 Insurance Financing — — — September 2015 — 580 $ 4,490 4.60%(2) 777,116 646,600 Less deferred loan costs, net 8,533 6,331 768,583 640,269 Less current portion 13,634 47,385 $ 754,949 $ 592,884 (1) 69 of the facilities owned by the Company are encumbered by mortgage debt and are provided as collateral under their respective loan agreements. (2) Weighted average interest rate on current fixed interest rate debt outstanding. (3) Variable interest rate of LIBOR plus 4.50%, which was 4.79% at December 31, 2015. (4) On November 12, 2015, the Company obtained new long-term financing from Berkadia, who later sold the loans to Fannie Mae, to replace this mortgage debt with a fixed interest rate of 4.68% and a 10-year term. (5) On August 6, 2015, approximately $6.8 million of this outstanding mortgage debt was assumed by the buyer in conjunction with the Sedgwick Sale Transaction. For additional information refer to Note 5, “Dispositions.” (6) On January 22, 2015, this mortgage debt was repaid or defeased in conjunction with the Four Property Sale Transaction. For additional information refer to Note 5, “Dispositions.” (7) On February 17, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 3.85% and a 10-year term. (8) On September 24, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 4.70% and a 10-year term. (9) On February 4, 2015, the Company exercised its right to extend the maturity date with Berkadia to July 10, 2017. (10) On March 5, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 3.84% and a 10-year term. The aggregate scheduled maturities of notes payable at December 31, 2015 are as follows (in thousands): 2016 14,698 2017 25,318 2018 14,158 2019 14,829 2020 15,443 Thereafter 692,670 $ 777,116 On December 17, 2015, the Company completed supplemental mortgage financing of approximately $7.6 million from Fannie Mae on three senior living communities located in Columbus, Ohio, Chardon, Ohio, and Greenwood, Indiana, at a fixed interest rate of 5.49% which is coterminous with existing mortgage debt maturing in November 2022. The supplemental mortgage loans are cross-collateralized and cross-defaulted with the original mortgage debt. The Company incurred approximately $0.2 million in deferred financing costs related to these loans, which are being amortized over the remaining initial loan terms. On November 24, 2015, the Company completed supplemental mortgage financing of approximately $3.2 million from Fannie Mae on one senior living community located in Elkhorn, Nebraska, at a fixed interest rate of 5.46% which is coterminous with existing mortgage debt maturing in April 2023. The supplemental mortgage loan is cross-collateralized and cross-defaulted with the original mortgage debt. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which are being amortized over the remaining initial loan term. On November 24, 2015, the Company completed supplemental mortgage financing of approximately $8.7 million from Fannie Mae on one senior living community located in Springfield, Missouri, at a fixed interest rate of 5.39% which is coterminous with existing mortgage debt maturing in January 2023. The supplemental mortgage loan is cross-collateralized and cross-defaulted with the original mortgage debt. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which are being amortized over the remaining initial loan term. On November 12, 2015, the Company repaid mortgage loans totaling approximately $31.6 million from Fannie Mae associated with four of its senior living communities located in Columbia, South Carolina, Deer Park and Pantego, Texas, and South Bend, Indiana, scheduled to mature in June 2017. The Company obtained approximately $52.8 million of new long-term fixed interest rate mortgage financing from Berkadia Commercial Mortgage LLC (“Berkadia”), who later sold the loans to Fannie Mae, at a fixed interest rate of 4.68% with a 10-year term and the principal amortized over a 30-year term. The Company incurred approximately $0.6 million in deferred financing costs related to the new mortgage loans, which are being amortized over 10 years. As a result of the early repayment of the existing mortgage debt, the Company accelerated the amortization of approximately $0.1 million in unamortized deferred financing costs and incurred a prepayment premium of approximately $1.7 million to Fannie Mae. On October 30, 2015, in conjunction with the Virginia Beach Transaction, the Company obtained $28.0 million of mortgage debt from Protective Life. The new mortgage loan has a 10-year term with a 4.25% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.4 million in deferred financing costs related to this loan, which are being amortized over 10 years. On September 30, 2015, in conjunction with the Mahomet Transaction, the Company obtained approximately $11.1 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.69% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On September 30, 2015, the Company completed supplemental financing of approximately $5.0 million from Fannie Mae on an existing senior living community owned by the Company located in Macedonia, Ohio. The supplemental loan is coterminous with existing mortgage debt maturing in October 2021 with a 5.19% fixed interest rate and the principal amortized over a 30-year term. The supplemental loan is cross-collateralized and cross-defaulted with the original mortgage debt. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which are being amortized over the remaining initial loan term. On September 24, 2015, the Company obtained approximately $8.4 million long-term fixed interest rate mortgage financing from Fannie Mae to replace interim variable interest rate financing obtained by the Company from Berkadia on September 30, 2013, in connection with the Company’s previous acquisition of a senior living community located in Oakwood, Georgia. The new mortgage loan has a 10-year term with a 4.7% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On August 11, 2015, in conjunction with the Indianapolis Transaction, the Company obtained approximately $13.2 million of mortgage debt from Protective Life. The new mortgage loan has a 10-year term with a 4.25% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. The note with Protective Life associated with the Indianapolis Transaction includes a loan commitment for up to $2.6 million of supplemental funding at the same terms and 4.25% fixed interest rate. The loan commitment is based on meeting certain funding requirements and is available through February 28, 2018. On August 6, 2015, outstanding mortgage debt totaling approximately $6.8 million was assumed by the buyer in conjunction with the Sedgwick Sale Transaction. As a result of the buyer’s assumption of the existing mortgage debt, the Company accelerated the amortization of approximately $0.1 million in unamortized deferred financing costs. For additional information refer to Note 5, “Dispositions”. On July 28, 2015, in conjunction with the Columbiana Transaction, the Company obtained approximately $9.9 million of mortgage debt from Protective Life. The new mortgage loan has a 10-year term with a 4.25% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On May 31, 2015, the Company renewed certain insurance policies and entered into a finance agreement totaling approximately $1.7 million. The finance agreement has a fixed interest rate of 1.73% with the principal being repaid over an 11-month term. On May 29, 2015, in conjunction with the Heritage Transaction, the Company obtained approximately $11.2 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.79% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On May 21, 2015, in conjunction with the Emerald Transaction, the Company obtained approximately $9.2 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.55% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On March 27, 2015, in conjunction with the Baytown Transaction, the Company obtained approximately $21.4 million of mortgage debt from Protective Life. The new mortgage loan has a 10-year term with a 3.55% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over 10 years. On March 5, 2015, the Company repaid an interim, interest only variable rate mortgage loan totaling approximately $21.6 million from Wells Fargo on one of its senior living communities located in Toledo, Ohio. The Company obtained approximately $21.8 million of mortgage debt from Fannie Mae to replace the Wells Fargo interim financing. This new mortgage loan has a 10-year term with a fixed interest rate of 3.84% and the principal amortized over 30-years. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over the loan term. As a result of the refinance, the Company received approximately $0.2 million in cash proceeds. Due to the early repayment, the Company accelerated the amortization of approximately $79,000 in unamortized deferred financing costs and incurred additional prepayment fees totaling approximately $55,000. On February 17, 2015, the Company obtained new permanent mortgage financing totaling approximately $23.2 million from Fannie Mae on one of its owned senior living communities located in Peoria, Illinois. The new financing replaced a mortgage loan previously scheduled to mature on September 1, 2015, which was defeased by the Company on January 22, 2015, in conjunction with the Four Property Sale Transaction. This new mortgage loan has a 10-year term with a fixed interest rate of 3.85% and the principal amortized over 30 years. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which are being amortized over the loan term. As a result of the Peoria financing, the Company repaid existing mortgage debt on two owned properties totaling approximately $14.1 million. Due to the early repayment, the Company accelerated the amortization of approximately $0.2 million in unamortized deferred financing costs and incurred additional prepayment fees totaling approximately $0.5 million. On January 22, 2015, outstanding mortgage debt totaling approximately $13.7 million was defeased in conjunction with the Four Property Sale Transaction. The mortgage loan associated with the Company’s senior living community located in Winston-Salem, North Carolina, carried an outstanding balance of approximately $5.7 million and could not be prepaid under the existing loan agreement as it did not offer a prepayment provision. Additionally, this mortgage loan was cross-collateralized with another mortgage loan on one of the Company’s senior living communities located in Peoria, Illinois, which carried an outstanding mortgage balance of approximately $8.0 million and also did not offer a prepayment provision. Therefore, the Company determined it would defease the Winston-Salem and Peoria mortgage loans by acquiring certain treasury securities to serve as collateral for the outstanding principal balance as of the date of the sale until the note matured on September 1, 2015. The Company contracted with a third party trust to assume the mortgage debt and assigned all of its rights to the treasury securities to serve as collateral until the balance remaining came due. Based on this structure, the Company concluded it met the requirements to report the debt transaction as a legal defeasance which resulted in the Company removing the respective assets and liabilities from its Consolidated Balance Sheet during the first quarter of fiscal 2015 when the transaction closed. Due to the defeasance, the Company accelerated the amortization of approximately $18,000 in unamortized deferred financing costs. For additional information refer to Note 5, “Dispositions”. On January 13, 2015, in conjunction with the Green Bay Transaction, the Company obtained approximately $14.1 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.35% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which are being amortized over 10 years. On December 23, 2014, the Company refinanced a mortgage loan totaling approximately $8.4 million from Freddie Mac associated with one of its senior living communities located in Lincoln, Nebraska. The Company obtained approximately $18.9 million of new mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.46% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over 10 years. As a result of the early repayment of the existing mortgage debt with Freddie Mac, the Company accelerated the amortization of approximately $48,000 in unamortized deferred financing costs and incurred a prepayment premium of approximately $0.9 million. On December 17, 2014, in conjunction with the Canton Transaction, the Company obtained approximately $10.4 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.50% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over 10 years. On August 27, 2014, in conjunction with the Plymouth Transaction, the Company obtained approximately $10.4 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.70% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over 10 years. On August 4, 2014, in conjunction with the Roanoke Transaction, the Company obtained approximately $12.9 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term, with a 4.59% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over 10 years. On August 4, 2014, in conjunction with the Oshkosh Transaction, the Company obtained approximately $13.2 million of mortgage debt from Fannie Mae. The new mortgage loan has a 10-year term with a 4.59% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over 10 years. On June 30, 2014, in conjunction with the SHPIII/CSL Transaction, the Company obtained approximately $16.4 million of mortgage debt from Fannie Mae for the acquisition of SHPIII/CSL Miami. The new mortgage loan has a 10-year term with a fixed interest rate of 4.30% and the principal amortized over a 30-year term. The Company also obtained approximately $23.7 million of mortgage debt from Fannie Mae for the acquisition of SHPIII/CSL Richmond Heights. The new mortgage loan has a 10-year term with a fixed interest rate of 4.48% and the principal amortized over a 30-year term. The Company obtained interim, interest only, financing of $21.6 million from Wells Fargo for the acquisition of SHPIII/CSL Levis Commons with a variable interest rate of LIBOR plus 2.75% and a 24-month term. The Company incurred approximately $0.5 million in deferred financing costs related to these loans, which are being amortized over the respective loan terms. On June 27, 2014, the Company refinanced mortgage loans totaling approximately $111.9 million from Freddie Mac associated with 15 of its senior living communities. The Company obtained approximately $135.5 million of mortgage debt and supplemental financings for 12 of the senior living communities from Fannie Mae. These new mortgage loans have 10-year terms with fixed interest rates of 4.24% and the principal amortized over 30-year terms. The Company obtained interim, interest only, financing of $9.3 million from Berkadia for two of the senior living communities with a variable interest rate of LIBOR plus 4.50% and a 12-month term. The Company also obtained interim, interest only, financing of $11.8 million from Berkadia for one of the senior living communities with a variable interest rate of LIBOR plus 4.50% and a 24-month term. The Company incurred approximately $2.0 million in deferred financing costs related to these loans, which are being amortized over the respective loan terms. As a result of the refinance, the Company received approximately $36.5 million in cash proceeds. As a result of the early repayment of the existing mortgage debt with Freddie Mac, the Company accelerated the amortization of approximately $0.5 million in unamortized deferred loan costs and incurred a prepayment premium of approximately $6.5 million. On May 31, 2014, the Company renewed certain insurance policies and entered into a finance agreement totaling approximately $1.7 million. The finance agreement has a fixed interest rate of 1.92% with principal being repaid over a 9-month term. On March 26, 2014, in conjunction with the Aspen Grove Transaction, the Company obtained approximately $11.0 million of mortgage debt from Fannie Mae. The new mortgage loan has a 12-year term with a 5.43% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over 12 years. On March 25, 2011, the Company issued standby letters of credit, totaling approximately $2.6 million, for the benefit of HCN on certain leases between HCN and the Company. On September 10, 2010, the Company issued standby letters of credit, totaling approximately $2.2 million, for the benefit of HCN on certain leases between HCN and the Company. On April 16, 2010, the Company issued standby letters of credit, totaling approximately $1.7 million, for the benefit of HCN on certain leases between HCN and the Company. In connection with the Company’s loan commitments described above, the Company incurred financing charges that were deferred and amortized over the life of the notes. At December 31, 2015 and 2014, the Company had gross deferred loan costs of $10.3 million and $8.5 million, respectively. Accumulated amortization was $1.8 million and $2.2 million at December 31, 2015 and 2014, respectively. During fiscal 2015, due to the early repayment of the Company’s existing mortgage debt associated with the Four Property Sale Transaction, Sedgwick Sale Transaction and refinancings with Fannie Mae, the Company wrote-off approximately $0.5 million in unamortized deferred financing charges and removed the respective accumulated amortization of approximately $1.4 million. Amortization expense is expected to be approximately $1.1 million in each of the next five fiscal years. The Company was in compliance with all aspects of its outstanding indebtedness at December 31, 2015 and 2014.

Equity

Equity	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Equity	10. Equity Preferred Stock The Company is authorized to issue preferred stock in series and to fix and state the voting powers and such designations, preferences and relative participating, optional or other special rights of the shares of each such series and the qualifications, limitations and restrictions thereof. Such action may be taken by the Board without stockholder approval. The rights, preferences and privileges of holders of common stock are subject to the rights of the holders of preferred stock. No preferred stock was outstanding as of December 31, 2015 and 2014. Share Repurchases On January 22, 2009, the Company’s board of directors approved a share repurchase program that authorized the Company to purchase up to $10.0 million of the Company’s common stock. Purchases may be made from time to time using a variety of methods, which may include open market purchases, privately negotiated transactions or block trades, or by any combination of such methods, in accordance with applicable insider trading and other securities laws and regulations. The size, scope and timing of any purchases will be based on business, market and other conditions and factors, including price, regulatory and contractual requirements or consents, and capital availability. The repurchase program does not obligate the Company to acquire any particular amount of common stock and the share repurchase authorization has no stated expiration date. Shares of stock repurchased under the program will be held as treasury shares. Pursuant to this authorization, during fiscal 2009, the Company purchased 349,800 shares at an average cost of $2.67 per share for a total cost to the Company of approximately $0.9 million. All such purchases were made in open market transactions. The Company did not purchase any shares of its common stock pursuant to the Company’s share repurchase program during fiscal 2015, 2014, or 2013.

