AlerisLife (ALR) 10-Q 11 May 15 2015 Q1 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	3 Months Ended
	Mar. 31, 2015	7-May-15
Document and Entity Information [Abstract]
Entity Registrant Name	FIVE STAR QUALITY CARE INC
Entity Central Index Key	1159281
Document Type	10-Q
Document Period End Date	31-Mar-15
Amendment Flag	FALSE
Current Fiscal Year End Date	-19
Entity Current Reporting Status	Yes
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		48,996,115
Document Fiscal Year Focus	2015
Document Fiscal Period Focus	Q1

CONSOLIDATED_BALANCE_SHEETS

CONSOLIDATED BALANCE SHEETS (USD $)	Mar. 31, 2015	Dec. 31, 2014
Current assets:
Cash and cash equivalents	$26,670,000	$20,988,000
Accounts receivable, net of allowance of $4,371 and $3,416 at March 31, 2015 and December 31, 2014, respectively	39,258,000	38,814,000
Due from related persons	7,945,000	12,641,000
Investments in available for sale securities, of which $9,506 and $8,352 are restricted as of March 31, 2015 and December 31, 2014, respectively	24,797,000	23,436,000
Restricted cash	3,130,000	2,945,000
Prepaid and other current assets	17,913,000	21,494,000
Assets of discontinued operations	2,451,000	1,463,000
Total current assets	122,164,000	121,781,000
Property and equipment, net	354,880,000	357,186,000
Equity investment of an investee	6,945,000	6,827,000
Restricted cash	1,811,000	2,170,000
Restricted investments in available for sale securities	16,396,000	19,835,000
Goodwill and other intangible assets	25,713,000	25,904,000
Other long term assets	2,653,000	1,270,000
Total assets	530,562,000	534,973,000
Current liabilities:
Revolving credit facilities	30,000,000	35,000,000
Accounts payable and accrued expenses	86,830,000	85,606,000
Accrued compensation and benefits	40,223,000	34,171,000
Due to related persons	19,056,000	20,338,000
Mortgage notes payable	1,810,000	1,786,000
Accrued real estate taxes	9,279,000	11,282,000
Security deposits and current portion of continuing care contracts	7,315,000	7,235,000
Other current liabilities	23,097,000	19,470,000
Liabilities of discontinued operations	1,907,000	504,000
Total current liabilities	219,517,000	215,392,000
Accrued expenses	2,300,000	3,600,000
Long term liabilities:
Mortgage notes payable	48,911,000	49,373,000
Continuing care contracts	1,443,000	1,370,000
Accrued self-insurance obligations	33,842,000	37,268,000
Other long term liabilities	4,594,000	4,788,000
Total long term liabilities	88,790,000	92,799,000
Commitments and contingencies
Shareholders' equity:
Common stock, par value $.01: 75,000,000 shares authorized, 48,996,115 and 48,997,315 shares issued and outstanding at March 31, 2015 and December 31, 2014, respectively	490,000	490,000
Additional paid in capital	357,351,000	357,051,000
Accumulated deficit	-139,751,000	-134,449,000
Accumulated other comprehensive income	4,165,000	3,690,000
Total shareholders' equity	222,255,000	226,782,000
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$530,562,000	$534,973,000

CONSOLIDATED_BALANCE_SHEETS_Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)	Mar. 31, 2015	Dec. 31, 2014	Mar. 31, 2014	Mar. 31, 2013
In Thousands, except Share data, unless otherwise specified
CONSOLIDATED BALANCE SHEETS
Accounts receivable, allowance (in dollars)	$4,371	$3,416
Investments in available for sale securities, restricted (in dollars)	$9,506	$8,352
Common stock, par value (in dollars per share)	$0.01	$0.01	$0.01	$0.01
Common stock, shares authorized	75,000,000	75,000,000
Common stock, shares issued	48,996,115	48,997,315
Common stock, shares outstanding	48,996,115	48,997,315

CONSOLIDATED_STATEMENTS_OF_OPE

CONSOLIDATED STATEMENTS OF OPERATIONS (USD $)	3 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014
Revenues:
Senior living revenue	$275,173	$271,781
Management fee revenue	2,523	2,425
Reimbursed costs incurred on behalf of managed communities	56,277	54,205
Total revenues	333,973	328,411
Operating expenses:
Senior living wages and benefits	133,253	132,783
Other senior living operating expenses	72,225	72,817
Costs incurred on behalf of managed communities	56,277	54,205
Rent expense	49,628	49,074
General and administrative	17,982	19,748
Depreciation and amortization	8,095	7,276
Total operating expenses	337,460	335,903
Operating loss	-3,487	-7,492
Interest, dividend and other income	220	196
Interest and other expense	-1,354	-1,218
Gain on sale of available for sale securities reclassified from other comprehensive income	20	313
Loss from continuing operations before income taxes and equity in earnings (loss) of an investee	-4,601	-8,201
(Provision for) benefit from income taxes	-304	2,431
Equity in earnings (loss) of an investee	72	-97
Loss from continuing operations	-4,833	-5,867
Loss from discontinued operations	-469	-892
Net loss	($5,302)	($6,759)
Weighted average shares outstanding- basic and diluted	48,364	48,002
Basic and diluted loss per share from:
Continuing operations	($0.10)	($0.12)
Discontinued operations	($0.01)	($0.02)
Net loss per share - basic and diluted	($0.11)	($0.14)

CONSOLIDATED_STATEMENTS_OF_COM

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Net loss	($5,302)	($6,759)
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax of $0 and $155, respectively	450	253
Equity in unrealized gain of an investee, net of tax	45	19
Realized gain on investments in available for sale securities reclassified and included in net loss, net of tax of $0 and $119, respectively	-20	-194
Other comprehensive income	475	78
Comprehensive loss	($4,827)	($6,681)

CONSOLIDATED_STATEMENTS_OF_COM1

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Unrealized gain on investments in available for sale securities tax	$0	$155
Realized gain in investments in available for sale securities reclassified and included in net loss, tax provision (benefit)	$0	$119

