Summit Healthcare REIT 10-K 18 Mar 16 2015 FY Annual report Financial data

Document And Entity Information

Document And Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2015	Mar. 15, 2016	Jun. 30, 2015
Document Information [Line Items]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2015
Document Fiscal Year Focus	2,015
Document Fiscal Period Focus	FY
Entity Registrant Name	Summit Healthcare REIT, Inc
Entity Central Index Key	1,310,383
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	Smaller Reporting Company
Entity Public Float			$ 0
Entity Common Stock, Shares Outstanding		23,027,978

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($)	Dec. 31, 2015	Dec. 31, 2014
ASSETS
Cash and cash equivalents	$ 6,603,000	$ 4,405,000
Restricted cash	4,822,000	3,759,000
Real estate properties, net	77,842,000	98,722,000
Notes receivable	4,833,000	132,000
Deferred costs and deposits	140,000	356,000
Deferred financing costs, net	1,380,000	1,453,000
Tenant and other receivables, net	3,813,000	2,599,000
Deferred leasing commissions, net	1,697,000	1,859,000
Other assets, net	541,000	657,000
Equity-method investment	2,178,000	0
Assets of variable interest entity held for sale	0	4,139,000
Total assets	103,849,000	118,081,000
LIABILITIES AND STOCKHOLDERS' EQUITY
Accounts payable and accrued liabilities	2,883,000	1,995,000
Accrued salaries and benefits	392,000	342,000
Security deposits	1,627,000	2,029,000
Loans payable, net of debt discounts	64,968,000	77,972,000
Liabilities of variable interest entity held for sale	0	2,700,000
Total liabilities	$ 69,870,000	$ 85,038,000
Commitments and contingencies
Stockholders' Equity
Preferred stock, $0.001 par value; 10,000,000 shares authorized; no shares is issued or outstanding at December 31, 2015 and 2014	$ 0	$ 0
Common stock, $0.001 par value; 290,000,000 shares authorized; 23,027,978 and 23,028,014 shares issued and outstanding at December 31, 2015 and 2014, respectively	23,000	23,000
Additional paid-in capital	117,215,000	117,226,000
Accumulated deficit	(83,966,000)	(80,873,000)
Total stockholders’ equity	33,272,000	36,376,000
Noncontrolling interests	707,000	(3,333,000)
Total equity	33,979,000	33,043,000
Total liabilities and stockholders’ equity	$ 103,849,000	$ 118,081,000

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Dec. 31, 2015	Dec. 31, 2014
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	290,000,000	290,000,000
Common stock, shares issued	23,027,978	23,028,014
Common stock, shares outstanding	23,027,978	23,028,014

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Revenues:
Rental revenues	$ 8,344,000	$ 6,999,000
Resident services and fee income	9,182,000	5,626,000
Tenant reimbursements and other income	944,000	790,000
Acquisition and asset management fees	598,000	0
Interest income from notes receivable	177,000	5,000
Revenues, Total	19,245,000	13,420,000
Expenses:
Property operating costs	1,933,000	1,684,000
Resident services costs	7,538,000	4,655,000
General and administrative	4,313,000	3,949,000
Asset management fees and expenses	0	205,000
Depreciation and amortization	4,085,000	3,998,000
Reserve for excess advisor obligation	0	189,000
Costs and Expenses, Total	17,869,000	14,680,000
Operating income (loss)	1,376,000	(1,260,000)
Income from equity-method investee	88,000	0
Other income	46,000	108,000
Interest expense	(3,744,000)	(3,236,000)
Gain on disposition of real estate properties	971,000	0
Loss from continuing operations	(1,263,000)	(4,388,000)
Loss from discontinued operations	(1,699,000)	(226,000)
Net loss	(2,962,000)	(4,614,000)
Noncontrolling interests’ share in income (losses)	(131,000)	837,000
Net loss applicable to common stockholders	$ (3,093,000)	$ (3,777,000)
Basic and diluted loss per common share:
Continuing operations	$ (0.06)	$ (0.19)
Discontinued operations	(0.07)	0.03
Net loss applicable to common stockholders	$ (0.13)	$ (0.16)
Weighted average shares used to calculate basic and diluted net loss per common share	23,027,978	23,028,014

CONSOLIDATED STATEMENTS OF EQUI

CONSOLIDATED STATEMENTS OF EQUITY - USD ($)	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Deficit [Member]	Total Stockholders' Equity [Member]	Noncontrolling Interests [Member]
Balance at Dec. 31, 2013	$ 37,462,000	$ 23,000	$ 117,226,000	$ (77,096,000)	$ 40,153,000	$ (2,691,000)
Balance (in shares) at Dec. 31, 2013		23,028,285
Surrendered shares	0	$ 0	0	0	0	0
Surrendered shares (in shares)		(271)
Dividends declared to noncontrolling interests	(62,000)	$ 0	0	0	0	(62,000)
Noncontrolling interest contribution	257,000	0	0	0	0	257,000
Net (loss) income	(4,614,000)	0	0	(3,777,000)	(3,777,000)	(837,000)
Balance at Dec. 31, 2014	33,043,000	$ 23,000	117,226,000	(80,873,000)	36,376,000	(3,333,000)
Balance (in shares) at Dec. 31, 2014		23,028,014
Surrendered shares	0	$ 0	0	0	0	0
Surrendered shares (in shares)		(36)
Stock-based compensation	33,000	$ 0	33,000	0	33,000	0
Dividends declared to noncontrolling interests	(146,000)	0	0	0	0	(146,000)
Dividends forfeited from non-controlling interest	58,000	0	0	0	0	58,000
Repurchase of noncontrolling interest	(925,000)	0	(44,000)	0	(44,000)	(881,000)
Decrease in non-controlling interests related to disposition of a VIE	4,878,000	0	0	0	0	4,878,000
Net (loss) income	(2,962,000)	0	0	(3,093,000)	(3,093,000)	131,000
Balance at Dec. 31, 2015	$ 33,979,000	$ 23,000	$ 117,215,000	$ (83,966,000)	$ 33,272,000	$ 707,000
Balance (in shares) at Dec. 31, 2015		23,027,978

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Cash flows from operating activities:
Net loss	$ (2,962,000)	$ (4,614,000)
Adjustments to reconcile net loss to net cash and cash equivalents provided by (used in) operating activities:
Amortization of deferred financing costs and debt discounts	223,000	186,000
Depreciation and amortization	4,085,000	3,641,000
Straight line rents	(958,000)	(592,000)
Bad debt expense	454,000	111,000
Stock-based compensation expense	33,000	0
Write-off of leasing commission and deferred financing costs	212,000	586,000
Loss on disposition of VIE	1,582,000	0
Gain on disposition of real estate properties	(971,000)	0
Income from equity-method investee	(88,000)	0
Change in operating assets and liabilities:
Restricted cash related to current activities	(65,000)	311,000
Tenant and other receivables, net	(815,000)	(1,021,000)
Other assets	113,000	(145,000)
Security deposits applied	0	(425,000)
Related party payable	0	(171,000)
Accounts payable and accrued liabilities	872,000	870,000
Accrued salaries and benefits	50,000	341,000
Net cash and cash equivalents provided by (used in) operating activities	1,765,000	(922,000)
Cash flows from investing activities:
Restricted cash	(805,000)	(3,260,000)
Real estate acquisitions and capitalized costs	(41,515,000)	(26,513,000)
Deferred costs and deposits	227,000	(225,000)
Real estate improvements	(232,000)	(409,000)
Proceeds from contribution of properties, net of cash and restricted cash contributed	13,972,000	0
Investment in equity-method investee	(929,000)	0
Distributions received from equity-method investee	21,000	0
Payments from notes receivable	29,000	76,000
Repurchase of non-controlling interest	(925,000)	0
Net cash and cash equivalents used in investing activities	(30,157,000)	(30,331,000)
Cash flows from financing activities:
Proceeds from issuance of loans payable	51,971,000	58,567,000
Deferred financing costs	(1,050,000)	(844,000)
Security deposits received	679,000	628,000
Payments of loans payable	(20,922,000)	(33,514,000)
Non-controlling interest contribution	0	257,000
Distributions paid to non-controlling interests	(88,000)	(62,000)
Net cash and cash equivalents provided by financing activities	30,590,000	25,032,000
Net increase (decrease) in cash and cash equivalents	2,198,000	(6,221,000)
Cash and cash equivalents - beginning of period	4,405,000	10,662,000
Cash and cash equivalents - ending of period (including cash of VIE held for sale)	6,603,000	4,441,000
Cash and cash equivalents of VIE held for sale - end of period (see Note 10)	0	(36,000)
Cash and cash equivalents - end of period	6,603,000	4,405,000
Supplemental disclosure of cash flow information:
Cash paid for interest:	$ 3,311,000	$ 2,720,000

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - non-cash effect - USD ($)	1 Months Ended
	Dec. 31, 2015	Apr. 30, 2015
Contribution of Property	$ 5,422,000	$ 9,908,000
Loans Payable [Member]
Contribution of Property	13,437,000	30,133,000
Real Estate Properties [Member]
Contribution of Property	(18,535,000)	(40,391,000)
Other Assets [Member]
Contribution of Property	(931,000)	(832,000)
Other Liabilities [Member]
Contribution of Property	$ 609,000	$ 1,182,000

CONDENSED CONSOLIDATED STATEME8

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical)	12 Months Ended
	Dec. 31, 2015USD ($)
Supplemental disclosure of non-cash investing activities:
In January 2015, the Company sold its interests in Sherburne Commons for a note receivable for $5.0 million due in December 2017 (see Note 6)	$ 4,833,000
In January 2015, $207,000 of deferred costs were reclassified to real estate acquisitions	207,000
Distribution receivable from the SULJV	179,000
Interests In Properties Converted To Equity Method Investment	$ 1,400,000

Organization

Organization	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]	Summit Healthcare REIT, Inc. (“Summit”) is a real estate investment trust that owns 100 95 10 Generally we conduct substantially all of our operations through Summit Healthcare Operating Partnership, L.P. (the “Operating Partnership”), which is a Delaware limited partnership. At December 31, 2015, we own a 99.88 0.12 Cornerstone Healthcare Partners LLC We own 95 5 We acquired six healthcare properties through CHP LLC (collectively, the “JV Properties”). In the third quarter of 2013, CHP LLC sold a portion of its interests in five of the JV Properties to third party investors (“HCRE Investors”). Proceeds from the sale of interests in these five JV Properties were approximately $ 0.9 0.8 41,000 89.0 4.7 6.3 0.9 95.3 4.7 95 Friendswood TRS In May 2014, we formed a taxable REIT subsidiary (“Friendswood TRS”) which became the licensed operator and tenant of Friendship Haven (see Note 3). Summit Union Life Holdings, LLC On April 29, 2015, through our Operating Partnership, we entered into a limited liability company agreement (“SUL LLC Agreement”) with Best Years, LLC (“Best Years”), an unrelated entity and a U.S.-based affiliate of Union Life Insurance Co, Ltd., (a Chinese corporation) and formed Summit Union Life Holdings, LLC (“SUL JV”). In conjunction with the formation of the SUL JV, the Operating Partnership contributed to the SUL JV all of its limited liability company interest in each of six limited liability companies that collectively own Lamar Estates, Monte Vista Estates, Myrtle Point Care Center, Gateway Care and Retirement Center, Applewood Retirement Community and Loving Arms Assisted Living (collectively, the “JV 2 Properties”), resulting in the SUL JV owning each of the JV 2 Properties. Best Years, in conjunction with the SUL JV, contributed cash in the amount of approximately $ 9.9 9.2 715,000 10 90 362,000 362,000 0 As a result of the SUL JV, the JV 2 Properties are no longer consolidated in the Company’s financial results, commencing April 30, 2015. The SUL JV is accounted for under the equity-method in the Company’s consolidated financial statements (see Note 11). We recorded a partial gain of approximately $ 1.0 In October 2015, the SUL JV acquired four additional properties located in Texas which increased our equity-method investment by approximately $ 0.8 On December 24, 2015, we contributed our limited liability company interests in each of four limited liability companies, which were acquired by us in November 2015, that each own a senior housing facility (collectively, the “Cottage Properties”) to SUL JV. This contribution resulted in the SUL JV owning each of the Cottage Properties. The aggregate net fair value of the Cottage Properties that were contributed was approximately $ 5.4 19.5 14.1 4.9 4.9 Summit Healthcare Asset Management, LLC (TRS) Additionally, we formed Summit Healthcare Asset Management, LLC (the “Management Company” or “SAM TRS”) as a wholly-owned taxable REIT subsidiary (TRS). We serve as the manager of the SUL JV and provide various services in exchange for fees and reimbursements. All acquisition fees and management fees will be paid to the Management Company and expenses incurred by us, as the manager, will be reimbursed from the Management Company. Under the SUL LLC Agreement, Best Years has paid the Management Company a one-time acquisition fee based on the original purchase price paid for the SUL JV properties and other properties acquired in 2015 through the SUL JV. Annual asset management fees to be paid by the SUL JV to the Management Company are equal to 0.25