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2015
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Stock-Based Compensation	11. Stock-Based Compensation Stock Options Although the Company has not granted stock options in recent years, the Company’s stock option program is a long-term retention program that is intended to attract, retain and provide incentives for employees, officers and directors and to more closely align stockholder and employee interests. The Company’s stock options generally vest over one to five years and the related expense is amortized on a straight-line basis over the vesting period. A summary of the Company’s stock option activity and related information for the years ended December 31, 2015, 2014, and 2013 is presented below: Outstanding at Granted Exercised Forfeited Outstanding Options December 31, 2015 Shares 6,000 — 3,000 — 3,000 3,000 Weighted average price $ 8.44 — $ 5.90 — $ 10.97 $ 10.97 December 31, 2014 Shares 19,000 — 13,000 — 6,000 6,000 Weighted average price $ 7.10 — $ 6.48 — $ 8.44 $ 8.44 December 31, 2013 Shares 265,930 — 246,930 — 19,000 19,000 Weighted average price $ 6.28 — $ 6.21 — $ 7.10 $ 7.10 The options outstanding and the options exercisable at December 31, 2015, 2014, and 2013, had an aggregate intrinsic value of $30,000, $0.1 million, and $0.3 million, respectively. All stock options outstanding are fully vested. The following table summarizes information relating to the Company’s options outstanding and options exercisable as of December 31, 2015. Options Outstanding Options Exercisable Range of Exercise Prices Number Outstanding at End of Year Weighted Average Remaining Contractual Life Weighted Average Exercise Price Number Exercisable at End of Year Weighted Average Exercise Price $10.97 3,000 .35 $ 10.97 3,000 $ 10.97 Restricted Stock The Company may grant restricted stock awards and units to employees, officers, and directors in order to attract, retain, and provide incentives for such individuals and to more closely align stockholder and employee interests. For restricted stock awards and units without performance-based vesting conditions, the Company records compensation expense for the entire award on a straight-line basis over the requisite service period, which is generally a period of one to four years, unless the award is subject to certain accelerated vesting requirements. Restricted stock awards are considered outstanding at the time of grant since the holders thereof are entitled to dividends, upon vesting, and voting rights. For restricted stock awards with performance-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement. Performance goals are evaluated periodically and if such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed. The Company recognizes compensation expense of a restricted stock award over its respective vesting or performance period based on the fair value of the award on the grant date, net of forfeitures. A summary of the Company’s restricted common stock awards activity and related information for the years ended December 31, 2015, 2014, and 2013 is presented below: Outstanding at Issued Vested Forfeited Outstanding December 31, 2015 Shares 702,718 467,944 358,716 28,636 783,310 December 31, 2014 Shares 870,217 350,716 406,072 112,143 702,718 December 31, 2013 Shares 803,218 403,715 312,980 23,736 870,217 The restricted stock outstanding at December 31, 2015, 2014, and 2013, had an aggregate intrinsic value of $16.3 million, $17.5 million, and $20.9 million, respectively. During fiscal 2015, the Company awarded 467,944 shares of restricted common stock to certain employees and directors of the Company, of which 130,000 shares were subject to performance-based vesting conditions. The average market value of the common stock on the date of grant was $24.08. These awards of restricted shares vest over a one to four-year period, unless the award is subject to certain accelerated vesting requirements, and had an intrinsic value of $11.3 million on the date of grant. Additionally, during fiscal 2015, the Company awarded 11,756 restricted stock units to certain directors of the Company with an average market value of $25.52 and an intrinsic value of $0.3 million on the date of grant, that vest over a one-year period. On February 24, 2016, the Company awarded 541,327 shares of restricted common stock to certain employees of the Company, of which 199,692 shares were subject to performance-based vesting conditions. The market value of the common stock on the date of grant was $15.92. These awards of restricted shares vest over a one to four-year period, unless the award is subject to certain accelerated vesting requirements, and had an intrinsic value of $8.6 million on the date of grant. Stock Based Compensation The Company uses the Black-Scholes option pricing model to estimate the grant date fair value of its stock options. The Black-Scholes model requires the input of certain assumptions including expected volatility, expected dividend yield, expected life of the option and the risk free interest rate. The expected volatility used by the Company is based primarily on an analysis of historical prices of the Company’s common stock. The expected term of options granted is based primarily on historical exercise patterns on the Company’s outstanding stock options. The risk free rate is based on zero-coupon U.S. Treasury yields in effect at the date of grant with the same period as the expected option life. The Company does not expect to pay dividends on its common stock and therefore has used a dividend yield of zero in determining the fair value of its awards. The option forfeiture rate assumption used by the Company is based primarily on the Company’s historical option forfeiture patterns. The Company recognizes compensation expense of a restricted stock award over its respective vesting period based on the fair value of the award on the grant date, net of estimated forfeitures. The Company recognized $8.8 million, $7.3 million, and $4.3 million in stock-based compensation expense during fiscal 2015, 2014, and 2013, respectively. Unrecognized stock-based compensation expense, net of estimated forfeitures, is $8.3 million for the year ended December 31, 2015. The Company expects this expense to be recognized over a one-year period for performance awards and a one to four-year period for nonperformance awards.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2015
Income Tax Disclosure [Abstract]
Income Taxes	12. Income Taxes The provision (benefit) for income taxes consists of the following (in thousands): Year Ended December 31, 2015 2014 2013 Current: Federal $ — $ — $ (5,411 ) State 900 719 377 Deferred: Federal — — 6,251 State — — 4,542 $ 900 $ 719 $ 5,759 The provision (benefit) for income taxes differed from the amounts of income tax provision (benefit) determined by applying the U.S. federal statutory income tax rate to income before provision (benefit) for income taxes as a result of the following (in thousands): Year Ended December 31, 2015 2014 2013 Tax (benefit) provision at federal statutory rates $ (4,515 ) $ (7,958 ) $ (3,653 ) State income tax expense, net of federal effects 64 (90 ) 401 Federal and state income tax return true up — — 325 State effective rate changes — 6 (20 ) Change in deferred tax asset valuation allowance 4,986 8,456 8,810 Other 365 305 (104 ) $ 900 $ 719 $ 5,759 A summary of the Company’s deferred tax assets and liabilities, are as follows (in thousands): December 31, 2015 2014 Deferred tax assets: Deferred gains on sale/leaseback transactions $ 6,176 $ 7,027 Net operating loss carryforward (expiring up to 2032) 15,144 12,556 Compensation costs 1,804 972 Investments in unconsolidated joint ventures — — Capital loss carryforward — — Other 2,802 1,806 Total deferred tax assets 25,926 22,361 Valuation Allowance (22,252 ) (17,266 ) Total deferred tax assets, net 3,674 5,095 Deferred tax liabilities: Depreciation and amortization (3,674 ) (5,095 ) Total deferred tax assets, net $ — $ — Current deferred tax assets, net $ — $ 460 Long-term deferred tax (liabilities) assets, net — (460 ) Total deferred tax assets, net $ — $ — Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. Based upon this evaluation, a valuation allowance has been recorded to reduce the Company’s net deferred tax assets to the amount that is more likely than not to be realized. A significant component of objective evidence evaluated was the cumulative loss incurred by the Company over the past four fiscal years. Such objective evidence severely limits the ability to consider other subjective evidence such as the Company’s ability to generate sufficient taxable income in future periods to fully recover the deferred tax assets. However, in the event that we were to determine that it would be more likely than not that the Company would realize the benefit of deferred tax assets in the future in excess of their net recorded amounts, adjustments to deferred tax assets would increase net income in the period we made such a determination . As of December 31, 2015, the Company has Federal and State Net Operating Loss (“NOL”) carryforwards of $34.7 million and $63.3 million and related deferred tax assets of $11.7 million and $3.1 million, respectively, and a Federal Alternative Minimum Tax Credit carryforward of $0.3 million. If not used, the Federal NOL will expire during fiscal 2033 to 2035 and state NOL’s will expire during fiscal 2016 to 2035. Additionally, the Company has a Federal NOL carryforward of $10.4 million related to the excess tax benefits associated with stock-based compensation and stock option exercises. The benefit of this NOL will be recognized as an increase to additional paid-in capital at the point when such NOL provides cash benefit to the Company. The effective tax rates for fiscal 2015 and 2014 differ from the statutory tax rates due to state income taxes, permanent tax differences, and changes in the deferred tax asset valuation allowance. The Company is impacted by the Texas Margin Tax (“TMT”), which effectively imposes tax on modified gross revenues for communities within the State of Texas. During fiscal 2015 the Company consolidated 37 Texas communities and during fiscal 2014 the Company consolidated 36 Texas communities and the TMT increased the overall provision for income taxes. The Company is generally no longer subject to federal and state tax audits for years before 2012.

Employee Benefit Plans

Employee Benefit Plans	12 Months Ended
	Dec. 31, 2015
Compensation and Retirement Disclosure [Abstract]
Employee Benefit Plans	13. Employee Benefit Plans The Company has a 401(k) salary deferral plan (the “Plan”) in which all employees of the Company meeting minimum service and age requirements are eligible to participate. Contributions to the Plan are in the form of employee salary deferrals, which are subject to employer matching contributions of 50% of up to 4% of the employee’s annual salary. The Company’s contributions are funded semi-monthly to the Plan administrator. Matching contributions of $0.5 million were contributed to the Plan in each of fiscal 2015 and 2014 and $0.4 million in fiscal 2013. The Company incurred administrative expenses related to the Plan of $20,900, $15,000, and $15,300 in fiscal 2015, 2014, and 2013, respectively.

Contingencies

Contingencies	12 Months Ended
	Dec. 31, 2015
Commitments and Contingencies Disclosure [Abstract]
Contingencies	14. Contingencies The Company has claims incurred in the normal course of its business. Most of these claims are believed by management to be covered by insurance, subject to normal reservations of rights by the insurance companies and possibly subject to certain exclusions in the applicable insurance policies. Whether or not covered by insurance, these claims, in the opinion of management, based on advice of legal counsel, should not have a material effect on the consolidated financial statements of the Company if determined adversely to the Company.

Fair Value of Financial Instrum

Fair Value of Financial Instruments	12 Months Ended
	Dec. 31, 2015
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments	15. Fair Value of Financial Instruments The carrying amounts and fair values of financial instruments at December 31, 2015 and 2014 are as follows (in thousands): 2015 2014 Carrying Amount Fair Value Carrying Amount Fair Value Cash and cash equivalents $ 56,087 $ 56,087 $ 39,209 $ 39,209 Restricted cash 13,159 13,159 12,241 12,241 Notes payable 777,116 724,769 646,600 647,449 The following methods and assumptions were used in estimating its fair value disclosures for financial instruments: Cash and cash equivalents and Restricted cash: Notes payable: The estimated fair value of these assets and liabilities could be affected by market changes and this effect could be material.

Allowance for Doubtful Accounts

Allowance for Doubtful Accounts	12 Months Ended
	Dec. 31, 2015
Text Block [Abstract]
Allowance for Doubtful Accounts	16. Allowance for Doubtful Accounts The components of the allowance for doubtful accounts are as follows (in thousands): December 31, 2015 2014 2013 Balance at beginning of year $ 2,321 $ 1,900 $ 1,825 Provision for bad debts, net of recoveries 1,192 717 497 Write-offs and other (325 ) (296 ) (422 ) Balance at end of year $ 3,188 $ 2,321 $ 1,900

Leases

Leases	12 Months Ended
	Dec. 31, 2015
Leases [Abstract]
Leases	17. Leases The Company currently leases 50 senior living communities from certain real estate investment trusts (“REITs”). The lease terms are generally for 10-15 years with renewal options for 5-20 years at the Company’s option. Under these lease agreements, the Company is responsible for all operating costs, maintenance and repairs, insurance and property taxes. The following table summarizes each of the Company’s facility lease agreements as of December 31, 2015 (dollars in millions): Landlord Date of Lease Number of Communities Value of Transaction Term Initial Lease Lease Acquisition Deferred Gains /Lease Ventas September 30, 2005 6 $ 84.6 (4) (Two five-year renewals) 8 % $ 9.5 $ 4.6 Ventas October 18, 2005 1 19.5 (4) (Two five-year renewals) 8 % 0.3 — Ventas June 8, 2006 1 19.1 (4) (Two five-year renewals) 8 % 0.6 — Ventas January 31, 2008 1 5.0 (4) (Two five-year renewals) 7.75 % 0.2 — Ventas June 27, 2012 2 43.3 (4) (Two five-year renewals) 6.75 % 0.8 — HCP May 1, 2006 3 54.0 (5) (Two ten-year renewals) 8 % 0.3 12.8 HCP May 31, 2006 6 43.0 10 years (Two ten-year renewals) 8 % 0.2 0.6 HCP December 1, 2006 4 51.0 (5) (Two ten-year renewals) 8 % 0.7 — HCP December 14, 2006 1 18.0 (5) (Two ten-year renewals) 7.75 % 0.3 — HCP April 11, 2007 1 8.0 (5) (Two ten-year renewals) 7.25 % 0.1 — HCN April 16, 2010 5 48.5 15 years (One 15-year renewal) 8.25 % 0.6 0.8 HCN May 1, 2010 3 36.0 15 years (One 15-year renewal) 8.25 % 0.2 0.4 HCN September 10, 2010 12 104.6 15 years (One 15-year renewal) 8.50 % 0.4 2.0 HCN April 8, 2011 4 141.0 15 years (One 15-year renewal) 7.25 % 0.9 16.3 Subtotal 15.1 37.5 Accumulated amortization through December 31, 2015 (7.4 ) — Accumulated deferred gains / lease concessions recognized through December 31, 2015 — (20.2 ) Net lease acquisition costs / deferred gains / lease concessions as of December 31, 2015 $ 7.7 $ 17.3 (1) Initial lease rates are measured against agreed upon fair market values and are subject to conditional lease escalation provisions as set forth in each respective lease agreement. (2) Lease acquisition and modification costs are being amortized over the respective initial lease terms. (3) Deferred gains of $34.9 million and lease concessions of $2.6 million are being recognized in the Company’s Consolidated Statements of Operations and Comprehensive Loss as a reduction in facility lease expense over the respective initial lease terms. Lease concessions of $0.6 million relate to the transaction with HCP on May 31, 2006, and $2.0 million relate to the transaction with HCN on September 10, 2010. (4) Effective June 17, 2015, the Company executed amendments to the master lease agreements with Ventas to facilitate up to $24.5 million of leasehold improvements for 10 of the leased communities and extend the lease terms through September 30, 2025, with two 5-year renewal extensions available at the Company’s option. (5) On November 11, 2013, the Company executed a third amendment to the master lease agreement associated with nine of its leased communities with HCP to facilitate up to $3.3 million of leasehold improvements for one of the leased communities and extend the respective lease terms through October 31, 2020, with two 10-year renewal extensions available at the Company’s option. (6) On April 24, 2015, the Company exercised its right to extend the lease term with HCP through April 30, 2026, with one 10-year renewal extension remaining available at the Company’s option. Ventas As of December 31, 2015, the Company leased 11 senior living communities from Ventas, Inc. (“Ventas”). During the second quarter of fiscal 2015, the Company executed amendments to the master lease agreements with Ventas to facilitate up to $24.5 million of leasehold improvements for 10 communities within the Ventas lease portfolio and extend the lease terms until September 30, 2025, with two five-year renewal extension available at the Company’s option. The initial lease rates under each of the Ventas Lease Agreements range from 6.75% to 8% and are subject to certain conditional escalation clauses which will be recognized when probable or incurred. The Company incurred $11.4 million in lease acquisition and modification costs related to the Ventas Lease Agreements. These deferred lease acquisition and modification costs are being amortized over the lease terms and are included in facility lease expense in the Company’s Consolidated Statement of Operations and Comprehensive loss. The Company accounts for nine of the Ventas Lease Agreements as an operating lease and two as a Capital lease and financing obligation. Effective June 27, 2012, the Company closed a lease modification transaction with Ventas which resulted in the Company exchanging two of its owned communities for one of the communities in the existing Ventas lease portfolio and simultaneously leasing back the two communities exchanged (the “Ventas Lease Transaction”). This transaction was the result of negotiations for a solution to the anticipation of the Company not meeting certain lease coverage ratio requirements for its lease portfolio of ten properties with Ventas. The two communities previously owned by the Company are located in East Lansing, Michigan (the “East Lansing Community”) and Raleigh, North Carolina (the “Raleigh Community”) and were exchanged for a community located in Merrillville, Indiana (the “Towne Centre Community”). All three communities continue to be operated by the Company. In conjunction with this transaction, Ventas assumed approximately $18.3 million of existing mortgage debt from Berkadia and the Company received the Towne Centre Community unencumbered. All of the leased communities in the Ventas lease portfolio were modified to be coterminous with the East Lansing and Raleigh Community leases expiring on September 30, 2020, with two 5-year renewal extensions available at the Company’s option, eliminate property-level lease covenants, and contain substantially similar terms and conditions. These leases were re-evaluated by the Company at the modification date and continue to be treated as operating leases. Under the terms of the original lease agreements with Ventas, the Company had previously deposited additional cash collateral of approximately $3.4 million which was returnable to the Company once certain performance targets were reached. However, due to the rebalanced lease portfolio meeting the lease coverage ratio requirements, the Company negotiated the return of these deposits as a condition to the lease modification. Additionally, due to the extension of the lease terms for the Ventas lease portfolio to fiscal 2020, the rights of Ventas to reset the underlying values of the leased communities were deferred for five years. Pursuant to ASC 840, Leases HCP As of December 31, 2015, the Company leased 15 senior living communities from HCP, Inc. (“HCP”). During the fourth quarter of fiscal 2013, the Company executed an amendment to the master lease agreement with HCP to facilitate up to $3.3 million of leasehold improvements for one community within the HCP lease portfolio and extend the initial lease terms for nine communities until October 31, 2020, with two 10-year renewal extensions available at the Company’s option. During the second quarter of fiscal 2015, the Company exercised its right to extend the lease term with HCP for the remaining six communities in the HCP lease portfolio until April 30, 2026, with one 10-year renewal extension available at the Company’s option. The initial lease rates under the HCP Lease Agreements range from 7.25% to 8% and are subject to certain conditional escalation clauses, which will be recognized when probable or incurred. The Company incurred $1.6 million in lease acquisition and modification costs related to the HCP Lease Agreements. These deferred lease acquisition and modification costs are being amortized over the lease terms and are included in facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company accounts for each of the HCP Lease Agreements as an operating lease. HCN As of December 31, 2015, the Company leased 24 senior living communities from Welltower, Inc., formerly Health Care REIT, Inc. (“HCN”). The HCN Lease Agreements each have an initial term of 15 years, with one 15-year renewal extension available at the Company’s option. The initial lease rates under the HCN Lease Agreements range from 7.25% to 8.5% and are subject to certain conditional escalation clauses, which will be recognized when probable or incurred. The initial terms on the HCN Lease Agreements expire on various dates through April 2026. The Company incurred $2.1 million in lease acquisition costs related to the HCN Lease Agreements. These deferred lease acquisition costs are being amortized over the lease terms and are included in facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company accounts for each of the HCN Lease Agreements as an operating lease. Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive Loss includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives. The Company leases its corporate headquarters in Dallas, Texas, and an office in New York City and has various lease contracts for a duration of 5 years or less on automobiles, buses and office equipment. The lease on the corporate headquarters currently expires on September 30, 2020. The Company incurred $62.8 million, $60.9 million, and $58.8 million in lease expense during fiscal 2015, 2014, and 2013, respectively. Future minimum lease commitments as of December 31, 2015, are as follows (in thousands): 2016 $ 65,135 2017 65,092 2018 64,998 2019 64,939 2020 62,651 Thereafter 250,477 $ 573,292 At December 31, 2015 and 2014, the Company had gross deferred lease costs of $15.1 million and $15.0 million, respectively. Accumulated amortization at December 31, 2015 and 2014 was $7.4 million and $6.0 million, respectively, and amortization expense is expected to be approximately $1.5 million in each of the next five fiscal years. There are various financial covenants and other restrictions in the Company’s lease agreements. The Company was in compliance with all of its lease covenants at December 31, 2015 and 2014.