CONSOLIDATED_STATEMENTS_OF_CAS

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014
Cash flows from operating activities:
Net loss	($5,302)	($6,759)
Adjustments to reconcile net loss to cash provided by operating activities:
Depreciation and amortization	8,501	7,548
Loss from discontinued operations before income tax	469	1,365
Gain on sale of available for sale securities	-20	-313
Loss on disposal of property and equipment	7
Equity in (earnings) loss of an investee	-72	97
Stock-based compensation	300	256
Deferred income taxes		-3,763
Provision for losses on receivables	1,696	1,234
Changes in assets and liabilities:
Accounts receivable	-2,140	-1,860
Prepaid expenses and other assets	1,853	-2,218
Accounts payable and accrued expenses	2,385	4,796
Accrued compensation and benefits	6,052	6,386
Due to related persons, net	4,175	3,885
Other current and long term liabilities	-1,916	-1,672
Cash provided by operating activities	15,988	8,982
Cash flows from investing activities:
Deposits into restricted cash and investment accounts, net	174	11,303
Acquisition of property and equipment	-11,550	-13,058
Purchase of available for sale securities	-234	-9,512
Proceeds from sale of property and equipment to Senior Housing Properties Trust	4,060	8,614
Proceeds from sale of available for sale securities	2,736	4,336
Cash (used in) provided by investing activities	-4,814	1,683
Cash flows from financing activities:
Repayments of borrowings on credit facilities	-5,000	-20,000
Repayments of mortgage notes payable	-438	-283
Cash used in financing activities	-5,438	-20,283
Cash flows from discontinued operations:
Net cash (used in) provided by operating activities	-42	7,275
Net cash used in investing activities	-12
Net cash flows (used in) provided by discontinued operations	-54	7,275
Change in cash and cash equivalents	5,682	-2,343
Cash and cash equivalents at beginning of period	20,988	23,628
Cash and cash equivalents at end of period	26,670	21,285
Supplemental cash flow information:
Cash paid for interest	969	821
Cash paid (refunded) for income taxes, net	$182	($21)

Basis_of_Presentation_and_Orga

Basis of Presentation and Organization	3 Months Ended
	Mar. 31, 2015
Basis of Presentation and Organization
Basis of Presentation and Organization	Note 1.  Basis of Presentation and Organization
	General
	The accompanying condensed consolidated financial statements of Five Star Quality Care, Inc. and its subsidiaries, or we, us or our, are unaudited.  Certain information and disclosures required by U.S. generally accepted accounting principles for complete financial statements have been condensed or omitted.  We believe the disclosures made are adequate to make the information presented not misleading.  However, the accompanying financial statements should be read in conjunction with the financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2014, or our Annual Report.  In the opinion of our management, all adjustments, which include only normal recurring adjustments, considered necessary for a fair presentation have been included.  All intercompany transactions and balances with or among our consolidated subsidiaries have been eliminated.  Our operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.
	We operate senior living communities, including independent living communities, assisted living communities and skilled nursing facilities, or SNFs.  As of March 31, 2015, we operated 258 senior living communities located in 31 states with 30,389 living units, including 227 primarily independent and assisted living communities with 27,582 living units and 31 SNFs with 2,807 living units.  As of March 31, 2015, we owned and operated 31 communities (3,064 living units), we leased and operated 181 communities (20,035 living units) and we managed 46 communities (7,290 living units).  Our 258 senior living communities, as of March 31, 2015, included 10,586 independent living apartments, 14,619 assisted living suites and 5,184 skilled nursing units.  The foregoing numbers exclude: (i) one assisted living community with 32 living units that we own which is being offered for sale and is classified as a discontinued operation; and (ii)  three SNFs with a total of 167 living units that we lease from Senior Housing Properties Trust or its subsidiaries, or SNH, that are being offered for sale and are classified as discontinued operations.
	Segment Information
	We have two operating segments: senior living communities and rehabilitation and wellness. In the senior living community segment, we operate for our own account or manage for the account of third parties 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 Financial Accounting Standards Board, or FASB, Accounting Standards Codification TM, or ASC, Topic 280, and therefore, we have determined that our business is comprised of one reportable segment, senior living. All of our operations and assets are located in the United States, except for the operations of our Cayman Islands organized captive insurance company subsidiary, which participates in our workers’ compensation, professional liability and automobile insurance programs.

Recent_Accounting_Pronouncemen

Recent Accounting Pronouncements	3 Months Ended
	Mar. 31, 2015
Recent Accounting Pronouncements
Recent Accounting Pronouncements	Note 2. Recent Accounting Pronouncements
	In April 2015, the FASB issued Accounting Standards Update 2015-03, Simplifying the Presentation of Debt Issuance Costs, which requires debt issuance costs to be presented in the balance sheet as a direct deduction from the associated debt liability. This update is effective for interim and annual reporting periods beginning after December 15, 2015 and requires retrospective application. The implementation of this update is not expected to cause any material changes to our consolidated financial statements.
	In June 2014, the FASB issued Accounting Standards Update 2014‑09, Revenue from Contracts with Customers (Topic 606), or ASU 2014‑09. ASU 2014‑09 aims to clarify the principles for recognizing revenue by, among other things, removing inconsistencies in revenue requirements, improving comparability of revenue recognition practices across entities and industries and providing improved disclosure requirements. We are required to retrospectively adopt ASU 2014‑09 for fiscal periods beginning after December 15, 2016 and are evaluating the impact the adoption of this ASU will have on our consolidated financial statements. In April 2015, the FASB voted to propose a deferral of the effective date of this ASU by one year, but to permit entities to adopt one year earlier if they choose to do so. We are monitoring the outcome of this proposal.

Property_and_Equipment

Property and Equipment	3 Months Ended
	Mar. 31, 2015
Property and Equipment
Property and Equipment	Note 3. Property and Equipment
	Property and equipment consists of the following:
		March 31,		December 31,
		2015		2014
	Land	$	24,172	$	24,172
	Buildings and improvements		308,079		308,779
	Furniture, fixtures and equipment		143,093		136,839
	Property and equipment, at cost		475,344		469,790
	Accumulated depreciation		-120,464		-112,604
	Property and equipment, net	$	354,880	$	357,186
	For the three months ended March 31, 2015 and 2014, we recorded depreciation expense of $7,867 and $6,993 respectively, relating to our property and equipment.
	We review the carrying value of long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. 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 based on input from market participants, our experience selling similar assets, market conditions and internally developed cash flow models that our assets or asset groups are expected to generate. We did not record impairment charges to any of our long-lived assets in continuing operations for the three months ended March 31, 2015 or 2014.
	As of March 31, 2015, we had $5,828 of assets included in our property and equipment that we 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.
	See Note 13 for information regarding two senior living communities we agreed to acquire in March 2015.

Accumulated_Other_Comprehensiv

Accumulated Other Comprehensive Income	3 Months Ended
	Mar. 31, 2015
Accumulated Other Comprehensive Income
Accumulated Other Comprehensive Income	Note 4. Accumulated Other Comprehensive Income
	The following table details the changes in accumulated other comprehensive income, net of tax, for the three months ended March 31, 2015:
		Equity Investment of an Investee		Investments in Available for Sale Securities			Accumulated Other Comprehensive Income
	Balance at January 1, 2015	$	50	$	3,640	$	3,690
	Unrealized gain on investments, net of  tax		—		450		450
	Equity in unrealized gain of an investee		45		—		45
	Reclassification adjustment:
	Realized gain on investments, net of tax		—		-20		-20
	Balance at March 31, 2015	$	95	$	4,070		4,165
	Accumulated other comprehensive income represents the unrealized appreciation of our investments, net of tax, and our share of other comprehensive income of Affiliates Insurance Company, or AIC.

