10-K/A

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-K/A

Amendment No. 1

xANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2012

or

oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File Number 001-16817

FIVE STAR QUALITY CARE, INC.

(Exact Name of Registrant as Specified in Its Charter)

Maryland	04-3516029
(State of Incorporation)	(IRS Employer Identification No.)

400 Centre Street, Newton, Massachusetts 02458

(Address of Principal Executive Offices) (Zip Code)

(Registrant’s Telephone Number, Including Area Code): 617-796-8387

Securities registered pursuant to Section 12(b) of the Act:

Title Of Each Class	Name Of Each Exchange On Which Registered
Common Stock	New York Stock Exchange

Securities registered pursuant to Section 12(g) of the Act: None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes o  No x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes o  No x

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x  No o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x  No o

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. x

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer o	Accelerated filer x
Non-accelerated filer o (Do not check if a smaller reporting company)	Smaller reporting company o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes o  No x

The aggregate market value of the voting shares of common stock, $.01 par value, or common shares, of the registrant held by non-affiliates was $130.5 million based on the $3.07 closing price per common share on the New York Stock Exchange on June 29, 2012. For purposes of this calculation, an aggregate of 5,407,952.1 common shares, including 4,235,000 common shares held by Senior Housing Properties Trust, or SNH, are held by the directors and officers of the registrant and SNH and have been included in the number of common shares held by affiliates.

Number of the registrant’s common shares outstanding as of February 15, 2013: 48,234,022.

References in this Annual Report on Form 10-K to “we,” “us” or “our” mean Five Star Quality Care, Inc. and its consolidated subsidiaries unless the context otherwise requires.

WARNING CONCERNING FORWARD LOOKING STATEMENTS

THIS ANNUAL REPORT ON FORM 10-K CONTAINS STATEMENTS THAT CONSTITUTE FORWARD LOOKING STATEMENTS WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 AND OTHER SECURITIES LAWS.  ALSO, WHENEVER WE USE WORDS SUCH AS “BELIEVE”, “EXPECT”, “ANTICIPATE”, “INTEND”, “PLAN”, “ESTIMATE” OR SIMILAR EXPRESSIONS, WE ARE MAKING FORWARD LOOKING STATEMENTS.  THESE FORWARD LOOKING STATEMENTS ARE BASED UPON OUR PRESENT INTENT, BELIEFS OR EXPECTATIONS, BUT FORWARD LOOKING STATEMENTS ARE NOT GUARANTEED TO OCCUR AND MAY NOT OCCUR.  FORWARD LOOKING STATEMENTS IN THIS REPORT RELATE TO VARIOUS ASPECTS OF OUR BUSINESS, INCLUDING:

·OUR ABILITY TO OPERATE OUR SENIOR LIVING COMMUNITIES AND REHABILITATION HOSPITALS PROFITABLY,

·OUR ABILITY TO COMPLY AND TO REMAIN IN COMPLIANCE WITH APPLICABLE MEDICARE, MEDICAID AND OTHER FEDERAL AND STATE REGULATORY AND RATE SETTING REQUIREMENTS,

·OUR ABILITY TO MEET OUR RENT AND DEBT OBLIGATIONS,

·OUR ABILITY TO RAISE EQUITY OR DEBT CAPITAL,

·OUR ABILITY TO COMPETE FOR ACQUISITIONS EFFECTIVELY,

·THE FUTURE AVAILABILITY OF BORROWINGS UNDER OUR CREDIT FACILITIES,

·OUR EXPECTATION THAT WE WILL BENEFIT FINANCIALLY BY PARTICIPATING IN AFFILIATES INSURANCE COMPANY, OR AIC, WITH REIT MANAGEMENT & RESEARCH LLC, OR RMR, AND COMPANIES TO WHICH RMR PROVIDES MANAGEMENT SERVICES, AND

·OTHER MATTERS.

OUR ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTAINED IN OR IMPLIED BY OUR FORWARD LOOKING STATEMENTS AS A RESULT OF VARIOUS FACTORS. FACTORS THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR FORWARD LOOKING STATEMENTS AND UPON OUR BUSINESS, RESULTS OF OPERATIONS, FINANCIAL CONDITION, CASH FLOWS, LIQUIDITY AND PROSPECTS INCLUDE, BUT ARE NOT LIMITED TO:

·CHANGES IN MEDICARE AND MEDICAID POLICIES WHICH COULD RESULT IN REDUCED RATES OF PAYMENT,

·THE IMPACT OF CHANGES IN THE ECONOMY AND THE CAPITAL MARKETS ON US AND OUR RESIDENTS AND OTHER CUSTOMERS,

·COMPETITION WITHIN THE SENIOR LIVING SERVICES AND REHABILITATION HOSPITAL BUSINESSES,

·INCREASES IN INSURANCE AND TORT LIABILITY COSTS,

·ACTUAL AND POTENTIAL CONFLICTS OF INTEREST WITH OUR MANAGING DIRECTORS, SENIOR HOUSING PROPERTIES TRUST OR ITS SUBSIDIARIES, OR SNH, RMR, AIC AND THEIR RELATED PERSONS AND ENTITIES,

·COMPLIANCE WITH, AND CHANGES TO FEDERAL, STATE AND LOCAL LAWS AND REGULATIONS THAT COULD AFFECT OUR SERVICES OR IMPOSE REQUIREMENTS, COSTS AND ADMINISTRATIVE BURDENS THAT MAY REDUCE OUR ABILITY TO PROFITABLY OPERATE OUR BUSINESS, AND

·ACTS OF TERRORISM, OUTBREAKS OF SO CALLED PANDEMICS OR OTHER MANMADE OR NATURAL DISASTERS BEYOND OUR CONTROL.

FOR EXAMPLE:

·THE VARIOUS GOVERNMENTS WHICH PAY US FOR THE SERVICES WE PROVIDE TO OUR RESIDENTS AND PATIENTS ARE CURRENTLY EXPERIENCING, AND ARE EXPECTED TO CONTINUE TO EXPERIENCE, BUDGETARY PRESSURES AND CONSTRAINTS AND MAY LOWER THE MEDICARE, MEDICAID AND OTHER RATES THEY PAY US.  BECAUSE WE OFTEN CANNOT ETHICALLY LOWER THE QUALITY OF THE SERVICES WE PROVIDE TO MATCH THE AVAILABLE MEDICARE, MEDICAID AND OTHER RATES WE ARE PAID, WE MAY EXPERIENCE LOSSES AND SUCH LOSSES MAY BE MATERIAL,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT WE EXPECT THAT WE MAY ENTER INTO ADDITIONAL MANAGEMENT ARRANGEMENTS WITH SNH SIMILAR TO THOSE CURRENTLY IN EFFECT FOR US TO MANAGE ADDITIONAL SENIOR LIVING COMMUNITIES SNH MAY ACQUIRE IN THE FUTURE. HOWEVER, THERE CAN BE NO ASSURANCE THAT SNH WILL ACQUIRE OTHER COMMUNITIES OR THAT WE AND SNH WILL ENTER INTO ANY ADDITIONAL MANAGEMENT ARRANGEMENTS,

·OUR ABILITY TO OPERATE AND MANAGE NEW SENIOR LIVING COMMUNITIES PROFITABLY DEPENDS UPON MANY FACTORS, INCLUDING OUR ABILITY TO INTEGRATE NEW COMMUNITIES INTO OUR EXISTING OPERATIONS AND SOME FACTORS WHICH ARE BEYOND OUR CONTROL SUCH AS THE DEMAND FOR OUR SERVICES ARISING FROM ECONOMIC CONDITIONS GENERALLY.  WE MAY NOT BE ABLE TO SUCCESSFULLY INTEGRATE NEW COMMUNITIES OR OPERATE AND MANAGE NEW COMMUNITIES PROFITABLY,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT AT DECEMBER 31, 2012, WE HAD $24.6 MILLION OF CASH AND CASH EQUIVALENTS, THAT THERE WERE NO AMOUNTS OUTSTANDING UNDER OUR CREDIT FACILITIES, THAT WE HAD AN AGGREGATE OF $184.4 MILLION AVAILABLE TO BORROW UNDER OUR CREDIT FACILITIES, AND THAT WE HAVE IN THE PAST SOLD IMPROVEMENTS TO SNH AND INTEND TO REQUEST TO SELL ADDITIONAL IMPROVEMENTS TO SNH FOR INCREASED RENT PURSUANT TO OUR LEASES WITH SNH; ALL OF WHICH MAY IMPLY THAT WE HAVE ABUNDANT CASH LIQUIDITY.  HOWEVER, OUR OPERATIONS AND BUSINESS REQUIRE SIGNIFICANT AMOUNTS OF WORKING CASH AND REQUIRE US TO MAKE SIGNIFICANT CAPITAL EXPENDITURES TO MAINTAIN OUR COMPETITIVENESS.  FURTHER, OUR $35.0 MILLION CREDIT FACILITY EXPIRES IN MARCH 2013, AND WE MAY NOT SEEK, OR BE SUCCESSFUL IF WE DO, A RENEWAL OR REPLACEMENT OF THAT CREDIT FACILITY.  ACCORDINGLY, WE MAY NOT HAVE SUFFICIENT CASH LIQUIDITY,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT SPECIAL COMMITTEES OF EACH OF OUR BOARD OF DIRECTORS AND SNH’S BOARD OF TRUSTEES COMPOSED SOLELY OF OUR INDEPENDENT DIRECTORS AND SNH’S INDEPENDENT TRUSTEES WHO ARE NOT ALSO DIRECTORS OR TRUSTEES OF THE OTHER PARTY AND WHO WERE REPRESENTED BY SEPARATE COUNSEL REVIEWED AND APPROVED THE TERMS OF THE MANAGEMENT AGREEMENTS AND POOLING AGREEMENTS BETWEEN US AND SNH AND THAT A SPECIAL COMMITTEE OF OUR BOARD OF DIRECTORS COMPOSED SOLELY OF OUR INDEPENDENT DIRECTORS NEGOTIATED AND APPROVED THE TERMS OF OUR HEADQUARTERS LEASE WITH RMR.  AN IMPLICATION OF THESE STATEMENTS MAY BE THAT THESE TERMS ARE AS FAVORABLE TO US AS TERMS WE COULD OBTAIN FOR SIMILAR ARRANGEMENTS FROM UNRELATED THIRD PARTIES.