Quarterly Financial Information

Quarterly Financial Information (Unaudited)	12 Months Ended
	Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Information (Unaudited)	18. Quarterly Financial Information (Unaudited) The following table presents certain unaudited quarterly financial information for each of the four quarters ended December 31, 2015 and 2014. This information has been prepared on the same basis as the audited consolidated financial statements of the Company and include, in the opinion of the Company’s management, all adjustments (consisting of normal recurring adjustments) necessary to present fairly the quarterly results when read in conjunction with the audited consolidated financial statements of the Company. 2015 Calendar Quarters First Second Third Fourth (In thousands, except per share amounts) Total revenues $ 98,640 $ 101,588 $ 104,420 $ 107,529 Income from operations 3,718 3,680 5,676 5,761 Net (loss) income and comprehensive (loss) income (6,039 ) (5,166 ) 2,871 (5,950 ) Net (loss) income per share, basic $ (0.21 ) $ (0.18 ) $ 0.10 $ (0.21 ) Net (loss) income per share, diluted $ (0.21 ) $ (0.18 ) $ 0.10 $ (0.21 ) Weighted average shares outstanding, basic 28,565 28,705 28,732 28,749 Weighted average shares outstanding, fully diluted 28,565 28,705 28,733 28,749 2014 Calendar Quarters First Second Third Fourth (In thousands, except per share amounts) Total revenues $ 91,857 $ 93,425 $ 98,483 $ 100,160 Income from operations 2,615 3,149 2,679 5,457 Net loss and comprehensive loss (4,647 ) (9,819 ) (5,759 ) (3,901 ) Net loss per share, basic $ (0.16 ) $ (0.34 ) $ (0.20 ) $ (0.13 ) Net loss per share, diluted $ (0.16 ) $ (0.34 ) $ (0.20 ) $ (0.13 ) Weighted average shares outstanding, basic 28,146 28,298 28,371 28,387 Weighted average shares outstanding, fully diluted 28,146 28,298 28,371 28,387

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2015
Subsequent Events [Abstract]
Subsequent Events	19. Subsequent Events Effective February 16, 2016, the Company closed the acquisition of two senior living communities located in Pensacola, Florida, for approximately $48.0 million. The communities consist of 179 assisted living units. The Company obtained financing from Protective Life for $35.0 million of the acquisition price at a fixed rate of 4.38% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. The Company has not yet completed its initial purchase price allocation for this transaction. Effective January 26, 2016, the Company closed the acquisition of three senior living communities located in Colby, Park Falls, and Wisconsin Rapids, Wisconsin, for approximately $16.8 million. The communities consist of 138 assisted living units. The Company obtained financing from Protective Life for $11.3 million of the acquisition price at a fixed rate of 4.50% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. The Company has not yet completed its initial purchase price allocation for this transaction.

Summary of Significant Accoun26

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Cash and Cash Equivalents and Restricted Cash	Cash and Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposit must remain so long as the letter of credit is outstanding which is subject to renewal annually.
Long-Lived Assets	Long-Lived Assets Property and equipment are stated at cost and depreciated on a straight-line basis over the estimated useful lives of the assets. At each balance sheet date, the Company reviews the carrying value of its property and equipment to determine if facts and circumstances suggest that they may be impaired or that the depreciation period may need to be changed. The Company considers internal factors such as net operating losses along with external factors relating to each asset, including contract changes, local market developments, and other publicly available information. If an indicator of impairment is identified, the carrying value of a long-lived asset is considered impaired when the anticipated undiscounted cash flows from such asset is separately identifiable and is less than its carrying value. In that event, a loss is recognized based on the amount the carrying value exceeds the fair market value, generally based on discounted cash flows, of the long-lived asset. The Company does not believe there are any indicators of impairment that would require an adjustment to the carrying value of the property and equipment or their remaining useful lives as of December 31, 2015 and 2014.
Assets Held for Sale	Assets Held for Sale Assets are classified as held for sale when the Company has determined all of the held-for-sale criteria have been met. The Company determines the fair value, net of costs of disposal, of an asset on the date the asset is categorized as held for sale, and the asset is recorded at the lower of its fair value, net of cost of disposal, or carrying value on that date. The Company periodically reevaluates assets held for sale to determine if the assets are still recorded at the lower of fair value, net of cost of disposal, or carrying value. The fair values are generally determined based on market rates, industry trends and recent comparable sales transactions. The actual sales price of these assets could differ significantly from the Company’s estimates. During the fourth quarter of fiscal 2014, the Company classified four senior living communities as held for sale and determined the assets had an aggregate fair value, net of cost of disposal, that exceeded the carrying values, using level 2 inputs as defined in the accounting standards codification, and a remeasurement write-down of approximately $0.6 million was recorded to adjust the carrying values of the assets held for sale to $35.8 million at December 31, 2014. The four senior living communities were sold during the first quarter of fiscal 2015 in a single transaction for its carrying value. There were no senior living communities classified as held for sale by the Company at December 31, 2015.
Investments in Unconsolidated Joint Ventures	Investments in Unconsolidated Joint Ventures The Company accounted for its investments in unconsolidated joint ventures under the equity method of accounting. The Company had not consolidated these joint venture interests because the Company had concluded that the other member of each joint venture had substantive kick-out rights or substantive participating rights. Under the equity method of accounting, the Company recorded its investments in the unconsolidated joint ventures at cost and adjusted such investments for its share of the earnings and losses of the joint ventures. On June 30, 2014, the Company acquired 100% of the member interests in these joint ventures. For additional information refer to Note 4, “Acquisitions.”
Off-Balance Sheet Arrangements	Off-Balance Sheet Arrangements The Company had no material off-balance sheet arrangements at December 31, 2015.
Income Taxes	Income Taxes Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial-statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that its position is “more likely than not” (i.e., a greater than 50 percent likelihood) to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense.
Revenue Recognition	Revenue Recognition Resident and health care revenue is recognized at estimated net realizable amounts, based on historical experiences, due from residents in the period in which the rental and other services are provided. Additionally, substantially all community fees received from residents are non-refundable and are recorded initially by the Company as deferred revenue. The deferred amounts are amortized over the respective residents’ initial lease term which is consistent with the contractual obligation associated with the estimated stay of the resident. Revenues from the Medicaid program accounted for approximately 5% of the Company’s revenue in fiscal 2015 and 4% of the Company’s revenue in each of fiscal 2014 and 2013. During fiscal 2015, 2014, and 2013, 34, 30, and 29, respectively, of the Company’s communities were providers of services under the Medicaid program. Accordingly, these communities were entitled to reimbursement under the foregoing program at established rates that were lower than private pay rates. Patient service revenue for Medicaid patients was recorded at the reimbursement rates as the rates were set prospectively by the applicable state upon the filing of an annual cost report. None of the Company’s communities were providers of services under the Medicare program during fiscal 2015 or 2014. Laws and regulations governing the Medicaid program are complex and subject to interpretation. The Company believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing. While no such regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from the Medicaid program. Management services revenue was recognized when earned and related to the Company providing certain management and administrative support services under management contracts which were terminated when the Company acquired 100% of the member interests in its unconsolidated joint ventures on June 30, 2014. Community reimbursement revenue is comprised of reimbursable expenses from the non-consolidated communities that the Company operated under long-term management agreements, which were terminated when the Company acquired 100% of the member interests in its unconsolidated joint ventures on June 30, 2014.
Lease Accounting	Lease Accounting The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of the lease agreement. This determination of classification requires significant judgment relating to certain information, including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. The lease rates under the Company’s lease agreements are subject to certain conditional escalation clauses which are recognized when probable or incurred and are based on changes in the consumer price index or certain operational performance measures. As of December 31, 2015 and 2014, the Company leased 50 communities, 48 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term. No new communities were leased by the Company during fiscal 2015 or 2014. Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive loss includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives.
Credit Risk and Allowance for Doubtful Accounts	Credit Risk and Allowance for Doubtful Accounts The Company’s resident receivables are generally due within 30 days from the date billed. Accounts receivable are reported net of an allowance for doubtful accounts, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses.
Employee Health and Dental Benefits, Workers' Compensation, and Insurance Reserves	Employee Health and Dental Benefits, Workers’ Compensation, and Insurance Reserves The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior living communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs, including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at December 31, 2015; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined. The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events, including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined.
Advertising	Advertising Advertising is expensed as incurred. Advertising expenses for the years ended December 31, 2015, 2014, and 2013 were $13.9 million, $12.7 million, and $10.5 million, respectively, and are included as a component of operating expenses within the Consolidated Statements of Operations and Comprehensive Loss.
Net loss Per Share	Net loss Per Share Basic net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. Potentially dilutive securities consist of unvested restricted shares and shares that could be issued under outstanding stock options. Potentially dilutive securities are excluded from the computation of net loss per common share if their effect is antidilutive. The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Year Ended December 31, 2015 2014 2013 Net loss $ (14,284 ) $ (24,126 ) $ (16,504 ) Net loss allocated to unvested restricted shares — (598 ) (513 ) Undistributed net loss allocated to common shares $ (14,284 ) $ (23,528 ) $ (15,991 ) Weighted average shares outstanding — basic 28,688 28,301 27,815 Effects of dilutive securities: Employee equity compensation plans — — — Weighted average shares outstanding — diluted 28,688 28,301 27,815 Basic net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 ) Diluted net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 ) Awards of unvested restricted stock representing approximately 0.8 million, 0.7 million, and 0.9 million shares were outstanding for the fiscal years ended December 31, 2015, 2014, and 2013, respectively, and are antidilutive. During fiscal 2015, the unvested restricted stock did not meet all of the requirements to be deemed participating securities. Therefore, for current and future reporting periods, (losses) earnings per share will be calculated under the treasury method and the two-class method will no longer be utilized by the Company.
Treasury Stock	Treasury Stock The Company accounts for treasury stock under the cost method and includes treasury stock as a component of shareholders’ equity. There were no repurchases of the Company’s stock during fiscal 2015 or 2014. The Company has repurchased 144,315 shares during the first quarter of fiscal 2016 through the date of the filing of our 2015 annual report on Form 10-K with the SEC.
Stock-Based Compensation	Stock-Based Compensation The Company recognizes compensation expense for share-based payment awards to certain employees and directors, including grants of stock options and awards of restricted stock, in the Consolidated Statements of Operations and Comprehensive Loss based on their fair values. On May 8, 2007, the Company’s stockholders approved the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (as amended, the “2007 Plan”) which provides for, among other things, the grant of restricted stock awards and stock options to purchase shares of the Company’s common stock. The 2007 Plan authorizes the Company to issue up to 4.6 million shares of common stock and the Company has reserved 2.0 million shares of common stock for future issuance pursuant to awards under the 2007 Plan. Effective May 8, 2007, the 1997 Omnibus Stock and Incentive Plan (as amended, the “1997 Plan”) was terminated and no additional shares will be granted under the 1997 Plan. The Company has reserved 0.3 million shares of common stock for future issuance upon the exercise of outstanding stock options pursuant to the 1997 Plan.
Segment Information	Segment Information The Company evaluates the performance and allocates resources of its senior living facilities based on current operations and market assessments on a property-by-property basis. The Company does not have a concentration of operations geographically or by product or service as its management functions are integrated at the property level. The Company has determined that all of its operating units meet the criteria in Accounting Standards Codification (“ASC”) Topic 280, Segment Reporting
Recently Issued Accounting Guidance	Recently Issued Accounting Guidance In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-02, Leases In November 2015, the FASB issued ASU 2015-17, Income Taxes – Balance Sheet Reclassification of Deferred Taxes (Topic 740) In September 2015, the FASB issued ASU 2015-16, Business Combinations — Simplifying the Accounting for Measurement-Period Adjustments In April 2015, the FASB issued ASU 2015-03, Interest — Imputation of Interest- Simplifying the Presentation of Debt Issuance Costs (Subtopic 835-30) In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers
Use of Estimates and Critical Accounting Policies	Use of Estimates and Critical Accounting Policies The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the accompanying financial statements and related footnotes. Management bases its estimates and assumptions on historical experience, observance of industry trends and various other sources of information and factors, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results could differ from these estimates. Critical accounting policies are defined as those that are reflective of significant judgments and uncertainties, and potentially could result in materially different results under different assumptions and conditions. The Company believes revenue recognition, credit risk and allowance for doubtful accounts, investments in unconsolidated joint ventures, lease accounting, employee health and dental benefits, workers’ compensation and insurance reserves, long-lived assets, assets held for sale, and income taxes are its most critical accounting policies and require management’s most difficult and subjective judgments.
Reclassifications	Reclassifications Certain reclassifications have been made to prior period amounts to conform to current period presentation. The Company’s Consolidated Statements of Cash Flows now reflect changes in deferred resident revenue separately from other components of deferred income. Accordingly, the Company reclassified changes in deferred resident revenue from changes in deferred income to a separate line item within the Consolidated Statements of Cash Flows for the years ended December 31, 2014 and 2013, to be consistent with the presentation for the year ended December 31, 2015. This reclassification had no impact on net cash provided by operating activities.