Income_Taxes

Income Taxes	3 Months Ended
	Mar. 31, 2015
Income Taxes
Income Taxes	Note 5.  Income Taxes
	For the three months ended March 31, 2015, we recognized tax expense from continuing operations of $304.  As of December 31, 2014, our federal net operating loss carry forwards, which are scheduled to begin expiring in 2026 if unused, were approximately $112,182 and our tax credit carry forwards, which begin expiring in 2022 if unused, were approximately $17,191.  We have an additional $333 of federal net operating loss carry forwards not included in the $112,182,  that are attributable to unvested stock grants which will be recorded as an increase to additional paid in capital after they are realized in accordance with FASB ASC Topic 718. Our net operating loss carry forwards and tax credit carry forwards are subject to possible audits and adjustments by the Internal Revenue Service.
	During the year ended December 31, 2014, we determined it was more likely than not that our net deferred tax assets would not be realized and concluded that a full valuation allowance is required. In the future, if we believe that we will more likely than not realize the benefit of these deferred tax assets, we will adjust our valuation allowance and recognize an income tax benefit, which may affect our results of operations.

Earnings_Per_Share

Earnings Per Share	3 Months Ended
	Mar. 31, 2015
Earnings Per Share
Earnings Per Share	Note 6.  Earnings Per Share
	We computed basic earnings per common share, or EPS, for the three months ended March 31, 2015 and 2014 using the weighted average number of shares of our common stock, $.01 par value per share, or our common 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.  Unvested shares issued under our equity compensation plans are deemed participating securities because they participate equally in earnings with all of our other common shares and are included in the calculation of diluted EPS.
	The following table provides a reconciliation of loss from continuing operations and loss from discontinued operations and the number of common shares used in the computations of diluted EPS:
		Three Months Ended March 31,
		2015					2014
		Income			Per		Income			Per
		(loss)		Shares	Share		(loss)		Shares	Share
	Loss from continuing operations	$	-4,833	48,364	$	-0.1	$	-5,867	48,002	$	-0.12
	Dilutive effect of unvested restricted shares		—	—				—	—
	Diluted loss from continuing operations	$	-4,833	48,364	$	-0.1	$	-5,867	48,002	$	-0.12
	Diluted loss from discontinued operations	$	-469	48,364	$	-0.01	$	-892	48,002	$	-0.02

Fair_Values_of_Assets_and_Liab

Fair Values of Assets and Liabilities	3 Months Ended
	Mar. 31, 2015
Fair Values of Assets and Liabilities
Fair Values of Assets and Liabilities	Note 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 FASB ASC Topic 820, Fair Value Measurements and Disclosures. 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.
	Recurring Fair Value Measures
	The tables below present the assets measured at fair value at March 31, 2015 and December 31, 2014 categorized by the level of inputs used in the valuation of each asset.
			As of March 31, 2015
					Quoted Prices in
					Active Markets		Significant Other		Significant
					for Identical		Observable		Unobservable
					Assets		Inputs		Inputs
	Description		Total		(Level 1)		(Level 2)		(Level 3)
	Cash equivalents(1)		$	4,524	$	4,524	$	—	$	—
	Available for sale securities:(2)
	Equity securities
	Financial services industry			4,131		4,131		—		—
	REIT industry			346		346		—		—
	Other			3,866		3,866		—		—
	Total equity securities			8,343		8,343		—		—
	Debt securities
	International bond fund(3)			2,409		—		2,409		—
	High yield fund(4)			2,399		—		2,399		—
	Industrial bonds			6,113		—		6,113		—
	Government bonds			9,911		4,936		4,975		—
	Financial bonds			2,732		—		2,732		—
	Other			9,286		—		9,286		—
	Total debt securities			32,850		4,936		27,914		—
	Total available for sale securities			41,193		13,279		27,914		—
	Total		$	45,717	$	17,803	$	27,914	$	—
			As of December 31, 2014
					Quoted Prices in
					Active Markets		Significant Other		Significant
					for Identical		Observable		Unobservable
					Assets		Inputs		Inputs
	Description		Total		(Level 1)		(Level 2)		(Level 3)
	Cash equivalents(1)		$	4,632	$	4,632	$	—	$	—
	Available for sale securities:(2)
	Equity securities
	Financial services industry			4,059		4,059		—		—
	REIT industry			330		330		—		—
	Other			3,841		3,841		—		—
	Total equity securities			8,230		8,230		—		—
	Debt securities
	International bond fund(3)			2,385		—		2,385		—
	High yield fund(4)			2,352		—		2,352		—
	Industrial bonds			6,577		—		6,577		—
	Government bonds			11,371		5,683		5,688		—
	Financial bonds			2,704		—		2,704		—
	Other			9,652		—		9,652		—
	Total debt securities			35,041		5,683		29,358		—
	Total available for sale securities			43,271		13,913		29,358		—
	Total		$	47,903	$	18,545	$	29,358	$	—
		-1		Cash equivalents, consisting of short term, highly liquid investments and money market funds held principally for obligations arising from our self-insurance programs. Cash equivalents are reported on our balance sheet as cash and cash equivalents and current and long term restricted cash.  Cash equivalents include $2,627 and $2,792 of balances that are restricted at March 31, 2015 and December 31, 2014, respectively.
		-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 $24,797 and $16,396, respectively, at March 31, 2015, and $23,436 and $19,835, respectively, at December 31, 2014. Our investments in available for sale securities had amortized costs of $38,466 and $40,974 as of March 31, 2015 and December 31, 2014, respectively, had unrealized gains of $2,884 and $2,455 as of March 31, 2015 and December 31, 2014, respectively, and had unrealized losses of $157 as of March 31, 2015 and December 31, 2014. At March 31, 2015, 14 of the securities we hold, with a fair value of $3,014, have been in a loss position for less than 12 months and eight of the securities we hold, with a fair value of $1,445, 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 these securities remain strong with solid fundamentals, or we intend to hold these securities until recovery, and other factors that support our conclusion that the loss is temporary. During the three months ended March 31, 2015 and 2014, we received gross proceeds of $2,736 and $4,336, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $20 and $324, respectively, and gross realized losses totaling $0 and $11, respectively. We record gains and losses on the sales of our available for sale securities using the specific identification method.
		-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 three months ended March 31, 2015, 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.  Accordingly, there were no transfers of assets or liabilities between levels of the fair value hierarchy during the three months ended March 31, 2015.
	The carrying values of accounts receivable and accounts payable approximate fair value as of March 31, 2015 and December 31, 2014.  The carrying value and fair value of our mortgage notes payable were $50,721 and $56,088, respectively, as of March 31, 2015 and $51,159 and $56,099, respectively, as of December 31, 2014, 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.
	Non-Recurring Fair Value Measures
	We review the carrying value of long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying value of an asset or asset group may not be recoverable. See Note 3 for a  discussion of fair value measurements related to impairments of our long-lived assets.
	We evaluate the recoverability of goodwill assets in the fourth quarter of each fiscal year, or more frequently if events or changes in circumstances indicate that goodwill or other intangible assets may be impaired.  As of October 1, 2014, we evaluated our goodwill for impairment and determined that the fair value of our reporting units exceeded their carrying values on that date.  As of March 31, 2015, no events or changes in circumstances had occurred since October 1, 2014,  that would trigger the need for an additional impairment review.
	Goodwill was valued primarily using discounted cash flow models that incorporate assumptions for each reporting unit’s short and long term revenue growth rates, operating margins, and discount rates, which represent our best estimates of current and forecasted market conditions, current cost structure, and the implied rate of return that management believes a market participant would require for an investment in a company having similar risks and business characteristics to the reporting unit being assessed.
	The fair value of assets held for sale is determined based on the use of appraisals, input from market participants, our experience selling similar assets and/or internally developed cash flow models, all of which are considered to be Level 3 fair value measurements.