HOWEVER, DESPITE THESE PROCEDURAL SAFEGUARDS, WE COULD STILL BE SUBJECTED TO CLAIMS CHALLENGING THESE TRANSACTIONS OR OUR ENTRY INTO THESE TRANSACTIONS BECAUSE OF THE MULTIPLE RELATIONSHIPS AMONG US, SNH AND RMR AND THEIR RELATED PERSONS AND ENTITIES, AND DEFENDING EVEN MERITLESS CLAIMS COULD BE EXPENSIVE AND DISTRACTING TO MANAGEMENT,

·OUR RESIDENTS AND PATIENTS WHO PAY FOR OUR SERVICES WITH THEIR PRIVATE RESOURCES MAY BECOME UNABLE TO AFFORD OUR SERVICES WHICH COULD RESULT IN DECREASED OCCUPANCY AND DECREASED REVENUES AT OUR SENIOR LIVING COMMUNITIES AND REHABILITATION HOSPITALS AND INCREASED RELIANCE ON LOWER RATES FROM GOVERNMENT AND OTHER PAYERS,

·WE INTEND TO OPERATE OUR REHABILITATION HOSPITALS PROFITABLY.  HOWEVER, WE HAVE HISTORICALLY EXPERIENCED LOSSES FROM OUR REHABILITATION HOSPITALS AND WE MAY BE UNABLE TO OPERATE OUR REHABILITATION HOSPITALS PROFITABLY,

·WE MAY BE UNABLE TO REPAY OUR DEBT OBLIGATIONS WHEN THEY BECOME DUE,

·CONTINUED AVAILABILITY OF BORROWINGS UNDER OUR CREDIT FACILITIES IS SUBJECT TO OUR SATISFYING CERTAIN FINANCIAL COVENANTS AND MEETING OTHER CUSTOMARY CONDITIONS,

·THE AMOUNT OF AVAILABLE BORROWINGS UNDER OUR CREDIT FACILITIES IS SUBJECT TO OUR HAVING QUALIFIED COLLATERAL, WHICH IS PRIMARILY BASED ON THE VALUE OF OUR ACCOUNTS RECEIVABLE AND INVENTORY SECURING OUR $35.0 MILLION CREDIT FACILITY AND THE VALUE OF THE PROPERTIES SECURING OUR $150.0 MILLION CREDIT FACILITY.  ACCORDINGLY, THE AVAILABILITY OF BORROWINGS UNDER OUR CREDIT FACILITIES AT ANY TIME MAY BE LESS THAN $35.0 MILLION AND $150.0 MILLION, RESPECTIVELY; FURTHER, OUR $35.0 MILLION CREDIT FACILITY IS SCHEDULED TO EXPIRE IN MARCH 2013, AND WE MAY NOT SEEK, OR BE SUCCESSFUL IF WE DO, A RENEWAL OR REPLACEMENT OF THAT CREDIT FACILITY,

·ACTUAL COSTS UNDER OUR CREDIT FACILITIES WILL BE HIGHER THAN LIBOR PLUS A SPREAD BECAUSE OF OTHER FEES AND EXPENSES ASSOCIATED WITH OUR CREDIT FACILITIES,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT WE MAY PURCHASE ADDITIONAL OUTSTANDING PRINCIPAL AMOUNTS OF OUR CONVERTIBLE SENIOR NOTES DUE IN 2026 FROM TIME TO TIME.  HOWEVER, THERE CAN BE NO ASSURANCE WE WILL DO SO,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT OUR CASH RECEIPTS RESULTING FROM THE SALE OF OUR PHARMACY BUSINESS ARE $34.3 MILLION, BEFORE TAXES AND TRANSACTION COSTS.  HOWEVER, THE PURCHASE AGREEMENT INCLUDED CUSTOMARY INDEMNIFICATION OBLIGATIONS AND REQUIRED US TO ESCROW A PORTION OF THE PURCHASE PRICE IN CONNECTION WITH THE INDEMNIFICATION OBLIGATIONS.  IF WE ARE REQUIRED TO PAY AMOUNTS (INCLUDING WITH ESCROWED PROCEEDS) TO SATISFY INDEMNIFICATION OBLIGATIONS IN THE FUTURE, THE ACTUAL CASH RECEIPTS WE MAY REALIZE FROM THIS SALE, AND ANY CORRESPONDING CAPITAL GAIN, MAY BE REDUCED,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT WE HAVE ENTERED AN AGREEMENT TO SELL TWO SNFS LOCATED IN MICHIGAN THAT WE OWN.  THIS SALE IS SUBJECT TO VARIOUS TERMS AND CONDITIONS TYPICAL OF SUCH TRANSACTIONS, INCLUDING REGULATORY APPROVALS. THESE TERMS AND CONDITIONS MAY NOT BE MET. AS A RESULT, THIS TRANSACTION MAY BE DELAYED OR MAY NOT OCCUR OR ITS TERMS MAY CHANGE,

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT WE AND SNH ARE OFFERING FOR SALE AN ASSISTED LIVING COMMUNITY LOCATED IN PENNSYLVANIA THAT WE LEASE FROM SNH.  WE AND SNH MAY NOT BE ABLE TO SELL THIS PROPERTY ON ACCEPTABLE TERMS OR OTHERWISE, AND

·THIS ANNUAL REPORT ON FORM 10-K STATES THAT WE BELIEVE THAT OUR CONTINUING RELATIONSHIPS WITH SNH, RMR AND AIC AND THEIR AFFILIATED AND RELATED PERSONS AND ENTITIES MAY BENEFIT US AND PROVIDE US WITH COMPETITIVE ADVANTAGES IN OPERATING AND GROWING OUR BUSINESS. IN FACT, THE ADVANTAGES WE BELIEVE WE MAY REALIZE FROM THESE RELATIONSHIPS MAY NOT MATERIALIZE.

THESE RESULTS COULD OCCUR DUE TO MANY DIFFERENT CIRCUMSTANCES, SOME OF WHICH ARE BEYOND OUR CONTROL, SUCH AS NATURAL DISASTERS, CHANGED MEDICARE AND MEDICAID RATES, NEW LEGISLATION AFFECTING OUR BUSINESS, CHANGES IN OUR REVENUES OR COSTS, OR CHANGES IN CAPITAL MARKETS OR THE ECONOMY GENERALLY.

THE INFORMATION CONTAINED ELSEWHERE IN THIS ANNUAL REPORT ON FORM 10-K OR IN OUR FILINGS WITH THE SECURITIES AND EXCHANGE COMMISSION, OR SEC, INCLUDING UNDER THE CAPTION “RISK FACTORS”, OR INCORPORATED HEREIN OR THEREIN, IDENTIFIES OTHER IMPORTANT FACTORS THAT COULD CAUSE DIFFERENCES FROM OUR FORWARD LOOKING STATEMENTS.  OUR FILINGS WITH THE SEC ARE AVAILABLE ON THE SEC’S WEBSITE AT WWW.SEC.GOV.

YOU SHOULD NOT PLACE UNDUE RELIANCE UPON OUR FORWARD LOOKING STATEMENTS.

EXCEPT AS REQUIRED BY LAW, WE DO NOT INTEND TO UPDATE OR CHANGE ANY FORWARD LOOKING STATEMENTS AS A RESULT OF NEW INFORMATION, FUTURE EVENTS OR OTHERWISE.

FIVE STAR QUALITY CARE, INC.

2012 ANNUAL REPORT ON FORM 10-K/A

Table of Contents

Explanatory Note
		Page
PART I
Item 1.	Business	1
Item 1A.	Risk Factors	13
Item 2.	Properties	25
PART II
Item 6.	Selected Financial Data	30
Item 7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	30
Item 9A.	Controls and Procedures	47
PART IV
Item 15.	Exhibits and Financial Statement Schedules	49
	Signatures

EXPLANATORY NOTE

(dollars in thousands)

We are filing this Amendment No. 1 to our Annual Report on Form 10-K for the year ended December 31, 2012, or this Amended 2012 Annual Report, to amend and restate financial statements and other financial information in our Annual Report on Form 10-K for the year ended December 31, 2012, or our 2012 Annual Report, which was filed with the Securities and Exchange Commission, or the SEC, on February 19, 2013.

As more fully described in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, subsequent to the filing of our 2012 Annual Report our management and the Audit Committee of our Board of Directors, or our Audit Committee, concluded that our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within our 2012 Annual Report should be restated, and that those financial statements previously filed with the SEC should no longer be relied upon.  We are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within this Amended 2012 Annual Report to correct certain errors in the accounting for income taxes and other errors.  Specifically, the accounting for income tax errors relate to, among other things, the measurement of deferred tax assets for net operating losses and tax credits and the measurement of deferred tax assets and liabilities for temporary differences related to fixed assets, intangible assets and investments.  In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items.  The net impact of correcting the errors resulted in an increase to our shareholders’ equity of $6,749 and $8,127 at December 31, 2012 and 2011, respectively, and a decrease to net income of $1,404 for the year ended December 31, 2012 and an increase to net income of $6,586 for the year ended December 31, 2011.  We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total.  The restated financial statements include the proceeds from the sale of our pharmacy business of $34,298 for the year ended December 31, 2012 as cash provided by investing activities of discontinued operations and reflect the correction of other errors in the separate disclosures of cash flows for continuing operations and discontinued operations.  We have also corrected the footnote presentation of the classification of $11,550 and $11,692 of our available for sale debt securities as of December 31, 2012 and December 31, 2011, respectively, from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable which increased $9,947 and $8,956 as of December 31, 2012 and December 31, 2011, respectively.

In the second quarter of 2013, we and Senior Housing Properties Trust, or SNH, offered for sale 10 senior living communities that we lease from SNH and classified those communities as discontinued operations.  Also, during the second quarter of 2013, we offered for sale one senior living community we own and classified this community as discontinued operations.  In the third quarter of 2013, in connection with entering into a purchase agreement with SNH and certain unrelated parties, we reclassified our rehabilitation hospital business as discontinued operations.  These 11 senior living communities and our rehabilitation hospital business are retrospectively presented as discontinued operations throughout this Amended 2012 Annual Report.  Please see Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report for more information regarding the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors for the years ended December 31, 2012 and 2011.

As a result of the errors described above, we determined that our disclosure controls and procedures were not effective as of December 31, 2012, and we reassessed the effectiveness of our internal control over financial reporting and determined that we had material weaknesses in our internal controls over accounting for income taxes, that we lacked sufficient personnel with requisite technical accounting competencies and that we had an insufficient level of oversight in the financial statement close process.  As a result, we concluded that our internal control over financial reporting was ineffective as of December 31, 2012.

Amendments to our 2012 Annual Report included in this Amended 2012 Annual Report

The following sections of our 2012 Annual Report are amended and being filed in their entirety in this Amended 2012 Annual Report:

·Part I, Item 1. Business;

·Part I, Item 1A. Risk Factors;

·Part I, Item 2. Properties;

·Part II, Item 6. Selected Financial Data;

·Part II, Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations;

·Part II, Item 9A. Controls and Procedures; and

·Part IV, Item 15. Exhibits and Financial Statement Schedules.

This Amended 2012 Annual Report contains only the items and exhibits to our 2012 Annual Report that are being amended and restated, and unaffected items are not included herein.