Summary of Significant Accoun27

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Computation of Basic and Diluted Net Loss Per Share	The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Year Ended December 31, 2015 2014 2013 Net loss $ (14,284 ) $ (24,126 ) $ (16,504 ) Net loss allocated to unvested restricted shares — (598 ) (513 ) Undistributed net loss allocated to common shares $ (14,284 ) $ (23,528 ) $ (15,991 ) Weighted average shares outstanding — basic 28,688 28,301 27,815 Effects of dilutive securities: Employee equity compensation plans — — — Weighted average shares outstanding — diluted 28,688 28,301 27,815 Basic net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 ) Diluted net loss per share $ (0.50 ) $ (0.83 ) $ (0.58 )

Acquisitions (Tables)

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2015
January 1, 2014 Acquisitions [Member]
Schedule of Pro Forma Combined Results of Operations	The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2014, as follows (in thousands): December 31, 2015 2014 Total revenues $ 425,789 $ 416,518 Loss before income taxes $ (3,616 ) $ (40,880 )
January 1, 2013 Acquisitions [Member]
Schedule of Pro Forma Combined Results of Operations	The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2013, as follows (in thousands): December 31, 2014 2013 Total revenues $ 400,653 $ 378,737 Loss before income taxes $ (15,655 ) $ (25,963 )

Property and Equipment (Tables)

Property and Equipment (Tables)	12 Months Ended
	Dec. 31, 2015
Property, Plant and Equipment [Abstract]
Schedule of Property and Equipment	Property and equipment consists of the following (in thousands): December 31, Asset Lives 2015 2014 Land $ 61,254 $ 54,115 Land improvements 5 to 20 years 17,613 13,209 Buildings and building improvements 10 to 40 years 897,668 764,794 Furniture and equipment 5 to 10 years 42,879 34,921 Automobiles 5 to 7 years 4,977 3,829 Leasehold improvements (1) 58,466 41,679 Construction in progress NA 5,700 1,520 1,088,557 914,067 Less accumulated depreciation and amortization. 197,985 166,454 Property and equipment, net $ 890,572 $ 747,613 (1) Leasehold improvements are amortized over the shorter of the useful life of the asset or the remaining lease term.

Other Assets (Tables)

Other Assets (Tables)	12 Months Ended
	Dec. 31, 2015
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Schedule of Other Assets	Other assets consist of the following (in thousands): December 31, 2015 2014 Deferred lease costs, net 8,211 9,684 Security and other deposits 12,953 11,324 In-place lease intangibles, net 7,719 7,443 Other 2,310 2,732 $ 31,193 $ 31,183

Accrued Expenses (Tables)

Accrued Expenses (Tables)	12 Months Ended
	Dec. 31, 2015
Text Block [Abstract]
Schedule of Accrued Expenses	Accrued expenses consist of the following (in thousands): December 31, 2015 2014 Accrued salaries, bonuses and related expenses $ 11,121 $ 9,865 Accrued property taxes 14,087 13,050 Accrued interest 3,035 2,485 Accrued health claims and workers comp 3,230 4,026 Accrued professional fees 748 771 Other 2,079 1,957 $ 34,300 $ 32,154

Notes Payable (Tables)

Notes Payable (Tables)	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Schedule of Notes Payable	Notes payable consists of the following (in thousands): Lender Average Payment Net Book Value Of Collateral(1) Interest Rate Maturity Date Notes Payable 2015 2014 Fannie Mae — — — (4) $ — $ 26,809 Fannie Mae — — — (4) — 5,372 Fannie Mae 78 15,214 5.69 August 2021 12,716 12,915 Fannie Mae 26 5,594 4.97 October 2021 4,502 4,582 Fannie Mae 101 21,093 4.92 October 2021 17,779 18,096 Fannie Mae 27 21,093 5.19 October 2021 4,978 — Fannie Mae 117 24,283 4.92 November 2021 20,674 21,041 Fannie Mae 27 6,273 4.38 March 2022 5,036 5,132 Fannie Mae 60 12,507 4.76 April 2022 10,814 11,007 Fannie Mae 135 28,287 4.69 April 2022 24,584 25,026 Fannie Mae 60 15,981 4.48 May 2022 11,141 11,348 Fannie Mae 144 34,998 4.34 November 2022 27,462 27,970 Fannie Mae 33 7,685 4.50 November 2022 6,113 6,222 Fannie Mae 43 26,987 5.49 November 2022 7,592 — Fannie Mae 84 18,439 4.32 January 2023 16,164 16,460 Fannie Mae 49 18,439 5.39 January 2023 8,684 — Fannie Mae 39 8,682 4.58 January 2023 7,224 7,350 Fannie Mae 85 18,782 4.66 April 2023 15,700 15,967 Fannie Mae 18 5,524 5.46 April 2023 3,150 — Fannie Mae 45 8,700 5.93 October 2023 7,411 7,506 Fannie Mae 67 14,242 5.50 November 2023 11,526 11,686 Fannie Mae 67 13,028 5.38 November 2023 11,591 11,756 Fannie Mae 282 55,740 5.56 January 2024 48,071 48,722 Fannie Mae 632 118,792 4.24 July 2024(5) 125,677 134,650 Fannie Mae 120 27,851 4.48 July 2024 23,196 23,572 Fannie Mae 81 20,660 4.30 July 2024 16,035 16,304 Fannie Mae 134 29,273 4.59 September 2024 25,666 26,070 Fannie Mae 54 11,550 4.70 September 2024 10,200 10,357 Fannie Mae 53 13,093 4.50 January 2025 10,258 10,406 Fannie Mae 95 6,579 4.46 January 2025 18,651 18,923 Fannie Mae 70 16,630 4.35 February 2025 13,909 — Fannie Mae 109 9,434 3.85 March 2025 22,939 — Fannie Mae 102 26,078 3.84 April 2025 21,548 — Fannie Mae 47 10,404 4.55 June 2025 9,087 — Fannie Mae 59 13,014 4.79 June 2025 11,095 — Fannie Mae 81 16,535 5.30 June 2025 14,029 14,237 Fannie Mae 58 13,677 4.69 October 2025 11,122 — Fannie Mae 44 10,380 4.70 October 2025 8,406 — Fannie Mae 273 41,027 4.68 December 2025 52,774 — Fannie Mae 62 12,144 5.43 April 2026 10,761 10,908 Protective Life 96 26,385 3.55 April 2025 21,081 — Protective Life 49 12,207 4.25 August 2025 9,882 — Protective Life 65 19,045 4.25 September 2025 13,145 — Protective Life 138 34,327 4.25 November 2025 27,961 — Berkadia — — — (6) — 13,777 Berkadia — — — (7) — 4,550 Berkadia — — — (6) — 9,300 Berkadia — — — (8) — 8,472 Berkadia — — — (7) — 9,500 Berkadia 48 14,359 (3) July 2017(9) 11,800 11,800 Wells Fargo — — — (10) — 21,600 HUD 16 5,759 4.48 September 2045 3,093 3,142 Insurance Financing 71 — 1.73 October 2016 711 — Insurance Financing 138 — 1.73 April 2016 553 — Insurance Financing 208 — 1.79 March 2016 625 3,095 Insurance Financing — — — February 2015 — 390 Insurance Financing — — — September 2015 — 580 $ 4,490 4.60%(2) 777,116 646,600 Less deferred loan costs, net 8,533 6,331 768,583 640,269 Less current portion 13,634 47,385 $ 754,949 $ 592,884 (1) 69 of the facilities owned by the Company are encumbered by mortgage debt and are provided as collateral under their respective loan agreements. (2) Weighted average interest rate on current fixed interest rate debt outstanding. (3) Variable interest rate of LIBOR plus 4.50%, which was 4.79% at December 31, 2015. (4) On November 12, 2015, the Company obtained new long-term financing from Berkadia, who later sold the loans to Fannie Mae, to replace this mortgage debt with a fixed interest rate of 4.68% and a 10-year term. (5) On August 6, 2015, approximately $6.8 million of this outstanding mortgage debt was assumed by the buyer in conjunction with the Sedgwick Sale Transaction. For additional information refer to Note 5, “Dispositions.” (6) On January 22, 2015, this mortgage debt was repaid or defeased in conjunction with the Four Property Sale Transaction. For additional information refer to Note 5, “Dispositions.” (7) On February 17, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 3.85% and a 10-year term. (8) On September 24, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 4.70% and a 10-year term. (9) On February 4, 2015, the Company exercised its right to extend the maturity date with Berkadia to July 10, 2017. (10) On March 5, 2015, the Company obtained new long-term financing from Fannie Mae to replace this mortgage debt with a fixed interest rate of 3.84% and a 10-year term.
Summary of Aggregate Scheduled Maturities of Notes Payable	The aggregate scheduled maturities of notes payable at December 31, 2015 are as follows (in thousands): 2016 14,698 2017 25,318 2018 14,158 2019 14,829 2020 15,443 Thereafter 692,670 $ 777,116

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2015
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Stock Option Activity and Related Information	A summary of the Company’s stock option activity and related information for the years ended December 31, 2015, 2014, and 2013 is presented below: Outstanding at Granted Exercised Forfeited Outstanding Options December 31, 2015 Shares 6,000 — 3,000 — 3,000 3,000 Weighted average price $ 8.44 — $ 5.90 — $ 10.97 $ 10.97 December 31, 2014 Shares 19,000 — 13,000 — 6,000 6,000 Weighted average price $ 7.10 — $ 6.48 — $ 8.44 $ 8.44 December 31, 2013 Shares 265,930 — 246,930 — 19,000 19,000 Weighted average price $ 6.28 — $ 6.21 — $ 7.10 $ 7.10
Summary of Options Outstanding and Options Exercisable	The following table summarizes information relating to the Company’s options outstanding and options exercisable as of December 31, 2015. Options Outstanding Options Exercisable Range of Exercise Prices Number Outstanding at End of Year Weighted Average Remaining Contractual Life Weighted Average Exercise Price Number Exercisable at End of Year Weighted Average Exercise Price $10.97 3,000 .35 $ 10.97 3,000 $ 10.97
Restricted Stock Awards Activity and Related Information	the grant date, net of forfeitures. A summary of the Company’s restricted common stock awards activity and related information for the years ended December 31, 2015, 2014, and 2013 is presented below: Outstanding at Issued Vested Forfeited Outstanding December 31, 2015 Shares 702,718 467,944 358,716 28,636 783,310 December 31, 2014 Shares 870,217 350,716 406,072 112,143 702,718 December 31, 2013 Shares 803,218 403,715 312,980 23,736 870,217

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2015
Income Tax Disclosure [Abstract]
Schedule of Provision for Income Taxes	The provision (benefit) for income taxes consists of the following (in thousands): Year Ended December 31, 2015 2014 2013 Current: Federal $ — $ — $ (5,411 ) State 900 719 377 Deferred: Federal — — 6,251 State — — 4,542 $ 900 $ 719 $ 5,759
Summary of Provision for Income Taxes Differed from Amounts of Income Tax Provision Determined by Applying U.S. Federal Statutory Income Tax Rate to Income Before Benefit for Income Taxes	The provision (benefit) for income taxes differed from the amounts of income tax provision (benefit) determined by applying the U.S. federal statutory income tax rate to income before provision (benefit) for income taxes as a result of the following (in thousands): Year Ended December 31, 2015 2014 2013 Tax (benefit) provision at federal statutory rates $ (4,515 ) $ (7,958 ) $ (3,653 ) State income tax expense, net of federal effects 64 (90 ) 401 Federal and state income tax return true up — — 325 State effective rate changes — 6 (20 ) Change in deferred tax asset valuation allowance 4,986 8,456 8,810 Other 365 305 (104 ) $ 900 $ 719 $ 5,759
Summary of Deferred Tax Assets and Liabilities	A summary of the Company’s deferred tax assets and liabilities, are as follows (in thousands): December 31, 2015 2014 Deferred tax assets: Deferred gains on sale/leaseback transactions $ 6,176 $ 7,027 Net operating loss carryforward (expiring up to 2032) 15,144 12,556 Compensation costs 1,804 972 Investments in unconsolidated joint ventures — — Capital loss carryforward — — Other 2,802 1,806 Total deferred tax assets 25,926 22,361 Valuation Allowance (22,252 ) (17,266 ) Total deferred tax assets, net 3,674 5,095 Deferred tax liabilities: Depreciation and amortization (3,674 ) (5,095 ) Total deferred tax assets, net $ — $ — Current deferred tax assets, net $ — $ 460 Long-term deferred tax (liabilities) assets, net — (460 ) Total deferred tax assets, net $ — $ —

Fair Value of Financial Instr35

Fair Value of Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2015
Fair Value Disclosures [Abstract]
Carrying Amounts and Fair Values of Financial Instruments	The carrying amounts and fair values of financial instruments at December 31, 2015 and 2014 are as follows (in thousands): 2015 2014 Carrying Amount Fair Value Carrying Amount Fair Value Cash and cash equivalents $ 56,087 $ 56,087 $ 39,209 $ 39,209 Restricted cash 13,159 13,159 12,241 12,241 Notes payable 777,116 724,769 646,600 647,449

Allowance for Doubtful Accoun36

Allowance for Doubtful Accounts (Tables)	12 Months Ended
	Dec. 31, 2015
Text Block [Abstract]
Schedule of Allowance for Doubtful Accounts	The components of the allowance for doubtful accounts are as follows (in thousands): December 31, 2015 2014 2013 Balance at beginning of year $ 2,321 $ 1,900 $ 1,825 Provision for bad debts, net of recoveries 1,192 717 497 Write-offs and other (325 ) (296 ) (422 ) Balance at end of year $ 3,188 $ 2,321 $ 1,900

Leases (Tables)

Leases (Tables)	12 Months Ended
	Dec. 31, 2015
Leases [Abstract]
Summary of Company's Facility Lease Agreements	The following table summarizes each of the Company’s facility lease agreements as of December 31, 2015 (dollars in millions): Landlord Date of Lease Number of Communities Value of Transaction Term Initial Lease Lease Acquisition Deferred Gains /Lease Ventas September 30, 2005 6 $ 84.6 (4) (Two five-year renewals) 8 % $ 9.5 $ 4.6 Ventas October 18, 2005 1 19.5 (4) (Two five-year renewals) 8 % 0.3 — Ventas June 8, 2006 1 19.1 (4) (Two five-year renewals) 8 % 0.6 — Ventas January 31, 2008 1 5.0 (4) (Two five-year renewals) 7.75 % 0.2 — Ventas June 27, 2012 2 43.3 (4) (Two five-year renewals) 6.75 % 0.8 — HCP May 1, 2006 3 54.0 (5) (Two ten-year renewals) 8 % 0.3 12.8 HCP May 31, 2006 6 43.0 10 years (Two ten-year renewals) 8 % 0.2 0.6 HCP December 1, 2006 4 51.0 (5) (Two ten-year renewals) 8 % 0.7 — HCP December 14, 2006 1 18.0 (5) (Two ten-year renewals) 7.75 % 0.3 — HCP April 11, 2007 1 8.0 (5) (Two ten-year renewals) 7.25 % 0.1 — HCN April 16, 2010 5 48.5 15 years (One 15-year renewal) 8.25 % 0.6 0.8 HCN May 1, 2010 3 36.0 15 years (One 15-year renewal) 8.25 % 0.2 0.4 HCN September 10, 2010 12 104.6 15 years (One 15-year renewal) 8.50 % 0.4 2.0 HCN April 8, 2011 4 141.0 15 years (One 15-year renewal) 7.25 % 0.9 16.3 Subtotal 15.1 37.5 Accumulated amortization through December 31, 2015 (7.4 ) — Accumulated deferred gains / lease concessions recognized through December 31, 2015 — (20.2 ) Net lease acquisition costs / deferred gains / lease concessions as of December 31, 2015 $ 7.7 $ 17.3 (1) Initial lease rates are measured against agreed upon fair market values and are subject to conditional lease escalation provisions as set forth in each respective lease agreement. (2) Lease acquisition and modification costs are being amortized over the respective initial lease terms. (3) Deferred gains of $34.9 million and lease concessions of $2.6 million are being recognized in the Company’s Consolidated Statements of Operations and Comprehensive Loss as a reduction in facility lease expense over the respective initial lease terms. Lease concessions of $0.6 million relate to the transaction with HCP on May 31, 2006, and $2.0 million relate to the transaction with HCN on September 10, 2010. (4) Effective June 17, 2015, the Company executed amendments to the master lease agreements with Ventas to facilitate up to $24.5 million of leasehold improvements for 10 of the leased communities and extend the lease terms through September 30, 2025, with two 5-year renewal extensions available at the Company’s option. (5) On November 11, 2013, the Company executed a third amendment to the master lease agreement associated with nine of its leased communities with HCP to facilitate up to $3.3 million of leasehold improvements for one of the leased communities and extend the respective lease terms through October 31, 2020, with two 10-year renewal extensions available at the Company’s option. (6) On April 24, 2015, the Company exercised its right to extend the lease term with HCP through April 30, 2026, with one 10-year renewal extension remaining available at the Company’s option.
Summary of Future Minimum Lease Commitments	The Company incurred $62.8 million, $60.9 million, and $58.8 million in lease expense during fiscal 2015, 2014, and 2013, respectively. Future minimum lease commitments as of December 31, 2015, are as follows (in thousands): 2016 $ 65,135 2017 65,092 2018 64,998 2019 64,939 2020 62,651 Thereafter 250,477 $ 573,292 At December 31, 2015 and 2014, the Company had gross deferred lease costs of $15.1