Indebtedness

Indebtedness	3 Months Ended
	Mar. 31, 2015
Indebtedness
Indebtedness	Note 8.  Indebtedness
	We have a $25,000 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, 2016.  Borrowings under our Credit Agreement typically bear interest at LIBOR plus a premium of 250 basis points, or 2.68% as of March 31, 2015.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under the Credit Agreement. We may draw, repay and redraw funds until maturity, and no principal repayment is due until maturity.  We made no borrowings under our Credit Agreement during either of the three months ended March 31, 2015 and 2014 and, as of March 31, 2015, we had no amounts outstanding under our Credit Agreement.  We incurred interest expense and other associated costs related to our Credit Agreement of $48 for each of the three months ended March 31, 2015 and 2014.
	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 outstanding upon the occurrence and continuation of certain events of default, including a change of control of us, which includes termination of our business management and shared services agreement, or our business management agreement, with Reit Management & Research LLC, or RMR.
	We also have a $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 was  initially April 13, 2015, but, subject to the payment of extension fees and meeting certain other conditions, our Credit Facility includes options for us to extend its stated maturity date for two consecutive one-year periods.  In April 2015, we exercised our first one-year option and extended the maturity date of our Credit Facility to April 13, 2016, for which we paid a fee of $300.  Borrowings under our Credit Facility typically bear interest at LIBOR plus a premium of 250 basis points, or 2.68% as of March 31, 2015.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under our Credit Facility. 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 2.74% and 2.83% for the three months ended March 31, 2015 and 2014, respectively.  As of March 31, 2015, we had $30,000 outstanding under our Credit Facility.  We incurred interest expense and other associated costs related to our Credit Facility of $609 and $593 for the three months ended March 31, 2015 and 2014, respectively.
	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 outstanding 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.  On March 13, 2015, we and the lenders under our Credit Agreement entered into Amendment No. 3 to the Credit and Security Agreement, which amended the defined term for EBITDA set forth in the Credit Agreement by excluding from the calculation of EBITDA certain costs associated with Medicare compliance deficiencies and made certain changes to the representations and warranties in the Credit Agreement to except certain failures to comply with Medicare billing, recordkeeping, reporting and related practices from events which may cause our default.
	At March 31, 2015,  five of our senior living communities were encumbered by mortgage notes with an aggregate outstanding principal balance of $50,721: (1) two of our communities were encumbered by Federal National Mortgage Association, or FNMA, mortgage notes and (2) three of our communities were encumbered by Federal Home Loan Mortgage Corporation, or FMCC, mortgage notes.  These mortgages contain FNMA and FMCC standard mortgage covenants, respectively. We recorded a  mortgage premium in connection with our assumption of the FNMA and FMCC mortgage notes as part of our acquisitions of the encumbered communities 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.  The weighted average interest rate on these five notes was 6.76% as of March 31, 2015.  Payments of principal and interest are due monthly under these mortgage notes until maturities at varying dates ranging from June 2018 to September 2032.  We incurred mortgage interest expense, including premium amortization, of $697 and $577 for the three months ended March 31, 2015 and 2014, respectively.  Our mortgages require monthly payments into escrows for taxes, insurance and property replacement funds; withdrawals from these escrows require applicable FNMA and FMCC approvals.  As of March 31, 2015, we believe we were in compliance with all applicable covenants under these mortgages.
	See Note 13 for information regarding mortgage debt we expect to assume in connection with our pending acquisition of two senior living communities.

Off_Balance_Sheet_Arrangements

Off Balance Sheet Arrangements	3 Months Ended
	Mar. 31, 2015
Off Balance Sheet Arrangements
Off Balance Sheet Arrangements	Note 9. Off Balance Sheet Arrangements
	We have pledged our accounts receivable and certain other assets, with a carrying value, as of March 31, 2015, of $13,603, arising from our operation of 26 properties owned by SNH and leased to us to secure SNH’s borrowings from its lender, FNMA.  As of March 31, 2015, 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.

Related_Person_Transactions

Related Person Transactions	3 Months Ended
	Mar. 31, 2015
Related Person Transactions
Related Person Transactions	Note 10. Related Person Transactions
	We have relationships and historical and continuing transactions with SNH and RMR and others affiliated with RMR, including other companies to which RMR provides management services and which have directors, trustees and officers who are also directors or officers of us or RMR.  For further information about these and other such relationships and certain other related person transactions, please refer to our Annual Report.
	SNH: As of March 31, 2015, we leased 180 senior living communities from SNH.  Our total minimum annual rent payable to SNH as of March 31, 2015 and 2014 was $191,007 and $190,614,  respectively,  excluding percentage rent.  Our total rent expense under our leases with SNH, net of lease inducement amortization, was $48,941 and $48,758 for the three months ended March 31, 2015 and 2014, respectively. As of March 31, 2015 and December 31, 2014, we had outstanding rent due and payable to SNH of $17,324 and $17,310, respectively.  During the three months ended March 31, 2015 and 2014, pursuant to the terms of our leases with SNH, we sold $4,060 and $8,614, respectively, of improvements made to properties leased from SNH, and, as a result, our annual rent payable to SNH increased by approximately $328 and $689, respectively. As of March 31, 2015, our property and equipment included $5,828 for similar improvements we have made to properties we lease from SNH that we typically 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 February 2015, SNH acquired a land parcel adjacent to a senior living community we lease from SNH for $490.  This property was added to the lease for that senior living community and our annual rent payable to SNH increased by $39 as a result.
	In February 2015, we and SNH sold a vacant assisted living community located in Pennsylvania for $250, and as a result of this sale, our annual minimum rent payable to SNH decreased by $23 in accordance with the terms of the applicable lease.
	As of March 31, 2015, we managed 46 senior living communities for SNH. Pursuant to these management agreements with SNH, we earned management fees of $2,523 and $2,425 for the three months ended March 31, 2015 and 2014, respectively.
	In April 2015, SNH agreed to acquire a senior living community with 40 private pay independent living units located in Cumming, GA. We expect to enter into a management agreement with SNH to manage this community. This community is adjacent to another community that we manage for SNH.  This acquisition is subject to various conditions. Accordingly, we can provide no assurance that SNH will purchase this property, that the acquisition and related expected management arrangement will not be delayed or that the terms will not change.
	In May 2015, we began managing 14 senior living communities that SNH acquired at that time.
	Pursuant to our management agreement with D&R Yonkers LLC, we earned management fees of  $54 and $59 for the three months ended March 31, 2015 and 2014, respectively. SNH’s executive officers are the principals of D&R Yonkers LLC, which was established in order to accommodate certain state licensing requirements.
	RMR:  Pursuant to our business management agreement with RMR, we recognized business management fees of $2,127 and $2,006,  and administrative and information system service fees of $0 and $1,519,  for the three months ended March 31, 2015 and 2014, respectively.  These amounts are included in general and administrative expenses in our condensed consolidated statements of operations.    Our rent expense for our headquarters that we lease from an affiliate of RMR was $411 and $355 for the three months ended March 31, 2015 and 2014, respectively.
	On March 16, 2015, we and RMR entered into an amended and restated business management and shared services agreement, which was approved by our Compensation Committee, comprised solely of our Independent Directors.  As amended, RMR may terminate the business management agreement upon 120 days’ written notice, and we continue to have the right to terminate the business management agreement upon 60 days’ written notice, subject to approval by a majority vote of our Independent Directors.  As amended, if we terminate or elect not to renew the business management agreement other than for cause, as defined, we are obligated to pay RMR a termination fee equal to 2.875 times the sum of the annual base management fee and the annual internal audit services expense, which amounts are based on averages during the 24 consecutive calendar months prior to the date of notice of nonrenewal or termination.  Also, as amended, RMR agrees to provide certain transition services to us for 120 days following termination by us or notice of termination by RMR.
	AIC:  As of March 31, 2015, our investment in AIC had a carrying value of $6,945.  We recognized income (loss) of $72 and $(97) related to our investment in AIC for the three months ended March 31, 2015 and 2014, respectively.