PART I

Item 1.  Business

GENERAL

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

As of December 31, 2013, we also leased from SNH and operated two rehabilitation hospitals with 321 beds that provide inpatient rehabilitation services to patients at the two hospitals and at three satellite locations.  In addition, as of that date, we leased and operated 13 outpatient clinics affiliated with these rehabilitation hospitals. We have classified the rehabilitation hospital business as discontinued operations.

We were created by SNH in April 2000 to operate 54 SNFs and two assisted living communities repossessed from former SNH tenants.  As of December 31, 2012, we leased from SNH 188 senior living communities and two rehabilitation hospitals pursuant to four long term leases (including 11 senior living communities and two rehabilitation hospitals that we have classified as discontinued operations).  For more information about our leases with SNH see “Our SNH Leases and Management Agreements” in Item 2 of this Amended 2012 Annual Report.  We were incorporated in Delaware in April 2000 and reincorporated in Maryland in September 2001. On December 31, 2001, SNH distributed substantially all of our then outstanding shares of common stock, $.01 par value, or our common shares, to its shareholders and we became a separate, publicly owned company listed on the American Stock Exchange (now the NYSE MKT).  In February 2011, we transferred the listing of our common shares to the New York Stock Exchange, or the NYSE.

The property information included in this Amended 2012 Annual Report retrospectively reports certain properties that we have classified as discontinued operations subsequent to the filing of our 2012 Annual Report.  This retrospective reporting is in accordance with accounting interpretations of the SEC that requires restated financial statements to reflect the effects of subsequent accounting matters requiring retrospective treatment that have been reflected in filings with the SEC subsequent to the original filing of the financial statements, and which subsequent filings are incorporated by reference into a registration statement.  Accordingly, 11 senior living communities and our rehabilitation hospital business which we classified as discontinued operations in the second and third quarters of 2013, respectively, are retrospectively accounted for as discontinued operations throughout this Amended 2012 Annual Report.

Our principal executive offices are located at 400 Centre Street, Newton, Massachusetts 02458, and our telephone number is (617) 796-8387.

TYPES OF PROPERTIES

Our present business plan contemplates the ownership, leasing and management of independent living communities, assisted living communities, SNFs and rehabilitation hospitals. Some of our properties combine more than one type of service in a single building or campus.

Independent Living Communities.  Independent living communities provide high levels of privacy to residents and require residents to be capable of relatively high degrees of independence. An independent living apartment usually bundles several services as part of a regular monthly charge. For example, the base charge may include one or two meals per day in a central dining room, weekly maid service or services of a social director. Additional services are generally available from staff employees on a fee for service basis. In some independent living communities, separate parts of the community are dedicated to assisted living or nursing services.  As of December 31, 2012, our continuing operations included 10,311 independent living apartments in 86 communities that we operate.

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Assisted Living Communities.  Assisted living communities are typically comprised of one bedroom units which include private bathrooms and efficiency kitchens. Services bundled within one charge usually include three meals per day in a central dining room, daily housekeeping, laundry, medical reminders and 24 hour availability of assistance with the activities of daily living such as dressing and bathing. Professional nursing and healthcare services are usually available at the community as requested or at regularly scheduled times.  As of December 31, 2012, our continuing operations included 14,116 assisted living suites in 197 communities that we operate.

Skilled Nursing Facilities.  SNFs generally provide extensive nursing and healthcare services similar to those available in hospitals, without the high costs associated with operating theaters, emergency rooms or intensive care units. A typical purpose built SNF generally includes one or two beds per room with a separate bathroom in each room and shared dining facilities.  SNFs are staffed by licensed nursing professionals 24 hours per day.  As of December 31, 2012, our continuing operations included 5,274 skilled nursing units in 72 communities that we operate.

Rehabilitation Hospitals.  Rehabilitation hospitals, also known as inpatient rehabilitation facilities, or IRFs, provide intensive physical therapy, occupational therapy and speech language pathology services beyond the capabilities customarily available in SNFs.  Patients in IRFs generally receive a minimum of three hours of daily rehabilitation services.  IRFs also provide onsite pharmacy, radiology, laboratory, telemetry, hemodialysis and orthotics/prosthetics services.  Outpatient satellite clinics are often included as part of the services offered by IRFs.  As of December 31, 2012, our two rehabilitation hospitals had 321 beds available for inpatient services and provided rehabilitation services at the two hospitals and at three satellite locations.  In addition, we operate 13 outpatient clinics affiliated with our rehabilitation hospitals where patients discharged from hospitals can continue their therapy programs and receive amputee, brain injury, neurorehabilitation, cardio-pulmonary, orthopedic, spinal cord injury, stroke and other rehabilitation services.  We have classified our rehabilitation hospital business as discontinued operations.

OUR RECENT HISTORY

Senior Living

We have grown our business through acquisitions, through initiation of long term leases of independent and assisted living communities where residents’ private resources account for a large majority of revenues and through entering into long term contracts to manage independent and assisted living communities.  In 2012 we began managing 17 additional communities containing 3,364 living units pursuant to long term contracts with SNH.  These communities are located in 11 states throughout the United States.

Sale of Institutional Pharmacy Business

We operated five institutional pharmacies providing large quantities of drugs at locations where patients with recurring pharmacy requirements are concentrated.  In September 2012, we completed the sale of our pharmacy business to Omnicare, Inc., or Omnicare. We received $34.3 million in sale proceeds from Omnicare, which included $3.8 million in working capital.  We recorded a pre-tax capital gain on the sale of the pharmacy business of $23.3 million.  In connection with the sale, Omnicare did not acquire the real estate we owned associated with one pharmacy located in South Carolina.  We intend to sell this real estate and we recorded a $350,000 asset impairment charge in the third quarter of 2012 to reduce the carrying value of this property to its estimated fair value less costs to sell.

Debt Financings

In April 2012, we entered into a new $150.0 million secured revolving credit facility, or our Credit Facility, that is available for general business purposes, including acquisitions, and which is in addition to our $35.0 million revolving secured line of credit, or our Credit Agreement.  The maturity date of our Credit Facility is April 13, 2015, and, subject to our payment of extension fees and meeting certain other conditions, includes options for us to extend the stated maturity date of our Credit Facility for two one-year periods.  Borrowings under our Credit Facility typically bear interest at LIBOR plus a spread of 250 basis points, or 2.71% as of December 31, 2012.  We may draw, repay and redraw funds until maturity, and no principal repayment is due until maturity.  We are the borrower under our Credit Facility, and certain of our subsidiaries guarantee our obligations under our Credit Facility, which is secured by real estate mortgages on 15 senior living communities with 1,549 living units owned by our guarantor subsidiaries and our guarantor subsidiaries’ accounts receivable and related collateral.  Our Credit Facility provides for acceleration of payment of all amounts payable upon the occurrence and continuation of certain events of default, including a change of control of us.  Our Credit Facility contains a number of financial and other covenants, including covenants that restrict

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our ability to incur indebtedness or to pay dividends or make other distributions under certain circumstances and require us to maintain financial ratios and a minimum net worth.

In 2006, we issued $126.5 million principal amount of Convertible Senior Notes due 2026, or the Notes.  The Notes bear interest at 3.75% per annum, payable semi-annually, and will mature on October 15, 2026.  We may prepay the Notes at any time and holders of the Notes may require that we purchase all or a portion of the Notes on each of October 15, 2013, 2016 and 2021.  In 2012, we purchased and retired $12.4 million par value of the outstanding Notes and recorded a gain of $45,000, net of related unamortized costs, on early extinguishment of debt.  We funded these purchases principally with available cash.  As a result of these purchases and other purchases we made in prior years, $24.9 million in principal amount of the Notes remain outstanding.

Discontinued Operations

Under our leases with SNH, we may request SNH to sell certain noneconomic properties that we lease pursuant to those leases, which if sold, would reduce our rent payable to SNH, as determined pursuant to the lease. For more information about our leases with SNH see “Our SNH Leases and Management Agreements” in Item 2 of this Amended 2012 Annual Report.

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

In October 2012, we entered an agreement to sell two SNFs that we own that are located in Michigan with a total of 271 living units for $8.0 million, including the assumption by the buyer of $7.5 million of United States Department of Housing and Urban Development, or HUD, mortgage debt.  In connection with this agreement, we recorded a $294,000 asset impairment charge to reduce the carrying value of these properties to their estimated fair value less costs to sell.  Completion of this sale is subject to customary closing conditions, including regulatory approvals, and we can provide no assurance that a sale of these SNFs will be completed.

In addition, 11 senior living communities, which we classified as discontinued operations in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2013, and our rehabilitation hospital business, which we classified as discontinued operations during the third quarter of 2013, are retrospectively accounted for as discontinued operations throughout this Amended 2012 Annual Report.

OUR GROWTH STRATEGY

We believe that the aging of the U.S. population will increase demand for senior living communities. Our principal growth strategy is to profit from this anticipated demand by operating communities that provide high quality services to residents who pay with private resources.

We seek to improve the profitability of our existing operations by increasing our revenues and improving our operating margins. We attempt to increase revenues by increasing rates and occupancies. We attempt to improve margins by limiting increases in expenses and otherwise improving operating efficiencies.  For example, during the last few years, the senior living industry has generally experienced declining occupancies as a result of a slowdown in the U.S. economy. During this same period, we have improved operating margins and profitability by increasing rates and limiting increases in our expenses. To the extent that the U.S. economy and the housing market improve, we expect that our occupancies may increase and our profitability may grow; however, the condition of the U.S. economy and the housing market are beyond our control and may not improve.

In addition to managing our existing operations, we currently intend to continue to grow our business by adding to our operations primarily independent and assisted living communities we operate and manage where residents’ private resources account for a large majority of revenues.  We expect some of these increases may be achieved by our entering leases or management agreements and some may be achieved by our purchasing communities.  Since we became a public company in late 2001, we have acquired or have begun to lease 180 primarily independent and assisted living communities; in the year ended December 31, 2012, these 180 communities realized approximately 86% of their revenues from residents’ private resources, rather than from Medicare and Medicaid. Historically, we have principally expanded our operations by entering operating leases. Recently, we have started to expand our operations by acquiring

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senior living communities for our own account and entering agreements to manage senior living communities which are owned by others.  In the future, we expect to continue to grow our business by adding communities that we either own, lease or manage.