Quarterly Financial Informati38

Quarterly Financial Information (Unaudited) (Tables)	12 Months Ended
	Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]
Schedule of Quarterly Financial Information	The following table presents certain unaudited quarterly financial information for each of the four quarters ended December 31, 2015 and 2014. This information has been prepared on the same basis as the audited consolidated financial statements of the Company and include, in the opinion of the Company’s management, all adjustments (consisting of normal recurring adjustments) necessary to present fairly the quarterly results when read in conjunction with the audited consolidated financial statements of the Company. 2015 Calendar Quarters First Second Third Fourth (In thousands, except per share amounts) Total revenues $ 98,640 $ 101,588 $ 104,420 $ 107,529 Income from operations 3,718 3,680 5,676 5,761 Net (loss) income and comprehensive (loss) income (6,039 ) (5,166 ) 2,871 (5,950 ) Net (loss) income per share, basic $ (0.21 ) $ (0.18 ) $ 0.10 $ (0.21 ) Net (loss) income per share, diluted $ (0.21 ) $ (0.18 ) $ 0.10 $ (0.21 ) Weighted average shares outstanding, basic 28,565 28,705 28,732 28,749 Weighted average shares outstanding, fully diluted 28,565 28,705 28,733 28,749 2014 Calendar Quarters First Second Third Fourth (In thousands, except per share amounts) Total revenues $ 91,857 $ 93,425 $ 98,483 $ 100,160 Income from operations 2,615 3,149 2,679 5,457 Net loss and comprehensive loss (4,647 ) (9,819 ) (5,759 ) (3,901 ) Net loss per share, basic $ (0.16 ) $ (0.34 ) $ (0.20 ) $ (0.13 ) Net loss per share, diluted $ (0.16 ) $ (0.34 ) $ (0.20 ) $ (0.13 ) Weighted average shares outstanding, basic 28,146 28,298 28,371 28,387 Weighted average shares outstanding, fully diluted 28,146 28,298 28,371 28,387

Organization - Additional Infor

Organization - Additional Information (Detail)	Dec. 31, 2015CommunityIndependent_Living_UnitStateResident
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Senior living communities operated by company	121
Number of states in which senior living communities operated | State	23
Aggregate capacity of residents in company operated senior living communities | Resident	15,400
Senior living communities owned by company	71
Senior living communities on lease by company	50
Number of home care agency | Independent_Living_Unit	1

Summary of Significant Accoun40

Summary of Significant Accounting Policies - Additional Information (Detail) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2016shares	Dec. 31, 2014USD ($)Community	Dec. 31, 2015USD ($)CommunitySegmentshares	Dec. 31, 2014USD ($)Communityshares	Dec. 31, 2013USD ($)Communityshares	Dec. 31, 2009shares	Jun. 30, 2014
Accounting Policies [Line Items]
Communities classified as held for sale		4	0
Aggregate fair value less cost of disposal | $		$ 600
Assets held for sale | $		$ 35,761		$ 35,761
Percentage of member interest in joint ventures							100.00%
Uncertain tax position maximum percentage			50.00%
Percentage of revenue from Medicare and Medicaid programs			5.00%	4.00%	4.00%
Provider of services under Medicaid program, number of communities			34	30	29
Provider of services under Medicare program, number of communities			0	0
Senior living communities on lease by company			50
Communities on operating lease			48
Senior living communities on capital lease and financing obligations			2
Senior living communities on new lease by company		0	0	0
Resident receivables due period			30 days
Advertising expenses | $			$ 13,900	$ 12,700	$ 10,500
Outstanding unvested restricted stock | shares			800,000	700,000	900,000
Purchase common stock shares | shares			0	0	0	349,800
Number of reporting segment | Segment			1
Number of operating segment | Segment			1
Debt issuance cost, net of accumulated amortization | $		$ 6,300	$ 8,500	$ 6,300
Scenario Forecast [Member]
Accounting Policies [Line Items]
Purchase common stock shares | shares	144,315
2007 Omnibus Stock and Incentive Plan [Member]
Accounting Policies [Line Items]
Authorized shares of common stock | shares			4,600,000
Number of shares of common stock reserved for future issuance | shares			2,000,000
1997 Plan [Member]
Accounting Policies [Line Items]
Number of shares of common stock reserved for future issuance | shares			300,000
Management Services Revenue [Member]
Accounting Policies [Line Items]
Percentage of member interest in joint ventures							100.00%
Community Reimbursement Revenue [Member]
Accounting Policies [Line Items]
Percentage of member interest in joint ventures							100.00%

Summary of Significant Accoun41

Summary of Significant Accounting Policies - Computation of Basic and Diluted Net Loss Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2014	Jun. 30, 2014	Mar. 31, 2014	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Accounting Policies [Abstract]
Net loss	$ (5,950)	$ 2,871	$ (5,166)	$ (6,039)	$ (3,901)	$ (5,759)	$ (9,819)	$ (4,647)	$ (14,284)	$ (24,126)	$ (16,504)
Net loss allocated to unvested restricted shares										(598)	(513)
Undistributed net loss allocated to common shares									$ (14,284)	$ (23,528)	$ (15,991)
Weighted average shares outstanding - basic	28,749	28,732	28,705	28,565	28,387	28,371	28,298	28,146	28,688	28,301	27,815
Effects of dilutive securities:
Employee equity compensation plans									0	0	0
Weighted average shares outstanding - diluted	28,749	28,733	28,705	28,565	28,387	28,371	28,298	28,146	28,688	28,301	27,815
Basic net loss per share	$ (0.21)	$ 0.10	$ (0.18)	$ (0.21)	$ (0.13)	$ (0.20)	$ (0.34)	$ (0.16)	$ (0.50)	$ (0.83)	$ (0.58)
Diluted net loss per share	$ (0.21)	$ 0.10	$ (0.18)	$ (0.21)	$ (0.13)	$ (0.20)	$ (0.34)	$ (0.16)	$ (0.50)	$ (0.83)	$ (0.58)

Transactions with Affiliates -

Transactions with Affiliates - Additional Information (Detail) - Community	1 Months Ended
	Dec. 31, 2007	Dec. 31, 2015	Jun. 30, 2014
Schedule of Equity Method Investments [Line Items]
Percentage of member interest			100.00%
SHPIII [Member]
Schedule of Equity Method Investments [Line Items]
Equity method investment percentage		90.00%
SHPIII/CSL Management Agreement [Member]
Schedule of Equity Method Investments [Line Items]
Initial term of lease	10 years
Management fees percentage	5.00%
Percentage of member interest			100.00%
Equity method investment percentage		10.00%
Number of senior living communities		3

Acquisitions - Additional Infor

Acquisitions - Additional Information (Detail)	Oct. 30, 2015USD ($)CommunityAssisted_Living_Unit	Sep. 30, 2015USD ($)CommunityAssisted_Living_Unit	Aug. 11, 2015USD ($)CommunityAssisted_Living_Unit	Jul. 28, 2015USD ($)CommunityAssisted_Living_Unit	May. 29, 2015USD ($)CommunityIndependent_Living_UnitAssisted_Living_Unit	May. 21, 2015USD ($)CommunityAssisted_Living_Unit	Mar. 27, 2015USD ($)CommunityIndependent_Living_UnitAssisted_Living_Unit	Jan. 13, 2015USD ($)CommunityAssisted_Living_Unit	Dec. 31, 2015USD ($)	Dec. 31, 2014USD ($)
Business Acquisition [Line Items]
Additions to property and equipment									$ 148,000,000	$ 146,100,000
Finite lived intangible asset acquired in place leases during period									14,600,000
Revenue generated from acquisition									17,200,000	16,600,000
Losses before income taxes due to acquisition									$ (6,500,000)	$ (4,600,000)
Heritage Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost					$ 14,900,000
Number of acquisition closed | Community					1
Number of assisted living units | Assisted_Living_Unit					44
Transaction cost of acquisition					$ 400,000
Long term finance					$ 11,200,000
Long term fixed interest rate					4.79%
Maximum period for expansion of permanent financing					10 years
Number of independent living units | Independent_Living_Unit					64
Emerald Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost						$ 12,000,000
Number of acquisition closed | Community						2
Number of assisted living units | Assisted_Living_Unit						79
Transaction cost of acquisition						$ 200,000
Long term finance						$ 9,200,000
Long term fixed interest rate						4.55%
Maximum period for expansion of permanent financing						10 years
Baytown Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost							$ 29,600,000
Number of acquisition closed | Community							1
Number of assisted living units | Assisted_Living_Unit							120
Transaction cost of acquisition							$ 200,000
Long term finance							$ 21,400,000
Long term fixed interest rate							3.55%
Maximum period for expansion of permanent financing							10 years
Number of independent living units | Independent_Living_Unit							9
Green Bay Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost								$ 18,300,000
Number of acquisition closed | Community								1
Number of assisted living units | Assisted_Living_Unit								78
Transaction cost of acquisition								$ 100,000
Long term finance								$ 14,100,000
Long term fixed interest rate								4.35%
Maximum period for expansion of permanent financing								10 years
Mahomet Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost		$ 15,500,000
Number of acquisition closed | Community		1
Number of assisted living units | Assisted_Living_Unit		78
Transaction cost of acquisition		$ 100,000
Long term finance		$ 11,100,000
Long term fixed interest rate		4.69%
Maximum period for expansion of permanent financing		10 years
Indianapolis Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost			$ 21,000,000
Number of acquisition closed | Community			1
Number of assisted living units | Assisted_Living_Unit			124
Transaction cost of acquisition			$ 100,000
Long term finance			$ 13,200,000
Long term fixed interest rate			4.25%
Maximum period for expansion of permanent financing			10 years
Indianapolis Transaction [Member] | 4.25 % [Member]
Business Acquisition [Line Items]
Long term fixed interest rate			4.25%
Indianapolis Transaction [Member] | Maximum [Member] | 4.25 % [Member]
Business Acquisition [Line Items]
Loan commitment			$ 2,600,000
Columbiana Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost				$ 13,300,000
Number of acquisition closed | Community				1
Number of assisted living units | Assisted_Living_Unit				68
Transaction cost of acquisition				$ 100,000
Long term finance				$ 9,900,000
Long term fixed interest rate				4.25%
Maximum period for expansion of permanent financing				10 years
Columbiana Transaction [Member] | 4.25 % [Member]
Business Acquisition [Line Items]
Long term fixed interest rate				4.25%
Virginia Beach Transaction [Member]
Business Acquisition [Line Items]
Acquisition cost	$ 38,000,000
Number of acquisition closed | Community	1
Number of assisted living units | Assisted_Living_Unit	111
Transaction cost of acquisition	$ 100,000
Long term finance	$ 28,000,000
Long term fixed interest rate	4.25%
Maximum period for expansion of permanent financing	10 years
Virginia Beach Transaction [Member] | 4.25 % [Member]
Business Acquisition [Line Items]
Long term fixed interest rate	4.25%

Acquisitions - Schedule of Pro

Acquisitions - Schedule of Pro Forma Combined Results of Operations (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
January 1, 2013 Acquisitions [Member]
Loans At Acquisition Date [Line Items]
Total revenues		$ 400,653	$ 378,737
Loss before income taxes		(15,655)	$ (25,963)
January 1, 2014 Acquisitions [Member]
Loans At Acquisition Date [Line Items]
Total revenues	$ 425,789	416,518
Loss before income taxes	$ (3,616)	$ (40,880)

Acquisitions - Additional Inf45

Acquisitions - Additional Information 1 (Detail) $ in Millions	Dec. 17, 2014USD ($)CommunityAssisted_Living_Unit	Aug. 27, 2014USD ($)CommunityAssisted_Living_Unit	Aug. 04, 2014USD ($)CommunityIndependent_Living_UnitAssisted_Living_Unit
Roanoke Transaction [Member]
Business Acquisition [Line Items]
Number of acquisition closed | Community			1
Acquisition cost			$ 16.8
Number of assisted living units | Assisted_Living_Unit			60
Transaction cost of acquisition			$ 0.2
Long term finance of Fannie Mae			$ 12.9
Long term fixed rate of Fannie Mae			4.59%
Maximum period for expansion of permanent financing			10 years
Number of independent living units | Independent_Living_Unit			34
Canton Transaction [Member]
Business Acquisition [Line Items]
Number of acquisition closed | Community	1
Acquisition cost	$ 14.6
Number of assisted living units | Assisted_Living_Unit	49
Transaction cost of acquisition	$ 0.1
Long term finance of Fannie Mae	$ 10.4
Long term fixed rate of Fannie Mae	4.50%
Maximum period for expansion of permanent financing	10 years
Plymouth Transaction [Member]
Business Acquisition [Line Items]
Number of acquisition closed | Community		1
Acquisition cost		$ 13.5
Number of assisted living units | Assisted_Living_Unit		69
Transaction cost of acquisition		$ 0.1
Long term finance of Fannie Mae		$ 10.4
Long term fixed rate of Fannie Mae		4.70%
Maximum period for expansion of permanent financing		10 years

Acquisitions - Additional Inf46

Acquisitions - Additional Information 2 (Detail) $ in Thousands	Aug. 04, 2014USD ($)CommunityAssisted_Living_Unit	Jun. 30, 2014USD ($)	Jun. 30, 2014USD ($)	Dec. 31, 2014USD ($)
Business Acquisition [Line Items]
Percentage of member's equity interest		100.00%	100.00%
Equity investment valuation gain				$ 1,519
Cash proceeds				$ 2,532
SHPIII/CSL Transaction [Member]
Business Acquisition [Line Items]
Percentage of member's equity interest		100.00%	100.00%
Amount of equity interest		$ 83,600
Percentage of equity interest in joint venture		90.00%
Percentage of equity interest owned by company		10.00%
Equity investment valuation gain			$ 1,500
Cash proceeds			$ 2,500
Oshkosh Transaction [Member]
Business Acquisition [Line Items]
Number of acquisition closed | Community	1
Acquisition cost	$ 17,100
Number of assisted living units | Assisted_Living_Unit	90
Transaction cost of acquisition	$ 100
Long term finance of Fannie Mae	$ 13,200
Long term fixed rate of Fannie Mae	4.59%
Maximum period for expansion of permanent financing	10 years

