AlerisLife (ALR) 10-K/A16 Apr 142012 FY Annual report (amended)Financial data

Company Profile

Document_and_Entity_Informatio

Document and Entity Information (USD $)	12 Months Ended
In Millions, except Share data, unless otherwise specified	Dec. 31, 2012	Feb. 15, 2013	Jun. 29, 2012
Document and Entity Information	'	'	'
Entity Registrant Name	'FIVE STAR QUALITY CARE INC	'	'
Entity Central Index Key	'0001159281	'	'
Document Type	'10-K	'	'
Document Period End Date	31-Dec-12	'	'
Amendment Flag	'true	'	'
Amendment Description	'We are filing this Amendment No. 1 to our Annual Report on Form 10-K for the year ended December 31, 2012, or this Amended 2012 Annual Report, to amend and restate financial statements and other financial information in our Annual Report on Form 10-K for the year ended December 31, 2012, or our 2012 Annual Report, which was filed with the Securities and Exchange Commission, or the SEC, on February 19, 2013. As more fully described in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, subsequent to the filing of our 2012 Annual Report our management and the Audit Committee of our Board of Directors, or our Audit Committee, concluded that our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within our 2012 Annual Report should be restated, and that those financial statements previously filed with the SEC should no longer be relied upon. We are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within this Amended 2012 Annual Report to correct certain errors in the accounting for income taxes and other errors. Specifically, the accounting for income tax errors relate to, among other things, the measurement of deferred tax assets for net operating losses and tax credits and the measurement of deferred tax assets and liabilities for temporary differences related to fixed assets, intangible assets and investments. In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items. The net impact of correcting the errors resulted in an increase to our shareholders' equity of $6,749 and $8,127 at December 31, 2012 and 2011, respectively, and a decrease to net income of $1,404 for the year ended December 31, 2012 and an increase to net income of $6,586 for the year ended December 31, 2011. We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total. The restated financial statements include the proceeds from the sale of our pharmacy business of $34,298 for the year ended December 31, 2012 as cash provided by investing activities of discontinued operations and reflect the correction of other errors in the separate disclosures of cash flows for continuing operations and discontinued operations. We have also corrected the footnote presentation of the classification of $11,550 and $11,692 of our available for sale debt securities as of December 31, 2012 and December 31, 2011, respectively, from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable which increased $9,947 and $8,956 as of December 31, 2012 and December 31, 2011, respectively. In the second quarter of 2013, we and Senior Housing Properties Trust, or SNH, offered for sale 10 senior living communities that we lease from SNH and classified those communities as discontinued operations. Also, during the second quarter of 2013, we offered for sale one senior living community we own and classified this community as discontinued operations. In the third quarter of 2013, in connection with entering in to a purchase agreement with SNH and certain unrelated parties, we reclassified our rehabilitation hospital business as discontinued operations. These 11 senior living communities and our rehabilitation hospital business are retrospectively presented as discontinued operations throughout this Amended 2012 Annual Report. Please see Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report for more information regarding the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors for the years ended December 31, 2012 and 2011. As a result of the error described above, we determined that our disclosure controls and procedures were not effective as of December 31, 2012, and we reassessed the effectiveness of our internal control over financial reporting and determined that we had material weaknesses in our internal controls over accounting for income taxes, that we lacked sufficient personnel with requisite technical accounting competencies and that we had an insufficient level of oversight in the financial statement close process. As a result, we concluded that our internal control over financial reporting was ineffective as of December 31, 2012. Amendments to our 2012 Annual Report included in this Amended 2012 Annual Report The following sections of our 2012 Annual Report are amended and being filed in their entirety in this Amended 2012 Annual Report: Part I, Item 1. Business; Part I, Item 1A. Risk Factors; Part I, Item 2. Properties; Part II, Item 6. Selected Financial Data; Part II, Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations; Part II, Item 9A. Controls and Procedures; and Part IV, Item 15. Exhibits and Financial Statement Schedules. This Amended 2012 Annual Report contains only the items and exhibits to the 2012 Annual Report that are being amended and restated, and unaffected items are not included herein. Except as described above and relating directly to such matters, the financial statements and other disclosures in this Amended 2012 Annual Report do not reflect any events that have occurred after February 19, 2013, the date our 2012 Annual Report was filed with the SEC.	'	'
Current Fiscal Year End Date	'--12-31	'	'
Entity Well-known Seasoned Issuer	'No	'	'
Entity Voluntary Filers	'No	'	'
Entity Current Reporting Status	'Yes	'	'
Entity Filer Category	'Accelerated Filer	'	'
Entity Public Float	'	'	$130.50
Entity Common Stock, Shares Outstanding	'	48,234,022	'
Document Fiscal Year Focus	'2012	'	'
Document Fiscal Period Focus	'FY	'	'

CONSOLIDATED_BALANCE_SHEETS

CONSOLIDATED BALANCE SHEETS (USD $)	Dec. 31, 2012	Dec. 31, 2011
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Current assets:	'	'
Cash and cash equivalents	$24,638	$28,374
Accounts receivable, net of allowance of $2,792 and $3,160 at December 31, 2012 and 2011, respectively	39,205	41,220
Due from related persons	6,881	'
Prepaid expenses	18,631	10,368
Investments in available for sale securities, of which $3,684 and $5,905 are restricted as of December 31, 2012 and 2011, respectively.	12,920	9,114
Restricted cash	6,548	4,838
Current net deferred tax assets	14,907	13,819
Other current assets	4,780	3,000
Assets of discontinued operations	30,100	51,826
Total current assets	158,610	162,559
Property and equipment, net	337,494	332,982
Equity investment in Affiliates Insurance Company	5,629	5,291
Restricted cash	12,166	4,092
Restricted investments in available for sale securities	10,580	13,115
Goodwill and other intangible assets	27,708	29,334
Long term net deferred tax assets	36,214	48,820
Other long term assets	4,168	3,153
TOTAL ASSETS	592,569	559,346
Current liabilities:	'	'
Current portion of convertible senior notes	24,872	'
Accounts payable	38,035	24,277
Accrued expenses	28,010	24,660
Accrued compensation and benefits	35,302	33,899
Due to related persons	19,484	19,494
Mortgage notes payable	1,092	1,027
Bridge loan from Senior Housing Properties Trust (or SNH)	'	38,000
Accrued real estate taxes	10,723	10,353
Security deposit liability	9,057	10,183
Other current liabilities	14,775	16,742
Liabilities of discontinued operations, of which $7,547 and $7,690 relate to mortgage notes payable at December 31, 2012 and 2011, respectively.	16,977	18,355
Total current liabilities	198,327	196,990
Long term liabilities:	'	'
Mortgage notes payable	37,621	38,714
Convertible senior notes	'	37,282
Continuing care contracts	1,708	2,045
Accrued self insurance obligations	34,647	28,496
Other long term liabilities	6,712	7,498
Total long term liabilities	80,688	114,035
Commitments and contingencies	'	'
Shareholders' equity:	'	'
Common stock, par value $.01; 75,000,000 shares authorized, 48,234,022 and 47,899,312 shares issued and outstanding at December 31, 2012 and 2011, respectively	482	479
Additional paid in capital	354,164	352,722
Accumulated deficit	-44,455	-67,996
Cumulative other comprehensive income	3,363	3,116
Total shareholders' equity	313,554	288,321
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$592,569	$599,346

CONSOLIDATED_BALANCE_SHEETS_Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)	Dec. 31, 2012	Dec. 31, 2011
In Thousands, except Share data, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
CONSOLIDATED BALANCE SHEETS	'	'
Accounts receivable, allowance (in dollars)	$2,792	$3,160
Investments in available for sale securities, restricted (in dollars)	3,684	5,905
Liabilities of discontinued operations, relate to mortgage notes payable (in dollars)	$7,547	$7,690
Common stock, par value (in dollars per share)	$0.01	$0.01
Common stock, shares authorized	75,000,000	75,000,000
Common stock, shares issued	48,234,022	47,899,312
Common stock, shares outstanding	48,234,022	47,899,312

CONSOLIDATED_STATEMENTS_OF_INC

CONSOLIDATED STATEMENTS OF INCOME (USD $)	3 Months Ended								12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Revenues:	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	$269,790	$268,645	$269,093	$266,805	$265,045	$265,623	$255,355	$252,714	$1,074,333	$1,038,737	$991,195
Management fee revenue	2,150	1,277	1,302	1,088	514	359	25	'	5,817	898	'
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562	'	126,995	20,552	'
Total revenues	322,185	297,169	296,493	291,298	277,225	274,306	255,942	252,714	1,207,145	1,060,187	991,195
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	128,998	131,384	130,252	131,810	130,917	129,264	126,528	123,303	522,444	510,012	486,386
Other senior living operating expenses	67,113	64,579	63,797	64,260	64,543	65,844	59,041	60,063	259,749	249,491	233,080
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562	'	126,995	20,552	'
Rent expense	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	55,486
Depreciation and amortization	6,284	6,175	6,203	5,818	5,819	5,368	4,134	3,839	24,480	19,160	14,077
Impairment of long-lived assets	'	'	'	'	3,080	'	'	'	'	3,080	'
Gain on settlement	'	'	-3,365	'	'	'	'	'	-3,365	'	'
Total operating expenses	316,570	291,691	285,850	288,153	278,366	270,468	249,370	245,484	1,182,264	1,043,688	965,868
Operating income	5,615	5,478	10,643	3,145	-1,141	3,838	6,572	7,230	24,881	16,499	25,327
Interest, dividend and other income	243	199	234	205	264	355	317	304	881	1,240	1,757
Interest and other expense	-1,475	-1,762	-1,605	-1,426	-1,512	-1,034	-870	-501	-6,268	-3,917	-2,597
Acquisition related costs	8	100	'	'	229	226	1,202	102	-108	-1,759	0
Gain on investments in trading securities	'	'	'	'	'	'	'	'	'	'	4,856
Loss on UBS put right related to auction rate securities	'	'	'	'	'	'	'	'	'	'	-4,714
Gain on early extinguishment of debt	'	'	45	'	'	'	'	1	45	1	592
(Loss) gain on sale of available for sale securities	-81	63	'	-1	3,460	529	51	76	-19	4,116	933
Income from continuing operations before income taxes and equity in earnings (losses) of Affiliates Insurance Company	4,294	3,878	9,317	1,923	842	3,462	4,868	7,008	19,412	16,180	26,154
(Provision) benefit for income taxes	-2,381	-905	-3,817	-801	59,021	-265	-373	-534	-7,904	57,849	-1,448
Equity in earnings (losses) of Affiliates Insurance Company	80	115	76	45	28	28	46	37	316	139	-1
Income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705
Income (loss) from discontinued operations	-47	13,125	-666	-695	2,100	-3,685	405	-2,201	17,158	-6,184	-1,213
Net income	$1,946	$16,213	$4,910	$472	$61,991	($460)	$4,946	$4,310	$23,541	$70,787	$23,492
Weighted average shares outstanding - basic (in shares)	'	'	'	'	'	'	'	'	47,952	42,161	35,736
Weighted average shares outstanding - diluted (in shares)	'	'	'	'	'	'	'	'	50,134	45,034	39,207
Basic income per share from:	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.12	$0.02	$1.26	$0.07	$0.12	$0.18	$0.25	$1.76	$0.69
Discontinued operations (in dollars per share)	'	$0.28	($0.02)	($0.01)	$0.04	($0.08)	$0.01	($0.06)	$0.24	($0.08)	($0.03)
Net income per share - basic (in dollars per share)	$0.04	$0.34	$0.10	$0.01	$1.30	($0.01)	$0.13	$0.12	$0.49	$1.68	$0.66
Diluted income per share from:	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.11	$0.02	$1.19	$0.07	$0.12	$0.18	$0.25	$1.67	$0.67
Discontinued operations (in dollars per share)	'	$0.27	($0.01)	($0.01)	$0.04	($0.07)	$0.01	($0.06)	$0.23	($0.08)	($0.03)
Net income per share - diluted (in dollars per share)	$0.04	$0.33	$0.10	$0.01	$1.23	$0	$0.13	$0.12	$0.48	$1.59	$0.64

CONSOLIDATED_STATEMENTS_OF_COM

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (USD $)	3 Months Ended								12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME	'	'	'	'	'	'	'	'	'	'	'
Net income	$1,946	$16,213	$4,910	$472	$61,991	($460)	$4,946	$4,310	$23,541	$70,787	$23,492
Other comprehensive income (loss):	'	'	'	'	'	'	'	'	'	'	'
Unrealized gain on investments in available for sale securities, net of tax	'	'	'	'	'	'	'	'	214	24	1,828
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax	'	'	'	'	'	'	'	'	11	-2,460	-933
Unrealized gains on equity investment in Affiliates Insurance Company	'	'	'	'	'	'	'	'	22	76	1
Other comprehensive income (loss)	'	'	'	'	'	'	'	'	247	-2,360	896
Comprehensive income	'	'	'	'	'	'	'	'	$23,788	$68,427	$24,388

CONSOLIDATED_STATEMENTS_OF_SHA

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (USD $)	Total	Common Stock	Additional Paid in Capital	Accumulated Deficit	Cumulative Other Comprehensive Income
In Thousands, except Share data, unless otherwise specified	Total	Common Stock	Additional Paid in Capital	Accumulated Deficit	Cumulative Other Comprehensive Income
Balance at Dec. 31, 2009	$139,315	$356	$296,654	($162,275)	$4,580
Balance (in shares) at Dec. 31, 2009	'	35,668,814	'	'	'
Comprehensive income:	'	'	'	'	'
Net income (Restated)	23,492	'	'	23,492	'
Unrealized gain on investments in available for sale securities (Restated)	1,828	'	'	'	1,828
Realized gain (loss) on investments in available for sale securities reclassified and included in net income (Restated)	-933	'	'	'	-933
Unrealized gain on investments in available for sale securities, net of tax (Restated)	1,828	'	'	'	'
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax (Restated)	-933	'	'	'	'
Unrealized gain on equity investment in Affiliates Insurance Company	1	'	'	'	1
Comprehensive income	24,388	'	'	23,492	896
Grants under share award plan and share based compensation (Restated)	1,064	4	1,060	'	'
Grants under share award plan and share based compensation (in shares) (Restated)	'	351,050	'	'	'
Balance at Dec. 31, 2010	164,767	360	297,714	-138,783	5,476
Balance (in shares) at Dec. 31, 2010	'	36,019,864	'	'	'
Comprehensive income:	'	'	'	'	'
Net income (Restated)	70,787	'	'	70,787	'
Unrealized gain on investments in available for sale securities, net of tax (Restated)	24	'	'	'	24
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax (Restated)	-2,460	'	'	'	-2,460
Unrealized gain on equity investment in Affiliates Insurance Company	76	'	'	'	76
Comprehensive income	68,427	'	'	70,787	-2,360
Grants under share award plan and share based compensation (Restated)	1,174	4	1,170	'	'
Grants under share award plan and share based compensation (in shares) (Restated)	'	379,448	'	'	'
Issuance of stock, pursuant to equity offering	53,953	115	53,838	'	'
Issuance of stock, pursuant to equity offering (in shares)	'	11,500,000	'	'	'
Balance at Dec. 31, 2011	288,321	479	352,722	-67,996	3,116
Balance (in shares) at Dec. 31, 2011	47,899,312	47,899,312	'	'	'
Comprehensive income:	'	'	'	'	'
Net income (Restated)	23,541	'	'	23,541	'
Unrealized gain on investments in available for sale securities, net of tax (Restated)	214	'	'	'	214
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax (Restated)	11	'	'	'	11
Unrealized gain on equity investment in Affiliates Insurance Company	22	'	'	'	22
Comprehensive income	23,788	'	'	23,541	247
Grants under share award plan and share based compensation (Restated)	1,445	3	1,442	'	'
Grants under share award plan and share based compensation (in shares) (Restated)	'	334,710	'	'	'
Balance at Dec. 31, 2012	$313,554	$482	$354,164	($44,455)	$3,363
Balance (in shares) at Dec. 31, 2012	48,234,022	48,234,022	'	'	'

CONSOLIDATED_STATEMENTS_OF_CAS

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Cash flows from operating activities:	'	'	'
Net income	$23,541	$70,787	$23,492
Adjustments to reconcile net income to cash provided by operating activities:	'	'	'
Depreciation and amortization	24,480	19,160	14,077
Gain on early extinguishment of debt	-45	-1	-592
(Income) loss from discontinued operations	-17,158	6,184	1,213
Gain on investments in trading securities	'	'	-4,856
Loss on UBS put right related to auction rate securities	'	'	4,714
Loss (gain) on sale of available for sale securities	19	-4,116	-933
Impairment of long-lived assets	'	3,080	'
Equity in (earnings) losses of Affiliates Insurance Company	-316	-139	1
Stock-based compensation	1,445	1,173	1,064
Deferred income taxes	11,365	-61,491	'
Provision for losses on receivables	4,446	4,197	3,613
Changes in assets and liabilities:	'	'	'
Accounts receivable	-2,431	-8,344	-7,246
Prepaid expenses and other assets	-11,356	-1,109	1,182
Investment securities	'	'	74,425
Accounts payable and accrued expenses	16,701	5,848	-5,853
Accrued compensation and benefits	1,403	2,770	1,081
Due to related persons	-6,891	1,653	230
Other current and long term liabilities	2,305	2,384	324
Cash provided by operating activities	47,508	42,036	105,936
Cash flows from investing activities:	'	'	'
Payments from restricted cash and investment accounts, net	-9,784	-2,570	-4,230
Acquisition of property and equipment	-51,805	-57,451	-48,155
Acquisition of senior living communities, net of working capital liabilities assumed	'	-107,765	-13,232
Purchase of available for sale securities	-5,076	-206	-1,105
Investment in Affiliates Insurance Company	'	'	-76
Proceeds from disposition of property and equipment	24,818	31,317	24,548
Proceeds from sale of available for sale securities	4,163	10,896	3,081
Cash used in investing activities	-37,684	-125,779	-39,169
Cash flows from financing activities:	'	'	'
Net proceeds from the issuance of common stock	'	53,953	'
Proceeds from borrowings on credit facilities	62,500	12,000	10,649
Repayments of borrowings on credit facilities	-62,500	-12,000	-49,790
Proceeds from borrowings on a bridge loan from SNH	'	80,000	'
Repayments of borrowings on a bridge loan from SNH	-38,000	-42,000	'
Purchase and retirement of convertible senior notes	-12,038	-622	-10,780
Repayments of mortgage notes payable	-1,028	-548	-4,489
Cash (used in) provided by financing activities	-51,066	90,783	-54,410
Cash flows from discontinued operations:	'	'	'
Net cash (used in) provided by operating activities	1,763	2,405	2,722
Net cash provided by (used in) investing activities	35,885	-1,706	802
Net cash used in financing activities	-142	-135	-128
Net cash provided by discontinued operations	37,506	564	3,396
Change in cash and cash equivalents	-3,736	7,604	15,753
Cash and cash equivalents at beginning of period	28,374	20,770	5,017
Cash and cash equivalents at end of period	24,638	28,374	20,770
Supplemental cash flow information:	'	'	'
Cash paid for interest	4,921	3,540	2,419
Cash paid for income taxes	2,132	1,336	1,056
Non-cash activities:	'	'	'
Real estate acquisition	'	-40,289	'
Assumption of mortgage note payable	'	$40,289	'

Organization_and_Business

Organization and Business	12 Months Ended
Organization and Business	Dec. 31, 2012
Organization and Business	'
Organization and Business	'
	1. Organization and Business

	We were organized in 2000 as a wholly owned subsidiary of Senior Housing Properties Trust, or SNH. On December 31, 2001, SNH distributed substantially all of our shares of common stock, $.01 par value, or our common shares, to its shareholders. Concurrent with our spin off, we entered into agreements with SNH and others to establish our initial capitalization and other matters.

	We operate senior living communities, including independent living communities, assisted living communities and skilled nursing facilities, or SNFs. As of December 31, 2012, we operated 250 senior living communities located in 31 states containing 29,701 living units, including 219 primarily independent and assisted living communities with 26,856 living units and 31 SNFs with 2,845 living units. As of December 31, 2012, we owned and operated 30 communities (2,920 living units), we leased and operated 181 communities (20,091 living units) and we managed 39 communities (6,690 living units). Our 250 senior living communities included 10,311 independent living apartments, 14,116 assisted living suites and 5,274 skilled nursing units. We have classified as discontinued operations two SNFs and one assisted living community owned and operated by us containing 303 living units as well as seven SNFs and four assisted living communities we lease from SNH and operate containing 824 living units and have excluded such SNFs and assisted living communities from all the preceding data in this paragraph.

	As of December 31, 2012, we also leased from SNH and operated two rehabilitation hospitals with 321 beds that provide inpatient rehabilitation services to patients at the two hospitals and at three satellite locations. In addition, as of that date, we leased and operated 13 outpatient clinics affiliated with these rehabilitation hospitals. We have classified the rehabilitation hospital business as discontinued operations.

Summary_of_Significant_Account

Summary of Significant Accounting Policies	12 Months Ended
Summary of Significant Accounting Policies	Dec. 31, 2012
Summary of Significant Accounting Policies	'
Summary of Significant Accounting Policies	'
	2. Summary of Significant Accounting Policies

	Restatement of Previously Issued Financial Statements. As discussed further in Note 18, we are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 to correct certain errors in the accounting for income taxes. In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items. We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total, and corrected certain other immaterial errors in cash flow presentation. We have also corrected the footnote presentation of certain of our available for sale debt securities from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable.

	Basis of Presentation. The accompanying consolidated financial statements include our accounts and those of all of our subsidiaries. All intercompany transactions have been eliminated.

	Use of Estimates. Preparation of these financial statements in conformity with accounting principles generally accepted in the United States requires us to make estimates and assumptions that may affect the amounts reported in these financial statements and related notes. Some significant estimates include our self-insurance reserves, the allowance for doubtful accounts, goodwill and long-lived assets and contractual allowances.

	We are required to estimate income taxes payable in each of the jurisdictions in which we operate. The process involves estimating actual current tax expense along with assessing temporary differences resulting from differing treatment of items for financial statement and tax purposes. These timing differences result in deferred tax assets and liabilities, which are included in our consolidated balance sheets. We are required to record a valuation allowance to reduce deferred tax assets if we are not able to conclude that it is more likely than not these assets will be realized.

	Our actual results could differ from our estimates. We periodically review estimates and assumptions and we reflect the effects of changes, if any, in the consolidated financial statements in the period that they are determined.

	Earnings Per Share. We calculate basic earnings per common share, or EPS, by dividing net income (and income from continuing operations and income (loss) from discontinued operations) by the weighted average number of common shares outstanding during the year. We calculate diluted EPS using the more dilutive of the two-class method or the treasury stock method. The treasury stock method adjusts the weighted average shares outstanding assuming conversion of all potentially dilutive share securities. Unvested shares issued under our share award plan are deemed participating securities because they participate equally in earnings with all of our other common shares.

	Cash and Cash Equivalents. Cash and cash equivalents, consisting of money market funds with original maturities of three months or less at the date of purchase, are carried at cost plus accrued interest, which approximates market.

	Equity Method Investments. We and the other seven current shareholders each currently own approximately 12.5% of Affiliates Insurance Company, or AIC’s, outstanding equity. Although we own less than 20% of AIC, we use the equity method to account for this investment because we believe that we have significant influence over AIC because all of our Directors are also directors of AIC. Under the equity method, we record our percentage share of net earnings from AIC in our consolidated statements of income. If we determine there is an “other than temporary impairment” in the fair value of this investment, we would record a charge to earnings. In evaluating the fair value of this investment, we have considered, among other things, the assets and liabilities held by AIC, AIC’s overall financial condition and earning trends, and the financial condition and prospects for the insurance industry generally. As of December 31, 2012, we have invested $5,209 in AIC. We may invest additional amounts in AIC in the future if the expansion of this insurance business requires additional capital, but we are not obligated to do so.

	Investment Securities. Investment securities that are held principally for resale in the near term are classified as “trading” and are carried at fair value with changes in fair value recorded in earnings. We did not hold any trading securities at December 31, 2012 or 2011. In 2010, our investments in these trading securities generated interest income of $566 that is included in interest, dividend and other income in our consolidated statements of income.

	Securities not classified as “trading” are classified as “available for sale” and carried at fair value, with unrealized gains and losses reported as a separate component of shareholders’ equity and “other than temporary impairment” losses recorded in our consolidated statements of income. Realized gains and losses on all available for sale securities are recognized based on specific identification. Our available for sale investments at December 31, 2012 and 2011 consisted primarily of debt securities. Restricted investments are kept as security for obligations arising from our self insurance programs. At December 31, 2012, these investments had a fair value of $23,500 and an unrealized holding gain of $1,780. At December 31, 2011, these investments had a fair value of $22,229 and an unrealized holding gain of $1,401.

	In 2012, 2011 and 2010, our available for sale securities generated interest and dividend income of $799, $1,122 and $1,078, respectively, which is included in interest, dividend and other income in our consolidated statements of income.

	The following table summarizes the fair value and gross unrealized losses related to our “available for sale” securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position for the years ending:

			December 31, 2012
			Less than 12 months					Greater than 12 months				Total
			Fair Value			Unrealized		Fair Value		Unrealized		Fair Value		Unrealized
			Fair Value			Loss		Fair Value		Loss		Fair Value		Loss

	Investments		$	4,052		$	75	$	3,268	$	195	$	7,320	$	270


			December 31, 2011
			Less than 12 months					Greater than 12 months				Total
			Fair Value			Unrealized		Fair Value		Unrealized		Fair Value		Unrealized
			Fair Value			Loss		Fair Value		Loss		Fair Value		Loss

	Investments		$	6,414		$	185	$	—	$	—	$	6,414	$	185


	We routinely evaluate our available for sale investments to determine if they have been impaired. If the book or carrying value of an investment is less than its estimated fair value and we expect that situation to continue for a more than temporary period, we will record an “other than temporary impairment” loss in our consolidated statements of income. We estimate the fair value of our available for sale investments by reviewing each security’s current market price, the ratings of the security, the financial condition of the issuer and our intent and ability to retain the investment during temporary market price fluctuations or until maturity. In evaluating the factors described above, we presume a decline in value to be an “other than temporary impairment” if the quoted market price of the security is below the security’s cost basis for an extended period. However, this presumption may be overcome if there is persuasive evidence indicating the value decline is temporary in nature, such as when the operating performance of the obligor is strong or if the market price of the security is historically volatile. Additionally, there may be instances in which impairment losses are recognized even if the decline in value does not fall within the criteria described above, such as if we plan to sell the security in the near term and the fair value is below our cost basis. When we believe that a change in fair value of an available for sale security is temporary, we record a corresponding credit or charge to other comprehensive income for any unrealized gains and losses. When we determine that impairment in the fair value of an available for sale security is an “other than temporary impairment”, we record a charge to earnings. We did not record such an impairment charge for the years ended December 31, 2012, 2011 and 2010.

	Restricted Cash. Restricted cash as of December 31, 2012 and 2011 includes cash that we deposited as security for obligations arising from our self insurance programs and other amounts for which we are required to establish escrows, including: real estate taxes and capital expenditures as required by our mortgages, indemnification obligations associated with the sale of our pharmacy business and certain resident security deposits.

			2012					2011
			Current			Long term		Current		Long term

	Insurance reserves		$	3,053		$	8,768	$	1,842	$	4,092
	Real estate taxes and capital expenditures as required by our mortgages		2,761			—		2,335		—
	Indemnification obligations associated with the sale of our pharmacy business		—			3,398		—		—
	Resident security deposits		734			—		661		—
	Total		$	6,548		$	12,166	$	4,838	$	4,092

	Accounts Receivable and Allowance for Doubtful Accounts. We record accounts receivable at their estimated net realizable value. Included in our accounts receivable from continuing operations as of December 31, 2012 and 2011 are amounts due from the Medicare program of $11,858 and $11,546, respectively, and amounts due from various state Medicaid programs of $11,345 and $11,683, respectively.

	We estimate allowances for uncollectible amounts and contractual allowances based upon factors which include, but are not limited to, the age of the receivable and the terms of the agreements, the residents’, patients’ or third party payers’ stated intent to pay, the payers’ financial capacity to pay and other factors which may include likelihood and cost of litigation. Accounts receivable allowances are estimates. We periodically review and revise these estimates based on new information and these revisions may be material. Allowance for doubtful accounts consists of the following:

	Balance January 1, 2010		$	3,537
	Provision for doubtful accounts		3,613
	Write-offs		(3,909		)
	Balance December 31, 2010		3,241
Provision for doubtful accounts		4,197
Write-offs		(4,278		)
Balance December 31, 2011		3,160
Provision for doubtful accounts		4,446
Write-offs		(4,814		)
Balance December 31, 2012		$	2,792

Deferred Finance Costs. We capitalize issuance costs related to borrowings and amortize the deferred costs over the terms of the respective loans. Our unamortized balance of deferred finance costs was $3,822 and $2,552 at December 31, 2012 and 2011, respectively. Accumulated amortization related to deferred finance costs was $2,824 and $1,852 at December 31, 2012 and 2011, respectively. At December 31, 2012, the weighted average amortization period remaining is approximately 12 years. The amortization expenses to be incurred during the next five years as of December 31, 2012 are $1,392 in 2013, $1,282 in 2014, $332 in 2015 and $80 in each of 2016 and 2017.

Property and Equipment. Property and equipment is stated at cost, except for property and equipment acquired in connection with the acquisitions described in Note 11 which were recorded at estimated fair market value. We record depreciation on property and equipment on a straight line basis over estimated useful lives of up to 40 years for buildings, up to 15 years for building improvements and up to seven years for personal property. We regularly evaluate whether events or changes in circumstances have occurred that could indicate impairment in the value of our long-lived assets. If there is an indication that the carrying value of an asset is not recoverable, we determine the amount of impairment loss, if any, by comparing the historical carrying value of the asset to its estimated fair value. We determine estimated fair value through an evaluation of recent financial performance, recent sales of similar assets, market conditions and projected cash flows of properties using standard industry valuation techniques.

Goodwill and Other Intangible Assets. Goodwill represents the costs of business acquisitions in excess of the fair value of identifiable net assets acquired. We review goodwill for impairment annually during the fourth quarter, or more frequently, if events or changes in circumstances exist. If our review indicates that the carrying amount of goodwill exceeds its fair value, we reduce the carrying amount of goodwill to fair value. We evaluate goodwill for impairment at the reporting unit level, which we determined to be the segments we operate, by comparing the fair value of the reporting unit as determined by its discounted cash flows and market approaches, such as capitalization rates and earnings multiples, with its carrying value. The key assumptions used in the discounted cash flow analysis include future revenue growth, gross margins and our weighted average cost of capital. We select a growth rate based on our view of the growth prospect of each of our reporting units. If the carrying value of the reporting unit exceeds its fair value, we compare the implied fair value of the reporting unit’s goodwill with its carrying amount to measure the amount of the potential impairment loss.

At acquisition, we estimate and record the fair value of purchased intangible assets primarily using discounted cash flow analysis of anticipated cash flows reflecting incremental revenues and/or cost savings resulting from the acquired intangible asset, reflecting market participant assumptions. Amortization of intangible assets with finite lives is recognized over their estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are consumed or otherwise realized.

Long-lived assets and other intangible assets are periodically reviewed for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable. If the carrying value of the asset held for use exceeds the sum of the undiscounted expected future cash flows, the carrying value of the asset is generally written down to fair value.

Self Insurance. We self insure up to certain limits for workers’ compensation, professional liability claims, automobile claims and property losses. Claims in excess of these limits are insured up to contractual limits, over which we are self insured. We fully self insure all health related claims for our covered employees. Determining reserves for the casualty, liability, workers’ compensation and healthcare losses and costs that we have incurred as of the end of a reporting period involves significant judgments based upon our experience and our expectations of future events, including projected settlements for pending claims, known incidents which we expect may result in claims, estimates of incurred but not yet reported claims, expected changes in premiums for insurance provided by insurers whose policies provide for retroactive adjustments, estimated litigation costs and other factors. Since these reserves are based on estimates, the actual expenses we incur may differ from the amount reserved. We regularly adjust these estimates to reflect changes in the foregoing factors, our actual claims experience, recommendations from our professional consultants, changes in market conditions and other factors; it is possible that such adjustments may be material.

Continuing Care Contracts. Residents at one of our communities may enter into continuing care contracts with us. We offer two forms of continuing care contracts to new residents at this community. One form of contract provides that 10% of the resident admission fee becomes non-refundable upon occupancy, and the remaining 90% becomes non-refundable at the rate of 1.5% per month of the original amount over the subsequent 60 months. The second form of contract provides that 30% of the resident admission fee is non-refundable upon occupancy and 70% is refundable. Three other forms of continuing care contracts are in effect for existing residents but are not offered to new residents. One historical form of contract provides that the resident admission fee is 10% non-refundable upon occupancy and 90% refundable. A second historical form of contract provides that the resident admission fee is 100% refundable. A third historical form of contract provides that the resident admission fee is 1% refundable and 99% non-refundable upon admission. In each case, we amortize the non-refundable part of these fees into revenue over the actuarially determined remaining life of the resident, which is the expected period of occupancy by the resident. We pay refunds of our admission fees when residents relocate from our communities. We report the refundable amount of these admission fees as current liabilities and the non-refundable amount as deferred revenue, a portion of which is classified as a current liability. The balance of refundable admission fees as of December 31, 2012 and 2011 were $4,255 and $5,082, respectively.

Leases. On the inception date of a lease and upon any relevant amendments to such lease, we test the classification of such lease as either a capital lease or an operating lease. None of our leases have met any of the criteria to be classified as a capital lease under the Leases Topic of the Financial Accounting Standards Board, or the FASB, Accounting Standards Codification™, or ASC, and, therefore, we have accounted for all of our leases as operating leases.

Taxes. The Income Taxes Topic of the Codification prescribes how we should recognize, measure and present in our consolidated financial statements uncertain tax positions that have been taken or are expected to be taken in a tax return. We can recognize a tax benefit only if it is “more likely than not” that a particular tax position will be sustained upon examination or audit. To the extent the “more likely than not” standard has been satisfied, the benefit associated with a tax position is measured as the largest amount that has a greater than 50% likelihood of being realized upon settlement. At December 31, 2012, our tax returns filed for the 2003 through 2012 tax years are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our consolidated financial statements as a component of general and administrative expenses.

We pay franchise taxes in certain states in which we have operations. We have included franchise taxes in general and administrative and other senior living operating expenses in our consolidated statements of income.

Fair Value of Financial Instruments. Our financial instruments are limited to cash and cash equivalents, accounts receivable, available for sale securities, accounts payable, mortgage notes payable, the bridge loan from SNH, or the Bridge Loan, and the Convertible Senior Notes due 2026, or the Notes. Except for our mortgage notes payable and the Notes, the fair value of these financial instruments was not materially different from their carrying values at December 31, 2012 and 2011. We estimate the fair values using market quotes when available, discounted cash flow analysis and current prevailing interest rates.

Revenue Recognition. We derive our revenues primarily from services to residents and patients at our senior living communities and rehabilitation hospitals and we record revenues when services are provided. We expect payment from governments or other third party payers for some of our services. We derived approximately 24%, 26% and 26% of our senior living revenues from continuing operations in 2012, 2011 and 2010, respectively, from payments under Medicare and Medicaid programs. For the years ended December 31, 2012, 2011 and 2010, we received approximately 70%, 68% and 64%, respectively, of our rehabilitation hospital business revenues, which we have classified as discontinued operations, from these programs. Revenues under some of these programs are subject to audit and retroactive adjustment.

Medicare revenues from our senior living communities in continuing operations totaled $134,254, $149,876 and $140,980 during 2012, 2011 and 2010, respectively. Medicaid revenues from our senior living communities in continuing operations totaled $118,505, $113,822 and $113,673 during 2012, 2011 and 2010, respectively. Medicaid and Medicare revenues from our rehabilitation hospital business, which we have classified as discontinued operations, were $74,355, $71,244 and $63,685 for the years ended December 31, 2012, 2011 and 2010, respectively.

Recently Issued Accounting Pronouncements. In July 2012, the FASB issued an accounting standards update 2012-01, Health Care Entities (Topic 954), Continuing Care Retirement Communities — Refundable Advance Fees, or ASU 2012-01. ASU 2012-01 affects continuing care retirement communities, or CCRCs, that have resident contracts that provide for a payment of a refundable advance fee upon reoccupancy of that unit by a subsequent resident. The amendments in ASU 2012-01 clarify that an entity should classify an advance fee as deferred revenue when a CCRC has a resident contract that provides for payment of the refundable advance fee upon reoccupancy by a subsequent resident, which is limited to the proceeds of reoccupancy. Refundable advance fees that are contingent upon reoccupancy by a subsequent resident but are not limited to the proceeds of reoccupancy should be accounted for as a liability. ASU 2012-01 is effective for fiscal periods beginning after December 15, 2012 and the adoption of this update is not expected to cause any material changes to the disclosures in, or the presentation of, our consolidated financial statements.

In April 2014, the FASB issued Accounting Standards Update 2014-08, Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, or ASU 2014-08. ASU 2014-08 changes the criteria for reporting a discontinued operation. Under the new pronouncement, a disposal of a part of an organization that has a major effect on its operations and financial results is a discontinued operation. We are required to adopt ASU 2014-08 prospectively for all disposals or components of our business classified as held for sale during fiscal periods beginning after December 15, 2014 and are currently evaluating what impact, if any, its adoption will have to the presentation of our consolidated financial statements.

Segment Information. We have three operating segments: senior living communities, rehabilitation and wellness and rehabilitation hospitals. In the senior living community segment, we operate for our own account or manage for the account of SNH independent living communities, assisted living communities and SNFs that are subject to centralized oversight and provide housing and services to elderly residents. Our rehabilitation and wellness operating segment does not meet any of the quantitative thresholds of a reportable segment as prescribed under FASB ASC Topic 280, and as discussed further in Note 12, our rehabilitation hospital operating segment has been reclassified as discontinued operations. After the reclassification of our rehabilitation hospital business as discontinued operations, our business is comprised of one reportable segment, senior living.

Property_and_Equipment

Property and Equipment	12 Months Ended
	Dec. 31, 2012
Property and Equipment	'
Property and Equipment	'
	3. Property and Equipment

	Property and equipment, at cost, consists of the following:

		December 31,			December 31,
		2012			2011
		(Restated)			(Restated)
	Land	$	21,714		$	21,013
	Buildings and improvements	277,330			271,601
	Furniture, fixtures and equipment	103,707			91,084
		402,751			383,698
	Accumulated depreciation	(65,257		)	(50,716		)
		$	337,494		$	332,982

	For the years ended December 31, 2012, 2011 and 2010, we recorded depreciation expense of $22,882, $19,097 and $14,006, respectively, relating to our property and equipment.

	As of December 31, 2011, we had assets of $7,114 included in our property and equipment that we subsequently sold during the year ended December 31, 2012 to SNH for increased rent pursuant to the terms of our leases with SNH. As of December 31, 2012, we had $9,625 of assets included in our property and equipment that we currently expect to request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.

	In the fourth quarter of 2011, during our evaluation of long lived and other intangible assets, we identified and recorded an impairment charge of $3,080 to reduce the carrying values of several senior living communities to their estimated fair market values based on discounted cash flow analyses and input from market participants.

Goodwill_and_Other_Intangible_

Goodwill and Other Intangible Assets	12 Months Ended
	Dec. 31, 2012
Goodwill and Other Intangible Assets	'
Goodwill and Other Intangible Assets	'
	4. Goodwill and Other Intangible Assets

	The goodwill and other intangible assets balance are attributable to our Senior Living segment and relate to management agreements and trademarks we acquired in connection with a lease we entered into with SNH in 2009, goodwill and resident agreements we acquired in connection with our purchase of six senior living communities in 2011 (See Note 11) and goodwill we recorded in connection with our other senior living community acquisitions in previous years. The changes in the carrying amount of goodwill and other intangible assets for the years ended December 31, 2012 and 2011 are as follows:

		As of December 31,
		2012		2011
		(Restated)		(Restated)
	Goodwill	$	25,473	$	25,473
	Other intangible assets, net of accumulated amortization of $1,829 and $203, respectively	2,235		3,861
		$	27,708	$	29,334

	Goodwill. We review goodwill for impairment annually during our fourth quarter or more frequently if events or changes in circumstances exist. If our review indicates that the carrying amount of goodwill exceeds its fair value, we reduce the carrying amount to fair value. We evaluate goodwill for impairment at the reporting unit level, and our reporting units are equivalent to our operating segments. All of our goodwill is located in our senior living reporting unit. We evaluated goodwill for impairment by comparing the fair value of the senior living reporting unit, as determined by discounted cash flows and market approaches such as capitalization rates and earnings multiples, with its carrying value. The key assumptions used in the discounted cash flow analysis include expected future revenue growth, gross margins and our weighted average cost of capital. The key assumption in the market approach is the selection of guideline companies and the determination of earnings multiples. If the carrying value of the reporting unit exceeds our estimate of its fair value, we compare the implied fair value of the reporting unit’s goodwill with its carrying amount to measure the amount of impairment loss. Our estimates of discounted cash flows as reflected in our baseline forecast may differ from actual cash flows due to, among other things, changes in economic conditions that adversely affect occupancy rates, reductions in government or third party reimbursement rates, changes to our business model or changes in operating performance affecting our gross margins. As a result of our annual goodwill impairment review, we believe that our goodwill was not impaired as of December 31, 2012.

	As of our evaluation date, the fair value of the senior living reporting unit exceeds its carrying value by approximately 29%. As of December 31, 2012, our carrying amount of goodwill was $25,473. The key variables that affect the cash flows of our senior living reporting unit are estimated revenue growth rates, estimated operating expenses excluding interest and taxes, estimated capital expenditures, growth rate assumptions and the weighted average cost of our capital. We select the revenue growth rate based on our view of the growth prospects of the senior living reporting unit considering expected occupancy rates and private pay and government and third party reimbursement rates. Estimated operating expenses and capital expenditures consider our historical and expected future operating experience. These assumptions are subject to uncertainty, including our ability to increase a reporting unit’s revenue and improve its profitability. For the senior living reporting unit, relatively small declines in the future performance and cash flows or small changes in other key assumptions may result in a goodwill impairment charges. Future events that could have a negative effect on the fair value of the senior living reporting unit include, but are not limited to:

	· Decreases in revenues due to decreases in the occupancy rates and our monthly rates,

	· Decreases in revenues and profitability at our senior living communities due to the inability of residents who pay for our services with their private resources to afford our services,

	· Future Medicare and Medicaid rate reductions and other changes from the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, which impact our monthly rates,

	· Decreases in the reporting unit’s gross margins and profitability due to increased labor or other costs, or our inability to successfully stabilize an acquired community’s operations,

	· Increases in the weighted average cost of our capital including the market risk component, and

	· Changes in the structure of our business as a result of changes in relationships with our related parties.

	Changes in one or more of these factors could result in an impairment charge.

	Intangible assets. We amortize intangible assets using the straight line method over the useful lives of the assets commencing on the date of acquisition. Total amortization expense for amortizable intangible assets for the years ended December 31, 2012, 2011 and 2010 was $1,626, $90 and $98, respectively. At December 31, 2012, the weighted average amortization period remaining for those intangible assets is approximately three years. Amortization expense is estimated to be approximately $1,172 in 2013, $719 in 2014 and $91 in 2015, 2016 and 2017.

