Description of Business (Details)	6 Months Ended
	Jun. 30, 2015 Operations facilities Businesses	Dec. 31, 2014 facilities
Skilled nursing, assisted living and independent living facilities [Abstract]
Number of Real Estate Properties	26	11
Number of Real Estate Properties Leased	124	125
Number of Real Estate Properties Leased with an Option to Purchase	3	3
Number of Real Estate Properties Operated	150	136
Home Health Operations [Abstract]
Home Health Operations | Operations	14
Hospice Operations [Abstract]
Hospice Operations | Operations	12
Number of Businesses Acquired | Businesses	18
Home care operations | Operations	3
Transitional Care Management Company | Operations	1
Urgent Care Centers Operated [Abstract]
Urgent Care Centers Operated	17
Operational Skilled Nursing, Assisted Living and Independent Living Beds [Abstract]
Operational Skilled Nursing, Assisted Living and Independent Living Beds | Operations	16,000