Acquisitions - Additional Inf47

Acquisitions - Additional Information 3 (Detail) $ in Millions	Mar. 26, 2014USD ($)CommunityAssisted_Living_Unit	Jun. 30, 2014USD ($)	Mar. 31, 2015USD ($)	Dec. 31, 2015USD ($)	Dec. 31, 2014USD ($)
Business Acquisition [Line Items]
Transaction cost related to acquisition		$ 0.3
Additions to property and equipment				$ 148	$ 146.1
Finite lived intangible asset acquired in place leases during period				14.6
Revenue generated from acquisition				17.2	16.6
Losses before income taxes due to acquisition				(6.5)	(4.6)
Property and Equipment [Member]
Business Acquisition [Line Items]
valuation adjustments			$ 0.4	$ 0.4
Other Asset [Member]
Business Acquisition [Line Items]
Finite lived intangible asset acquired in place leases during period					$ 14.1
Aspen Grove Transaction [Member]
Business Acquisition [Line Items]
Long term fixed rate of Fannie Mae	5.43%
Maximum period for expansion of permanent financing	12 years
Acquisition cost	$ 14.6
Number of acquisition closed | Community	1
Number of assisted living units | Assisted_Living_Unit	78
Transaction cost of acquisition	$ 0.2
Long term finance of Fannie Mae	$ 11
SHPIII/CSL Miami [Member]
Business Acquisition [Line Items]
Mortgage debt		$ 16.4
Term period of mortgage loans		10 years
Long term fixed rate of Fannie Mae		4.30%
Term period of principal amortized		30 years
SHPIII/CSL Richmond Heights [Member]
Business Acquisition [Line Items]
Mortgage debt		$ 23.7
Term period of mortgage loans		10 years
Long term fixed rate of Fannie Mae		4.48%
Term period of principal amortized		30 years
SHPIII/CSL Levis Commons [Member]
Business Acquisition [Line Items]
Interim financing obtained for acquisition		$ 21.6
Interim financing variable rate		2.75%
Maximum period for expansion of permanent financing		24 months
Interim financing variable rate description				LIBOR plus 2.75%

Dispositions - Additional Infor

Dispositions - Additional Information (Detail) $ in Thousands	Aug. 06, 2015USD ($)Community	Dec. 31, 2014USD ($)	Dec. 31, 2015USD ($)Community	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Proceeds from disposition of assets			$ 43,463	$ 796	$ 1,460
Aggregate fair value less cost of disposal		$ 600
Four Property Sale Transaction [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Transaction proceeds			$ 36,500
Number of communities sold | Community			4
Proceeds from disposition of assets			$ 35,700
Aggregate fair value less cost of disposal				$ 600
Sedgwick Sale Transaction [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Transaction proceeds	$ 14,800
Number of communities sold | Community	1
Outstanding debt assumed by buyer	$ 6,800
Gain on sale of assets	6,400
Proceeds from disposition of assets	$ 8,000

Property and Equipment - Schedu

Property and Equipment - Schedule of Property and Equipment (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 1,088,557	$ 914,067
Less accumulated depreciation and amortization	197,985	166,454
Property and equipment, net	890,572	747,613
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	5,700	1,520
Land [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	61,254	54,115
Land improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 17,613	13,209
Land improvements [Member] | Minimum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	5 years
Land improvements [Member] | Maximum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	20 years
Building and building improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 897,668	764,794
Building and building improvements [Member] | Minimum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	10 years
Building and building improvements [Member] | Maximum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	40 years
Furniture And Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 42,879	34,921
Furniture And Equipment [Member] | Minimum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	5 years
Furniture And Equipment [Member] | Maximum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	10 years
Automobiles [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 4,977	3,829
Automobiles [Member] | Minimum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	5 years
Automobiles [Member] | Maximum [Member]
Property, Plant and Equipment [Line Items]
Asset Lives	7 years
Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 58,466	$ 41,679

Property and Equipment - Additi

Property and Equipment - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2015	Dec. 31, 2015	Dec. 31, 2014
Property, Plant and Equipment [Line Items]
Capitalized computer software development costs		$ 3,000	$ 3,000
Capitalized computer software development costs, accumulated depreciation and amortization		2,600	2,500
Assets under capital lease included in Property and Equipment		1,088,557	914,067
Assets under capital lease, accumulated amortization		197,985	166,454
Assets Held under Capital Leases [Member]
Property, Plant and Equipment [Line Items]
Assets under capital lease included in Property and Equipment		32,400	32,400
Assets under capital lease, accumulated amortization		13,700	$ 12,800
Property and Equipment [Member]
Property, Plant and Equipment [Line Items]
valuation adjustments	$ 400	$ 400

Other Assets - Schedule of Othe

Other Assets - Schedule of Other Assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Jun. 27, 2014
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Deferred lease costs, net	$ 8,211	$ 9,684	$ 2,000
Security and other deposits	12,953	11,324
In-place lease intangibles, net	7,719	7,443
Other	2,310	2,732
Other assets, net	$ 31,193	$ 31,183

Other Assets - Additional Infor

Other Assets - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended	12 Months Ended
	Mar. 31, 2015	Dec. 31, 2015	Dec. 31, 2014
Notes Payable [Member]
Other Assets [Line Items]
valuation adjustments		$ 6.3
Leases, Acquired-in-Place [Member]
Other Assets [Line Items]
Gross in-place lease intangibles		74.9	$ 60.6
Accumulated amortization		67.2	$ 52.8
Property and Equipment [Member]
Other Assets [Line Items]
valuation adjustments	$ 0.4	$ 0.4

Accrued Expenses - Schedule of

Accrued Expenses - Schedule of Accrued Expenses (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Other Income and Expenses [Abstract]
Accrued salaries, bonuses and related expenses	$ 11,121	$ 9,865
Accrued property taxes	14,087	13,050
Accrued interest	3,035	2,485
Accrued health claims and workers comp	3,230	4,026
Accrued professional fees	748	771
Other	2,079	1,957
Accrued Expenses, Current, Total	$ 34,300	$ 32,154

Notes Payable - Schedule of Not

Notes Payable - Schedule of Notes Payable (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Debt Instrument [Line Items]
Less deferred loan costs, net	$ 8,500	$ 6,300
Notes Payable [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 4,490
Interest rate	4.60%
Notes Payable	$ 777,116	646,600
Less deferred loan costs, net	8,533	6,331
Deferred loan costs, Total	768,583	640,269
Current portion of notes payable	13,634	47,385
Notes payable, Noncurrent, Total	754,949	592,884
Notes Payable [Member] | Fannie Mae Maturing on August 2021 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	78
Net Book Value Of Collateral	$ 15,214
Interest rate	5.69%
Maturity Date	2021-08
Notes Payable	$ 12,716	12,915
Notes Payable [Member] | Fannie Mae Maturing on October 2021 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	26
Net Book Value Of Collateral	$ 5,594
Interest rate	4.97%
Maturity Date	2021-10
Notes Payable	$ 4,502	4,582
Notes Payable [Member] | Fannie Mae Two Maturing on October 2021 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	101
Net Book Value Of Collateral	$ 21,093
Interest rate	4.92%
Maturity Date	2021-10
Notes Payable	$ 17,779	18,096
Notes Payable [Member] | Fannie Mae Three Maturing on October 2021 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	27
Net Book Value Of Collateral	$ 21,093
Interest rate	5.19%
Maturity Date	2021-10
Notes Payable	$ 4,978
Notes Payable [Member] | Fannie Mae Maturing on November 2021 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	117
Net Book Value Of Collateral	$ 24,283
Interest rate	4.92%
Maturity Date	2021-11
Notes Payable	$ 20,674	21,041
Notes Payable [Member] | Fannie Mae Maturing on March 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	27
Net Book Value Of Collateral	$ 6,273
Interest rate	4.38%
Maturity Date	2022-03
Notes Payable	$ 5,036	5,132
Notes Payable [Member] | Fannie Mae Maturing on April 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	60
Net Book Value Of Collateral	$ 12,507
Interest rate	4.76%
Maturity Date	2022-04
Notes Payable	$ 10,814	11,007
Notes Payable [Member] | Fannie Mae Two Maturing on April 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	135
Net Book Value Of Collateral	$ 28,287
Interest rate	4.69%
Maturity Date	2022-04
Notes Payable	$ 24,584	25,026
Notes Payable [Member] | Fannie Mae Maturing on May 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	60
Net Book Value Of Collateral	$ 15,981
Interest rate	4.48%
Maturity Date	2022-05
Notes Payable	$ 11,141	11,348
Notes Payable [Member] | Fannie Mae Maturing on November 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	144
Net Book Value Of Collateral	$ 34,998
Interest rate	4.34%
Maturity Date	2022-11
Notes Payable	$ 27,462	27,970
Notes Payable [Member] | Fannie Mae Two Maturing on November 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	33
Net Book Value Of Collateral	$ 7,685
Interest rate	4.50%
Maturity Date	2022-11
Notes Payable	$ 6,113	6,222
Notes Payable [Member] | Fannie Mae Three Maturing on November 2022 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	43
Net Book Value Of Collateral	$ 26,987
Interest rate	5.49%
Maturity Date	2022-11
Notes Payable	$ 7,592
Notes Payable [Member] | Fannie Mae Maturing on January 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	84
Net Book Value Of Collateral	$ 18,439
Interest rate	4.32%
Maturity Date	2023-01
Notes Payable	$ 16,164	16,460
Notes Payable [Member] | Fannie Mae Two Maturing on January 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	49
Net Book Value Of Collateral	$ 18,439
Interest rate	5.39%
Maturity Date	2023-01
Notes Payable	$ 8,684
Notes Payable [Member] | Fannie Mae Three Maturing on January 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	39
Net Book Value Of Collateral	$ 8,682
Interest rate	4.58%
Maturity Date	2023-01
Notes Payable	$ 7,224	7,350
Notes Payable [Member] | Fannie Mae Maturing on April 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	85
Net Book Value Of Collateral	$ 18,782
Interest rate	4.66%
Maturity Date	2023-04
Notes Payable	$ 15,700	15,967
Notes Payable [Member] | Fannie Mae Two Maturing n April 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	18
Net Book Value Of Collateral	$ 5,524
Interest rate	5.46%
Maturity Date	2023-04
Notes Payable	$ 3,150
Notes Payable [Member] | Fannie Mae Maturing on October 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	45
Net Book Value Of Collateral	$ 8,700
Interest rate	5.93%
Maturity Date	2023-10
Notes Payable	$ 7,411	7,506
Notes Payable [Member] | Fannie Mae Maturing on November 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	67
Net Book Value Of Collateral	$ 14,242
Interest rate	5.50%
Maturity Date	2023-11
Notes Payable	$ 11,526	11,686
Notes Payable [Member] | Fannie Mae Two Maturing on November 2023 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	67
Net Book Value Of Collateral	$ 13,028
Interest rate	5.38%
Maturity Date	2023-11
Notes Payable	$ 11,591	11,756
Notes Payable [Member] | Fannie Mae Maturing on January 2024 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	282
Net Book Value Of Collateral	$ 55,740
Interest rate	5.56%
Maturity Date	2024-01
Notes Payable	$ 48,071	48,722
Notes Payable [Member] | Fannie Mae Maturing on July 2024[Member]
Debt Instrument [Line Items]
Average Monthly Payment	632
Net Book Value Of Collateral	$ 118,792
Interest rate	4.24%
Maturity Date	2024-07
Notes Payable	$ 125,677	134,650
Notes Payable [Member] | Fannie Mae Maturing on September 2024 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	134
Net Book Value Of Collateral	$ 29,273
Interest rate	4.59%
Maturity Date	2024-09
Notes Payable	$ 25,666	26,070
Notes Payable [Member] | Fannie Mae Two Maturing on January 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	95
Net Book Value Of Collateral	$ 6,579
Interest rate	4.46%
Maturity Date	2025-01
Notes Payable	$ 18,651	18,923
Notes Payable [Member] | Fannie Mae Maturing on February 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	70
Net Book Value Of Collateral	$ 16,630
Interest rate	4.35%
Maturity Date	2025-02
Notes Payable	$ 13,909
Notes Payable [Member] | Fannie Mae Maturing on March 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	109
Net Book Value Of Collateral	$ 9,434
Interest rate	3.85%
Maturity Date	2025-03
Notes Payable	$ 22,939
Notes Payable [Member] | Fannie Mae Maturing on April 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	102
Net Book Value Of Collateral	$ 26,078
Interest rate	3.84%
Maturity Date	2025-04
Notes Payable	$ 21,548
Notes Payable [Member] | Fannie Mae Maturing on June 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	47
Net Book Value Of Collateral	$ 10,404
Interest rate	4.55%
Maturity Date	2025-06
Notes Payable	$ 9,087
Notes Payable [Member] | Fannie Mae Maturing on October 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	58
Net Book Value Of Collateral	$ 13,677
Interest rate	4.69%
Maturity Date	2025-10
Notes Payable	$ 11,122
Notes Payable [Member] | Fannie Mae Maturing on December 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	273
Net Book Value Of Collateral	$ 41,027
Interest rate	4.68%
Maturity Date	2025-12
Notes Payable	$ 52,774
Notes Payable [Member] | Fannie Mae Maturing on April 2026 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	62
Net Book Value Of Collateral	$ 12,144
Interest rate	5.43%
Maturity Date	2026-04
Notes Payable	$ 10,761	10,908
Notes Payable [Member] | Protective Life Maturing on April 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	96
Net Book Value Of Collateral	$ 26,385
Interest rate	3.55%
Maturity Date	2025-04
Notes Payable	$ 21,081
Notes Payable [Member] | Protective Life Maturing on August 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	49
Net Book Value Of Collateral	$ 12,207
Interest rate	4.25%
Maturity Date	2025-08
Notes Payable	$ 9,882
Notes Payable [Member] | Protective Life Maturing on September 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	65
Net Book Value Of Collateral	$ 19,045
Interest rate	4.25%
Maturity Date	2025-09
Notes Payable	$ 13,145
Notes Payable [Member] | Protective Life Maturing on November 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	138
Net Book Value Of Collateral	$ 34,327
Interest rate	4.25%
Maturity Date	2025-11
Notes Payable	$ 27,961
Notes Payable [Member] | Berkadia One Maturing on January 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-01
Notes Payable		13,777
Notes Payable [Member] | Berkadia One Maturing on February 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-02
Notes Payable		4,550
Notes Payable [Member] | Berkadia One Maturing on September 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-09
Notes Payable		8,472
Notes Payable [Member] | Berkadia Maturing on July 2017 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 48
Net Book Value Of Collateral	$ 14,359
Maturity Date	2017-07
Notes Payable	$ 11,800	11,800
Notes Payable [Member] | Wells Fargo Maturing on March 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-03
Notes Payable		21,600
Notes Payable [Member] | HUD Maturing on September 2045 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 16
Net Book Value Of Collateral	$ 5,759
Interest rate	4.48%
Maturity Date	2045-09
Notes Payable	$ 3,093	3,142
Notes Payable [Member] | Insurance Financing Maturing on October 2016 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 71
Interest rate	1.73%
Maturity Date	2016-10
Notes Payable	$ 711
Notes Payable [Member] | Insurance Financing Maturing on April 2016 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 138
Interest rate	1.73%
Maturity Date	2016-04
Notes Payable	$ 553
Notes Payable [Member] | Insurance Financing Maturing on March 2016 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 208
Interest rate	1.79%
Maturity Date	2016-03
Notes Payable	$ 625	3,095
Notes Payable [Member] | Insurance Financing Maturing on February 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-02
Notes Payable		390
Notes Payable [Member] | Insurance Financing Maturing on September 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-09
Notes Payable		580
Notes Payable [Member] | Fannie Mae One Maturing on November 2015 [Member]
Debt Instrument [Line Items]
Notes Payable		26,809
Notes Payable [Member] | Fannie Mae Two Maturing on November 2015 [Member]
Debt Instrument [Line Items]
Notes Payable		5,372
Notes Payable [Member] | Fannie Mae Two Maturing on July 2024 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	$ 120
Net Book Value Of Collateral	$ 27,851
Interest rate	4.48%
Maturity Date	2024-07
Notes Payable	$ 23,196	23,572
Notes Payable [Member] | Fannie Mae Two Maturing on September 2024 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	54
Net Book Value Of Collateral	$ 11,550
Interest rate	4.70%
Maturity Date	2024-09
Notes Payable	$ 10,200	10,357
Notes Payable [Member] | Fannie Mae Two Maturing on October 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	44
Net Book Value Of Collateral	$ 10,380
Interest rate	4.70%
Maturity Date	2025-10
Notes Payable	$ 8,406
Notes Payable [Member] | Fannie Mae Two Maturing on June 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	59
Net Book Value Of Collateral	$ 13,014
Interest rate	4.79%
Maturity Date	2025-06
Notes Payable	$ 11,095
Notes Payable [Member] | Fannie Mae Three Maturing on July 2024 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	81
Net Book Value Of Collateral	$ 20,660
Interest rate	4.30%
Maturity Date	2024-07
Notes Payable	$ 16,035	16,304
Notes Payable [Member] | Fannie Mae Three Maturing on June 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	81
Net Book Value Of Collateral	$ 16,535
Interest rate	5.30%
Maturity Date	2025-06
Notes Payable	$ 14,029	14,237
Notes Payable [Member] | Fannie Mae Maturing on January 2025 [Member]
Debt Instrument [Line Items]
Average Monthly Payment	53
Net Book Value Of Collateral	$ 13,093
Interest rate	4.50%
Maturity Date	2025-01
Notes Payable	$ 10,258	10,406
Notes Payable [Member] | Berkadia Two Maturing on February 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-02
Notes Payable		9,500
Notes Payable [Member] | Berkadia Two Maturing on January 2015 [Member]
Debt Instrument [Line Items]
Maturity Date	2015-01
Notes Payable		$ 9,300