Discontinued_Operations

Discontinued Operations	3 Months Ended
	Mar. 31, 2015
Discontinued Operations
Discontinued Operations	Note 11.  Discontinued Operations
	In June 2013, we decided to offer for sale one assisted living community we own with 32 living units.  We are in the process of offering this community for sale. As of March 31, 2015, we have three senior living communities that we lease from SNH which are being offered for sale and are included in discontinued operations. We can provide no assurance that we will be able to sell the senior living community that we are offering for sale, or that we and SNH will be able to sell the remaining three senior living communities that we lease from SNH that are being offered for sale, or what the terms or timing of any sales may be.
	We have reclassified our condensed consolidated balance sheets and condensed consolidated statements of operations for all periods presented to show the financial position and results of operations of our senior living communities that 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 condensed consolidated financial statements for the three months ended March 31, 2015 and 2014:
		Three Months Ended March 31,
		2015		2014
	Revenues	$	2,604	$	7,501
	Expenses		-3,073		-8,866
	Benefit from income taxes		—		473
	Loss from discontinued operations	$	-469	$	-892

Legal_Proceedings_and_Claims

Legal Proceedings and Claims	3 Months Ended
	Mar. 31, 2015
Legal Proceedings and Claims
Legal Proceedings and Claims	Note 12.  Legal Proceedings and Claims
	We have been, are currently, and expect in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of our business, some of which may involve material amounts. Also, the defense and resolution of these claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings may require us to incur significant expense. We account for claims and litigation losses in accordance with ASC Topic 450, Contingencies, or ASC 450. Under ASC 450, loss contingency provisions are recorded for probable and estimable losses at our best estimate of a loss or, when a best estimate cannot be made, at our estimate of the minimum loss. These estimates are often developed prior to knowing the amount of the ultimate loss, require the application of considerable judgment, and are refined as additional information becomes known. Accordingly, we are often initially unable to develop a best estimate of loss and therefore the estimated minimum loss amount, which could be zero, is recorded; and then, as information becomes known, the minimum loss amount is updated, as appropriate. A minimum or best estimate amount may be increased or decreased when events result in a changed expectation.
	As previously disclosed, as a result of our compliance program to review medical records related to our Medicare billing practices, during 2014 we discovered potentially inadequate documentation and other issues at one of our leased SNFs.  This compliance review was not initiated in response to any specific complaint or allegation, but was a review of the type that we periodically undertake to test our compliance with applicable Medicare billing rules.  As a result of these discoveries, we have made a voluntary disclosure of deficiencies to the United States Department of Health and Human Services Office of the Inspector General, or the OIG, pursuant to the OIG’s Provider Self-Disclosure Protocol.  We have completed our investigation and assessment of these matters and expect to submit a final supplemental disclosure to the OIG in May 2015. In the first quarter of 2015 we accrued an additional revenue reserve of $2.4 million to account for historical Medicare payments we expect to repay (the total revenue reserve recorded at December 31, 2014 and March 31, 2015 was $4.3 million and $6.7 million, respectively).  In addition, we have recorded expense for additional costs we have incurred or we expect to incur, including OIG imposed penalties, as a result of this matter totaling $3.6 million and $2.3 million for the year ending December 31, 2014 and the quarter ending March 31, 2015, respectively, of which $5.1 million remains accrued and not paid at March 31, 2015.  As part of the OIG’s Self-Disclosure Protocol, we expect the OIG will review and evaluate our investigation and assessment of these deficiencies.  The OIG may not agree with our assessment and also may require additional investigation and assessment of these deficiencies and additional deficiencies may be discovered as a result, which could increase our liability to the OIG and other costs. Potential losses associated with any such disagreement or with such additional investigation and assessment and/or additional compliance deficiencies are reasonably possible but cannot be reasonably estimated at this time.

Subsequent_Event

Subsequent Event	3 Months Ended
	Mar. 31, 2015
Subsequent Event
Subsequent Event	Note 13.  Subsequent Event
	In March 2015, we entered into an agreement to acquire two independent living communities with 68 and 84 living units, respectively, located in Tennessee for an aggregate purchase price of approximately $26,000, including the assumption of approximately $17,000 of mortgage debt. We expect to fund this acquisition with cash on hand and borrowings under our Credit Facility. We expect this transaction to close during 2015; however, this acquisition is subject to various conditions.  Accordingly, we can provide no assurance that we will acquire these communities, that the acquisition will not be delayed or that the terms or timing will not change.