Income_Taxes

Income Taxes	12 Months Ended
Income Taxes	Dec. 31, 2012
Income Taxes	'
Income Taxes	'
	5. Income Taxes

	Significant components of our deferred tax assets and liabilities at December 31, 2012 and 2011, were as follows:

			2012			2011
			(Restated)			(Restated)
	Current deferred tax assets:
	Continuing care contracts		$	607		$	676
	Allowance for doubtful accounts		1,559			1,795
	Insurance reserves		1,015			1,092
	Deferred gains on sale lease back transactions		1,278			1,126
	Tax credits		465			420
	Tax loss carry forwards		9,190			8,114
	Other		1,220			1,217
	Total current deferred tax assets before valuation allowance		15,334			14,440
	Valuation allowance:		(297		)	(481		)
	Total current deferred tax assets		15,037			13,959
	Non-current deferred tax assets:
	Continuing care contracts		228			249
	Deferred gains on sale lease back transactions		981			899
	Insurance reserves		2,919			2,768
	Tax credits		11,264			10,121
	Tax loss carry forwards		25,246			36,783
	Impairment of securities		501			1,671
	Other		1,431			1,842
	Total non-current deferred tax assets before valuation allowance		42,570			54,333
	Valuation allowance:		(1,891		)	(2,882		)
	Total non-current deferred tax assets		40,679			51,451

	Current deferred tax liabilities:
	Employee stock grants		(130		)	(140		)

	Non-current deferred tax liabilities:
	Depreciable assets		(1,674		)	187
	Lease expense		(696		)	(1,094		)
	Goodwill		(1,087		)	(105		)
	Identifiable intangibles/other liabilities		(1,008		)	(1,619		)
	Total non-current deferred tax liabilities		(4,465		)	(2,631		)
	Net deferred tax asset		$	51,121		$	62,639

	The movement in our valuation allowance for deferred tax assets was as follows:

			Balance at			Amounts			Amounts		Balance at
			Beginning			Charged/			Charged		End of
			of Period			(Credited)			Off, Net of		Period
			(Restated)			To			Recoveries		(Restated)
						Expense
						(Restated)

	Year Ended December 31, 2010		$	65,231		$	(6,860	)	$	—	$	58,371

	Year Ended December 31, 2011		$	58,371		$	(55,008	)	$	—	$	3,363

	Year Ended December 31, 2012		$	3,363		$	(1,175	)	$	—	$	2,188

	During the fourth quarter of 2011, as prescribed by FASB ASC Topic 740, Accounting for Income Taxes, we evaluated the realizability of our net deferred tax assets, which include, among other things, our net operating losses and tax credits. We determined that it was more likely than not that we will realize the benefit of the majority of our deferred tax assets, and as a result, we recognized in the fourth quarter of 2011, an income tax benefit from continuing operations of $57,849, of which $58,896 was attributable to the partial reduction of our previously deferred income tax valuation allowance. During the third quarter of 2012, we released valuation allowances of $1,156 related to capital losses which were used to offset a capital gain incurred in the sale of our pharmacy business. We maintain a partial valuation allowance against our state net operating losses and certain deferred tax assets related to impaired investments. When we believe that we will more likely than not realize the benefit of these deferred tax assets, we will record deferred tax assets as an income tax benefit in our consolidated statements of income, which will affect our results of operations.

	As of December 31, 2012, our federal net operating loss carry forward, which begins to expire in 2026 if unused, was approximately $70,765, and our tax credit carry forward, which begins to expire in 2022 if unused, was approximately $11,729. We have an additional $244 of federal net operating losses not reflected in the deferred taxes table above, that are attributable to stock option exercises which will be recorded as an increase to additional paid in capital once they are realized in accordance with FASB ASC Topic 718. Our net operating loss carry forwards and tax credit carry forwards are subject to audit and adjustments by the Internal Revenue Service.

	For the year ended December 31, 2012, we recognized income tax expense from continuing operations of $7,904, of which $1,183 represents current state tax expense that is payable without regard to our tax loss carry forwards. We also recognized tax expense from discontinued operations of $5,441, of which $775 represents current state tax expense that is payable without regard to our tax loss carry forwards.

	The provision (benefit) for income taxes from continuing operations is as follows:

		Years Ended December 31,
		2012			2011			2010
		(Restated)			(Restated)			2010
Current tax provision:
State		$	1,183		$	1,047		$	1,290
Total current tax provision		1,183			1,047			1,290
Deferred tax provision (benefit):
Federal		5,440			(43,878		)	138
State		1,281			(15,018		)	20
Total deferred tax provision (benefit)		6,721			(58,896		)	158
Total tax provision (benefit)		$	7,904		$	(57,849	)	$	1,448

The principal reasons for the difference between our effective tax (benefit) rate on continuing operations and the U.S. Federal statutory income tax rate are as follows:

		For the years ended December 31,
		2012		2011
		(Restated)		(Restated)		2010

Taxes at statutory U.S. federal income tax rate		35	%	35	%	35	%
State and local income taxes, net of federal tax benefit		8.3	%	(13.8	)%	8.7	%
Tax credits		(3.7	)%	(16.6	)%	(7.5	)%
Change in valuation allowance		0.1	%	(360.9	)%	(33.5	)%
US permanent differences		0.6	%	0.6	%	1.5	%
Other differences, net		(0.2	)%	1.2	%	1.3	%
Effective tax rate		40.1	%	(354.5	)%	5.5	%

We utilize a two-step process for the measurement of uncertain tax positions that have been taken or are expected to be taken on a tax return. The first step is a determination of whether the tax position should be recognized in the financial statements. The second step determines the measurement of the tax position. A reconciliation of the beginning and ending amount of unrecognized tax benefits is summarized as follows for the years ended December 31, 2012 and 2011:

		2012			2011
		(Restated)			(Restated)			2010
Unrecognized tax benefits at January 1		$	893		$	—		$	—
Additions for tax positions of prior years		—			717			—
Additions for tax positions of current year		193			176			—
Unrecognized tax benefits at December 31		$	1,086		$	893		$	—

As of December 31, 2012, the total amount of unrecognized tax benefits totaled $1,086, none of which if recognized would decrease our effective tax rate in a future period. It is not expected that a significant amount of unrecognized tax benefits would be recognized in the next 12 months.

We recognize interest and penalties related to uncertain tax positions in income tax expense and such amounts were not material for the years ended December 31, 2012 and 2011.

Earnings_Per_Share

Earnings Per Share	12 Months Ended
	Dec. 31, 2012
Earnings Per Share	'
Earnings Per Share	'
	6. Earnings Per Share

	We computed basic EPS for the years ended December 31, 2012, 2011 and 2010 using the weighted average number of shares outstanding during the periods. Diluted EPS reflects the more dilutive earnings per common share amount calculated using the two-class method or the treasury stock method. The treasury stock method reflects dilutive potential common shares related to the Notes that would have been outstanding if dilutive potential common shares had been issued, as well as any adjustment to income applicable to common shareholders that would result from their assumed issuance. The effect of the Notes for the year ended December 31, 2012 was not included in the calculation of diluted EPS because to do so would have been antidilutive. The weighted average shares outstanding used to calculate basic and diluted EPS includes 547, 582 and 512 of unvested common shares as of December 31, 2012, 2011 and 2010, respectively, issued to our officers and others under our equity compensation plan, or the Share Award Plan. Unvested shares issued under our Share Award Plan are deemed participating securities because they participate equally in earnings with all of our other common shares.

	The following table provides a reconciliation of income from continuing operations and income (loss) from discontinued operations and the number of common shares used in the computations of diluted EPS:

		Year Ended December 31,
		2012					2011							2010
		(Restated)					(Restated)
		Income		Shares	Per		Income			Shares	Per			Income			Shares	Per
		(loss)			Share		(loss)				Share			(loss)				Share
	Income from continuing operations	$	11,824	47,952	$	0.25	$	74,168		42,161	$	1.76		$	24,705		35,736	$	0.69
	Effect of the Notes	677		2,182			962			2,873				1,652			3,471
	Diluted income from continuing operations	$	11,824	50,134	$	0.25	$	75,130		45,034	$	1.67		$	26,357		39,207	$	0.67

	Diluted income (loss) from discontinued operations	$	11,717	50,134	$	0.23	$	(3,381	)	45,034	$	(0.08	)	$	(1,213	)	39,207	$	(0.03	)

Fair_Values_of_Assets_and_Liab

Fair Values of Assets and Liabilities	12 Months Ended
	Dec. 31, 2012
Fair Values of Assets and Liabilities	'
Fair Values of Assets and Liabilities	'
	7. Fair Values of Assets and Liabilities

	Our assets recorded at fair value have been categorized based upon a fair value hierarchy in accordance with ASC Topic 820. We apply the following fair value hierarchy, which prioritizes the inputs used to measure fair value into three levels.

	Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access at the measurement date.

	Level 2 inputs are inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs include quoted prices for similar assets and liabilities in active markets and quoted prices in inactive markets.

	Level 3 inputs are unobservable inputs for the asset or liability in which there is little, if any, market activity for the asset or liability at the measurement date.

	The table below presents the assets measured at fair value at December 31, 2012 and 2011 categorized by the level of inputs used in the valuation of each asset.

		As of December 31, 2012								As of December 31, 2011
	Description	Total		Quoted Prices		Significant		Significant		Total		Quoted		Significant		Significant
				in Active		Other		Unobservable				Prices in		Other		Unobservable
				Markets for		Observable		Inputs				Active		Observable		Inputs
				Identical		Inputs		(Level 3)				Markets for		Inputs		(Level 3)
				Assets		(Level 2)						Identical		(Level 2)
				(Level 1)		(Restated)						Assets		(Restated)
				(Restated)								(Level 1)
												(Restated)

	Cash equivalents (1)	22,149		22,149		—		—		19,745		19,745		—		—
	Available for sale securities: (2)
	Equity securities
	Financial services industry	6,025		6,025		—		—		3,752		3,752		—		—
	REIT industry	484		484		—		—		472		472		—		—
	Other	775		775		—		—		789		789		—		—
	Total equity securities	7,284		7,284		—		—		5,013		5,013		—		—
	Debt securities
	International bond fund (3)	2,345		—		2,345		—		2,246		—		2,246		—
	High yield fund (4)	2,168		—		2,168		—		—		—		—		—
	Industrial bonds	5,186		—		5,186		—		7,467		—		7,467		—
	Government bonds	4,666		4,666		—		—		5,524		5,524		—		—
	Financial bonds	982		—		982		—		1,104		—		1,104		—
	Other	869		—		869		—		875		—		875		—
	Total debt securities	16,216		4,666		11,550		—		17,216		5,524		11,692		—
	Total available for sale securities	23,500		11,950		11,550		—		22,229		10,537		11,692		—
	Total	$	45,649	$	34,099	$	11,550	$	—	$	41,974	$	30,282	$	11,692	$	—


	(1) Cash equivalents, consisting of money market funds held principally for obligations arising from our self insurance programs.

	(2) Investments in available for sale securities are reported on our balance sheet as current and long term investments in available for sale securities and are reported at fair value of $12,920 and $10,580, respectively, at December 31, 2012. Our investments in available for sale securities had amortized costs of $21,720 and $20,827 as of December 31, 2012 and 2011, respectively, had unrealized gains of $2,050 and $1,586 as of December 31, 2012 and 2011, respectively, and had unrealized losses of $270 and $185 as of December 31, 2012 and 2011, respectively. At December 31, 2012, seven of the securities we hold, with a fair value of $4,052, have been in a loss position for less than 12 months. At December 31, 2012, three of the securities we hold, with a fair value of $3,268, have been in a loss position for greater than 12 months. We do not believe these securities are impaired primarily because they have not been in a loss position for an extended period of time; the financial conditions of the issuers of our securities remain strong with solid fundamentals, we intend to hold these securities until recovery and other factors that support our conclusion that the loss is temporary. During the years ended December 31, 2012 and 2011, we received gross proceeds of $4,163 and $10,896, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $63 and $4,118, respectively, and gross realized losses totaling $82 and $2, respectively.

	(3) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of U.S. dollar investment grade fixed income securities. There are no unfunded commitments and the investment can be redeemed weekly.

	(4) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of primarily fixed income securities issued by companies with below investment grade ratings. There are no unfunded commitments and the investment can be redeemed weekly.

	During the years ended December 31, 2012 and 2011, we did not change the type of inputs used to determine the fair value of any of our assets and liabilities that we measure at fair value; however as described in Note 18, we did correct the classification of $11,550 and $11,692 of our available for sale debt securities as of December 31, 2012 and December 31, 2011, respectively, from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable which increased $9,947 and $8,956 as of December 31, 2012 and December 31, 2011, respectively. There were no other transfers of assets or liabilities between levels of the fair value hierarchy during the years ended December 31, 2012 and 2011.

	The carrying values of accounts receivable, accounts payable and the Bridge Loan (see Note 8), approximate fair value as of December 31, 2012 and 2011. The carrying value and fair value of the Notes were $24,872 and $24,623, respectively, as of December 31, 2012 and $37,282 and $33,181, respectively, as of December 31, 2011 and were categorized in Level 2 of the fair value hierarchy in their entirety. We estimated the fair value of the Notes using an average of the bid and ask price of our then outstanding Notes. The carrying value and fair value of our mortgage notes payable were $46,260 and $53,115, respectively, as of December 31, 2012 and $47,431 and $52,521, respectively, as of December 31, 2011 and are categorized in Level 3 of the fair value hierarchy in their entirety. We estimate the fair values of our mortgage notes payable by using discounted cash flow analyses and currently prevailing market terms as of the measurement date. Because these Level 3 inputs are unobservable, our estimated fair value may differ materially from the actual fair value. We measured the fair value of our equity investment in AIC, which is an Indiana insurance company that we currently own in equal proportion as each of the other seven shareholders of that company (see Note 15), categorized in Level 2 of the fair hierarchy in its entirety, by considering, among other things, the individual assets and liabilities held by AIC, AIC’s overall financial condition and earning trends, and the financial condition and prospects for the insurance industry generally.

Indebtedness

Indebtedness	12 Months Ended
	Dec. 31, 2012
Indebtedness	'
Indebtedness	'
	8. Indebtedness

	We have a $35,000 revolving secured line of credit, or our Credit Agreement, that is available for general business purposes, including acquisitions. The maturity date of our Credit Agreement is March 18, 2013. Borrowings under our Credit Agreement typically bear interest at LIBOR (with a floor of 2% per annum) plus a spread of 400 basis points, or 6% as of December 31, 2012. We may draw, repay and redraw funds until maturity, and no principal repayment is due until maturity. The weighted average interest rate for borrowings under our Credit Agreement was 6.25% for the years ended December 31, 2012 and 2011. There were no borrowings under our Credit Agreement during the year ended December 31, 2010. As of December 31, 2012 and February 15, 2013, we had $0 outstanding under our Credit Agreement. We incurred interest expense and other associated costs related to our Credit Agreement of $676, $726 and $508 for the years ended December 31, 2012, 2011 and 2010, respectively.

	We are the borrower under our Credit Agreement and certain of our subsidiaries guarantee our obligations under our Credit Agreement, which is secured by our and our guarantor subsidiaries’ accounts receivable and related collateral. Our Credit Agreement provides for acceleration of payment of all amounts due thereunder upon the occurrence and continuation of certain events of default, including a change of control of us and the termination of our business management agreement.

	In April 2012, we entered into a new $150,000 secured revolving credit facility, or our Credit Facility, that is available for general business purposes, including acquisitions. The maturity date of our Credit Facility is April 13, 2015, and, subject to the payment of extension fees and meeting certain other conditions, includes options for us to extend the stated maturity date of our Credit Facility for two one-year periods. Borrowings under our Credit Facility typically bear interest at LIBOR plus a spread of 250 basis points, or 2.71% as of December 31, 2012. We may draw, repay and redraw funds until maturity, and no principal repayment is due until maturity. The weighted average interest rate for borrowings under our Credit Facility was 2.98% for the year ended December 31, 2012. As of December 31, 2012 and February 15, 2013, we had $0 outstanding under our Credit Facility. We incurred interest expense and other associated costs related to our Credit Facility of $1,746 for the year ended December 31, 2012.

	We are the borrower under our Credit Facility, and certain of our subsidiaries guarantee our obligations under our Credit Facility, which is secured by real estate mortgages on 15 senior living communities with 1,549 living units owned by our guarantor subsidiaries and our guarantor subsidiaries’ accounts receivable and related collateral. Our Credit Facility provides for acceleration of payment of all amounts payable upon the occurrence and continuation of certain events of default, including a change of control of us.

	Our Credit Agreement and our Credit Facility contain a number of financial and other covenants, including covenants that restrict our ability to incur indebtedness or to pay dividends or make other distributions under certain circumstances and require us to maintain financial ratios and a minimum net worth.

	In May 2011, we entered into the Bridge Loan agreement with SNH under which SNH agreed to lend us up to $80,000 to fund a part of the purchase price for our acquisitions of certain assets of six senior living communities located in Indiana, or the Indiana Communities. During 2011, we completed our acquisitions of the assets of the Indiana Communities and, in connection with the acquisitions, borrowed $80,000 under the Bridge Loan. During 2011, we repaid $42,000 of this advance with proceeds from a public offering of our common shares, or the Public Offering, and cash generated by operations. In April 2012, we repaid in full the principal amount then outstanding under the Bridge Loan, resulting in termination of the Bridge Loan. We funded the April 2012 repayment of the Bridge Loan with borrowings under our Credit Facility and cash on hand. We incurred interest expense and other associated costs related to the Bridge Loan of $314 and $593 for the years ended December 31, 2012 and 2011, respectively.

	On July 1, 2010, we repaid our outstanding balance and terminated our non-recourse credit facility with UBS AG, or UBS. Interest expense and other associated costs related to this facility were $0, $0 and $149 for the years ended December 31, 2012, 2011 and 2010, respectively.

	At December 31, 2012, we had six irrevocable standby letters of credit totaling $755. The six letters of credit are security for our lease obligation to HCP, Inc., or HCP, to an automobile leasing company and to a mortgagee of our property encumbered by a Federal National Mortgage Association, or FNMA, insured mortgage. The letters of credit are renewed annually. The maturity dates for these letters of credit range from April 2013 to September 2013. Our obligations under these letters of credit are secured by cash.

	In October 2006, we issued $126,500 principal amount of the Notes. Our net proceeds from this issuance were approximately $122,600. The Notes bear interest at a rate of 3.75% per annum and are convertible into our common shares at any time. The initial conversion rate, which is subject to adjustment, is 76.9231 common shares per $1 principal amount of the Notes, which represents an initial conversion price of $13.00 per share. The Notes are guaranteed by certain of our wholly owned subsidiaries. The Notes mature on October 15, 2026. We may prepay the Notes at any time and the holders may require that we purchase all or a portion of these Notes on each of October 15, 2013, 2016 and 2021. If a “fundamental change”, as defined in the indenture governing the Notes, occurs, holders of the Notes may require us to repurchase all or a portion of their Notes for cash at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus any accrued and unpaid interest and, in certain circumstances, plus a make whole premium as defined in the indenture governing the Notes. Interest expense and other associated costs related to the Notes was $1,124, $1,470 and $1,738 for the years ended December 31, 2012, 2011 and 2010, respectively. We issued these Notes pursuant to an indenture which contains various customary covenants. As of December 31, 2012, we believe we were in compliance with all applicable covenants of this indenture.

	During the years ended December 31, 2012 and 2011, we purchased and retired $12,410 and $623 par value of the outstanding Notes, respectively, and recorded a gain of $45 and $1, respectively, net of related unamortized costs, on early extinguishment of debt. We funded these purchases principally with available cash. As a result of these purchases and other purchases we made in prior years, $24,872 in principal amount of the Notes remain outstanding.

	At December 31, 2012, six of our senior living communities were encumbered by mortgage notes with an aggregate outstanding principal balance of $46,260: (1) two of our communities, which we have classified as discontinued operations, were encumbered by United States Department of Housing and Urban Development, or HUD, insured mortgage notes; (2) one of our communities was encumbered by a FNMA mortgage note and; (3) three of our communities were encumbered by Federal Home Loan Mortgage Corporation, or FMCC, mortgage notes. These mortgages contain HUD, FNMA and FMCC, respectively, standard mortgage covenants. We recorded a mortgage premium in connection with our assumption of the FNMA and FMCC mortgage notes in order to record the assumed mortgage notes at their estimated fair value. We are amortizing the mortgage premiums as a reduction of interest expense until the maturity of the respective mortgage notes. In July 2010, we prepaid a HUD insured mortgage note with a balance of $4,635 and paid $134 in prepayment penalties.

	The following table is a summary of these mortgage notes as of December 31, 2012:

	Balance as of			Effective		Cash Interest		Maturity Date	Monthly
	December 31,			Interest		Rate			Payment
	2012			Rate
	$	19,435		6.64	%	5.86	%	June 2023	$	123
	6,712			8.99	%	5.46	%	February 2025	63
	2,968			6.36	%	6.7	%	September 2028	25
	9,598			6.2	%	6.7	%	September 2032	72
	3,045			5.25	%	5.25	%	June 2035	19
	4,502			5.55	%	5.55	%	May 2039	27
	$	46,260		6.67	-1%	5.96	-1%		$	329

	(1) Weighted average interest rate.

	We incurred mortgage interest expense, including premium amortization, of $2,843, $1,588 and $650 for the years ended December 31, 2012, 2011 and 2010, respectively, including interest expense recorded in discontinued operations. Our mortgages require monthly payments into escrows for taxes, insurance and property replacement funds; withdrawals from these escrows require applicable HUD, FNMA and FMCC approval. As of December 31, 2012, we believe we were in compliance with all applicable covenants under these mortgages.

	Principal payments due under the terms of these mortgages (including mortgages securing properties that we have classified as discontinued operations) are as follows:

	2013		$	1,242
	2014		1,318
	2015		1,398
	2016		1,483
	2017		1,573
	Thereafter		39,246
			$	46,260

Leases

Leases	12 Months Ended
Leases	Dec. 31, 2012
Leases	'
Leases	'
	9. Leases

	As of December 31, 2012, we leased 188 senior living communities and two rehabilitation hospitals from SNH under four leases (including 11 senior living communities and two rehabilitation hospitals that we have classified as discontinued operations). As of December 31, 2012, we also leased four senior living communities under a lease with HCP. These leases are “triple-net” leases which require that we pay all costs incurred in the operation of the communities and hospitals, including the cost of insurance and real estate taxes, maintaining the communities and hospitals, and indemnifying the landlord for any liability which may arise from their operation during the lease term.

	Our leases with SNH require us to pay percentage rent at 181 of the senior living communities we lease from SNH equal to 4% of the amount by which gross revenues, as defined in our leases, exceeds gross revenues in a base year. We recorded approximately $4,888, $4,879 and $4,443 in percentage rent to SNH for the years ended December 31, 2012, 2011 and 2010, respectively.

	SNH may fund amounts that we request for renovations and improvements to communities and hospitals we lease from SNH in return for rent increases according to formulas in the leases; however, SNH is not obligated to purchase these renovations and improvements from us and we are not required to sell them to SNH. In 2012, 2011 and 2010, SNH funded $30,520, $33,269 and $31,894, respectively, for renovations and improvements to some of our communities and hospitals and, as a result, our annual rent increased by $2,456, $2,665 and $2,550, respectively.

	The following table is a summary of our real property leases (including with respect to 11 senior living communities and two rehabilitation hospitals, which we have classified as discontinued operations):

		Number of		Annual		Initial expiration date	Renewal terms
		properties		minimum rent as
				of
				December 31,
				2012

	1. Lease No. 1 for SNFs and independent and assisted living communities(1)	91		$	58,779	December 31, 2024	Two 15-year renewal options.

	2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53		70,442		June 30, 2026	Two 10-year renewal options.

	3. Lease No. 3 for independent and assisted living communities(2)	17		33,997		December 31, 2028	Two 15-year renewal options.

	4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29		34,470		April 30, 2017	Two 15-year renewal options.

	5. One HCP lease	4		1,183		June 30, 2014	Two 10-year renewal options.

	Totals	194		$	198,871

	(1) Lease No. 1 is comprised of four separate leases. Three of these four leases exist to accommodate mortgage financings in effect at the time SNH acquired the properties; we have agreed with SNH to combine all four of these leases into one lease as and when these mortgage financings are paid.

	(2) Lease No. 3 exists to accommodate certain mortgage financing by SNH.

	(3) Lease No. 4 is comprised of three separate leases. Two of these three leases exist to accommodate mortgage obligations in effect at the time SNH acquired the properties; we have agreed with SNH to combine all three of these leases into one lease when these mortgage financings are paid.

	The future minimum rents required by our leases as of December 31, 2012, are as follows:

	2013	$	198,871
	2014	198,280
	2015	197,688
	2016	197,688
	2017	174,708
	Thereafter	1,384,176
		$	2,351,411

Shareholders_Equity

Shareholders' Equity	12 Months Ended
Shareholders' Equity	Dec. 31, 2012
Shareholders' Equity	'
Shareholders' Equity	'
	10. Shareholders’ Equity

	We issued 347, 379 and 351 of our common shares in 2012, 2011 and 2010, respectively, to our Directors, officers and others who provide services to us. We valued the shares at the average price of our common shares on the exchange on which they were listed on the dates of issue, or $1,638 in 2012, based on a $4.72 weighted average share price, $1,044 in 2011, based on a $2.75 weighted average share price, and $1,980 in 2010, based on a $5.64 weighted average share price. Shares issued to Directors vest immediately; one fifth of the shares issued to our officers and others vest on the date of grant and on the four succeeding anniversaries of the date of grant. We recognize the cost ratably over the vesting period. As of December 31, 2012, 794 of our common shares remain available for issuance under our Share Award Plan.

	In June 2011, we issued 11,500 of our common shares in the Public Offering, raising net proceeds of approximately $53,953. We used proceeds from the Public Offering to repay amounts outstanding under the Bridge Loan and to fund a portion of the cash purchase price of the Indiana Communities described in Note 11.

	We have adopted a Shareholders Rights Plan pursuant to which a right to purchase securities is distributable to shareholders in certain circumstances. Each right entitles the holder to purchase or to receive securities or other assets of ours upon the occurrence of certain events. The rights expire on April 10, 2014, and are redeemable at our option.

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2012
Acquisitions	'
Acquisitions	'
	11. Acquisitions

	In August 2010, we acquired from an unrelated party a continuing care retirement community, which offers independent, assisted living and skilled nursing services, containing 110 living units located in Wisconsin for $14,700. We financed the acquisition with cash on hand and by the assumption of approximately $1,311 of resident deposits. We have included the results of this community’s operations in our consolidated financial statements from the date of acquisition. We allocated the purchase price of this community to land, buildings and equipment. As of December 31, 2012, the majority of this community’s revenues comes from residents’ private resources. We acquired this community as part of our strategy of expanding our business in high quality senior living operations where residents pay for our services with private resources.

	In May 2011, we acquired an assisted living community containing 116 living units located in Arizona for $25,600, excluding closing costs. We financed the acquisition with cash on hand and by assuming a FNMA mortgage note for $18,652. We have included the results of this community’s operations in our consolidated financial statements from the date of acquisition. We allocated the purchase price of this community to land, building and equipment. This community primarily provides independent and assisted living services and as of December 31, 2012, all of the residents pay for their services with private resources.

	From June 2011 to September 2011, we purchased the Indiana Communities for an aggregate purchase price, excluding closing costs, of $122,760. The Indiana Communities primarily offer independent and assisted living services, which are currently primarily paid by residents from their private resources and contain 1,476 living units. We also entered into the Bridge Loan agreement with SNH under which SNH agreed to lend us up to $80,000 to help fund the purchase of the Indiana Communities. In addition to the proceeds of the Bridge Loan, we also funded these acquisitions with a portion of the proceeds from the Public Offering, by assuming mortgage notes secured by three of the Indiana Communities, by assuming net working capital liabilities of the Indiana Communities and with cash on hand.

	During 2012, we completed the purchase accounting of the fair value of the assets acquired after we considered the results from a third party valuation report, and, as a result, made adjustments to property and equipment, goodwill and other intangible assets. The amounts previously reported as of December 31, 2011 that have been revised to reflect these adjustments, are as follows:

		As of December 31, 2011
		Preliminary		Measurement			Revised
		Amounts		Period			Amounts
		Recorded		Adjustment			Recorded
	Land	$	4,715	$	(510	)	$	4,205
	Building and improvements	106,240		(15,200		)	91,040
	Furniture, fixtures and equipment	11,805		(2,099		)	9,706
	Property and equipment	$	122,760	$	(17,809	)	$	104,951

	Goodwill related to home health services	$	—	$	14,565		$	14,565

	Other intangible assets related to resident agreements	$	—	$	3,244		$	3,244

	For the years ended December 31, 2012, 2011 and 2010 we incurred $108, $1,759 and $0 in acquisition related costs, respectively. These costs include transaction closing costs, professional fees (legal and accounting) and other acquisition related expenses.

Discontinued_Operations

Discontinued Operations	12 Months Ended
	Dec. 31, 2012
Discontinued Operations	'
Discontinued Operations	'
	12. Discontinued Operations

	In August 2010, at our request, SNH sold four SNFs located in Nebraska which we leased from SNH to an unrelated party for net proceeds of approximately $1,450, and our annual rent payable to SNH decreased by approximately $145 per year in accordance with the terms of our lease with SNH.

	In November 2010, at our request, SNH agreed to sell one assisted living community in Pennsylvania with 70 living units that was leased to us. SNH sold this community in May 2011, and our annual rent to SNH decreased by approximately $72 per year in accordance with the terms of our lease with SNH.

	Also in November 2010, at our request, SNH agreed to sell three SNFs in Georgia with an aggregate of 329 living units that were leased to us. SNH consummated the sale of two of these communities in May 2011 and one community in June 2011, and our annual rent to SNH decreased by approximately $1,790 per year in accordance with the terms of our lease with SNH.

	In 2011, we decided to offer for sale two SNFs we own that are located in Michigan with a total of 271 living units. In October 2012, we entered an agreement to sell these two SNFs for $8,000, including the assumption of $7,547 of HUD mortgage debt by the buyer. In connection with this agreement, we recorded a $294 asset impairment charge to reduce the carrying value of these properties to their estimated fair value less costs to sell. Completion of this sale is subject to customary closing conditions and we can provide no assurance that a sale of these SNFs will be completed.

	In August 2011, we agreed with SNH that SNH should sell one assisted living community located in Pennsylvania with 103 living units, which we lease from SNH. We and SNH are in the process of offering this assisted living community for sale and, if sold, our annual minimum rent payable to SNH will decrease by 9.0% of the net proceeds of the sale to SNH, in accordance with the terms of our lease with SNH.

	In September 2012, we completed the sale of our pharmacy business to Omnicare. We received $34,298 in sale proceeds from Omnicare, which included $3,789 in working capital. We recorded a pre-tax capital gain on sale of the pharmacy business of $23,347. In connection with the sale, Omnicare did not acquire the real estate we owned associated with one pharmacy located in South Carolina. We intend to sell this real estate and we recorded a $350 asset impairment charge during the third quarter of 2012 to reduce the carrying value of this property to its estimated fair value less costs to sell. The fair value of assets held for sale is determined based upon the use of appraisals, input from market participants and/or our experience selling similar assets.

	In June 2013, we agreed with SNH that SNH will offer for sale 10 senior living communities we lease from SNH with 721 living units. Seven of these 10 communities with 578 living units are SNFs and three of these 10 communities with 143 living units are assisted living communities. Also in June 2013, we decided to offer for sale one assisted living community we own with 32 living units. In August 2013, we and SNH entered into a purchase agreement with certain unrelated parties, pursuant to which SNH agreed to sell the real estate associated with two rehabilitation hospitals and certain related assets, and in connection with such sale, we agreed to transfer the operations of those hospitals and several leased in-patient and out-patient clinics that are affiliated with those hospitals to those third parties. We and SNH completed the sale and transfer of our rehabilitation hospital business on December 31, 2013. These 11 senior living communities which we classified as discontinued operations in our financial statements for the quarter ended June 30, 2013, and our rehabilitation hospital business which we classified as discontinued operations during the third quarter of 2013, are retrospectively accounted for as discontinued operations throughout these restated financial statements for the year ended December 31, 2012.

	We have reclassified the consolidated balance sheets, the consolidated statements of income and the consolidated statements of cash flows for all periods presented to show the financial position, results of operations and cash flows of our pharmacies, our rehabilitation hospital business and the communities which have been sold or are expected to be sold as discontinued. Below is a summary of the operating results of these discontinued operations included in the consolidated financial statements for the years ended December 31, 2012, 2011 and 2010:

		2012			2011
		(Restated)			(Restated)			2010
	Revenues	$	213,020		$	251,604		$	268,685
	Expenses	(218,565		)	(253,430		)	(269,898		)
	Impairment on assets	(644		)	(4,358		)	—
	(Provision) benefit for income taxes	(5,441		)	2,803			—
	Gain on sale	23,347			—			—
	Net income (loss)	$	11,717		$	(3,381	)	$	(1,213	)

Off_Balance_Sheet_Arrangement

Off Balance Sheet Arrangement	12 Months Ended
Off Balance Sheet Arrangement	Dec. 31, 2012
Off Balance Sheet Arrangement	'
Off Balance Sheet Arrangement	'
	13. Off Balance Sheet Arrangement

	We have pledged certain of our assets, such as accounts receivable, with a carrying value, as of December 31, 2012, of $12,556 arising from our operation of 30 properties owned by SNH and leased to us which secures SNH’s borrowings from its lender, FNMA. As of December 31, 2012, we had no other off balance sheet arrangements that have had or that we expect would be reasonably likely to have a future material effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

Litigation_Settlement

Litigation Settlement	12 Months Ended
Litigation Settlement	Dec. 31, 2012
Litigation Settlement	'
Litigation Settlement	'
	14. Litigation Settlement

	On May 29, 2012, we entered into a settlement agreement, or the Settlement Agreement, with subsidiaries of Sunrise Senior Living Inc., or Sunrise, pursuant to which we agreed to settle our long running litigation with Sunrise, involving amounts charged by Sunrise to us for certain insurance programs for senior living communities managed by Sunrise for us. Pursuant to the Settlement Agreement, Sunrise paid us $4,000 in cash and we recorded a gain of $3,365, net of legal fees, in our consolidated statements of income.

Related_Person_Transactions

Related Person Transactions	12 Months Ended
Related Person Transactions	Dec. 31, 2012
Related Person Transactions	'
Related Person Transactions	'
	15. Related Person Transactions

	We have adopted written Governance Guidelines that address the consideration and approval of any related person transactions. Under these Governance Guidelines, we may not enter into any transaction in which any Director or executive officer, any member of the immediate family of any Director or executive officer or any other related person, has or will have a direct or indirect material interest unless that transaction has been disclosed or made known to our Board of Directors and our Board of Directors reviews and approves or ratifies the transaction by the affirmative vote of a majority of the disinterested Directors, even if the disinterested Directors constitute less than a quorum. If there are no disinterested Directors, the transaction must be reviewed and approved or ratified by both (1) the affirmative vote of a majority of our entire Board of Directors and (2) the affirmative vote of a majority of our Independent Directors. The Governance Guidelines further provide that, in determining whether to approve or ratify a transaction, our Board of Directors, or disinterested Directors or Independent Directors, as the case may be, shall act in accordance with any applicable provisions of our charter, consider all of the relevant facts and circumstances and approve only those transactions that are fair and reasonable to us. All related person transactions described below were reviewed and approved or ratified by a majority of the disinterested Directors or otherwise in accordance with our policies described above. In the case of any transaction with us in which any other employee of ours who is subject to our Code of Business Conduct and Ethics and who has a direct or indirect material interest in the transaction, the employee must seek approval from an executive officer who has no interest in the matter for which approval is being requested.

	We were formerly a 100% owned subsidiary of SNH, SNH is our largest landlord and our largest stockholder and we manage senior living communities for SNH. In 2001, SNH distributed substantially all of our then outstanding common shares to its shareholders. As of December 31, 2012, SNH owned 4,235 of our common shares, or approximately 8.8% of our outstanding common shares. One of our Managing Directors, Mr. Barry Portnoy, is a managing trustee of SNH. Mr. Barry Portnoy’s son, Mr. Adam Portnoy, also serves as a managing trustee of SNH. In order to effect this spin off and to govern relations after the spin off, we entered into agreements with SNH and others, including RMR. Since then we have entered into various leases with SNH and other agreements that include provisions that confirm and modify these undertakings. Among other matters, these agreements provide that:

	· so long as SNH remains a real estate investment trust, or REIT, we may not waive the share ownership restrictions in our charter on the ability of any person or group to acquire more than 9.8% of any class of our equity shares without the consent of SNH;

	· so long as we are a tenant of, or manager for, SNH, we will not permit nor take any action that, in the reasonable judgment of SNH, might jeopardize the tax status of SNH as a REIT;

	· SNH has the option to cancel all of our rights under the leases and management agreements we have with SNH upon the acquisition by a person or group of more than 9.8% of our voting stock and upon other change in control events affecting us, as defined in those documents, including the adoption of any stockholder proposal (other than a precatory proposal) or the election to our Board of Directors of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of our Directors in office immediately prior to the making of such proposal or the nomination or appointment of such individual;

	· the resolution of disputes arising from our leases and other agreements with SNH may be resolved by binding arbitration; and

	· so long as we are a tenant of, or manager for, SNH or so long as we have a business management agreement with RMR, we will not acquire or finance any real estate of a type then owned or financed by SNH or any other company managed by RMR without first giving SNH or the other company managed by RMR, as applicable, the opportunity to acquire or finance real estate of the type in which SNH or the other company managed by RMR, respectively, invests.

	As of December 31, 2012, we leased 188 senior living communities (including 11 senior living communities that we have classified as discontinued operations) and two rehabilitation hospitals (which we have classified as discontinued operations) from SNH and managed 39 senior living communities for the account of SNH.

	Under our leases with SNH, we pay SNH minimum rent plus percentage rent based on increases in gross revenues at certain properties. Our total minimum annual rent payable to SNH as of December 31, 2012 was $197,688, excluding percentage rent. Our total rent expense under all of our leases with SNH, net of lease inducement amortization, was $200,036, $194,524 and $188,768 for the years ended December 31, 2012, 2011 and 2010, respectively. As of December 31, 2012 and December 31, 2011, we had outstanding rent due and payable to SNH of $17,688 and $17,318, respectively. During the years ended December 31, 2012, 2011 and 2010, pursuant to the terms of our leases with SNH, we sold $30,520, $33,269 and $31,894, respectively, of improvements made to properties leased from SNH and, as a result, our annual rent payable to SNH increased by approximately $2,456, $2,665 and $2,550, respectively. As of December 31, 2012, our property and equipment included $9,625 for similar improvements we have made to properties we lease from SNH that we currently expect to request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to purchase such assets.

	We began managing communities for SNH’s account in June 2011 in connection with SNH’s acquisition of certain senior living communities at that time. We have since begun managing additional communities that SNH has acquired. With the exception of the management agreement for the senior living community in New York described below, the management agreements for the communities we manage for SNH’s account provide us with a management fee equal to 3% of the gross revenues realized at the communities, plus reimbursement for our direct costs and expenses related to the communities and an incentive fee equal to 35% of the annual net operating income of the communities after SNH realizes an annual return equal to 8% of its invested capital. The management agreements generally expire on December 31, 2031, and are subject to automatic renewal for two consecutive 15 year terms, unless earlier terminated or timely notice of nonrenewal is delivered. The management agreements provide that we and SNH each have the option to terminate the contracts upon the acquisition by a person or group of more than 9.8% of the other’s voting stock and upon other change in control events affecting the other party, as defined in those documents, including the adoption of any shareholder proposal (other than a precatory proposal) or the election to the board of directors or board of trustees of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of the board of directors or board of trustees in office immediately prior to the making of such proposal or the nomination or appointment of such individual.

	In connection with the management agreements, we and SNH have entered into three pooling agreements, two pooling agreements which pool our management agreements with SNH for communities that include assisted living units, or the AL Pooling Agreements, and a third pooling agreement, which pools our management agreements with SNH for communities that include only independent living units, or the IL Pooling Agreement. We entered into the initial AL Pooling Agreement in May 2011 and the second AL Pooling Agreement in October 2012. In connection with entering into the second AL Pooling Agreement, we and SNH amended and restated the initial AL Pooling Agreement so that it includes only 20 identified communities. The second AL Pooling Agreement includes the management agreements for the remaining communities that include assisted living units that we currently manage for SNH (other than with respect to the senior living community in New York described below). We entered into the IL Pooling Agreement in August 2012. Each of the AL Pooling Agreements and the IL Pooling Agreement aggregates the determinations of fees and expenses of the various communities that are subject to such pooling agreement, including determinations of our incentive fees and SNH’s return of its invested capital. Under each of the pooling agreements, SNH has the right, after the period of time specified in the agreement has elapsed and subject to our cure rights, to terminate all, but not less than all, of the management agreements that are subject to the agreement if SNH does not receive its minimum return in each of three consecutive years. In addition, under each of the pooling agreements, we have a limited right to require the sale of underperforming communities. Also, under each of the pooling agreements, any nonrenewal notice given by us with respect to a community is deemed a nonrenewal with respect to all the communities that are the subject of the agreement. Special committees of each of our Board of Directors and SNH’s board of trustees composed solely of our Independent Directors and SNH’s independent trustees who are not also directors or trustees of the other party and who were represented by separate counsel reviewed and approved the terms of these management agreements and pooling agreements.

	We earned management fees from SNH of $5,582 and $835 for the years ended December 31, 2012 and 2011, respectively. We expect that we may enter additional management arrangements with SNH for senior living communities that SNH may acquire in the future on terms similar to those management arrangements we currently have with SNH.

	For a detailed description of the transactions we entered with SNH during 2010 and 2011, please see our Annual Reports on Form 10-K filed with the Securities and Exchange Commission, or the SEC, for those years. Since January 1, 2012, we entered the following transactions with SNH:

	· In February 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units to manage a senior living community in Alabama with 92 living units. This management agreement is included in the second AL Pooling Agreement.

	· In May 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units to manage a senior living community in South Carolina with 59 living units, which community we had been managing for the prior owner’s account pending SNH’s acquisition. This management agreement is included in the second AL Pooling Agreement.

	· Also in May 2012, we and SNH entered into an operations transfer agreement with Sunrise Senior Living Inc., or Sunrise. Pursuant to this operations transfer agreement, SNH and Sunrise agreed to accelerate the December 31, 2013 termination date of Sunrise’s leases for 10 senior living communities owned by SNH, and we agreed to operate the 10 communities as a manager for SNH’s account pursuant to long term management agreements. As of December 31, 2012, we had entered into long term management agreements with SNH for these 10 communities, on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units. These management agreements are included in the second AL Pooling Agreement.

	· In July 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units to manage a senior living community in South Carolina with 232 living units, which community we had previously been managing for the prior owner’s account pending SNH’s acquisition. This management agreement was added to our second AL Pooling Agreement.

	· In August 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include only independent living units to manage a senior living community in Missouri with 87 living units. This management agreement was added to our IL Pooling Agreement.

	· Also in August 2012, we entered into a long term management agreement with SNH to manage a portion of a senior living community in New York that is not subject to the requirements of New York healthcare licensing laws, consisting of 198 living units, on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units, except that the management fee payable to us is equal to 5% of the gross revenues realized at that portion of the community and there is no incentive fee payable to us under this management agreement. In order to accommodate certain requirements of New York healthcare licensing laws, SNH subleased a portion of this senior living community that is subject to such requirements, consisting of 111 living units, to an entity, D&R Yonkers LLC, which is owned by SNH’s President and Chief Operating Officer and its Treasurer and Chief Financial Officer, and we entered into a long term management agreement with D&R Yonkers LLC to manage that portion of the community. Pursuant to that management agreement, D&R Yonkers LLC pays us a management fee equal to 3% of the gross revenues realized at that portion of the community and we are not entitled to any incentive fee under that agreement. Our management agreement with D&R Yonkers LLC expires on August 31, 2017, and is subject to renewal for nine consecutive five year terms, unless earlier terminated or timely notice of nonrenewal is delivered.