OPERATING STRUCTURE

We have four operating divisions.  Three of our divisions are each responsible for multiple regions with respect to our senior living communities that consist of independent, assisted living and skilled nursing units.  One of our divisions is responsible for our rehabilitation and wellness inpatient and outpatient clinics which are associated with our senior living communities.  Each division is headed by a divisional vice president with extensive experience in the senior living industry.  We have several regional offices within our divisions.  Each regional office is responsible for multiple communities and is headed by a regional director of operations with extensive experience in the senior living industry.  Each regional office is typically supported by a clinical or wellness director, a rehabilitation services director, a regional accounts manager, a human resources specialist and a sales and marketing specialist.  Regional staffs are responsible for all of our senior living community operations within a region, including:

·resident services;

·Medicare and Medicaid billing;

·marketing and sales;

·hiring of community personnel;

·compliance with applicable legal and regulatory requirements; and

·supporting our development and acquisition plans within their region.

Our corporate office staff, located in Massachusetts, provides services such as:

·the establishment of company wide policies and procedures relating to resident care;

·human resources policies and procedures;

·information technology;

·private pay billing for our independent living apartments and assisted living communities;

·maintenance of licensing and certification;

·legal services;

·central purchasing;

·budgeting and supervision of maintenance and capital expenditures;

·implementation of our growth strategy; and

·accounting and finance functions, including operations, budgeting, certain accounts receivable and collections functions, accounts payable, payroll and financial reporting.

As described in this Amended 2012 Annual Report, we have a business management and shared services agreement, or the business management agreement, with RMR pursuant to which RMR provides to us certain business management, administrative and information system services, including internal audit, capital markets, legal, investor relations and tax services, among other matters.

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STAFFING

Independent and Assisted Living Community Staffing.  Each of the independent and assisted living communities we operate has an executive director responsible for the day to day operations of the community, including quality of care, resident services, sales and marketing, financial performance and staff supervision. The executive director is supported by department heads who oversee the care and service of the residents, a wellness director who is responsible for coordinating the services necessary to meet the healthcare needs of our residents and a marketing director who is responsible for selling our services.  Other important staff includes the dining services coordinator, the activities coordinator and the property maintenance coordinator.

Skilled Nursing Facility Staffing.  Each of our SNFs is managed by a state licensed administrator who is supported by other professional personnel, including a director of nursing, an activities director, a marketing director, a social services director, a business office manager, and physical, occupational and speech therapists. Our directors of nursing are state licensed nurses who supervise our registered nurses, licensed practical nurses and nursing assistants. Staff size and composition vary depending on the size and occupancy of each SNF and on the type of care provided by the SNF. Our SNFs also contract with physicians who provide certain medical services.

Rehabilitation Hospital Staffing.  Each of our rehabilitation hospitals is operated under the leadership of a hospital based chief executive officer with the support of senior staff, including a medical director, chief financial officer, director of patient care services, director of rehabilitation and director of case management.  The hospitals are also staffed with board certified physicians who primarily specialize in internal medicine, neurology or physiatry, as well as other licensed professionals, including rehabilitation nurses, physical therapists, occupational therapists, speech and language pathologists, nutrition counselors, neuropsychologists and pharmacists.  Each outpatient clinic associated with our rehabilitation hospitals is managed by an outpatient director who is a registered occupational or physical therapist.

EMPLOYEES

As of February 15, 2013, we had approximately 27,144 employees, including 17,032 full time equivalents. Approximately 84 of these employees, including approximately 55 full time equivalents, are represented under one collective bargaining agreement which expired in October 2012, but was extended until the end of February 2013 to facilitate negotiations.  We believe our relations with our union and non-union employees are good.

GOVERNMENT REGULATION AND REIMBURSEMENT

The healthcare industry is subject to extensive and frequently changing federal, state and local laws and regulations.  These laws and regulations vary by jurisdiction but may address, among other things, licensure, personnel training, staffing ratios, quality of medical care, facility requirements, government healthcare program participation, fraud and abuse, reimbursement for patient services and patient records.

We are subject to, and our operations must comply with, these laws and regulations.  From time to time, our facilities receive notices from federal, state and local agencies regarding noncompliance with such requirements.  Upon receipt of these notices, we review them for correctness and, based on our review, we either take corrective action or contest the allegation of noncompliance.  When corrective action is required, we work with the relevant agency to address and remediate any violations.  Challenging and appealing any notices or allegations of noncompliance require the expenditure of significant legal fees and management attention.  Any adverse determination concerning any of our licenses or eligibility for Medicare or Medicaid reimbursement, any penalties, repayments or sanctions, and the increasing costs of required compliance with applicable laws may adversely affect our ability to meet our financial obligations and negatively affect our financial condition and results of operations.

The healthcare industry depends significantly upon federal and state programs for revenues and, as a result, is affected by the budgetary policies of both the federal and state governments.  Reimbursements under the Medicare and Medicaid programs for skilled nursing, physical therapy and rehabilitation services provide operating revenues at our rehabilitation hospitals and affiliated clinics and at some of our senior living communities (principally our SNFs).  We derived approximately 24%, 26% and 26% of our consolidated revenues from continuing operations from Medicare and Medicaid programs for each of the years ended December 31, 2012, 2011 and 2010, respectively.  We derived approximately 70%, 68% and 64% of our rehabilitation hospital revenues, which we have classified as discontinued operations, from Medicare and Medicaid programs for each of the years ended December 31, 2012, 2011 and 2010, respectively.

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In addition to existing government regulation, we are aware of numerous healthcare regulatory initiatives on the federal, state and local levels, which may affect our business operations if implemented.

Independent Living Communities.  Government benefits are not generally available for services at independent living communities, and residents in those communities use private resources to pay for their living units and the services they receive. The rates in these communities are determined by local market conditions and operating costs.  However, a number of federal Supplemental Security Income program benefits pay housing costs for elderly or disabled recipients to live in these types of residential communities. The Social Security Act requires states to certify that they will establish and enforce standards for any category of group living arrangement in which a significant number of Supplemental Security Income recipients reside or are likely to reside. Categories of living arrangements that may be subject to these state standards include independent living communities and assisted living communities. Because independent living communities usually offer common dining facilities, in many jurisdictions they are required to obtain licenses applicable to food service establishments in addition to complying with land use and life safety requirements. In addition, in many states, state or county health departments, social service agencies or offices on aging with jurisdiction over group residential communities for seniors license independent living communities. To the extent that independent living communities include units to which assisted living or nursing services are provided, these units are subject to applicable state licensing regulations.  If the communities receive Medicaid or Medicare funds, they are subject to certification standards and conditions of participation. In some states, insurance or consumer protection agencies regulate independent living communities in which residents pay entrance fees or prepay for services.

Assisted Living Communities.  According to the National Center for Assisted Living, or NCAL, a majority of states provide or are approved to provide Medicaid payments for personal care and medical services to some residents in licensed assisted living communities under waivers granted by or under Medicaid state plans approved by the Centers for Medicare and Medicaid Services, or CMS, of the United States Department of Health and Human Services, or HHS. State Medicaid programs control costs for assisted living and other home and community based services by various means such as restrictive financial and functional eligibility standards, enrollment limits and waiting lists. Because rates paid to assisted living community operators are generally lower than rates paid to nursing home operators, some states use Medicaid funding of assisted living as a means of lowering the cost of services for residents who may not need the higher level of health services provided in SNFs. States that administer Medicaid programs for services in assisted living communities are responsible for monitoring the services at, and physical conditions of, the participating communities. Although states apply different standards in these matters, we believe that these monitoring processes are similar to the relevant states’ inspection processes for SNFs.

As a result of the large number of states using Medicaid funds to purchase services at assisted living communities and the growth of assisted living in recent years, states have adopted licensing standards applicable to assisted living communities. According to NCAL, all states regulate assisted living and residential care communities, although state regulatory models vary; no national consensus on a definition of assisted living exists, and states do not use any uniform approach to regulate assisted living communities. Most state licensing standards apply to assisted living communities regardless of whether they accept Medicaid funding. Also, a few states require certificates of need from state health planning authorities before new assisted living communities may be developed. Based on our analysis of recent economic and regulatory trends, we believe that assisted living communities that become dependent upon Medicaid or other public payments for a majority of their revenues may decline in value because Medicaid and other public rates may fail to keep up with increasing costs. We also believe that assisted living communities located in states that adopt certificate of need requirements or other limitations on the development of new assisted living communities may increase in value because those limitations may help ensure higher non-governmental rates.

HHS, the Senate Special Committee on Aging, and the Government Accountability Office, or the GAO, have studied and reported on the development of assisted living and its role in the continuum of long term care and as an alternative to SNFs. Since 2003, CMS has commenced a series of actions to increase its oversight of state quality assurance programs for assisted living facilities and has provided guidance and technical assistance to states to improve their ability to monitor and improve the quality of services paid for through Medicaid waiver programs. Based on our analysis of recent economic and regulatory trends, we do not believe that the federal government is likely to have a material impact on the assisted living industry’s current regulatory environment unless it also undertakes expanded funding obligations. CMS is encouraging state Medicaid programs to expand their use of home and community based services as alternatives to institutional services, pursuant to provisions of the Deficit Reduction Act of 2005, or the DRA, the ACA (as defined and described below) and other authorities, through the use of several programs.  One such program, the Community First Choice, or the CFC Option, grants states that choose to participate in the program a 6% increase in federal matching payments for related medical assistance expenditures.  California was the only state to

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implement the CFC Option in fiscal year 2012, but at least six other states have reported that they plan to implement it in 2013.  We are unable to predict the effect of the implementation of the CFC Option and other similar programs.

Skilled Nursing Facilities—Reimbursement.  A majority of all nursing home revenues in the United States comes from publicly funded programs. According to CMS, Medicaid is the largest source of public funding for nursing homes, followed by Medicare. In 2010, approximately 32% of nursing home revenues came from Medicaid and 22% from Medicare. SNFs are among the most highly regulated businesses in the country. The federal and state governments regularly monitor the quality of care provided at SNFs. State health departments conduct surveys of resident care and inspect the physical condition of nursing home properties. These periodic inspections and occasional changes in life safety and physical plant requirements sometimes require nursing home operators to make significant capital improvements. These mandated capital improvements have usually resulted in Medicare and Medicaid rate adjustments, albeit on the basis of amortization of expenditures over expected useful lives of the improvements. Under the Medicare prospective payment system, or the PPS, for SNFs, capital costs are part of the prospective rate and are not community specific. The PPS and other recent legislative and regulatory actions with respect to state Medicaid rates limit the reimbursement levels for some nursing home services. At the same time, federal and state enforcement has increased oversight of SNFs, making licensing and certification of these communities more rigorous.

CMS implemented the PPS for SNFs pursuant to the Balanced Budget Act of 1997, or the BBA. Under the PPS, SNFs receive a fixed payment for each day of care provided to residents who are Medicare beneficiaries. The PPS requires SNFs to assign each resident to a care group depending on that resident’s medical characteristics and service needs. These care groups are known as Resource Utilization Groups, or RUGs, and CMS establishes a per diem payment rate for each RUG. Medicare PPS payments cover substantially all services provided to Medicare residents in SNFs, including ancillary services such as rehabilitation therapies. CMS updates PPS payment rates each year by a market basket update to account for inflation and periodically implements changes to the RUG categories and payment rates.