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Significant Accounting Policies [Text Block]	2. Summary of Significant Accounting Policies The summary of significant accounting policies presented below is designed to assist in understanding our consolidated financial statements. Such consolidated financial statements and accompanying notes are the representations of our management, which is responsible for their integrity and objectivity. These accounting policies conform to accounting principles generally accepted in the United States of America, or GAAP, in all material respects, and have been consistently applied in preparing the accompanying consolidated financial statements. The consolidated financial statements include the accounts of the Company, its wholly-owned subsidiaries, and CHP, LLC (of which the Company owns 95 The Financial Accounting Standards Board (“FASB”) issued Accounting Standard Codification (“ASC”) 810, Consolidation The preparation of our consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses. We base these estimates on various assumptions that we believe to be reasonable under the circumstances, and these estimates form the basis for our judgments concerning the carrying values of assets and liabilities that are not readily apparent from other sources. We periodically evaluate these estimates and judgments based on available information and experience. Actual results could differ from our estimates under different assumptions and conditions. If actual results significantly differ from our estimates, our financial condition and results of operations could be materially impacted. We consider all short-term, highly liquid investments that are readily convertible to cash with a maturity of three months or less at the time of purchase to be cash equivalents. As of December 31, 2015, we had cash accounts in excess of FDIC-insured limits. The Company does not believe it is exposed to any significant credit risk on cash and cash equivalents. Restricted cash represents cash held in interest bearing accounts related to impound reserve accounts for property taxes, insurance and capital improvements or commitments as required under the terms of our loans payable agreements. Based on the intended use of the restricted cash, we have classified changes in restricted cash within the statements of cash flows as operating (for property taxes and insurance) and investing activities for capital and other commitments. We allocate the purchase price of our properties in accordance with ASC 805 – Business Combinations We are required to make subjective assessments as to the estimated useful lives of our depreciable assets. We consider the period of future benefit of the assets to determine the appropriate estimated useful lives. Depreciation of our assets is being charged to expense on a straight-line basis over the estimated useful lives. We depreciate the fair value allocated to building and improvements over estimated useful lives ranging from 15 39 We estimate the value of furniture and fixtures based on the assets’ depreciated replacement cost. We depreciate the fair value allocated to furniture and fixtures over estimated useful lives ranging from three to six years. Assets held for sale are not depreciated. In accordance with ASC 360, Property, Plant, and Equipment Indicators of potential impairment include the following: • Change in strategy resulting in a decreased holding period; • Decreased occupancy levels; • Deterioration of the rental market as evidenced by rent decreases over numerous quarters; • Properties adjacent to or located in the same submarket as those with recent impairment issues; • Significant decrease in market price; and/or • Tenant financial problems. The intended use of an asset, either held for sale or held and used, can significantly impact the measurement of asset recoverability. If an asset is intended to be held and used, the impairment analysis is based on a two-step test. The first test measures estimated expected future cash flows over the holding period, including a residual value (undiscounted and without interest charges), against the carrying value of the property. If the asset fails that test, the asset carrying value is compared to the estimated fair value with the excess of the asset’s carrying value over the estimated fair value recognized as an impairment charge to earnings. When assets are classified as held for sale, they are recorded at the lower of carrying value or the estimated fair value of the asset, net of estimated selling costs. A gain is recognized for any subsequent increases in fair value less costs to sell, but not in excess of the cumulative loss previously recognized. We recorded no impairment charges related to properties held and used in 2015 and 2014. ASC 825, Financial Instruments Fair value represents the estimate of the proceeds to be received, or paid in the case of a liability, in a current transaction between willing parties. ASC 820, Fair Value Measurement, Financial assets and liabilities are categorized based on the inputs to the valuation techniques as follows: Level 1. Quoted prices in active markets for identical instruments. Level 2. Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Level 3. Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Assets and liabilities measured at fair value are classified according to the lowest level input that is significant to their valuation. A financial instrument that has a significant unobservable input along with significant observable inputs may still be classified as a Level 3 instrument. We generally determine or calculate the fair value of financial instruments using quoted market prices in active markets when such information is available or use appropriate present value or other valuation techniques, such as discounted cash flow analyses, incorporating available market discount rate information for similar types of instruments and our estimates for non-performance and liquidity risk. These techniques are significantly affected by the assumptions used, including the discount rate, credit spreads, and estimates of future cash flow. There were no assets measured at fair value on a nonrecurring basis during the year ended December 31, 2015. The variable interest entity held for sale measured at fair value, less estimated selling costs, was deemed to be a Level 2 asset which was sold on January 5, 2015 (see Note 10). Our consolidated balance sheets include the following financial instruments: cash and cash equivalents, restricted cash, notes receivable (except as noted below), deferred costs and deposits, tenant and other receivables, deferred leasing commissions, certain other assets, accounts payable and accrued liabilities, security deposits and loans payable. With the exception of the Nantucket note receivable (see Note 5) and loans payable discussed below, we consider the carrying values to approximate fair value for such financial instruments because of the short period of time between origination of the instruments and their expected payment. As of December 31, 2015, the fair value of the Nantucket note receivable (see Note 5) was $ 4.8 4.7 As of December 31, 2015 and 2014, the fair value of loans payable was $ 66.9 80.1 65.9 78.8 4.4 7.3 4.7 At December 31, 2015 and 2014, the Company does not have any significant financial assets or financial liabilities that are measured at fair value on a recurring basis in our consolidated financial statements. The Company analyzes its contractual and/or other interests to determine whether such interests constitute an interest in a variable interest entity (“VIE”) in accordance with ASC 810, Consolidation Tenant and other receivables are comprised of rental and reimbursement billings due from tenants, accounts receivable from resident services, the cumulative amount of future adjustments necessary to present rental income on a straight-line basis and distributions receivable. Tenant receivables for rental revenues are recorded at the original amount earned, less an allowance for any doubtful accounts. Management assesses the realizability of tenant receivables and other fees on an ongoing basis and provides for allowances as such balances, or portions thereof, are estimated to become uncollectible. As of December 31, 2015 and 2014, there were no allowances recorded for these receivables. As of May 1, 2014, Friendswood TRS became the licensed operator and tenant for Friendship Haven and under this facility, fees earned for resident services are recorded at billed amounts less contractual allowances and allowances for doubtful accounts, which approximates fair value. 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' or third party payers' stated intent to pay, the payers' financial capacity to pay and other factors. Accounts receivable allowances are estimates. We periodically review and revise these estimates based on new information and these revisions may be material. For the years ended December 31, 2015 and 2014, bad debt expense amounted to approximately $ 0.5 0.1 0.3 0.1 As of December 31, 2015 2014 Accounts receivable from resident services, net of allowance for doubtful accounts of $309,000 and $108,000, respectively 1,002,000 982,000 Straight-line rent receivables 2,143,000 1,530,000 Distribution receivables 581,000 - Other receivables 87,000 87,000 Total $ 3,813,000 $ 2,599,000 Deferred costs and deposits primarily consist of deposits and costs paid for potential acquisitions. Costs incurred in connection with debt financing are recorded as deferred financing costs and debt discounts. Deferred financing costs and debt discounts are amortized using the straight-line basis which approximates the effective interest rate method, over the contractual terms of the respective financings. Leasing commissions (paid to CRA prior to April 1, 2014) were capitalized at cost and are being amortized on a straight-line basis over the related lease term. As of December 31, 2015 and 2014, total costs incurred were $ 2.2 1.7 1.9 0.4 0.2 0.5 Other assets consist primarily of prepaid insurance. Additionally, other assets will be amortized to expense over their future service periods. Balances without future economic benefit are expensed as they are identified. We report our investment in an unconsolidated entity, over whose operating and financial policies we have the ability to exercise significant influence but not control, under the equity method of accounting. Under this method of accounting, our pro rata share of the entity’s earnings or losses is included in our condensed consolidated statements of operations. Additionally, we adjust our investment carrying amount to reflect our share of changes in an equity-method investee’s capital resulting from its capital transactions. We evaluate our equity-method investment for impairment whenever events or changes in circumstances indicate that the carrying value of our investment may exceed the fair value. If it is determined that a decline in the fair value of our investment is not temporary, and if such reduced fair value is below its carrying value, an impairment is recorded. Determining fair value involves significant judgment. Our estimates consider all available evidence including the present value of the expected future cash flows discounted at market rates, general economic conditions and other relevant factors. Revenue is recorded in accordance with ASC 840, Lease Revenue Recognition in Financial Statements, as amended 1.0 0.6 We recognize resident services and fee income as services are provided in cases where we serve as the licensed operator of our facilities (see Note 3). Revenue is recorded as net charges for resident services, which are the gross charges less contractual adjustments and discounts based upon negotiated rates. We record stock-based compensation expense for share-based payments to employees and directors, including grants of stock options based on the estimated fair value of the options on the date of grant using the Black-Scholes option-pricing model. Compensation expense is recognized ratably over the vesting term and is included in general and administrative expense in our consolidated statements of operations. See Note 6 for further information. Noncontrolling interest relates to the interest in the consolidated entities that are not wholly-owned by us. As of December 31, 2015 and 2014, the non-controlling interest primarily relates to CHP, LLC. Included in noncontrolling interest for the year ended December 31, 2014 is the VIE related to Sherburne Commons (see Note 5) and CHP, LLC. ASC 810-10-65, “ Consolidation” We periodically evaluate individual noncontrolling interests for the ability to continue to recognize the noncontrolling interest as permanent equity in the consolidated balance sheets. Any noncontrolling interest that fails to qualify as permanent equity will be reclassified as temporary equity and adjusted to the greater of (a) the carrying amount, or (b) its redemption value as of the end of the period in which the determination is made. We have elected to be taxed as a REIT, under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended (the “Code”) beginning with our taxable year ending December 31, 2006. To qualify as a REIT, we must meet certain organizational and operational requirements, including a requirement to currently distribute at least 90 We have elected to treat Friendswood TRS and SAM TRS as taxable REIT subsidiaries, which generally may engage in any business, including the provision of customary or non-customary services for our tenants. These TRS entities are treated as a regular corporation and are subject to federal income tax and applicable state income and franchise taxes at regular corporate rates. Friendswood TRS has deferred tax assets related to their net operating loss (“NOL”) (which expires after 2035 for federal and state) of $ 32,000 436,000 expires after 2035 168,000 In accordance with the requirements of ASC 740, “ Income Taxes,” Basic and diluted net loss per common share applicable to common stockholders is computed by dividing net loss applicable to common stockholders by the weighted-average number of common shares outstanding for the period. For each of the years ended December 31, 2015 and 2014, 205,000 40,000 3.1 3.8 23,027,978 23,028,014 The Company declared no cash distributions per common share during the years ended December 31, 2015 and 2014. Certain amounts related to accounts payable and accrued liabilities and accrued salaries and benefits in the Company’s statements of operations and statements of cash flows for prior year have been reclassified to conform to the current period presentation. These reclassifications had no effect on total assets, liabilities or cash flows from operating activities. Certain amounts related to restricted cash have been reclassified to conform to the current period presentation. The FASB has issued Accounting Standards Update (ASU) No. 2015-03, Interest - Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. For public business entities, the amendments are effective for financial statements issued for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. The amendments should be applied on a retrospective basis, wherein the balance sheet of each individual period presented should be adjusted to reflect the period-specific effects of applying the new guidance. Upon transition, an entity is required to comply with the applicable disclosures for a change in an accounting principle. These disclosures include the nature of and reason for the change in accounting principle, the transition method, a description of the prior-period information that has been retrospectively adjusted, and the effect of the change on the financial statement line items (i.e., debt issuance cost asset and the debt liability). The Company has evaluated the impact of this new standard and does not expect it to have a significant effect on the consolidated financial statements, when adopted. The FASB has issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date. Revenue from Contracts with Customers (Topic 606). In February 2016, the FASB issued ASU No. 2016-02, Leases The new standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. A modified retrospective transition approach is required for lessors for sales-type, direct financing, and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, with certain practical expedients available. We are currently evaluating the impact of our pending adoption of the new standard on our consolidated financial statements.

Investments in Real Estate Prop

Investments in Real Estate Properties	12 Months Ended
	Dec. 31, 2015
Real Estate [Abstract]
Real Estate Disclosure [Text Block]	3. Investments in Real Estate Properties As of December 31, 2015 and 2014, investments in real estate properties including those acquired through our subsidiaries and CHP, LLC, excluding assets contributed to the SUL JV and excluding assets of the variable interest entity held for sale at December 31, 2014, were as follows: 2015 2014 Land $ 6,932,000 $ 8,432,000 Buildings and improvements 73,181,000 88,241,000 Less: accumulated depreciation (5,842,000) (3,813,000) Buildings and improvements, net 67,339,000 84,428,000 Furniture and fixtures 7,086,000 8,133,000 Less: accumulated depreciation (3,515,000) (2,271,000) Furniture and fixtures, net 3,571,000 5,862,000 Real estate properties, net $ 77,842,000 $ 98,722,000 Depreciation expense for the years ended December 31, 2015 and 2104 was approximately $ 3.9 3.5 Friendswood TRS During the first quarter of 2014, the tenant of Friendship Haven ceased paying rent payments due to us under the lease agreement. On March 16, 2014, we terminated the lease agreement. On May 1, 2014, we became the licensed operator and tenant of the Friendship Haven facility through Friendswood TRS. Upon becoming the licensed operator of the facility, we entered into a two-year management agreement with an affiliate of Stonegate Senior Living (“Stonegate”), whereby Stonegate will receive a management fee equal to 6% of the adjusted gross revenues, as defined, from operations of the facility. In October 2015, we amended the management agreement with Stonegate to increase the term from two years to 12 years (see Notes 8 and 9). We are currently seeking to secure a long term triple net lease with a tenant and plan to finalize an arrangement in 2016. Future Minimum Lease Payments Years ending December 31, 2016 $ 6,617 2017 6,766 2018 6,918 2019 7,074 2020 and thereafter 62,194 $ 89,569 The schedule does not reflect future rental revenues from the potential renewal or replacement of existing and future leases, the rental revenues for the tenant of Friendship Haven and tenant reimbursements. Acquisitions The following acquisitions were accounted for as asset acquisitions. Acquisitions - 2015 Front Royal, Virginia On January 23, 2015, we acquired an 84-bed assisted living facility in Front Royal, Virginia (“Loving Arms”) for a total purchase price of $ 14.3 15 Loving Arms was contributed to the SUL JV in April 2015 (see Note 10). Wisconsin Properties On November 3, 2015, through wholly-owned subsidiaries, we acquired the Cottage Properties, four separate assisted living facilities in Wisconsin for an aggregate purchase price of $ 18.4 12 The Cottage Properties were contributed to the SUL JV in December 2015 (see Note 10). Littleton, New Hampshire On November 17, 2015, through a wholly-owned subsidiary, we acquired Riverglen House, a 59-bed assisted living facility located in Littleton, New Hampshire, (“Riverglen”) for a purchase price of $ 8.5 15 Front Royal Cottages Riverglen Total Land $ 500,000 $ 910,000 $ 430,000 $ 1,840,000 Buildings & improvements 12,707,000 16,849,000 7,520,000 37,076,000 Site improvements 540,000 471,000 230,000 1,241,000 Furniture & fixtures 760,000 305,000 500,000 1,565,000 Real estate acquisition and capitalized costs $ 14,507,000 $ 18,535,000 $ 8,680,000 $ 41,722,000 Real estate acquisition costs, capitalized (included above) $ 207,000 185,000 180,000 $ 572,000 Acquisitions - 2014 All properties we acquired in 2014 were contributed to the SUL JV in 2015 (see Notes 1 and 10). Colorado Properties On September 22, 2014, we acquired two skilled nursing facilities in Lamar (“Lamar Estates”) and Monte Vista (“Monte Vista Estates”), Colorado for a total purchase price of $ 7.9 15 Myrtle Point, Oregon On October 31, 2014, we acquired a 54 bed skilled nursing facility in Myrtle Point, Oregon (“Myrtle Point”) for $ 4.2 15 Oregon Properties (Gateway and Applewood) On December 31, 2014, we acquired a facility in Portland, Oregon (“Gateway”) with 59 skilled nursing beds and 32 independent living units and a facility in Salem, Oregon (“Applewood”) with 69 independent living units for an aggregate purchase price of $ 14.2 15 Monte Myrtle Lamar Vista Point Gateway Applewood Total Land $ 159,000 $ 111,000 $ 360,000 $ 770,000 $ 530,000 $ 1,930,000 Buildings & improvements 4,164,000 3,030,000 3,453,000 9,665,000 2,149,000 22,461,000 Site improvements 59,000 144,000 40,000 200,000 90,000 533,000 Furniture & fixtures 195,000 184,000 350,000 680,000 180,000 1,589,000 Real estate acquisitions $ 4,577,000 $ 3,469,000 $ 4,203,000 $ 11,315,000 $ 2,949,000 $ 26,513,000 Real estate acquisition costs, capitalized (included above) $ 77,000 $ 69,000 $ 53,000 $ 65,000 $ 49,000 $ 313,000