Property_and_Equipment_Tables

Property and Equipment (Tables)	3 Months Ended
	Mar. 31, 2015
Property and Equipment
Schedule of property and equipment
		March 31,		December 31,
		2015		2014
	Land	$	24,172	$	24,172
	Buildings and improvements		308,079		308,779
	Furniture, fixtures and equipment		143,093		136,839
	Property and equipment, at cost		475,344		469,790
	Accumulated depreciation		-120,464		-112,604
	Property and equipment, net	$	354,880	$	357,186

Accumulated_Other_Comprehensiv1

Accumulated Other Comprehensive Income (Tables)	3 Months Ended
	Mar. 31, 2015
Accumulated Other Comprehensive Income
Schedule of changes in accumulated other comprehensive income, net of tax
		Equity Investment of an Investee		Investments in Available for Sale Securities			Accumulated Other Comprehensive Income
	Balance at January 1, 2015	$	50	$	3,640	$	3,690
	Unrealized gain on investments, net of  tax		—		450		450
	Equity in unrealized gain of an investee		45		—		45
	Reclassification adjustment:
	Realized gain on investments, net of tax		—		-20		-20
	Balance at March 31, 2015	$	95	$	4,070		4,165

Earnings_Per_Share_Tables

Earnings Per Share (Tables)	3 Months Ended
	Mar. 31, 2015
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
		Three Months Ended March 31,
		2015					2014
		Income			Per		Income			Per
		(loss)		Shares	Share		(loss)		Shares	Share
	Loss from continuing operations	$	-4,833	48,364	$	-0.1	$	-5,867	48,002	$	-0.12
	Dilutive effect of unvested restricted shares		—	—				—	—
	Diluted loss from continuing operations	$	-4,833	48,364	$	-0.1	$	-5,867	48,002	$	-0.12
	Diluted loss from discontinued operations	$	-469	48,364	$	-0.01	$	-892	48,002	$	-0.02

Fair_Values_of_Assets_and_Liab1

Fair Values of Assets and Liabilities (Tables)	3 Months Ended
	Mar. 31, 2015
Fair Values of Assets and Liabilities
Schedule of assets and liabilities 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 March 31, 2015
					Quoted Prices in
					Active Markets		Significant Other		Significant
					for Identical		Observable		Unobservable
					Assets		Inputs		Inputs
	Description		Total		(Level 1)		(Level 2)		(Level 3)
	Cash equivalents(1)		$	4,524	$	4,524	$	—	$	—
	Available for sale securities:(2)
	Equity securities
	Financial services industry			4,131		4,131		—		—
	REIT industry			346		346		—		—
	Other			3,866		3,866		—		—
	Total equity securities			8,343		8,343		—		—
	Debt securities
	International bond fund(3)			2,409		—		2,409		—
	High yield fund(4)			2,399		—		2,399		—
	Industrial bonds			6,113		—		6,113		—
	Government bonds			9,911		4,936		4,975		—
	Financial bonds			2,732		—		2,732		—
	Other			9,286		—		9,286		—
	Total debt securities			32,850		4,936		27,914		—
	Total available for sale securities			41,193		13,279		27,914		—
	Total		$	45,717	$	17,803	$	27,914	$	—
			As of December 31, 2014
					Quoted Prices in
					Active Markets		Significant Other		Significant
					for Identical		Observable		Unobservable
					Assets		Inputs		Inputs
	Description		Total		(Level 1)		(Level 2)		(Level 3)
	Cash equivalents(1)		$	4,632	$	4,632	$	—	$	—
	Available for sale securities:(2)
	Equity securities
	Financial services industry			4,059		4,059		—		—
	REIT industry			330		330		—		—
	Other			3,841		3,841		—		—
	Total equity securities			8,230		8,230		—		—
	Debt securities
	International bond fund(3)			2,385		—		2,385		—
	High yield fund(4)			2,352		—		2,352		—
	Industrial bonds			6,577		—		6,577		—
	Government bonds			11,371		5,683		5,688		—
	Financial bonds			2,704		—		2,704		—
	Other			9,652		—		9,652		—
	Total debt securities			35,041		5,683		29,358		—
	Total available for sale securities			43,271		13,913		29,358		—
	Total		$	47,903	$	18,545	$	29,358	$	—
		-1		Cash equivalents, consisting of short term, highly liquid investments and money market funds held principally for obligations arising from our self-insurance programs. Cash equivalents are reported on our balance sheet as cash and cash equivalents and current and long term restricted cash.  Cash equivalents include $2,627 and $2,792 of balances that are restricted at March 31, 2015 and December 31, 2014, respectively.
		-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 $24,797 and $16,396, respectively, at March 31, 2015, and $23,436 and $19,835, respectively, at December 31, 2014. Our investments in available for sale securities had amortized costs of $38,466 and $40,974 as of March 31, 2015 and December 31, 2014, respectively, had unrealized gains of $2,884 and $2,455 as of March 31, 2015 and December 31, 2014, respectively, and had unrealized losses of $157 as of March 31, 2015 and December 31, 2014. At March 31, 2015, 14 of the securities we hold, with a fair value of $3,014, have been in a loss position for less than 12 months and eight of the securities we hold, with a fair value of $1,445, 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 these securities remain strong with solid fundamentals, or we intend to hold these securities until recovery, and other factors that support our conclusion that the loss is temporary. During the three months ended March 31, 2015 and 2014, we received gross proceeds of $2,736 and $4,336, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $20 and $324, respectively, and gross realized losses totaling $0 and $11, respectively. We record gains and losses on the sales of our available for sale securities using the specific identification method.
		-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.
	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.

Discontinued_Operations_Tables

Discontinued Operations (Tables)	3 Months Ended
	Mar. 31, 2015
Discontinued Operations
Summary of the operating results of discontinued operations included in the financial statements
		Three Months Ended March 31,
		2015		2014
	Revenues	$	2,604	$	7,501
	Expenses		-3,073		-8,866
	Benefit from income taxes		—		473
	Loss from discontinued operations	$	-469	$	-892

Organization_and_Business_Deta

Organization and Business (Details)	3 Months Ended
	Mar. 31, 2015
	segment
Segment Information
Number of operating segments	2
Senior living communities
Real estate properties
Number of properties operated	258
Number of states in which real estate properties are located	31
Number of living units in properties operated	30,389
Number of properties owned and operated	31
Number of living units in properties owned and operated	3,064
Number of properties leased and operated	181
Number of units in properties leased and operated	20,035
Number of properties managed	46
Number of units in properties managed	7,290
Independent and assisted living communities
Real estate properties
Number of properties operated	227
Number of living units in properties operated	27,582
SNF
Real estate properties
Number of properties operated	31
Number of living units in properties operated	2,807
Independent living apartment
Real estate properties
Number of living units in properties operated	10,586
Assisted living suites
Real estate properties
Number of living units in properties operated	14,619
Skilled nursing units
Real estate properties
Number of living units in properties operated	5,184
Assisted living communities
Real estate properties
Number of real estate properties classified as discontinued operations	1
Number of units in real estate property classified as discontinued operations	32
SNH | Senior living communities
Real estate properties
Number of properties leased and operated	180
Number of properties managed	46
SNH | SNF
Real estate properties
Number of real estate properties classified as discontinued operations	3
SNH | Assisted living communities
Real estate properties
Number of living units in properties owned and operated	167