	· In December 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units to manage a senior living community in Tennessee with 90 living units. This management agreement was added to our second AL Pooling Agreement.

	· Also in December 2012, we entered into a long term management agreement with SNH on terms substantially consistent with the terms of our other management agreements with SNH for communities that include assisted living units to manage a senior living community in Texas with 78 living units. This management agreement was added to our second AL Pooling Agreement.

	As discussed above in Notes 8 and 11, in May 2011, we and SNH entered into the Bridge Loan, under which SNH agreed to lend us up to $80,000. In April 2012, we repaid in full the then outstanding principal amount under the Bridge Loan, resulting in termination of the Bridge Loan. The Bridge Loan bore interest at a rate equal to the annual rates of interest applicable to SNH’s borrowings under its revolving credit facility, plus 1%. We incurred interest expense on the Bridge Loan of $314 and $593 for the years ended December 31, 2012 and December 31, 2011, respectively, which amounts are included in interest and other expense in our consolidated statements of income.

	In August 2012, SNH prepaid certain outstanding debt it had borrowed from FNMA, which debt was secured by certain properties we lease from SNH and other assets relating to those properties. As a result of this prepayment, 11 of the 28 properties securing that debt were released from the mortgage and, in connection with that release, we entered into amendments to our leases with SNH so that these 11 properties were removed from the lease created to accommodate this debt and were added to our other multi-property leases with SNH.

	RMR provides business management and shared services to us pursuant to a business management and shared services agreement, or our business management agreement. One of our Managing Directors, Mr. Barry Portnoy, is Chairman, majority owner and an employee of RMR. Mr. Barry Portnoy’s son, Mr. Adam Portnoy, is an owner of RMR and serves as President, Chief Executive Officer and a director of RMR. Our other Managing Director, Mr. Gerard Martin, is a director of RMR. Mr. Bruce Mackey, our President and Chief Executive Officer, is an Executive Vice President of RMR and Mr. Paul Hoagland, our Treasurer and Chief Financial Officer is a Senior Vice President of RMR. SNH’s executive officers are officers of RMR and SNH’s President and Chief Operating Officer is a director of RMR. Our Independent Directors also serve as independent directors or independent trustees of other public companies to which RMR or its affiliates provide management services. Mr. Barry Portnoy serves as a managing director or managing trustee of those companies, including SNH, and Mr. Adam Portnoy serves as a managing trustee of a majority of those companies, including SNH. In addition, officers of RMR serve as officers of those companies. We understand that further information regarding those relationships is provided in the applicable periodic reports and proxy statements filed by those other companies with the SEC.

	Messrs. Mackey and Hoagland were officers of RMR throughout all of 2010, 2011 and 2012. Because at least 80% of Messrs. Mackey’s and Hoagland’s business time is devoted to services to us, 80% of Messrs. Mackey’s and Hoagland’s total cash compensation (that is, the combined base salary and cash bonus paid by us and RMR) was paid by us and the remainder was paid by RMR. Messrs. Mackey and Hoagland are also eligible to participate in certain RMR benefit plans. We believe the compensation we paid to these officers reasonably reflected their division of business time; however, periodically, these individuals may divide their business time differently than they do currently and their compensation from us may become disproportionate to this division. RMR has approximately 820 employees and provides management services to other companies in addition to us and SNH.

	Our Board of Directors has given our Compensation Committee, which is comprised exclusively of our Independent Directors, authority to act on our behalf with respect to our business management agreement with RMR. The charter of our Compensation Committee requires the Committee annually to review the business management agreement, evaluate RMR’s performance under this agreement and renew, amend, terminate or allow to expire the business management agreement.

	Pursuant to the business management agreement, RMR assists us with various aspects of our business, which may include, but are not limited to, compliance with various laws and rules applicable to our status as a publicly owned company, maintenance of our facilities, evaluation of business opportunities, accounting and financial reporting, capital markets and financing activities, investor relations and general oversight of our daily business activities, including legal and tax matters, human resources, insurance programs, management information systems and the like. Under our business management agreement, we pay RMR an annual business management fee equal to 0.6% of our revenues. Revenues are defined as our total revenues from all sources reportable under generally accepted accounting principles in the United States, or GAAP, less any revenues reportable by us with respect to communities for which we provide management services plus the gross revenues at those communities determined in accordance with GAAP. This fee totaled $13,186, $11,726 and $11,214 for the years ended December 31, 2012, 2011 and 2010, respectively. RMR also provides internal audit services to us in return for our pro rata share of the total internal audit costs incurred by RMR for us and other companies managed by RMR and its affiliates, which amounts are subject to approval by our Compensation Committee. Our Audit Committee appoints our Director of Internal Audit. Our share of RMR’s costs of providing this internal audit function was approximately $209 for 2012, $247 for 2011 and $211 for 2010. These allocated costs are in addition to the business management fees earned by RMR.

	The business management agreement automatically renews for successive one year terms unless we or RMR give notice of non-renewal before the end of an applicable term. We or RMR may terminate the business management agreement upon 60 days’ prior written notice. RMR may also terminate the business management agreement upon five business days’ notice if we undergo a change of control, as defined in the business management agreement. On November 23, 2012, we entered into an amended and restated business management agreement with RMR to: extend the term of the agreement until December 31, 2013; provide that fees payable by us to RMR are generally subordinate to amounts payable by us to SNH pursuant to any management or lease agreement; provide that our reimbursable share of the aggregate costs incurred by RMR for certain employment expenses of RMR’s applicable employees actively engaged in providing management information services to us is subject to periodic approval by our Independent Directors as members of our Compensation Committee; amend certain procedures for the arbitration of disputes pursuant to the agreement; and make other clarification and administrative changes. The amended and restated business management agreement was reviewed and approved by our Compensation Committee consisting solely of our Independent Directors.

	Under our business management agreement, we acknowledge that RMR also provides management services to other companies, including SNH. The fact that RMR has responsibilities to other entities, including our largest landlord and largest stockholder, SNH, could create conflicts; and in the event of such conflicts between us and RMR, any affiliate of RMR or any other publicly owned entity with which RMR has a relationship, including SNH, our business management agreement allows RMR to act on its own behalf and on behalf of SNH or such other entity rather than on our behalf. Under the business management agreement, we afford SNH and any other company that is managed by RMR a right of first refusal to invest in or finance any real estate of a type then owned or financed by any of them before we do. Under the business management agreement, RMR has agreed not to provide business management services to any other business or enterprise, other than SNH, competitive with our business. The business management agreement also includes arbitration provisions for the resolution of disputes.

	We are generally responsible for all of our expenses and certain expenses incurred by RMR on our behalf. Pursuant to our business management agreement, RMR may from time to time negotiate on our behalf with certain third party vendors and suppliers for the procurement of services to us. As part of this arrangement, we may enter agreements with RMR and other companies to which RMR provides management services for the purpose of obtaining more favorable terms from such vendors and suppliers.

	RMR was the owner of two buildings we leased for our corporate headquarters and administrative offices until the expiration of those leases in June 2011. In May 2011, we entered into a new lease that consolidated our headquarters into one building owned by RMR. This new lease requires us to pay current annual rent of approximately $748. The terms of this new lease were negotiated and approved by a special committee of our Board of Directors composed solely of our Independent Directors. During 2012, 2011 and 2010, we incurred rent, which included our proportionate share of utilities and real estate taxes, under these leases of $1,426, $1,271 and $1,212, respectively. We believe the terms of the expired leases and the new lease were and are commercially reasonable.

In December 2006, we began leasing space for a regional office in Atlanta, Georgia from CommonWealth REIT, or CWH, a public company managed by RMR. Our lease for this space expired in December 2011 and was not renewed. We incurred rent, which included our proportionate share of utilities and real estate taxes, under this lease during 2011 and 2010 of $71 and $66, respectively. We believe that the terms of this lease were commercially reasonable.

Under our Share Award Plan, we typically grant restricted shares to certain employees of RMR who are not also Directors, officers or employees of ours. In 2012, 2011 and 2010, we granted a total of 81, 77 and 65 restricted shares, respectively, with an aggregate value of $399, $168 and $394, respectively, to such persons, based upon the closing price of our common shares on the dates of grants on the New York Stock Exchange, or the NYSE, for the grants made in 2012 and 2011 and on the NYSE Amex (now known as the NYSE MKT) for the grants made in 2010. One fifth of those restricted shares vested on the grant dates and one fifth vests on each of the next four anniversaries of the grant dates. These share grants to RMR employees are in addition to both the fees we pay to RMR and our share grants to our Directors, officers and employees. On occasion, we have entered into arrangements with former employees of ours or RMR in connection with the termination of their employment with us or RMR, providing for the acceleration of vesting of restricted shares previously granted to them under our Share Award Plan.

We, RMR, SNH and five other companies to which RMR provides management services each currently own 12.5% of AIC, an Indiana insurance company. All of our Directors, all of the trustees and directors of the other publicly held AIC shareholders and nearly all of the directors of RMR currently serve on the board of directors of AIC. RMR provides management and administrative services to AIC pursuant to a management and administrative services agreement with AIC. Our Governance Guidelines provide that any material transaction between us and AIC shall be reviewed, authorized and approved or ratified by the affirmative votes of both a majority of our entire Board of Directors and a majority of our Independent Directors. The shareholders agreement among us, the other shareholders of AIC and AIC includes arbitration provisions for the resolution of disputes.

As of December 31, 2012, we have invested $5,209 in AIC since its formation in November 2008. Although we own less than 20% of AIC, we use the equity method to account for this investment because we believe that we have significant influence over AIC because all of our Directors are also directors of AIC. Our investment in AIC had a carrying value of $5,629 and $5,291 as of December 31, 2012 and 2011, respectively. For 2012, 2011 and 2010, we recognized income of $316 and $139 and a loss of $1, respectively, related to our investment in AIC. We and the other shareholders of AIC have purchased property insurance providing $500,000 of coverage pursuant to an insurance program arranged by AIC and with respect to which AIC is a reinsurer of certain coverage amounts. This program was modified and extended in June 2012 for a one year term, and we paid a premium, including taxes and fees, of $6,264 in connection with that renewal, which amount may be adjusted from time to time as we acquire or dispose of properties that are included in this program. Our annual premiums for this property insurance in 2011 and 2010 were $4,500 and $2,900, respectively. We are also currently investigating the possibilities to expand our insurance relationships with AIC to include other types of insurance. We may invest additional amounts in AIC in the future if the expansion of this insurance business requires additional capital, but we are not obligated to do so. By participating in this insurance business with RMR and the other companies to which RMR provides management services, we expect that we may benefit financially by possibly reducing our insurance expenses or by realizing our pro rata share of any profits of this insurance business.

Employee_Benefit_Plans

Employee Benefit Plans	12 Months Ended
Employee Benefit Plans	Dec. 31, 2012
Employee Benefit Plans	'
Employee Benefit Plans	'
	16. Employee Benefit Plans

	We have several employee savings plans under the provisions of Section 401(k) of the Internal Revenue Code. All our employees are eligible to participate in at least one of our plans and are entitled upon termination or retirement to receive their vested portion of the plan assets. For some of our plans, we match a certain amount of employee contributions. We also pay certain expenses related to all of our plans. Expenses for all our plans, including our contributions, were $1,565, $1,451 and $1,476 for the years ended December 31, 2012, 2011 and 2010, respectively.

Selected_Quarterly_Financial_D

Selected Quarterly Financial Data (Unaudited)	12 Months Ended
	Dec. 31, 2012
Selected Quarterly Financial Data (Unaudited)	'
Selected Quarterly Financial Data (Unaudited)	'
	17. Selected Quarterly Financial Data (Unaudited)

	The following is a summary of unaudited quarterly results of operations for the years ended December 31, 2012 and 2011:

			2012
			First Quarter			Second Quarter			Third Quarter			Fourth Quarter
			(As Restated)			(As Restated)			(As Restated)			(As Restated)
	Revenues		$	291,298		$	296,493		$	297,169		$	322,185
	Operating income		3,145			10,643			5,478			5,615
	Income from continuing operations		1,167			5,576			3,088			1,993
	Net income		472			4,910			16,213			1,946
	Net income per common share - Basic		$	0.01		$	0.1		$	0.34		$	0.04
	Net income per common share - Diluted		$	0.01		$	0.1		$	0.33		$	0.04

			2011
			First Quarter			Second Quarter			Third Quarter			Fourth Quarter
			(As Restated)			(As Restated)			(As Restated)			(As Restated)
	Revenues		$	252,714		$	255,942		$	274,306		$	277,225
	Operating income (loss)		7,230			6,572			3,838			(1,141		)
	Income from continuing operations (1)		6,511			4,541			3,225			59,891
	Net income (loss)		4,310			4,946			(460		)	61,991
	Net income (loss) per common share - Basic		$	0.12		$	0.13		$	(0.01	)	$	1.3
	Net income (loss) per common share - Diluted		$	0.12		$	0.13		$	(0.00	)	$	1.23

	(1) Income from continuing operations for the fourth quarter of 2011 includes an income tax benefit from continuing operations of $57,849, of which $58,896 was attributable to the partial reduction of our previously deferred income tax valuation allowance.

	As more fully described in Note 18, we are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 to correct certain errors in the accounting for income taxes. In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items. We are also restating our unaudited interim period information for the years ended December 31, 2012 and 2011.

	The impact of these errors to the condensed consolidated balance sheets and statements of income for the unaudited interim quarters of 2012 and 2011 are presented below. The As Reported columns represent the amounts as originally filed with the SEC on Form 10-Q for each period.

			As of September 30, 2012
												Retrospective
												Adjustments
			As			Error			As			for Discontinued			As
			Reported			Corrections			Corrected			Operations			Restated
	Condensed Consolidated Balance Sheet:
	Current assets:
	Cash and cash equivalents		$	14,295		$	—		$	14,295		$	—		$	14,295
	Accounts receivable		54,880			1,446			56,326			(14,937		)	41,389
	Due from related persons		—			6,088			6,088			—			6,088
	Investments in available for sale securities		14,942			—			14,942			—			14,942
	Restricted cash		5,904			—			5,904			—			5,904
	Prepaid expenses and other current assets(1)		25,441			6,499			31,940			(903		)	31,037
	Assets of discontinued operations		13,003			28			13,031			19,692			32,723
	Total current assets		128,465			14,061			142,526			3,852			146,378

	Property and equipment, net		336,889			872			337,761			(3,772		)	333,989
	Equity investment in Affiliates Insurance Company		5,558			—			5,558			—			5,558
	Restricted cash		9,262			—			9,262			—			9,262
	Restricted investments in available for sale securities		11,904			—			11,904			—			11,904
	Goodwill and other intangible assets		28,081			—			28,081			(80		)	28,001
	Other long term assets(2)		43,347			2,010			45,357			—			45,357
	Total assets		$	563,506		$	16,943		$	580,449		$	—		$	580,449

	Current liabilities:
	Accounts payable		$	24,500		$	2,645		$	27,145		$	(1,847	)	$	25,298
	Accrued expenses		20,840			458			21,298			(201		)	21,097
	Accrued compensation and benefits		48,118			—			48,118			(6,950		)	41,168
	Due to related persons		12,791			7,124			19,915			—			19,915
	Mortgage notes payable		1,076			—			1,076			—			1,076
	Accrued real estate taxes		14,909			(1,036		)	13,873			(277		)	13,596
	Security deposit liability		9,948			(584		)	9,364			(23		)	9,341
	Other current liabilities		16,958			—			16,958			(2		)	16,956
Liabilities of discontinued operations		8,764			7			8,771			9,305			18,076
Total current liabilities		157,904			8,614			166,518			5			166,523

Long term liabilities:
Mortgage notes payable		37,900			—			37,900			—			37,900
Convertible senior notes		24,872			—			24,872			—			24,872
Continuing care contracts		1,820			—			1,820			—			1,820
Accrued self insurance obligations		31,868			—			31,868			—			31,868
Other long term liabilities		6,415			83			6,498			(5		)	6,493
Total long term liabilities		102,875			83			102,958			(5		)	102,953

Commitments and contingencies

Shareholders’ equity:
Common stock		479			—			479			—			479
Additional paid in capital		353,468			37			353,505			—			353,505
Accumulated deficit		(53,136		)	6,735			(46,401		)	—			(46,401		)
Accumulated other comprehensive income		1,916			1,474			3,390			—			3,390
Total shareholders’ equity		302,727			8,246			310,973			—			310,973
Total liabilities and shareholders’ equity		$	563,506		$	16,943		$	580,449		$	—		$	580,449

(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

		As of June 30, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	23,635		$	—		$	23,635		$	—		$	23,635
Accounts receivable		63,130			1,664			64,794			(23,519		)	41,275
Due from related persons		—			2,536			2,536			—			2,536
Investments in available for sale securities		14,993			—			14,993			—			14,993
Restricted cash		6,507			—			6,507			—			6,507
Prepaid expenses and other current assets(1)		22,073			7,925			29,998			(5,527		)	24,471
Assets of discontinued operations		8,401			14			8,415			38,831			47,246
Total current assets		138,739			12,139			150,878			9,785			160,663

Property and equipment, net		337,836			447			338,283			(6,221		)	332,062
Equity investment in Affiliates Insurance Company		5,408			—			5,408			—			5,408
Restricted cash		6,313			—			6,313			—			6,313
Restricted investments in available for sale securities		11,299			—			11,299			—			11,299
Goodwill and other intangible assets		31,857			—			31,857			(3,564		)	28,293
Other long term assets(2)		50,233			588			50,821			—			50,821
Total assets		$	581,685		$	13,174		$	594,859		$	—		$	594,859

Current liabilities:
Revolving credit facility, secured principally by real estate		$	37,500		$	—		$	37,500		$	—		$	37,500
Accounts payable		24,766			2,539			27,305			(2,228		)	25,077
Accrued expenses		23,742			(1,982		)	21,760			(181		)	21,579
Accrued compensation and benefits		45,388			—			45,388			(6,689		)	38,699
Due to related persons		15,956			3,452			19,408			—			19,408
Mortgage notes payable		1,060			—			1,060			—			1,060
Accrued real estate taxes		11,378			(916		)	10,462			(343		)	10,119
Security deposit liability		10,033			(523		)	9,510			(23		)	9,487
Other current liabilities		17,421			2,048			19,469			—			19,469
Liabilities of discontinued operations		8,491			(5		)	8,486			9,464			17,950
Total current liabilities		195,735			4,613			200,348			—			200,348

Long term liabilities:
Mortgage notes payable		38,175			—			38,175			—			38,175
Convertible senior notes		24,872			—			24,872			—			24,872
Continuing care contracts		1,838			—			1,838			—			1,838
Accrued self insurance obligations		28,296			—			28,296			—			28,296
Other long term liabilities		6,800			83			6,883			—			6,883
Total long term liabilities		99,981			83			100,064			—			100,064

Commitments and contingencies

Shareholders’ equity:
Common stock		479			—			479			—			479
Additional paid in capital		353,309			(8		)	353,301			—			353,301
Accumulated deficit		(69,575		)	6,961			(62,614		)	—			(62,614		)
Accumulated other comprehensive income		1,756			1,525			3,281			—			3,281
Total shareholders’ equity		285,969			8,478			294,447			—			294,447
Total liabilities and shareholders’ equity		$	581,685		$	13,174		$	594,859		$	—		$	594,859

(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

		As of March 31, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	26,645		$	—		$	26,645		$	—		$	26,645
Accounts receivable		65,106			1,638			66,744			(25,591		)	41,153
Due from related persons		—			4,607			4,607			—			4,607
Investments in available for sale securities		8,773			—			8,773			—			8,773
Restricted cash		5,749			—			5,749			—			5,749
Prepaid expenses and other current assets(1)		26,294			7,737			34,031			(6,204		)	27,827
Assets of discontinued operations		8,515			39			8,554			41,788			50,342
Total current assets		141,082			14,021			155,103			9,993			165,096

Property and equipment, net		353,539			1,053			354,592			(24,147		)	330,445
Equity investment in Affiliates Insurance Company		5,335			—			5,335			—			5,335
Restricted cash		6,317			—			6,317			—			6,317
Restricted investments in available for sale securities		12,871			—			12,871			—			12,871
Goodwill and other intangible assets		15,157			—			15,157			14,154			29,311
Other long term assets(2)		50,966			907			51,873			—			51,873
Total assets		$	585,267		$	15,981		$	601,248		$	—		$	601,248

Current liabilities:
Accounts payable		$	22,831		$	2,697		$	25,528		$	(2,139	)	$	23,389
Accrued expenses		24,027			(1,269		)	22,758			(502		)	22,256
Accrued compensation and benefits		44,632			—			44,632			(7,695		)	36,937
Due to related persons		13,467			5,662			19,129			—			19,129
Mortgage notes payable		1,044			—			1,044			—			1,044
Bridge loan from Senior Housing Properties Trust		38,000			—			38,000			—			38,000
Accrued real estate taxes		9,878			(1,055		)	8,823			(268		)	8,555
Security deposit liability		10,724			(470		)	10,254			(23		)	10,231
Other current liabilities		15,532			2,113			17,645			—			17,645
Liabilities of discontinued operations		8,932			21			8,953			10,627			19,580
Total current liabilities		189,067			7,699			196,766			—			196,766

Long term liabilities:
Mortgage notes payable		38,446			—			38,446			—			38,446
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		1,883			—			1,883			—			1,883
Accrued self insurance obligations		30,438			—			30,438			—			30,438
Other long term liabilities		7,184			83			7,267			—			7,267
Total long term liabilities		115,233			83			115,316			—			115,316

Commitments and contingencies

Shareholders’ equity:
Common stock		479			—			479			—			479
Additional paid in capital		353,036			(53		)	352,983			—			352,983
Accumulated deficit		(74,213		)	6,689			(67,524		)	—			(67,524		)
Accumulated other comprehensive income		1,665			1,563			3,228			—			3,228
Total shareholders’ equity		280,967			8,199			289,166			—			289,166
Total liabilities and shareholders’ equity		$	585,267		$	15,981		$	601,248		$	—		$	601,248

(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

		As of September 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	41,946		$	—		$	41,946		$	—		$	41,946
Accounts receivable		59,972			(186		)	59,786			(23,315		)	36,471
Investments in available for sale securities		17,283			—			17,283			—			17,283
Restricted cash		5,171			—			5,171			—			5,171
Prepaid and other current assets		21,001			(245		)	20,756			(6,986		)	13,770
Assets of discontinued operations		8,812			13			8,825			40,910			49,735
Total current assets		154,185			(418		)	153,767			10,609			164,376

Property and equipment, net		353,639			1,049			354,688			(6,773		)	347,915
Equity investment in Affiliates Insurance Company		5,245			—			5,245			—			5,245
Restricted cash		4,306			—			4,306			—			4,306
Restricted investments in available for sale securities		12,987			—			12,987			—			12,987
Goodwill and other intangible assets		15,383			—			15,383			(3,836		)	11,547
Other long term assets		3,334			—			3,334			—			3,334
Total assets		$	549,079		$	631		$	549,710		$	—		$	549,710

Current liabilities:
Accounts payable		$	21,512		$	—		$	21,512		$	(2,368	)	$	19,144
Accrued expenses		27,433			(922		)	26,511			(400		)	26,111
Accrued compensation and benefits		44,091			—			44,091			(7,415		)	36,676
Due to related persons		16,306			—			16,306			—			16,306
Mortgage notes payable		1,012			—			1,012			—			1,012
Bridge loan from Senior Housing Properties Trust		48,000			—			48,000			—			48,000
Accrued real estate taxes		14,833			—			14,833			(298		)	14,535
Security deposit liability		10,677			(424		)	10,253			(22		)	10,231
Other current liabilities		15,477			2,058			17,535			(1		)	17,534
Liabilities of discontinued operations		8,854			(4		)	8,850			10,504			19,354
Total current liabilities		208,195			708			208,903			—			208,903

Long term liabilities:
Mortgage notes payable		38,977			—			38,977			—			38,977
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,068			—			2,068			—			2,068
Accrued self insurance obligations		27,074			—			27,074			—			27,074
Other long term liabilities		7,715			—			7,715			—			7,715
Total long term liabilities		113,116			—			113,116			—			113,116

Shareholders’ equity:
Common stock		476			—			476			—			476
Additional paid in capital		352,501			(72		)	352,429			—			352,429
Accumulated deficit		(129,983		)	(5		)	(129,988		)	—			(129,988		)
Accumulated other comprehensive income		4,774			—			4,774			—			4,774
Total shareholders’ equity		227,768			(77		)	227,691			—			227,691
Total liabilities and shareholders’ equity		$	549,079		$	631		$	549,710		$	—		$	549,710

		As of June 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	43,158		$	—		$	43,158		$	—		$	43,158
Accounts receivable		63,031			(195		)	62,836			(25,708		)	37,128
Investments in available for sale securities		19,954			—			19,954			—			19,954
Restricted cash		4,072			—			4,072			—			4,072
Prepaid and other current assets		17,505			(245		)	17,260			(7,223		)	10,037
Assets of discontinued operations		12,436			19			12,455			43,396			55,851
Total current assets		160,156			(421		)	159,735			10,465			170,200

Property and equipment, net		273,208			529			273,737			(6,539		)	267,198
Equity investment in Affiliates Insurance Company		5,202			—			5,202			—			5,202
Restricted cash		3,712			—			3,712			—			3,712
Restricted investments in available for sale securities		12,445			—			12,445			—			12,445
Acquisition deposits		7,509			—			7,509			—			7,509
Goodwill and other intangible assets		15,496			—			15,496			(3,926		)	11,570
Other long term assets		3,823			—			3,823			—			3,823
Total assets		$	481,551		$	108		$	481,659		$	—		$	481,659

Current liabilities:
Accounts payable		$	18,621		$	—		$	18,621		$	(2,592	)	$	16,029
Accrued expenses		22,395			(1,289		)	21,106			(610		)	20,496
Accrued compensation and benefits		46,882			—			46,882			(8,884		)	37,998
Due to related persons		17,417			—			17,417			—			17,417
Mortgage notes payable		321			—			321			—			321
Bridge loan from Senior Housing Properties Trust		9,000			—			9,000			—			9,000
Accrued real estate taxes		10,428			—			10,428			(335		)	10,093
Security deposit liability		10,434			(436		)	9,998			(28		)	9,970
Other current liabilities		16,094			1,951			18,045			(5		)	18,040
Liabilities of discontinued operations		8,582			3			8,585			12,454			21,039
Total current liabilities		160,174			229			160,403			—			160,403

Long term liabilities:
Mortgage notes payable		19,614			—			19,614			—			19,614
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,133			—			2,133			—			2,133
Accrued self insurance obligations		24,415			—			24,415			—			24,415
Other long term liabilities		8,304			—			8,304			—			8,304
Total long term liabilities		91,748			—			91,748			—			91,748

Shareholders’ equity:
Common stock		475			—			475			—			475
Additional paid in capital		352,414			(48		)	352,366			—			352,366
Accumulated deficit		(129,454		)	(73		)	(129,527		)	—			(129,527		)
Accumulated other comprehensive income		6,194			—			6,194			—			6,194
Total shareholders’ equity		229,629			(121		)	229,508			—			229,508
Total liabilities and shareholders’ equity		$	481,551		$	108		$	481,659		$	—		$	481,659

		As of March 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	26,008		$	—		$	26,008		$	—		$	26,008
Accounts receivable		64,419			(115		)	64,304			(26,934		)	37,370
Investments in available for sale securities		14,062			—			14,062			—			14,062
Restricted cash		6,838			—			6,838			—			6,838
Acquisition deposits		13,000			—			13,000			—			13,000
Prepaid and other current assets		19,872			—			19,872			(6,833		)	13,039
Assets of discontinued operations		12,542			115			12,657			44,838			57,495
Total current assets		156,741			—			156,741			11,071			167,812

Property and equipment, net		201,277			409			201,686			(7,055		)	194,631
Equity investment in Affiliates Insurance Company		5,117			—			5,117			—			5,117
Restricted cash		15,771			—			15,771			—			15,771
Restricted investments in available for sale securities		3,359			—			3,359			—			3,359
Goodwill and other intangible assets		15,609			—			15,609			(4,016		)	11,593
Other long term assets		3,821			—			3,821			—			3,821
Total assets		$	401,695		$	409		$	402,104		$	—		$	402,104

Current liabilities:
Revolving line of credit, secured, principally by accounts receivable		$	5,000		$	—		$	5,000		$	—		$	5,000
Accounts payable		25,992			—			25,992			(2,624		)	23,368
Accrued expenses		22,412			(1,452		)	20,960			31			20,991
Accrued compensation and benefits		45,385			—			45,385			(8,054		)	37,331
Due to related persons		17,823			—			17,823			—			17,823
Accrued real estate taxes		8,102			—			8,102			(256		)	7,846
Security deposit liability		10,390			(456		)	9,934			(28		)	9,906
Other current liabilities		11,325			2,064			13,389			(9		)	13,380
Liabilities of discontinued operations		8,905			100			9,005			10,940			19,945
Total current liabilities		155,334			256			155,590			—			155,590

Long term liabilities:
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,213			—			2,213			—			2,213
Accrued self insurance obligations		28,640			—			28,640			—			28,640
Other long term liabilities		8,728			—			8,728			—			8,728
Total long term liabilities		76,863			—			76,863			—			76,863

Shareholders’ equity:
Common stock		360			—			360			—			360
Additional paid in capital		297,908			(24		)	297,884			—			297,884
Accumulated deficit		(134,650		)	177			(134,473		)	—			(134,473		)
Accumulated other comprehensive income		5,880			—			5,880			—			5,880
Total shareholders’ equity		169,498			153			169,651			—			169,651
Total liabilities and shareholders’ equity		$	401,695		$	409		$	402,104		$	—		$	402,104

		For the three months ended December 31, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	279,154		$	(422	)	$	278,732		$	(8,942	)	$	269,790
Rehabilitation hospital revenue		27,547			—			27,547			(27,547		)	—
Management fee revenue		2,150			—			2,150			—			2,150
Reimbursed costs incurred on behalf of managed communities		50,245			—			50,245			—			50,245
Total revenues		359,096			(422		)	$	358,674		(36,489		)	$	322,185

Operating expenses:
Senior living wages and benefits		135,356			31			135,387			(6,389		)	128,998
Other senior living operating expenses		70,007			(182		)	69,825			(2,712		)	67,113
Costs incurred on behalf of managed communities		50,245			—			50,245			—			50,245
Rehabilitation hospital expenses		24,763			—			24,763			(24,763		)	—
Rent expense		50,598			—			50,598			(2,865		)	47,733
General and administrative		16,153			44			16,197			—			16,197
Depreciation and amortization		6,433			(19		)	6,414			(130		)	6,284
Total operating expenses		353,555			(126		)	353,429			(36,859		)	316,570

Operating income		5,541			(296		)	5,245			370			5,615

Interest, dividend and other income		243			—			243			—			243
Interest and other expense		(1,475		)	—			(1,475		)	—			(1,475		)
Acquisition related costs		(8		)	—			(8		)	—			(8		)
Loss on sale of available for sale securities		(81		)	—			(81		)	—			(81		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		4,220			(296		)	3,924			370			4,294
Provision for income taxes		(807		)	(1,424		)	(2,231		)	(150		)	(2,381		)
Equity in earnings of Affiliates Insurance Company		80			—			80			—			80
Income from continuing operations		3,493			(1,720		)	1,773			220			1,993
Income (loss) from discontinued operations		6			167			173			(220		)	(47		)
Net income		$	3,499		$	(1,553	)	$	1,946		$	—		$	1,946

Per Share data:
Basic income per share from:
Continuing operations		$	0.07					$	0.04					$	0.04
Discontinued operations		—						—						—
Net income per common share - Basic		$	0.07					$	0.04					$	0.04

Diluted income per share from:
Continuing operations		$	0.07					$	0.04					$	0.04
Discontinued operations		—						—						—
Net income per common share - Diluted		$	0.07					$	0.04					$	0.04

		For the three months ended September 30, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	277,568		$	(310	)	$	277,258		$	(8,613	)	$	268,645
Rehabilitation hospital revenue		26,328			—			26,328			(26,328		)	—
Management fee revenue		1,277			—			1,277			—			1,277
Reimbursed costs incurred on behalf of managed communities		27,247			—			27,247			—			27,247
Total revenues		332,420			(310		)	332,110			(34,941		)	297,169

Operating Expenses:
Senior living wages and benefits		137,816			22			137,838			(6,454		)	131,384
Other senior living operating expenses		66,858			19			66,877			(2,298		)	64,579
Costs incurred on behalf of managed communities		27,247			—			27,247			—			27,247
Rehabilitation hospital expenses		23,734			—			23,734			(23,734		)	—
Rent expense		50,523			—			50,523			(2,864		)	47,659
General and administrative		14,602			45			14,647			—			14,647
Depreciation and amortization		6,324			(20		)	6,304			(129		)	6,175
Total operating expenses		327,104			66			327,170			(35,479		)	291,691

Operating income		5,316			(376		)	4,940			538			5,478

Interest, dividend and other income		199			—			199			—			199
Interest and other expense		(1,762		)	—			(1,762		)	—			(1,762		)
Acquisition related costs		(100		)	—			(100		)	—			(100		)
Gain on sale of available for sale securities		63			—			63			—			63
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		3,716			(376		)	3,340			538			3,878
Provision for income taxes		(426		)	(260		)	(686		)	(219		)	(905		)
Equity in earnings of Affiliates Insurance Company		115			—			115			—			115
Income from continuing operations		3,405			(636		)	2,769			319			3,088
Income from discontinued operations		13,034			410			13,444			(319		)	13,125
Net income		$	16,439		$	(226	)	$	16,213		$	—		$	16,213

Per Share data:
Basic income per share from:
Continuing operations		$	0.07					$	0.06					$	0.06
Discontinued operations		0.27						0.28						0.28
Net income per common share - Basic		$	0.34					$	0.34					$	0.34

Diluted income per share from:
Continuing operations		$	0.07					$	0.06					$	0.06
Discontinued operations		0.26						0.27						0.27
Net income per common share - Diluted		$	0.33					$	0.33					$	0.33

		For the three months ended June 30, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	278,076		$	(147	)	$	277,929		$	(8,836	)	$	269,093
Rehabilitation hospital revenue		26,386			—			26,386			(26,386		)	—
Institutional pharmacy revenue		17,232			—			17,232			(17,232		)	—
Management fee revenue		1,302			—			1,302			—			1,302
Reimbursed costs incurred on behalf of managed communities		26,098			—			26,098			—			26,098
Total revenues		349,094			(147		)	348,947			(52,454		)	296,493

Operating expenses:
Senior living wages and benefits		136,618			12			136,630			(6,378		)	130,252
Other senior living operating expenses		66,242			(200		)	66,042			(2,245		)	63,797
Costs incurred on behalf of managed communities		26,098			—			26,098			—			26,098
Rehabilitation hospital expenses		23,872			—			23,872			(23,872		)	—
Institutional pharmacy expenses		17,258			—			17,258			(17,258		)	—
Rent expense		50,297			—			50,297			(2,866		)	47,431
General and administrative		15,389			45			15,434			—			15,434
Depreciation and amortization		6,709			(20		)	6,689			(486		)	6,203
Gain on settlement		(3,365		)	—			(3,365		)	—			(3,365		)
Total operating expenses		339,118			(163		)	338,955			(53,105		)	285,850

Operating income		9,976			16			9,992			651			10,643

Interest, dividend and other income		246			—			246			(12		)	234
Interest and other expense		(1,605		)	—			(1,605		)	—			(1,605		)
Gain on early extinguishment of debt		45			—			45			—			45
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		8,662			16			8,678			639			9,317
Provision for income taxes		(3,807		)	250			(3,557		)	(260		)	(3,817		)
Equity in earnings of Affiliates Insurance Company		76			—			76			—			76
Income from continuing operations		4,931			266			5,197			379			5,576
Loss from discontinued operations		(293		)	6			(287		)	(379		)	(666		)
Net income		$	4,638		$	272		$	4,910		$	—		$	4,910

Per Share data:
Basic income per share from:
Continuing operations		$	0.1					$	0.11					$	0.12
Discontinued operations		(0.01		)				(0.01		)				(0.02		)
Net income per common share - Basic		$	0.09					$	0.1					$	0.1

Diluted income per share from:
Continuing operations		$	0.1					$	0.11					$	0.11
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted		$	0.09					$	0.1					$	0.1

		For the three months ended March 31, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	276,220		$	(220	)	$	276,000		$	(9,195	)	$	266,805
Rehabilitation hospital revenue		26,787			—			26,787			(26,787		)	—
Institutional pharmacy revenue		18,621			—			18,621			(18,621		)	—
Management fee revenue		1,088			—			1,088			—			1,088
Reimbursed costs incurred on behalf of managed communities		23,405			—			23,405			—			23,405
Total revenues		346,121			(220		)	345,901			(54,603		)	291,298

Operating expenses:
Senior living wages and benefits		138,374			24			138,398			(6,588		)	131,810
Other senior living operating expenses		66,962			(290		)	66,672			(2,412		)	64,260
Costs incurred on behalf of managed communities		23,405			—			23,405			—			23,405
Rehabilitation hospital expenses		24,119			—			24,119			(24,119		)	—
Institutional pharmacy expenses		18,750			—			18,750			(18,750		)	—
Rent expense		50,227			—			50,227			(2,866		)	47,361
General and administrative		15,455			44			15,499			—			15,499
Depreciation and amortization		6,316			(19		)	6,297			(479		)	5,818
Total operating expenses		343,608			(241		)	343,367			(55,214		)	288,153

Operating income		2,513			21			2,534			611			3,145

Interest, dividend and other income		217			—			217			(12		)	205
Interest and other expense		(1,426		)	—			(1,426		)	—			(1,426		)
Loss on sale of available for sale securities		(1		)	—			(1		)	—			(1		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		1,303			21			1,324			599			1,923
Provision for income taxes		(602		)	45			(557		)	(244		)	(801		)
Equity in earnings of Affiliates Insurance Company		45			—			45			—			45
Income from continuing operations		746			66			812			355			1,167
Loss from discontinued operations		(377		)	37			(340		)	(355		)	(695		)
Net income		$	369		$	103		$	472		$	—		$	472

Per Share data:
Basic income per share from:
Continuing operations		$	0.02					$	0.02					$	0.02
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Basic		$	0.01					$	0.01					$	0.01

Diluted income per share from:
Continuing operations		$	0.02					$	0.02					$	0.02
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted		$	0.01					$	0.01					$	0.01

		For the three months ended December 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	274,733		$	(429	)	$	274,304		$	(9,259	)	$	265,045
Rehabilitation hospital revenue		27,085			—			27,085			(27,085		)	—
Institutional pharmacy revenue		18,790			—			18,790			(18,790		)	—
Management fee revenue		515			—			515			(1		)	514
Reimbursed costs incurred on behalf of managed communities		11,665			—			11,665			1			11,666
Total revenues		332,788			(429		)	332,359			(55,134		)	277,225

Operating expenses:
Senior living wages and benefits		137,411			21			137,432			(6,515		)	130,917
Other senior living operating expenses		66,532			420			66,952			(2,409		)	64,543
Costs incurred on behalf of managed communities		11,665			—			11,665			1			11,666
Rehabilitation hospital expense		24,507			—			24,507			(24,507		)	—
Institutional pharmacy expense		18,433			—			18,433			(18,433		)	—
Rent expense		49,935			—			49,935			(2,867		)	47,068
General and administrative		15,298			(25		)	15,273			—			15,273
Depreciation and amortization		6,348			(32		)	6,316			(497		)	5,819
Impairment of long lived assets		3,500			—			3,500			(420		)	3,080
Total operating expenses		333,629			384			334,013			(55,647		)	278,366

Operating loss		(841		)	(813		)	(1,654		)	513			(1,141		)

Interest, dividend and other income		278			—			278			(14		)	264
Interest and other expenses		(1,512		)	—			(1,512		)	—			(1,512		)
Acquisition related costs		(229		)	—			(229		)	—			(229		)
Gain on sale of available for sale securities		3,460			—			3,460			—			3,460
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		1,156			(813		)	343			499			842
Benefit for income taxes		51,560			7,666			59,226			(205		)	59,021
Equity in earnings of Affiliates Insurance Company		28			—			28			—			28
Income from continuing operations		52,744			6,853			59,597			294			59,891
Income from discontinued operations		2,657			(263		)	2,394			(294		)	2,100
Net income		$	55,401		$	6,590		$	61,991		$	—		$	61,991

Per Share data:
Basic income per share from:
Continuing operations		$	1.11					$	1.25					$	1.26
Discontinued operations		0.05						0.05						0.04
Net income per common share - Basic		$	1.16					$	1.3					$	1.3

Diluted income per share from:
Continuing operations		$	1.05					$	1.18					$	1.19
Discontinued operations		0.05						0.05						0.04
Net income per common share - Diluted		$	1.1					$	1.23					$	1.23

		For the three months ended September 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	275,605		$	(342	)	$	275,263		$	(9,640	)	$	265,623
Rehabilitation hospital revenue		26,273			—			26,273			(26,273		)	—
Institutional pharmacy revenue		18,914			—			18,914			(18,914		)	—
Management fee revenue		359			—			359			—			359
Reimbursed costs incurred on behalf of managed communities		8,324			—			8,324			—			8,324
Total revenues		329,475			(342		)	329,133			(54,827		)	274,306

Operating expenses:
Senior living wages and benefits		136,135			(63		)	136,072			(6,808		)	129,264
Other senior living operating expenses		68,669			(330		)	68,339			(2,495		)	65,844
Costs incurred on behalf of managed communities		8,324			—			8,324			—			8,324
Rehabilitation hospital expense		23,300			—			23,300			(23,300		)	—
Institutional pharmacy expense		18,472			—			18,472			(18,472		)	—
Rent expense		50,140			—			50,140			(2,866		)	47,274
General and administrative		14,418			(24		)	14,394			—			14,394
Depreciation and amortization		5,858			—			5,858			(490		)	5,368
Total operating expenses		325,316			(417		)	324,899			(54,431		)	270,468

Operating income		4,159			75			4,234			(396		)	3,838

Interest, dividend and other income		368			—			368			(13		)	355
Interest and other expenses		(1,034		)	—			(1,034		)	—			(1,034		)
Acquisition related costs		(226		)	—			(226		)	—			(226		)
Gain on sale of available for sale securities		529			—			529			—			529
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		3,796			75			3,871			(409		)	3,462
Provision for income taxes		(186		)	(104		)	(290		)	25			(265		)
Equity in earnings of Affiliates Insurance Company		28			—			28			—			28
Income from continuing operations		3,638			(29		)	3,609			(384		)	3,225
Loss from discontinued operations		(4,166		)	97			(4,069		)	384			(3,685		)
Net loss		$	(528	)	$	68		$	(460	)	$	—		$	(460	)

Per Share data:
Basic income per share from:
Continuing operations		$	0.08					$	0.08					$	0.07
Discontinued operations		(0.09		)				(0.09		)				(0.08		)
Net loss per common share - Basic		$	(0.01	)				$	(0.01	)				$	(0.01	)

Diluted income per share from:
Continuing operations		$	0.08					$	0.08					$	0.07
Discontinued operations		(0.09						(0.08		)				(0.07		)
Net loss per common share - Diluted		$	(0.01	)				$	(0.00	)				$	(0.00	)

		For the three months ended June 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	266,066		$	(358	)	$	265,708		$	(10,353	)	$	255,355
Rehabilitation hospital revenue		26,337			—			26,337			(26,337		)	—
Institutional pharmacy revenue		19,573			—			19,573			(19,573		)	—
Management fee revenue		25			—			25			—			25
Reimbursed costs incurred on behalf of managed communities		562			—			562			—			562
Total revenues		312,563			(358		)	312,205			(56,263		)	255,942

Operating expenses:
Senior living wages and benefits		133,570			78			133,648			(7,120		)	126,528
Other senior living operating expenses		61,143			(93		)	61,050			(2,009		)	59,041
Costs incurred on behalf of managed communities		562			—			562			—			562
Rehabilitation hospital expense		23,445			—			23,445			(23,445		)	—
Institutional pharmacy expense		18,642			—			18,642			(18,642		)	—
Rent expense		48,003			—			48,003			(3,028		)	44,975
General and administrative		14,154			(24		)	14,130			—			14,130
Depreciation and amortization		4,620			—			4,620			(486		)	4,134
Total operating expenses		304,139			(39		)	304,100			(54,730		)	249,370

Operating income		8,424			(319		)	8,105			(1,533		)	6,572

Interest, dividend and other income		331			—			331			(14		)	317
Interest and other expenses		(870		)	—			(870		)	—			(870		)
Acquisition related costs		(1,202		)	—			(1,202		)	—			(1,202		)
Gain on sale of available for sale securities		51			—			51			—			51
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		6,734			(319		)	6,415			(1,547		)	4,868
Provision for income taxes		(441		)	(25		)	(466		)	93			(373		)
Equity in earnings of Affiliates Insurance Company		46			—			46			—			46
Income from continuing operations		6,339			(344		)	5,995			(1,454		)	4,541
Income from discontinued operations		(1,143		)	94			(1,049		)	1,454			405
Net income		$	5,196		$	(250	)	$	4,946		$	—		$	4,946

Per Share data:
Basic income per share from:
Continuing operations		$	0.17					$	0.16					$	0.12
Discontinued operations		(0.03		)				(0.03		)				0.01
Net income per common share - Basic		$	0.14					$	0.13					$	0.13

Diluted income per share from:
Continuing operations		$	0.17					$	0.16					$	0.12
Discontinued operations		(0.03						(0.03		)				0.01
Net income per common share - Diluted		$	0.14					$	0.13					$	0.13

		For the three months ended March 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	263,379		$	66		$	263,445		$	(10,731	)	$	252,714
Rehabilitation hospital revenue		25,625			—			25,625			(25,625		)	—
Institutional pharmacy revenue		19,337			—			19,337			(19,337		)	—
Total revenues		308,341			66			308,407			(55,693		)	252,714

Operating expenses:
Senior living wages and benefits		130,337			206			130,543			(7,240		)	123,303
Other senior living operating expenses		63,349			(390		)	62,959			(2,896		)	60,063
Rehabilitation hospital expense		24,053			—			24,053			(24,053		)	—
Institutional pharmacy expense		18,889			—			18,889			(18,889		)	—
Rent expense		47,662			—			47,662			(3,029		)	44,633
General and administrative		13,670			(24		)	13,646			—			13,646
Depreciation and amortization		4,311			—			4,311			(472		)	3,839
Total operating expenses		302,271			(208		)	302,063			(56,579		)	245,484

Operating income		6,070			274			6,344			886			7,230

Interest, dividend and other income		319			—			319			(15		)	304
Interest and other expenses		(501		)	—			(501		)	—			(501		)
Acquisition related costs		—			—			—			(102		)	(102		)
Gain on early extinguishment of debt		—			—			—			1			1
Gain on sale of available for sale securities		76			—			76			—			76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		5,964			274			6,238			770			7,008
Provision for income taxes		(379		)	(109		)	(488		)	(46		)	(534		)
Equity in earnings of Affiliates Insurance Company		37			—			37			—			37
Income from continuing operations		5,622			165			5,787			724			6,511
Loss from discontinued operations		(1,489		)	12			(1,477		)	(724		)	(2,201		)
Net income		$	4,133		$	177		$	4,310		$	—		$	4,310

Per Share data:
Basic income per share from:
Continuing operations		$	0.16					$	0.16					$	0.18
Discontinued operations		(0.04		)				(0.04		)				(0.06		)
Net income per common share - Basic		$	0.12					$	0.12					$	0.12

Diluted income per share from:
Continuing operations		$	0.15					$	0.16					$	0.18
Discontinued operations		(0.04		)				(0.04		)				(0.06		)
Net income per common share - Diluted		$	0.11					$	0.12					$	0.12

Restatement_of_Previously_Issu

Restatement of Previously Issued Financial Statements	12 Months Ended
Restatement of Previously Issued Financial Statements	Dec. 31, 2012
Restatement of Previously Issued Financial Statements	'
Restatement of Previously Issued Financial Statements	'
	18. Restatement of Previously Issued Financial Statements

	Our consolidated financial statements for the years ended December 31, 2012 and 2011 are restated to correct certain errors related to the accounting for income taxes and other errors. Specifically, the accounting for income tax errors relate to, among other things, the measurement of deferred tax assets for net operating losses and tax credits and the measurement of deferred tax assets and liabilities for temporary differences related to fixed assets, intangible assets and investments.