Concentration of Risk

Concentration of Risk	12 Months Ended
	Dec. 31, 2015
Risks and Uncertainties [Abstract]
Concentration Risk Disclosure [Text Block]	4. Concentration of Risk Concentrations of credit risk could arise when a number of tenants or obligors related to one investment are engaged in similar business activities or activities in the same geographic regions, have similar economic features that would cause their ability to meet contractual obligations, including those of the Company, to be similarly affected by changes in economic conditions. We regularly monitor our portfolio to assess potential concentration risk. As of December 31, 2015, we have one tenant that constitutes a significant asset concentration due to the refinancing in October 2015 and December 2015 for two properties with HUD insured loans (see Note 8 under GE Healthcare Loan and PrivateBank Loan). HUD required the two separate tenants to be included under the existing master lease for three previously HUD financed properties. As of December 31, 2015, we owned one property in California, four properties in Oregon, four properties in North Carolina, one property in Texas, one property in Illinois and one property in New Hampshire. Accordingly, there is a geographic concentration of risk subject to economic conditions in certain states. Additionally, as of December 31, 2015, we leased our 12 healthcare properties to six different tenants under long-term triple net leases, two of which comprise 49 29 28 28 20

Notes Receivable

Notes Receivable	12 Months Ended
	Dec. 31, 2015
Receivables [Abstract]
Loans, Notes, Trade and Other Receivables Disclosure [Text Block]	5. Notes Receivable Servant Healthcare Investments, LLC In May 2008, we agreed to loan up to $ 10.0 10 8.75 In December 2011, the notes receivable were restructured to provide for the settlement of the notes in the amount of $ 2.5 1.5 1.0 5.00 0.7 0.3 5,000 Fernhill Note In September 2014, the Company loaned to the tenant of the Fernhill facility approximately $ 140,000 6 monthly installments 0.1 Nantucket Note - Consolidation and Sale of VIE We held a note receivable from a participating first mortgage loan made to Nantucket Acquisition LLC (“Nantucket”), a Delaware limited liability company owned and managed by Cornerstone Ventures Inc., an affiliate of CRA, which was collateralized by Sherburne Commons. Nantucket was considered a VIE since June 2011 when we concluded we were the primary beneficiary due to our ability to direct the activities of the VIE. As of December 31, 2014, the Sherburne Commons property was classified as real estate held for sale. Consequently, the related assets and liabilities of the property were classified as assets of a VIE held for sale and liabilities of a VIE held for sale on our consolidated balance sheets at December 31, 2014. Operating results for the property are included in discontinued operations on our consolidated statements of operations for December 31, 2014. On October 6, 2014, we foreclosed on the Sherburne Commons property, however we did not take possession of the prop On January 7, 2015, through our Operating Partnership, we sold Sherburne Commons to The Residences at Sherburne Commons, Inc. (“Sherburne Buyer”), an unaffiliated Massachusetts non-profit corporation, in exchange for $ 5.0 The $5.0 million purchase money note is collateralized by the Sherburne Commons property, bears an annual interest rate of 3.5 169,000 We may also participate in additional interest of up to $1 million from 50% of the net proceeds of cottage sales through December 31, 2018. As we are no longer the primary beneficiary of the VIE, it is no longer being consolidated as of January 7, 2015. As of December 31, 2014, the VIE was classified as assets of a VIE held for sale and liabilities of a VIE held for sale and as of December 31, 2014, the results of operations for the VIE held for sale was presented in discontinued operations on the consolidated statements of operations. For the year ended December 31, 2015, we recorded a loss on disposition of $ 1.7

Equity

Equity	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Stockholders' Equity Note Disclosure [Text Block]	6. Equity Common Stock Our articles of incorporation authorize 290,000,000 0.001 10,000,000 0.001 Distributions Our distribution reinvestment plan was suspended indefinitely effective December 31, 2010. At this time, we cannot provide any assurance as to if or when we will resume distributions or our distribution reinvestment plan. We did not pay any distributions to stockholders for the years ended December 31, 2015 and 2014. Share-Based Compensation Plans We record stock-based compensation expense for stock options granted based on the estimated fair value of the options on the date of grant using the Black-Scholes option-pricing model. Assumptions required by the model include the risk-free interest rate, the expected life of the options, and the expected stock price volatility over the expected life of the options, and the expected distribution yield. Compensation expense for employee stock options is recognized ratably over the vesting term. The expected life of the options was based on evaluations of expected future exercise behavior. The risk-free interest rate was based on the U.S. Treasury yield curve at the date of grant with maturity dates approximating the expected term of the options at the date of grant. Volatility was based on historical volatility of the stock prices for a sample of publicly traded companies with risk profiles similar to ours. The valuation model applied in this calculation utilizes highly subjective assumptions that could potentially change over time, including the expected stock price volatility and the expected life of an option. Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan On October 28, 2015, we adopted the Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan (“Incentive Plan”). The purpose of the Incentive Plan is to provide a means through which to attract and retain key personnel and to provide a means whereby current or prospective directors, officers, employees, consultants and advisors can acquire and maintain an equity interest in us, or be paid incentive compensation, including incentive compensation measured by reference to the value of our common stock, thereby strengthening their commitment to our welfare and aligning their interests with those of our stockholders. We may grant non-qualified stock options and incentive stock options, stock appreciation rights, restricted stock and restricted stock units, and performance based compensation awards. Stock options granted under the Omnibus Incentive Plan are required to have a per share exercise price that is not less than 100% of the fair market value of our common stock underlying such stock options on the date an option is granted (other than in the case of options that are substitute awards). All stock options that are intended to qualify as incentive stock options must be granted pursuant to an award agreement expressly stating that the option is intended to qualify as an incentive stock option, and will be subject to the terms and conditions that comply with the rules as may be prescribed by Section 422 of the Code. The maximum term for stock options granted under the Incentive Plan will be ten years from the initial date of grant. The Incentive Plan provides that the total number of shares of common stock that may be issued is 3,000,000 In December 2015, we granted 500,000 33 67 0.20 2015 Expected Volatility 19.0 % Expected lives 2 years Risk-free interest rate 0.98 % Dividends 0 % Employee and Director Incentive Stock Plan The Employee and Director Incentive Stock Plan (the “Director Plan”), which terminated in December 2014, granted awards of stock to directors, full-time employees, and other eligible participants that provided services to us. Awards granted under the Director Plan consisted of nonqualified stock options, incentive stock options, restricted stock, share appreciation rights, and distribution equivalent rights. The term of the Plan was ten years and the total number of shares of common stock reserved for issuance under the Plan was equal to 10% of our outstanding shares of stock at any time. As of December 31, 2015, there are 40,000 20,000 20,000 Compensation expense is recognized only for the awards that ultimately vest. Accordingly, forfeitures that were not expected may result in the reversal of previously recorded compensation expense. The stock-based compensation expense reported for the years ended December 31, 2015, and 2014 was $ 33,000 0 Options Weighted Weighted Aggregate Options outstanding at January 1, 2014 40,000 $ 8.00 Granted — Exercised — Cancelled/forfeited — Options outstanding at December 31, 2014 40,000 8.00 Granted 500,000 $ 1.72 Exercised — Cancelled/forfeited — Options outstanding at December 31, 2015 540,000 $ 2.19 9.28 $ 310,000 Options exercisable at December 31, 2015 205,000 $ 2.95 8.15 $ 102,000 As of December 31, 2015, the weighted average remaining contractual life of all options outstanding is 9.28 0.20 66,000 33,000 33,000

Related Party Transactions

Related Party Transactions	12 Months Ended
	Dec. 31, 2015
Related Party Transactions [Abstract]
Related Party Transactions Disclosure [Text Block]	7. Related Party Transactions CRA Related party transactions with CRA relate to fees paid and costs reimbursed to CRA for services rendered to us through March 31, 2014 as the Company terminated the Advisory Agreement with CRA effective April 1, 2014. All receivables due from CRA, as noted below, are fully reserved. CRA was primarily responsible for managing our business affairs and carrying out the directives of our board of directors. The Advisory Agreement entitled CRA to specified fees upon the provision of certain services with regard to the investment of funds in real estate projects, among other services, as well as reimbursement of certain costs and expenses incurred by CRA in providing services to us. Specific fees described in the Advisory Agreement which would have been owed to CRA are described below. We do not believe that we owe CRA any amounts due under the terminated Advisory Agreement. Advisory Agreement Terminated on April 1, 2014 Organizational and Offering Costs - Organizational and offering costs of our primary offering and follow-on offering (collectively, “Offerings”) have been paid by CRA on our behalf and have been reimbursed to CRA from the proceeds of our Offerings. Organizational and offering costs consist of all expenses (other than sales commissions and the dealer manager fee) to be paid by us in connection with our Offerings, including our legal, accounting, printing, mailing and filing fees, charges of our escrow holder and other accountable offering expenses. In no event will we have any obligation to reimburse CRA for organizational and offering costs totaling in excess of 3.5% of the gross proceeds from Offerings, which terminated on June 10, 2012. As of June 10, 2012, we had reimbursed CRA a total of $ 1.1 1.0 1.0 0.3 0.7 Asset Management Fees and Expenses - The Advisory Agreement provided that the asset management fee payable by us to CRA was a monthly rate of one-twelfth of 0.75 0.2 In addition, the Advisory Agreement provided for our reimbursement of CRA for the direct and indirect costs and expenses incurred by CRA in providing asset management services to us, including personnel and related employment costs. For the year ended December 31, 2014, CRA was reimbursed $ 31,000 32,000 Operating Expenses - The Advisory Agreement provided for reimbursement of the Advisor’s direct and indirect costs of providing administrative and management services to us. For the year ended December 31, 2014, $ 0.2 189,000 Pursuant to provisions contained in our terminated Advisory Agreement, our board of directors had the responsibility of limiting our total operating expenses for each trailing four consecutive quarters to amounts that do not exceed the greater of 2% of our average invested assets or 25% of our net income, calculated in the manner set forth in our charter For the four-fiscal-quarter period ended March 31, 2014, our total operating expenses exceeded the greater of 2 25 3.7 1.7 Property Management Expenses . The Advisory Agreement provided that if we retained CRA or an affiliate to manage and lease some of our properties, we would pay a market-based property management fee. For the year ended December 31, 2014, CRA earned approximately $ 42,000 SUL JV See Notes 1 and 11 for further discussion of related party distributions and acquisition and asset management fees related to the SUL JV. Certain deferred acquisition costs paid by us relate to acquisitions to be acquired by the SUL JV and will be reimbursed to us upon terms of the SUL LLC Agreement, as amended. As of December 31, 2015, we received approximately $ 0.2