Effective October 1, 2010, CMS adopted rules that implemented a new PPS case mix classification system known as RUG-IV and a new resident assessment instrument, Minimum Data Set 3.0, which SNFs must use to collect clinical data to assign residents to RUG-IV reimbursement categories. RUG-IV expanded the number of categories to which residents may be assigned and eliminated the “look-back” period for preadmission services to include only services furnished during the SNF stay. CMS also set limits on payments to SNFs for concurrent therapies.

Following the implementation of RUG-IV, Medicare billing increased nationally, partially because of the unexpectedly large proportion of patients grouped in the highest-paying RUG therapy categories.  CMS did not intend for the implementation of RUG-IV to increase Medicare billing.  Therefore, effective October 1, 2011, CMS adopted a final rule designed to recalibrate Medicare PPS rates for SNFs, which resulted in a reduction in aggregate Medicare payment rates for SNFs of approximately 11.1%, or $3.87 billion, in federal fiscal year 2012. The rule includes a net reduction of approximately 12.6% as a result of a recalibration of the SNF case mix indices under the RUG-IV system. The reduction is partly offset by a net increase of approximately 1.7% as a result of an annual increase of approximately 2.7% to account for inflation, reduced by a productivity adjustment of 1.0% pursuant to the ACA. The rule has reduced eligible Medicare billing per patient by changing policies relating to payment of group therapy services and new resident assessments.

CMS issued a notice on August 2, 2012, which became effective on October 1, 2012, updating Medicare PPS rates for SNFs for 2013.  The notice calls for an increase of 1.8% in rates, consisting of a 2.5% increase to account for inflation, reduced by a 0.7% productivity adjustment.  CMS estimates an overall increase of $670 million in Medicare payments to SNFs in federal fiscal year 2013 as compared to federal fiscal year 2012.  Due to the prior reduction of approximately 11.1% discussed above, however, Medicare payment rates will be lower for federal fiscal year 2013 than they were in federal fiscal year 2011. In addition, the Middle Class Tax Relief and Job Creation Act of 2012, enacted in February 2012, reduces the reimbursement rate for Medicare bad debt from 100% to 65% for beneficiaries dually eligible for Medicare and Medicaid.  Because nearly 90% of SNF bad debt is related to dual-eligible beneficiaries, this rule has a substantial effect on SNFs. The Middle Class Tax Relief and Job Creation Act of 2012 also reduced the Medicare bad debt reimbursement rate for Medicare beneficiaries not eligible for Medicaid from 70% to 65%.  Additionally, the Budget Control Act of 2011 allows for automatic reductions in federal spending by means of a process called sequestration, which is expected to reduce Medicare payment rates by up to 2% starting in March 2013.  In addition, sequestration could result in cuts of up to approximately $400 billion from Medicare and other federal health programs over the next decade.  Although Medicaid is exempt from the sequestration process, the majority of states have instituted a nursing home rate cut or freeze since fiscal year 2011.  These rules and any future reductions in Medicare payment rates may have an adverse effect on our financial condition.

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The federal government is slowing the growth of Medicare and Medicaid payments for nursing home services by several methods.  In 2006, the government implemented limits on Medicare payments for outpatient therapies and then, pursuant to the DRA, created an exception process under which beneficiaries could request an exception from the cap and be granted the amount of services deemed medically necessary by Medicare. Subsequent laws have extended the Medicare outpatient therapy cap exception process through December 31, 2013. Without further extensions, the expiration of the Medicare outpatient therapy cap exception process may result in a reduction in our outpatient therapy revenues in as early as 2014. In addition, the DRA increased the “look-back” period for prohibited asset transfers that disqualify individuals from Medicaid nursing home benefits from three to five years. The period of Medicaid ineligibility begins on the date of the prohibited transfer or the date an individual has entered the nursing home and would otherwise be eligible for Medicaid coverage, whichever occurs later, rather than on the date of the prohibited transfer, effectively extending the Medicaid penalty period and placing added burdens on SNFs to collect charges directly from residents and their transferees.

The DRA established the five year Money Follows the Person demonstration project in 2007 to award competitive grants to 30 states to provide home and community based long term care services to qualified individuals relocated from SNFs, and to increase federal medical assistance for each qualifying beneficiary for a limited time period. The ACA expanded eligibility for this program and extended this program for an additional five years through 2016, and to date 43 states and the District of Columbia have received program funds, according to the Kaiser Family Foundation. The DRA also established the Post Acute Care Payment Reform demonstration project under which CMS compared and assessed patient care needs, costs and outcomes of services at different post acute care sites over three years. In January 2012 CMS issued a report to Congress regarding the project stating that CMS successfully used a new uniform patient assessment tool to measure patient acuity in acute care hospitals and post acute settings, providing the basis for the potential development of new standardized information reporting requirements and more uniform post acute case mix payment systems.  Additionally, since January 2007, some states have included home and community based services as optional services under their Medicaid state plans.  The ACA expands the services that states may provide and limits their ability to set caps on enrollment, waiting lists or geographic limitations on home and community based services.

Skilled Nursing Facilities—Survey and Enforcement.  Approximately 25 years ago, Congress enacted major reforms to federal and state regulatory systems for SNFs that participate in the Medicare and Medicaid programs, under the Omnibus Reconciliation Act of 1987. Since then, the GAO has reported that, although much progress has been made, substantial problems remain in the effectiveness of federal and state regulatory activities. Since 1999, the HHS Office of Inspector General, or OIG, has issued several reports concerning quality of care in SNFs, and the GAO has issued several reports recommending that CMS and states strengthen their compliance and enforcement practices, including federal oversight of state actions and to ensure that SNFs provide adequate care and states act more consistently.

The Senate Special Committee on Aging and other congressional committees have also held hearings on these issues. As a result, CMS has undertaken several initiatives to increase the effectiveness of Medicare and Medicaid nursing home survey and enforcement activities. CMS is taking steps to identify communities with, and focus enforcement efforts on, SNFs and chains of SNF operators with findings of substandard care or repeat violations of Medicare and Medicaid standards. CMS has increased its oversight of state survey agencies and has improved the process by which data is captured from these surveys. As an added measure of improving patient care, the ACA provides for the funding of a state background check system for job applicants to long term care providers who will have direct access to clients and patients.  CMS has begun the administration of this program, to which approximately half of the states have already applied.

In addition, CMS adopted regulations expanding federal and state authority to impose civil monetary penalties in instances of noncompliance. When CMS or state agencies identify deficiencies under state licensing and Medicare and Medicaid standards, they may impose sanctions and remedies such as denials of payment for new Medicare and Medicaid admissions, civil monetary penalties, state oversight, temporary management or receivership and loss of Medicare and Medicaid participation or licensure on nursing home operators. Our communities incur sanctions and penalties from time to time. If we are unable to cure deficiencies that have been identified or that are identified in the future, or if appeals of proposed sanctions or penalties are not successful, decertification or additional sanctions or penalties may be imposed.  These consequences may adversely affect our ability to meet our financial obligations and negatively affect our financial condition and results of operations.

Rehabilitation Facility Regulation and Rate Setting.  Our two IRFs, which we have classified as discontinued operations, are subject to federal, state and local regulation that affects their business activities and determines the rates they receive for services.  Governmental and non-governmental agencies periodically inspect these IRFs to ensure

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continued compliance with various licensure and accreditation standards.  In addition, CMS certifies these facilities to participate in the Medicare program, and these facilities receive a significant portion of their revenues from that program.

CMS establishes standards that facilities must meet in order to be classified as IRFs under the Medicare program.  One such standard is known as the “60% Rule.”  As amended by the Medicare, Medicaid and the SCHIP Extension Act of 2007, the 60% Rule provides that, to be considered an IRF and receive reimbursement under the IRF PPS, at least 60% of a facility’s total inpatient population must receive the facility’s services for treatment of at least one of 13 designated medical conditions.  To comply with the 60% Rule and maintain revenue levels, many IRFs have reduced the number of non-qualifying patients treated and replaced them with qualifying patients, established other sources of revenues or both.  We believe that our IRFs have been and are operating in compliance with the 60% Rule, and we are taking actions to assure continued compliance; however, we can provide no assurance that we will be able to continue to comply with this rule, or that CMS will not make a determination that we were non-compliant in a prior year.  The Obama Administration has proposed in the past, and may propose in the future, changing the rule to a higher percentage, such that a greater percentage of a facility’s population would need to receive services for treatment of a designated condition.  If such an increase were enacted, maintaining our compliance with the rule will become more difficult.

Medicare reimburses IRFs under a PPS implemented in 2002 pursuant to the BBA. Under the IRF PPS, reimbursement is paid at a predetermined per-discharge rate.  To determine the per-discharge rate, CMS classifies patients into case mix groups based on their clinical characteristics and expected resource needs.  IRFs must assign each patient to one of these groups, and separate payment rates are calculated for each group.  The IRF PPS case mix group payment rates are calculated to cover all operating and capital costs that an IRF is expected to incur while furnishing that group’s covered inpatient rehabilitation services.  Capital costs are not facility-specific.

Effective October 1, 2011, CMS adopted a final rule that updated Medicare IRF PPS rates which it estimated would result in an aggregate net increase of 2.2% in IRF Medicare payments for federal fiscal year 2012. The rule adjusts the aggregate rates by a rebased market basket update increase of approximately 2.9% to account for inflation, reduced by an automatic 0.1% and by a productivity adjustment of 1.0%, both pursuant to the ACA, and increased by 0.4% due to an update in the outlier threshold for high cost cases to maintain estimated outlier payments at 3% of total estimated IRF payments. The rule also contains new wage indices and Low Income Patient, or LIP, percentages, which are used to adjust the payment rates for individual facilities.  In addition, the rule established a new quality reporting program to begin in 2014 that provides for a 2% reduction in the annual market basket update for facilities that fail to report required quality data to the Secretary of HHS.

On July 30, 2012, CMS published a notice regarding IRF PPS rates for federal fiscal year 2013.  No policy changes were proposed in the notice, and the calculation of the rates followed the same methodology as the federal fiscal year 2012 rates.  Using that methodology, new rates effective October 1, 2012 are expected to result in a 2.1%, or $140 million, increase in aggregate IRF PPS payments for federal fiscal year 2013.  Medicare revenues realized at our IRFs in the years ended December 31, 2011 and 2012 were approximately $68.6 million and $71.1 million, respectively. Because the calculation of Medicare rate adjustments applicable at our IRFs is complex and will depend upon patient case mixes, we cannot predict the final impact of the Medicare rate adjustments on our IRF results at this time.