	Prior to 2011, we recognized a valuation allowance for most of our net deferred tax assets; therefore, errors in the measurement of our deferred tax assets and liabilities for years prior to 2011 were substantially offset by corresponding errors in the valuation allowance, with minimal net impact to our consolidated financial statements. We have corrected the errors relating to 2012 by increasing the income tax provision by $773. We have corrected the errors relating to 2011 by increasing the income tax benefit by $7,352.

	Also in 2012 and 2011, we sustained losses resulting from Hurricane Sandy and Hurricane Irene, respectively. In the fourth quarter of 2013, we determined that we erroneously recorded insurance recovery receivables in excess of amounts that were reimbursable under our policies. We have corrected the errors relating to 2012 by increasing other senior living operating expenses by $693. We have corrected the errors relating to 2011 by increasing other senior living operating expenses by $1,070.

	In addition, as part of the restatement, our consolidated financial statements for the years ended December 31, 2012 and 2011 also have been adjusted to correct certain other errors in those periods, including:

	· In 2013, we discovered certain errors relating to our security deposit liability as of December 31, 2012 and 2011. We have corrected the errors relating to 2012 by increasing senior living revenues by $251. We have corrected the errors relating to 2011 by increasing senior living revenues by $417.

	· In the fourth quarter of 2013, we determined that certain assets acquired and placed into service at the end of 2012 and 2011 were not recorded in the proper time period. We have corrected the balance sheet error by recording $5,622 and $5,518 of fixed asset additions and related accrued liabilities as of December 31, 2012 and 2011, respectively.

	· During the first quarter of 2012, we were required to adopt ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. We did not record the current and retrospective impact of that new standard in 2012. We have corrected the statement of income presentation by reducing senior living revenues and other senior living operating expenses by $1,346 and $1,464 for the years ended December 31, 2012 and 2011, respectively. This presentation error had no impact on our net income.

	· We also corrected classification errors pertaining to our related party balance sheet accounts by increasing due from related persons by $6,881 and increasing due to related persons by $7,769 at December 31, 2012. We also corrected classification errors in our related party balance sheet accounts at December 31, 2011 by increasing due to related persons by $835 and decreasing accrued property taxes by the same amount.

	· We made certain other immaterial corrections that impacted our consolidated statements of income, including adjustments to general and administrative and depreciation expense, and made other balance sheet classification changes that are not material, individually or in aggregate, in the restated consolidated financial statements included herein.

	The net impact of correcting the errors resulted in an increase to our shareholders’ equity of $6,749 and $8,127 at December 31, 2012 and 2011, respectively, and a decrease to net income of $1,404, or $0.04 per diluted share, for the year ended December 31, 2012 and an increase to net income of $6,586, or $0.14 per diluted share, for the year ended December 31, 2011.

	We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total. The restated financial statements include the proceeds from the sale of our pharmacy business of $34,298 for the year ended December 31, 2012 as cash provided by investing activities of discontinued operations and reflect the correction of other errors in the separate disclosures of cash flows for continuing operations and discontinued operations.

	As described in Note 7, we have also corrected the footnote presentation of the classification of $11,550 and $11,692 of our available for sale debt securities as of December 31, 2012 and December 31, 2011, respectively, from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable which increased $9,947 and $8,956 as of December 31, 2012 and December 31, 2011, respectively.

	In the second quarter of 2013, we and SNH, offered for sale 10 senior living communities that we lease from SNH and classified those communities as discontinued operations. Also, during the second quarter of 2013, we offered for sale one senior living community we own and classified this community as discontinued operations. In the third quarter of 2013, in connection with entering into a purchase agreement with SNH and certain unrelated parties, we reclassified our rehabilitation hospital business as discontinued operations. These 11 senior living communities and our rehabilitation hospital business are retrospectively presented as discontinued operations throughout the financial statements. These reclassifications to discontinued operations had no impact upon our shareholders’ equity or net income as of December 31, 2012 and 2011, but these reclassifications increased our income from continuing operations by $770 and $101, and reduced our income from discontinued operations by those same amounts for the years ended December 31, 2012 and 2011, respectively. For the year ended December 31, 2010, these reclassifications to discontinued operations decreased our income from continuing operations by $649 and decreased loss from discontinued operations by that same amount.

	The financial information included in the financial statements and the Notes thereto reflect the effects of the corrections and retrospective adjustments described above.

	The following tables summarize the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors by financial statement line item for the years ended December 31, 2012 and 2011. The As Reported columns represent the amounts as filed in our 2012 Annual Report:

			As of December 31, 2012
						Error Corrections																					Retrospective
			As Reported			Income			Insurance			Other			Asset			Presentation			Total Error			As Corrected			Adjustments			As Restated
						Taxes			Claims			Errors			Additions and			and			Corrections						for
															Related			Classification									Discontinued
															Accruals												Operations
	Consolidated Balance Sheet data:
	Accounts receivable		$	53,134		$	—		$	—		$	(331	)	$	—		$	1,391		$	1,060		$	54,194		$	(14,989	)	$	39,205
	Due from related persons		—			—			—			—			—			6,881			6,881			6,881			—			6,881
	Prepaid expenses		19,251			—			—			—			—			—			—			19,251			(620		)	18,631
	Current net deferred tax assets		5,400			9,507			—			—			—			—			9,507			14,907			—			14,907
	Other current assets		4,993			—			(1,763		)	—			—			1,681			(82		)	4,911			(131		)	4,780
	Assets of discontinued operations		10,430			—			—			—			693			—			693			11,123			18,977			30,100
	Total current assets		137,314			9,507			(1,763		)	(331		)	693			9,953			18,059			155,373			3,237			158,610
	Property and equipment, net		335,612			—			—			110			4,929			—			5,039			340,651			(3,157		)	337,494
	Goodwill and other intangible assets		27,788			—			—			—			—			—			—			27,788			(80		)	27,708
	Long term net deferred tax assets		38,099			(1,885		)	—			—			—			—			(1,885		)	36,214			—			36,214
	Total assets		571,356			7,622			(1,763		)	(221		)	5,622			9,953			21,213			592,569			—			592,569
	Accounts payable		36,920			—			—			—			—			2,768			2,768			39,688			(1,653		)	38,035
	Accrued expenses		22,996			(544		)	—			—			4,929			827			5,212			28,208			(198		)	28,010
	Accrued compensation and benefits		40,986			—			—			—			—			—			—			40,986			(5,684		)	35,302
	Due to related persons		11,715			—			—			—			—			7,769			7,769			19,484			—			19,484
	Accrued real estate taxes		11,905			—			—			—			—			(888		)	(888		)	11,017			(294		)	10,723
	Security deposit liability		9,727			—			—			(647		)	—			—			(647		)	9,080			(23		)	9,057
	Other current liabilities		15,299			—			—			—			—			(523		)	(523		)	14,776			(1		)	14,775
	Liabilities of discontinued operations		8,448			—			—			(21		)	693			—			672			9,120			7,857			16,977
	Total current liabilities		183,960			(544		)	—			(668		)	5,622			9,953			14,363			198,323			4			198,327
	Other long term liabilities		6,615			101			—			—			—			—			101			6,716			(4		)	6,712
	Total long term liabilities		80,591			101			—			—			—			—			101			80,692			(4		)	80,688
	Additional paid in capital		354,083			—			—			81			—			—			81			354,164			—			354,164
	Accumulated deficit		(49,637		)	6,579			(1,763		)	366			—			—			5,182			(44,455		)	—			(44,455		)
Cumulative other comprehensive income		1,877			1,486			—			—			—			—			1,486			3,363			—			3,363
Total shareholders’ equity		306,805			8,065			(1,763		)	447						—			6,749			313,554			—			313,554
Total liabilities and shareholders’ equity		$	571,356		$	7,622		$	(1,763	)	$	(221	)	$	5,622		$	9,953		$	21,213		$	592,569		$	—		$	592,569

		For the Year Ended December 31, 2012
																							Retrospective
					Error Corrections																		Adjustments
		As Reported			Income			Insurance			Other			Presentation			Total Error			As Corrected			for			As Restated
					Taxes			Claims			Errors			and			Corrections						Discontinued
														Classification									Operations
Consolidated Statement of Income data:
Senior living revenue		$	1,111,018		$	—		$	—		$	247		$	(1,346	)	$	(1,099	)	$	1,109,919		$	(35,586	)	$	1,074,333
Rehabilitation hospital revenue		107,048			—			—			—			—			—			107,048			(107,048		)	—
Total revenues		1,350,878			—			—			247			(1,346		)	(1,099		)	1,349,779			(142,634		)	1,207,145
Senior living wages and benefits		548,164			—			—			89			—			89			548,253			(25,809		)	522,444
Other senior living operating expenses		270,069			—			693			—			(1,346		)	(653		)	269,416			(9,667		)	259,749
Rehabilitation hospital expenses		96,488			—			—			—			—			—			96,488			(96,488		)	—
Rent expense		201,641			—			—			—			—			—			201,641			(11,457		)	190,184
General and administrative		61,599			—			—			178			—			178			61,777			—			61,777
Depreciation and amortization		25,064			—			—			(78		)	—			(78		)	24,986			(506		)	24,480
Total operating expenses		1,330,020			—			693			189			(1,346		)	(464		)	1,329,556			(143,927		)	1,185,629
Operating income		20,858			—			(693		)	58			—			(635		)	20,223			1,293			21,516
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company		18,754			—			(693		)	58			—			(635		)	18,119			1,293			19,412
Provision for income taxes		(5,642		)	(1,739		)	—			—			—			(1,739		)	(7,381		)	(523		)	(7,904		)
Income from continuing operations		13,428			(1,739		)	(693		)	58			—			(2,374		)	11,054			770			11,824
Income from discontinued operations		11,517			966			—			4			—			970			12,487			(770		)	11,717
Net income		$	24,945		$	(773	)	$	(693	)	$	62		$	—		$	(1,404	)	$	23,541		$	—		$	23,541

Per Share data:
Basic income per share from:
Continuing operations		$	0.28																	$	0.23					$	0.25
Discontinued operations		0.24																		0.26						0.24
Net income per share - basic		$	0.52																	$	0.49					$	0.49

Diluted income per share from:
Continuing operations		$	0.28																	$	0.22					$	0.25
Discontinued operations		0.24																		0.25						0.23
Net income per share - diluted		$	0.52																	$	0.48					$	0.48

		For the Year Ended December 31, 2012
		As Reported			Restatement			As Restated
		As Reported			Adjustments			As Restated
Consolidated Statement of Comprehensive Income:
Net income		$	24,945		$	(1,404	)	$	23,541
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax		358			(144		)	214
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax		19			(8		)	11
Unrealized gains on equity investment in Affiliates Insurance Company		22			—			22
Other comprehensive income (loss)		399			(152		)	247
Comprehensive income		$	25,344		$	(1,556	)	$	23,788

		For the Year Ended December 31, 2012
																Retrospective
				Error Corrections												Adjustments
		As Reported		Income		Insurance		Other		Presentation		Total Error		As Corrected		for		As Restated
				Taxes		Claims		Errors		and		Corrections				Discontinued
										Classification						Operations
Consolidated Statement of Cash Flows data:
Net income		24,945		(773	)	(693	)	62		—		(1,404	)	23,541		—		23,541
Depreciation and amortization		25,064		—		—		(78	)	—		(78	)	24,986		(506	)	24,480
Income from discontinued operations		(11,517	)	—		—		(4	)	(6,930	)	(6,934	)	(18,451	)	1,293		(17,158	)
Stock-based compensation		1,267		—		—		178		—		178		1,445		—		1,445
Deferred income taxes		10,556		809		—		—		—		809		11,365		—		11,365
Provision for losses on receivables		5,296		—		—		—		—		—		5,296		(850	)	4,446
Changes in assets and liabilities:
Accounts receivable		(1,921	)	—		—		89		641		730		(1,191	)	(1,240	)	(2,431	)
Prepaid expenses and other assets		(11,270	)	—		693		—		(665	)	28		(11,242	)	(114	)	(11,356	)
Accounts payable and accrued expenses		15,482		(54	)	—		—		1,544		1,490		16,972		(271	)	16,701
Accrued compensation and benefits		2,011		—		—		—		—		—		2,011		(608	)	1,403
Due to related persons		(6,944	)	—		—		—		53		53		(6,891	)	—		(6,891	)
Other current and long term liabilities		4,128		18		—		(247	)	(1,573	)	(1,802	)	2,326		(21	)	2,305
Cash provided by operating activities		56,755		—		—		—		(6,930	)	(6,930	)	49,825		(2,317	)	47,508
Acquisition of property and equipment		(57,386	)	—		—		—		—		—		(57,386	)	5,581		(51,805	)
Proceeds from sale of pharmacy business		34,298		—		—		—		(34,298	)	(34,298	)	—		—		—
Proceeds from disposition of property and equipment		30,520		—		—		—		—		—		30,520		(5,702	)	24,818
Cash used in investing activities		(3,265	)	—		—		—		(34,298	)	(34,298	)	(37,563	)	(121	)	(37,684	)
Repayments of mortgage notes payable		(1,170	)	—		—		—		142		142		(1,028	)	—		(1,028	)
Cash used in financing activities		(51,208	)	—		—		—		142		142		(51,066	)	—		(51,066	)
Net cash (used in) provided by operating activities of discontinued operations		(6,018	)	—		—		—		5,464		5,464		(554	)	2,317		1,763
Net cash provided by investing activities of discontinued operations		—		—		—		—		35,764		35,764		35,764		121		35,885
Net cash used in financing activities of discontinued operations		—		—		—				(142	)	(142	)	(142	)	—		(142	)
Net cash flows (used in) provided by discontinued operations		(6,018	)	—		—		—		41,086		41,086		35,068		2,438		37,506

		As of December 31, 2011
				Error Corrections															Retrospective
		As Reported		Income		Insurance		Other		Asset		Presentation		Total Error		As Corrected			Adjustments		As Restated
				Taxes		Claims		Errors		Additions and		and		Corrections					for
										Related		Classification							Discontinued
										Accruals									Operations
Consolidated Balance Sheet data:
Accounts receivable		56,509		—		—		(242	)	—		2,032		1,790		$	58,299		(17,079	)	$	41,220
Prepaid expenses		11,097		—		—		—		—		—		—		11,097			(729	)	10,368
Current net tax deferred assets		6,081		7,738		—		—		—		—		7,738		13,819					13,819
Other current assets		3,217		—		(1,070	)	—		—		1,016		(54	)	3,163			(163	)	3,000
Assets of discontinued operations		29,022		—		—		—		996		—		996		30,018			21,808		51,826
Total current assets		148,252		7,738		(1,070	)	(242	)	996		3,048		10,470		158,722			3,837		162,559
Property and equipment, net		332,185		—		—		32		4,522		—		4,554		336,739			(3,757	)	332,982
Goodwill and other intangible assets		29,414		—		—		—		—		—		—		29,414			(80	)	29,334
Long term net deferred tax assets		48,128		692		—		—		—		—		692		48,820			—		48,820
Other long term assets		3,000		153		—		—		—		—		153		3,153			—		3,153
Total assets		583,477		8,583		(1,070	)	(210	)	5,518		3,048		15,869		599,346			—		599,346
Accounts payable		22,736		—		—		—		—		2,979		2,979		25,715			(1,438	)	24,277
Accrued expenses		21,698		(490	)	—		—		4,522		(928	)	3,104		24,802			(142	)	24,660
Accrued compensation and benefits		38,975		—		—		—		—		—		—		38,975			(5,076	)	33,899
Due to related persons		18,659		—		—		—		—		835		835		19,494			—		19,494
Accrued real estate taxes		11,466		—		—		—		—		(835	)	(835	)	10,631			(278	)	10,353
Security deposit liability		10,606		—		—		(400	)	—		—		(400	)	10,206			(23	)	10,183
Other current liabilities		15,745		—		—		—		—		997		997		16,742			—		16,742
Liabilities of discontinued operations		10,419		—		—		(17	)	996		—		979		11,398			6,957		18,355
Total current liabilities		189,331		(490	)	—		(417	)	5,518		3,048		7,659		196,990			—		196,990
Other long term liabilities		7,415		83		—		—		—		—		83		7,498			—		7,498
Total long term liabilities		113,952		83		—		—		—		—		83		114,035			—		114,035
Additional paid in capital		352,819		—		—		(97	)	—		—		(97	)	352,722			—		352,722
Accumulated deficit		(74,582	)	7,352		(1,070	)	304		—		—		6,586		(67,996		)	—		(67,996		)
Cumulative other comprehensive income		1,478		1,638		—		—		—		—		1,638		3,116			—		3,116
Total shareholders’ equity		280,194		8,990		(1,070	)	207		—		—		8,127		288,321			—		288,321
Total liabilities and shareholders’ equity		583,477		8,583		(1,070	)	(210	)	5,518		3,048		15,869		599,346			—		599,346


		For the Year Ended December 31, 2011
																							Retrospective
					Error Corrections																		Adjustments
		As Reported			Income			Insurance			Other			Presentation			Total Error			As Corrected			for			As Restated
					Taxes			Claims			Errors			and			Corrections						Discontinued
														Classification									Operations
Consolidated Statement of Income data:
Senior living revenue		$	1,078,380		$	—		$	—		$	400		$	(1,464	)	$	(1,064	)	$	1,077,316		$	(38,579	)	$	1,038,737
Rehabilitation hospital revenue		105,320			—			—			—			—			—			105,320			(105,320		)	—
Total revenues		1,205,150			—			—			400			(1,464		)	(1,064		)	1,204,086			(143,899		)	1,060,187
Senior living wages and benefits		536,386			—			—			242			—			242			536,628			(26,616		)	510,012
Other senior living operating expenses		259,655			—			1,070			—			(1,464		)	(394		)	259,261			(9,770		)	249,491
Rehabilitation hospital expenses		95,305			—			—			—			—			—			95,305			(95,305		)	—
Rent expense		195,407			—			—			—			—			—			195,407			(11,457		)	183,950
General and administrative		57,540			—			—			(97		)	—			(97		)	57,443			—			57,443
Depreciation and amortization		19,694			—			—			(32		)	—			(32		)	19,662			(502		)	19,160
Impairment of long-lived assets		3,500			—			—			—			—			—			3,500			(420		)	3,080
Total operating expenses		1,188,039			—			1,070			113			(1,464		)	(281		)	1,187,758			(144,070		)	1,043,688
Operating income		17,111			—			(1,070		)	287			—			(783		)	16,328			171			16,499
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company		16,792			—			(1,070		)	287			—			(783		)	16,009			171			16,180
Provision for income taxes		50,554			7,365			—			—			—			7,365			57,919			(70		)	57,849
Income from continuing operations		67,485			7,365			(1,070		)	287			—			6,582			74,067			101			74,168
Income from discontinued operations		(3,284		)	(13		)	—			17			—			4			(3,280		)	(101		)	(3,381		)
Net income		64,201			7,352			(1,070		)	304			—			6,586			70,787			—			70,787

Per Share data:
Basic income per share from:
Continuing operations		$	1.6																	$	1.76					$	1.76
Discontinued operations		(0.08		)																(0.08		)				(0.08		)
Net income per share - basic		$	1.52																	$	1.68					$	1.68

Diluted income per share from:
Continuing operations		$	1.52																	$	1.67					$	1.67
Discontinued operations		(0.07		)																(0.07		)				(0.08		)
Net income per share - diluted		$	1.45																	$	1.59					$	1.59


		For the Year Ended December 31, 2011
		As Reported			Restatement			As Restated
		As Reported			Adjustments			As Restated
Consolidated Statement of Comprehensive Income:
Net income		$	64,201		$	6,586		$	70,787
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax		42			(18		)	24
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax		(4,116		)	1,656			(2,460		)
Unrealized gains on equity investment in Affiliates Insurance Company		76			—			76
Other comprehensive income (loss)		(3,998		)	1,638			(2,360		)
Comprehensive income		$	60,203		$	8,224		$	68,427

		For the Year Ended December 31, 2011
																Retrospective
				Error Corrections												Adjustments
		As Reported		Income		Insurance		Other		Presentation		Total Error		As Corrected		for		As Restated
				Taxes		Claims		Errors		and		Corrections				Discontinued
										Classification						Operations
Consolidated Statement of Cash Flows data:
Net income		64,201		7,352		(1,070	)	304		—		6,586		70,787		—		70,787
Depreciation and amortization		19,694		—		—		(32	)	—		(32	)	19,662		(502	)	19,160
Loss from discontinued operations		3,284		—		—		(17	)	2,746		2,729		6,013		171		6,184
Impairment of long-lived assets		3,500		—		—		—		—		—		3,500		(420	)	3,080
Stock-based compensation		1,271		—		—		(98	)	—		(98	)	1,173		—		1,173
Deferred income taxes		(54,699	)	(6,792	)	—		—		—		(6,792	)	(61,491	)	—		(61,491	)
Provision for losses on receivables		5,257		—		—		—		—		—		5,257		(1,060	)	4,197
Changes in assets and liabilities:
Accounts receivable		(6,578	)	—		—		243		(2,032	)	(1,789	)	(8,367	)	23		(8,344	)
Prepaid expenses and other assets		(1,025	)	(153	)	1,070		—		(1,016	)	(99	)	(1,124	)	15		(1,109	)
Accounts payable and accrued expenses		3,537		(490	)	—		—		2,871		2,381		5,918		(70	)	5,848
Accrued compensation and benefits		1,924		—		—		—		—		—		1,924		846		2,770
Due to related persons		818		—		—		—		835		835		1,653		—		1,653
Other current and long term liabilities		3,367		83		—		(400	)	(658	)	(975	)	2,392		(8	)	2,384
Cash provided by operating activities		40,295		—		—		—		2,746		2,746		43,041		(1,005	)	42,036
Acquisition of property and equipment		(60,380	)	—		—		—		—		—		(60,380	)	2,929		(57,451	)
Proceeds from disposition of property and equipment		33,269		—		—		—		—		—		33,269		(1,952	)	31,317
Cash provided by (used in) investing activities		(126,756	)	—		—		—		—		—		(126,756	)	977		(125,779	)
Repayments of mortgage notes payable		(683	)	—		—		—		135		135		(548	)	—		(548	)
Cash provided by financing activities		90,648		—		—		—		135		135		90,783		—		90,783
Net cash provided by operating activities of discontinued operations		3,417		—		—		—		(2,017	)	(2,017	)	1,400		1,005		2,405
Net cash used in investing activities of discontinued operations		—		—		—		—		(729	)	(729	)	(729	)	(977	)	(1,706	)
Net cash used in financing activities of discontinued operations		—		—		—		—		(135	)	(135	)	(135	)	—		(135	)
Net cash provided by discontinued operations		3,417		—		—		—		(2,881	)	(2,881	)	536		28		564

Summary_of_Significant_Account1

Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2012

Summary of Significant Accounting Policies

Restatement of Previously Issued Financial Statements

Restatement of Previously Issued Financial Statements. As discussed further in Note 18, we are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 to correct certain errors in the accounting for income taxes. In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items. We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total, and corrected certain other immaterial errors in cash flow presentation. We have also corrected the footnote presentation of certain of our available for sale debt securities from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable.

Basis of Presentation

Basis of Presentation. The accompanying consolidated financial statements include our accounts and those of all of our subsidiaries. All intercompany transactions have been eliminated.

Use of Estimates

Use of Estimates. Preparation of these financial statements in conformity with accounting principles generally accepted in the United States requires us to make estimates and assumptions that may affect the amounts reported in these financial statements and related notes. Some significant estimates include our self-insurance reserves, the allowance for doubtful accounts, goodwill and long-lived assets and contractual allowances.

We are required to estimate income taxes payable in each of the jurisdictions in which we operate. The process involves estimating actual current tax expense along with assessing temporary differences resulting from differing treatment of items for financial statement and tax purposes. These timing differences result in deferred tax assets and liabilities, which are included in our consolidated balance sheets. We are required to record a valuation allowance to reduce deferred tax assets if we are not able to conclude that it is more likely than not these assets will be realized.

Our actual results could differ from our estimates. We periodically review estimates and assumptions and we reflect the effects of changes, if any, in the consolidated financial statements in the period that they are determined.

Earnings Per Share

Earnings Per Share. We calculate basic earnings per common share, or EPS, by dividing net income (and income from continuing operations and income (loss) from discontinued operations) by the weighted average number of common shares outstanding during the year. We calculate diluted EPS using the more dilutive of the two-class method or the treasury stock method. The treasury stock method adjusts the weighted average shares outstanding assuming conversion of all potentially dilutive share securities. Unvested shares issued under our share award plan are deemed participating securities because they participate equally in earnings with all of our other common shares.

Cash and Cash Equivalents

Cash and Cash Equivalents. Cash and cash equivalents, consisting of money market funds with original maturities of three months or less at the date of purchase, are carried at cost plus accrued interest, which approximates market.

Equity Method Investments

Equity Method Investments. We and the other seven current shareholders each currently own approximately 12.5% of Affiliates Insurance Company, or AIC’s, outstanding equity. Although we own less than 20% of AIC, we use the equity method to account for this investment because we believe that we have significant influence over AIC because all of our Directors are also directors of AIC. Under the equity method, we record our percentage share of net earnings from AIC in our consolidated statements of income. If we determine there is an “other than temporary impairment” in the fair value of this investment, we would record a charge to earnings. In evaluating the fair value of this investment, we have considered, among other things, the assets and liabilities held by AIC, AIC’s overall financial condition and earning trends, and the financial condition and prospects for the insurance industry generally. As of December 31, 2012, we have invested $5,209 in AIC. We may invest additional amounts in AIC in the future if the expansion of this insurance business requires additional capital, but we are not obligated to do so.

Investment Securities

Investment Securities. Investment securities that are held principally for resale in the near term are classified as “trading” and are carried at fair value with changes in fair value recorded in earnings. We did not hold any trading securities at December 31, 2012 or 2011. In 2010, our investments in these trading securities generated interest income of $566 that is included in interest, dividend and other income in our consolidated statements of income.

Securities not classified as “trading” are classified as “available for sale” and carried at fair value, with unrealized gains and losses reported as a separate component of shareholders’ equity and “other than temporary impairment” losses recorded in our consolidated statements of income. Realized gains and losses on all available for sale securities are recognized based on specific identification. Our available for sale investments at December 31, 2012 and 2011 consisted primarily of debt securities. Restricted investments are kept as security for obligations arising from our self insurance programs. At December 31, 2012, these investments had a fair value of $23,500 and an unrealized holding gain of $1,780. At December 31, 2011, these investments had a fair value of $22,229 and an unrealized holding gain of $1,401.

In 2012, 2011 and 2010, our available for sale securities generated interest and dividend income of $799, $1,122 and $1,078, respectively, which is included in interest, dividend and other income in our consolidated statements of income.

The following table summarizes the fair value and gross unrealized losses related to our “available for sale” securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position for the years ending:

December 31, 2012

Less than 12 months

Greater than 12 months

Total

Fair Value

Unrealized

Fair Value

Unrealized

Fair Value

Unrealized

Loss

Investments

4,052

3,268

195

7,320

270

December 31, 2011

Less than 12 months

Greater than 12 months

Total

Fair Value

Unrealized

Fair Value

Unrealized

Fair Value

Unrealized

Loss

Investments

6,414

185

—

6,414

185

We routinely evaluate our available for sale investments to determine if they have been impaired. If the book or carrying value of an investment is less than its estimated fair value and we expect that situation to continue for a more than temporary period, we will record an “other than temporary impairment” loss in our consolidated statements of income. We estimate the fair value of our available for sale investments by reviewing each security’s current market price, the ratings of the security, the financial condition of the issuer and our intent and ability to retain the investment during temporary market price fluctuations or until maturity. In evaluating the factors described above, we presume a decline in value to be an “other than temporary impairment” if the quoted market price of the security is below the security’s cost basis for an extended period. However, this presumption may be overcome if there is persuasive evidence indicating the value decline is temporary in nature, such as when the operating performance of the obligor is strong or if the market price of the security is historically volatile. Additionally, there may be instances in which impairment losses are recognized even if the decline in value does not fall within the criteria described above, such as if we plan to sell the security in the near term and the fair value is below our cost basis. When we believe that a change in fair value of an available for sale security is temporary, we record a corresponding credit or charge to other comprehensive income for any unrealized gains and losses. When we determine that impairment in the fair value of an available for sale security is an “other than temporary impairment”, we record a charge to earnings. We did not record such an impairment charge for the years ended December 31, 2012, 2011 and 2010.

Restricted Cash

Restricted Cash. Restricted cash as of December 31, 2012 and 2011 includes cash that we deposited as security for obligations arising from our self insurance programs and other amounts for which we are required to establish escrows, including: real estate taxes and capital expenditures as required by our mortgages, indemnification obligations associated with the sale of our pharmacy business and certain resident security deposits.

2012

2011

Current

Long term

Current

Long term

Insurance reserves

3,053

8,768

1,842

4,092

Real estate taxes and capital expenditures as required by our mortgages

2,761

—

2,335

—

Indemnification obligations associated with the sale of our pharmacy business

—

3,398

—

Resident security deposits

734

—

661

—

Total

6,548

12,166

4,838

4,092

Accounts Receivable and Allowance for Doubtful Accounts

Accounts Receivable and Allowance for Doubtful Accounts. We record accounts receivable at their estimated net realizable value. Included in our accounts receivable from continuing operations as of December 31, 2012 and 2011 are amounts due from the Medicare program of $11,858 and $11,546, respectively, and amounts due from various state Medicaid programs of $11,345 and $11,683, respectively.

We estimate allowances for uncollectible amounts and contractual allowances based upon factors which include, but are not limited to, the age of the receivable and the terms of the agreements, the residents’, patients’ or third party payers’ stated intent to pay, the payers’ financial capacity to pay and other factors which may include likelihood and cost of litigation. Accounts receivable allowances are estimates. We periodically review and revise these estimates based on new information and these revisions may be material. Allowance for doubtful accounts consists of the following:

Balance January 1, 2010

3,537

Provision for doubtful accounts

3,613

Write-offs

(3,909

)

Balance December 31, 2010

3,241

Provision for doubtful accounts

4,197

Write-offs

(4,278

)

Balance December 31, 2011

3,160

Provision for doubtful accounts

4,446

Write-offs

(4,814

)

Balance December 31, 2012

2,792

Deferred Finance Costs

Deferred Finance Costs. We capitalize issuance costs related to borrowings and amortize the deferred costs over the terms of the respective loans. Our unamortized balance of deferred finance costs was $3,822 and $2,552 at December 31, 2012 and 2011, respectively. Accumulated amortization related to deferred finance costs was $2,824 and $1,852 at December 31, 2012 and 2011, respectively. At December 31, 2012, the weighted average amortization period remaining is approximately 12 years. The amortization expenses to be incurred during the next five years as of December 31, 2012 are $1,392 in 2013, $1,282 in 2014, $332 in 2015 and $80 in each of 2016 and 2017.

Property and Equipment

Property and Equipment. Property and equipment is stated at cost, except for property and equipment acquired in connection with the acquisitions described in Note 11 which were recorded at estimated fair market value. We record depreciation on property and equipment on a straight line basis over estimated useful lives of up to 40 years for buildings, up to 15 years for building improvements and up to seven years for personal property. We regularly evaluate whether events or changes in circumstances have occurred that could indicate impairment in the value of our long-lived assets. If there is an indication that the carrying value of an asset is not recoverable, we determine the amount of impairment loss, if any, by comparing the historical carrying value of the asset to its estimated fair value. We determine estimated fair value through an evaluation of recent financial performance, recent sales of similar assets, market conditions and projected cash flows of properties using standard industry valuation techniques.

Goodwill and Other Intangible Assets

Goodwill and Other Intangible Assets. Goodwill represents the costs of business acquisitions in excess of the fair value of identifiable net assets acquired. We review goodwill for impairment annually during the fourth quarter, or more frequently, if events or changes in circumstances exist. If our review indicates that the carrying amount of goodwill exceeds its fair value, we reduce the carrying amount of goodwill to fair value. We evaluate goodwill for impairment at the reporting unit level, which we determined to be the segments we operate, by comparing the fair value of the reporting unit as determined by its discounted cash flows and market approaches, such as capitalization rates and earnings multiples, with its carrying value. The key assumptions used in the discounted cash flow analysis include future revenue growth, gross margins and our weighted average cost of capital. We select a growth rate based on our view of the growth prospect of each of our reporting units. If the carrying value of the reporting unit exceeds its fair value, we compare the implied fair value of the reporting unit’s goodwill with its carrying amount to measure the amount of the potential impairment loss.

At acquisition, we estimate and record the fair value of purchased intangible assets primarily using discounted cash flow analysis of anticipated cash flows reflecting incremental revenues and/or cost savings resulting from the acquired intangible asset, reflecting market participant assumptions. Amortization of intangible assets with finite lives is recognized over their estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are consumed or otherwise realized.

Long-lived assets and other intangible assets are periodically reviewed for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable. If the carrying value of the asset held for use exceeds the sum of the undiscounted expected future cash flows, the carrying value of the asset is generally written down to fair value.

Self Insurance

Self Insurance. We self insure up to certain limits for workers’ compensation, professional liability claims, automobile claims and property losses. Claims in excess of these limits are insured up to contractual limits, over which we are self insured. We fully self insure all health related claims for our covered employees. Determining reserves for the casualty, liability, workers’ compensation and healthcare losses and costs that we have incurred as of the end of a reporting period involves significant judgments based upon our experience and our expectations of future events, including projected settlements for pending claims, known incidents which we expect may result in claims, estimates of incurred but not yet reported claims, expected changes in premiums for insurance provided by insurers whose policies provide for retroactive adjustments, estimated litigation costs and other factors. Since these reserves are based on estimates, the actual expenses we incur may differ from the amount reserved. We regularly adjust these estimates to reflect changes in the foregoing factors, our actual claims experience, recommendations from our professional consultants, changes in market conditions and other factors; it is possible that such adjustments may be material.

Continuing Care Contracts

Continuing Care Contracts. Residents at one of our communities may enter into continuing care contracts with us. We offer two forms of continuing care contracts to new residents at this community. One form of contract provides that 10% of the resident admission fee becomes non-refundable upon occupancy, and the remaining 90% becomes non-refundable at the rate of 1.5% per month of the original amount over the subsequent 60 months. The second form of contract provides that 30% of the resident admission fee is non-refundable upon occupancy and 70% is refundable. Three other forms of continuing care contracts are in effect for existing residents but are not offered to new residents. One historical form of contract provides that the resident admission fee is 10% non-refundable upon occupancy and 90% refundable. A second historical form of contract provides that the resident admission fee is 100% refundable. A third historical form of contract provides that the resident admission fee is 1% refundable and 99% non-refundable upon admission. In each case, we amortize the non-refundable part of these fees into revenue over the actuarially determined remaining life of the resident, which is the expected period of occupancy by the resident. We pay refunds of our admission fees when residents relocate from our communities. We report the refundable amount of these admission fees as current liabilities and the non-refundable amount as deferred revenue, a portion of which is classified as a current liability. The balance of refundable admission fees as of December 31, 2012 and 2011 were $4,255 and $5,082, respectively.

Leases

Leases. On the inception date of a lease and upon any relevant amendments to such lease, we test the classification of such lease as either a capital lease or an operating lease. None of our leases have met any of the criteria to be classified as a capital lease under the Leases Topic of the Financial Accounting Standards Board, or the FASB, Accounting Standards Codification™, or ASC, and, therefore, we have accounted for all of our leases as operating leases.

Taxes

Taxes. The Income Taxes Topic of the Codification prescribes how we should recognize, measure and present in our consolidated financial statements uncertain tax positions that have been taken or are expected to be taken in a tax return. We can recognize a tax benefit only if it is “more likely than not” that a particular tax position will be sustained upon examination or audit. To the extent the “more likely than not” standard has been satisfied, the benefit associated with a tax position is measured as the largest amount that has a greater than 50% likelihood of being realized upon settlement. At December 31, 2012, our tax returns filed for the 2003 through 2012 tax years are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our consolidated financial statements as a component of general and administrative expenses.

We pay franchise taxes in certain states in which we have operations. We have included franchise taxes in general and administrative and other senior living operating expenses in our consolidated statements of income.

Fair Value of Financial Instruments

Fair Value of Financial Instruments. Our financial instruments are limited to cash and cash equivalents, accounts receivable, available for sale securities, accounts payable, mortgage notes payable, the bridge loan from SNH, or the Bridge Loan, and the Convertible Senior Notes due 2026, or the Notes. Except for our mortgage notes payable and the Notes, the fair value of these financial instruments was not materially different from their carrying values at December 31, 2012 and 2011. We estimate the fair values using market quotes when available, discounted cash flow analysis and current prevailing interest rates.

Revenue Recognition

Revenue Recognition. We derive our revenues primarily from services to residents and patients at our senior living communities and rehabilitation hospitals and we record revenues when services are provided. We expect payment from governments or other third party payers for some of our services. We derived approximately 24%, 26% and 26% of our senior living revenues from continuing operations in 2012, 2011 and 2010, respectively, from payments under Medicare and Medicaid programs. For the years ended December 31, 2012, 2011 and 2010, we received approximately 70%, 68% and 64%, respectively, of our rehabilitation hospital business revenues, which we have classified as discontinued operations, from these programs. Revenues under some of these programs are subject to audit and retroactive adjustment.

Medicare revenues from our senior living communities in continuing operations totaled $134,254, $149,876 and $140,980 during 2012, 2011 and 2010, respectively. Medicaid revenues from our senior living communities in continuing operations totaled $118,505, $113,822 and $113,673 during 2012, 2011 and 2010, respectively. Medicaid and Medicare revenues from our rehabilitation hospital business, which we have classified as discontinued operations, were $74,355, $71,244 and $63,685 for the years ended December 31, 2012, 2011 and 2010, respectively.

Recently Issued Accounting Pronouncements

Recently Issued Accounting Pronouncements. In July 2012, the FASB issued an accounting standards update 2012-01, Health Care Entities (Topic 954), Continuing Care Retirement Communities — Refundable Advance Fees, or ASU 2012-01. ASU 2012-01 affects continuing care retirement communities, or CCRCs, that have resident contracts that provide for a payment of a refundable advance fee upon reoccupancy of that unit by a subsequent resident. The amendments in ASU 2012-01 clarify that an entity should classify an advance fee as deferred revenue when a CCRC has a resident contract that provides for payment of the refundable advance fee upon reoccupancy by a subsequent resident, which is limited to the proceeds of reoccupancy. Refundable advance fees that are contingent upon reoccupancy by a subsequent resident but are not limited to the proceeds of reoccupancy should be accounted for as a liability. ASU 2012-01 is effective for fiscal periods beginning after December 15, 2012 and the adoption of this update is not expected to cause any material changes to the disclosures in, or the presentation of, our consolidated financial statements.