Loans Payable

Loans Payable	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Debt Disclosure [Text Block]	8. Loans Payable 2015 2014 Loans payable to Healthcare Financial Solutions (formerly GE Capital) in monthly installments of approximately $11,000, including interest at LIBOR (floor of .50%) plus 4.0% (4.5% and 5.0% at December 31, 2015 and 2014, respectively), due in October 2018, and as of December 31, 2015, collateralized by Redding and as of December 31, 2014, collateralized by Friendship Haven, Brookstone of Aledo, Redding, Gateway and Applewood. $ 2,800,000 $ 25,617,000 Loans payable to The PrivateBank with interest at LIBOR (floor of up to 1.0%) plus 4.0% (5.0% at December 31, 2014, respectively), and as of December 31, 2014 collateralized by Danby House, Myrtle Point, Lamar Estates and Monte Vista Estates. - 16,350,000 Loan payable to Oxford Finance, LLC in monthly installments of approximately $42,000, including interest at LIBOR (floor of 0.75%) plus 6.50% (7.25% as of December 31, 2015) due in October 2019, collateralized by Friendship Haven. 7,000,000 - Loan payable to Housing and Healthcare Finance (insured by HUD) in monthly installments of approximately $21,000, including interest, at fixed interest rate of 4.25% due in April 2054, collateralized by Riverglen. 4,728,000 - Loans payable to Lancaster Pollard (insured by HUD) in monthly installments of approximately $238,000, including interest, ranging from a fixed rate of 3.70% to 3.78%, due in September 2039 through January 2051, and as of December 31, 2015 collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet, Carteret, Aledo and Danby, and as of December 31, 2014, collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet and Carteret. 51,372,000 36,785,000 65,900,000 78,752,000 Less debt discount (932,000) (780,000) Total loans payable $ 64,968,000 $ 77,972,000 We have total debt obligations of approximately $ 65.9 mature between 2018 and 2054 Principal Year Amount 2016 $ 1,015,000 2017 1,184,000 2018 3,934,000 2019 7,903,000 2020 1,164,000 Thereafter 50,700,000 $ 65,900,000 In connection with our loans payable, we incurred debt discounts and financing costs. The unamortized balance of the deferred financing costs totals $ 1.4 1.5 0.4 212,000 Healthcare Financial Solutions, LLC (formerly General Electric Capital Corporation (“GE”)) GE Healthcare Loan We have entered into a loan agreement, as amended, with Healthcare Financial Solutions, LLC (“HFS”) for several properties. The loan bore interest at LIBOR (London Interbank Offer Rate), with a floor of 50 basis points, plus a spread of 4.50% September 12, 2017 Subsequent to these new HUD 1 insured loans, the GE Healthcare Loan consisted of Friendship Haven ($ 6.4 5.9 interest for the first 12 months at 90-day LIBOR plus 4.5%, with a LIBOR floor of 0.5% September 11, 2017 25 6.00 On December 31, 2014, we amended the loan agreement with GE for an additional principal amount of $ 13.4 8.4 2.8 2.2 LIBOR, with a floor of 50 basis points, plus a spread of 4.00%, 25 December 30, 2017 10.6 On October 6, 2015, we refinanced our existing GE Healthcare Loan for the Friendship Haven facility with a secured term loan agreement with Oxford Finance, LLC (see below for further information – Oxford Finance, LLC) and the funds received were used to pay off the outstanding principal balance for this property. On October 6, 2015, we refinanced our existing GE Healthcare loan for the Brookstone of Aledo facility with Lancaster Pollard (see below for further information – HUD Aledo Loan) and the funds received were used to pay off the outstanding principal balance for this property. On October 30, 2015, the loan agreement for Redding was amended and restated. The amended loan is with Healthcare Financial Solutions, LLC (formerly known as General Electric Capital Corporation). The outstanding loan balance remained at $ 2.8 LIBOR rate, plus a spread of 4.00% 25 October 30, 2018 As of December 31, 2015 and 2014, the outstanding balance was $ 2.8 25.6 0.8 1.2 The PrivateBank and Trust Company (“PrivateBank”) Winston-Salem Property (“Danby Loan”) On January 31, 2013, we entered into a loan agreement with PrivateBank for $ 7.3 January 30, 2016 25 0 7.3 North Carolina Portfolio (“North Carolina Loan”) On October 4, 2013, we entered into a loan agreement with PrivateBank for $ 11.4 Colorado Properties (“Colorado Loan”) In conjunction with the acquisition of the Lamar Estates and Monte Vista Estates properties (“Colorado Properties”) on September 22, 2014, we entered into a loan agreement with PrivateBank for a loan in the aggregate principal amount of $ 6.0 LIBOR plus 4.50% with a LIBOR floor of 0.25% September 21, 2017 25 6.0 0 6.0 Myrtle Point (“Myrtle Point Loan”) In conjunction with the acquisition of the Myrtle Point property in October 2014, we entered into a loan agreement collateralized by the property and cross-collateralized with two of our other properties, Lamar Estates and Monte Vista Estates. On October 31, 2014, we amended an existing loan agreement with PrivateBank to increase the principal amount of the loan by $ 3.1 LIBOR (London Interbank Rate), with a floor of 25 basis points, plus a spread of 4.50% 25 October 30, 2017 3.1 0 3.1 Front Royal (“Front Royal Loan”) In January 2015, in conjunction with the acquisition of Loving Arms Assisted Living (see Note 3), we entered into a first priority mortgage loan with PrivateBank collateralized by the Loving Arms Assisted Living property and cross-collateralized with three of our other properties, Lamar Estates, Monte Vista Estates and Myrtle Point. On January 23, 2015, we amended an existing loan agreement with PrivateBank to increase the principal amount available under that existing loan by $ 11.4 20.5 LIBOR (London Interbank Offer Rate), with a floor of 25 basis points, plus a spread of 4.50% 25 September 21, 2017 715,000 10.7 0 As of December 31, 2015 and 2014, the outstanding balance was $ 0 16.4 During the years ended December 31, 2015 and 2014, we incurred approximately $ 0.6 1.0 Lancaster Pollard Mortgage Company, LLC Loans HUD 1 Loans In September 2014, we refinanced separately the Farmington Square, Fernhill, Sheridan, and Pacific properties with loans (“HUD 1”) from Lancaster Pollard Mortgage Company, LLC (“Lancaster Pollard”). HUD 1 is insured by HUD and collateralized by each of the respective properties. The loans bear interest at a fixed rate of 3.78%, plus 0.65% September 30, 2039 25 September 30, 2049 35 10 23.6 24.2 HUD requires that our lender hold certain reserves for property tax, insurance, and capital expenditures. These reserves are included in restricted cash on the Company’s consolidated balance sheets. HUD 2 Loans In November 2014, we refinanced separately the Carteret House, Hamlet House, and Shelby House properties with loans (“HUD 2”) from Lancaster Pollard. HUD 2 is insured by HUD and collateralized by each of the respective properties. The loans bear interest at a fixed rate of 3.75%, plus 0.65% December 1, 2049 35 10 12.5 12.6 HUD requires that our lender hold certain reserves for property tax, insurance, and capital expenditures. These reserves are included in restricted cash on the Company’s consolidated balance sheets. HUD Aledo Loan On October 6, 2015, we refinanced our existing GE Healthcare Loan for the Brookstone of Aledo facility with Lancaster Pollard. The HUD Aledo Loan is insured by HUD and collateralized by the Brookstone of Aledo facility. The loan bears interest at a fixed rate of 3.70%, plus 0.65% for mortgage insurance premiums 35 10 7.4 HUD Danby Loan On December 21, 2015, we refinanced our existing PrivateBank loan for the Danby House facility with Lancaster Pollard. The HUD Danby Loan is insured by HUD and collateralized by the Danby House facility. The loan bears interest at a fixed rate of 3.74%, plus 0.65% for mortgage insurance premiums 35 10 7.9 All of the HUD loans are subject to customary representations, warranties and ongoing covenants and agreements with respect to the operation of the facilities, including the provision for certain maintenance and other reserve accounts with respect to the facilities all as described in the HUD agreements. As of December 31, 2015, the HUD 1 Loan, HUD Aledo and HUD Danby loans were all under one master lease agreement. As of December 31, 2015 and 2014, the outstanding balance was $ 51.4 36.8 1.7 0.3 Pacific Western Bank In November 2015, in conjunction with the acquisition of the Cottage Properties (see Note 3), we entered into a first priority loan agreement collateralized by the four properties with Pacific Western Bank for $ 13.5 LIBOR (London Interbank Offer Rate), with a floor of 19 basis points, plus a spread of 4.50% 0 0.1 Oxford Finance, LLC On October 6, 2015, we refinanced our existing GE loan for the Friendship Haven facility with a secured term loan agreement with Oxford Finance, LLC (“Oxford”) for $ 7.0 LIBOR (London Interbank Offer Rate), with a floor of 75 basis points, plus a spread of 6.50% 25 October 6, 2019 1.1 (i) at any time prior to or on October 6, 2017, an amount equal to the product obtained by multiplying (a) three-quarters of one percent (.75%) by (b) the principal amount of the term loan that has been funded at that time, and (ii) at any time after October 6, 2017, an amount equal to the product obtained by multiplying (a) one and one-quarter of one percent (1.25%) by (b) the principal amount of the term loan that has been funded at that time. The net loan proceeds of $ 7.0 7.0 0.1 Housing & Healthcare Finance, LLC On November 17, 2015, in conjunction with the purchase of Riverglen (see Note 3), we entered into a Modification, Release, and Assumption Agreement with Housing & Healthcare Finance, LLC (“HHF”) and assumed the Healthcare Facility Note and related documentation and a Healthcare Regulatory Agreement and related documentation with HUD. The loan is collateralized by the Riverglen facility and insured by HUD. The assumed loan has a remaining principal balance of approximately $ 4.7 interest at a fixed rate of 4.25%, plus 0.65% 38.3 10 4.7 29,000

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2015
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Text Block]	9. Commitments and Contingencies We inspect our properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist, we are not currently aware of any environmental liability with respect to the properties that would have a material effect on our consolidated financial condition, results of operations and cash flows. Further, we are not aware of any environmental liability or any unasserted claim or assessment with respect to an environmental liability that we believe would require additional disclosure or the recording of a loss contingency. Our commitments and contingencies include the usual obligations of real estate owners and licensed operators in the normal course of business. In the opinion of management, these matters are not expected to have a material impact on our consolidated financial condition, results of operations and cash flows. We are also subject to contingent losses resulting from litigation against the Company. On April 1, 2014, CRA and Cornerstone Ventures, Inc. filed a complaint in the Superior Court of California for the County of Orange-Central Justice Center, Case No. 30-2014-00714004-CU-BT-CJC, naming the Company, its directors and two of its officers as defendants, seeking declaratory and injunctive relief and compensatory and punitive damages. On April 17, 2014, Judge Nakamura denied in its entirety plaintiffs’ ex parte application for a temporary restraining order to show cause why a preliminary injunction against the defendants should not issue. On May 19, 2014, the Company filed a counter claim against plaintiffs and certain individuals affiliated with CRA and affiliated entities. The Company continues to believe that all of plaintiffs’ claims are without merit and will continue to vigorously defend itself. Plaintiffs and defendants are conducting discovery. On April 4, 2014, we entered into a lease agreement effective May 1, 2014 for corporate office space located in Lake Forest, California. The term of the lease is for three years. Base rent is $ 71,270 76,186 81,100 In October 2015, as part of the amended Stonegate management agreement (see Note 3), we could pay a termination fee if we terminate the agreement before October 6, 2016. The termination fee is equal to three times the highest monthly management fee paid to Stonegate prior to the termination. As of December 31, 2015, the termination fee could be approximately $ 144,000 Purchase Option As of December 31, 2015, we own one property with a book value of approximately $ 7.6 10.8 11.0 11.3 August 13, 2022 Purchase Agreement In November 2013, a limited liability company entered into a build-to-suit purchase agreement whereby it agreed to purchase a 70 unit assisted living facility in Athens, Georgia for approximately $ 12.4 8 1.0 Indemnification and Employment Agreements The Company has entered into indemnification agreements with certain officers and directors of the Company against all judgments, penalties, fines and amounts paid in settlement and all expenses actually and reasonably incurred by him or her in connection with any proceeding. Additionally, in September 2015, the Company entered into three-year employment agreements with its officers which include customary terms relating to salary, bonus, position, duties and benefits (including eligibility for equity compensation), as well as a cash payment following a change in control of the Company, as defined in such agreements. Management of the SUL JV As the manager of the SUL JV, we are responsible for managing the day-to-day operations of the SUL JV and are, thus, subject to contingencies that may arise in the normal course of the SUL JV’s operations.

Discontinued Operations

Discontinued Operations	12 Months Ended
	Dec. 31, 2015
Discontinued Operations and Disposal Groups [Abstract]
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]	10. Discontinued Operations In accordance with ASC 360, Property, Plant & Equipment Real Estate Held for Sale and Disposed The Sherburne Commons property was a VIE that we began consolidating on June 30, 2011. As of December 31, 2014, the property was classified as assets of variable interest entity held for sale and liabilities of variable interest entity held for sale and the results of operations for the variable interest entity held for sale have been presented in discontinued operations on the accompanying consolidated statements of operations. In January 2015, this property was sold (see Note 5). 2015 2014 Rental revenues, tenant reimbursements and other income $ — $ 2,514,000 Operating expenses, real estate taxes, and interest expense — (2,740,000) Loss on disposition of VIE (1,699,000) — Loss from discontinued operations $ (1,699,000) $ (226,000) 2015 2014 Assets of variable interest entity held for sale: Cash and cash equivalents $ — $ 36,000 Investments in real estate, net — 3,905,000 Accounts receivable, inventory and other assets — 198,000 Total assets $ — $ 4,139,000 Liabilities of variable interest entity held for sale: Note payable $ — $ 1,332,000 Loan payable — 117,000 Accounts payable and accrued liabilities — 466,000 Intangible lease liabilities, net — 145,000 Interest payable — 640,000 Liabilities of variable interest entity held for sale $ — $ 2,700,000 Disposition of real estate In April 2015, we contributed the JV 2 Properties to the SUL JV (see Notes 1, 3 and 11). Real estate properties $ (40,391,000) Other assets (832,000) Loans payable, net 30,133,000 Other liabilities 1,182,000 Total contribution: $ 9,908,000 We recorded a partial gain of approximately $ 1.0 On December 24, 2015, we contributed the Cottage Properties (see Notes 3 and 11) to the SUL JV. This contribution results in the SUL JV owning each of the Cottage Properties. The aggregate net value of the Cottage Properties that were contributed was approximately $ 5.4 19.5 14.1 13.5 No real estate investments were disposed in 2014.

Equity-Method Investment

Equity-Method Investment	12 Months Ended
	Dec. 31, 2015
Equity Method Investments and Joint Ventures [Abstract]
Equity Method Investments and Joint Ventures Disclosure [Text Block]	11. Equity-Method Investment In April 2015, we formed the SUL JV, which is owned 10 90 3 5 Under the SUL LLC Agreement, net operating cash flow of the SUL JV will be distributed quarterly, first to the Operating Partnership and Best Years pari passu up to a 10% annual return for skilled nursing facilities (“SNF”), and thereafter to Best Years 75% and the Operating Partnership 25%. All capital proceeds (from the sale of the JV 2 Properties, refinancing, or other capital event) will be paid first to the Operating Partnership and Best Years pari passu until each has received an amount equal to its accrued but unpaid 10% return plus its total contribution, and thereafter to Best Years 75% and the Operating Partnership 25%. 10 109,000 179,000 We serve as the manager of the SUL JV and provide various services in exchange for fees and reimbursements. Under the SUL LLC Agreement, the manager will be paid an acquisition fee, as defined in the LLC Agreement, based on the purchase price paid for the properties. For the year ended December 31, 2015, we received approximately $ 0.5 0.25 80,000 Our initial equity-method investment in April 2015 was approximately $ 1.0 0.8 10 0.6 0.3 0.1 2.2

Segment Reporting

Segment Reporting	12 Months Ended
	Dec. 31, 2015
Segment Reporting [Abstract]
Segment Reporting Disclosure [Text Block]	12. Segment Reporting ASC 280, Segment Reporting

Subsequent Event

Subsequent Event	12 Months Ended
	Dec. 31, 2015
Subsequent Events [Abstract]
Subsequent Events [Text Block]	13. Subsequent Event On February 29, 2016, we received the executed commitment from the SUL JV partner of their intent to participate in the contribution of our Riverglen property (see Note 3), which we purchased in November 2015, to the SUL JV. Riverglen currently has a loan agreement with HHF (see Note 8), a HUD insured loan. We are currently in the process of executing a modified transfer of physical assets (“TPA”) agreement with HUD. We legally cannot complete the contribution of Riverglen to the SUL JV until we receive approval from HUD and the TPA process is complete. As of December 31, 2015, Riverglen has total assets of approximately $ 9.2 5.5 4.7