Notes Payable - Schedule of N55

Notes Payable - Schedule of Notes Payable (Parenthetical) (Detail) $ in Millions	Nov. 12, 2015	Sep. 24, 2015	Aug. 06, 2015USD ($)	Mar. 05, 2015	Feb. 17, 2015	Feb. 04, 2015	Dec. 31, 2015Facility
Debt Instrument [Line Items]
Number of facilities owned | Facility							69
Sedgwick Sale Transaction [Member]
Debt Instrument [Line Items]
Outstanding debt assumed by buyer | $			$ 6.8
Berkadia One Maturing on February 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term					10 years
Fixed interest rate					3.85%
Berkadia One Maturing on September 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term		10 years
Fixed interest rate		4.70%
Berkadia Two Maturing on February 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term					10 years
Fixed interest rate					3.85%
Wells Fargo Maturing on March 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term				10 years
Fixed interest rate				3.84%
Berkadia Maturing on July 2017 [Member]
Debt Instrument [Line Items]
Lease expiration date						Jul. 10, 2017
Berkadia Maturing on July 2017 [Member] | Notes Payable [Member]
Debt Instrument [Line Items]
Acquisition price at a variable rate							LIBOR plus 4.50%
Basis on variable rate							4.50%
Interest Rate							4.79%
Fannie Mae One Maturing on November 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term	10 years
Fixed interest rate	4.68%
Fannie Mae Two Maturing on November 2015 [Member]
Debt Instrument [Line Items]
Mortgage loans term	10 years
Fixed interest rate	4.68%

Notes Payable - Summary of Aggr

Notes Payable - Summary of Aggregate Scheduled Maturities of Notes Payable (Detail) - Notes Payable [Member] $ in Thousands	Dec. 31, 2015USD ($)
Debt Instrument [Line Items]
2,016	$ 14,698
2,017	25,318
2,018	14,158
2,019	14,829
2,020	15,443
Thereafter	692,670
Total	$ 777,116

Notes Payable - Additional Info

Notes Payable - Additional Information (Detail)

Dec. 17, 2015USD ($)Community

Nov. 24, 2015USD ($)

Nov. 12, 2015USD ($)Community

Nov. 04, 2015USD ($)

Oct. 30, 2015USD ($)

Sep. 30, 2015USD ($)

Sep. 24, 2015USD ($)

Aug. 11, 2015USD ($)

Aug. 06, 2015USD ($)Community

Jul. 28, 2015USD ($)

May. 31, 2015USD ($)

May. 29, 2015USD ($)

May. 21, 2015USD ($)

Mar. 27, 2015USD ($)

Mar. 05, 2015USD ($)Community

Feb. 17, 2015USD ($)CommunityProperty

Jan. 22, 2015USD ($)

Dec. 23, 2014USD ($)Community

Dec. 17, 2014USD ($)

Aug. 27, 2014USD ($)

Aug. 04, 2014USD ($)

Jun. 27, 2014USD ($)Community

May. 31, 2014USD ($)

Mar. 26, 2014USD ($)

Jun. 30, 2014USD ($)

Dec. 31, 2015USD ($)Community

Jan. 13, 2015USD ($)

Dec. 31, 2014USD ($)

Mar. 25, 2011USD ($)

Sep. 10, 2010USD ($)

Apr. 16, 2010USD ($)

Debt Instrument [Line Items]

Senior living communities operated by company | Community

121

Deferred financing cost

$ 2,000,000

$ 8,211,000

$ 9,684,000

Unamortized deferred financing cost

500,000

Prepayment premium

6,500,000

Cash proceeds

$ 36,500,000

Letters of credit

$ 2,600,000

$ 2,200,000

$ 1,700,000

Accumulated amortization

1,800,000

$ 2,200,000

Amortization expense

1,100,000

Fannie Mae [Member]

Debt Instrument [Line Items]

Unamortized deferred financing cost

500,000

Accumulated amortization

$ 1,400,000

1.73 % [Member]

Debt Instrument [Line Items]

Finance agreement, amount

$ 1,700,000

Finance agreement, fixed interest rate

1.73%

Finance agreement, term

11 months

Financing Agreement [Member]

Debt Instrument [Line Items]

Finance agreement, fixed interest rate

1.92%

Finance agreement, term

9 months

Renewed insurance policies and finance agreement

$ 1,700,000

Columbus and Chardon, Ohio, and Greenwood, Indiana [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

3

Mortgage debt maturity

2022-11

Fixed interest rate

5.49%

Deferred financing cost

$ 200,000

Columbus and Chardon, Ohio, and Greenwood, Indiana [Member] | 3 Senior Living Communities [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 7,600,000

Elkhorn, Nebraska [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt maturity

2023-04

Fixed interest rate

5.46%

Deferred financing cost

$ 100,000

Elkhorn, Nebraska [Member] | 1 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 3,200,000

Springfield, Missouri [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt maturity

2023-01

Fixed interest rate

5.39%

Deferred financing cost

$ 100,000

Springfield, Missouri [Member] | 1 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 8,700,000

Columbia, South Carolina, Deer Park and Pantego, Texas, and South Bend, Indiana [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 52,800,000

Senior living communities operated by company | Community

4

Mortgage debt maturity

2017-06

Fixed interest rate

4.68%

Deferred financing cost

$ 600,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Unamortized deferred financing cost

100,000

Prepayment premium

1,700,000

Columbia, South Carolina, Deer Park and Pantego, Texas, and South Bend, Indiana [Member] | 4 Senior Living Communities [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 31,600,000

Macedonia [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt maturity

2021-10

Fixed interest rate

5.19%

Deferred financing cost

$ 100,000

Term period for principle amortization

30 years

Macedonia [Member] | 1 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 5,000,000

Georgia [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.70%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Georgia [Member] | 1 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 8,400,000

Toledo [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 21,800,000

Fixed interest rate

3.84%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Unamortized deferred financing cost

79,000

Prepayment premium

55,000

Cash proceeds

200,000

Toledo [Member] | 1 Senior Living Community [Member] | Wells Fargo [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 21,600,000

Senior living communities operated by company | Community

1

Peoria [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Fixed interest rate

3.85%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Unamortized deferred financing cost

200,000

Prepayment premium

500,000

Repayment of debt

$ 14,100,000

Number of owned properties | Property

2

Peoria [Member] | 1 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 23,200,000

Senior living communities operated by company | Community

1

Lincoln, Nebraska [Member] | Freddie Mac [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

1

Prepayment premium

$ 900,000

Unamortized deferred financing cost

$ 48,000

Lincoln, Nebraska [Member] | 1 Senior Living Community [Member] | Freddie Mac [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 8,400,000

4.46% [Member] | Lincoln, Nebraska [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 18,900,000

Fixed interest rate

4.46%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

4.24% [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

12

Fixed interest rate

4.24%

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

4.24% [Member] | Freddie Mac [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

15

4.24% [Member] | 15 Senior Living Community [Member] | Freddie Mac [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 111,900,000

4.24% [Member] | 12 Senior Living Community [Member] | Fannie Mae [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 135,500,000

Canton Transaction [Member] | 4.50% Debt [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 10,400,000

Fixed interest rate

4.50%

Deferred financing cost

$ 100,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

SHPIII/CSL Miami [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 16,400,000

Fixed interest rate

4.30%

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

SHPIII/CSL Miami [Member] | 4.30% [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 16,400,000

Fixed interest rate

4.30%

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

SHPIII/CSL Richmond Heights [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 23,700,000

Fixed interest rate

4.48%

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

SHPIII/CSL Richmond Heights [Member] | 4.48% [[Member]

Debt Instrument [Line Items]

Mortgage debt

$ 23,700,000

Fixed interest rate

4.48%

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

SHPIII/CSL Levis Commons [Member]

Debt Instrument [Line Items]

Deferred financing cost

$ 500,000

Finance agreement, term

24 months

Interim financing obtained for acquisition

$ 21,600,000

Interim financing variable rate description

LIBOR plus 2.75%

Interim financing variable rate

2.75%

SHPIII/CSL Levis Commons [Member] | London Interbank Offered Rate (LIBOR) [Member]

Debt Instrument [Line Items]

Interim financing variable rate description

LIBOR plus 2.75%

Interim financing variable rate

2.75%

Indianapolis Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.25%

Mortgage loan outstanding balance

$ 13,200,000

Indianapolis Transaction [Member] | 4.25 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 13,200,000

Fixed interest rate

4.25%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Indianapolis Transaction [Member] | Maximum [Member] | 4.25 % [Member]

Debt Instrument [Line Items]

Loan commitment

$ 2,600,000

Virginia Beach Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.25%

Mortgage loan outstanding balance

$ 28,000,000

Virginia Beach Transaction [Member] | 4.25 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 28,000,000

Fixed interest rate

4.25%

Deferred financing cost

$ 400,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Mahomet Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.69%

Mortgage loan outstanding balance

$ 11,100,000

Mahomet Transaction [Member] | 4.69 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 11,100,000

Fixed interest rate

4.69%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Columbiana Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.25%

Mortgage loan outstanding balance

$ 9,900,000

Columbiana Transaction [Member] | 4.25 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 9,900,000

Fixed interest rate

4.25%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Heritage Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.79%

Mortgage loan outstanding balance

$ 11,200,000

Heritage Transaction [Member] | 4.79 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 11,200,000

Fixed interest rate

4.79%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Emerald Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.55%

Mortgage loan outstanding balance

$ 9,200,000

Emerald Transaction [Member] | 4.55 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 9,200,000

Fixed interest rate

4.55%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Baytown Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

3.55%

Mortgage loan outstanding balance

$ 21,400,000

Baytown Transaction [Member] | 3.55 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 21,400,000

Fixed interest rate

3.55%

Deferred financing cost

$ 200,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Green Bay Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.35%

Mortgage loan outstanding balance

$ 14,100,000

Green Bay Transaction [Member] | 4.35 % [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 14,100,000

Fixed interest rate

4.35%

Deferred financing cost

$ 100,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Sedgwick Sale Transaction [Member]

Debt Instrument [Line Items]

Unamortized deferred financing cost

$ 100,000

Outstanding debt assumed by buyer

$ 6,800,000

Number of communities sold | Community

1

Four Property Sale Transaction [Member]

Debt Instrument [Line Items]

Outstanding mortgage debt defeased in conjunction

$ 13,700,000

Mortgage loan outstanding balance

5,700,000

Number of communities sold | Community

4

Four Property Sale Transaction [Member] | Peoria [Member]

Debt Instrument [Line Items]

Unamortized deferred financing cost

18,000

Number of communities sold | Community

4

Mortgage loan outstanding

$ 8,000,000

Note maturity date

Sep. 1, 2015

Aspen Grove Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

5.43%

Mortgage loan outstanding balance

$ 11,000,000

Aspen Grove Transaction [Member] | 5.43% [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 11,000,000

Fixed interest rate

5.43%

Deferred financing cost

$ 200,000

Term period of mortgage loans

12 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

12 years

Plymouth Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.70%

Mortgage loan outstanding balance

$ 10,400,000

Plymouth Transaction [Member] | 4.70% [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 10,400,000

Fixed interest rate

4.70%

Deferred financing cost

$ 100,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Roanoke Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.59%

Mortgage loan outstanding balance

$ 12,900,000

Roanoke Transaction [Member] | 4.59% [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 12,900,000

Fixed interest rate

4.59%

Deferred financing cost

$ 100,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Oshkosh Transaction [Member]

Debt Instrument [Line Items]

Fixed interest rate

4.59%

Mortgage loan outstanding balance

$ 13,200,000

Oshkosh Transaction [Member] | 4.59% [Member]

Debt Instrument [Line Items]

Mortgage debt

$ 13,200,000

Fixed interest rate

4.59%

Deferred financing cost

$ 100,000

Term period of mortgage loans

10 years

Term period for principle amortization

30 years

Deferred financing costs amortization period

10 years

Berkadia [Member] | London Interbank Offered Rate (LIBOR) [Member]

Debt Instrument [Line Items]

Interim financing variable rate description

LIBOR plus 4.50%

Berkadia [Member] | 1 Senior Living Community [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

1

Finance agreement, term

24 months

Interim financing obtained for acquisition

$ 11,800,000

Berkadia [Member] | 1 Senior Living Community [Member] | London Interbank Offered Rate (LIBOR) [Member]

Debt Instrument [Line Items]

Interim financing variable rate

4.50%

Berkadia [Member] | 2 Senior Living Community [Member]

Debt Instrument [Line Items]

Senior living communities operated by company | Community

2

Finance agreement, term

12 months

Interim financing obtained for acquisition

$ 9,300,000

Berkadia [Member] | 2 Senior Living Community [Member] | London Interbank Offered Rate (LIBOR) [Member]

Debt Instrument [Line Items]

Interim financing variable rate

4.50%

Equity - Additional Information

Equity - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2009	Jan. 22, 2009
Equity [Abstract]
Preferred stock, shares outstanding	0	0
Authorization for purchase of company's common stock					$ 10,000,000
Purchase common stock shares	0	0	0	349,800
Average cost of per share				$ 2.67
Purchase common stock value				$ 900,000

Stock-Based Compensation - Addi

Stock-Based Compensation - Additional Information (Detail) - USD ($)	Feb. 24, 2016	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock options vesting period, Minimum		1 year
Stock options vesting period, Maximum		5 years
Intrinsic value of stock options outstanding and exercisable		$ 30,000,000	$ 100,000	$ 300,000
Period of recognition for compensation expense, Minimum		1 year
Period of recognition for compensation expense, Maximum		4 years
Compensation expense recognized		$ 8,800,000	7,300,000	4,300,000
Expected dividend yield		0.00%
Unrecognized stock based compensation expense, net of estimated forfeitures		$ 8,300,000
Restricted Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Compensation expense recognized		0
Restricted stock outstanding, intrinsic value		$ 16,300,000	$ 17,500,000	$ 20,900,000
Restricted common stock, Granted		467,944	350,716	403,715
Performance-based restricted stock, Granted		130,000
Average market value of restricted common stock awarded to certain employees and directors of company		$ 24.08
Restricted stock award vesting period, Minimum		1 year
Restricted stock award vesting period, Maximum		4 years
Restricted stock outstanding		$ 11,300,000
Restricted Stock [Member] | Directors [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted common stock, Granted		11,756
Restricted stock outstanding		$ 300,000
Average market value of common stock awarded to certain employees and directors of company		$ 25.52
Restricted stock award vesting period		1 year
Restricted Stock [Member] | Subsequent Event [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted common stock, Granted	541,327
Performance-based restricted stock, Granted	199,692
Average market value of restricted common stock awarded to certain employees and directors of company	$ 15.92
Restricted stock award vesting period, Minimum	1 year
Restricted stock award vesting period, Maximum	4 years
Restricted stock outstanding	$ 8,600,000
Performance Stock Awards [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		1 year
Nonperformance Stock Awards [Member] | Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		1 year
Nonperformance Stock Awards [Member] | Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		4 years