In April 2014, the FASB issued Accounting Standards Update 2014-08, Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, or ASU 2014-08. ASU 2014-08 changes the criteria for reporting a discontinued operation. Under the new pronouncement, a disposal of a part of an organization that has a major effect on its operations and financial results is a discontinued operation. We are required to adopt ASU 2014-08 prospectively for all disposals or components of our business classified as held for sale during fiscal periods beginning after December 15, 2014 and are currently evaluating what impact, if any, its adoption will have to the presentation of our consolidated financial statements.

Segment Information

Segment Information. We have three operating segments: senior living communities, rehabilitation and wellness and rehabilitation hospitals. In the senior living community segment, we operate for our own account or manage for the account of SNH independent living communities, assisted living communities and SNFs that are subject to centralized oversight and provide housing and services to elderly residents. Our rehabilitation and wellness operating segment does not meet any of the quantitative thresholds of a reportable segment as prescribed under FASB ASC Topic 280, and as discussed further in Note 12, our rehabilitation hospital operating segment has been reclassified as discontinued operations. After the reclassification of our rehabilitation hospital business as discontinued operations, our business is comprised of one reportable segment, senior living.

Summary_of_Significant_Account2

Summary of Significant Accounting Policies (Tables)	12 Months Ended
Summary of Significant Accounting Policies (Tables)	Dec. 31, 2012
Summary of Significant Accounting Policies	'
Schedule of fair value and gross unrealized losses related to the entity's available for sale securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position	'


		December 31, 2012
		Less than 12 months					Greater than 12 months				Total
		Fair Value			Unrealized		Fair Value		Unrealized		Fair Value		Unrealized
		Fair Value			Loss		Fair Value		Loss		Fair Value		Loss

	Investments	$	4,052		$	75	$	3,268	$	195	$	7,320	$	270


		December 31, 2011
		Less than 12 months					Greater than 12 months				Total
		Fair Value			Unrealized		Fair Value		Unrealized		Fair Value		Unrealized
		Fair Value			Loss		Fair Value		Loss		Fair Value		Loss

	Investments	$	6,414		$	185	$	—	$	—	$	6,414	$	185

Schedule of restricted cash includes cash that is deposited as security for obligations arising from self insurance programs and other amounts, which are required to establish escrows, including real estate taxes and capital expenditures as required by mortgages, indemnification obligations associated with the sale of pharmacy business and certain resident security deposits	'


		2012					2011
		Current			Long term		Current		Long term

	Insurance reserves	$	3,053		$	8,768	$	1,842	$	4,092
	Real estate taxes and capital expenditures as required by our mortgages	2,761			—		2,335		—
	Indemnification obligations associated with the sale of our pharmacy business	—			3,398		—		—
	Resident security deposits	734			—		661		—
	Total	$	6,548		$	12,166	$	4,838	$	4,092
Schedule of allowance for doubtful accounts	'


	Balance January 1, 2010	$	3,537
	Provision for doubtful accounts	3,613
	Write-offs	(3,909		)
	Balance December 31, 2010	3,241
	Provision for doubtful accounts	4,197
	Write-offs	(4,278		)
	Balance December 31, 2011	3,160
	Provision for doubtful accounts	4,446
	Write-offs	(4,814		)
	Balance December 31, 2012	$	2,792

Property_and_Equipment_Tables

Property and Equipment (Tables)	12 Months Ended
	Dec. 31, 2012
Property and Equipment	'
Schedule of property and equipment, at cost	'


		December 31,			December 31,
		2012			2011
		(Restated)			(Restated)
	Land	$	21,714		$	21,013
	Buildings and improvements	277,330			271,601
	Furniture, fixtures and equipment	103,707			91,084
		402,751			383,698
	Accumulated depreciation	(65,257		)	(50,716		)
		$	337,494		$	332,982

Goodwill_and_Other_Intangible_1

Goodwill and Other Intangible Assets (Tables)	12 Months Ended
	Dec. 31, 2012
Goodwill and Other Intangible Assets	'
Schedule of the changes in the carrying amount of goodwill and other intangible assets	'


		As of December 31,
		2012		2011
		(Restated)		(Restated)
	Goodwill	$	25,473	$	25,473
	Other intangible assets, net of accumulated amortization of $1,829 and $203, respectively	2,235		3,861
		$	27,708	$	29,334

Income_Taxes_Tables

Income Taxes (Tables)	12 Months Ended
Income Taxes (Tables)	Dec. 31, 2012
Income Taxes	'
Schedule of deferred tax assets and liabilities	'


		2012			2011
		(Restated)			(Restated)
	Current deferred tax assets:
	Continuing care contracts	$	607		$	676
	Allowance for doubtful accounts	1,559			1,795
	Insurance reserves	1,015			1,092
	Deferred gains on sale lease back transactions	1,278			1,126
	Tax credits	465			420
	Tax loss carry forwards	9,190			8,114
	Other	1,220			1,217
	Total current deferred tax assets before valuation allowance	15,334			14,440
	Valuation allowance:	(297		)	(481		)
	Total current deferred tax assets	15,037			13,959
	Non-current deferred tax assets:
	Continuing care contracts	228			249
	Deferred gains on sale lease back transactions	981			899
	Insurance reserves	2,919			2,768
	Tax credits	11,264			10,121
	Tax loss carry forwards	25,246			36,783
	Impairment of securities	501			1,671
	Other	1,431			1,842
	Total non-current deferred tax assets before valuation allowance	42,570			54,333
	Valuation allowance:	(1,891		)	(2,882		)
	Total non-current deferred tax assets	40,679			51,451

	Current deferred tax liabilities:
	Employee stock grants	(130		)	(140		)

	Non-current deferred tax liabilities:
	Depreciable assets	(1,674		)	187
	Lease expense	(696		)	(1,094		)
	Goodwill	(1,087		)	(105		)
	Identifiable intangibles/other liabilities	(1,008		)	(1,619		)
	Total non-current deferred tax liabilities	(4,465		)	(2,631		)
	Net deferred tax asset	$	51,121		$	62,639
Schedule of movement in valuation allowance	'


		Balance at			Amounts			Amounts		Balance at
		Beginning			Charged/			Charged		End of
		of Period			(Credited)			Off, Net of		Period
		(Restated)			To			Recoveries		(Restated)
					Expense
					(Restated)

	Year Ended December 31, 2010	$	65,231		$	(6,860	)	$	—	$	58,371

	Year Ended December 31, 2011	$	58,371		$	(55,008	)	$	—	$	3,363

	Year Ended December 31, 2012	$	3,363		$	(1,175	)	$	—	$	2,188
Schedule of provision (benefit) for income taxes from continuing operations	'


		Years Ended December 31,
		2012			2011			2010
		(Restated)			(Restated)			2010
	Current tax provision:
	State	$	1,183		$	1,047		$	1,290
	Total current tax provision	1,183			1,047			1,290
	Deferred tax provision (benefit):
	Federal	5,440			(43,878		)	138
	State	1,281			(15,018		)	20
	Total deferred tax provision (benefit)	6,721			(58,896		)	158
	Total tax provision (benefit)	$	7,904		$	(57,849	)	$	1,448
Schedule of difference between effective tax (benefit) rate on continuing operations and the U.S. Federal statutory income tax (benefit) rate	'


		For the years ended December 31,
		2012		2011
		(Restated)		(Restated)		2010

	Taxes at statutory U.S. federal income tax rate	35	%	35	%	35	%
	State and local income taxes, net of federal tax benefit	8.3	%	(13.8	)%	8.7	%
	Tax credits	(3.7	)%	(16.6	)%	(7.5	)%
	Change in valuation allowance	0.1	%	(360.9	)%	(33.5	)%
	US permanent differences	0.6	%	0.6	%	1.5	%
	Other differences, net	(0.2	)%	1.2	%	1.3	%
	Effective tax rate	40.1	%	(354.5	)%	5.5	%
Summary of reconciliation of unrecognized tax benefits	'


		2012			2011
		(Restated)			(Restated)			2010
	Unrecognized tax benefits at January 1	$	893		$	—		$	—
	Additions for tax positions of prior years	—			717			—
	Additions for tax positions of current year	193			176			—
	Unrecognized tax benefits at December 31	$	1,086		$	893		$	—

Earnings_Per_Share_Tables

Earnings Per Share (Tables)	12 Months Ended
	Dec. 31, 2012
Earnings Per Share	'
Schedule of reconciliation of income from continuing operations and income (loss) from discontinued operations and the number of common shares used in the computations of diluted EPS	'


		Year Ended December 31,
		2012					2011							2010
		(Restated)					(Restated)
		Income		Shares	Per		Income			Shares	Per			Income			Shares	Per
		(loss)			Share		(loss)				Share			(loss)				Share
	Income from continuing operations	$	11,824	47,952	$	0.25	$	74,168		42,161	$	1.76		$	24,705		35,736	$	0.69
	Effect of the Notes	677		2,182			962			2,873				1,652			3,471
	Diluted income from continuing operations	$	11,824	50,134	$	0.25	$	75,130		45,034	$	1.67		$	26,357		39,207	$	0.67

	Diluted income (loss) from discontinued operations	$	11,717	50,134	$	0.23	$	(3,381	)	45,034	$	(0.08	)	$	(1,213	)	39,207	$	(0.03	)

Fair_Values_of_Assets_and_Liab1

Fair Values of Assets and Liabilities (Tables)	12 Months Ended
	Dec. 31, 2012
Fair Values of Assets and Liabilities	'
Schedule of assets measured at fair value on a recurring and non recurring basis, categorized by the level of inputs used in the valuation of each asset	'


		As of December 31, 2012								As of December 31, 2011
	Description	Total		Quoted Prices		Significant		Significant		Total		Quoted		Significant		Significant
				in Active		Other		Unobservable				Prices in		Other		Unobservable
				Markets for		Observable		Inputs				Active		Observable		Inputs
				Identical		Inputs		(Level 3)				Markets for		Inputs		(Level 3)
				Assets		(Level 2)						Identical		(Level 2)
				(Level 1)		(Restated)						Assets		(Restated)
				(Restated)								(Level 1)
												(Restated)

	Cash equivalents (1)	22,149		22,149		—		—		19,745		19,745		—		—
	Available for sale securities: (2)
	Equity securities
	Financial services industry	6,025		6,025		—		—		3,752		3,752		—		—
	REIT industry	484		484		—		—		472		472		—		—
	Other	775		775		—		—		789		789		—		—
	Total equity securities	7,284		7,284		—		—		5,013		5,013		—		—
	Debt securities
	International bond fund (3)	2,345		—		2,345		—		2,246		—		2,246		—
	High yield fund (4)	2,168		—		2,168		—		—		—		—		—
	Industrial bonds	5,186		—		5,186		—		7,467		—		7,467		—
	Government bonds	4,666		4,666		—		—		5,524		5,524		—		—
	Financial bonds	982		—		982		—		1,104		—		1,104		—
	Other	869		—		869		—		875		—		875		—
	Total debt securities	16,216		4,666		11,550		—		17,216		5,524		11,692		—
	Total available for sale securities	23,500		11,950		11,550		—		22,229		10,537		11,692		—
	Total	$	45,649	$	34,099	$	11,550	$	—	$	41,974	$	30,282	$	11,692	$	—


	(1) Cash equivalents, consisting of money market funds held principally for obligations arising from our self insurance programs.

	(2) Investments in available for sale securities are reported on our balance sheet as current and long term investments in available for sale securities and are reported at fair value of $12,920 and $10,580, respectively, at December 31, 2012. Our investments in available for sale securities had amortized costs of $21,720 and $20,827 as of December 31, 2012 and 2011, respectively, had unrealized gains of $2,050 and $1,586 as of December 31, 2012 and 2011, respectively, and had unrealized losses of $270 and $185 as of December 31, 2012 and 2011, respectively. At December 31, 2012, seven of the securities we hold, with a fair value of $4,052, have been in a loss position for less than 12 months. At December 31, 2012, three of the securities we hold, with a fair value of $3,268, have been in a loss position for greater than 12 months. We do not believe these securities are impaired primarily because they have not been in a loss position for an extended period of time; the financial conditions of the issuers of our securities remain strong with solid fundamentals, we intend to hold these securities until recovery and other factors that support our conclusion that the loss is temporary. During the years ended December 31, 2012 and 2011, we received gross proceeds of $4,163 and $10,896, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $63 and $4,118, respectively, and gross realized losses totaling $82 and $2, respectively.

	(3) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of U.S. dollar investment grade fixed income securities. There are no unfunded commitments and the investment can be redeemed weekly.

	(4) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of primarily fixed income securities issued by companies with below investment grade ratings. There are no unfunded commitments and the investment can be redeemed weekly.

Indebtedness_Tables

Indebtedness (Tables)	12 Months Ended
Indebtedness (Tables)	Dec. 31, 2012
Indebtedness	'
Schedule of principal payments due under the terms of mortgages (including mortgages securing properties that the entity has classified as discontinued operations)	'


	2013		$	1,242
	2014		1,318
	2015		1,398
	2016		1,483
	2017		1,573
	Thereafter		39,246
			$	46,260
Mortgage notes	'
Indebtedness	'
Summary of mortgage notes	'


	Balance as of			Effective		Cash Interest		Maturity Date	Monthly
	December 31,			Interest		Rate			Payment
	2012			Rate
	$	19,435		6.64	%	5.86	%	June 2023	$	123
	6,712			8.99	%	5.46	%	February 2025	63
	2,968			6.36	%	6.7	%	September 2028	25
	9,598			6.2	%	6.7	%	September 2032	72
	3,045			5.25	%	5.25	%	June 2035	19
	4,502			5.55	%	5.55	%	May 2039	27
	$	46,260		6.67	-1%	5.96	-1%		$	329

	(1) Weighted average interest rate.

Leases_Tables

Leases (Tables)	12 Months Ended
Leases (Tables)	Dec. 31, 2012
Leases	'
Summary of real property leases (including 11 senior living communities and two rehabilitation hospitals that the entity has classified as discontinued operations)	'


		Number of		Annual		Initial expiration date	Renewal terms
		properties		minimum rent as
				of
				December 31,
				2012

	1. Lease No. 1 for SNFs and independent and assisted living communities(1)	91		$	58,779	December 31, 2024	Two 15-year renewal options.

	2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53		70,442		June 30, 2026	Two 10-year renewal options.

	3. Lease No. 3 for independent and assisted living communities(2)	17		33,997		December 31, 2028	Two 15-year renewal options.

	4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29		34,470		April 30, 2017	Two 15-year renewal options.

	5. One HCP lease	4		1,183		June 30, 2014	Two 10-year renewal options.

	Totals	194		$	198,871

	(1) Lease No. 1 is comprised of four separate leases. Three of these four leases exist to accommodate mortgage financings in effect at the time SNH acquired the properties; we have agreed with SNH to combine all four of these leases into one lease as and when these mortgage financings are paid.

	(2) Lease No. 3 exists to accommodate certain mortgage financing by SNH.

	(3) Lease No. 4 is comprised of three separate leases. Two of these three leases exist to accommodate mortgage obligations in effect at the time SNH acquired the properties; we have agreed with SNH to combine all three of these leases into one lease when these mortgage financings are paid.
Schedule of future minimum rents	'


	2013	$	198,871
	2014	198,280
	2015	197,688
	2016	197,688
	2017	174,708
	Thereafter	1,384,176
		$	2,351,411

Acquisitions_Tables

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2012
Acquisitions	'
Schedule of amounts as previously reported and restated to reflect the adjustments made to property and equipment, goodwill and other intangible assets	'


		As of December 31, 2011
		Preliminary		Measurement			Revised
		Amounts		Period			Amounts
		Recorded		Adjustment			Recorded
	Land	$	4,715	$	(510	)	$	4,205
	Building and improvements	106,240		(15,200		)	91,040
	Furniture, fixtures and equipment	11,805		(2,099		)	9,706
	Property and equipment	$	122,760	$	(17,809	)	$	104,951

	Goodwill related to home health services	$	—	$	14,565		$	14,565

	Other intangible assets related to resident agreements	$	—	$	3,244		$	3,244

Discontinued_Operations_Tables

Discontinued Operations (Tables)	12 Months Ended
	Dec. 31, 2012
Discontinued Operations	'
Summary of the operating results of discontinued operations included in the financial statements	'


		2012			2011
		(Restated)			(Restated)			2010
	Revenues	$	213,020		$	251,604		$	268,685
	Expenses	(218,565		)	(253,430		)	(269,898		)
	Impairment on assets	(644		)	(4,358		)	—
	(Provision) benefit for income taxes	(5,441		)	2,803			—
	Gain on sale	23,347			—			—
	Net income (loss)	$	11,717		$	(3,381	)	$	(1,213	)

Selected_Quarterly_Financial_D1

Selected Quarterly Financial Data (Unaudited) (Tables)	12 Months Ended
	Dec. 31, 2012
Selected Quarterly Financial Data (Unaudited)	'
Summary of unaudited quarterly results of operations	'


			2012
			First Quarter			Second Quarter			Third Quarter			Fourth Quarter
			(As Restated)			(As Restated)			(As Restated)			(As Restated)
	Revenues		$	291,298		$	296,493		$	297,169		$	322,185
	Operating income		3,145			10,643			5,478			5,615
	Income from continuing operations		1,167			5,576			3,088			1,993
	Net income		472			4,910			16,213			1,946
	Net income per common share - Basic		$	0.01		$	0.1		$	0.34		$	0.04
	Net income per common share - Diluted		$	0.01		$	0.1		$	0.33		$	0.04

			2011
			First Quarter			Second Quarter			Third Quarter			Fourth Quarter
			(As Restated)			(As Restated)			(As Restated)			(As Restated)
	Revenues		$	252,714		$	255,942		$	274,306		$	277,225
	Operating income (loss)		7,230			6,572			3,838			(1,141		)
	Income from continuing operations (1)		6,511			4,541			3,225			59,891
	Net income (loss)		4,310			4,946			(460		)	61,991
	Net income (loss) per common share - Basic		$	0.12		$	0.13		$	(0.01	)	$	1.3
	Net income (loss) per common share - Diluted		$	0.12		$	0.13		$	(0.00	)	$	1.23

	(1) Income from continuing operations for the fourth quarter of 2011 includes an income tax benefit from continuing operations of $57,849, of which $58,896 was attributable to the partial reduction of our previously deferred income tax valuation allowance.
Summary of the impact of errors in the quarterly balance sheets	'


			As of September 30, 2012
												Retrospective
												Adjustments
			As			Error			As			for Discontinued			As
			Reported			Corrections			Corrected			Operations			Restated
	Condensed Consolidated Balance Sheet:
	Current assets:
	Cash and cash equivalents		$	14,295		$	—		$	14,295		$	—		$	14,295
	Accounts receivable		54,880			1,446			56,326			(14,937		)	41,389
	Due from related persons		—			6,088			6,088			—			6,088
	Investments in available for sale securities		14,942			—			14,942			—			14,942
	Restricted cash		5,904			—			5,904			—			5,904
	Prepaid expenses and other current assets(1)		25,441			6,499			31,940			(903		)	31,037
	Assets of discontinued operations		13,003			28			13,031			19,692			32,723
	Total current assets		128,465			14,061			142,526			3,852			146,378

	Property and equipment, net		336,889			872			337,761			(3,772		)	333,989
	Equity investment in Affiliates Insurance Company		5,558			—			5,558			—			5,558
	Restricted cash		9,262			—			9,262			—			9,262
	Restricted investments in available for sale securities		11,904			—			11,904			—			11,904
	Goodwill and other intangible assets		28,081			—			28,081			(80		)	28,001
	Other long term assets(2)		43,347			2,010			45,357			—			45,357
	Total assets		$	563,506		$	16,943		$	580,449		$	—		$	580,449

	Current liabilities:
	Accounts payable		$	24,500		$	2,645		$	27,145		$	(1,847	)	$	25,298
	Accrued expenses		20,840			458			21,298			(201		)	21,097
	Accrued compensation and benefits		48,118			—			48,118			(6,950		)	41,168
	Due to related persons		12,791			7,124			19,915			—			19,915
	Mortgage notes payable		1,076			—			1,076			—			1,076
	Accrued real estate taxes		14,909			(1,036		)	13,873			(277		)	13,596
	Security deposit liability		9,948			(584		)	9,364			(23		)	9,341
	Other current liabilities		16,958			—			16,958			(2		)	16,956
	Liabilities of discontinued operations		8,764			7			8,771			9,305			18,076
	Total current liabilities		157,904			8,614			166,518			5			166,523

	Long term liabilities:
	Mortgage notes payable		37,900			—			37,900			—			37,900
	Convertible senior notes		24,872			—			24,872			—			24,872
	Continuing care contracts		1,820			—			1,820			—			1,820
	Accrued self insurance obligations		31,868			—			31,868			—			31,868
	Other long term liabilities		6,415			83			6,498			(5		)	6,493
	Total long term liabilities		102,875			83			102,958			(5		)	102,953

	Commitments and contingencies

	Shareholders’ equity:
	Common stock		479			—			479			—			479
	Additional paid in capital		353,468			37			353,505			—			353,505
	Accumulated deficit		(53,136		)	6,735			(46,401		)	—			(46,401		)
	Accumulated other comprehensive income		1,916			1,474			3,390			—			3,390
	Total shareholders’ equity		302,727			8,246			310,973			—			310,973
	Total liabilities and shareholders’ equity		$	563,506		$	16,943		$	580,449		$	—		$	580,449

	(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
	(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

			As of June 30, 2012
												Retrospective
												Adjustments
			As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	23,635		$	—		$	23,635		$	—		$	23,635
Accounts receivable		63,130			1,664			64,794			(23,519		)	41,275
Due from related persons		—			2,536			2,536			—			2,536
Investments in available for sale securities		14,993			—			14,993			—			14,993
Restricted cash		6,507			—			6,507			—			6,507
Prepaid expenses and other current assets(1)		22,073			7,925			29,998			(5,527		)	24,471
Assets of discontinued operations		8,401			14			8,415			38,831			47,246
Total current assets		138,739			12,139			150,878			9,785			160,663

Property and equipment, net		337,836			447			338,283			(6,221		)	332,062
Equity investment in Affiliates Insurance Company		5,408			—			5,408			—			5,408
Restricted cash		6,313			—			6,313			—			6,313
Restricted investments in available for sale securities		11,299			—			11,299			—			11,299
Goodwill and other intangible assets		31,857			—			31,857			(3,564		)	28,293
Other long term assets(2)		50,233			588			50,821			—			50,821
Total assets		$	581,685		$	13,174		$	594,859		$	—		$	594,859

Current liabilities:
Revolving credit facility, secured principally by real estate		$	37,500		$	—		$	37,500		$	—		$	37,500
Accounts payable		24,766			2,539			27,305			(2,228		)	25,077
Accrued expenses		23,742			(1,982		)	21,760			(181		)	21,579
Accrued compensation and benefits		45,388			—			45,388			(6,689		)	38,699
Due to related persons		15,956			3,452			19,408			—			19,408
Mortgage notes payable		1,060			—			1,060			—			1,060
Accrued real estate taxes		11,378			(916		)	10,462			(343		)	10,119
Security deposit liability		10,033			(523		)	9,510			(23		)	9,487
Other current liabilities		17,421			2,048			19,469			—			19,469
Liabilities of discontinued operations		8,491			(5		)	8,486			9,464			17,950
Total current liabilities		195,735			4,613			200,348			—			200,348

Long term liabilities:
Mortgage notes payable		38,175			—			38,175			—			38,175
Convertible senior notes		24,872			—			24,872			—			24,872
Continuing care contracts		1,838			—			1,838			—			1,838
Accrued self insurance obligations		28,296			—			28,296			—			28,296
Other long term liabilities		6,800			83			6,883			—			6,883
Total long term liabilities		99,981			83			100,064			—			100,064

Commitments and contingencies

Shareholders’ equity:
Common stock		479			—			479			—			479
Additional paid in capital		353,309			(8		)	353,301			—			353,301
Accumulated deficit		(69,575		)	6,961			(62,614		)	—			(62,614		)
Accumulated other comprehensive income		1,756			1,525			3,281			—			3,281
Total shareholders’ equity		285,969			8,478			294,447			—			294,447
Total liabilities and shareholders’ equity		$	581,685		$	13,174		$	594,859		$	—		$	594,859

(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

		As of March 31, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	26,645		$	—		$	26,645		$	—		$	26,645
Accounts receivable		65,106			1,638			66,744			(25,591		)	41,153
Due from related persons		—			4,607			4,607			—			4,607
Investments in available for sale securities		8,773			—			8,773			—			8,773
Restricted cash		5,749			—			5,749			—			5,749
Prepaid expenses and other current assets(1)		26,294			7,737			34,031			(6,204		)	27,827
Assets of discontinued operations		8,515			39			8,554			41,788			50,342
Total current assets		141,082			14,021			155,103			9,993			165,096

Property and equipment, net		353,539			1,053			354,592			(24,147		)	330,445
Equity investment in Affiliates Insurance Company		5,335			—			5,335			—			5,335
Restricted cash		6,317			—			6,317			—			6,317
Restricted investments in available for sale securities		12,871			—			12,871			—			12,871
Goodwill and other intangible assets		15,157			—			15,157			14,154			29,311
Other long term assets(2)		50,966			907			51,873			—			51,873
Total assets		$	585,267		$	15,981		$	601,248		$	—		$	601,248

Current liabilities:
Accounts payable		$	22,831		$	2,697		$	25,528		$	(2,139	)	$	23,389
Accrued expenses		24,027			(1,269		)	22,758			(502		)	22,256
Accrued compensation and benefits		44,632			—			44,632			(7,695		)	36,937
Due to related persons		13,467			5,662			19,129			—			19,129
Mortgage notes payable		1,044			—			1,044			—			1,044
Bridge loan from Senior Housing Properties Trust		38,000			—			38,000			—			38,000
Accrued real estate taxes		9,878			(1,055		)	8,823			(268		)	8,555
Security deposit liability		10,724			(470		)	10,254			(23		)	10,231
Other current liabilities		15,532			2,113			17,645			—			17,645
Liabilities of discontinued operations		8,932			21			8,953			10,627			19,580
Total current liabilities		189,067			7,699			196,766			—			196,766

Long term liabilities:
Mortgage notes payable		38,446			—			38,446			—			38,446
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		1,883			—			1,883			—			1,883
Accrued self insurance obligations		30,438			—			30,438			—			30,438
Other long term liabilities		7,184			83			7,267			—			7,267
Total long term liabilities		115,233			83			115,316			—			115,316

Commitments and contingencies

Shareholders’ equity:
Common stock		479			—			479			—			479
Additional paid in capital		353,036			(53		)	352,983			—			352,983
Accumulated deficit		(74,213		)	6,689			(67,524		)	—			(67,524		)
Accumulated other comprehensive income		1,665			1,563			3,228			—			3,228
Total shareholders’ equity		280,967			8,199			289,166			—			289,166
Total liabilities and shareholders’ equity		$	585,267		$	15,981		$	601,248		$	—		$	601,248

(1) The current portion of our net deferred tax assets are presented as a component of other current assets for interim reporting periods.
(2) The long term portion of our net deferred tax assets are presented as a component of other long term assets for interim reporting periods.

		As of September 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	41,946		$	—		$	41,946		$	—		$	41,946
Accounts receivable		59,972			(186		)	59,786			(23,315		)	36,471
Investments in available for sale securities		17,283			—			17,283			—			17,283
Restricted cash		5,171			—			5,171			—			5,171
Prepaid and other current assets		21,001			(245		)	20,756			(6,986		)	13,770
Assets of discontinued operations		8,812			13			8,825			40,910			49,735
Total current assets		154,185			(418		)	153,767			10,609			164,376

Property and equipment, net		353,639			1,049			354,688			(6,773		)	347,915
Equity investment in Affiliates Insurance Company		5,245			—			5,245			—			5,245
Restricted cash		4,306			—			4,306			—			4,306
Restricted investments in available for sale securities		12,987			—			12,987			—			12,987
Goodwill and other intangible assets		15,383			—			15,383			(3,836		)	11,547
Other long term assets		3,334			—			3,334			—			3,334
Total assets		$	549,079		$	631		$	549,710		$	—		$	549,710

Current liabilities:
Accounts payable		$	21,512		$	—		$	21,512		$	(2,368	)	$	19,144
Accrued expenses		27,433			(922		)	26,511			(400		)	26,111
Accrued compensation and benefits		44,091			—			44,091			(7,415		)	36,676
Due to related persons		16,306			—			16,306			—			16,306
Mortgage notes payable		1,012			—			1,012			—			1,012
Bridge loan from Senior Housing Properties Trust		48,000			—			48,000			—			48,000
Accrued real estate taxes		14,833			—			14,833			(298		)	14,535
Security deposit liability		10,677			(424		)	10,253			(22		)	10,231
Other current liabilities		15,477			2,058			17,535			(1		)	17,534
Liabilities of discontinued operations		8,854			(4		)	8,850			10,504			19,354
Total current liabilities		208,195			708			208,903			—			208,903

Long term liabilities:
Mortgage notes payable		38,977			—			38,977			—			38,977
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,068			—			2,068			—			2,068
Accrued self insurance obligations		27,074			—			27,074			—			27,074
Other long term liabilities		7,715			—			7,715			—			7,715
Total long term liabilities		113,116			—			113,116			—			113,116

Shareholders’ equity:
Common stock		476			—			476			—			476
Additional paid in capital		352,501			(72		)	352,429			—			352,429
Accumulated deficit		(129,983		)	(5		)	(129,988		)	—			(129,988		)
Accumulated other comprehensive income		4,774			—			4,774			—			4,774
Total shareholders’ equity		227,768			(77		)	227,691			—			227,691
Total liabilities and shareholders’ equity		$	549,079		$	631		$	549,710		$	—		$	549,710

		As of June 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	43,158		$	—		$	43,158		$	—		$	43,158
Accounts receivable		63,031			(195		)	62,836			(25,708		)	37,128
Investments in available for sale securities		19,954			—			19,954			—			19,954
Restricted cash		4,072			—			4,072			—			4,072
Prepaid and other current assets		17,505			(245		)	17,260			(7,223		)	10,037
Assets of discontinued operations		12,436			19			12,455			43,396			55,851
Total current assets		160,156			(421		)	159,735			10,465			170,200

Property and equipment, net		273,208			529			273,737			(6,539		)	267,198
Equity investment in Affiliates Insurance Company		5,202			—			5,202			—			5,202
Restricted cash		3,712			—			3,712			—			3,712
Restricted investments in available for sale securities		12,445			—			12,445			—			12,445
Acquisition deposits		7,509			—			7,509			—			7,509
Goodwill and other intangible assets		15,496			—			15,496			(3,926		)	11,570
Other long term assets		3,823			—			3,823			—			3,823
Total assets		$	481,551		$	108		$	481,659		$	—		$	481,659

Current liabilities:
Accounts payable		$	18,621		$	—		$	18,621		$	(2,592	)	$	16,029
Accrued expenses		22,395			(1,289		)	21,106			(610		)	20,496
Accrued compensation and benefits		46,882			—			46,882			(8,884		)	37,998
Due to related persons		17,417			—			17,417			—			17,417
Mortgage notes payable		321			—			321			—			321
Bridge loan from Senior Housing Properties Trust		9,000			—			9,000			—			9,000
Accrued real estate taxes		10,428			—			10,428			(335		)	10,093
Security deposit liability		10,434			(436		)	9,998			(28		)	9,970
Other current liabilities		16,094			1,951			18,045			(5		)	18,040
Liabilities of discontinued operations		8,582			3			8,585			12,454			21,039
Total current liabilities		160,174			229			160,403			—			160,403

Long term liabilities:
Mortgage notes payable		19,614			—			19,614			—			19,614
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,133			—			2,133			—			2,133
Accrued self insurance obligations		24,415			—			24,415			—			24,415
Other long term liabilities		8,304			—			8,304			—			8,304
Total long term liabilities		91,748			—			91,748			—			91,748

Shareholders’ equity:
Common stock		475			—			475			—			475
Additional paid in capital		352,414			(48		)	352,366			—			352,366
Accumulated deficit		(129,454		)	(73		)	(129,527		)	—			(129,527		)
Accumulated other comprehensive income		6,194			—			6,194			—			6,194
Total shareholders’ equity		229,629			(121		)	229,508			—			229,508
Total liabilities and shareholders’ equity		$	481,551		$	108		$	481,659		$	—		$	481,659

		As of March 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents		$	26,008		$	—		$	26,008		$	—		$	26,008
Accounts receivable		64,419			(115		)	64,304			(26,934		)	37,370
Investments in available for sale securities		14,062			—			14,062			—			14,062
Restricted cash		6,838			—			6,838			—			6,838
Acquisition deposits		13,000			—			13,000			—			13,000
Prepaid and other current assets		19,872			—			19,872			(6,833		)	13,039
Assets of discontinued operations		12,542			115			12,657			44,838			57,495
Total current assets		156,741			—			156,741			11,071			167,812

Property and equipment, net		201,277			409			201,686			(7,055		)	194,631
Equity investment in Affiliates Insurance Company		5,117			—			5,117			—			5,117
Restricted cash		15,771			—			15,771			—			15,771
Restricted investments in available for sale securities		3,359			—			3,359			—			3,359
Goodwill and other intangible assets		15,609			—			15,609			(4,016		)	11,593
Other long term assets		3,821			—			3,821			—			3,821
Total assets		$	401,695		$	409		$	402,104		$	—		$	402,104

Current liabilities:
Revolving line of credit, secured, principally by accounts receivable		$	5,000		$	—		$	5,000		$	—		$	5,000
Accounts payable		25,992			—			25,992			(2,624		)	23,368
Accrued expenses		22,412			(1,452		)	20,960			31			20,991
Accrued compensation and benefits		45,385			—			45,385			(8,054		)	37,331
Due to related persons		17,823			—			17,823			—			17,823
Accrued real estate taxes		8,102			—			8,102			(256		)	7,846
Security deposit liability		10,390			(456		)	9,934			(28		)	9,906
Other current liabilities		11,325			2,064			13,389			(9		)	13,380
Liabilities of discontinued operations		8,905			100			9,005			10,940			19,945
Total current liabilities		155,334			256			155,590			—			155,590

Long term liabilities:
Convertible senior notes		37,282			—			37,282			—			37,282
Continuing care contracts		2,213			—			2,213			—			2,213
Accrued self insurance obligations		28,640			—			28,640			—			28,640
Other long term liabilities		8,728			—			8,728			—			8,728
Total long term liabilities		76,863			—			76,863			—			76,863

Shareholders’ equity:
Common stock		360			—			360			—			360
Additional paid in capital		297,908			(24		)	297,884			—			297,884
Accumulated deficit		(134,650		)	177			(134,473		)	—			(134,473		)
Accumulated other comprehensive income		5,880			—			5,880			—			5,880
Total shareholders’ equity		169,498			153			169,651			—			169,651
Total liabilities and shareholders’ equity		$	401,695		$	409		$	402,104		$	—		$	402,104
Summary of the impact of errors in the quarterly income statements	'

			For the three months ended December 31, 2012
												Retrospective
												Adjustments
			As			Error			As			for Discontinued			As
			Reported			Corrections			Corrected			Operations			Restated
	Condensed Consolidated Statement of Income:
	Revenues:
	Senior living revenue		$	279,154		$	(422	)	$	278,732		$	(8,942	)	$	269,790
	Rehabilitation hospital revenue		27,547			—			27,547			(27,547		)	—
	Management fee revenue		2,150			—			2,150			—			2,150
	Reimbursed costs incurred on behalf of managed communities		50,245			—			50,245			—			50,245
	Total revenues		359,096			(422		)	$	358,674		(36,489		)	$	322,185

	Operating expenses:
	Senior living wages and benefits		135,356			31			135,387			(6,389		)	128,998
	Other senior living operating expenses		70,007			(182		)	69,825			(2,712		)	67,113
	Costs incurred on behalf of managed communities		50,245			—			50,245			—			50,245
	Rehabilitation hospital expenses		24,763			—			24,763			(24,763		)	—
	Rent expense		50,598			—			50,598			(2,865		)	47,733
	General and administrative		16,153			44			16,197			—			16,197
	Depreciation and amortization		6,433			(19		)	6,414			(130		)	6,284
	Total operating expenses		353,555			(126		)	353,429			(36,859		)	316,570

	Operating income		5,541			(296		)	5,245			370			5,615

	Interest, dividend and other income		243			—			243			—			243
	Interest and other expense		(1,475		)	—			(1,475		)	—			(1,475		)
	Acquisition related costs		(8		)	—			(8		)	—			(8		)
	Loss on sale of available for sale securities		(81		)	—			(81		)	—			(81		)
	Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		4,220			(296		)	3,924			370			4,294
	Provision for income taxes		(807		)	(1,424		)	(2,231		)	(150		)	(2,381		)
	Equity in earnings of Affiliates Insurance Company		80			—			80			—			80
	Income from continuing operations		3,493			(1,720		)	1,773			220			1,993
	Income (loss) from discontinued operations		6			167			173			(220		)	(47		)
	Net income		$	3,499		$	(1,553	)	$	1,946		$	—		$	1,946

	Per Share data:
	Basic income per share from:
	Continuing operations		$	0.07					$	0.04					$	0.04
	Discontinued operations		—						—						—
	Net income per common share - Basic		$	0.07					$	0.04					$	0.04

	Diluted income per share from:
	Continuing operations		$	0.07					$	0.04					$	0.04
	Discontinued operations		—						—						—
	Net income per common share - Diluted		$	0.07					$	0.04					$	0.04

			For the three months ended September 30, 2012
												Retrospective
												Adjustments
			As			Error			As			for Discontinued			As
			Reported			Corrections			Corrected			Operations			Restated
	Condensed Consolidated Statement of Income:
	Revenues:
	Senior living revenue		$	277,568		$	(310	)	$	277,258		$	(8,613	)	$	268,645
	Rehabilitation hospital revenue		26,328			—			26,328			(26,328		)	—
	Management fee revenue		1,277			—			1,277			—			1,277
	Reimbursed costs incurred on behalf of managed communities		27,247			—			27,247			—			27,247
	Total revenues		332,420			(310		)	332,110			(34,941		)	297,169

	Operating Expenses:
	Senior living wages and benefits		137,816			22			137,838			(6,454		)	131,384
Other senior living operating expenses		66,858			19			66,877			(2,298		)	64,579
Costs incurred on behalf of managed communities		27,247			—			27,247			—			27,247
Rehabilitation hospital expenses		23,734			—			23,734			(23,734		)	—
Rent expense		50,523			—			50,523			(2,864		)	47,659
General and administrative		14,602			45			14,647			—			14,647
Depreciation and amortization		6,324			(20		)	6,304			(129		)	6,175
Total operating expenses		327,104			66			327,170			(35,479		)	291,691

Operating income		5,316			(376		)	4,940			538			5,478

Interest, dividend and other income		199			—			199			—			199
Interest and other expense		(1,762		)	—			(1,762		)	—			(1,762		)
Acquisition related costs		(100		)	—			(100		)	—			(100		)
Gain on sale of available for sale securities		63			—			63			—			63
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		3,716			(376		)	3,340			538			3,878
Provision for income taxes		(426		)	(260		)	(686		)	(219		)	(905		)
Equity in earnings of Affiliates Insurance Company		115			—			115			—			115
Income from continuing operations		3,405			(636		)	2,769			319			3,088
Income from discontinued operations		13,034			410			13,444			(319		)	13,125
Net income		$	16,439		$	(226	)	$	16,213		$	—		$	16,213

Per Share data:
Basic income per share from:
Continuing operations		$	0.07					$	0.06					$	0.06
Discontinued operations		0.27						0.28						0.28
Net income per common share - Basic		$	0.34					$	0.34					$	0.34

Diluted income per share from:
Continuing operations		$	0.07					$	0.06					$	0.06
Discontinued operations		0.26						0.27						0.27
Net income per common share - Diluted		$	0.33					$	0.33					$	0.33

		For the three months ended June 30, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	278,076		$	(147	)	$	277,929		$	(8,836	)	$	269,093
Rehabilitation hospital revenue		26,386			—			26,386			(26,386		)	—
Institutional pharmacy revenue		17,232			—			17,232			(17,232		)	—
Management fee revenue		1,302			—			1,302			—			1,302
Reimbursed costs incurred on behalf of managed communities		26,098			—			26,098			—			26,098
Total revenues		349,094			(147		)	348,947			(52,454		)	296,493

Operating expenses:
Senior living wages and benefits		136,618			12			136,630			(6,378		)	130,252
Other senior living operating expenses		66,242			(200		)	66,042			(2,245		)	63,797
Costs incurred on behalf of managed communities		26,098			—			26,098			—			26,098
Rehabilitation hospital expenses		23,872			—			23,872			(23,872		)	—
Institutional pharmacy expenses		17,258			—			17,258			(17,258		)	—
Rent expense		50,297			—			50,297			(2,866		)	47,431
General and administrative		15,389			45			15,434			—			15,434
Depreciation and amortization		6,709			(20		)	6,689			(486		)	6,203
Gain on settlement		(3,365		)	—			(3,365		)	—			(3,365		)
Total operating expenses		339,118			(163		)	338,955			(53,105		)	285,850

Operating income		9,976			16			9,992			651			10,643

Interest, dividend and other income		246			—			246			(12		)	234
Interest and other expense		(1,605		)	—			(1,605		)	—			(1,605		)
Gain on early extinguishment of debt		45			—			45			—			45
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		8,662			16			8,678			639			9,317
Provision for income taxes		(3,807		)	250			(3,557		)	(260		)	(3,817		)
Equity in earnings of Affiliates Insurance Company		76			—			76			—			76
Income from continuing operations		4,931			266			5,197			379			5,576
Loss from discontinued operations		(293		)	6			(287		)	(379		)	(666		)
Net income		$	4,638		$	272		$	4,910		$	—		$	4,910

Per Share data:
Basic income per share from:
Continuing operations		$	0.1					$	0.11					$	0.12
Discontinued operations		(0.01		)				(0.01		)				(0.02		)
Net income per common share - Basic		$	0.09					$	0.1					$	0.1

Diluted income per share from:
Continuing operations		$	0.1					$	0.11					$	0.11
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted		$	0.09					$	0.1					$	0.1

		For the three months ended March 31, 2012
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	276,220		$	(220	)	$	276,000		$	(9,195	)	$	266,805
Rehabilitation hospital revenue		26,787			—			26,787			(26,787		)	—
Institutional pharmacy revenue		18,621			—			18,621			(18,621		)	—
Management fee revenue		1,088			—			1,088			—			1,088
Reimbursed costs incurred on behalf of managed communities		23,405			—			23,405			—			23,405
Total revenues		346,121			(220		)	345,901			(54,603		)	291,298

Operating expenses:
Senior living wages and benefits		138,374			24			138,398			(6,588		)	131,810
Other senior living operating expenses		66,962			(290		)	66,672			(2,412		)	64,260
Costs incurred on behalf of managed communities		23,405			—			23,405			—			23,405
Rehabilitation hospital expenses		24,119			—			24,119			(24,119		)	—
Institutional pharmacy expenses		18,750			—			18,750			(18,750		)	—
Rent expense		50,227			—			50,227			(2,866		)	47,361
General and administrative		15,455			44			15,499			—			15,499
Depreciation and amortization		6,316			(19		)	6,297			(479		)	5,818
Total operating expenses		343,608			(241		)	343,367			(55,214		)	288,153