Summary of Significant Accoun22

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Basis of Accounting, Policy [Policy Text Block]	Principles of Consolidation and Basis of Presentation The consolidated financial statements include the accounts of the Company, its wholly-owned subsidiaries, and CHP, LLC (of which the Company owns 95 The Financial Accounting Standards Board (“FASB”) issued Accounting Standard Codification (“ASC”) 810, Consolidation
Use of Estimates, Policy [Policy Text Block]	Use of Estimates The preparation of our consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses. We base these estimates on various assumptions that we believe to be reasonable under the circumstances, and these estimates form the basis for our judgments concerning the carrying values of assets and liabilities that are not readily apparent from other sources. We periodically evaluate these estimates and judgments based on available information and experience. Actual results could differ from our estimates under different assumptions and conditions. If actual results significantly differ from our estimates, our financial condition and results of operations could be materially impacted.
Cash and Cash Equivalents, Policy [Policy Text Block]	Cash and Cash Equivalents We consider all short-term, highly liquid investments that are readily convertible to cash with a maturity of three months or less at the time of purchase to be cash equivalents. As of December 31, 2015, we had cash accounts in excess of FDIC-insured limits. The Company does not believe it is exposed to any significant credit risk on cash and cash equivalents.
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]	Restricted Cash Restricted cash represents cash held in interest bearing accounts related to impound reserve accounts for property taxes, insurance and capital improvements or commitments as required under the terms of our loans payable agreements. Based on the intended use of the restricted cash, we have classified changes in restricted cash within the statements of cash flows as operating (for property taxes and insurance) and investing activities for capital and other commitments.
Real Estate, Policy [Policy Text Block]	Investments in Real Estate and Depreciation We allocate the purchase price of our properties in accordance with ASC 805 – Business Combinations We are required to make subjective assessments as to the estimated useful lives of our depreciable assets. We consider the period of future benefit of the assets to determine the appropriate estimated useful lives. Depreciation of our assets is being charged to expense on a straight-line basis over the estimated useful lives. We depreciate the fair value allocated to building and improvements over estimated useful lives ranging from 15 39 We estimate the value of furniture and fixtures based on the assets’ depreciated replacement cost. We depreciate the fair value allocated to furniture and fixtures over estimated useful lives ranging from three to six years. Assets held for sale are not depreciated.
Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]	Impairment of Real Estate Assets In accordance with ASC 360, Property, Plant, and Equipment Indicators of potential impairment include the following: • Change in strategy resulting in a decreased holding period; • Decreased occupancy levels; • Deterioration of the rental market as evidenced by rent decreases over numerous quarters; • Properties adjacent to or located in the same submarket as those with recent impairment issues; • Significant decrease in market price; and/or • Tenant financial problems. The intended use of an asset, either held for sale or held and used, can significantly impact the measurement of asset recoverability. If an asset is intended to be held and used, the impairment analysis is based on a two-step test. The first test measures estimated expected future cash flows over the holding period, including a residual value (undiscounted and without interest charges), against the carrying value of the property. If the asset fails that test, the asset carrying value is compared to the estimated fair value with the excess of the asset’s carrying value over the estimated fair value recognized as an impairment charge to earnings. When assets are classified as held for sale, they are recorded at the lower of carrying value or the estimated fair value of the asset, net of estimated selling costs. A gain is recognized for any subsequent increases in fair value less costs to sell, but not in excess of the cumulative loss previously recognized. We recorded no impairment charges related to properties held and used in 2015 and 2014.
Fair Value Measurement, Policy [Policy Text Block]	Fair Value Measurements ASC 825, Financial Instruments Fair value represents the estimate of the proceeds to be received, or paid in the case of a liability, in a current transaction between willing parties. ASC 820, Fair Value Measurement, Financial assets and liabilities are categorized based on the inputs to the valuation techniques as follows: Level 1. Quoted prices in active markets for identical instruments. Level 2. Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Level 3. Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Assets and liabilities measured at fair value are classified according to the lowest level input that is significant to their valuation. A financial instrument that has a significant unobservable input along with significant observable inputs may still be classified as a Level 3 instrument. We generally determine or calculate the fair value of financial instruments using quoted market prices in active markets when such information is available or use appropriate present value or other valuation techniques, such as discounted cash flow analyses, incorporating available market discount rate information for similar types of instruments and our estimates for non-performance and liquidity risk. These techniques are significantly affected by the assumptions used, including the discount rate, credit spreads, and estimates of future cash flow. There were no assets measured at fair value on a nonrecurring basis during the year ended December 31, 2015. The variable interest entity held for sale measured at fair value, less estimated selling costs, was deemed to be a Level 2 asset which was sold on January 5, 2015 (see Note 10).
Fair Value of Financial Instruments, Policy [Policy Text Block]	Fair Value Measurement of Financial Instruments Our consolidated balance sheets include the following financial instruments: cash and cash equivalents, restricted cash, notes receivable (except as noted below), deferred costs and deposits, tenant and other receivables, deferred leasing commissions, certain other assets, accounts payable and accrued liabilities, security deposits and loans payable. With the exception of the Nantucket note receivable (see Note 5) and loans payable discussed below, we consider the carrying values to approximate fair value for such financial instruments because of the short period of time between origination of the instruments and their expected payment. As of December 31, 2015, the fair value of the Nantucket note receivable (see Note 5) was $ 4.8 4.7 As of December 31, 2015 and 2014, the fair value of loans payable was $ 66.9 80.1 65.9 78.8 4.4 7.3 4.7 At December 31, 2015 and 2014, the Company does not have any significant financial assets or financial liabilities that are measured at fair value on a recurring basis in our consolidated financial statements.
Consolidation, Variable Interest Entity, Policy [Policy Text Block]	Variable Interest Entities The Company analyzes its contractual and/or other interests to determine whether such interests constitute an interest in a variable interest entity (“VIE”) in accordance with ASC 810, Consolidation
Trade and Other Accounts Receivable, Unbilled Receivables, Policy [Policy Text Block]	Tenant and other receivables are comprised of rental and reimbursement billings due from tenants, accounts receivable from resident services, the cumulative amount of future adjustments necessary to present rental income on a straight-line basis and distributions receivable. Tenant receivables for rental revenues are recorded at the original amount earned, less an allowance for any doubtful accounts. Management assesses the realizability of tenant receivables and other fees on an ongoing basis and provides for allowances as such balances, or portions thereof, are estimated to become uncollectible. As of December 31, 2015 and 2014, there were no allowances recorded for these receivables. As of May 1, 2014, Friendswood TRS became the licensed operator and tenant for Friendship Haven and under this facility, fees earned for resident services are recorded at billed amounts less contractual allowances and allowances for doubtful accounts, which approximates fair value. 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' or third party payers' stated intent to pay, the payers' financial capacity to pay and other factors. Accounts receivable allowances are estimates. We periodically review and revise these estimates based on new information and these revisions may be material. For the years ended December 31, 2015 and 2014, bad debt expense amounted to approximately $ 0.5 0.1 0.3 0.1 As of December 31, 2015 2014 Accounts receivable from resident services, net of allowance for doubtful accounts of $309,000 and $108,000, respectively 1,002,000 982,000 Straight-line rent receivables 2,143,000 1,530,000 Distribution receivables 581,000 - Other receivables 87,000 87,000 Total $ 3,813,000 $ 2,599,000
Deferred Charges, Policy [Policy Text Block]	Deferred Costs and Deposits Deferred costs and deposits primarily consist of deposits and costs paid for potential acquisitions.
Deferred Financing Costs [Policy Text Block]	Deferred Financing Costs and Debt Discounts Costs incurred in connection with debt financing are recorded as deferred financing costs and debt discounts. Deferred financing costs and debt discounts are amortized using the straight-line basis which approximates the effective interest rate method, over the contractual terms of the respective financings.
Deferred Leasing Commissions Policy [Table Text Block]	Deferred Leasing Commissions Leasing commissions (paid to CRA prior to April 1, 2014) were capitalized at cost and are being amortized on a straight-line basis over the related lease term. As of December 31, 2015 and 2014, total costs incurred were $ 2.2 1.7 1.9 0.4 0.2 0.5
Other Assets [Policy Text Block]	Other Assets Other assets consist primarily of prepaid insurance. Additionally, other assets will be amortized to expense over their future service periods. Balances without future economic benefit are expensed as they are identified.
Equity Method Investments, Policy [Policy Text Block]	Equity-Method Investment We report our investment in an unconsolidated entity, over whose operating and financial policies we have the ability to exercise significant influence but not control, under the equity method of accounting. Under this method of accounting, our pro rata share of the entity’s earnings or losses is included in our condensed consolidated statements of operations. Additionally, we adjust our investment carrying amount to reflect our share of changes in an equity-method investee’s capital resulting from its capital transactions. We evaluate our equity-method investment for impairment whenever events or changes in circumstances indicate that the carrying value of our investment may exceed the fair value. If it is determined that a decline in the fair value of our investment is not temporary, and if such reduced fair value is below its carrying value, an impairment is recorded. Determining fair value involves significant judgment. Our estimates consider all available evidence including the present value of the expected future cash flows discounted at market rates, general economic conditions and other relevant factors.
Revenue Recognition, Policy [Policy Text Block]	Revenue Recognition Revenue is recorded in accordance with ASC 840, Lease Revenue Recognition in Financial Statements, as amended 1.0 0.6 We recognize resident services and fee income as services are provided in cases where we serve as the licensed operator of our facilities (see Note 3). Revenue is recorded as net charges for resident services, which are the gross charges less contractual adjustments and discounts based upon negotiated rates.
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]	Stock-Based Compensation We record stock-based compensation expense for share-based payments to employees and directors, including grants of stock options based on the estimated fair value of the options on the date of grant using the Black-Scholes option-pricing model. Compensation expense is recognized ratably over the vesting term and is included in general and administrative expense in our consolidated statements of operations. See Note 6 for further information.
Consolidation, Subsidiary Stock Issuances, Policy [Policy Text Block]	Noncontrolling Interest in Consolidated Subsidiary Noncontrolling interest relates to the interest in the consolidated entities that are not wholly-owned by us. As of December 31, 2015 and 2014, the non-controlling interest primarily relates to CHP, LLC. Included in noncontrolling interest for the year ended December 31, 2014 is the VIE related to Sherburne Commons (see Note 5) and CHP, LLC. ASC 810-10-65, “ Consolidation” We periodically evaluate individual noncontrolling interests for the ability to continue to recognize the noncontrolling interest as permanent equity in the consolidated balance sheets. Any noncontrolling interest that fails to qualify as permanent equity will be reclassified as temporary equity and adjusted to the greater of (a) the carrying amount, or (b) its redemption value as of the end of the period in which the determination is made.
Regulatory Income Taxes, Policy [Policy Text Block]	Income Taxes We have elected to be taxed as a REIT, under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended (the “Code”) beginning with our taxable year ending December 31, 2006. To qualify as a REIT, we must meet certain organizational and operational requirements, including a requirement to currently distribute at least 90 We have elected to treat Friendswood TRS and SAM TRS as taxable REIT subsidiaries, which generally may engage in any business, including the provision of customary or non-customary services for our tenants. These TRS entities are treated as a regular corporation and are subject to federal income tax and applicable state income and franchise taxes at regular corporate rates. Friendswood TRS has deferred tax assets related to their net operating loss (“NOL”) (which expires after 2035 for federal and state) of $ 32,000 436,000 expires after 2035 168,000
Basic and Diluted Net Loss Per Common Share Applicable to Common Shares [Policy Text Block]	Basic and Diluted Net Loss and Distributions per Common Share Basic and diluted net loss per common share applicable to common stockholders is computed by dividing net loss applicable to common stockholders by the weighted-average number of common shares outstanding for the period. For each of the years ended December 31, 2015 and 2014, 205,000 40,000 3.1 3.8 23,027,978 23,028,014 The Company declared no cash distributions per common share during the years ended December 31, 2015 and 2014.
Income Tax Uncertainties, Policy [Policy Text Block]	Uncertain Tax Positions In accordance with the requirements of ASC 740, “ Income Taxes,”
Reclassification, Policy [Policy Text Block]	Reclassification Certain amounts related to accounts payable and accrued liabilities and accrued salaries and benefits in the Company’s statements of operations and statements of cash flows for prior year have been reclassified to conform to the current period presentation. These reclassifications had no effect on total assets, liabilities or cash flows from operating activities. Certain amounts related to restricted cash have been reclassified to conform to the current period presentation.
New Accounting Pronouncements, Policy [Policy Text Block]	New Accounting Pronouncements The FASB has issued Accounting Standards Update (ASU) No. 2015-03, Interest - Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. For public business entities, the amendments are effective for financial statements issued for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. The amendments should be applied on a retrospective basis, wherein the balance sheet of each individual period presented should be adjusted to reflect the period-specific effects of applying the new guidance. Upon transition, an entity is required to comply with the applicable disclosures for a change in an accounting principle. These disclosures include the nature of and reason for the change in accounting principle, the transition method, a description of the prior-period information that has been retrospectively adjusted, and the effect of the change on the financial statement line items (i.e., debt issuance cost asset and the debt liability). The Company has evaluated the impact of this new standard and does not expect it to have a significant effect on the consolidated financial statements, when adopted. The FASB has issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date. Revenue from Contracts with Customers (Topic 606). In February 2016, the FASB issued ASU No. 2016-02, Leases The new standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. A modified retrospective transition approach is required for lessors for sales-type, direct financing, and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, with certain practical expedients available. We are currently evaluating the impact of our pending adoption of the new standard on our consolidated financial statements.