Property_and_Equipment_Details

Property and Equipment (Details) (USD $)	3 Months Ended		1 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Mar. 31, 2015	Dec. 31, 2014
			community
Property and Equipment
Property and equipment, gross	$475,344		475,344	$469,790
Accumulated depreciation	-120,464		-120,464	-112,604
Property and equipment, net	354,880		354,880	357,186
Depreciation expense	7,867	6,993
SNH
Property and Equipment
Assets held for sale for increased rent pursuant to the terms of leases with SNH	5,828		5,828
Land
Property and Equipment
Property and equipment, gross	24,172		24,172	24,172
Building and Improvements
Property and Equipment
Property and equipment, gross	308,079		308,079	308,779
Furniture, fixtures and equipment
Property and Equipment
Property and equipment, gross	$143,093		143,093	$136,839
Independent living community
Property and Equipment
Number of independent living communities acquired			2

Accumulated_Other_Comprehensiv2

Accumulated Other Comprehensive Income (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Dec. 31, 2013
Changes in accumulated other comprehensive income
Balance at the beginning of the period	$3,690	$3,690
Unrealized gain (loss) on investments, net of tax	450
Equity interest in an investee's unrealized gain (loss) on investments	45
Realized gain on investments, net of tax	-20
Balance at the end of the period	4,165	3,690
Equity Investment in Affiliates Insurance Company
Changes in accumulated other comprehensive income
Balance at the beginning of the period		50
Equity interest in an investee's unrealized gain (loss) on investments	45
Balance at the end of the period	95	50
Investments in Available for Sale Securities
Changes in accumulated other comprehensive income
Balance at the beginning of the period		3,640
Unrealized gain (loss) on investments, net of tax	450
Realized gain on investments, net of tax	-20
Balance at the end of the period	$4,070	$3,640

Income_Taxes_Detail

Income Taxes (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Dec. 31, 2014
(Provision) benefit for income taxes	$304	($2,431)
Tax benefit recognized from discontinued operations		-473
Tax credit carry forward, which begins to expire in 2022 if unused			17,191
Federal
Net operating loss carry forward, which begins to expire in 2026 if unused			112,182
Net operating losses that are attributable to unvested stock grants			$333

Earnings_Per_Share_Details

Earnings Per Share (Details) (USD $)	3 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014
Shares
(Loss) income from continuing operations (in shares)	48,364	48,002
Diluted (loss) income from continuing operations (in shares)	48,364	48,002
Diluted loss from discontinued operations (in shares)	48,364	48,002
(Loss) income from continuing operations	($4,833)	($5,867)
Diluted (loss) income from continuing operations	-4,833	-5,867
Diluted income (loss) from discontinued operations	($469)	($892)
Per Share
(Loss) income from continuing operations (in dollars per share)	($0.10)	($0.12)
Diluted (loss) income from continuing operations (in dollars per share)	($0.10)	($0.12)
Diluted loss from discontinued operations (in dollars per share)	($0.01)	($0.02)

Fair_Values_of_Assets_and_Liab2

Fair Values of Assets and Liabilities (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Dec. 31, 2014
	item
Fair Values of Assets and Liabilities
Restricted cash equivalents	$2,627		$2,792
Available for sale securities, current	24,797		23,436
Long term investments in available for sale securities	16,396		19,835
Amortized cost of available for sale securities	38,466		40,974
Unrealized gains on available for sale securities	2,884		2,455
Unrealized losses on available for sale securities	157
Number of available for sale securities in a loss position less than 12 months	14
Fair value of securities which are in loss position for less than 12 months	3,014
Number of available for sale securities in a loss position 12 months or longer	8
Fair value of securities which are in loss position for greater than 12 months	1,445
Gross proceeds from sale of available for sale securities	2,736	4,336
Gross realized gains recorded on sale of available for sale securities	20	324
Gross realized losses recorded on sale of available for sale securities	0	11
Total
Fair Values of Assets and Liabilities
Cash equivalents	4,524		4,632
Available for sale securities	41,193		43,271
Total	45,717		47,903
Total | Equity securities
Fair Values of Assets and Liabilities
Available for sale securities	8,343		8,230
Total | Financial services industry
Fair Values of Assets and Liabilities
Available for sale securities	4,131		4,059
Total | REIT industry
Fair Values of Assets and Liabilities
Available for sale securities	346		330
Total | Other
Fair Values of Assets and Liabilities
Available for sale securities	3,866		3,841
Total | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	32,850		35,041
Total | International bond fund
Fair Values of Assets and Liabilities
Available for sale securities	2,409		2,385
Total | High yield fund
Fair Values of Assets and Liabilities
Available for sale securities	2,399		2,352
Total | Industrial bonds
Fair Values of Assets and Liabilities
Available for sale securities	6,113		6,577
Total | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	9,911		11,371
Total | Financial bonds
Fair Values of Assets and Liabilities
Available for sale securities	2,732		2,704
Total | Other
Fair Values of Assets and Liabilities
Available for sale securities	9,286		9,652
Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Values of Assets and Liabilities
Cash equivalents	4,524		4,632
Available for sale securities	13,279		13,913
Total	17,803		18,545
Quoted Prices in Active Markets for Identical Assets (Level 1) | Equity securities
Fair Values of Assets and Liabilities
Available for sale securities	8,343		8,230
Quoted Prices in Active Markets for Identical Assets (Level 1) | Financial services industry
Fair Values of Assets and Liabilities
Available for sale securities	4,131		4,059
Quoted Prices in Active Markets for Identical Assets (Level 1) | REIT industry
Fair Values of Assets and Liabilities
Available for sale securities	346		330
Quoted Prices in Active Markets for Identical Assets (Level 1) | Other
Fair Values of Assets and Liabilities
Available for sale securities	3,866		3,841
Quoted Prices in Active Markets for Identical Assets (Level 1) | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	4,936		5,683
Quoted Prices in Active Markets for Identical Assets (Level 1) | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	4,936		5,683
Significant Other Observable Inputs (Level 2)
Fair Values of Assets and Liabilities
Available for sale securities	27,914		29,358
Total	27,914		29,358
Significant Other Observable Inputs (Level 2) | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	27,914		29,358
Significant Other Observable Inputs (Level 2) | International bond fund
Fair Values of Assets and Liabilities
Available for sale securities	2,409		2,385
Significant Other Observable Inputs (Level 2) | High yield fund
Fair Values of Assets and Liabilities
Available for sale securities	2,399		2,352
Significant Other Observable Inputs (Level 2) | Industrial bonds
Fair Values of Assets and Liabilities
Available for sale securities	6,113		6,577
Significant Other Observable Inputs (Level 2) | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	4,975		5,688
Significant Other Observable Inputs (Level 2) | Financial bonds
Fair Values of Assets and Liabilities
Available for sale securities	2,732		2,704
Significant Other Observable Inputs (Level 2) | Other
Fair Values of Assets and Liabilities
Available for sale securities	$9,286		$9,652