Certificates of Need.  As a mechanism to prevent overbuilding and subsequent healthcare price inflation, most states limit the number of SNFs and hospitals by requiring developers to obtain certificates of need before new facilities may be built or additional beds may be added to existing facilities.  A few states also limit the number of assisted living facilities by requiring certificates of need. In addition, some states (such as California and Texas) that have eliminated certificate of need laws have retained other means of limiting new development, including moratoria, licensing laws or limitations upon participation in the state Medicaid program. These governmental requirements limit expansion, which we believe may make existing SNFs and hospitals more valuable by limiting competition.

Healthcare Reform.  The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, or collectively the ACA, signed into law in March 2010, has resulted in changes to insurance, payment systems and healthcare delivery systems.  The ACA is intended to expand access to health insurance coverage and reduce the growth of healthcare expenditures while simultaneously maintaining or improving the quality of healthcare.  Some of the provisions of the ACA took effect immediately, whereas others will take effect at later dates.  Due to the complexity of the ACA, its ramifications may only become apparent through later regulatory and judicial interpretations.

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The ACA automatically reduced the Medicare IRF PPS annual market basket adjustments by 0.25% for federal fiscal years 2010 (for discharges on and after April 1, 2010) and 2011, and 0.1% for federal fiscal year 2012.  Going forward, the automatic reductions range from between 0.1% and 0.3% for federal fiscal years 2013 through 2016 and will be 0.75% for federal fiscal years 2017 through 2019.  Beginning in federal fiscal year 2012, the ACA also reduced both the SNF PPS and IRF PPS annual adjustments for inflation by a productivity adjustment based on national economic productivity statistics.  We are unable to predict the impact of these reductions on Medicare rates for SNFs and IRFs, but their impact may be adverse and material to our operations and our future financial results of operations.

The ACA establishes an Independent Payment Advisory Board to submit legislative proposals to Congress and take other actions with a goal of reducing Medicare spending growth. When and if such spending reductions take effect they may be adverse and material to our financial results. The ACA also provides for the National Pilot Program on Payment Bundling to develop and evaluate making bundled payments for services provided during an episode of care, to include hospital and physician services and post-acute care such as SNF and IRF services. The pilot program can be expanded in January 2016 if it meets its goals. The ACA also includes the development of Medicare value-based purchasing plans to include quality measures as a basis for bonuses and several initiatives to encourage states to develop and expand home and community based services under Medicaid.

The ACA includes various other provisions affecting Medicare and Medicaid providers, including expanded public disclosure requirements for SNFs and other providers, enforcement reforms and increased funding for Medicare and Medicaid program integrity control initiatives.  The ACA has resulted in several changes to existing healthcare fraud and abuse laws, established additional enforcement tools and funding to the government, and provided for increased cooperation between agencies by establishing mechanisms for sharing information relating to noncompliance.  Furthermore, the ACA has resulted in enhanced criminal and administrative penalties for noncompliance.  For example, the ACA amended the Anti-Kickback Statute to provide that a claim that includes items or services resulting from a violation of the Anti-Kickback Statute now constitutes a false or fraudulent claim for purposes of the False Claims Act.

In June 2012, the U.S. Supreme Court upheld two major provisions of the ACA—the individual mandate, which requires most Americans to maintain health insurance or to pay a penalty, and the Medicaid expansion, which requires states to expand their Medicaid programs by 2014 to cover all individuals under the age of 65 with incomes not exceeding 133% of the federal poverty line.  In upholding the Medicaid expansion, the Supreme Court held that it violated the U.S. Constitution as drafted but remedied the violation by modifying the expansion to preclude the Secretary of HHS from withholding existing federal Medicaid funds from states that fail to comply with Medicaid expansion, instead allowing the Secretary only to deny new expansion funding.  As a result of the Court’s ruling, some states may choose not to participate in the Medicaid expansion or may delay their participation.  We are unable to predict the impact of these or other recent legislative and regulatory actions or proposed actions with respect to state Medicaid rates and payments to states for Medicaid programs on us.

We cannot estimate the type and magnitude of the potential Medicare and Medicare policy changes, rate reductions or other changes and the impact on us of the possible failure of these programs to increase rates to match our increasing expenses, but they may be material to and adversely affect our future results of operations.  Similarly, we are unable to predict the impact on us of the insurance reforms, payment reforms, and healthcare delivery systems reforms contained in and to be developed pursuant to the ACA. Expanded insurance availability may provide more paying customers for the services we provide. If the changes to be implemented under the ACA result in reduced payments for our services or the failure of Medicare, Medicaid or insurance payment rates to cover our costs, however, our future financial results could be adversely and materially affected.

In addition, other aspects of the ACA that affect employers generally, including the employer shared responsibility provisions that become effective on January 1, 2014, may have an impact on the design and cost of the health coverage that we offer to our employees. Due to the scope and complexity of the provisions of the ACA that apply to employers and employer group health plans, it is difficult to predict the overall impact of the ACA on our employee benefit plans and our cost of doing business over the coming years. We will continue to analyze how to provide our employees with cost-effective coverage, taking into account the various requirements of the ACA and the impact of any changes on our ability to attract and retain employees. For information on some recent changes that we have made to the health insurance coverage we offer employees in response to the rising cost of health insurance generally, please see the information contained below under the caption “Insurance” in this Business section of this Amended 2012 Annual Report.

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Other Matters.  Federal and state efforts to target false claims, fraud and abuse and violations of anti-kickback laws, physician referral laws (including the Ethics in Patient Referrals Act of 1989) and privacy laws by Medicare and Medicaid providers and providers under other public and private programs have increased in recent years, as have civil monetary penalties, treble damages, repayment requirements and criminal sanctions for noncompliance. The federal False Claims Act, as amended and expanded by the Fraud Enforcement and Recovery Act of 2009, and the ACA, provides significant civil money penalties and treble damages for false claims and authorizes individuals to bring claims on behalf of the federal government for false claims. The federal Civil Monetary Penalties Law authorizes the Secretary of HHS to impose substantial civil penalties, treble damages, and program exclusions administratively for false claims or violations of the federal Anti-Kickback Statute.  In addition, the ACA increased penalties under federal sentencing guidelines by between 20% and 50% for healthcare fraud offenses involving more than $1.0 million.

Governmental authorities are devoting increasing attention and resources to the prevention, detection, and prosecution of healthcare fraud and abuse. The HHS OIG has guidelines for SNFs and IRFs intended to assist them in developing voluntary compliance programs to prevent fraud and abuse; these guidelines recommend that CMS identify SNFs that are billing for higher paying RUGs and more closely monitor compliance with patient therapy assessments as methods of fraud prevention. CMS contractors are expanding the retroactive audits of Medicare claims submitted by IRFs, SNFs and other providers, and recouping alleged overpayments for services determined by auditors not to have been medically necessary or not to meet Medicare coverage criteria as billed. State Medicaid programs and other third party payers are conducting similar medical necessity and compliance audits.  The ACA facilitates the Department of Justice’s, or the DOJ’s, ability to investigate allegations of wrongdoing or fraud at SNFs, in part because of increased cooperation and data sharing among CMS, OIG, DOJ and the states.  In addition, the ACA requires all states to terminate any fraudulent provider that has been terminated by Medicare or by another state.  HHS estimates that these fraud prevention and audit efforts will reduce Medicare payments by $2.1 billion over the next five years.

Our facilities must comply with laws designed to protect the confidentiality and security of individually identifiable patient information. Under the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, and the Health Information Technology for Economic and Clinical Health Act, or the HITECH Act, our facilities that are “covered entities” within the meaning of HIPAA must comply with rules adopted by HHS governing the privacy, security, use and disclosure of individually identifiable information, including financial information and protected health information, or PHI, and security rules for electronic PHI.  HIPAA and the HITECH Act are intended to ensure patient privacy and the efficiency of healthcare claims and payment transactions.  There may be both civil monetary penalties and criminal sanctions for noncompliance with such federal laws.  Under the HITECH Act, penalties for violation of certain provisions may be as high as $50,000 per violation for a maximum civil penalty of $1,500,000 per calendar year.  On January 17, 2013, HHS released the HIPAA Omnibus Rule, or the Omnibus Rule, which will be effective on March 26, 2013 and requires compliance with most provisions by September 23, 2013.  Pursuant to the Omnibus Rule, “covered entities” must make certain modifications to any business associate agreements that they have in place with their “business associates” within the meaning of HIPAA, depending on the circumstances.  In addition, the Omnibus Rule requires “covered entities” to modify and redistribute their notices of privacy practices to include certain provisions relating to the use of PHI.  Further, the Omnibus Rule modifies the standard for providing breach notices, which was previously based on an analysis of the harm resulting from any disclosure to a more objective analysis on whether any PHI was actually acquired or viewed as a result of the breach.  In addition to HIPAA, many states have enacted their own security and privacy laws relating to individually identifiable information, including financial information and PHI.  In some states, these laws are more burdensome than HIPAA.  In instances in which the state provisions are more stringent than HIPAA, our facilities must comply with applicable federal and state standards.

Our facilities must comply with the Americans with Disabilities Act, or the ADA, and similar state and local laws to the extent that such facilities are “public accommodations” as defined in those statutes.  The obligation to comply with the ADA and other similar laws is an ongoing obligation, and we continue to assess our facilities and make appropriate modifications.

Other legislative proposals introduced in Congress, proposed by federal or state agencies or under consideration by some state governments include the option of block grants for states rather than federal matching money for certain state Medicaid services, laws authorizing or directing Medicare to negotiate rate reductions for prescription drugs, additional Medicare and Medicaid enforcement procedures and federal and state cost containment measures, such as freezing Medicare or Medicaid nursing home and rehabilitation hospital payment rates at their current levels and reducing or eliminating annual Medicare or Medicaid inflation allowances or gradually reducing rates for SNFs and rehabilitation hospitals.

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Some of the states in which we operate either have not raised Medicaid rates by amounts sufficient to offset increased costs or have frozen or reduced, or are likely to freeze or reduce, Medicaid rates. Also, effective June 30, 2011, Congress ended certain temporary increases in federal payments to states for Medicaid programs that had been in effect since October 1, 2008. Despite these freezes, Medicaid enrollment is projected to increase at an average annual rate of 4.7%, representing a $619 billion increase in Medicaid expenditures through 2020, due to the expansion in Medicaid eligibility under the ACA beginning in 2014.  We expect the ending of these temporary federal payments, combined with the anticipated slow recovery of state revenues, to result in continued challenging state fiscal conditions. As a result, some state budget deficits will likely increase, and certain states may continue to reduce Medicaid payments to healthcare services providers like us as part of an effort to balance their budgets. These state-level cuts have the potential to negatively impact our revenue from Medicaid sources.