Summary of Significant Accoun23

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Other Receivables and Valuation of Receivables [Table Text Block]	Tenant and other receivables consists of: As of December 31, 2015 2014 Accounts receivable from resident services, net of allowance for doubtful accounts of $309,000 and $108,000, respectively 1,002,000 982,000 Straight-line rent receivables 2,143,000 1,530,000 Distribution receivables 581,000 - Other receivables 87,000 87,000 Total $ 3,813,000 $ 2,599,000

Investments in Real Estate Pr24

Investments in Real Estate Properties (Tables)	12 Months Ended
	Dec. 31, 2015
Real Estate [Abstract]
Schedule of Real Estate Properties [Table Text Block]	As of December 31, 2015 and 2014, investments in real estate properties including those acquired through our subsidiaries and CHP, LLC, excluding assets contributed to the SUL JV and excluding assets of the variable interest entity held for sale at December 31, 2014, were as follows: 2015 2014 Land $ 6,932,000 $ 8,432,000 Buildings and improvements 73,181,000 88,241,000 Less: accumulated depreciation (5,842,000) (3,813,000) Buildings and improvements, net 67,339,000 84,428,000 Furniture and fixtures 7,086,000 8,133,000 Less: accumulated depreciation (3,515,000) (2,271,000) Furniture and fixtures, net 3,571,000 5,862,000 Real estate properties, net $ 77,842,000 $ 98,722,000
Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]	The future minimum lease payments to be received under existing operating leases for properties owned as of December 31, 2015 are as follows: Years ending December 31, 2016 $ 6,617 2017 6,766 2018 6,918 2019 7,074 2020 and thereafter 62,194 $ 89,569
Acquisitions -2013 [Member]
Real Estate [Abstract]
Schedule of Business Acquisitions, by Acquisition [Table Text Block]	The following sets forth the allocation of the purchase price of the properties acquired in 2015 as well as the associated acquisitions costs, all of which have been capitalized. We have accounted for the acquisitions as an asset purchase under GAAP. Front Royal Cottages Riverglen Total Land $ 500,000 $ 910,000 $ 430,000 $ 1,840,000 Buildings & improvements 12,707,000 16,849,000 7,520,000 37,076,000 Site improvements 540,000 471,000 230,000 1,241,000 Furniture & fixtures 760,000 305,000 500,000 1,565,000 Real estate acquisition and capitalized costs $ 14,507,000 $ 18,535,000 $ 8,680,000 $ 41,722,000 Real estate acquisition costs, capitalized (included above) $ 207,000 185,000 180,000 $ 572,000
Acquisitions - 2014 [Member]
Real Estate [Abstract]
Schedule of Business Acquisitions, by Acquisition [Table Text Block]	The following sets forth the allocation of the purchase price of the properties acquired in 2014 as well as the associated acquisitions costs, all of which have been capitalized. Monte Myrtle Lamar Vista Point Gateway Applewood Total Land $ 159,000 $ 111,000 $ 360,000 $ 770,000 $ 530,000 $ 1,930,000 Buildings & improvements 4,164,000 3,030,000 3,453,000 9,665,000 2,149,000 22,461,000 Site improvements 59,000 144,000 40,000 200,000 90,000 533,000 Furniture & fixtures 195,000 184,000 350,000 680,000 180,000 1,589,000 Real estate acquisitions $ 4,577,000 $ 3,469,000 $ 4,203,000 $ 11,315,000 $ 2,949,000 $ 26,513,000 Real estate acquisition costs, capitalized (included above) $ 77,000 $ 69,000 $ 53,000 $ 65,000 $ 49,000 $ 313,000

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]	The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions: 2015 Expected Volatility 19.0 % Expected lives 2 years Risk-free interest rate 0.98 % Dividends 0 %
Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block]	Options Weighted Weighted Aggregate Options outstanding at January 1, 2014 40,000 $ 8.00 Granted — Exercised — Cancelled/forfeited — Options outstanding at December 31, 2014 40,000 8.00 Granted 500,000 $ 1.72 Exercised — Cancelled/forfeited — Options outstanding at December 31, 2015 540,000 $ 2.19 9.28 $ 310,000 Options exercisable at December 31, 2015 205,000 $ 2.95 8.15 $ 102,000

Loans Payable (Tables)

Loans Payable (Tables)	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Schedule of Debt [Table Text Block]	For the years ended December 31, 2015 and 2014, loans payable consisted of the following: 2015 2014 Loans payable to Healthcare Financial Solutions (formerly GE Capital) in monthly installments of approximately $11,000, including interest at LIBOR (floor of .50%) plus 4.0% (4.5% and 5.0% at December 31, 2015 and 2014, respectively), due in October 2018, and as of December 31, 2015, collateralized by Redding and as of December 31, 2014, collateralized by Friendship Haven, Brookstone of Aledo, Redding, Gateway and Applewood. $ 2,800,000 $ 25,617,000 Loans payable to The PrivateBank with interest at LIBOR (floor of up to 1.0%) plus 4.0% (5.0% at December 31, 2014, respectively), and as of December 31, 2014 collateralized by Danby House, Myrtle Point, Lamar Estates and Monte Vista Estates. - 16,350,000 Loan payable to Oxford Finance, LLC in monthly installments of approximately $42,000, including interest at LIBOR (floor of 0.75%) plus 6.50% (7.25% as of December 31, 2015) due in October 2019, collateralized by Friendship Haven. 7,000,000 - Loan payable to Housing and Healthcare Finance (insured by HUD) in monthly installments of approximately $21,000, including interest, at fixed interest rate of 4.25% due in April 2054, collateralized by Riverglen. 4,728,000 - Loans payable to Lancaster Pollard (insured by HUD) in monthly installments of approximately $238,000, including interest, ranging from a fixed rate of 3.70% to 3.78%, due in September 2039 through January 2051, and as of December 31, 2015 collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet, Carteret, Aledo and Danby, and as of December 31, 2014, collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet and Carteret. 51,372,000 36,785,000 65,900,000 78,752,000 Less debt discount (932,000) (780,000) Total loans payable $ 64,968,000 $ 77,972,000
Schedule of Maturities of Long-term Debt [Table Text Block]	The principal payments due on the loans payable (excluding debt discount) for each of the five following years ending December 31 are as follows: Principal Year Amount 2016 $ 1,015,000 2017 1,184,000 2018 3,934,000 2019 7,903,000 2020 1,164,000 Thereafter 50,700,000 $ 65,900,000

Discontinued Operations (Tables

Discontinued Operations (Tables)	12 Months Ended
	Dec. 31, 2015
Discontinued Operations and Disposal Groups [Abstract]
Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block]	2015 2014 Rental revenues, tenant reimbursements and other income $ — $ 2,514,000 Operating expenses, real estate taxes, and interest expense — (2,740,000) Loss on disposition of VIE (1,699,000) — Loss from discontinued operations $ (1,699,000) $ (226,000) 2015 2014 Assets of variable interest entity held for sale: Cash and cash equivalents $ — $ 36,000 Investments in real estate, net — 3,905,000 Accounts receivable, inventory and other assets — 198,000 Total assets $ — $ 4,139,000 Liabilities of variable interest entity held for sale: Note payable $ — $ 1,332,000 Loan payable — 117,000 Accounts payable and accrued liabilities — 466,000 Intangible lease liabilities, net — 145,000 Interest payable — 640,000 Liabilities of variable interest entity held for sale $ — $ 2,700,000
Schedule of Cash Flow, Supplemental Disclosures [Table Text Block]	The transaction had the following effect to reduce our consolidated assets and liabilities: Real estate properties $ (40,391,000) Other assets (832,000) Loans payable, net 30,133,000 Other liabilities 1,182,000 Total contribution: $ 9,908,000

Organization (Details Textual)

Organization (Details Textual) - USD ($)	1 Months Ended				3 Months Ended	12 Months Ended
	Dec. 24, 2015	Oct. 31, 2015	Sep. 30, 2015	Apr. 29, 2015	Jun. 30, 2015	Dec. 31, 2015	Dec. 31, 2014
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest by Affiliates						95.00%
Distribution Receivable				$ 362,000		$ 362,000	$ 0
Proceeds from Divestiture of Interest in Joint Venture				9,200,000
Reduction in Front Royal Loan Amount				715,000
Equity Method Investment, Ownership Percentage						10.00%
Gain (Loss) on Disposition of Real Estate, Discontinued Operations					$ 1,000,000	$ 971,000	0
Payments to Acquire Equity Method Investments						929,000	0
Assets, Total						103,849,000	118,081,000
Real Estate Investment Property, Net, Total						77,842,000	98,722,000
Liabilities, Total						$ 69,870,000	$ 85,038,000
CHREF [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest						4.70%
Best Years Llc [Member]
Organization [Line Items]
Payments to Acquire Interest in Joint Venture				$ 9,900,000
Equity Method Investment, Ownership Percentage				90.00%
Operating Partnership Llc [Member]
Organization [Line Items]
Equity Method Investment, Ownership Percentage				10.00%
Summit Healthcare Asset Management Llc [Member]
Organization [Line Items]
Property Management Fee, Percent Fee						0.25%
HCRE Investors [Member]
Organization [Line Items]
Payments to Acquire Additional Interest in Subsidiaries		$ 900,000
Cornerstone Operating Partnership [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest						99.88%
Cornerstone Operating Partnership [Member] | Cornerstone Realty Advisors, LLC [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest by Affiliates						0.12%
Cornerstone Healthcare Partners [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest						95.00%
Cornerstone Healthcare Real Estate Fund [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest by Affiliates						5.00%
JV Properties [Member]
Organization [Line Items]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest			89.00%			95.30%
Proceeds from Divestiture of Businesses and Interests in Affiliates, Total						$ 900,000
Divestiture Of Interests In Affiliates						800,000
JV Properties [Member] | Third Party Investors [Member]
Organization [Line Items]
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners			6.30%
JV Properties [Member] | CHREF [Member]
Organization [Line Items]
Proceeds from Divestiture of Businesses and Interests in Affiliates, Total						$ 41,000
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners			4.70%
Summit Union Life Holding [Member]
Organization [Line Items]
Payments to Acquire Interest in Joint Venture	$ 4,900,000
Proceeds from Divestiture of Interest in Joint Venture	4,900,000
Payments to Acquire Equity Method Investments		$ 800,000
Assets, Total	19,500,000
Real Estate Investment Property, Net, Total	5,400,000
Liabilities, Total	$ 14,100,000
Summit Healthcare Six Properties One [Member]
Organization [Line Items]
Real Estate Investment Trust Owne Percentage						100.00%
Summit Healthcare Six Properties Two [Member]
Organization [Line Items]
Real Estate Investment Trust Owne Percentage						95.00%

Summary of Significant Accoun29

Summary of Significant Accounting Policies (Details) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Accounts receivable from resident services, net of allowance for doubtful accounts of $309,000 and $108,000, respectively	$ 1,002,000	$ 982,000
Straight-line rent receivables	2,143,000	1,530,000
Distribution receivables	581,000	0
Other receivables	87,000	87,000
Total	$ 3,813,000	$ 2,599,000

Summary of Significant Accoun30

Summary of Significant Accounting Policies (Details) (Parenthetical) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Significant Accounting Policies [Line Items]
Allowance for Doubtful Accounts Receivable	$ 309,000	$ 108,000

Summary of Significant Accoun31

Summary of Significant Accounting Policies (Details Textual) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Summary of Significant Accounting Policies [Line Items]
Noncontrolling Interest, Ownership Percentage by Parent	95.00%
Loans Payable, Fair Value Disclosure	$ 66,900,000	$ 80,100,000
Loans Payable	$ 65,900,000	$ 78,752,000
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount	205,000	40,000
Deferred Costs, Leasing, Net, Total	$ 1,697,000	$ 1,859,000
Amortization	200,000	500,000
Amortization of Deferred Leasing Commissions	400,000
Allowance for Doubtful Accounts Receivable	309,000	108,000
Straight Line Rent	958,000	592,000
Provision For Doubtful Accounts	454,000	111,000
Income (Loss) From Continuing Operations Before Equity Method Investments, Income Taxes, Extraordinary Items, Noncontrolling Interest	$ (1,263,000)	$ (4,388,000)
Weighted Average Number Of Shares Outstanding, Basic and Diluted	23,027,978	23,028,014
Notes Receivable, Fair Value Disclosure	$ 4,800,000
Financing Receivable, Gross	4,700,000
Deferred Costs, Total	2,200,000	$ 2,200,000
Deferred Tax Assets, Valuation Allowance	436,000
Domestic Tax Authority [Member]
Summary of Significant Accounting Policies [Line Items]
Deferred Tax Assets, Operating Loss Carryforwards	$ 32,000
Operating Loss Carry forwards Expiration Period	expires after 2035
State and Local Jurisdiction [Member]
Summary of Significant Accounting Policies [Line Items]
Operating Loss Carry forwards Expiration Period	expires after 2035
Summit Healthcare Asset Management Llc [Member]
Summary of Significant Accounting Policies [Line Items]
Deferred Tax Assets, Valuation Allowance	$ 168,000
Real Estate Investment Trust [Member]
Summary of Significant Accounting Policies [Line Items]
Percentage of Taxable Income	90.00%
Maximum [Member]
Summary of Significant Accounting Policies [Line Items]
Property, Plant and Equipment, Useful Life	39 years
Fair Value, Inputs Discount Rate, Loans payable	7.30%
Minimum [Member]
Summary of Significant Accounting Policies [Line Items]
Property, Plant and Equipment, Useful Life	15 years
Fair Value, Inputs Discount Rate, Loans payable	4.40%
Weighted Average [Member]
Summary of Significant Accounting Policies [Line Items]
Fair Value, Inputs Discount Rate, Loans payable	4.70%

Investments in Real Estate Pr32

Investments in Real Estate Properties (Details) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Real Estate Properties [Line Items]
Real estate properties, net	$ 77,842,000	$ 98,722,000
Land [Member]
Real Estate Properties [Line Items]
Real estate properties, net	6,932,000	8,432,000
Building Improvements [Member]
Real Estate Properties [Line Items]
Investments in real estate	73,181,000	88,241,000
Less: accumulated depreciation	(5,842,000)	(3,813,000)
Real estate properties, net	67,339,000	84,428,000
Furniture and Fixture [Member]
Real Estate Properties [Line Items]
Investments in real estate	7,086,000	8,133,000
Less: accumulated depreciation	(3,515,000)	(2,271,000)
Real estate properties, net	$ 3,571,000	$ 5,862,000

Investments in Real Estate Pr33

Investments in Real Estate Properties (Details 1)	Dec. 31, 2015USD ($)
Real Estate Properties [Line Items]
2,016	$ 6,617
2,017	6,766
2,018	6,918
2,019	7,074
2020 and thereafter	62,194
Operating Leases, Future Minimum Payments Receivable	$ 89,569

Investments in Real Estate Pr34

Investments in Real Estate Properties (Details 2) - Acquisitions - 2015 [Member]	Dec. 31, 2015USD ($)
Real Estate Properties [Line Items]
Land	$ 1,840,000
Buildings & improvements	37,076,000
Site improvements	1,241,000
Furniture & fixtures	1,565,000
Real estate acquisition and capitalized costs	41,722,000
Real estate acquisition costs, capitalized (included above)	572,000
Front Royal [Member]
Real Estate Properties [Line Items]
Land	500,000
Buildings & improvements	12,707,000
Site improvements	540,000
Furniture & fixtures	760,000
Real estate acquisition and capitalized costs	14,507,000
Real estate acquisition costs, capitalized (included above)	207,000
Cottages [Member]
Real Estate Properties [Line Items]
Land	910,000
Buildings & improvements	16,849,000
Site improvements	471,000
Furniture & fixtures	305,000
Real estate acquisition and capitalized costs	18,535,000
Real estate acquisition costs, capitalized (included above)	185,000
Riverglen [Member]
Real Estate Properties [Line Items]
Land	430,000
Buildings & improvements	7,520,000
Site improvements	230,000
Furniture & fixtures	500,000
Real estate acquisition and capitalized costs	8,680,000
Real estate acquisition costs, capitalized (included above)	$ 180,000