Fair_Values_of_Assets_and_Liab3

Fair Values of Assets and Liabilities (Details 2) (USD $)	Mar. 31, 2015	Dec. 31, 2014
In Thousands, unless otherwise specified
Carrying value and fair value
Transfers of assets between Level 1 to Level 2	$0
Transfers of assets between Level 2 to Level 1	0
Mortgage notes payable	48,911	49,373
Level 3
Carrying value and fair value
Mortgage notes payable	56,088	56,099
Carrying value
Carrying value and fair value
Mortgage notes payable	$50,721	$51,159

Indebtedness_Details

Indebtedness (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Dec. 31, 2014
	item
Indebtedness
Mortgage notes payable outstanding principal balance	$48,911		$49,373
Number of extensions to maturity date	2
Subsequent event Member | Standby letters of credit
Indebtedness
Extension Fee	300
Senior living communities
Indebtedness
Number of properties operated	258
Credit Agreement
Indebtedness
Maximum borrowing capacity	25,000
Basis spread (as a percent)	2.50%
Interest rate at period end (as a percent)	2.68%
Quarterly commitment fee on the unused part of borrowing availability (as a percent)		0.35%
Principal repayment	0
Amount borrowed during the period	0	0
Amount outstanding under credit facility	0
Facility costs	48	48
Credit Agreement | LIBOR
Indebtedness
Variable rate basis	LIBOR
Credit Facility
Indebtedness
Maximum borrowing capacity	150,000
Basis spread (as a percent)	2.50%
Interest rate at period end (as a percent)	2.68%
Quarterly commitment fee on the unused part of borrowing availability (as a percent)	0.35%
Amount outstanding under credit facility	30,000
Extension period available	1 year
Weighted average interest rate (as a percent)	2.74%	2.83%
Interest expense and other associated costs incurred	609	593
Credit Facility | Senior living communities
Indebtedness
Number of real estate properties securing borrowings on the new credit facility	15
Number of units in real estate properties securing borrowings on the new credit facility	1,549
Credit Facility | LIBOR
Indebtedness
Variable rate basis		LIBOR
Mortgage notes
Indebtedness
Weighted average interest rate (as a percent)	6.76%
Interest expense and other associated costs incurred	697	577
Mortgage notes | FNMA
Indebtedness
Number of real estate properties mortgaged	2
Mortgage notes | FMCC
Indebtedness
Number of real estate properties mortgaged	3
Mortgage notes | Senior living communities
Indebtedness
Number of real estate properties mortgaged	5
Mortgage notes, total	$50,721

Off_Balance_Sheet_Arrangement_

Off Balance Sheet Arrangement (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015
	property
Off Balance Sheet Arrangements
Carrying value of accounts receivable and other assets pledged	$13,603
Number of properties leased from SNH on which pledge arises	26
Off balance sheet arrangements, liability	$0

Related_Person_Transactions_De

Related Person Transactions (Details) (USD $)	3 Months Ended		1 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Feb. 28, 2015	Jun. 30, 2013	Dec. 31, 2014	Apr. 30, 2015
				property		property
Related person transactions
Management fee revenue	$2,523	$2,425
Assisted living communities
Related person transactions
Number of properties to be sold				1
D&R Yonkers LLC
Related person transactions
Management fee revenue	54	59
Senior living communities
Related person transactions
Number of real estate properties leased	181
Number of properties managed	46
Number of units in properties managed	7,290
SNH
Related person transactions
Total minimum annual rent payable	191,007	190,614
Rent expense under leases, net of lease inducement amortization	48,941	48,758
Outstanding rent due and payable	17,324				17,310
Real estate improvements sold	4,060	8,614
Increase (decrease) in annual lease rent payable	328	689
Assets held for sale for increased rent pursuant to the terms of leases with SNH	5,828
Management fee revenue	2,523	2,425
SNH | Assisted living communities
Related person transactions
Number of real estate properties offered for sale classified as discontinued operations	3
SNH | Subsequent event Member | Georgia
Related person transactions
Number of properties managed						40
SNH | Senior living communities
Related person transactions
Number of real estate properties leased	180
Gross amount paid on acquisition			490
Increase (decrease) in annual lease rent payable			39
Number of properties managed	46
SNH | Senior living communities | Texas
Related person transactions
Decrease in annual lease rent payable			23
Sales price			$250
SNH | Senior living communities | Subsequent event Member
Related person transactions
Number of properties managed	14

Related_Person_Transactions_De1

Related Person Transactions (Details 2) (USD $)	3 Months Ended		0 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Mar. 16, 2015	Dec. 31, 2014
Related person transactions
Utilities and real estate taxes	$49,628	$49,074
Equity investment of an investee	6,945			6,827
Income (loss) arising from investment	72	-97
RMR
Related person transactions
Business management fees	2,127	2,006
Administrative and information system service fees	0	1,519
Period before which notice is required for termination of business management agreement			120 days
Period before which notice is required for termination of business management agreement with Independent Director approval			60 days
Termination fee factor			2.875
Number consecutive months for average fees and expenses			24
Period of transition services provided by related party after termination of agreement			120 days
Utilities and real estate taxes	411	355
AIC
Related person transactions
Equity investment of an investee	6,945
Income (loss) arising from investment	$72	($97)

Discontinued_Operations_Detail

Discontinued Operations (Details) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2014	Jun. 30, 2013
			item
			property
Summary of the operating results of discontinued operations
Revenues	$2,604	$7,501
Expenses	-3,073	-8,866
(Provision for) benefit from income taxes		473
(Loss) income from discontinued operations	($469)	($892)
Assisted living communities
Discontinued Operations
Number of properties to be sold			1
Number of living units in property to be sold			32
Assisted living communities | SNH
Discontinued Operations
Number of real estate properties offered for sale classified as discontinued operations	3

Legal_Proceedings_and_Claims_D

Legal Proceedings and Claims (Details) (USD $)	3 Months Ended
	Mar. 31, 2015	Dec. 31, 2014
	item
Legal Proceedings and Claims
Estimated minimum loss	$0
Number of leased SNFs with potentially inadequate documentation	1
Revenue reserve for payment of historical Medicare obligations	6,700,000	4,300,000
Additional revenue reserve for payment of historical Medicare obligations	2,400,000
Accrued costs and penalties expected to incur related to the compliance assessment	2,300,000	3,600,000
Accrued costs and penalties expected to incur related to the compliance assessment not yet paid	$5,100,000

Subsequent_Event_Details

Subsequent Event (Details) (USD $)	1 Months Ended	3 Months Ended
In Thousands, unless otherwise specified	Mar. 31, 2015	Mar. 31, 2015
		community
Tennessee
Subsequent Event
Aggregate purchase price of properties acquired, excluding closing costs	$26,000
Assumption of mortgage debt	$17,000
Independent living community
Subsequent Event
Number of independent living communities acquired	2
Independent living community | Tennessee
Subsequent Event
Number of independent living communities acquired		2
Independent living community one | Tennessee
Subsequent Event
Number of living units in properties acquired	68	68
Independent living community two | Tennessee
Subsequent Event
Number of living units in properties acquired	84	84