INSURANCE

Litigation against senior living and healthcare companies has increased during the past few years.  As a result, liability insurance costs have risen.  Also, our insurance costs for workers’ compensation and employee healthcare have increased.  To partially offset these insurance cost increases, we have taken a number of actions including the following:

·we have become fully self insured for all health related claims of covered employees;

·we have increased the deductible or retention amounts for which we are liable under our liability insurance;

·we have established an offshore captive insurance company which participates in our liability, workers’ compensation and automobile insurance programs. These programs may allow us to reduce our net insurance costs by allowing us to retain the earnings on our reserves, provided that our claims experience matches that projected by various statutory and actuarial formulas;

·we have increased the amounts that some of our employees are required to pay for health insurance coverage and as co-payments for health services and pharmaceutical prescriptions and decreased the amount of certain healthcare benefits as well as adding a high deductible health insurance plan as an option for our employees;

·we have hired professional advisors to help us establish programs to reduce our insured workers’ compensation and professional and general liabilities, including a program to monitor and proactively settle liability claims and to reduce workplace injuries;

·we have hired insurance and other professionals to help us establish appropriate reserves for our retained liabilities and captive insurance programs; and

·in order to obtain more control over our insurance costs, we, RMR and other companies, including SNH, to which RMR provides management services, organized AIC.  We and the seven other current shareholders of AIC have purchased property insurance providing $500.0 million of coverage pursuant to an insurance program arranged by AIC and with respect to which AIC is a reinsurer of certain coverage amounts.  The current program was entered into in June 2012 and has a one year period.  We are currently investigating the possibilities to expand our insurance relationships with AIC to include other types of insurance.

We partially self insure up to certain limits for workers’ compensation, professional liability and property coverage.  Claims in excess of these limits are insured up to contractual limits, over which we are self insured.  Our current insurance arrangements are generally renewable annually in June. We do not know if our insurance charges and self insurance reserve requirements will increase, and we cannot now predict the amount of any such increase, or to what extent, if at all, we may be able to offset any increase through use of higher deductibles, retention amounts, self insurance or other means in the future.  For more information about our new insurance initiative see “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Related Person Transactions” of this Amended 2012 Annual Report.

COMPETITION

The senior living services and rehabilitation hospital businesses are highly competitive. We compete with numerous other companies that provide senior living and rehabilitation hospital services, including home healthcare companies and other real estate based service providers.  We have large lease obligations and limited financeable assets.

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Many of our existing competitors are larger than us and have greater financial resources than us.  We may expand our business with SNH and our relationships with SNH and RMR may provide us with competitive advantages; however, SNH is not obligated to provide us with opportunities to lease additional properties. Some of our competitors are not for profit entities which have endowment income and may not have the same financial pressures that we face.  We cannot provide any assurance that we will be able to compete successfully for business.  For additional information on competition and the risks associated with our business, please see “Risk Factors” of this Amended 2012 Annual Report.

ENVIRONMENTAL AND CLIMATE CHANGE MATTERS

Under various laws, owners as well as tenants and operators of real estate may be required to investigate and clean up or remove hazardous substances present at or migrating from properties they own, lease or operate and may be held liable for property damage or personal injuries that result from hazardous substances. These laws also expose us to the possibility that we may become liable to reimburse governments for damages and costs they incur in connection with hazardous substances. Under our leases with SNH, we have also agreed to indemnify SNH for any such liabilities related to the properties we lease from SNH. In addition, some environmental laws create a lien on a contaminated site in favor of the government for damages and costs it incurs in connection with the contamination, which lien may be senior in priority to our debt obligations or our leases. We have reviewed environmental surveys of all of our leased and owned communities. Based upon that review we do not believe that there are environmental conditions at any of our properties that have had or will have a material adverse effect on us. However, no assurances can be given that conditions are not present at our properties or that costs we may be required to incur in the future to remediate contamination will not have a material adverse effect on our business or financial condition.

The current political debate about climate change has resulted in various treaties, laws and regulations which are intended to limit carbon emissions.  We believe these laws being enacted or proposed may cause energy costs at our communities to increase in the future.  In the longer term, we believe any such increased costs will be passed through and paid by our patients, residents and other customers in higher charges for our services.  However, in the short term, these increased costs, if material in amount, could materially and adversely affect our financial condition and results of operations.  For more information regarding climate change matters and their possible adverse impact on us, please see “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Impact of Climate Change.”

INTERNET WEBSITE

Our internet website address is www.fivestarseniorliving.com.  Copies of our governance guidelines, or Governance Guidelines, code of business conduct and ethics, or Code of Conduct, our policy outlining procedures for handling concerns or complaints about internal accounting controls or auditing matters and the charters of our audit, quality of care, compensation and nominating and governance committees are posted on our website and may be obtained free of charge by writing to our Secretary, Five Star Quality Care, Inc., 400 Centre Street, Newton, Massachusetts, 02458 or at our website.  We make available, free of charge, on our website, our Annual Reports on Form 10-K, our Quarterly Reports on Form 10-Q, our Current Reports on Form 8-K and amendments to these reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, or the Exchange Act, as soon as reasonably practicable after these forms are filed with, or furnished to, the SEC.  Any stockholder or other interested party who desires to communicate with our non-management Directors, individually or as a group, may do so by filling out a report on our website.  Our Board of Directors also provides a process for security holders to send communications to our entire Board of Directors.  Information about the process for sending communications to our Board of Directors can be found on our website.  Our website address and website addresses of one or more unrelated third parties are included several times in this Amended 2012 Annual Report as textual references only and the information in any such website is not incorporated by reference into this Amended 2012 Annual Report.

Item 1A.  Risk Factors

Our business faces many risks. The risks described below may not be the only risks we face but are the risks we know of that we believe may be material at this time. Additional risks that we do not yet know of, or that we currently think are immaterial, may also impair our business operations or financial results. If any of the events or circumstances described in the following risks occurs, our business, financial condition or results of operations could suffer and the trading price of our securities could decline. Investors and prospective investors should consider the following risks and the information contained under the heading “Warning Concerning Forward Looking Statements” before deciding whether to invest in our securities.

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RISKS RELATED TO OUR BUSINESS

A small percentage decline in our revenues or increase in our expenses could have a material negative impact upon our operating results.

For the year ended December 31, 2012, our revenues from our continuing operations were $1.21 billion and our operating expenses were $1.19 billion. A small percentage decline in our revenues or increase in our expenses could have a material negative impact on our operating results because some of our fixed costs, such as our base rent, would not decrease during times of lower economic activity and could not be reduced to offset other expenses which may be increasing.

The failure of Medicare and Medicaid rates to match our costs will reduce our income or create losses.

Some of our current operations, especially our SNFs and our IRFs, receive significant revenues from Medicare and Medicaid. During the years ended December 31, 2011 and 2012, we received approximately 26% and 24%, respectively, of our senior living revenues from continuing operations, and 68% and 70%, respectively, of our IRF revenues, which we have classified as discontinued operations, from these programs. The Obama Administration and some members of Congress have proposed Medicare and Medicaid policy changes and rate reductions to take effect during the next several years. The ACA includes provisions that reduce annual Medicare rate increases to account for inflation affecting IRFs and that may result in future payment rates for a fiscal year being less than payment rates for a preceding fiscal year for SNFs and IRFs. Effective as of October 1, 2011, CMS reduced aggregate Medicare payment rates for SNFs by approximately 11.1% for federal fiscal year 2012. We are unable to predict how the continued Medicare rate reductions under the ACA will affect our future financial results of operations.

In addition, our revenues received from Medicare and Medicaid may be subject to statutory and regulatory changes, retroactive rate adjustments, recovery of program overpayments or set-offs, administrative rulings and policy interpretations, and payment delays.

Pursuant to the Budget Control Act of 2011, the federal budget has included automatic spending reductions due to take effect in March 2013, including reductions of up to 2% to Medicare providers, but exempting reductions to Medicaid and certain Medicare benefits. We are unable to predict the financial impact on us of the automatic payments cuts starting in 2013; however, such impact may be adverse and material to our operations and our future financial results of operations.

Congress extended the process to allow medically necessary exceptions to annual caps on Medicare Part B payments for outpatient rehabilitation services to individual patients through December 31, 2013.  In addition, our Medicare Part B outpatient therapy revenue rates are tied to the Medicare Physician Fee Schedule, or MPFS.  In light of the passage of the American Taxpayer Relief Act of 2012, MPFS rates, which had previously been scheduled to be reduced by more than 25% in 2013, are expected to remain fixed at the 2012 level throughout 2013. We believe that any future cuts to the MPFS would result in a reduction to our Medicare Part B rates for outpatient therapy services in our clinics and SNFs, which may be materially adverse to our future financial results of operations. Some of the states in which we operate either have not raised Medicaid rates by amounts sufficient to offset increasing costs, have frozen or reduced Medicaid rates, or are expected to freeze or reduce Medicaid rates. Many states are experiencing difficult fiscal conditions, thus increasing the likelihood of Medicaid rate reductions, freezes or increases that are insufficient to offset increased operating costs. Also, certain temporary increases in federal payments to states for Medicaid programs ended on June 30, 2011. The ending of these temporary federal payments, combined with the anticipated slow recovery of state revenues, has resulted in and is expected to result in continued challenging state fiscal conditions. Some state budget deficits will likely increase, and it is possible that certain states will reduce Medicaid payments to healthcare service providers like us as part of an effort to balance their budgets.  The ACA currently provides for an expansion of Medicaid eligibility beginning in 2014, which has the potential to increase Medicaid enrollment.  However, whether such proposed expansions will remain in effect is uncertain.

We cannot currently estimate the magnitude of the potential Medicare and Medicaid rate reductions, the impact of the failure of these programs to increase rates to match increasing expenses, the impact of expanded Medicaid eligibility and the impact on us of potential Medicare and Medicaid policy changes proposed by members of Congress and the Obama Administration, but they may be material to our operations and may affect our future results of operations. We cannot now predict whether future Medicare and Medicaid rates will be sufficient to cover our costs. Future Medicare and Medicaid rate declines or a failure of these rates to cover our costs could result in our experiencing materially lower earnings or losses.

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Circumstances that adversely affect the ability of seniors or their families to pay for our services could have a material adverse effect on us.

Our residents paid approximately 76% of our senior living revenues from our continuing operations during the year ended December 31, 2012 from their private resources. We expect to continue to rely on the ability of our residents to pay for our services from their own financial resources.  Inflation, continued high levels of unemployment, market declines affecting the value and liquidity of personal assets, or other circumstances that adversely affect the ability of the elderly or their families to pay for our services could have a material adverse effect on our business, financial condition and results of operations.

Seniors’ inability to sell real estate may delay their moving into senior living facilities.

Recent housing price declines and reduced home mortgage financing availability have negatively affected the U.S. housing market.  These difficulties may have a negative effect on our revenues or lead to increased reliance on Medicare and Medicaid for our revenues. Specifically, if seniors have a difficult time selling their homes, fewer seniors may relocate to our senior living communities or finance their stays at our facilities with private resources.