Investments in Real Estate Pr35

Investments in Real Estate Properties (Details 3) - USD ($)	Dec. 31, 2015	Oct. 31, 2014
Myrtle Point [Member]
Real Estate Properties [Line Items]
Real estate acquisitions		$ 4,200,000
Acquisitions - 2014 [Member]
Real Estate Properties [Line Items]
Land	$ 1,930,000
Buildings & improvements	22,461,000
Site improvements	533,000
Furniture & fixtures	1,589,000
Real estate acquisitions	26,513,000
Real estate acquisition costs, capitalized (included above)	313,000
Acquisitions - 2014 [Member] | Lamar [Member]
Real Estate Properties [Line Items]
Land	159,000
Buildings & improvements	4,164,000
Site improvements	59,000
Furniture & fixtures	195,000
Real estate acquisitions	4,577,000
Real estate acquisition costs, capitalized (included above)	77,000
Acquisitions - 2014 [Member] | Monte Vista [Member]
Real Estate Properties [Line Items]
Land	111,000
Buildings & improvements	3,030,000
Site improvements	144,000
Furniture & fixtures	184,000
Real estate acquisitions	3,469,000
Real estate acquisition costs, capitalized (included above)	69,000
Acquisitions - 2014 [Member] | Myrtle Point [Member]
Real Estate Properties [Line Items]
Land	360,000
Buildings & improvements	3,453,000
Site improvements	40,000
Furniture & fixtures	350,000
Real estate acquisitions	4,203,000
Real estate acquisition costs, capitalized (included above)	53,000
Acquisitions - 2014 [Member] | Gateway [Member]
Real Estate Properties [Line Items]
Land	770,000
Buildings & improvements	9,665,000
Site improvements	200,000
Furniture & fixtures	680,000
Real estate acquisitions	11,315,000
Real estate acquisition costs, capitalized (included above)	65,000
Acquisitions - 2014 [Member] | Applewood [Member]
Real Estate Properties [Line Items]
Land	530,000
Buildings & improvements	2,149,000
Site improvements	90,000
Furniture & fixtures	180,000
Real estate acquisitions	2,949,000
Real estate acquisition costs, capitalized (included above)	$ 49,000

Investments in Real Estate Pr36

Investments in Real Estate Properties (Details Textual) - USD ($) $ in Millions	Nov. 03, 2015	Nov. 17, 2015	Jan. 23, 2015	Oct. 31, 2014	Sep. 22, 2014	Dec. 31, 2015	Dec. 31, 2014
Real Estate Properties [Line Items]
Depreciation						$ 3.9	$ 3.5
Colorado Properties [Member]
Real Estate Properties [Line Items]
Lessor Leasing Arrangements, Operating Leases, Term of Contract					15 years
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets					$ 7.9
Myrtle Point [Member]
Real Estate Properties [Line Items]
Lessor Leasing Arrangements, Operating Leases, Term of Contract				15 years
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets				$ 4.2
Oregon Properties [Member]
Real Estate Properties [Line Items]
Lessor Leasing Arrangements, Operating Leases, Term of Contract				15 years
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets							$ 14.2
Wisconsin Properties [Member]
Real Estate Properties [Line Items]
Payments to Acquire Businesses, Gross	$ 18.4
Lessor Leasing Arrangements, Operating Leases, Term of Contract	12 years
Littleton New Hampshire [Member]
Real Estate Properties [Line Items]
Payments to Acquire Businesses, Gross		$ 8.5
Lessor Leasing Arrangements, Operating Leases, Term of Contract		15 years
Front Royal [Member]
Real Estate Properties [Line Items]
Payments to Acquire Businesses, Gross			$ 14.3
Lessor Leasing Arrangements, Operating Leases, Term of Contract			15 years

Concentration of Risk (Details

Concentration of Risk (Details Textual)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Tenant one, Concentration Risk [Member]
Concentration Risk [Line Items]
Concentration Risk, Percentage	49.00%	28.00%
Tenant two, Concentration Risk [Member]
Concentration Risk [Line Items]
Concentration Risk, Percentage	29.00%	28.00%
Maximum [Member]
Concentration Risk [Line Items]
Concentration Risk, Percentage		20.00%

Notes Receivable (Details Textu

Notes Receivable (Details Textual) - USD ($)	Jan. 07, 2015	May. 02, 2014	Dec. 30, 2015	Sep. 30, 2014	Dec. 22, 2013	May. 31, 2008	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2011	May. 31, 2010
Accounts, Notes, Loans and Financing Receivable [Line Items]
Financing Receivable, Net					$ 1,000,000	$ 10,000,000	$ 4,833,000	$ 132,000		$ 8,750,000
Notes Received From Borrower									$ 1,500,000
Settlement Of Notes Payable									$ 2,500,000
Gain (Loss) on Disposition of Assets, Total							(1,582,000)	0
Variable Interest Entity [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gain (Loss) on Disposition of Assets, Total							$ 1,700,000
Nantucket Note [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Interest Income Note Receivable			$ 169,000
Sherburne Commons, Inc., Money Note [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Receivable with Imputed Interest, Effective Yield (Interest Rate)	3.50%
Receivable with Imputed Interest, Face Amount	$ 5,000,000
Receivable with Imputed Interest, Description							We may also participate in additional interest of up to $1 million from 50% of the net proceeds of cottage sales through December 31, 2018.
Operator [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Financing Receivable, Net				$ 140,000				100,000
Debt Instrument, Interest Rate, Stated Percentage				6.00%
Debt Instrument, Maturity Date				Jan. 31, 2019
Debt Instrument, Frequency of Periodic Payment				monthly installments
Servant Investment, Llc Notes Receivable [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Receivable with Imputed Interest, Effective Yield (Interest Rate)						10.00%
Servant Healthcare Investment, Llc Notes Receivable [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Interest Income Note Receivable								$ 5,000
Receivable with Imputed Interest, Effective Yield (Interest Rate)					5.00%
Proceeds from Collection of Notes Receivable		$ 300,000			$ 700,000

Equity (Details)

Equity (Details)	12 Months Ended
	Dec. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected Volatility	19.00%
Expected lives	2 years
Risk-free interest rate	0.98%
Dividends	0.00%

Equity (Details 1)

Equity (Details 1) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, Beginning Balance	40,000	40,000
Options, Granted	500,000	0
Options, Exercised	0	0
Options, Cancelled/forfeited	0	0
Options outstanding, Ending Balance	540,000	40,000
Options Exercisable, Ending Balance	205,000
Weighted Average Exercise Price, Outstanding at Beginning Balance	$ 8	$ 8
Weighted Average Exercise Price, Granted	1.72
Weighted Average Exercise Price, Outstanding at Ending Balance	2.19	$ 8
Weighted Average Exercise Price, Exercisable at Ending Balance	$ 2.95
Options Outstanding, Weighted Average Remaining Contractual Term	9 years 3 months 11 days
Options Exercisable, Weighted Average Remaining Contractual Term	8 years 1 month 24 days
Options outstanding, Aggregate Intrinsic Value	$ 310,000
Options Exercisable, Aggregate Intrinsic Value	$ 102,000

Equity (Details Textual)

Equity (Details Textual) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2013
Schedule of Equity [Line Items]
Common Stock, Shares Authorized	290,000,000	290,000,000
Common Stock, Par Or Stated Value Per Share	$ 0.001	$ 0.001
Preferred Stock, Shares Authorized	10,000,000	10,000,000
Preferred Stock, Par Or Stated Value Per Share	$ 0.001	$ 0.001
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross	500,000	0
Share-based Compensation, Total	$ 33,000	$ 0
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number	540,000	40,000			40,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term	9 years 3 months 11 days
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Weighted Average Exercise Price, Beginning Balance	$ 0.20
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Total	$ 66,000
General and Administrative Expense [Member]
Schedule of Equity [Line Items]
Share-based Compensation, Total	$ 33,000	$ 0
Omnibus Incentive Plan [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant	3,000,000
Omnibus Incentive Plan [Member] | Executive Management [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross	500,000
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage	33.00%
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value	$ 0.20
Omnibus Incentive Plan [Member] | Executive Management [Member] | Vest in Equal Monthly Installment [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage	67.00%
Director Incentive Stock Plan [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number	40,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term	10 years
Maximum [Member] | Director Incentive Stock Plan [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Expirations in Period	20,000
Minimum [Member] | Director Incentive Stock Plan [Member]
Schedule of Equity [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Expirations in Period	20,000
Scenario, Forecast [Member]
Schedule of Equity [Line Items]
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Total			$ 33,000	$ 33,000

Related Party Transactions (Det

Related Party Transactions (Details Textual) - USD ($)	1 Months Ended	3 Months Ended	12 Months Ended
	Jun. 10, 2012	Jun. 30, 2012	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Related Party Transaction [Line Items]
Sponsor Fees	$ 1,100,000
Sponsor Fees Excess Of Contractual Limit	$ 1,000,000
Accounts Receivable From Advisor		$ 1,000,000	$ 700,000
Reimbursement of Advisory Fees for Expenses				$ 31,000
General and Administrative Expense			4,313,000	3,949,000
Asset Management Fees			$ 0	$ 205,000
Percentage Of Restricted Operating Expenses				2.00%
Percentage Of Restricted Net Income				25.00%
Operating Expenses, Total				$ 3,700,000
Amount in Excess of Restricted Operating Expenses				1,700,000
Advisors And Offering Cost Description			In no event will we have any obligation to reimburse CRA for organizational and offering costs totaling in excess of 3.5% of the gross proceeds from Offerings, which terminated on June 10, 2012.
Amount collected for offering cost					$ 300,000
Accounts Payable and Accrued Liabilities, Total			$ 2,883,000	1,995,000
Advisory Agreement [Member]
Related Party Transaction [Line Items]
Reimbursement of Advisory Fees for Expenses				189,000
Over Reimbursement Of Advisory Fees For Management Fees and Expenses				32,000
General and Administrative Expense				200,000
Asset Management Fees				42,000
Advisory Acquisition Fees Description			Pursuant to provisions contained in our terminated Advisory Agreement, our board of directors had the responsibility of limiting our total operating expenses for each trailing four consecutive quarters to amounts that do not exceed the greater of 2% of our average invested assets or 25% of our net income, calculated in the manner set forth in our charter
Advisor Fees Description			0.75
Cornerstone Realty Advisors, LLC [Member]
Related Party Transaction [Line Items]
General and Administrative Expense				$ 200,000
SUL JV [Member]
Related Party Transaction [Line Items]
Accounts Payable and Accrued Liabilities, Total			$ 200,000

Loans Payable (Details)

Loans Payable (Details) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Debt Instrument [Line Items]
Long-term Debt, Gross	$ 65,900,000	$ 78,752,000
Less debt discount	(932,000)	(780,000)
Total loans payable	64,968,000	77,972,000
General Electric Capital Corporation [Member]
Debt Instrument [Line Items]
Long-term Debt, Gross	2,800,000	25,617,000
Private Bank and Trust Company [Member]
Debt Instrument [Line Items]
Long-term Debt, Gross	0	16,350,000
Lancaster Pollard Mortgage Company, LLC [Member]
Debt Instrument [Line Items]
Long-term Debt, Gross	51,372,000	36,785,000
Oxford Finance, LLC [Member]
Debt Instrument [Line Items]
Long-term Debt, Gross	7,000,000	0
Housing and Healthcare Finance [Member]
Debt Instrument [Line Items]
Long-term Debt, Gross	$ 4,728,000	$ 0

Loans Payable (Details 1)

Loans Payable (Details 1)	Dec. 31, 2015USD ($)
Debt Instrument [Line Items]
2,016	$ 1,015,000
2,017	1,184,000
2,018	3,934,000
2,019	7,903,000
2,020	1,164,000
Thereafter	50,700,000
Total	$ 65,900,000

Loans Payable (Details Textual)

