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Goodwill and Other Intangible Assets, Net (Details) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Goodwill [Line Items]
Gross Carrying Amount	$ 110,322,000		$ 110,322,000		$ 110,322,000
Accumulated Impairment and Other Charges	(769,000)		(769,000)		(769,000)
Net	109,553,000		109,553,000		109,553,000
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	185,440,000		185,440,000		184,794,000
Accumulated Amortization	(28,437,000)		(28,437,000)		(26,037,000)
Net	157,003,000		157,003,000		158,757,000
Amortization expense related to definite-lived intangible assets	1,200,000	1,200,000	2,400,000	2,300,000
Community Purchase Options [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	147,610,000		147,610,000		147,610,000
Accumulated Amortization	(26,810,000)		(26,810,000)		(24,961,000)
Net	120,800,000		120,800,000		122,649,000
Health Care Licenses [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	34,499,000		34,499,000		33,853,000
Accumulated Amortization	0		0		0
Net	34,499,000		34,499,000		33,853,000
Other [Member]
Schedule of Intangible Assets by Major Class [Line Items]
Gross Carrying Amount	3,331,000		3,331,000		3,331,000
Accumulated Amortization	(1,627,000)		(1,627,000)		(1,076,000)
Net	1,704,000		1,704,000		2,255,000
Retirement Centers [Member]
Goodwill [Line Items]
Gross Carrying Amount	7,642,000		7,642,000		7,642,000
Accumulated Impairment and Other Charges	(521,000)		(521,000)		(521,000)
Net	7,121,000		7,121,000		7,121,000
Assisted Living [Member]
Goodwill [Line Items]
Gross Carrying Amount	102,680,000		102,680,000		102,680,000
Accumulated Impairment and Other Charges	(248,000)		(248,000)		(248,000)
Net	$ 102,432,000		$ 102,432,000		$ 102,432,000

X

- Definition

Sum of the gross carrying amounts before accumulated amortization as of the balance sheet date of all finite and indefinite lived intangible assets. The aggregate gross carrying amount (including any previously recognized impairment charges) of a major finite-lived intangible asset class. A major class is composed of intangible assets that can be grouped together because they are similar, either by their nature or by their use in the operations of a company.

+ References

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The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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Amount before accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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Amount of accumulated impairment loss for an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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The net carrying amount as of the balance sheet date of other indefinite-lived and finite-lived intangible assets that are not separately presented on the statement of financial position.

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