Operating income		2,513			21			2,534			611			3,145

Interest, dividend and other income		217			—			217			(12		)	205
Interest and other expense		(1,426		)	—			(1,426		)	—			(1,426		)
Loss on sale of available for sale securities		(1		)	—			(1		)	—			(1		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		1,303			21			1,324			599			1,923
Provision for income taxes		(602		)	45			(557		)	(244		)	(801		)
Equity in earnings of Affiliates Insurance Company		45			—			45			—			45
Income from continuing operations		746			66			812			355			1,167
Loss from discontinued operations		(377		)	37			(340		)	(355		)	(695		)
Net income		$	369		$	103		$	472		$	—		$	472

Per Share data:
Basic income per share from:
Continuing operations		$	0.02					$	0.02					$	0.02
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Basic		$	0.01					$	0.01					$	0.01

Diluted income per share from:
Continuing operations		$	0.02					$	0.02					$	0.02
Discontinued operations		(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted		$	0.01					$	0.01					$	0.01

		For the three months ended December 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	274,733		$	(429	)	$	274,304		$	(9,259	)	$	265,045
Rehabilitation hospital revenue		27,085			—			27,085			(27,085		)	—
Institutional pharmacy revenue		18,790			—			18,790			(18,790		)	—
Management fee revenue		515			—			515			(1		)	514
Reimbursed costs incurred on behalf of managed communities		11,665			—			11,665			1			11,666
Total revenues		332,788			(429		)	332,359			(55,134		)	277,225

Operating expenses:
Senior living wages and benefits		137,411			21			137,432			(6,515		)	130,917
Other senior living operating expenses		66,532			420			66,952			(2,409		)	64,543
Costs incurred on behalf of managed communities		11,665			—			11,665			1			11,666
Rehabilitation hospital expense		24,507			—			24,507			(24,507		)	—
Institutional pharmacy expense		18,433			—			18,433			(18,433		)	—
Rent expense		49,935			—			49,935			(2,867		)	47,068
General and administrative		15,298			(25		)	15,273			—			15,273
Depreciation and amortization		6,348			(32		)	6,316			(497		)	5,819
Impairment of long lived assets		3,500			—			3,500			(420		)	3,080
Total operating expenses		333,629			384			334,013			(55,647		)	278,366

Operating loss		(841		)	(813		)	(1,654		)	513			(1,141		)

Interest, dividend and other income		278			—			278			(14		)	264
Interest and other expenses		(1,512		)	—			(1,512		)	—			(1,512		)
Acquisition related costs		(229		)	—			(229		)	—			(229		)
Gain on sale of available for sale securities		3,460			—			3,460			—			3,460
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		1,156			(813		)	343			499			842
Benefit for income taxes		51,560			7,666			59,226			(205		)	59,021
Equity in earnings of Affiliates Insurance Company		28			—			28			—			28
Income from continuing operations		52,744			6,853			59,597			294			59,891
Income from discontinued operations		2,657			(263		)	2,394			(294		)	2,100
Net income		$	55,401		$	6,590		$	61,991		$	—		$	61,991

Per Share data:
Basic income per share from:
Continuing operations		$	1.11					$	1.25					$	1.26
Discontinued operations		0.05						0.05						0.04
Net income per common share - Basic		$	1.16					$	1.3					$	1.3

Diluted income per share from:
Continuing operations		$	1.05					$	1.18					$	1.19
Discontinued operations		0.05						0.05						0.04
Net income per common share - Diluted		$	1.1					$	1.23					$	1.23

		For the three months ended September 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	275,605		$	(342	)	$	275,263		$	(9,640	)	$	265,623
Rehabilitation hospital revenue		26,273			—			26,273			(26,273		)	—
Institutional pharmacy revenue		18,914			—			18,914			(18,914		)	—
Management fee revenue		359			—			359			—			359
Reimbursed costs incurred on behalf of managed communities		8,324			—			8,324			—			8,324
Total revenues		329,475			(342		)	329,133			(54,827		)	274,306

Operating expenses:
Senior living wages and benefits		136,135			(63		)	136,072			(6,808		)	129,264
Other senior living operating expenses		68,669			(330		)	68,339			(2,495		)	65,844
Costs incurred on behalf of managed communities		8,324			—			8,324			—			8,324
Rehabilitation hospital expense		23,300			—			23,300			(23,300		)	—
Institutional pharmacy expense		18,472			—			18,472			(18,472		)	—
Rent expense		50,140			—			50,140			(2,866		)	47,274
General and administrative		14,418			(24		)	14,394			—			14,394
Depreciation and amortization		5,858			—			5,858			(490		)	5,368
Total operating expenses		325,316			(417		)	324,899			(54,431		)	270,468

Operating income		4,159			75			4,234			(396		)	3,838

Interest, dividend and other income		368			—			368			(13		)	355
Interest and other expenses		(1,034		)	—			(1,034		)	—			(1,034		)
Acquisition related costs		(226		)	—			(226		)	—			(226		)
Gain on sale of available for sale securities		529			—			529			—			529
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		3,796			75			3,871			(409		)	3,462
Provision for income taxes		(186		)	(104		)	(290		)	25			(265		)
Equity in earnings of Affiliates Insurance Company		28			—			28			—			28
Income from continuing operations		3,638			(29		)	3,609			(384		)	3,225
Loss from discontinued operations		(4,166		)	97			(4,069		)	384			(3,685		)
Net loss		$	(528	)	$	68		$	(460	)	$	—		$	(460	)

Per Share data:
Basic income per share from:
Continuing operations		$	0.08					$	0.08					$	0.07
Discontinued operations		(0.09		)				(0.09		)				(0.08		)
Net loss per common share - Basic		$	(0.01	)				$	(0.01	)				$	(0.01	)

Diluted income per share from:
Continuing operations		$	0.08					$	0.08					$	0.07
Discontinued operations		(0.09						(0.08		)				(0.07		)
Net loss per common share - Diluted		$	(0.01	)				$	(0.00	)				$	(0.00	)

		For the three months ended June 30, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	266,066		$	(358	)	$	265,708		$	(10,353	)	$	255,355
Rehabilitation hospital revenue		26,337			—			26,337			(26,337		)	—
Institutional pharmacy revenue		19,573			—			19,573			(19,573		)	—
Management fee revenue		25			—			25			—			25
Reimbursed costs incurred on behalf of managed communities		562			—			562			—			562
Total revenues		312,563			(358		)	312,205			(56,263		)	255,942

Operating expenses:
Senior living wages and benefits		133,570			78			133,648			(7,120		)	126,528
Other senior living operating expenses		61,143			(93		)	61,050			(2,009		)	59,041
Costs incurred on behalf of managed communities		562			—			562			—			562
Rehabilitation hospital expense		23,445			—			23,445			(23,445		)	—
Institutional pharmacy expense		18,642			—			18,642			(18,642		)	—
Rent expense		48,003			—			48,003			(3,028		)	44,975
General and administrative		14,154			(24		)	14,130			—			14,130
Depreciation and amortization		4,620			—			4,620			(486		)	4,134
Total operating expenses		304,139			(39		)	304,100			(54,730		)	249,370

Operating income		8,424			(319		)	8,105			(1,533		)	6,572

Interest, dividend and other income		331			—			331			(14		)	317
Interest and other expenses		(870		)	—			(870		)	—			(870		)
Acquisition related costs		(1,202		)	—			(1,202		)	—			(1,202		)
Gain on sale of available for sale securities		51			—			51			—			51
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		6,734			(319		)	6,415			(1,547		)	4,868
Provision for income taxes		(441		)	(25		)	(466		)	93			(373		)
Equity in earnings of Affiliates Insurance Company		46			—			46			—			46
Income from continuing operations		6,339			(344		)	5,995			(1,454		)	4,541
Income from discontinued operations		(1,143		)	94			(1,049		)	1,454			405
Net income		$	5,196		$	(250	)	$	4,946		$	—		$	4,946

Per Share data:
Basic income per share from:
Continuing operations		$	0.17					$	0.16					$	0.12
Discontinued operations		(0.03		)				(0.03		)				0.01
Net income per common share - Basic		$	0.14					$	0.13					$	0.13

Diluted income per share from:
Continuing operations		$	0.17					$	0.16					$	0.12
Discontinued operations		(0.03						(0.03		)				0.01
Net income per common share - Diluted		$	0.14					$	0.13					$	0.13

		For the three months ended March 31, 2011
											Retrospective
											Adjustments
		As			Error			As			for Discontinued			As
		Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue		$	263,379		$	66		$	263,445		$	(10,731	)	$	252,714
Rehabilitation hospital revenue		25,625			—			25,625			(25,625		)	—
Institutional pharmacy revenue		19,337			—			19,337			(19,337		)	—
Total revenues		308,341			66			308,407			(55,693		)	252,714

Operating expenses:
Senior living wages and benefits		130,337			206			130,543			(7,240		)	123,303
Other senior living operating expenses		63,349			(390		)	62,959			(2,896		)	60,063
Rehabilitation hospital expense		24,053			—			24,053			(24,053		)	—
Institutional pharmacy expense		18,889			—			18,889			(18,889		)	—
Rent expense		47,662			—			47,662			(3,029		)	44,633
General and administrative		13,670			(24		)	13,646			—			13,646
Depreciation and amortization		4,311			—			4,311			(472		)	3,839
Total operating expenses		302,271			(208		)	302,063			(56,579		)	245,484

Operating income		6,070			274			6,344			886			7,230

Interest, dividend and other income		319			—			319			(15		)	304
Interest and other expenses		(501		)	—			(501		)	—			(501		)
Acquisition related costs		—			—			—			(102		)	(102		)
Gain on early extinguishment of debt		—			—			—			1			1
Gain on sale of available for sale securities		76			—			76			—			76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company		5,964			274			6,238			770			7,008
Provision for income taxes		(379		)	(109		)	(488		)	(46		)	(534		)
Equity in earnings of Affiliates Insurance Company		37			—			37			—			37
Income from continuing operations		5,622			165			5,787			724			6,511
Loss from discontinued operations		(1,489		)	12			(1,477		)	(724		)	(2,201		)
Net income		$	4,133		$	177		$	4,310		$	—		$	4,310

Per Share data:
Basic income per share from:
Continuing operations		$	0.16					$	0.16					$	0.18
Discontinued operations		(0.04		)				(0.04		)				(0.06		)
Net income per common share - Basic		$	0.12					$	0.12					$	0.12

Diluted income per share from:
Continuing operations		$	0.15					$	0.16					$	0.18
Discontinued operations		(0.04		)				(0.04		)				(0.06		)
Net income per common share - Diluted		$	0.11					$	0.12					$	0.12

Restatement_of_Previously_Issu1

Restatement of Previously Issued Financial Statements (Tables)	12 Months Ended
	Dec. 31, 2012
Restatement of Previously Issued Financial Statements	'
Summary of the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors by financial statement line item	'


			As of December 31, 2012
						Error Corrections																					Retrospective
			As Reported			Income			Insurance			Other			Asset			Presentation			Total Error			As Corrected			Adjustments			As Restated
						Taxes			Claims			Errors			Additions and			and			Corrections						for
															Related			Classification									Discontinued
															Accruals												Operations
	Consolidated Balance Sheet data:
	Accounts receivable		$	53,134		$	—		$	—		$	(331	)	$	—		$	1,391		$	1,060		$	54,194		$	(14,989	)	$	39,205
	Due from related persons		—			—			—			—			—			6,881			6,881			6,881			—			6,881
	Prepaid expenses		19,251			—			—			—			—			—			—			19,251			(620		)	18,631
	Current net deferred tax assets		5,400			9,507			—			—			—			—			9,507			14,907			—			14,907
	Other current assets		4,993			—			(1,763		)	—			—			1,681			(82		)	4,911			(131		)	4,780
	Assets of discontinued operations		10,430			—			—			—			693			—			693			11,123			18,977			30,100
	Total current assets		137,314			9,507			(1,763		)	(331		)	693			9,953			18,059			155,373			3,237			158,610
	Property and equipment, net		335,612			—			—			110			4,929			—			5,039			340,651			(3,157		)	337,494
	Goodwill and other intangible assets		27,788			—			—			—			—			—			—			27,788			(80		)	27,708
	Long term net deferred tax assets		38,099			(1,885		)	—			—			—			—			(1,885		)	36,214			—			36,214
	Total assets		571,356			7,622			(1,763		)	(221		)	5,622			9,953			21,213			592,569			—			592,569
	Accounts payable		36,920			—			—			—			—			2,768			2,768			39,688			(1,653		)	38,035
	Accrued expenses		22,996			(544		)	—			—			4,929			827			5,212			28,208			(198		)	28,010
	Accrued compensation and benefits		40,986			—			—			—			—			—			—			40,986			(5,684		)	35,302
	Due to related persons		11,715			—			—			—			—			7,769			7,769			19,484			—			19,484
	Accrued real estate taxes		11,905			—			—			—			—			(888		)	(888		)	11,017			(294		)	10,723
	Security deposit liability		9,727			—			—			(647		)	—			—			(647		)	9,080			(23		)	9,057
	Other current liabilities		15,299			—			—			—			—			(523		)	(523		)	14,776			(1		)	14,775
	Liabilities of discontinued operations		8,448			—			—			(21		)	693			—			672			9,120			7,857			16,977
	Total current liabilities		183,960			(544		)	—			(668		)	5,622			9,953			14,363			198,323			4			198,327
	Other long term liabilities		6,615			101			—			—			—			—			101			6,716			(4		)	6,712
	Total long term liabilities		80,591			101			—			—			—			—			101			80,692			(4		)	80,688
	Additional paid in capital		354,083			—			—			81			—			—			81			354,164			—			354,164
	Accumulated deficit		(49,637		)	6,579			(1,763		)	366			—			—			5,182			(44,455		)	—			(44,455		)
	Cumulative other comprehensive income		1,877			1,486			—			—			—			—			1,486			3,363			—			3,363
	Total shareholders’ equity		306,805			8,065			(1,763		)	447						—			6,749			313,554			—			313,554
	Total liabilities and shareholders’ equity		$	571,356		$	7,622		$	(1,763	)	$	(221	)	$	5,622		$	9,953		$	21,213		$	592,569		$	—		$	592,569

			For the Year Ended December 31, 2012
																								Retrospective
						Error Corrections																		Adjustments
			As Reported			Income			Insurance			Other			Presentation			Total Error			As Corrected			for			As Restated
						Taxes			Claims			Errors			and			Corrections						Discontinued
															Classification									Operations
	Consolidated Statement of Income data:
	Senior living revenue		$	1,111,018		$	—		$	—		$	247		$	(1,346	)	$	(1,099	)	$	1,109,919		$	(35,586	)	$	1,074,333
	Rehabilitation hospital revenue		107,048			—			—			—			—			—			107,048			(107,048		)	—
	Total revenues		1,350,878			—			—			247			(1,346		)	(1,099		)	1,349,779			(142,634		)	1,207,145
	Senior living wages and benefits		548,164			—			—			89			—			89			548,253			(25,809		)	522,444
	Other senior living operating expenses		270,069			—			693			—			(1,346		)	(653		)	269,416			(9,667		)	259,749
	Rehabilitation hospital expenses		96,488			—			—			—			—			—			96,488			(96,488		)	—
	Rent expense		201,641			—			—			—			—			—			201,641			(11,457		)	190,184
	General and administrative		61,599			—			—			178			—			178			61,777			—			61,777
	Depreciation and amortization		25,064			—			—			(78		)	—			(78		)	24,986			(506		)	24,480
	Total operating expenses		1,330,020			—			693			189			(1,346		)	(464		)	1,329,556			(143,927		)	1,185,629
	Operating income		20,858			—			(693		)	58			—			(635		)	20,223			1,293			21,516
	Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company		18,754			—			(693		)	58			—			(635		)	18,119			1,293			19,412
	Provision for income taxes		(5,642		)	(1,739		)	—			—			—			(1,739		)	(7,381		)	(523		)	(7,904		)
	Income from continuing operations		13,428			(1,739		)	(693		)	58			—			(2,374		)	11,054			770			11,824
	Income from discontinued operations		11,517			966			—			4			—			970			12,487			(770		)	11,717
	Net income		$	24,945		$	(773	)	$	(693	)	$	62		$	—		$	(1,404	)	$	23,541		$	—		$	23,541

	Per Share data:
	Basic income per share from:
Continuing operations		$	0.28																	$	0.23					$	0.25
Discontinued operations		0.24																		0.26						0.24
Net income per share - basic		$	0.52																	$	0.49					$	0.49

Diluted income per share from:
Continuing operations		$	0.28																	$	0.22					$	0.25
Discontinued operations		0.24																		0.25						0.23
Net income per share - diluted		$	0.52																	$	0.48					$	0.48

		For the Year Ended December 31, 2012
		As Reported			Restatement			As Restated
		As Reported			Adjustments			As Restated
Consolidated Statement of Comprehensive Income:
Net income		$	24,945		$	(1,404	)	$	23,541
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax		358			(144		)	214
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax		19			(8		)	11
Unrealized gains on equity investment in Affiliates Insurance Company		22			—			22
Other comprehensive income (loss)		399			(152		)	247
Comprehensive income		$	25,344		$	(1,556	)	$	23,788

		For the Year Ended December 31, 2012
																Retrospective
				Error Corrections												Adjustments
		As Reported		Income		Insurance		Other		Presentation		Total Error		As Corrected		for		As Restated
				Taxes		Claims		Errors		and		Corrections				Discontinued
										Classification						Operations
Consolidated Statement of Cash Flows data:
Net income		24,945		(773	)	(693	)	62		—		(1,404	)	23,541		—		23,541
Depreciation and amortization		25,064		—		—		(78	)	—		(78	)	24,986		(506	)	24,480
Income from discontinued operations		(11,517	)	—		—		(4	)	(6,930	)	(6,934	)	(18,451	)	1,293		(17,158	)
Stock-based compensation		1,267		—		—		178		—		178		1,445		—		1,445
Deferred income taxes		10,556		809		—		—		—		809		11,365		—		11,365
Provision for losses on receivables		5,296		—		—		—		—		—		5,296		(850	)	4,446
Changes in assets and liabilities:
Accounts receivable		(1,921	)	—		—		89		641		730		(1,191	)	(1,240	)	(2,431	)
Prepaid expenses and other assets		(11,270	)	—		693		—		(665	)	28		(11,242	)	(114	)	(11,356	)
Accounts payable and accrued expenses		15,482		(54	)	—		—		1,544		1,490		16,972		(271	)	16,701
Accrued compensation and benefits		2,011		—		—		—		—		—		2,011		(608	)	1,403
Due to related persons		(6,944	)	—		—		—		53		53		(6,891	)	—		(6,891	)
Other current and long term liabilities		4,128		18		—		(247	)	(1,573	)	(1,802	)	2,326		(21	)	2,305
Cash provided by operating activities		56,755		—		—		—		(6,930	)	(6,930	)	49,825		(2,317	)	47,508
Acquisition of property and equipment		(57,386	)	—		—		—		—		—		(57,386	)	5,581		(51,805	)
Proceeds from sale of pharmacy business		34,298		—		—		—		(34,298	)	(34,298	)	—		—		—
Proceeds from disposition of property and equipment		30,520		—		—		—		—		—		30,520		(5,702	)	24,818
Cash used in investing activities		(3,265	)	—		—		—		(34,298	)	(34,298	)	(37,563	)	(121	)	(37,684	)
Repayments of mortgage notes payable		(1,170	)	—		—		—		142		142		(1,028	)	—		(1,028	)
Cash used in financing activities		(51,208	)	—		—		—		142		142		(51,066	)	—		(51,066	)
Net cash (used in) provided by operating activities of discontinued operations		(6,018	)	—		—		—		5,464		5,464		(554	)	2,317		1,763
Net cash provided by investing activities of discontinued operations		—		—		—		—		35,764		35,764		35,764		121		35,885
Net cash used in financing activities of discontinued operations		—		—		—				(142	)	(142	)	(142	)	—		(142	)
Net cash flows (used in) provided by discontinued operations		(6,018	)	—		—		—		41,086		41,086		35,068		2,438		37,506

		As of December 31, 2011
				Error Corrections															Retrospective
		As Reported		Income		Insurance		Other		Asset		Presentation		Total Error		As Corrected			Adjustments		As Restated
				Taxes		Claims		Errors		Additions and		and		Corrections					for
										Related		Classification							Discontinued
										Accruals									Operations
Consolidated Balance Sheet data:
Accounts receivable		56,509		—		—		(242	)	—		2,032		1,790		$	58,299		(17,079	)	$	41,220
Prepaid expenses		11,097		—		—		—		—		—		—		11,097			(729	)	10,368
Current net tax deferred assets		6,081		7,738		—		—		—		—		7,738		13,819					13,819
Other current assets		3,217		—		(1,070	)	—		—		1,016		(54	)	3,163			(163	)	3,000
Assets of discontinued operations		29,022		—		—		—		996		—		996		30,018			21,808		51,826
Total current assets		148,252		7,738		(1,070	)	(242	)	996		3,048		10,470		158,722			3,837		162,559
Property and equipment, net		332,185		—		—		32		4,522		—		4,554		336,739			(3,757	)	332,982
Goodwill and other intangible assets		29,414		—		—		—		—		—		—		29,414			(80	)	29,334
Long term net deferred tax assets		48,128		692		—		—		—		—		692		48,820			—		48,820
Other long term assets		3,000		153		—		—		—		—		153		3,153			—		3,153
Total assets		583,477		8,583		(1,070	)	(210	)	5,518		3,048		15,869		599,346			—		599,346
Accounts payable		22,736		—		—		—		—		2,979		2,979		25,715			(1,438	)	24,277
Accrued expenses		21,698		(490	)	—		—		4,522		(928	)	3,104		24,802			(142	)	24,660
Accrued compensation and benefits		38,975		—		—		—		—		—		—		38,975			(5,076	)	33,899
Due to related persons		18,659		—		—		—		—		835		835		19,494			—		19,494
Accrued real estate taxes		11,466		—		—		—		—		(835	)	(835	)	10,631			(278	)	10,353
Security deposit liability		10,606		—		—		(400	)	—		—		(400	)	10,206			(23	)	10,183
Other current liabilities		15,745		—		—		—		—		997		997		16,742			—		16,742
Liabilities of discontinued operations		10,419		—		—		(17	)	996		—		979		11,398			6,957		18,355
Total current liabilities		189,331		(490	)	—		(417	)	5,518		3,048		7,659		196,990			—		196,990
Other long term liabilities		7,415		83		—		—		—		—		83		7,498			—		7,498
Total long term liabilities		113,952		83		—		—		—		—		83		114,035			—		114,035
Additional paid in capital		352,819		—		—		(97	)	—		—		(97	)	352,722			—		352,722
Accumulated deficit		(74,582	)	7,352		(1,070	)	304		—		—		6,586		(67,996		)	—		(67,996		)
Cumulative other comprehensive income		1,478		1,638		—		—		—		—		1,638		3,116			—		3,116
Total shareholders’ equity		280,194		8,990		(1,070	)	207		—		—		8,127		288,321			—		288,321
Total liabilities and shareholders’ equity		583,477		8,583		(1,070	)	(210	)	5,518		3,048		15,869		599,346			—		599,346


		For the Year Ended December 31, 2011
																							Retrospective
					Error Corrections																		Adjustments
		As Reported			Income			Insurance			Other			Presentation			Total Error			As Corrected			for			As Restated
					Taxes			Claims			Errors			and			Corrections						Discontinued
														Classification									Operations
Consolidated Statement of Income data:
Senior living revenue		$	1,078,380		$	—		$	—		$	400		$	(1,464	)	$	(1,064	)	$	1,077,316		$	(38,579	)	$	1,038,737
Rehabilitation hospital revenue		105,320			—			—			—			—			—			105,320			(105,320		)	—
Total revenues		1,205,150			—			—			400			(1,464		)	(1,064		)	1,204,086			(143,899		)	1,060,187
Senior living wages and benefits		536,386			—			—			242			—			242			536,628			(26,616		)	510,012
Other senior living operating expenses		259,655			—			1,070			—			(1,464		)	(394		)	259,261			(9,770		)	249,491
Rehabilitation hospital expenses		95,305			—			—			—			—			—			95,305			(95,305		)	—
Rent expense		195,407			—			—			—			—			—			195,407			(11,457		)	183,950
General and administrative		57,540			—			—			(97		)	—			(97		)	57,443			—			57,443
Depreciation and amortization		19,694			—			—			(32		)	—			(32		)	19,662			(502		)	19,160
Impairment of long-lived assets		3,500			—			—			—			—			—			3,500			(420		)	3,080
Total operating expenses		1,188,039			—			1,070			113			(1,464		)	(281		)	1,187,758			(144,070		)	1,043,688
Operating income		17,111			—			(1,070		)	287			—			(783		)	16,328			171			16,499
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company		16,792			—			(1,070		)	287			—			(783		)	16,009			171			16,180
Provision for income taxes		50,554			7,365			—			—			—			7,365			57,919			(70		)	57,849
Income from continuing operations		67,485			7,365			(1,070		)	287			—			6,582			74,067			101			74,168
Income from discontinued operations		(3,284		)	(13		)	—			17			—			4			(3,280		)	(101		)	(3,381		)
Net income		64,201			7,352			(1,070		)	304			—			6,586			70,787			—			70,787

Per Share data:
Basic income per share from:
Continuing operations		$	1.6																	$	1.76					$	1.76
Discontinued operations		(0.08		)																(0.08		)				(0.08		)
Net income per share - basic		$	1.52																	$	1.68					$	1.68

Diluted income per share from:
Continuing operations		$	1.52																	$	1.67					$	1.67
Discontinued operations		(0.07		)																(0.07		)				(0.08		)
Net income per share - diluted		$	1.45																	$	1.59					$	1.59


		For the Year Ended December 31, 2011
		As Reported			Restatement			As Restated
		As Reported			Adjustments			As Restated
Consolidated Statement of Comprehensive Income:
Net income		$	64,201		$	6,586		$	70,787
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax		42			(18		)	24
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax		(4,116		)	1,656			(2,460		)
Unrealized gains on equity investment in Affiliates Insurance Company		76			—			76
Other comprehensive income (loss)		(3,998		)	1,638			(2,360		)
Comprehensive income		$	60,203		$	8,224		$	68,427

		For the Year Ended December 31, 2011
																Retrospective
				Error Corrections												Adjustments
		As Reported		Income		Insurance		Other		Presentation		Total Error		As Corrected		for		As Restated
				Taxes		Claims		Errors		and		Corrections				Discontinued
										Classification						Operations
Consolidated Statement of Cash Flows data:
Net income		64,201		7,352		(1,070	)	304		—		6,586		70,787		—		70,787
Depreciation and amortization		19,694		—		—		(32	)	—		(32	)	19,662		(502	)	19,160
Loss from discontinued operations		3,284		—		—		(17	)	2,746		2,729		6,013		171		6,184
Impairment of long-lived assets		3,500		—		—		—		—		—		3,500		(420	)	3,080
Stock-based compensation		1,271		—		—		(98	)	—		(98	)	1,173		—		1,173
Deferred income taxes		(54,699	)	(6,792	)	—		—		—		(6,792	)	(61,491	)	—		(61,491	)
Provision for losses on receivables		5,257		—		—		—		—		—		5,257		(1,060	)	4,197
Changes in assets and liabilities:
Accounts receivable		(6,578	)	—		—		243		(2,032	)	(1,789	)	(8,367	)	23		(8,344	)
Prepaid expenses and other assets		(1,025	)	(153	)	1,070		—		(1,016	)	(99	)	(1,124	)	15		(1,109	)
Accounts payable and accrued expenses		3,537		(490	)	—		—		2,871		2,381		5,918		(70	)	5,848
Accrued compensation and benefits		1,924		—		—		—		—		—		1,924		846		2,770
Due to related persons		818		—		—		—		835		835		1,653		—		1,653
Other current and long term liabilities		3,367		83		—		(400	)	(658	)	(975	)	2,392		(8	)	2,384
Cash provided by operating activities		40,295		—		—		—		2,746		2,746		43,041		(1,005	)	42,036
Acquisition of property and equipment		(60,380	)	—		—		—		—		—		(60,380	)	2,929		(57,451	)
Proceeds from disposition of property and equipment		33,269		—		—		—		—		—		33,269		(1,952	)	31,317
Cash provided by (used in) investing activities		(126,756	)	—		—		—		—		—		(126,756	)	977		(125,779	)
Repayments of mortgage notes payable		(683	)	—		—		—		135		135		(548	)	—		(548	)
Cash provided by financing activities		90,648		—		—		—		135		135		90,783		—		90,783
Net cash provided by operating activities of discontinued operations		3,417		—		—		—		(2,017	)	(2,017	)	1,400		1,005		2,405
Net cash used in investing activities of discontinued operations		—		—		—		—		(729	)	(729	)	(729	)	(977	)	(1,706	)
Net cash used in financing activities of discontinued operations		—		—		—		—		(135	)	(135	)	(135	)	—		(135	)
Net cash provided by discontinued operations		3,417		—		—		—		(2,881	)	(2,881	)	536		28		564

Organization_and_Business_Deta

Organization and Business (Details) (USD $)

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2001

Dec. 31, 2012

Jun. 30, 2012

Dec. 31, 2012

property

Senior Living Communities

Rehabilitation hospitals

Independent and assisted living communities

SNF

Independent living apartment

Assisted living suites

Skilled nursing units

Outpatient clinics

Assisted living communities

SNH

state

bed

property

unit

property

Senior Living Communities

Rehabilitation hospitals

SNF

Assisted living communities

property

hospital

unit

property

unit

property

satellite

Real estate properties

Common stock, par value (in dollars per share)

$0.01

Number of properties operated

250

219

Number of states in which real estate properties are located

Number of living units in properties operated

29,701

26,856

2,845

10,311

14,116

5,274

Number of properties owned and operated

Number of living units in properties owned and operated

2,920

Number of properties leased and operated

194

181

188

Number of units in properties leased and operated

20,091

Number of properties managed

Number of units in properties managed

6,690

Number of real estate properties classified as discontinued operations

Number of units in real estate property classified as discontinued operations

824

303

Number of units in properties leased and operated

Number of beds used to provide inpatient rehabilitation services to patients

321

Number of hospital locations where inpatient rehabilitation services are provided

Number of satellite locations where inpatient rehabilitation services are provided

Summary_of_Significant_Account3

Summary of Significant Accounting Policies (Details) (USD $)	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
In Thousands, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
Equity Method Investments	'	'	'	'	'	'	'	'
Ownership percentage	12.50%	'	'	'	'	'	'	'
Equity investment in Affiliates Insurance Company	$5,629	$5,558	$5,408	$5,335	$5,291	$5,245	$5,202	$5,117
AIC	'	'	'	'	'	'	'	'
Equity Method Investments	'	'	'	'	'	'	'	'
Number of other current shareholders of the related party	7	'	'	'	'	'	'	'
Equity investment in Affiliates Insurance Company	$5,209	'	'	'	'	'	'	'

Summary_of_Significant_Account4

Summary of Significant Accounting Policies (Details 2) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
Investment Securities	'	'	'	'	'	'	'	'	'
Trading securities, interest income	'	'	$566	'	'	'	'	'	'
Available for sale securities, fair value	23,500	22,229	'	'	'	'	'	'	'
Unrealized holding gain	1,780	1,401	'	'	'	'	'	'	'
Available for sale securities, interest and dividend income	799	1,122	1,078	'	'	'	'	'	'
Available for sale securities	'	'	'	'	'	'	'	'	'
Available for sale securities, Fair Value, Less than 12 months	4,052	6,414	'	'	'	'	'	'	'
Available for sale securities, Unrealized Loss , Less than 12 months	75	185	'	'	'	'	'	'	'
Available for sale securities, Fair Value, Greater than 12 months	3,268	'	'	'	'	'	'	'	'
Available for sale securities, Unrealized Loss, Greater than 12 months	195	'	'	'	'	'	'	'	'
Available for sale securities, Fair Value, Total	7,320	6,414	'	'	'	'	'	'	'
Available for sale securities, Unrealized Loss, Total	270	185	'	'	'	'	'	'	'
Restricted cash	'	'	'	'	'	'	'	'	'
Current	6,548	4,838	'	5,904	6,507	5,749	5,171	4,072	6,838
Long term	12,166	4,092	'	9,262	6,313	6,317	4,306	3,712	15,771
Insurance reserves	'	'	'	'	'	'	'	'	'
Restricted cash	'	'	'	'	'	'	'	'	'
Current	3,053	1,842	'	'	'	'	'	'	'
Long term	8,768	4,092	'	'	'	'	'	'	'
Real estate taxes and capital expenditures as required by the entity's mortgages	'	'	'	'	'	'	'	'	'
Restricted cash	'	'	'	'	'	'	'	'	'
Current	2,761	2,335	'	'	'	'	'	'	'
Indemnification obligations associated with the sale of the entity's pharmacy business	'	'	'	'	'	'	'	'	'
Restricted cash	'	'	'	'	'	'	'	'	'
Long term	3,398	'	'	'	'	'	'	'	'
Resident security deposits	'	'	'	'	'	'	'	'	'
Restricted cash	'	'	'	'	'	'	'	'	'
Current	$734	$661	'	'	'	'	'	'	'

Summary_of_Significant_Account5

Summary of Significant Accounting Policies (Details 3) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Summary of Significant Accounting Policies	'	'	'
Amounts due from the Medicare program	$11,858	$11,546	'
Amounts due from various state Medicaid programs	11,345	11,683	'
Allowance for doubtful accounts	'	'	'
Balance at the beginning of the period	3,160	3,241	3,537
Provision for doubtful accounts	4,446	4,197	3,613
Write-offs	-4,814	-4,278	-3,909
Balance at the end of the period	2,792	3,160	3,241
Deferred Finance Costs	'	'	'
Unamortized gross balance of deferred financing costs	3,822	2,552	'
Accumulated amortization related to deferred financing costs	2,824	1,852	'
Weighted average amortization period of deferred financing costs	'12 years	'	'
Amortization of deferred financing fees	'	'	'
2013	1,392	'	'
2014	1,282	'	'
2015	332	'	'
2016	80	'	'
2017	$80	'	'

Summary_of_Significant_Account6

Summary of Significant Accounting Policies (Details 4) (Maximum)	12 Months Ended
	Dec. 31, 2012
Buildings	'
Property and Equipment	'
Estimated useful lives	'40 years
Building improvements	'
Property and Equipment	'
Estimated useful lives	'15 years
Personal property	'
Property and Equipment	'
Estimated useful lives	'7 years

Summary_of_Significant_Account7

Summary of Significant Accounting Policies (Details 5) (USD $)	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2012	Dec. 31, 2012	Dec. 31, 2012	Dec. 31, 2012	Dec. 31, 2012
In Thousands, unless otherwise specified	item	Dec. 31, 2011	One form	Second form	Historical form	Second historical form	Third historical form
Continuing care contracts	'	'	'	'	'	'	'
Number of forms of contracts offered to new residents	2	'	'	'	'	'	'
Percentage of resident admission fee that becomes non-refundable	'	'	10.00%	30.00%	10.00%	'	99.00%
Remaining percentage of resident admission fee that becomes non-refundable	'	'	90.00%	'	'	'	'
Monthly reduction in refundable fee, as a percentage of original admission fee	'	'	1.50%	'	'	'	'
Period during which admission fee becomes non-refundable	'	'	'60 months	'	'	'	'
Percentage of admission fee that become refundable	'	'	'	70.00%	90.00%	100.00%	1.00%
Number of forms of contracts offered to existing residents	3	'	'	'	'	'	'
Refundable admission fees	$4,255	$5,082	'	'	'	'	'

Summary_of_Significant_Account8

Summary of Significant Accounting Policies (Details 6) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Segment Information	'	'	'
Number of operating segments	3	'	'
Number of reportable segments	1	'	'
Senior Living Communities	'	'	'
Revenue recognition	'	'	'
Percentage of revenues derived from payments under the Medicare and Medicaid programs	24.00%	26.00%	26.00%
Medicare revenues	$134,254	$149,876	$140,980
Medicaid revenues	118,505	113,822	113,673
Rehabilitation hospitals	'	'	'
Revenue recognition	'	'	'
Percentage of revenues derived from payments under the Medicare and Medicaid programs	70.00%	68.00%	64.00%
Medicaid and Medicare revenues	$74,355	$71,244	$63,685

Property_and_Equipment_Details

Property and Equipment (Details) (USD $)

12 Months Ended

3 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

SNH

Land

Building and improvements

Furniture, fixtures and equipments

Property and Equipment

Property and equipment, gross

$402,751

$383,698

$21,714

$21,013

$277,330

$271,601

$103,707

$91,084

Accumulated depreciation

-65,257

-50,716

Property and equipment, net

337,494

332,982

333,989

332,062

330,445

347,915

267,198

194,631

Depreciation expense

22,882

19,097

14,006

Assets held for sale for increased rent pursuant to the terms of leases with SNH

7,114

9,625

Impairment charge of long lived and other intangible assets

$644

$4,358

$3,080

Goodwill_and_Other_Intangible_2

Goodwill and Other Intangible Assets (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
Changes in the carrying amount of goodwill and other intangible assets	'	'	'	'	'	'	'	'	'
Goodwill	$25,473	$25,473	'	'	'	'	'	'	'
Other intangible assets, net of accumulated amortization of $1,829 and $203, respectively	2,235	3,861	'	'	'	'	'	'	'
Total	27,708	29,334	'	28,001	28,293	29,311	11,547	11,570	11,593
Accumulated amortization of other intangible assets	1,829	203	'	'	'	'	'	'	'
Goodwill and Other Intangible Assets	'	'	'	'	'	'	'	'	'
Amortization of intangibles	1,626	90	98	'	'	'	'	'	'
Carrying amount of goodwill	25,473	25,473	'	'	'	'	'	'	'
Weighted average amortization period	'3 years	'	'	'	'	'	'	'	'
Estimated amortization expense	'	'	'	'	'	'	'	'	'
2013	1,172	'	'	'	'	'	'	'	'
2014	719	'	'	'	'	'	'	'	'
2015	91	'	'	'	'	'	'	'	'
2016	91	'	'	'	'	'	'	'	'
2017	91	'	'	'	'	'	'	'	'
Senior Living Communities	'	'	'	'	'	'	'	'	'
Goodwill and Other Intangible Assets	'	'	'	'	'	'	'	'	'
Number of living units in properties acquired	'	6	'	'	'	'	'	'	'
Senior Living Reporting Unit	'	'	'	'	'	'	'	'	'
Changes in the carrying amount of goodwill and other intangible assets	'	'	'	'	'	'	'	'	'
Goodwill	25,473	'	'	'	'	'	'	'	'
Goodwill and Other Intangible Assets	'	'	'	'	'	'	'	'	'
Excess of the fair value of reporting unit over carrying value (as a percent)	29.00%	'	'	'	'	'	'	'	'
Carrying amount of goodwill	$25,473	'	'	'	'	'	'	'	'

Income_Taxes_Details

Income Taxes (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Current deferred tax assets:	'	'	'
Continuing care contracts	$607	$676	'
Allowance for doubtful accounts	1,559	1,795	'
Insurance reserves	1,015	1,092	'
Deferred gains on sale lease back transactions	1,278	1,126	'
Tax credits	465	420	'
Tax loss carry forwards	9,190	8,114	'
Other	1,220	1,217	'
Total current deferred tax assets before valuation allowance	15,334	14,440	'
Valuation allowance:	-297	-481	'
Total current deferred tax assets	15,037	13,959	'
Non-current deferred tax assets:	'	'	'
Continuing care contracts	228	249	'
Deferred gains on sale lease back transactions	981	899	'
Insurance reserves	2,919	2,768	'
Tax credits	11,264	10,121	'
Tax loss carry forwards	25,246	36,783	'
Impairment of securities	501	1,671	'
Other	1,431	1,842	'
Total non-current deferred tax assets before valuation allowance	42,570	54,333	'
Valuation allowance:	-1,891	-2,882	'
Total non-current deferred tax assets	40,679	51,451	'
Current deferred tax liabilities:	'	'	'
Employee stock grants	-130	-140	'
Non-current deferred tax liabilities:	'	'	'
Depreciable assets	-1,674	187	'
Lease expense	-696	-1,094	'
Goodwill	-1,087	-105	'
Identifiable intangibles/other liabilities	-1,008	-1,619	'
Total non-current deferred tax liabilities	-4,465	-2,631	'
Net deferred tax asset	51,121	62,639	'
Movement in valuation allowance for deferred tax assets	'	'	'
Balance at Beginning of Period	3,363	58,371	65,231
Amounts Charged/ (Credited) To Expense	-1,175	-55,008	-6,860
Balance at End of Period	$2,188	$3,363	$58,371

Income_Taxes_Details_2

Income Taxes (Details 2) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2011	Dec. 31, 2012	Sep. 30, 2012
Income Taxes	'	'	'
Income tax benefit attributable to partial reduction of deferred income tax valuation allowance	$58,896	'	'
Valuation allowances related to capital losses which were used to offset a capital gain	58,898	'	1,156
Income Taxes	'	'	'
Tax credit carry forward, which begins to expire in 2022 if unused	'	11,729	'
Federal	'	'	'
Income Taxes	'	'	'
Net operating loss carry forward, which begins to expire in 2026 if unused	'	70,765	'
Additional net operating losses attributable to stock option exercise	'	$244	'

Income_Taxes_Details_3

Income Taxes (Details 3) (USD $)	3 Months Ended								12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Income Taxes	'	'	'	'	'	'	'	'	'	'	'
Tax expense recognized from discontinued operations	'	'	'	'	'	'	'	'	$5,441	($2,803)	'
Current state tax expense related to discontinued operations	'	'	'	'	'	'	'	'	775	'	'
Current tax provision:	'	'	'	'	'	'	'	'	'	'	'
State	'	'	'	'	'	'	'	'	1,183	1,047	1,290
Total current tax provision	'	'	'	'	'	'	'	'	1,183	1,047	1,290
Deferred tax provision (benefit):	'	'	'	'	'	'	'	'	'	'	'
Federal	'	'	'	'	'	'	'	'	5,440	-43,878	138
State	'	'	'	'	'	'	'	'	1,281	-15,018	20
Total deferred tax provision (benefit)	'	'	'	'	'	'	'	'	6,721	-58,896	158
Total tax provision (benefit)	2,381	905	3,817	801	-59,021	265	373	534	7,904	-57,849	1,448
Difference between the entity's effective tax (benefit) rate on continuing operations and the U.S. Federal statutory income tax (benefit) rate	'	'	'	'	'	'	'	'	'	'	'
Taxes at statutory U.S. federal income tax rate (as a percent)	'	'	'	'	'	'	'	'	35.00%	35.00%	35.00%
State and local income taxes, net of federal tax benefit (as a percent)	'	'	'	'	'	'	'	'	8.30%	-13.80%	8.70%
Tax credits (as a percent)	'	'	'	'	'	'	'	'	-3.70%	-16.60%	-7.50%
Change in valuation allowance (as a percent)	'	'	'	'	'	'	'	'	0.10%	-360.90%	-33.50%
US permanent differences (as a percent)	'	'	'	'	'	'	'	'	0.60%	0.60%	1.50%
Other differences, net (as a percent)	'	'	'	'	'	'	'	'	-0.20%	1.20%	1.30%
Effective tax rate (as a percent)	'	'	'	'	'	'	'	'	40.10%	-354.50%	5.50%
Reconciliation of unrecognized tax benefits	'	'	'	'	'	'	'	'	'	'	'
Unrecognized tax benefits at the beginning of the period	'	'	'	893	'	'	'	'	893	'	'
Additions for tax positions of prior years	'	'	'	'	'	'	'	'	'	717	'
Additions for tax positions of current year	'	'	'	'	'	'	'	'	193	176	'
Unrecognized tax benefits at the end of the period	$1,086	'	'	'	$893	'	'	'	$1,086	$893	'