Loans Payable (Details Textual) - USD ($)	Oct. 06, 2015	Dec. 21, 2015	Nov. 30, 2015	Nov. 17, 2015	Oct. 30, 2015	Apr. 30, 2015	Sep. 30, 2014	Dec. 31, 2015	Dec. 31, 2014	Jan. 23, 2015	Nov. 30, 2014
Debt Instrument [Line Items]
Debt Instrument, Maturity Date, Description								mature between 2018 and 2054
Deferred Finance Costs, Net, Total								$ 1,380,000	$ 1,453,000
Amortization Of Financing Costs								223,000	186,000
Loans Payable, Total								64,968,000	77,972,000
Long-term Debt, Gross								65,900,000	78,752,000
Writeoff Of Lease Commission Straight line Rent Receivables And Other Assets Net								212,000	586,000
HUD Aledo Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount								$ 7,400,000
Debt Instrument, Unamortized Discount, Amortization Period								35 years
HUD Danby Loan [Member]
Debt Instrument [Line Items]
Amortization Schedule Of Debt		35 years
Debt Instrument, Interest Rate, Basis for Effective Rate		interest at a fixed rate of 3.74%, plus 0.65% for mortgage insurance premiums
Loans Payable, Noncurrent								$ 7,900,000
Lancaster Pollard HUD insured loans [Member]
Debt Instrument [Line Items]
Loans Payable, Total								51,400,000	36,800,000
Interest Expense, Debt								$ 1,700,000	$ 300,000
Pacific Western Bank loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis			LIBOR (London Interbank Offer Rate), with a floor of 19 basis points, plus a spread of 4.50%
Debt Instrument, Face Amount			$ 13,500,000
Oxford Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis	LIBOR (London Interbank Offer Rate), with a floor of 75 basis points, plus a spread of 6.50%
Debt Instrument, Face Amount	$ 7,000,000
Interest Expense, Debt	100,000
Proceeds from Loans	$ 7,000,000
Debt Instrument, Covenant Description	(i) at any time prior to or on October 6, 2017, an amount equal to the product obtained by multiplying (a) three-quarters of one percent (.75%) by (b) the principal amount of the term loan that has been funded at that time, and (ii) at any time after October 6, 2017, an amount equal to the product obtained by multiplying (a) one and one-quarter of one percent (1.25%) by (b) the principal amount of the term loan that has been funded at that time.
Loans Payable Additional Amount Available	$ 1,100,000
Housing Healthcare Finance Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis				interest at a fixed rate of 4.25%, plus 0.65%
Debt Instrument, Face Amount				$ 4,700,000
Interest Expense, Debt				$ 29,000
General Electric Capital Corporation [Member]
Debt Instrument [Line Items]
Debt Instrument, Frequency of Periodic Payment								monthly
Debt Instrument, Periodic Payment								$ 11,000
Debt Instrument, Description of Variable Rate Basis								LIBOR (floor of .50%) plus 4.0%
Debt Instrument, Interest Rate, Stated Percentage								4.50%	5.00%
Debt Instrument, Maturity Date, Description								due in October 2018
Debt Instrument, Collateral									collateralized by Friendship Haven, Brookstone of Aledo, Redding, Gateway and Applewood.
Long-term Debt, Gross								$ 2,800,000	$ 25,617,000
General Electric Capital Corporation [Member] | Redding [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis					LIBOR rate, plus a spread of 4.00%
Debt Instrument, Interest Rate, Stated Percentage					6.00%
Debt Instrument, Maturity Date					Oct. 30, 2018
Loans Payable, Total					$ 2,800,000
Amortization Schedule Of Debt					25 years
Private Bank and Trust Company Loans [Member]
Debt Instrument [Line Items]
Debt Instrument, Frequency of Periodic Payment								monthly
Debt Instrument, Description of Variable Rate Basis								LIBOR (floor of up to 1.0%) plus 4.0%
Debt Instrument, Interest Rate, Stated Percentage									5.00%
Debt Instrument, Collateral									collateralized by Danby House, Myrtle Point, Lamar Estates and Monte Vista Estates.
Oxford Finance, LLC [Member]
Debt Instrument [Line Items]
Debt Instrument, Frequency of Periodic Payment								monthly
Debt Instrument, Periodic Payment								$ 42,000
Debt Instrument, Description of Variable Rate Basis								LIBOR (floor of 0.75%) plus 6.50%
Debt Instrument, Interest Rate, Stated Percentage								7.25%
Debt Instrument, Maturity Date, Description								due in October 2019
Debt Instrument, Collateral								collateralized by Friendship Haven.
Debt Instrument, Face Amount								$ 7,000,000
Debt Instrument, Maturity Date	Oct. 6, 2019
Long-term Debt, Gross								$ 7,000,000	$ 0
Housing and Healthcare Finance [Member]
Debt Instrument [Line Items]
Debt Instrument, Frequency of Periodic Payment								monthly
Debt Instrument, Periodic Payment								$ 21,000
Debt Instrument, Interest Rate, Stated Percentage								4.25%
Debt Instrument, Maturity Date, Description								due in April 2054
Debt Instrument, Collateral								collateralized by Riverglen.
Debt Instrument, Face Amount								$ 4,700,000
Long-term Debt, Gross								$ 4,728,000	$ 0
Housing and Healthcare Finance [Member] | Oxford Loan [Member]
Debt Instrument [Line Items]
Amortization Schedule Of Debt	25 years			38 years 3 months 18 days
Lancaster Pollard Mortgage Company, LLC [Member]
Debt Instrument [Line Items]
Debt Instrument, Frequency of Periodic Payment								monthly
Debt Instrument, Periodic Payment								$ 238,000
Debt Instrument, Interest Rate, Stated Percentage Rate Range, Minimum								3.70%
Debt Instrument, Interest Rate, Stated Percentage Rate Range, Maximum								3.78%
Debt Instrument, Maturity Date, Description								September 2039 through January 2051
Debt Instrument, Collateral								collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet, Carteret, Aledo and Danby	collateralized by Sheridan, Fernhill, Tigard, Medford, Shelby, Hamlet and Carteret.
Long-term Debt, Gross								$ 51,372,000	$ 36,785,000
Prepayment Penalty Percentage								10.00%
Lancaster Pollard Mortgage Company, LLC [Member] | HUD 1 Loans [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount								$ 23,600,000	24,200,000
Lancaster Pollard Mortgage Company, LLC [Member] | HUD 1 Loans [Member] | Minimum [Member]
Debt Instrument [Line Items]
Debt Instrument, Maturity Date								Sep. 30, 2039
Amortization Schedule Of Debt							25 years
Lancaster Pollard Mortgage Company, LLC [Member] | HUD 1 Loans [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt Instrument, Maturity Date								Sep. 30, 2049
Amortization Schedule Of Debt							35 years
Lancaster Pollard Mortgage Company, LLC [Member] | HUD 2 Loans [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount								$ 12,500,000	$ 12,600,000
Debt Instrument, Maturity Date								Dec. 1, 2049
Amortization Schedule Of Debt								35 years
Lancaster Pollard Mortgage Company, LLC [Member] | HUD Aledo Loan [Member]
Debt Instrument [Line Items]
Prepayment Penalty Percentage								10.00%
Debt Instrument, Interest Rate, Basis for Effective Rate	interest at a fixed rate of 3.70%, plus 0.65% for mortgage insurance premiums
Lancaster Pollard Mortgage Company, LLC [Member] | HUD Danby Loan [Member]
Debt Instrument [Line Items]
Prepayment Penalty Percentage		10.00%
GE Healthcare Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								LIBOR (London Interbank Offer Rate), with a floor of 50 basis points, plus a spread of 4.50%	LIBOR, with a floor of 50 basis points, plus a spread of 4.00%,
Debt Instrument, Interest Rate, Stated Percentage								6.00%
Debt Instrument, Maturity Date								Sep. 12, 2017	Dec. 30, 2017
Debt Instrument, Unamortized Discount, Amortization Period								25 years
Loans Payable, Total									$ 13,400,000
Amortization Schedule Of Debt									25 years
GE Healthcare Loan [Member] | HUD 1 Loans [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								interest for the first 12 months at 90-day LIBOR plus 4.5%, with a LIBOR floor of 0.5%
Debt Instrument, Maturity Date								Sep. 11, 2017
GE Healthcare Loan [Member] | Gateway [Member]
Debt Instrument [Line Items]
Loans Payable, Total									$ 8,400,000
GE Healthcare Loan [Member] | Redding [Member]
Debt Instrument [Line Items]
Loans Payable, Total									2,800,000
GE Healthcare Loan [Member] | Applewood [Member]
Debt Instrument [Line Items]
Loans Payable, Total									2,200,000
Aledo Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								interest at a fixed rate of 3.70%, plus 0.65%
Danby Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								LIBOR plus 4.00% with a LIBOR floor of 1.00%
Debt Instrument, Face Amount								$ 0	7,300,000
Debt Instrument, Maturity Date								Jan. 30, 2016
Loans Payable, Total								$ 0	7,300,000
Amortization Schedule Of Debt								25 years
North Carolina Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount											$ 11,400,000
Colorado Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								LIBOR plus 4.50% with a LIBOR floor of 0.25%
Debt Instrument, Maturity Date								Sep. 21, 2017
Loans Payable, Total								$ 0	6,000,000
Amortization Schedule Of Debt								25 years
Myrtle Point Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								LIBOR (London Interbank Rate), with a floor of 25 basis points, plus a spread of 4.50%
Debt Instrument, Maturity Date								Oct. 30, 2017
Loans Payable, Total								$ 0	3,100,000
Amortization Schedule Of Debt								25 years
SUL JV [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount								$ 715,000
Loans Payable, Total								0	10,700,000
Debt Conversion, Original Debt, Amount						$ 10,600,000
Pacific Western Bank [Member]
Debt Instrument [Line Items]
Interest Expense, Debt								100,000
Pacific Western Bank [Member] | Loans One [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount								$ 0
Front Royal Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								LIBOR (London Interbank Offer Rate), with a floor of 25 basis points, plus a spread of 4.50%
Debt Instrument, Face Amount										$ 11,400,000
Debt Instrument, Maturity Date								Sep. 21, 2017
Loans Payable, Total										$ 20,500,000
Interest Expense, Debt								$ 600,000	1,000,000
Amortization Schedule Of Debt								25 years
GE Healthcare Loan Friendship Haven [Member]
Debt Instrument [Line Items]
Loans Payable, Total	$ 6,400,000
GE Healthcare Loan Aledo facility [Member]
Debt Instrument [Line Items]
Loans Payable, Total	$ 5,900,000
GE Healthcare Loan Amended [Member]
Debt Instrument [Line Items]
Interest Expense, Debt								$ 800,000	1,200,000
Long-term Debt, Gross								2,800,000	25,600,000
Private Bank loan [Member]
Debt Instrument [Line Items]
Loans Payable, Total								$ 0	$ 16,400,000
Danby HUD loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Description of Variable Rate Basis								interest at a fixed rate of 3.74%, plus 0.65%

Commitments and Contingencies (

Commitments and Contingencies (Details Textual) - USD ($)	1 Months Ended	12 Months Ended
	Nov. 30, 2013	Dec. 31, 2015
Operating Lease, Termination Fee		$ 144,000
Right to Purchase the Property, Value		11,300,000
Call Option [Member]
Property, Plant, and Equipment, Owned, Net		$ 7,600,000
Purchase Option on Property, Plant and Equipment, Expiration Date		Aug. 13, 2022
Right to Purchase the Property, Value		$ 10,800,000
November 2016 Through July 2017 [Member]
Right to Purchase the Property, Value		11,000,000
Office Space at Lake Forest, California [Member]
Operating Leases, Future Minimum Payments Due, Next Twelve Months		71,270
Operating Leases, Future Minimum Payments, Due in Two Years		76,186
Operating Leases, Future Minimum Payments, Due in Three Years		$ 81,100
Living Facility in Athens, Georgia [Member]
Annual Rent, Percentage on Cost of Facility	8.00%
Lease Expense, Annual	$ 1,000,000
Contractual Obligation	$ 12,400,000

Discontinued Operations (Detail

Discontinued Operations (Details) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Rental revenues, tenant reimbursements and other income	$ 0	$ 2,514,000
Operating expenses, real estate taxes, and interest expense	0	(2,740,000)
Loss on disposition of VIE	(1,699,000)	0
Loss from discontinued operations	$ (1,699,000)	$ (226,000)

Discontinued Operations (Deta48

Discontinued Operations (Details 1) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Assets of variable interest entity held for sale:
Cash and cash equivalents	$ 0	$ 36,000
Investments in real estate, net	0	3,905,000
Accounts receivable, inventory and other assets	0	198,000
Total assets	0	4,139,000
Liabilities of variable interest entity held for sale:
Note payable	0	1,332,000
Loans payable	0	117,000
Accounts payable and accrued liabilities	0	466,000
Intangible lease liabilities, net	0	145,000
Interest payable	0	640,000
Liabilities of variable interest entity held for sale	$ 0	$ 2,700,000

Discontinued Operations (Deta49

Discontinued Operations (Details 2) - USD ($)	1 Months Ended
	Dec. 31, 2015	Apr. 30, 2015
Contribution of Property	$ 5,422,000	$ 9,908,000
Loans Payable [Member]
Contribution of Property	13,437,000	30,133,000
Real Estate Properties [Member]
Contribution of Property	(18,535,000)	(40,391,000)
Other Assets [Member]
Contribution of Property	(931,000)	(832,000)
Other Liabilities [Member]
Contribution of Property	$ 609,000	$ 1,182,000

Discontinued Operations (Deta50

Discontinued Operations (Details Textual) - USD ($)	1 Months Ended	3 Months Ended	12 Months Ended
	Dec. 24, 2015	Jun. 30, 2015	Dec. 31, 2015	Dec. 31, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Gain (Loss) on Disposition of Real Estate, Discontinued Operations		$ 1,000,000	$ 971,000	$ 0
Disposal Group, Including Discontinued Operation, Assets, Total			0	4,139,000
Disposal Group, Including Discontinued Operation, Liabilities			0	$ 2,700,000
Loans Payable [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Disposal Group, Including Discontinued Operation, Liabilities	$ 13,500,000
SUL JV [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Gain (Loss) on Disposition of Real Estate, Discontinued Operations			$ 1,000,000
Disposal Group, Including Discontinued Operation, Assets, Total	19,500,000
Disposal Group, Including Discontinued Operation, Liabilities	14,100,000
Cottage Properties [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Gain (Loss) on Disposition of Real Estate, Discontinued Operations	$ 5,400,000

Equity-Method Investment (Detai

Equity-Method Investment (Details Textual) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Nov. 30, 2015	Oct. 31, 2015	Apr. 30, 2015	Apr. 29, 2015
Limited Liability Company or Limited Partnership, Managing Member or General Partner, Compensation	Under the SUL LLC Agreement, net operating cash flow of the SUL JV will be distributed quarterly, first to the Operating Partnership and Best Years pari passu up to a 10% annual return for skilled nursing facilities (SNF), and thereafter to Best Years 75% and the Operating Partnership 25%. All capital proceeds (from the sale of the JV 2 Properties, refinancing, or other capital event) will be paid first to the Operating Partnership and Best Years pari passu until each has received an amount equal to its accrued but unpaid 10% return plus its total contribution, and thereafter to Best Years 75% and the Operating Partnership 25%.
Equity Method Investment, Ownership Percentage	10.00%
Distribution Receivable	$ 362,000	$ 0				$ 362,000
Asset Management Fees	80,000
Equity Method Investments	2,178,000	0			$ 1,000,000
Distribution receivable from the SULJV	179,000
Income (Loss) from Equity Method Investments	$ 88,000	$ 0
Operating Partnership Llc [Member]
Equity Method Investment, Ownership Percentage	10.00%
Distribution receivable from the SULJV	$ 179,000
Investment Income, Dividend	$ 109,000
Summit Healthcare Asset Management Llc [Member]
Property Management Fee, Percent Fee	0.25%
Best Years Llc [Member]
Equity Method Investment, Ownership Percentage	90.00%
SUL Joint Venture [Member]
Distribution Receivable	$ 300,000
Equity Method Investments	2,200,000		$ 600,000	$ 800,000
Income (Loss) from Equity Method Investments	$ 100,000
SUL Joint Venture [Member] | Minimum [Member]
Equity Method Investment, Ownership Percentage	3.00%
SUL Joint Venture [Member] | Maximum [Member]
Equity Method Investment, Ownership Percentage	5.00%
SUL LLC Agreement [Member]
Business Acquisition, Transaction Costs	$ 500,000

Subsequent Event (Details Textu

Subsequent Event (Details Textual) - USD ($)	Dec. 31, 2015	Dec. 31, 2014
Subsequent Event [Line Items]
Assets	$ 103,849,000	$ 118,081,000
Liabilities	69,870,000	$ 85,038,000
Riverglen [Member]
Subsequent Event [Line Items]
Assets	9,200,000
Liabilities	5,500,000
Loans Payable	$ 4,700,000