Stock-Based Compensation - Stoc

Stock-Based Compensation - Stock Option Activity and Related Information (Detail) - $ / shares	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Shares, Outstanding at Beginning of Year	6,000	19,000	265,930
Shares, Granted	0	0	0
Shares, Exercised	3,000	13,000	246,930
Shares, Forfeited	0	0	0
Shares, Outstanding End of Year	3,000	6,000	19,000
Shares, Options Exercisable	3,000	6,000	19,000
Weighted average exercise price per share, Outstanding at Beginning of Year	$ 8.44	$ 7.10	$ 6.28
Weighted average exercise price per share, Granted	0	0	0
Weighted average exercise price per share, Exercised	5.90	6.48	6.21
Weighted average exercise price per share, Forfeited	0	0	0
Weighted average exercise price per share, Outstanding End of Year	10.97	8.44	7.10
Weighted average exercise price per share, Options Exercisable	$ 10.97	$ 8.44	$ 7.10

Stock-Based Compensation - Summ

Stock-Based Compensation - Summary of Options Outstanding and Options Exercisable (Detail)	12 Months Ended
	Dec. 31, 2015$ / sharesshares
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Upper range	$ 10.97
Options outstanding end of year | shares	3,000
Weighted average remaining contractual life (years), option outstanding	4 months 6 days
Weighted average exercise price options outstanding	$ 10.97
Options exercisable, number exercisable at end of year | shares	3,000
Weighted average exercise price options exercisable	$ 10.97

Stock-Based Compensation - Rest

Stock-Based Compensation - Restricted Stock Awards Activity and Related Information (Detail) - Restricted Stock [Member] - shares	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares, Outstanding at Beginning of Year	702,718	870,217	803,218
Shares, Issued	467,944	350,716	403,715
Shares, Vested	358,716	406,072	312,980
Shares, Forfeited	28,636	112,143	23,736
Shares, Outstanding End of Year	783,310	702,718	870,217

Income Taxes - Schedule of Prov

Income Taxes - Schedule of Provision for Income Taxes (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Current:
Federal			$ (5,411)
State	$ 900	$ 719	377
Deferred:
Federal			6,251
State			4,542
Income Tax Continuing Operations, Total	$ 900	$ 719	$ 5,759

Income Taxes - Summary of Provi

Income Taxes - Summary of Provision for Income Taxes Differed from Amounts of Income Tax Provision Determined by Applying U.S. Federal Statutory Income Tax Rate to Income Before Benefit for Income Taxes (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Tax Disclosure [Abstract]
Tax (benefit) provision at federal statutory rates	$ (4,515)	$ (7,958)	$ (3,653)
State income tax expense, net of federal effects	64	(90)	401
Federal and state income tax return true up			325
State effective rate changes		6	(20)
Change in deferred tax asset valuation allowance	4,986	8,456	8,810
Other	365	305	(104)
Income Tax Continuing Operations, Total	$ 900	$ 719	$ 5,759

Income Taxes - Summary of Defer

Income Taxes - Summary of Deferred Tax Assets and Liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Deferred tax assets:
Deferred gains on sale/leaseback transactions	$ 6,176	$ 7,027
Net operating loss carryforward (expiring up to 2032)	15,144	12,556
Compensation costs	1,804	972
Investments in unconsolidated joint ventures	0	0
Capital loss carryforward	0	0
Other	2,802	1,806
Total deferred tax assets	25,926	22,361
Valuation Allowance	(22,252)	(17,266)
Total deferred tax assets, net	3,674	5,095
Deferred tax liabilities:
Depreciation and amortization	(3,674)	(5,095)
Total deferred tax assets, net	0	0
Current deferred tax assets, net		460
Long-term deferred tax (liabilities) assets, net		(460)
Total deferred tax assets, net	$ 0	$ 0

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2015USD ($)Community	Dec. 31, 2014Community
Income Tax Contingency [Line Items]
Deferred tax assets related to federal Net operating loss carry forwards	$ 11,700,000
Deferred tax assets related to state Net operating loss carry forwards	$ 3,100,000
Texas communities consolidated | Community	37	36
Domestic Tax Authority [Member]
Income Tax Contingency [Line Items]
Net operating loss carry forwards	$ 34,700,000
Alternative minimum tax credit carryforward	300,000
Operating loss carryforward additional	10,400,000
State and Local Jurisdiction [Member]
Income Tax Contingency [Line Items]
Net operating loss carry forwards	$ 63,300,000
Minimum [Member]
Income Tax Contingency [Line Items]
Federal NOL expiration period period	2,033
State NOL expiration period	2,016
Maximum [Member]
Income Tax Contingency [Line Items]
Federal NOL expiration period period	2,035
State NOL expiration period	2,035

Employee Benefit Plans - Additi

Employee Benefit Plans - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Compensation Related Costs [Abstract]
Employer matching contributions from annual salary	4.00%
Percentage of employer match	50.00%
Contributed to the Plan annually	$ 500,000	$ 500,000	$ 400,000
Administrative expenses	$ 20,900	$ 15,000	$ 15,300

Fair Value of Financial Instr68

Fair Value of Financial Instruments - Carrying Amounts and Fair Values of Financial Instruments (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Restricted cash	$ 13,159	$ 12,241
Carrying Amount [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Cash and cash equivalents	56,087	39,209
Restricted cash	13,159	12,241
Notes payable	777,116	646,600
Fair Value [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Cash and cash equivalents	56,087	39,209
Restricted cash	13,159	12,241
Notes payable	$ 724,769	$ 647,449

Allowance for Doubtful Accoun69

Allowance for Doubtful Accounts - Schedule of Allowance for Doubtful Accounts (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Receivables [Abstract]
Balance at beginning of year	$ 2,321	$ 1,900	$ 1,825
Provision for bad debts, net of recoveries	1,192	717	497
Write-offs and other	(325)	(296)	(422)
Balance at end of year	$ 3,188	$ 2,321	$ 1,900

Lease - Summary of Company's Fa

Lease - Summary of Company's Facility Lease Agreements (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2015USD ($)Community	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Schedule Of Operating Leases [Line Items]
Lease Acquisition Costs	$ 15,100
Deferred Gains / Lease Concessions	37,500
Accumulated amortization through December 31, 2015	(1,421)	$ (1,230)	$ (1,164)
Accumulated deferred gains / lease concessions recognized through December 31, 2015	(20,200)
Net lease acquisition costs as of December 31, 2015	7,700
Net deferred gains / lease concessions as of December 31, 2015	17,300
Property Subject to Operating Lease [Member]
Schedule Of Operating Leases [Line Items]
Accumulated amortization through December 31, 2015	$ (7,400)
HCP May 31, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	May 31, 2006
Number of Communities | Community	6
Value of Transaction	$ 43,000
Term	20 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 200
Deferred Gains / Lease Concessions	$ 600
HCN April 16, 2010 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Apr. 16, 2010
Number of Communities | Community	5
Value of Transaction	$ 48,500
Term	15 years
Initial Lease Rate	8.25%
Lease Acquisition Costs	$ 600
Deferred Gains / Lease Concessions	$ 800
Ventas September 30, 2005 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Sep. 30, 2005
Number of Communities | Community	6
Value of Transaction	$ 84,600
Term	10 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 9,500
Deferred Gains / Lease Concessions	$ 4,600
Ventas October 18, 2005 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Oct. 18, 2005
Number of Communities | Community	1
Value of Transaction	$ 19,500
Term	10 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 300
Ventas June 8, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Jun. 8, 2006
Number of Communities | Community	1
Value of Transaction	$ 19,100
Term	10 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 600
Ventas January 31, 2008 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Jan. 31, 2008
Number of Communities | Community	1
Value of Transaction	$ 5,000
Term	10 years
Initial Lease Rate	7.75%
Lease Acquisition Costs	$ 200
Ventas June 27, 2012 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Jun. 27, 2012
Number of Communities | Community	2
Value of Transaction	$ 43,300
Term	10 years
Initial Lease Rate	6.75%
Lease Acquisition Costs	$ 800
HCP May 1, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	May 1, 2006
Number of Communities | Community	3
Value of Transaction	$ 54,000
Term	20 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 300
Deferred Gains / Lease Concessions	$ 12,800
HCP December 1, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Dec. 1, 2006
Number of Communities | Community	4
Value of Transaction	$ 51,000
Term	20 years
Initial Lease Rate	8.00%
Lease Acquisition Costs	$ 700
HCP December 14, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Dec. 14, 2006
Number of Communities | Community	1
Value of Transaction	$ 18,000
Term	20 years
Initial Lease Rate	7.75%
Lease Acquisition Costs	$ 300
HCP April 11, 2007 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Apr. 11, 2007
Number of Communities | Community	1
Value of Transaction	$ 8,000
Term	20 years
Initial Lease Rate	7.25%
Lease Acquisition Costs	$ 100
HCN May 1, 2010 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	May 1, 2010
Number of Communities | Community	3
Value of Transaction	$ 36,000
Term	15 years
Initial Lease Rate	8.25%
Lease Acquisition Costs	$ 200
Deferred Gains / Lease Concessions	$ 400
HCN September 10, 2010 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Sep. 10, 2010
Number of Communities | Community	12
Value of Transaction	$ 104,600
Term	15 years
Initial Lease Rate	8.50%
Lease Acquisition Costs	$ 400
Deferred Gains / Lease Concessions	$ 2,000
HCN April 8, 2011 [Member]
Schedule Of Operating Leases [Line Items]
Date of Lease	Apr. 8, 2011
Number of Communities | Community	4
Value of Transaction	$ 141,000
Term	15 years
Initial Lease Rate	7.25%
Lease Acquisition Costs	$ 900
Deferred Gains / Lease Concessions	$ 16,300

Lease - Summary of Company's 71

Lease - Summary of Company's Facility Lease Agreements (Parenthetical) (Detail) $ in Millions	Apr. 24, 2015Community	Dec. 31, 2015USD ($)Property	Nov. 11, 2013USD ($)CommunityLease
Schedule Of Operating Leases [Line Items]
Deferred gains		$ 34.9
Lease concessions		2.6
HCP May 31, 2006 [Member]
Schedule Of Operating Leases [Line Items]
Lease concessions		0.6
HCN September 10, 2010 [Member]
Schedule Of Operating Leases [Line Items]
Lease concessions		$ 2
Ventas [Member]
Schedule Of Operating Leases [Line Items]
Lease expiration date		Sep. 30, 2020
Lease agreements initial terms		5 years
Available renewal extension period		5 years
Capital improvement project		$ 24.5
Number of Lease Extension Available | Property		1
HCP [Member]
Schedule Of Operating Leases [Line Items]
Lease expiration date	Apr. 30, 2026		Oct. 31, 2020
Capital improvement project			$ 3.3
Number of operating lease remaining | Lease			9
Number of Lease Extension Available | Community	1		2

Leases - Additional Information

Leases - Additional Information (Detail) $ in Millions	3 Months Ended	12 Months Ended
	Jun. 30, 2015Property	Dec. 31, 2015USD ($)CommunityProperty	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Loans And Leases [Line Items]
Period of Initial lease terms in which deferred lease acquisition costs are being amortized		5 years
Lease contracts period		5 years
Incurred lease expense		$ 62.8	$ 60.9	$ 58.8
Deferred lease costs, Gross		15.1	15
Accumulated amortization cost		7.4	$ 6
Expected amortization expense next 12 months		1.5
Expected amortization expense year two		1.5
Expected amortization expense year three		1.5
Expected amortization expense year four		1.5
Expected amortization expense year five		$ 1.5
HCP [Member]
Loans And Leases [Line Items]
Number of leased senior living communities | Community		15
Number of Lease Extension Available | Property	1	2
Lease agreements initial terms		10 years
Available renewal extension period		10 years
Lease acquisition costs incurred		$ 1.6
Capital improvement project		$ 3.3
Period of Initial lease terms in which deferred lease acquisition costs are being amortized		10 years
HCN [Member]
Loans And Leases [Line Items]
Number of leased senior living communities | Community		24
Number of Lease Extension Available | Property		1
Lease agreements initial terms		15 years
Available renewal extension period		15 years
Lease acquisition costs incurred		$ 2.1
Period of Initial lease terms in which deferred lease acquisition costs are being amortized		15 years
Lease expiration year and month		2026-04
Minimum [Member] | HCP [Member]
Loans And Leases [Line Items]
Lease agreements range		7.25%
Minimum [Member] | HCN [Member]
Loans And Leases [Line Items]
Lease agreements range		7.25%
Maximum [Member] | HCP [Member]
Loans And Leases [Line Items]
Lease agreements range		8.00%
Maximum [Member] | HCN [Member]
Loans And Leases [Line Items]
Lease agreements range		8.50%
Ventas [Member]
Loans And Leases [Line Items]
Number of leased senior living communities | Community		11
Number of Lease Extension Available | Property		1
Lease expiration date		Sep. 30, 2020
Lease agreements initial terms		5 years
Available renewal extension period		5 years
Lease acquisition costs incurred		$ 11.4
Number of properties accounts as operating lease | Property		9
Number of properties accounts as financing obligation | Property		2
Capital improvement project		$ 24.5
Mortgage debt assumed		18.3
Additional Cash collateral Deposits		$ 3.4
Lease period		5 years
Additions to property and equipment		$ 13.2
Property and equipment amortized		11.8
Unamortized portion of the deferred gain		$ 4.9
Lease portfolio period		5 years
Ventas [Member] | One Five-year Renewal [Member]
Loans And Leases [Line Items]
Lease expiration date		Sep. 30, 2025
Lease agreements initial terms		5 years
Ventas [Member] | Minimum [Member]
Loans And Leases [Line Items]
Lease agreements range		6.75%
Ventas [Member] | Maximum [Member]
Loans And Leases [Line Items]
Lease agreements range		8.00%

Leases - Summary of Future Mini

Leases - Summary of Future Minimum Lease Commitments (Detail) $ in Thousands	Dec. 31, 2015USD ($)
Leases [Abstract]
2,016	$ 65,135
2,017	65,092
2,018	64,998
2,019	64,939
2,020	62,651
Thereafter	250,477
Total	$ 573,292

Quarterly Financial Informati74

Quarterly Financial Information (Unaudited) - Schedule of Quarterly Financial Information (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2014	Jun. 30, 2014	Mar. 31, 2014	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Quarterly Financial Information Disclosure [Abstract]
Total revenues	$ 107,529	$ 104,420	$ 101,588	$ 98,640	$ 100,160	$ 98,483	$ 93,425	$ 91,857	$ 412,177	$ 383,925	$ 350,362
Income from operations	5,761	5,676	3,680	3,718	5,457	2,679	3,149	2,615
Net (loss) income and comprehensive (loss) income	$ (5,950)	$ 2,871	$ (5,166)	$ (6,039)	$ (3,901)	$ (5,759)	$ (9,819)	$ (4,647)	$ (14,284)	$ (24,126)	$ (16,504)
Net (loss) income per share, basic	$ (0.21)	$ 0.10	$ (0.18)	$ (0.21)	$ (0.13)	$ (0.20)	$ (0.34)	$ (0.16)	$ (0.50)	$ (0.83)	$ (0.58)
Net (loss) income per share, diluted	$ (0.21)	$ 0.10	$ (0.18)	$ (0.21)	$ (0.13)	$ (0.20)	$ (0.34)	$ (0.16)	$ (0.50)	$ (0.83)	$ (0.58)
Weighted average shares outstanding, basic	28,749	28,732	28,705	28,565	28,387	28,371	28,298	28,146	28,688	28,301	27,815
Weighted average shares outstanding, fully diluted	28,749	28,733	28,705	28,565	28,387	28,371	28,298	28,146	28,688	28,301	27,815

Subsequent Events - Additional

Subsequent Events - Additional Information (Detail) - Subsequent Event [Member] $ in Millions	Feb. 16, 2016USD ($)CommunityAssisted_Living_Unit	Jan. 26, 2016USD ($)CommunityAssisted_Living_Unit
Colby Park Falls [Member]
Subsequent Event [Line Items]
Number of acquisition closed | Community		3
Acquisition cost		$ 16.8
Number of assisted living units | Assisted_Living_Unit		138
Long term finance		$ 11.3
Long term fixed interest rate		4.50%
Maximum period for expansion of permanent financing		10 years
Pensacola Florida [Member]
Subsequent Event [Line Items]
Number of acquisition closed | Community	2
Acquisition cost	$ 48
Number of assisted living units | Assisted_Living_Unit	179
Long term finance	$ 35
Long term fixed interest rate	4.38%
Maximum period for expansion of permanent financing	10 years