Earnings_Per_Share_Details

Earnings Per Share (Details) (USD $)	3 Months Ended								12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Earnings Per Share	'	'	'	'	'	'	'	'	'	'	'
Unvested common shares included in calculation of weighted average shares outstanding	547	'	'	'	582	'	'	'	547	582	512
Income (loss)	'	'	'	'	'	'	'	'	'	'	'
Income from continuing operations	$1,993	$3,088	$5,576	$1,167	$59,891	$3,225	$4,541	$6,511	$11,824	$74,168	$24,705
Effect of the Notes	'	'	'	'	'	'	'	'	677	962	1,652
Diluted income from continuing operations	'	'	'	'	'	'	'	'	11,824	75,130	26,357
Diluted income (loss) from discontinued operations	($47)	$13,125	($666)	($695)	$2,100	($3,685)	$405	($2,201)	$17,158	($6,184)	($1,213)
Shares	'	'	'	'	'	'	'	'	'	'	'
Income from continuing operations (in shares)	'	'	'	'	'	'	'	'	47,952	42,161	35,736
Effect of the Notes (in shares)	'	'	'	'	'	'	'	'	2,182	2,873	3,471
Diluted income from continuing operations (in shares)	'	'	'	'	'	'	'	'	50,134	45,034	39,207
Diluted income (loss) from discontinued operations (in shares)	'	'	'	'	'	'	'	'	50,134	45,034	39,207
Per Share	'	'	'	'	'	'	'	'	'	'	'
Income from continuing operations (in dollars per share)	$0.04	$0.06	$0.12	$0.02	$1.26	$0.07	$0.12	$0.18	$0.25	$1.76	$0.69
Diluted income from continuing operations (in dollars per share)	$0.04	$0.06	$0.11	$0.02	$1.19	$0.07	$0.12	$0.18	$0.25	$1.67	$0.67
Diluted income (loss) from discontinued operations (in dollars per share)	'	$0.27	($0.01)	($0.01)	$0.04	($0.07)	$0.01	($0.06)	$0.23	($0.08)	($0.03)

Fair_Values_of_Assets_and_Liab2

Fair Values of Assets and Liabilities (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
	item	Dec. 31, 2011	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	$23,500	$22,229	'	'	'	'	'	'
Available for sale securities, current	12,920	9,114	14,942	14,993	8,773	17,283	19,954	14,062
Long term investments in available for sale securities	10,580	13,115	11,904	11,299	12,871	12,987	12,445	3,359
Amortized cost of available for sale securities	21,720	20,827	'	'	'	'	'	'
Unrealized gains on available for sale securities	2,050	1,586	'	'	'	'	'	'
Unrealized losses on available for sale securities	270	185	'	'	'	'	'	'
Number of available for sale securities in a loss position less than 12 months	7	'	'	'	'	'	'	'
Fair value of securities which is in loss position for less than 12 months	4,052	'	'	'	'	'	'	'
Number of available for sale securities in a loss position greater than 12 months	3	'	'	'	'	'	'	'
Fair value of securities which is in loss position for greater than 12 months	3,268	'	'	'	'	'	'	'
Gross proceeds from sale of available for sale securities	4,163	10,896	'	'	'	'	'	'
Gross realized gains recorded on sale of available for sale securities	63	4,118	'	'	'	'	'	'
Gross realized losses recorded on sale of available for sale securities	82	2	'	'	'	'	'	'
International bond fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Unfunded commitment	0	'	'	'	'	'	'	'
High yield fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Unfunded commitment	0	'	'	'	'	'	'	'
Total	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Cash equivalents	22,149	19,745	'	'	'	'	'	'
Available for sale securities:	23,500	22,229	'	'	'	'	'	'
Total	45,649	41,974	'	'	'	'	'	'
Total \| Equity securities	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	7,284	5,013	'	'	'	'	'	'
Total \| Financial services industry	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	6,025	3,752	'	'	'	'	'	'
Total \| REIT industry	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	484	472	'	'	'	'	'	'
Total \| Other	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	775	789	'	'	'	'	'	'
Total \| Debt securities	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	16,216	17,216	'	'	'	'	'	'
Total \| International bond fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	2,345	2,246	'	'	'	'	'	'
Total \| High yield fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	2,168	'	'	'	'	'	'	'
Total \| Industrial bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	5,186	7,467	'	'	'	'	'	'
Total \| Government bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	4,666	5,524	'	'	'	'	'	'
Total \| Financial bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	982	1,104	'	'	'	'	'	'
Total \| Other	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	869	875	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1)	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Cash equivalents	22,149	19,745	'	'	'	'	'	'
Available for sale securities:	11,950	10,537	'	'	'	'	'	'
Total	34,099	30,282	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| Equity securities	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	7,284	5,013	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| Financial services industry	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	6,025	3,752	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| REIT industry	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	484	472	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| Other	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	775	789	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| Debt securities	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	4,666	5,524	'	'	'	'	'	'
Quoted Prices in Active Markets for Identical Assets (Level 1) \| Government bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	4,666	5,524	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2)	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	11,550	11,692	'	'	'	'	'	'
Total	11,550	11,692	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| Debt securities	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	11,550	11,692	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| International bond fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	2,345	2,246	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| High yield fund	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	2,168	'	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| Industrial bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	5,186	7,467	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| Financial bonds	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	982	1,104	'	'	'	'	'	'
Significant Other Observable Inputs (Level 2) \| Other	'	'	'	'	'	'	'	'
Fair Values of Assets and Liabilities	'	'	'	'	'	'	'	'
Available for sale securities:	$869	$875	'	'	'	'	'	'

Fair_Values_of_Assets_and_Liab3

Fair Values of Assets and Liabilities (Details 2) (USD $)	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
In Thousands, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011
Carrying value and fair value	'	'	'	'	'	'	'	'
Fair value assets, amount transferred between measurement levels	$0	'	'	'	'	'	'	'
Fair value liabilities, amount transferred between measurement levels	0	'	'	'	'	'	'	'
Convertible senior notes	'	24,872	24,872	37,282	37,282	37,282	37,282	37,282
Mortgage notes payable	37,621	37,900	38,175	38,446	38,714	38,977	19,614	'
Error Corrections	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Mortgage notes payable	9,947	'	'	'	8,956	'	'	'
Available for sale debt securities \| Error Corrections	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Transfers of assets between Level 1 to Level 2	11,550	'	'	'	11,692	'	'	'
AIC	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Number of other current shareholders of the related party	5	'	'	'	'	'	'	'
Level two \| AIC	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Number of other current shareholders of the related party	7	'	'	'	'	'	'	'
Carrying value \| Level one	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Convertible senior notes	24,872	'	'	'	37,282	'	'	'
Carrying value \| Significant Unobservable Inputs (Level 3)	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Mortgage notes payable	46,260	'	'	'	47,431	'	'	'
Fair value \| Level one	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Convertible senior notes	24,623	'	'	'	33,181	'	'	'
Fair value \| Significant Unobservable Inputs (Level 3)	'	'	'	'	'	'	'	'
Carrying value and fair value	'	'	'	'	'	'	'	'
Mortgage notes payable	$53,115	'	'	'	$52,521	'	'	'

Indebtedness_Details

Indebtedness (Details) (USD $)

3 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

In Thousands, except Per Share data, unless otherwise specified

Jun. 30, 2012

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Sep. 30, 2012

Mar. 31, 2012

Sep. 30, 2011

Jun. 30, 2011

Jul. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Feb. 15, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

31-May-11

Dec. 31, 2012

Feb. 15, 2013

Apr. 30, 2012

Dec. 31, 2012

Oct. 31, 2006

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

HUD

Standby letters of credit

Revolving secured line of credit

Bridge Loan

New Credit Facility

Notes

Mortgage notes

UBS Credit Facility

item

HCP

Maximum

Minimum

LIBOR

SNH

item

Maximum

Minimum

Senior Living Communities

LIBOR

HUD

FNMA

FMCC

Senior Living Communities

item

property

item

unit

Indebtedness

Maximum borrowing capacity

$755

$35,000

$150,000

Variable rate basis

'LIBOR

Floor interest rate (as a percent)

2.00%

Basis spread (as a percent)

6.00%

4.00%

Interest rate at period end (as a percent)

2.71%

2.50%

Number of irrevocable standby letters of credit

Interest expense and other associated costs incurred

676

726

508

314

593

314

593

1,746

1,124

1,470

1,738

2,843

1,588

650

149

Amount agreed to be lent

80,000

Number of communities assets acquired as part of the purchase price

Amount borrowed

80,000

126,500

Repayments of borrowing

38,000

42,000

Number of extensions to maturity date

Extension period available

'1 year

Number of real estate properties mortgaged

Number of real estate properties securing borrowings on the new credit facility

Number of units in real estate properties securing borrowings on the new credit facility

1,549

Proceeds from issue of notes

122,600

Interest rate (as a percent)

3.75%

Conversion ratio, number of common shares per $1,000 principal amount

76.9231

Initial conversion price of shares (in dollars per share)

$13

Percentage of principal amount at which notes may be required to be repurchased in event of fundamental change

100.00%

Outstanding notes purchased and retired

12,410

623

Gain, net of related unamortized costs, on early extinguishment of debt

592

Principal amount outstanding

24,872

37,282

24,872

37,282

24,872

Mortgage notes, total

46,260

Prepayment of debt

4,635

Prepayment penalties

134

Weighted average interest rate (as a percent)

6.25%

2.98%

Amount outstanding under credit facility

Indebtedness_Details_2

Indebtedness (Details 2) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Indebtedness	'	'	'
Mortgage Notes	$46,260	'	'
Principal payments due under terms of mortgages	'	'	'
2013	1,242	'	'
2014	1,318	'	'
2015	1,398	'	'
2016	1,483	'	'
2017	1,573	'	'
Thereafter	39,246	'	'
Mortgage Notes	46,260	'	'
Mortgage notes	'	'	'
Indebtedness	'	'	'
Mortgage Notes	46,260	'	'
Effective Interest Rate (as a percent)	6.67%	'	'
Cash Interest Rate (as a percent)	5.96%	'	'
Monthly Payment	329	'	'
Interest expense and other associated costs incurred	2,843	1,588	650
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	46,260	'	'
Jun-23	'	'	'
Indebtedness	'	'	'
Mortgage Notes	19,435	'	'
Effective Interest Rate (as a percent)	6.64%	'	'
Cash Interest Rate (as a percent)	5.86%	'	'
Monthly Payment	123	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	19,435	'	'
Feb-25	'	'	'
Indebtedness	'	'	'
Mortgage Notes	6,712	'	'
Effective Interest Rate (as a percent)	8.99%	'	'
Cash Interest Rate (as a percent)	5.46%	'	'
Monthly Payment	63	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	6,712	'	'
Sep-28	'	'	'
Indebtedness	'	'	'
Mortgage Notes	2,968	'	'
Effective Interest Rate (as a percent)	6.36%	'	'
Cash Interest Rate (as a percent)	6.70%	'	'
Monthly Payment	25	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	2,968	'	'
Sep-32	'	'	'
Indebtedness	'	'	'
Mortgage Notes	9,598	'	'
Effective Interest Rate (as a percent)	6.20%	'	'
Cash Interest Rate (as a percent)	6.70%	'	'
Monthly Payment	72	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	9,598	'	'
Jun-35	'	'	'
Indebtedness	'	'	'
Mortgage Notes	3,045	'	'
Effective Interest Rate (as a percent)	5.25%	'	'
Cash Interest Rate (as a percent)	5.25%	'	'
Monthly Payment	19	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	3,045	'	'
May-39	'	'	'
Indebtedness	'	'	'
Mortgage Notes	4,502	'	'
Effective Interest Rate (as a percent)	5.55%	'	'
Cash Interest Rate (as a percent)	5.55%	'	'
Monthly Payment	27	'	'
Principal payments due under terms of mortgages	'	'	'
Mortgage Notes	$4,502	'	'

Leases_Details

Leases (Details) (USD $)

12 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Jun. 30, 2012

property

Lease No. 1

Lease No. 2

Lease No. 3

Lease No. 4

One HCP lease

SNH

Senior Living Communities

Rehabilitation hospitals

Two 15-year renewal options

Two 10-year renewal options

Two 15-year renewal options

Two 10-year renewal options

property

Lease No. 1

Lease No. 4

property

HCP

SNH

property

SNH

item

property

Leases

Number of properties under percentage rent

181

Percentage of gross revenue

4.00%

Percentage rent

$4,888

$4,879

$4,443

Amount funded for leasehold improvements

30,520

33,269

31,894

Increase (decrease) in annual lease rent payable

2,456

2,665

2,550

Number of properties leased and operated

194

181

188

Number of real estate properties classified as discontinued operations

Annual minimum rent

$198,871

$58,779

$70,442

$33,997

$34,470

$1,183

Number of renewal options

Renewal term

'15 years

'10 years

'15 years

'10 years

Number of leases

Number of property leases, which exist to accommodate mortgage financing

Number of leases combined into as and when mortgage financings are paid

Leases_Details_2

Leases (Details 2) (USD $)	Dec. 31, 2012
In Thousands, unless otherwise specified	Dec. 31, 2012
Future minimum rents	'
2013	$198,871
2014	198,280
2015	197,688
2016	197,688
2017	174,708
Thereafter	1,384,176
Total	$2,351,411

Shareholders_Equity_Details

Shareholders' Equity (Details) (USD $)	1 Months Ended	12 Months Ended
In Thousands, except Share data, unless otherwise specified	Jun. 30, 2011	Dec. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2012	Dec. 31, 2012
	Jun. 30, 2011	Dec. 31, 2011	Directors, officers and others	Directors, officers and others	Directors, officers and others	Officers and others	Share Award Plans
Shareholders' Equity	'	'	'	'	'	'	'
Common shares issued (in shares)	'	'	347,000	379,000	351,000	'	'
Weighted average share price (in dollars per share)	'	'	$4.72	$2.75	$5.64	'	'
Aggregate market value of shares issued	'	'	1,638,000	1,044,000	1,980,000	'	'
Portion of awards that vest on the date of grant	'	'	'	'	'	'one-fifth	'
Vesting period	'	'	'	'	'	'4 years	'
Remaining common shares available for issuance	'	'	'	'	'	'	794,000
Common shares issued in public offering (in shares)	11,500,000	'	'	'	'	'	'
Net proceeds from issuance of common shares issued in public offering	$53,953	$53,953	'	'	'	'	'

Acquisitions_Details

Acquisitions (Details) (USD $)

3 Months Ended

12 Months Ended

3 Months Ended

4 Months Ended

0 Months Ended

1 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Sep. 30, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2011

Dec. 31, 2012

Sep. 30, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Dec. 31, 2011

Sep. 30, 2011

31-May-11

Sep. 30, 2011

Aug. 31, 2010

31-May-11

Land

Building and Improvements

Furniture, fixtures and equipments

Preliminary Amounts Recorded

Measurement Period Adjustment

Bridge Loan

Indiana Communities

Wisconsin

Arizona

Land

Building and Improvements

Furniture, fixtures and equipments

Land

Building and Improvements

Furniture, fixtures and equipments

SNH

item

Mortgage notes

item

Mortgage notes

item

Acquisitions

Number of living units in properties acquired

1,476

110

116

Aggregate purchase price of properties acquired, excluding closing costs

$122,760

$14,700

$25,600

Amount agreed to be lent

80,000

Assumption of mortgage note payable

40,289

18,652

Assumption of resident deposits

1,311

Number of real estate properties mortgaged

Amounts as previously reported and restated to reflect the adjustments made to property and equipment, goodwill and other intangible assets

Property and equipment

104,951

4,205

91,040

9,706

122,760

4,715

106,240

11,805

-17,809

-510

-15,200

-2,099

Goodwill related to home health services

14,565

Other intangible assets related to resident agreements

3,244

Acquisition related costs

($8)

($100)

($229)

($226)

($1,202)

($102)

$108

$1,759

($8)

($100)

($229)

($226)

($1,202)

Discontinued_Operations_Detail

Discontinued Operations (Details) (USD $)

3 Months Ended

12 Months Ended

3 Months Ended

12 Months Ended

1 Months Ended

3 Months Ended

1 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Jun. 30, 2013

Dec. 31, 2012

Aug. 31, 2013

Oct. 31, 2012

Dec. 31, 2011

Jun. 30, 2013

Aug. 31, 2010

Nov. 30, 2010

Jun. 30, 2011

31-May-11

Jun. 30, 2013

Aug. 30, 2011

Nov. 30, 2010

Aug. 31, 2011

Sep. 30, 2012

SNH

SNF

Assisted living communities

Pharmacy business

Subsequent event

Rehabilitation hospitals

property

Michigan

SNH

Subsequent event

SNH

South Carolina

property

Subsequent event

unit

Subsequent event

Nebraska

Georgia

property

Subsequent event

Pennsylvania

item

unit

hospital

property

unit

property

unit

property

unit

property

unit

Discontinued Operations

Number of properties offered for sale

Number of units in real estate property offered for sale

271

329

Sale consideration

$8,000

$1,450

HUD mortgage debt

7,547

7,690

7,547

7,690

7,547

Asset impairment charge

644

4,358

3,080

294

350

Number of properties agreed to be sold by the related party

Number of living units in property agreed to be sold by the related party

721

578

143

103

Increase (decrease) in annual lease rent payable

2,456

2,665

2,550

-145

-1,790

-72

Decrease in annual lease rent payable (as a percent)

9.00%

Proceeds from sale of pharmacy business

34,298

Working capital included in proceeds from sale of business

3,789

Net cash receipts from sale of pharmacy business, before taxes and transaction costs

34,298

Number of pharmacies whose real estate was not acquired by Omnicare

Number of hospitals associated with real estate, agreed to be sold by the related party

Summary of the operating results of discontinued operations

Revenues

213,020

251,604

268,685

Expenses

-218,565

-253,430

-269,898

Impairment on assets

-644

-4,358

-3,080

-294

-350

(Provision) benefit for income taxes

-5,441

2,803

Gain on sale

23,347

Net income (loss)

($47)

$13,125

($666)

($695)

$2,100

($3,685)

$405

($2,201)

$17,158

($6,184)

($1,213)

Off_Balance_Sheet_Arrangements

Off Balance Sheet Arrangements (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012
	property
Off Balance Sheet Arrangement	'
Carrying value of accounts receivable pledged	$12,556
Number of properties leased from SNH on which pledge arises	30

Litigation_Settlement_Details

Litigation Settlement (Details) (USD $)	3 Months Ended	12 Months Ended	0 Months Ended
In Thousands, unless otherwise specified	Jun. 30, 2012	Dec. 31, 2012	29-May-12
	Jun. 30, 2012	Dec. 31, 2012	Settlement Agreement with Sunrise for certain insurance programs
Litigation Settlement	'	'	'
Cash received pursuant to the Settlement Agreement	'	'	$4,000
Gain on settlement, net of legal fees	$3,365	$3,365	$3,365

Related_Person_Transactions_De

Related Person Transactions (Details) (USD $)

3 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Aug. 31, 2012

Dec. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

31-May-11

Apr. 30, 2012

Dec. 31, 2012

Aug. 31, 2012

31-May-12

Feb. 29, 2012

31-May-12

Dec. 31, 2012

Aug. 31, 2012

31-May-12

Aug. 31, 2012

Dec. 31, 2012

Jun. 30, 2012

Dec. 31, 2012

Jul. 31, 2012

property

Bridge Loan

Senior Living Communities

Rehabilitation hospitals

SNF

SNH

property

item

AL Pooling Agreements

Bridge Loan

Senior Living Communities

Rehabilitation hospitals

SNF

Assisted living units

property

Annual rates of interest applicable to borrowings under revolving credit facility

property

New York

Second AL Pooling Agreements

IL Pooling Agreement

Sunrise

D&R Yonkers LLC

property

Second AL Pooling Agreements

property

Alabama

South Carolina

Tennessee

Texas

Missouri

property

item

South Carolina

property

Related person transactions

Ownership percentage by former parent

100.00%

Number of shares owned

4,235

Percentage of outstanding common shares owned

8.80%

Minimum percentage of ownership interest beyond which consent of related party required

9.80%

Minimum percentage of ownership interest of voting stock above which the option to cancel all the lease rights exist

9.80%

Number of real estate properties leased

194

181

188

Number of real estate properties classified as discontinued operations

Number of properties managed

Total minimum annual rent payable

$2,351,411

$197,688

Rent expense under leases, net of lease inducement amortization

200,036

194,524

188,768

Outstanding rent due and payable

17,688

17,318

Real estate improvements sold

30,520

33,269

31,894

Increase (decrease) in annual lease rent payable

2,456

2,665

2,550

Assets held for sale for increased rent pursuant to the terms of leases with SNH

9,625

7,114

Management fees receivable under property management agreement as a percentage of gross revenues

3.00%

5.00%

3.00%

Incentive fee as a percentage of the annual net operating income after the entity realizes an annual return equal to 8% of invested capital

35.00%

Annual return as a percentage of invested surplus specified as a base for determining incentive fee

8.00%

Renewal term of the property management agreement

'15 years

'5 years

Number of consecutive renewal terms of agreement

Minimum percentage of ownership interest of lessee's voting stock above which the entity has the option to cancel all its rights

9.80%

Number of pooling agreements

Number of pooling agreement for communities that include assisted living units

Number of properties that the entity agreed to manage

198

232

Number of properties of which termination date is agreed to be accelerated

Number of consecutive period during which the entity must not receive the minimum return for the property management agreement to be subject to the pooling agreement

'3 years

Management fee revenue

2,150

1,277

1,302

1,088

514

359

5,817

898

5,582

835

Number of properties that the entity will begin to operate as a manager

Number of properties subleased

111

Amount agreed to be lent

80,000

Interest rate margin over base rate

1.00%

Interest expense

$314

$593

$314

$593

Number of properties securing a debt released as a result of repayment of related debt

Number of properties securing a debt

Related_Person_Transactions_De1

Related Person Transactions (Details 2) (USD $)

3 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Jun. 30, 2011

31-May-11

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Jun. 30, 2012

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

RMR

AIC

Messrs. Mackey, Hoagland and Larkin

item

Georgia

Share Award Plans

item

Maximum

Restricted shares

Related person transactions

Minimum percentage of business time devoted for services

80.00%

Percentage of total cash compensation paid

80.00%

Number of employees

820

Management fees receivable under property management agreement as a percentage of gross revenues

0.60%

Business management agreement expense

$13,186

$11,726

$11,214

share in cost of providing internal audit function

209

247

211

Renewal period

'1 year

Period before which a written notice is required to be given for termination of the service agreement

'60 days

Period before which a notice is required for termination of the business management agreement upon change in control

'5 days

Number of buildings owned

Utilities and real estate taxes

47,733

47,659

47,431

47,361

47,068

47,274

44,975

44,633

190,184

183,950

176,839

1,426

1,271

1,212

Awards granted (in shares)

Aggregate value of awards granted during the period

399

168

394

Portion of the awards granted that vested on the grant date (as percentage)

20.00%

Portion of the awards granted, which will vest on each of the next four anniversaries of the grant date (as percent)

20.00%

Number of anniversaries of the grant date over which the awards vest

'4 years

Annual rent expense under leases

748

Ownership percentage

12.50%

20.00%

Number of other current shareholders of the related party

Amount invested in equity investee

5,209

Equity investment in Affiliates Insurance Company

5,629

5,558

5,408

5,335

5,291

5,245

5,202

5,117

5,629

5,291

5,629

5,291

Income (loss) related to investment

115

316

139

-1

316

139

-1

Coverage of property insurance

500,000

Period for which property insurance program was extended

'1 year

Annual premiums

$6,264

$4,500

$2,900

Employee_Benefit_Plans_Details

Employee Benefit Plans (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Employee Benefit Plans	'	'	'
Expenses for plans including contributions	$1,565	$1,451	$1,476
Minimum	'	'	'
Employee Benefit Plans	'	'	'
Number of plans in which employees may participate	1	'	'

Selected_Quarterly_Financial_D2

Selected Quarterly Financial Data (Unaudited) (Details) (USD $)	3 Months Ended								12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Selected Quarterly Financial Data (Unaudited)	'	'	'	'	'	'	'	'	'	'	'
Revenues	$322,185	$297,169	$296,493	$291,298	$277,225	$274,306	$255,942	$252,714	$1,207,145	$1,060,187	$991,195
Operating income (loss)	5,615	5,478	10,643	3,145	-1,141	3,838	6,572	7,230	24,881	16,499	25,327
Net income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705
Net income (loss)	1,946	16,213	4,910	472	61,991	-460	4,946	4,310	23,541	70,787	23,492
Net income (loss) per common share - Basic (in dollars per share)	$0.04	$0.34	$0.10	$0.01	$1.30	($0.01)	$0.13	$0.12	$0.49	$1.68	$0.66
Net income (loss) per common share - Diluted (in dollars per share)	$0.04	$0.33	$0.10	$0.01	$1.23	$0	$0.13	$0.12	$0.48	$1.59	$0.64
Income tax benefit from continuing operations	2,381	905	3,817	801	-59,021	265	373	534	7,904	-57,849	1,448
Income tax benefit attributable to partial reduction of deferred income tax valuation allowance	'	'	'	'	$58,896	'	'	'	'	'	'

Selected_Quarterly_Financial_D3

Selected Quarterly Financial Data (Unaudited) (Details 2) (USD $)	3 Months Ended								12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Current assets:	'	'	'	'	'	'	'	'	'	'	'	'
Cash and cash equivalents	$24,638	$14,295	$23,635	$26,645	$28,374	$41,946	$43,158	$26,008	$24,638	$28,374	$20,770	$5,017
Accounts receivable	39,205	41,389	41,275	41,153	41,220	36,471	37,128	37,370	39,205	41,220	'	'
Due from related persons	6,881	6,088	2,536	4,607	'	'	'	'	6,881	'	'	'
Investments in available for sale securities	12,920	14,942	14,993	8,773	9,114	17,283	19,954	14,062	12,920	9,114	'	'
Restricted cash	6,548	5,904	6,507	5,749	4,838	5,171	4,072	6,838	6,548	4,838	'	'
Acquisition deposits	'	'	'	'	'	'	'	13,000	'	'	'	'
Prepaid expenses and other current assets	'	31,037	24,471	27,827	'	13,770	10,037	13,039	'	'	'	'
Assets of discontinued operations	30,100	32,723	47,246	50,342	51,826	49,735	55,851	57,495	30,100	51,826	'	'
Total current assets	158,610	146,378	160,663	165,096	162,559	164,376	170,200	167,812	158,610	162,559	'	'
Property and equipment, net	337,494	333,989	332,062	330,445	332,982	347,915	267,198	194,631	337,494	332,982	'	'
Equity investment in Affiliates Insurance Company	5,629	5,558	5,408	5,335	5,291	5,245	5,202	5,117	5,629	5,291	'	'
Restricted cash	12,166	9,262	6,313	6,317	4,092	4,306	3,712	15,771	12,166	4,092	'	'
Restricted investments in available for sale securities	10,580	11,904	11,299	12,871	13,115	12,987	12,445	3,359	10,580	13,115	'	'
Acquisition deposits	'	'	'	'	'	'	7,509	'	'	'	'	'
Goodwill and other intangible assets	27,708	28,001	28,293	29,311	29,334	11,547	11,570	11,593	27,708	29,334	'	'
Other long term assets	4,168	45,357	50,821	51,873	3,153	3,334	3,823	3,821	4,168	3,153	'	'
Total assets	592,569	580,449	594,859	601,248	559,346	549,710	481,659	402,104	592,569	559,346	'	'
Current liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Revolving credit facility, secured principally by real estate	'	'	37,500	'	'	'	'	5,000	'	'	'	'
Accounts payable	38,035	25,298	25,077	23,389	24,277	19,144	16,029	23,368	38,035	24,277	'	'
Accrued expenses	28,010	21,097	21,579	22,256	24,660	26,111	20,496	20,991	28,010	24,660	'	'
Accrued compensation and benefits	35,302	41,168	38,699	36,937	33,899	36,676	37,998	37,331	35,302	33,899	'	'
Due to related persons	19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494	'	'
Mortgage notes payable	1,092	1,076	1,060	1,044	1,027	1,012	321	'	1,092	1,027	'	'
Bridge loan from Senior Housing Properties Trust	'	'	'	38,000	38,000	48,000	9,000	'	'	38,000	'	'
Accrued real estate taxes	10,723	13,596	10,119	8,555	10,353	14,535	10,093	7,846	10,723	10,353	'	'
Security deposit liability	9,057	9,341	9,487	10,231	10,183	10,231	9,970	9,906	9,057	10,183	'	'
Other current liabilities	14,775	16,956	19,469	17,645	16,742	17,534	18,040	13,380	14,775	16,742	'	'
Liabilities of discontinued operations	16,977	18,076	17,950	19,580	18,355	19,354	21,039	19,945	16,977	18,355	'	'
Total current liabilities	198,327	166,523	200,348	196,766	196,990	208,903	160,403	155,590	198,327	196,990	'	'
Long term liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Mortgage notes payable	37,621	37,900	38,175	38,446	38,714	38,977	19,614	'	37,621	38,714	'	'
Convertible senior notes	'	24,872	24,872	37,282	37,282	37,282	37,282	37,282	'	37,282	'	'
Continuing care contracts	1,708	1,820	1,838	1,883	2,045	2,068	2,133	2,213	1,708	2,045	'	'
Accrued self insurance obligations	34,647	31,868	28,296	30,438	28,496	27,074	24,415	28,640	34,647	28,496	'	'
Other long term liabilities	6,712	6,493	6,883	7,267	7,498	7,715	8,304	8,728	6,712	7,498	'	'
Total long term liabilities	80,688	102,953	100,064	115,316	114,035	113,116	91,748	76,863	80,688	114,035	'	'
Commitments and contingencies	'	'	'	'	'	'	'	'	'	'	'	'
Shareholders' equity:	'	'	'	'	'	'	'	'	'	'	'	'
Common stock	482	479	479	479	479	476	475	360	482	479	'	'
Additional paid in capital	354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722	'	'
Accumulated deficit	-44,455	-46,401	-62,614	-67,524	-67,996	-129,988	-129,527	-134,473	-44,455	-67,996	'	'
Accumulated other comprehensive income	3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116	'	'
Total shareholders' equity	313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321	164,767	139,315
Total liabilities and shareholders' equity	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346	'	'
Revenues:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	269,790	268,645	269,093	266,805	265,045	265,623	255,355	252,714	1,074,333	1,038,737	991,195	'
Management fee revenue	2,150	1,277	1,302	1,088	514	359	25	'	5,817	898	'	'
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562	'	126,995	20,552	'	'
Total revenues	322,185	297,169	296,493	291,298	277,225	274,306	255,942	252,714	1,207,145	1,060,187	991,195	'
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	128,998	131,384	130,252	131,810	130,917	129,264	126,528	123,303	522,444	510,012	486,386	'
Other senior living operating expenses	67,113	64,579	63,797	64,260	64,543	65,844	59,041	60,063	259,749	249,491	233,080	'
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562	'	126,995	20,552	'	'
Rent expense	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839	'
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	55,486	'
Depreciation and amortization	6,284	6,175	6,203	5,818	5,819	5,368	4,134	3,839	24,480	19,160	14,077	'
Impairment of long-lived assets	'	'	'	'	3,080	'	'	'	'	3,080	'	'
Gain on settlement	'	'	-3,365	'	'	'	'	'	-3,365	'	'	'
Total operating expenses	316,570	291,691	285,850	288,153	278,366	270,468	249,370	245,484	1,182,264	1,043,688	965,868	'
Operating income	5,615	5,478	10,643	3,145	-1,141	3,838	6,572	7,230	24,881	16,499	25,327	'
Interest, dividend and other income	243	199	234	205	264	355	317	304	881	1,240	1,757	'
Interest and other expense	-1,475	-1,762	-1,605	-1,426	-1,512	-1,034	-870	-501	-6,268	-3,917	-2,597	'
Acquisition related costs	-8	-100	'	'	-229	-226	-1,202	-102	108	1,759	0	'
Gain on early extinguishment of debt	'	'	45	'	'	'	'	1	45	1	592	'
(Loss) gain on sale of available for sale securities	-81	63	'	-1	3,460	529	51	76	-19	4,116	933	'
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,294	3,878	9,317	1,923	842	3,462	4,868	7,008	19,412	16,180	26,154	'
(Provision) benefit for income taxes	-2,381	-905	-3,817	-801	59,021	-265	-373	-534	-7,904	57,849	-1,448	'
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37	316	139	-1	'
Income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705	'
Income (loss) from discontinued operations	-47	13,125	-666	-695	2,100	-3,685	405	-2,201	17,158	-6,184	-1,213	'
Net income	1,946	16,213	4,910	472	61,991	-460	4,946	4,310	23,541	70,787	23,492	'
Basic income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.12	$0.02	$1.26	$0.07	$0.12	$0.18	$0.25	$1.76	$0.69	'
Discontinued operations (in dollars per share)	'	$0.28	($0.02)	($0.01)	$0.04	($0.08)	$0.01	($0.06)	$0.24	($0.08)	($0.03)	'
Net income per share - basic (in dollars per share)	$0.04	$0.34	$0.10	$0.01	$1.30	($0.01)	$0.13	$0.12	$0.49	$1.68	$0.66	'
Diluted income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.11	$0.02	$1.19	$0.07	$0.12	$0.18	$0.25	$1.67	$0.67	'
Discontinued operations (in dollars per share)	'	$0.27	($0.01)	($0.01)	$0.04	($0.07)	$0.01	($0.06)	$0.23	($0.08)	($0.03)	'
Net income per share - diluted (in dollars per share)	$0.04	$0.33	$0.10	$0.01	$1.23	$0	$0.13	$0.12	$0.48	$1.59	$0.64	'
As Reported	'	'	'	'	'	'	'	'	'	'	'	'
Current assets:	'	'	'	'	'	'	'	'	'	'	'	'
Cash and cash equivalents	'	14,295	23,635	26,645	'	41,946	43,158	26,008	'	'	'	'
Accounts receivable	53,134	54,880	63,130	65,106	56,509	59,972	63,031	64,419	53,134	56,509	'	'
Investments in available for sale securities	'	14,942	14,993	8,773	'	17,283	19,954	14,062	'	'	'	'
Restricted cash	'	5,904	6,507	5,749	'	5,171	4,072	6,838	'	'	'	'
Acquisition deposits	'	'	'	'	'	'	'	13,000	'	'	'	'
Prepaid expenses and other current assets	'	25,441	22,073	26,294	'	21,001	17,505	19,872	'	'	'	'
Assets of discontinued operations	10,430	13,003	8,401	8,515	29,022	8,812	12,436	12,542	10,430	29,022	'	'
Total current assets	137,314	128,465	138,739	141,082	148,252	154,185	160,156	156,741	137,314	148,252	'	'
Property and equipment, net	335,612	336,889	337,836	353,539	332,185	353,639	273,208	201,277	335,612	332,185	'	'
Equity investment in Affiliates Insurance Company	'	5,558	5,408	5,335	'	5,245	5,202	5,117	'	'	'	'
Restricted cash	'	9,262	6,313	6,317	'	4,306	3,712	15,771	'	'	'	'
Restricted investments in available for sale securities	'	11,904	11,299	12,871	'	12,987	12,445	3,359	'	'	'	'
Acquisition deposits	'	'	'	'	'	'	7,509	'	'	'	'	'
Goodwill and other intangible assets	27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414	'	'
Other long term assets	'	43,347	50,233	50,966	3,000	3,334	3,823	3,821	'	3,000	'	'
Total assets	571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477	'	'
Current liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Revolving credit facility, secured principally by real estate	'	'	37,500	'	'	'	'	5,000	'	'	'	'
Accounts payable	36,920	24,500	24,766	22,831	22,736	21,512	18,621	25,992	36,920	22,736	'	'
Accrued expenses	22,996	20,840	23,742	24,027	21,698	27,433	22,395	22,412	22,996	21,698	'	'
Accrued compensation and benefits	40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975	'	'
Due to related persons	11,715	12,791	15,956	13,467	18,659	16,306	17,417	17,823	11,715	18,659	'	'
Mortgage notes payable	'	1,076	1,060	1,044	'	1,012	321	'	'	'	'	'
Bridge loan from Senior Housing Properties Trust	'	'	'	38,000	'	48,000	9,000	'	'	'	'	'
Accrued real estate taxes	11,905	14,909	11,378	9,878	11,466	14,833	10,428	8,102	11,905	11,466	'	'
Security deposit liability	9,727	9,948	10,033	10,724	10,606	10,677	10,434	10,390	9,727	10,606	'	'
Other current liabilities	15,299	16,958	17,421	15,532	15,745	15,477	16,094	11,325	15,299	15,745	'	'
Liabilities of discontinued operations	8,448	8,764	8,491	8,932	10,419	8,854	8,582	8,905	8,448	10,419	'	'
Total current liabilities	183,960	157,904	195,735	189,067	189,331	208,195	160,174	155,334	183,960	189,331	'	'
Long term liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Mortgage notes payable	'	37,900	38,175	38,446	'	38,977	19,614	'	'	'	'	'
Convertible senior notes	'	24,872	24,872	37,282	'	37,282	37,282	37,282	'	'	'	'
Continuing care contracts	'	1,820	1,838	1,883	'	2,068	2,133	2,213	'	'	'	'
Accrued self insurance obligations	'	31,868	28,296	30,438	'	27,074	24,415	28,640	'	'	'	'
Other long term liabilities	6,615	6,415	6,800	7,184	7,415	7,715	8,304	8,728	6,615	7,415	'	'
Total long term liabilities	80,591	102,875	99,981	115,233	113,952	113,116	91,748	76,863	80,591	113,952	'	'
Commitments and contingencies	'	'	'	'	'	'	'	'	'	'	'	'
Shareholders' equity:	'	'	'	'	'	'	'	'	'	'	'	'
Common stock	'	479	479	479	'	476	475	360	'	'	'	'
Additional paid in capital	354,083	353,468	353,309	353,036	352,819	352,501	352,414	297,908	354,083	352,819	'	'
Accumulated deficit	-49,637	-53,136	-69,575	-74,213	-74,582	-129,983	-129,454	-134,650	-49,637	-74,582	'	'
Accumulated other comprehensive income	1,877	1,916	1,756	1,665	1,478	4,774	6,194	5,880	1,877	1,478	'	'
Total shareholders' equity	306,805	302,727	285,969	280,967	280,194	227,768	229,629	169,498	306,805	280,194	'	'
Total liabilities and shareholders' equity	571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477	'	'
Revenues:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	279,154	277,568	278,076	276,220	274,733	275,605	266,066	263,379	1,111,018	1,078,380	'	'
Rehabilitation hospital revenue	27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320	'	'
Institutional pharmacy revenue	'	'	17,232	18,621	18,790	18,914	19,573	19,337	'	'	'	'
Management fee revenue	2,150	1,277	1,302	1,088	515	359	25	'	'	'	'	'
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562	'	'	'	'	'
Total revenues	359,096	332,420	349,094	346,121	332,788	329,475	312,563	308,341	1,350,878	1,205,150	'	'
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	135,356	137,816	136,618	138,374	137,411	136,135	133,570	130,337	548,164	536,386	'	'
Other senior living operating expenses	70,007	66,858	66,242	66,962	66,532	68,669	61,143	63,349	270,069	259,655	'	'
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562	'	'	'	'	'
Rehabilitation hospital expenses	24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305	'	'
Institutional pharmacy expenses	'	'	17,258	18,750	18,433	18,472	18,642	18,889	'	'	'	'
Rent expense	50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407	'	'
General and administrative	16,153	14,602	15,389	15,455	15,298	14,418	14,154	13,670	61,599	57,540	'	'
Depreciation and amortization	6,433	6,324	6,709	6,316	6,348	5,858	4,620	4,311	25,064	19,694	'	'
Impairment of long-lived assets	'	'	'	'	3,500	'	'	'	'	3,500	'	'
Gain on settlement	'	'	-3,365	'	'	'	'	'	'	'	'	'
Total operating expenses	353,555	327,104	339,118	343,608	333,629	325,316	304,139	302,271	1,330,020	1,188,039	'	'
Operating income	5,541	5,316	9,976	2,513	-841	4,159	8,424	6,070	20,858	17,111	'	'
Interest, dividend and other income	243	199	246	217	278	368	331	319	'	'	'	'
Interest and other expense	-1,475	-1,762	-1,605	-1,426	-1,512	-1,034	-870	-501	'	'	'	'
Acquisition related costs	-8	-100	'	'	-229	-226	-1,202	'	'	'	'	'
Gain on early extinguishment of debt	'	'	45	'	'	'	'	'	'	'	'	'
(Loss) gain on sale of available for sale securities	-81	63	'	-1	3,460	529	51	76	'	'	'	'
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,220	3,716	8,662	1,303	1,156	3,796	6,734	5,964	18,754	16,792	'	'
(Provision) benefit for income taxes	-807	-426	-3,807	-602	51,560	-186	-441	-379	-5,642	50,554	'	'
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37	'	'	'	'
Income from continuing operations	3,493	3,405	4,931	746	52,744	3,638	6,339	5,622	13,428	67,485	'	'
Income (loss) from discontinued operations	6	13,034	-293	-377	2,657	-4,166	-1,143	-1,489	11,517	-3,284	'	'
Net income	3,499	16,439	4,638	369	55,401	-528	5,196	4,133	24,945	64,201	'	'
Basic income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.07	$0.07	$0.10	$0.02	$1.11	$0.08	$0.17	$0.16	$0.28	$1.60	'	'
Discontinued operations (in dollars per share)	'	$0.27	($0.01)	($0.01)	$0.05	($0.09)	($0.03)	($0.04)	$0.24	($0.08)	'	'
Net income per share - basic (in dollars per share)	$0.07	$0.34	($0.09)	$0.01	$1.16	($0.01)	$0.14	$0.12	$0.52	$1.52	'	'
Diluted income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.07	$0.07	$0.10	$0.02	$1.05	$0.08	$0.17	$0.15	$0.28	$1.52	'	'
Discontinued operations (in dollars per share)	'	$0.26	($0.01)	($0.01)	$0.05	($0.09)	($0.03)	($0.04)	$0.24	($0.07)	'	'
Net income per share - diluted (in dollars per share)	$0.07	$0.33	($0.09)	$0.01	$1.10	($0.01)	$0.14	$0.11	$0.52	$1.45	'	'
Error Corrections	'	'	'	'	'	'	'	'	'	'	'	'
Current assets:	'	'	'	'	'	'	'	'	'	'	'	'
Accounts receivable	1,060	1,446	1,664	1,638	1,790	-186	-195	-115	1,060	1,790	'	'
Due from related persons	6,881	6,088	2,536	4,607	'	'	'	'	6,881	'	'	'
Prepaid expenses and other current assets	'	6,499	7,925	7,737	'	-245	-245	'	'	'	'	'
Assets of discontinued operations	693	28	14	39	996	13	19	115	693	996	'	'
Total current assets	18,059	14,061	12,139	14,021	10,470	-418	-421	'	18,059	10,470	'	'
Property and equipment, net	5,039	872	447	1,053	4,554	1,049	529	409	5,039	4,554	'	'
Other long term assets	'	2,010	588	907	153	'	'	'	'	153	'	'
Total assets	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869	'	'
Current liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Accounts payable	2,768	2,645	2,539	2,697	2,979	'	'	'	2,768	2,979	'	'
Accrued expenses	5,212	458	-1,982	-1,269	3,104	-922	-1,289	-1,452	5,212	3,104	'	'
Due to related persons	7,769	7,124	3,452	5,662	835	'	'	'	7,769	835	'	'
Accrued real estate taxes	-888	-1,036	-916	-1,055	-835	'	'	'	-888	-835	'	'
Security deposit liability	-647	-584	-523	-470	-400	-424	-436	-456	-647	-400	'	'
Other current liabilities	-523	'	2,048	2,113	997	2,058	1,951	2,064	-523	997	'	'
Liabilities of discontinued operations	672	7	-5	21	979	-4	3	100	672	979	'	'
Total current liabilities	14,363	8,614	4,613	7,699	7,659	708	229	256	14,363	7,659	'	'
Long term liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Mortgage notes payable	9,947	'	'	'	8,956	'	'	'	9,947	8,956	'	'
Other long term liabilities	101	83	83	83	83	'	'	'	101	83	'	'
Total long term liabilities	101	83	83	83	83	'	'	'	101	83	'	'
Commitments and contingencies	'	'	'	'	'	'	'	'	'	'	'	'
Shareholders' equity:	'	'	'	'	'	'	'	'	'	'	'	'
Additional paid in capital	81	37	-8	-53	-97	-72	-48	-24	81	-97	'	'
Accumulated deficit	5,182	6,735	6,961	6,689	6,586	-5	-73	177	5,182	6,586	'	'
Accumulated other comprehensive income	1,486	1,474	1,525	1,563	1,638	'	'	'	1,486	1,638	'	'
Total shareholders' equity	6,749	8,246	8,478	8,199	8,127	-77	-121	153	6,749	8,127	'	'
Total liabilities and shareholders' equity	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869	'	'
Revenues:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	-422	-310	-147	-220	-429	-342	-358	66	-1,099	-1,064	'	'
Total revenues	-422	-310	-147	-220	-429	-342	-358	66	-1,099	-1,064	'	'
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	31	22	12	24	21	-63	78	206	89	242	'	'
Other senior living operating expenses	-182	19	-200	-290	420	-330	-93	-390	-653	-394	'	'
General and administrative	44	45	45	44	-25	-24	-24	-24	178	-97	'	'
Depreciation and amortization	-19	-20	-20	-19	-32	'	'	'	-78	-32	'	'
Total operating expenses	-126	'	'	'	'	-417	-39	-208	-464	-281	'	'
Operating income	-296	-376	16	21	-813	75	-319	274	-635	-783	'	'
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	-296	-376	16	21	-813	75	-319	274	-635	-783	'	'
(Provision) benefit for income taxes	-1,424	-260	250	45	7,666	-104	-25	-109	-1,739	7,365	'	'
Income from continuing operations	-1,720	-636	266	66	6,853	-29	-344	165	-2,374	6,582	649	'
Income (loss) from discontinued operations	167	410	6	37	-263	97	94	12	6,934	-2,729	649	'
Net income	-1,553	-226	272	103	6,590	68	-250	177	-1,404	6,586	'	'
Diluted income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Net income per share - diluted (in dollars per share)	'	'	'	'	'	'	'	'	$0.04	$0.14	'	'
As Corrected	'	'	'	'	'	'	'	'	'	'	'	'
Current assets:	'	'	'	'	'	'	'	'	'	'	'	'
Cash and cash equivalents	'	14,295	23,635	26,645	'	41,946	43,158	26,008	'	'	'	'
Accounts receivable	54,194	56,326	64,794	66,744	58,299	59,786	62,836	64,304	54,194	58,299	'	'
Due from related persons	6,881	6,088	2,536	4,607	'	'	'	'	6,881	'	'	'
Investments in available for sale securities	'	14,942	14,993	8,773	'	17,283	19,954	14,062	'	'	'	'
Restricted cash	'	5,904	6,507	5,749	'	5,171	4,072	6,838	'	'	'	'
Acquisition deposits	'	'	'	'	'	'	'	13,000	'	'	'	'
Prepaid expenses and other current assets	'	31,940	29,998	34,031	'	20,756	17,260	19,872	'	'	'	'
Assets of discontinued operations	11,123	13,031	8,415	8,554	30,018	8,825	12,455	12,657	11,123	30,018	'	'
Total current assets	155,373	142,526	150,878	155,103	158,722	153,767	159,735	156,741	155,373	158,722	'	'
Property and equipment, net	340,651	337,761	338,283	354,592	336,739	354,688	273,737	201,686	340,651	336,739	'	'
Equity investment in Affiliates Insurance Company	'	5,558	5,408	5,335	'	5,245	5,202	5,117	'	'	'	'
Restricted cash	'	9,262	6,313	6,317	'	4,306	3,712	15,771	'	'	'	'
Restricted investments in available for sale securities	'	11,904	11,299	12,871	'	12,987	12,445	3,359	'	'	'	'
Acquisition deposits	'	'	'	'	'	'	7,509	'	'	'	'	'
Goodwill and other intangible assets	27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414	'	'
Other long term assets	'	45,357	50,821	51,873	3,153	3,334	3,823	3,821	'	3,153	'	'
Total assets	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346	'	'
Current liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Revolving credit facility, secured principally by real estate	'	'	37,500	'	'	'	'	5,000	'	'	'	'
Accounts payable	39,688	27,145	27,305	25,528	25,715	21,512	18,621	25,992	39,688	25,715	'	'
Accrued expenses	28,208	21,298	21,760	22,758	24,802	26,511	21,106	20,960	28,208	24,802	'	'
Accrued compensation and benefits	40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975	'	'
Due to related persons	19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494	'	'
Mortgage notes payable	'	1,076	1,060	1,044	'	1,012	321	'	'	'	'	'
Bridge loan from Senior Housing Properties Trust	'	'	'	38,000	'	48,000	9,000	'	'	'	'	'
Accrued real estate taxes	11,017	13,873	10,462	8,823	10,631	14,833	10,428	8,102	11,017	10,631	'	'
Security deposit liability	9,080	9,364	9,510	10,254	10,206	10,253	9,998	9,934	9,080	10,206	'	'
Other current liabilities	14,776	16,958	19,469	17,645	16,742	17,535	18,045	13,389	14,776	16,742	'	'
Liabilities of discontinued operations	9,120	8,771	8,486	8,953	11,398	8,850	8,585	9,005	9,120	11,398	'	'
Total current liabilities	198,323	166,518	200,348	196,766	196,990	208,903	160,403	155,590	198,323	196,990	'	'
Long term liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Mortgage notes payable	'	37,900	38,175	38,446	'	38,977	19,614	'	'	'	'	'
Convertible senior notes	'	24,872	24,872	37,282	'	37,282	37,282	37,282	'	'	'	'
Continuing care contracts	'	1,820	1,838	1,883	'	2,068	2,133	2,213	'	'	'	'
Accrued self insurance obligations	'	31,868	28,296	30,438	'	27,074	24,415	28,640	'	'	'	'
Other long term liabilities	6,716	6,498	6,883	7,267	7,498	7,715	8,304	8,728	6,716	7,498	'	'
Total long term liabilities	80,692	102,958	100,064	115,316	114,035	113,116	91,748	76,863	80,692	114,035	'	'
Commitments and contingencies	'	'	'	'	'	'	'	'	'	'	'	'
Shareholders' equity:	'	'	'	'	'	'	'	'	'	'	'	'
Common stock	'	479	479	479	'	476	475	360	'	'	'	'
Additional paid in capital	354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722	'	'
Accumulated deficit	-44,455	-46,401	-62,614	-67,524	-67,996	-129,988	-129,527	-134,473	-44,455	-67,996	'	'
Accumulated other comprehensive income	3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116	'	'
Total shareholders' equity	313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321	'	'
Total liabilities and shareholders' equity	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346	'	'
Revenues:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	278,732	277,258	277,929	276,000	274,304	275,263	265,708	263,445	1,109,919	1,077,316	'	'
Rehabilitation hospital revenue	27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320	'	'
Institutional pharmacy revenue	'	'	17,232	18,621	18,790	18,914	19,573	19,337	'	'	'	'
Management fee revenue	2,150	1,277	1,302	1,088	515	359	25	'	'	'	'	'
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562	'	'	'	'	'
Total revenues	358,674	332,110	348,947	345,901	332,359	329,133	312,205	308,407	1,349,779	1,204,086	'	'
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	135,387	137,838	136,630	138,398	137,432	136,072	133,648	130,543	548,253	536,628	'	'
Other senior living operating expenses	69,825	66,877	66,042	66,672	66,952	68,339	61,050	62,959	269,416	259,261	'	'
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562	'	'	'	'	'
Rehabilitation hospital expenses	24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305	'	'
Institutional pharmacy expenses	'	'	17,258	18,750	18,433	18,472	18,642	18,889	'	'	'	'
Rent expense	50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407	'	'
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	'	'
Depreciation and amortization	6,414	6,304	6,689	6,297	6,316	5,858	4,620	4,311	24,986	19,662	'	'
Impairment of long-lived assets	'	'	'	'	3,500	'	'	'	'	3,500	'	'
Gain on settlement	'	'	-3,365	'	'	'	'	'	'	'	'	'
Total operating expenses	353,429	327,170	338,955	343,367	334,013	324,899	304,100	302,063	1,329,556	1,187,758	'	'
Operating income	5,245	4,940	9,992	2,534	-1,654	4,234	8,105	6,344	20,223	16,328	'	'
Interest, dividend and other income	243	199	246	217	278	368	331	319	'	'	'	'
Interest and other expense	-1,475	-1,762	-1,605	-1,426	-1,512	-1,034	-870	-501	'	'	'	'
Acquisition related costs	-8	-100	'	'	-229	-226	-1,202	'	'	'	'	'
Gain on early extinguishment of debt	'	'	45	'	'	'	'	'	'	'	'	'
(Loss) gain on sale of available for sale securities	-81	63	'	-1	3,460	529	51	76	'	'	'	'
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,924	3,340	8,678	1,324	343	3,871	6,415	6,238	18,119	16,009	'	'
(Provision) benefit for income taxes	-2,231	-686	-3,557	-557	59,226	290	-466	-488	-7,381	57,919	'	'
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37	'	'	'	'
Income from continuing operations	1,773	2,769	5,197	812	59,597	3,609	5,995	5,787	11,054	74,067	'	'
Income (loss) from discontinued operations	173	13,444	-287	-340	2,394	-4,069	-1,049	-1,477	18,451	-6,013	'	'
Net income	1,946	16,213	4,910	472	61,991	-460	4,946	4,310	23,541	70,787	'	'
Basic income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.11	$0.02	$1.25	$0.08	$0.16	$0.16	$0.23	$1.76	'	'
Discontinued operations (in dollars per share)	'	$0.28	($0.01)	($0.01)	$0.05	($0.09)	($0.03)	($0.04)	$0.26	($0.08)	'	'
Net income per share - basic (in dollars per share)	$0.04	$0.34	$0.10	$0.01	$1.30	($0.01)	$0.13	$0.12	$0.49	$1.68	'	'
Diluted income per share from:	'	'	'	'	'	'	'	'	'	'	'	'
Continuing operations (in dollars per share)	$0.04	$0.06	$0.11	$0.02	$1.18	$0.08	$0.16	$0.16	$0.22	$1.67	'	'
Discontinued operations (in dollars per share)	'	$0.27	($0.01)	($0.01)	$0.05	($0.08)	($0.03)	($0.04)	$0.25	($0.07)	'	'
Net income per share - diluted (in dollars per share)	$0.04	$0.33	$0.10	$0.01	$1.23	$0	$0.13	$0.12	$0.48	$1.59	'	'
Retrospective Adjustments for Discontinued Operations	'	'	'	'	'	'	'	'	'	'	'	'
Current assets:	'	'	'	'	'	'	'	'	'	'	'	'
Accounts receivable	-14,989	-14,937	-23,519	-25,591	-17,079	-23,315	-25,708	-26,934	-14,989	-17,079	'	'
Prepaid expenses and other current assets	'	-903	-5,527	-6,204	'	-6,986	-7,223	-6,833	'	'	'	'
Assets of discontinued operations	18,977	19,692	38,831	41,788	21,808	40,910	43,396	44,838	18,977	21,808	'	'
Total current assets	3,237	3,852	9,785	9,993	3,837	10,609	10,465	11,071	3,237	3,837	'	'
Property and equipment, net	-3,157	-3,772	-6,221	-24,147	-3,757	-6,773	-6,539	-7,055	-3,157	-3,757	'	'
Goodwill and other intangible assets	-80	-80	-3,564	14,154	-80	-3,836	-3,926	-4,016	-80	-80	'	'
Current liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Accounts payable	-1,653	-1,847	-2,228	-2,139	-1,438	-2,368	-2,592	-2,624	-1,653	-1,438	'	'
Accrued expenses	-198	-201	-181	-502	-142	-400	-610	31	-198	-142	'	'
Accrued compensation and benefits	-5,684	-6,950	-6,689	-7,695	-5,076	-7,415	-8,884	-8,054	-5,684	-5,076	'	'
Accrued real estate taxes	-294	-277	-343	-268	-278	-298	-335	-256	-294	-278	'	'
Security deposit liability	-23	-23	-23	-23	-23	-22	-28	-28	-23	-23	'	'
Other current liabilities	-1	-2	'	'	'	-1	-5	-9	-1	'	'	'
Liabilities of discontinued operations	7,857	9,305	9,464	10,627	6,957	10,504	12,454	10,940	7,857	6,957	'	'
Total current liabilities	4	5	'	'	'	'	'	'	4	'	'	'
Long term liabilities:	'	'	'	'	'	'	'	'	'	'	'	'
Other long term liabilities	-4	-5	'	'	'	'	'	'	-4	'	'	'
Total long term liabilities	-4	-5	'	'	'	'	'	'	-4	'	'	'
Commitments and contingencies	'	'	'	'	'	'	'	'	'	'	'	'
Revenues:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living revenue	-8,942	-8,613	-8,836	-9,195	-9,259	-9,640	-10,353	-10,731	-35,586	-38,579	'	'
Rehabilitation hospital revenue	-27,547	-26,328	-26,386	-26,787	-27,085	-26,273	-26,337	-25,625	-107,048	-105,320	'	'
Institutional pharmacy revenue	'	'	-17,232	-18,621	-18,790	-18,914	-19,573	-19,337	'	'	'	'
Management fee revenue	'	'	'	'	-1	'	'	'	'	'	'	'
Reimbursed costs incurred on behalf of managed communities	'	'	'	'	1	'	'	'	'	'	'	'
Total revenues	-36,489	-34,941	-52,454	-54,603	-55,134	-54,827	-56,263	-55,693	-142,634	-143,899	'	'
Operating expenses:	'	'	'	'	'	'	'	'	'	'	'	'
Senior living wages and benefits	-6,389	-6,454	-6,378	-6,588	-6,515	-6,808	-7,120	-7,240	-25,809	-26,616	'	'
Other senior living operating expenses	-2,712	-2,298	-2,245	-2,412	-2,409	-2,495	-2,009	-2,896	-9,667	-9,770	'	'
Costs incurred on behalf of managed communities	'	'	'	'	1	'	'	'	'	'	'	'
Rehabilitation hospital expenses	-24,763	-23,734	-23,872	-24,119	-24,507	-23,300	-23,445	-24,053	-96,488	-95,305	'	'
Institutional pharmacy expenses	'	'	-17,258	-18,750	-18,433	-18,472	-18,642	-18,889	'	'	'	'
Rent expense	-2,865	-2,864	-2,866	-2,866	-2,867	-2,866	-3,028	-3,029	-11,457	-11,457	'	'
Depreciation and amortization	-130	-129	-486	-479	-497	-490	-486	-472	-506	-502	'	'
Impairment of long-lived assets	'	'	'	'	-420	'	'	'	'	-420	'	'
Total operating expenses	-36,859	-35,479	-53,105	-55,214	-55,647	-54,431	-54,730	-56,579	-143,927	-144,070	'	'
Operating income	370	538	651	611	513	-396	-1,533	886	1,293	171	'	'
Interest, dividend and other income	'	'	-12	-12	-14	-13	-14	-15	'	'	'	'
Acquisition related costs	'	'	'	'	'	'	'	-102	'	'	'	'
Gain on early extinguishment of debt	'	'	'	'	'	'	'	1	'	'	'	'
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	370	538	639	599	499	-409	-1,547	770	1,293	171	'	'
(Provision) benefit for income taxes	-150	-219	-260	-244	-205	25	93	-46	-523	-70	'	'
Income from continuing operations	220	319	379	355	294	-384	-1,454	724	770	101	'	'
Income (loss) from discontinued operations	($220)	($319)	($379)	($355)	($294)	$384	$1,454	($724)	($1,293)	($171)	'	'

Restatement_of_Previously_Issu2

Restatement of Previously Issued Financial Statements (Details) (USD $)

3 Months Ended

12 Months Ended

3 Months Ended

12 Months Ended

3 Months Ended

12 Months Ended

3 Months Ended

12 Months Ended

3 Months Ended

12 Months Ended

In Thousands, except Per Share data, unless otherwise specified

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2009

Jun. 30, 2013

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Jun. 30, 2013

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Sep. 30, 2012

Jun. 30, 2012

Mar. 31, 2012

Dec. 31, 2011

Sep. 30, 2011

Jun. 30, 2011

Mar. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Sep. 30, 2013

Jun. 30, 2013

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Senior Living Communities

As Reported

Error Corrections

As Corrected

Retrospective Adjustments for Discontinued Operations

Income Taxes

Insurance Claims

Other Errors

Liability for security deposits

Asset Additions and Related Accruals

Adjustments for error correction relating to adoption of ASU 2011-07

Presentation and Classification

Adjustments for error correction relating to liability for resident security deposits

item

SNH

Available for sale debt securities

Senior Living Communities

Error Corrections

item

property

Net deferred tax asset

$51,121

$62,639

$51,121

$62,639

Other current assets

4,780

3,000

4,780

3,000

4,993

3,217

4,993

3,217

-82

-54

-82

-54

4,911

3,163

4,911

3,163

-131

-163

-131

-163

1,681

1,016

Transfers of assets between Level 1 to Level 2

11,550

11,692

Number of properties leased from SNH offered for sale

Number of owned properties offered for sale

Condensed Consolidated Balance Sheet:

Accounts receivable

39,205

41,389

41,275

41,153

41,220

36,471

37,128

37,370

39,205

41,220

53,134

54,880

63,130

65,106

56,509

59,972

63,031

64,419

53,134

56,509

1,060

1,446

1,664

1,638

1,790

-186

-195

-115

1,060

1,790

54,194

56,326

64,794

66,744

58,299

59,786

62,836

64,304

54,194

58,299

-14,989

-14,937

-23,519

-25,591

-17,079

-23,315

-25,708

-26,934

-14,989

-17,079

-331

-242

1,391

2,032

Due from related persons

6,881

6,088

2,536

4,607

6,881

6,088

2,536

4,607

6,881

6,088

2,536

4,607

6,881

Prepaid expenses

18,631

10,368

18,631

10,368

19,251

11,097

19,251

11,097

19,251

11,097

19,251

11,097

-620

-729

-620

-729

Current net deferred tax assets

15,037

13,959

15,037

13,959

5,400

6,081

5,400

6,081

9,507

7,738

9,507

7,738

14,907

13,819

14,907

13,819

9,507

7,738

Other current assets

4,780

3,000

4,780

3,000

4,993

3,217

4,993

3,217

-82

-54

-82

-54

4,911

3,163

4,911

3,163

-131

-163

-131

-163

1,681

1,016

Assets of discontinued operations

30,100

32,723

47,246

50,342

51,826

49,735

55,851

57,495

30,100

51,826

10,430

13,003

8,401

8,515

29,022

8,812

12,436

12,542

10,430

29,022

693

996

115

693

996

11,123

13,031

8,415

8,554

30,018

8,825

12,455

12,657

11,123

30,018

18,977

19,692

38,831

41,788

21,808

40,910

43,396

44,838

18,977

21,808

693

996

Total current assets

158,610

146,378

160,663

165,096

162,559

164,376

170,200

167,812

158,610

162,559

137,314

128,465

138,739

141,082

148,252

154,185

160,156

156,741

137,314

148,252

18,059

14,061

12,139

14,021

10,470

-418

-421

18,059

10,470

155,373

142,526

150,878

155,103

158,722

153,767

159,735

156,741

155,373

158,722

3,237

3,852

9,785

9,993

3,837

10,609

10,465

11,071

3,237

3,837

9,507

7,738

-1,763

-1,070

-331

-242

693

996

9,953

3,048

Property and equipment, net

337,494

333,989

332,062

330,445

332,982

347,915

267,198

194,631

337,494

332,982

335,612

336,889

337,836

353,539

332,185

353,639

273,208

201,277

335,612

332,185

5,039

872

447

1,053

4,554

1,049

529

409

5,039

4,554

340,651

337,761

338,283

354,592

336,739

354,688

273,737

201,686

340,651

336,739

-3,157

-3,772

-6,221

-24,147

-3,757

-6,773

-6,539

-7,055

-3,157

-3,757

110

4,929

4,522

Goodwill and other intangible assets

27,708

28,001

28,293

29,311

29,334

11,547

11,570

11,593

27,708

29,334

27,788

28,081

31,857

15,157

29,414

15,383

15,496

15,609

27,788

29,414

27,788

28,081

31,857

15,157

29,414

15,383

15,496

15,609

27,788

29,414

-80

-3,564

14,154

-80

-3,836

-3,926

-4,016

-80

Long term net deferred tax assets

36,214

48,820

36,214

48,820

38,099

48,128

38,099

48,128

-1,885

692

-1,885

692

36,214

48,820

36,214

48,820

8,583

-1,885

692

Other long term assets

4,168

45,357

50,821

51,873

3,153

3,334

3,823

3,821

4,168

3,153

43,347

50,233

50,966

3,000

3,334

3,823

3,821

3,000

2,010

588

907

153

45,357

50,821

51,873

3,153

3,334

3,823

3,821

3,153

153

Total assets

592,569

580,449

594,859

601,248

559,346

549,710

481,659

402,104

592,569

559,346

571,356

563,506

581,685

585,267

583,477

549,079

481,551

401,695

571,356

583,477

21,213

16,943

13,174

15,981

15,869

631

108

409

21,213

15,869

592,569

580,449

594,859

601,248

599,346

549,710

481,659

402,104

592,569

599,346

7,622

8,583

-1,763

-1,070

-221

-210

5,622

5,518

9,953

3,048

Accounts payable

38,035

25,298

25,077

23,389

24,277

19,144

16,029

23,368

38,035

24,277

36,920

24,500

24,766

22,831

22,736

21,512

18,621

25,992

36,920

22,736

2,768

2,645

2,539

2,697

2,979

2,768

2,979

39,688

27,145

27,305

25,528

25,715

21,512

18,621

25,992

39,688

25,715

-1,653

-1,847

-2,228

-2,139

-1,438

-2,368

-2,592

-2,624

-1,653

-1,438

2,768

2,979

Accrued expenses

28,010

21,097

21,579

22,256

24,660

26,111

20,496

20,991

28,010

24,660

22,996

20,840

23,742

24,027

21,698

27,433

22,395

22,412

22,996

21,698

5,212

458

-1,982

-1,269

3,104

-922

-1,289

-1,452

5,212

3,104

28,208

21,298

21,760

22,758

24,802

26,511

21,106

20,960

28,208

24,802

-198

-201

-181

-502

-142

-400

-610

-198

-142

-544

-490

4,929

4,522

827

-928

Accrued compensation and benefits

35,302

41,168

38,699

36,937

33,899

36,676

37,998

37,331

35,302

33,899

40,986

48,118

45,388

44,632

38,975

44,091

46,882

45,385

40,986

38,975

40,986

48,118

45,388

44,632

38,975

44,091

46,882

45,385

40,986

38,975

-5,684

-6,950

-6,689

-7,695

-5,076

-7,415

-8,884

-8,054

-5,684

-5,076

Due to related persons

19,484

19,915

19,408

19,129

19,494

16,306

17,417

17,823

19,484

19,494

11,715

12,791

15,956

13,467

18,659

16,306

17,417

17,823

11,715

18,659

7,769

7,124

3,452

5,662

835

7,769

835

19,484

19,915

19,408

19,129

19,494

16,306

17,417

17,823

19,484

19,494

7,769

835

Accrued real estate taxes

10,723

13,596

10,119

8,555

10,353

14,535

10,093

7,846

10,723

10,353

11,905

14,909

11,378

9,878

11,466

14,833

10,428

8,102

11,905

11,466

-888

-1,036

-916

-1,055

-835

-888

-835

11,017

13,873

10,462

8,823

10,631

14,833

10,428

8,102

11,017

10,631

-294

-277

-343

-268

-278

-298

-335

-256

-294

-278

-888

-835

Security deposit liability

9,057

9,341

9,487

10,231

10,183

10,231

9,970

9,906

9,057

10,183

9,727

9,948

10,033

10,724

10,606

10,677

10,434

10,390

9,727

10,606

-647

-584

-523

-470

-400

-424

-436

-456

-647

-400

9,080

9,364

9,510

10,254

10,206

10,253

9,998

9,934

9,080

10,206

-23

-22

-28

-23

-647

-400

-251

-417

Other current liabilities

14,775

16,956

19,469

17,645

16,742

17,534

18,040

13,380

14,775

16,742

15,299

16,958

17,421

15,532

15,745

15,477

16,094

11,325

15,299

15,745

-523

2,048

2,113

997

2,058

1,951

2,064

-523

997

14,776

16,958

19,469

17,645

16,742

17,535

18,045

13,389

14,776

16,742

-1

-2

-1

-5

-9

-1

-523

997

Liabilities of discontinued operations

16,977

18,076

17,950

19,580

18,355

19,354

21,039

19,945

16,977

18,355

8,448

8,764

8,491

8,932

10,419

8,854

8,582

8,905

8,448

10,419

672

-5

979

-4

100

672

979

9,120

8,771

8,486

8,953

11,398

8,850

8,585

9,005

9,120

11,398

7,857

9,305

9,464

10,627

6,957

10,504

12,454

10,940

7,857

6,957

-21

-17

693

996

Total current liabilities

198,327

166,523

200,348

196,766

196,990

208,903

160,403

155,590

198,327

196,990

183,960

157,904

195,735

189,067

189,331

208,195

160,174

155,334

183,960

189,331

14,363

8,614

4,613

7,699

7,659

708

229

256

14,363

7,659

198,323

166,518

200,348

196,766

196,990

208,903

160,403

155,590

198,323

196,990

-544

-490

-668

-417

5,622

5,518

9,953

3,048

Other long term liabilities

6,712

6,493

6,883

7,267

7,498

7,715

8,304

8,728

6,712

7,498

6,615

6,415

6,800

7,184

7,415

7,715

8,304

8,728

6,615

7,415

101

6,716

6,498

6,883

7,267

7,498

7,715

8,304

8,728

6,716

7,498

-4

-5

-4

101

Total long term liabilities

80,688

102,953

100,064

115,316

114,035

113,116

91,748

76,863

80,688

114,035

80,591

102,875

99,981

115,233

113,952

113,116

91,748

76,863

80,591

113,952

101

80,692

102,958

100,064

115,316

114,035

113,116

91,748

76,863

80,692

114,035

-4

-5

-4

101

Additional paid in capital

354,164

353,505

353,301

352,983

352,722

352,429

352,366

297,884

354,164

352,722

354,083

353,468

353,309

353,036

352,819

352,501

352,414

297,908

354,083

352,819

-8

-53

-97

-72

-48

-24

-97

354,164

353,505

353,301

352,983

352,722

352,429

352,366

297,884

354,164

352,722

-97

Accumulated deficit

-44,455

-46,401

-62,614

-67,524

-67,996

-129,988

-129,527

-134,473

-44,455

-67,996

-49,637

-53,136

-69,575

-74,213

-74,582

-129,983

-129,454

-134,650

-49,637

-74,582

5,182

6,735

6,961

6,689

6,586

-5

-73

177

5,182

6,586

-44,455

-46,401

-62,614

-67,524

-67,996

-129,988

-129,527

-134,473

-44,455

-67,996

6,579

7,352

-1,763

-1,070

366

304

Accumulated other comprehensive income

3,363

3,390

3,281

3,228

3,116

4,774

6,194

5,880

3,363

3,116

1,877

1,916

1,756

1,665

1,478

4,774

6,194

5,880

1,877

1,478

1,486

1,474

1,525

1,563

1,638

1,486

1,638

3,363

3,390

3,281

3,228

3,116

4,774

6,194

5,880

3,363

3,116

1,638

Total shareholders' equity

313,554

310,973

294,447

289,166

288,321

227,691

229,508

169,651

313,554

288,321

164,767

139,315

306,805

302,727

285,969

280,967

280,194

227,768

229,629

169,498

306,805

280,194

6,749

8,246

8,478

8,199

8,127

-77

-121

153

6,749

8,127

313,554

310,973

294,447

289,166

288,321

227,691

229,508

169,651

313,554

288,321

8,065

8,990

-1,763

-1,070

447

207

Total liabilities and shareholders' equity

592,569

580,449

594,859

601,248

599,346

549,710

481,659

402,104

592,569

599,346

571,356

563,506

581,685

585,267

583,477

549,079

481,551

401,695

571,356

583,477

21,213

16,943

13,174

15,981

15,869

631

108

409

21,213

15,869

592,569

580,449

594,859

601,248

599,346

549,710

481,659

402,104

592,569

599,346

7,622

8,583

-1,763

-1,070

-221

-210

5,622

5,518

9,953

3,048

Condensed Consolidated Statement of Income:

Senior living revenue

269,790

268,645

269,093

266,805

265,045

265,623

255,355

252,714

1,074,333

1,038,737

991,195

279,154

277,568

278,076

276,220

274,733

275,605

266,066

263,379

1,111,018

1,078,380

-422

-310

-147

-220

-429

-342

-358

-1,099

-1,064

278,732

277,258

277,929

276,000

274,304

275,263

265,708

263,445

1,109,919

1,077,316

-8,942

-8,613

-8,836

-9,195

-9,259

-9,640

-10,353

-10,731

-35,586

-38,579

247

400

-1,346

-1,464

Rehabilitation hospital revenue

27,547

26,328

26,386

26,787

27,085

26,273

26,337

25,625

107,048

105,320

27,547

26,328

26,386

26,787

27,085

26,273

26,337

25,625

107,048

105,320

-27,547

-26,328

-26,386

-26,787

-27,085

-26,273

-26,337

-25,625

-107,048

-105,320

Total revenues

322,185

297,169

296,493

291,298

277,225

274,306

255,942

252,714

1,207,145

1,060,187

991,195

359,096

332,420

349,094

346,121

332,788

329,475

312,563

308,341

1,350,878

1,205,150

-422

-310

-147

-220

-429

-342

-358

-1,099

-1,064

358,674

332,110

348,947

345,901

332,359

329,133

312,205

308,407

1,349,779

1,204,086

-36,489

-34,941

-52,454

-54,603

-55,134

-54,827

-56,263

-55,693

-142,634

-143,899

247

400

251

-1,346

-1,464

-1,346

-1,464

251

417

Senior living wages and benefits

128,998

131,384

130,252

131,810

130,917

129,264

126,528

123,303

522,444

510,012

486,386

135,356

137,816

136,618

138,374

137,411

136,135

133,570

130,337

548,164

536,386

-63

206

242

135,387

137,838

136,630

138,398

137,432

136,072

133,648

130,543

548,253

536,628

-6,389

-6,454

-6,378

-6,588

-6,515

-6,808

-7,120

-7,240

-25,809

-26,616

242

Other senior living operating expenses

67,113

64,579

63,797

64,260

64,543

65,844

59,041

60,063

259,749

249,491

233,080

70,007

66,858

66,242

66,962

66,532

68,669

61,143

63,349

270,069

259,655

-182

-200

-290

420

-330

-93

-390

-653

-394

69,825

66,877

66,042

66,672

66,952

68,339

61,050

62,959

269,416

259,261

-2,712

-2,298

-2,245

-2,412

-2,409

-2,495

-2,009

-2,896

-9,667

-9,770

693

1,070

1,346

1,464

-1,346

-1,464

Rehabilitation hospital expenses

24,763

23,734

23,872

24,119

24,507

23,300

23,445

24,053

96,488

95,305

24,763

23,734

23,872

24,119

24,507

23,300

23,445

24,053

96,488

95,305

-24,763

-23,734

-23,872

-24,119

-24,507

-23,300

-23,445

-24,053

-96,488

-95,305

Rent expense

47,733

47,659

47,431

47,361

47,068

47,274

44,975

44,633

190,184

183,950

176,839

50,598

50,523

50,297

50,227

49,935

50,140

48,003

47,662

201,641

195,407

50,598

50,523

50,297

50,227

49,935

50,140

48,003

47,662

201,641

195,407

-2,865

-2,864

-2,866

-2,867

-2,866

-3,028

-3,029

-11,457

General and administrative

16,197

14,647

15,434

15,499

15,273

14,394

14,130

13,646

61,777

57,443

55,486

16,153

14,602

15,389

15,455

15,298

14,418

14,154

13,670

61,599

57,540

-25

-24

178

-97

16,197

14,647

15,434

15,499

15,273

14,394

14,130

13,646

61,777

57,443

178

-97

Depreciation and amortization

6,284

6,175

6,203

5,818

5,819

5,368

4,134

3,839

24,480

19,160

14,077

6,433

6,324

6,709

6,316

6,348

5,858

4,620

4,311

25,064

19,694

-19

-20

-19

-32

-78

-32

6,414

6,304

6,689

6,297

6,316

5,858

4,620

4,311

24,986

19,662

-130

-129

-486

-479

-497

-490

-486

-472

-506

-502

-78

-32

Impairment of long-lived assets

3,080

3,500

-420

Total operating expenses

316,570

291,691

285,850

288,153

278,366

270,468

249,370

245,484

1,182,264

1,043,688

965,868

353,555

327,104

339,118

343,608

333,629

325,316

304,139

302,271

1,330,020

1,188,039

-126

-417

-39

-208

-464

-281

353,429

327,170

338,955

343,367

334,013

324,899

304,100

302,063

1,329,556

1,187,758

-36,859

-35,479

-53,105

-55,214

-55,647

-54,431

-54,730

-56,579

-143,927

-144,070

693

1,070

189

113

-1,346

-1,464

Operating income

5,615

5,478

10,643

3,145

-1,141

3,838

6,572

7,230

24,881

16,499

25,327

5,541

5,316

9,976

2,513

-841

4,159

8,424

6,070

20,858

17,111

-296

-376

-813

-319

274

-635

-783

5,245

4,940

9,992

2,534

-1,654

4,234

8,105

6,344

20,223

16,328

370

538

651

611

513

-396

-1,533

886

1,293

171

-693

-1,070

287

Income from continuing operations before income taxes and earnings of Affiliates Insurance Company

4,294

3,878

9,317

1,923

842

3,462

4,868

7,008

19,412

16,180

26,154

4,220

3,716

8,662

1,303

1,156

3,796

6,734

5,964

18,754

16,792

-296

-376

-813

-319

274

-635

-783

3,924

3,340

8,678

1,324

343

3,871

6,415

6,238

18,119

16,009

370

538

639

599

499

-409

-1,547

770

1,293

171

-693

-1,070

287

(Provision) benefit for income taxes

-2,381

-905

-3,817

-801

59,021

-265

-373

-534

-7,904

57,849

-1,448

-807

-426

-3,807

-602

51,560

-186

-441

-379

-5,642

50,554

-1,424

-260

250

7,666

-104

-25

-109

-1,739

7,365

-2,231

-686

-3,557

-557

59,226

290

-466

-488

-7,381

57,919

-150

-219

-260

-244

-205

-46

-523

-70

-1,739

7,365

Income from continuing operations

1,993

3,088

5,576

1,167

59,891

3,225

4,541

6,511

11,824

74,168

24,705

3,493

3,405

4,931

746

52,744

3,638

6,339

5,622

13,428

67,485

-1,720

-636

266

6,853

-29

-344

165

-2,374

6,582

649

9,947

8,956

770

101

1,773

2,769

5,197

812

59,597

3,609

5,995

5,787

11,054

74,067

220

319

379

355

294

-384

-1,454

724

770

101

-1,739

7,365

-1,070

287

Income (loss) from discontinued operations

-47

13,125

-666

-695

2,100

-3,685

405

-2,201

17,158

-6,184

-1,213

13,034

-293

-377

2,657

-4,166

-1,143

-1,489

11,517

-3,284

167

410

-263

6,934

-2,729

649

173

13,444

-287

-340

2,394

-4,069

-1,049

-1,477

18,451

-6,013

-220

-319

-379

-355

-294

384

1,454

-724

-1,293

-171

6,930

-2,746

Net income

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

23,492

3,499

16,439

4,638

369

55,401

-528

5,196

4,133

24,945

64,201

-1,553

-226

272

103

6,590

-250

177

-1,404

6,586

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

-773

7,352

-693

-1,070

304

Basic income per share from:

Continuing operations (in dollars per share)

$0.04

$0.06

$0.12

$0.02

$1.26

$0.07

$0.12

$0.18

$0.25

$1.76

$0.69

$0.07

$0.10

$0.02

$1.11

$0.08

$0.17

$0.16

$0.28

$1.60

$0.04

$0.06

$0.11

$0.02

$1.25

$0.08

$0.16

$0.23

$1.76

Discontinued operations (in dollars per share)

$0.28

($0.02)

($0.01)

$0.04

($0.08)

$0.01

($0.06)

$0.24

($0.08)

($0.03)

$0.27

($0.01)

$0.05

($0.09)

($0.03)

($0.04)

$0.24

($0.08)

$0.28

($0.01)

$0.05

($0.09)

($0.03)

($0.04)

$0.26

($0.08)

Net income per share - basic (in dollars per share)

$0.04

$0.34

$0.10

$0.01

$1.30

($0.01)

$0.13

$0.12

$0.49

$1.68

$0.66

$0.07

$0.34

($0.09)

$0.01

$1.16

($0.01)

$0.14

$0.12

$0.52

$1.52

$0.04

$0.34

$0.10

$0.01

$1.30

($0.01)

$0.13

$0.12

$0.49

$1.68

Diluted income per share from:

Continuing operations (in dollars per share)

$0.04

$0.06

$0.11

$0.02

$1.19

$0.07

$0.12

$0.18

$0.25

$1.67

$0.67

$0.07

$0.10

$0.02

$1.05

$0.08

$0.17

$0.15

$0.28

$1.52

$0.04

$0.06

$0.11

$0.02

$1.18

$0.08

$0.16

$0.22

$1.67

Discontinued operations (in dollars per share)

$0.27

($0.01)

$0.04

($0.07)

$0.01

($0.06)

$0.23

($0.08)

($0.03)

$0.26

($0.01)

$0.05

($0.09)

($0.03)

($0.04)

$0.24

($0.07)

$0.27

($0.01)

$0.05

($0.08)

($0.03)

($0.04)

$0.25

($0.07)

Net income per share - diluted (in dollars per share)

$0.04

$0.33

$0.10

$0.01

$1.23

$0.13

$0.12

$0.48

$1.59

$0.64

$0.07

$0.33

($0.09)

$0.01

$1.10

($0.01)

$0.14

$0.11

$0.52

$1.45

$0.04

$0.14

$0.04

$0.33

$0.10

$0.01

$1.23

$0.13

$0.12

$0.48

$1.59

Consolidated Statement of Comprehensive Income:

Net income

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

23,492

3,499

16,439

4,638

369

55,401

-528

5,196

4,133

24,945

64,201

-1,553

-226

272

103

6,590

-250

177

-1,404

6,586

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

-773

7,352

-693

-1,070

304

Other comprehensive income (loss):

Unrealized gain on investments in available for sale securities, net of tax

214

1,828

358

-144

-18

Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax

-2,460

-933

-4,116

-8

1,656

Unrealized gains on equity investment in Affiliates Insurance Company

Other comprehensive income (loss)

247

-2,360

896

399

-3,998

-152

1,638

Comprehensive income

23,788

68,427

24,388

25,344

60,203

-1,556

8,224

Consolidated Statement of Cash Flows data:

Net income

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

23,492

3,499

16,439

4,638

369

55,401

-528

5,196

4,133

24,945

64,201

-1,553

-226

272

103

6,590

-250

177

-1,404

6,586

1,946

16,213

4,910

472

61,991

-460

4,946

4,310

23,541

70,787

-773

7,352

-693

-1,070

304

Depreciation and amortization

24,480

19,160

14,077

25,064

19,694

-32

24,986

19,662

-506

-502

-78

-32

(Income) loss from discontinued operations

-13,125

666

695

-2,100

3,685

-405

2,201

-17,158

6,184

1,213

-6

-13,034

293

377

-2,657

4,166

1,143

1,489

-11,517

3,284

-167

-410

-6

-37

263

-97

-94

-12

-6,934

2,729

-649

-173

-13,444

287

340

-2,394

4,069

1,049

1,477

-18,451

6,013

220

319

379

355

294

-384

-1,454

724

1,293

171

-4

-17

-6,930

2,746

Impairment of long-lived assets

3,080

3,500

-420

Stock-based compensation

1,445

1,173

1,064

1,267

1,271

178

-98

1,445

1,173

178

-98

Deferred income taxes

11,365

-61,491

10,556

-54,699

809

-6,792

11,365

61,491

809

-6,792

Provision for losses on receivables

4,446

4,197

3,613

5,296

5,257

5,296

5,257

-850

-1,060

Changes in assets and liabilities:

Accounts receivable

-2,431

-8,344

-7,246

-1,921

-6,578

730

-1,789

-1,191

-8,367

-1,240

243

641

-2,032

Prepaid expenses and other assets

-11,356

-1,109

1,182

-11,270

-1,025

-99

-11,242

-1,124

-114

-153

693

1,070

-665

-1,016

Accounts payable and accrued expenses

16,701

5,848

-5,853

15,482

3,537

1,490

2,381

16,972

5,918

-271

-70

-54

-490

1,544

2,871

Accrued compensation and benefits

1,403

2,770

1,081

2,011

1,924

2,011

1,924

-608

846

Due to related persons

-6,891

1,653

230

-6,944

818

835

-6,891

1,653

835

Other current and long term liabilities

2,305

2,384

324

4,128

3,367

-1,802

-975

2,326

2,392

-21

-8

-247

-400

-1,573

-658

Cash provided by operating activities

47,508

42,036

105,936

56,755

40,295

-6,930

2,746

49,825

43,041

-2,317

-1,005

-6,930

2,746

Acquisition of property and equipment

-51,805

-57,451

-48,155

-57,386

-60,380

-57,386

-60,380

5,581

2,929

Proceeds from sale of pharmacy business

34,298

-34,298

Proceeds from disposition of property and equipment

24,818

31,317

24,548

30,520

33,269

30,520

33,269

-5,702

-1,952

Cash used in investing activities

-37,684

-125,779

-39,169

-3,265

-126,756

-34,298

-37,563

-126,756

-121

977

-34,298

Repayments of mortgage notes payable

-1,028

-548

-4,489

-1,170

-683

142

135

-1,028

-548

142

135

Cash provided by (used in) financing activities

-51,066

90,783

-54,410

-51,208

90,648

142

135

-51,066

90,783

142

135

Net cash (used in) provided by operating activities of discontinued operations

1,763

2,405

2,722

-6,018

3,417

5,464

-2,017

-554

1,400

2,317

1,005

5,464

-2,017

Net cash provided by (used in) investing activities of discontinued operations

35,885

-1,706

802

35,764

-729

35,764

-729

121

-977

35,764

-729

Net cash used in financing activities of discontinued operations

-142

-135

-128

-142

-135

-142

-135

-142

-135

Net cash flows (used in) provided by discontinued operations

$37,506

$564

$3,396

($6,018)

$3,417

$41,086

($2,881)

$35,068

$536

$2,438

$28

$41,086

($2,881)

Number of real estate properties classified as discontinued operations