Private third party payers continue to try to reduce healthcare costs.

Private third party payers such as insurance companies continue their efforts to control healthcare costs through direct contracts with healthcare providers, increased utilization review practices and greater enrollment in managed care programs and preferred provider organizations. These third party payers increasingly demand discounted fee structures and the assumption by healthcare providers of all or a portion of the financial risk. These efforts of third party payers to limit the amount of payments we receive for healthcare services could adversely affect us. Reimbursement payments under third party payer programs may not remain at levels comparable to present levels or be sufficient to cover the costs allocable to patients participating in such programs. Future changes in, or renegotiations of, the reimbursement rates or methods of third party payers, or the implementation of other measures to reduce payments for our services could result in a substantial reduction in our net operating revenues. At the same time, as a result of competitive pressures, our ability to maintain operating margins through price increases to private pay patients may be limited.

Provisions of the Patient Protection and Affordable Care Act could reduce our income and increase our costs.

The ACA contains insurance changes, payment changes and healthcare delivery systems changes that have affected, and will continue to affect, us.  The ACA provides for multiple reductions to the annual market basket updates for inflation that may result in SNF and IRF Medicare payment rates for a fiscal year being less than for the preceding fiscal year.  In addition, certain provisions of the ACA that affect employers generally, including the employer shared responsibility provisions that become effective on January 1, 2014, may have an impact on the design and cost of the health coverage that we offer to our employees.  We are unable to predict the impact of the ACA on our future financial results of operations, but it may be adverse and material.  In addition, maintaining compliance with the ACA will require us to expend management time and financial resources.

The ACA also establishes an Independent Payment Advisory Board to submit legislative proposals to Congress and take other actions with a goal of reducing Medicare spending growth. When and if such spending reductions take effect, they may be adverse and material to our financial results. The ACA includes other changes that may affect us, such as enforcement reforms and Medicare and Medicaid program integrity control initiatives, new compliance, ethics and public disclosure requirements, initiatives to encourage the development of home and community based long term care services rather than institutional services under Medicaid, value-based purchasing plans and a Medicare post-acute care pilot program to develop and evaluate making a bundled payment for services, including hospital, physician, SNF and IRF services, provided during an episode of care. We are unable to predict the impact on us of the insurance, payment, and healthcare delivery systems reforms contained in and to be developed pursuant to the ACA. If the changes to be implemented under the ACA result in reduced payments for our services or the failure of Medicare, Medicaid or insurance payment rates to cover our increasing costs, our future financial results could be adversely and materially affected.

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Increases in our labor costs may have a material adverse effect on us.

Wages and employee benefits from continuing operations were approximately 47% of our 2012 total operating costs. We compete with other operators of senior living communities and rehabilitation hospitals to attract and retain qualified personnel responsible for the day to day operations of our communities. The market for qualified nurses, therapists and other healthcare professionals is highly competitive. Periodic and geographic area shortages of nurses or other trained personnel may require us to increase the wages and benefits offered to our employees in order to attract and retain these personnel or to hire more expensive temporary personnel. Also, we may have to compete with numerous other employers for lesser skilled workers. Further, when we acquire new facilities we may be required to pay increased compensation or offer other incentives to retain key personnel and other employees. Employee benefits costs, including employee health insurance and workers’ compensation insurance costs, have materially increased in recent years and, as discussed above, we cannot predict the future impact of the ACA on the cost of employee health insurance. Although we have determined our self insurance reserves with guidance from third party professionals, our reserves may be inadequate. Increasing employee health and workers’ compensation insurance costs and increasing self insurance reserves for labor related insurance may materially and negatively affect our earnings. We cannot assure that our labor costs will not increase or that any increase will be matched by corresponding increases in rates we charge to residents. Any significant failure by us to control labor costs or to pass on any such increased labor costs to residents through rate increases could have a material adverse effect on our business, financial condition and results of operations.

Our business is subject to extensive regulation which increases our costs and may result in losses.

Licensing and Medicare and Medicaid laws require operators of senior living communities, rehabilitation hospitals, and clinics to comply with extensive standards governing operations and physical environments. Federal and state laws also prohibit fraud and abuse by senior living providers, rehabilitation hospitals and clinic operators, including civil and criminal laws that prohibit false claims and that regulate patient referrals in Medicare, Medicaid and other programs. In recent years, federal and state governments have devoted increased resources to monitoring the quality of care at senior living communities and to anti-fraud investigations in healthcare generally. CMS contractors are expanding the retroactive audits of Medicare claims submitted by IRFs, SNFs and other providers, and recouping alleged overpayments for services determined by auditors not to have been medically necessary or not to meet Medicare coverage criteria as billed. State Medicaid programs and other third party payers are conducting similar medical necessity and compliance audits. When federal or state agencies identify violations of anti-fraud, false claims, anti-kickback and physician referral laws, they may impose or seek civil or criminal penalties, treble damages and other governmental sanctions, and may revoke the healthcare facility’s license or make conditional or exclude the healthcare facility from Medicare or Medicaid participation. In addition, when these agencies determine that there have been quality of care deficiencies or improper billing, they may impose or seek various remedies or sanctions, including denial of new admissions, exclusion from Medicare or Medicaid program participation, monetary penalties, restitution of overpayments, governmental oversight, temporary management, loss of licensure and criminal penalties. Certain states and the federal government may determine that citations relating to one facility affect other facilities operated by the same entity or related entities, which may negatively impact an operator’s ability to maintain or renew other licenses or Medicare or Medicaid certifications or to secure new licenses or certifications.

Our communities incur sanctions and penalties from time to time. As a result of the healthcare industry’s extensive regulatory system and increasing enforcement initiatives, we have experienced increased costs for monitoring quality of care compliance, billing procedures, and compliance with referral laws and other laws that apply to us, and we expect these costs may continue to increase. In addition, we have been subjected to sanctions and penalties in the past, but none have been material to us.  If we become subject to additional regulatory sanctions or repayment obligations at any of our existing facilities (or any of our acquired facilities with prior deficiencies that we are unable to correct or resolve following the acquisition), however, our business may be adversely affected, and we might experience financial losses. Any adverse determination concerning any of our licenses or eligibility for Medicare or Medicaid reimbursement or any penalties, repayments, or sanctions, and the increasing costs of required compliance with applicable federal and state laws, may adversely affect our ability to meet our financial obligations and negatively affect our financial condition and results of operations.

Successful union organization of our employees may adversely affect our business, financial condition and results of operations.

From time to time labor unions attempt to organize our employees. Certain of our employees have already chosen union representation. If federal legislation modifies the labor laws to make it easier for employee groups to unionize, then additional groups of employees may seek union representation. If more of our employees unionize it could result in business interruptions, work stoppages, the degradation of service levels at our senior living communities and

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rehabilitation hospitals due to work rules, or increased operating expenses that may adversely affect our results of operations.

The nature of our business exposes us to litigation risks.

The nature of our business exposes us to litigation, and we are subject to lawsuits in the ordinary course of our business. In several well publicized instances, private litigation by residents of senior living communities for alleged abuses has resulted in large damage awards against other senior living companies. Today, some lawyers and law firms specialize in bringing litigation against senior living companies. As a result of this litigation and potential litigation, the cost of our liability insurance has increased during the past few years. Medical liability insurance reform has become a topic of political debate and some states have enacted legislation to limit future liability awards. However, such reforms have not generally been adopted and we expect our insurance costs may continue to increase. Although our reserves for liability self insurance have been determined with guidance from third party professionals, our reserves may prove inadequate. Increasing liability insurance costs and increasing self insurance reserves could have a material adverse effect on our business, financial condition and results of operations.

Our growth strategy may not succeed.

We have grown our business through acquisitions, through initiation of long term leases of independent and assisted living communities where residents’ private resources account for a large majority of revenues and through entering into long term contracts to manage independent and assisted living communities.  Our business plan includes taking advantage of an increasing demand for senior living communities and acquiring additional senior living communities. Our growth strategy involves risks, including the following:

·we may be unable to locate senior living communities that receive a large percentage of their revenues from private resources;

·we may be unable to locate senior living communities available for purchase at acceptable prices;

·we may be unable to access capital to make acquisitions or operate acquired businesses;

·acquired operations may not perform in accord with our expectations;

·we may be required to make significant capital expenditures to improve acquired facilities, including capital expenditures that may not have been anticipated by us at the time of the acquisition;

·we may have difficulty retaining key employees and other personnel at acquired facilities;

·acquired operations may subject us to unanticipated contingent liabilities or regulatory problems;

·to the extent we incur acquisition debt or leases, our operating leverage and resulting risks of debt defaults may increase; and, to the extent we issue additional equity to fund our acquisitions, our stockholders’ percentage of ownership will be diluted; and

·combining our present operations with newly acquired operations may disrupt operations or cost more than anticipated.

For these reasons and others:

·our business plan to grow may not succeed;

·the benefits which we hope to achieve by growing may not be achieved;

·we may suffer declines in profitability or suffer recurring losses; and

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·our existing operations may suffer from a lack of management attention or financial resources if such attention and resources are devoted to a failed growth strategy.

When we acquire or take on new communities, we sometimes see a decline in community occupancy and it may take a period of time for us to stabilize acquired community operations. Our efforts to restore occupancy or stabilize acquired communities’ operations may not be successful.

Our rehabilitation hospitals may be subject to Medicare reclassifications resulting in lower Medicare rates, or to retroactive repayments.

Medicare pays a significant amount of the revenues at our rehabilitation hospitals. For cost reporting periods starting on and after July 1, 2006, at least 60% of an IRF’s total inpatient population must require intensive rehabilitation services associated with treatment of at least one of 13 designated medical conditions in order for the facility to be classified as an IRF by the Medicare program. Although we believe we are in compliance with the 60% Rule, and we expect to remain in compliance with this rule, we may not be able to remain in compliance, or CMS could determine that we were non-compliant in a prior year.  Such an event would result in these hospitals being subject to Medicare reclassification to a different type of provider and our receiving lower Medicare payment rates retroactively or prospectively.  Reductions in our Medicare payments as a result of the reclassification of our rehabilitation hospitals would materially and adversely affect our financial conditions and results of operations.  If Congress were to raise the 60% Rule to a higher percentage, as the Obama Administration has proposed in the past and may propose in the future, maintaining our compliance with the rule would become more difficult.  Also, retroactive audits of Medicare claims submitted by IRFs and other providers are expanding, and CMS is recouping amounts paid for services determined by auditors not to have been medically necessary or not to meet Medicare criteria for coverage as billed. If our facilities were required to make substantial retroactive repayments to Medicare, our financial condition and results of operations may be materially and adversely affected.

Our failure or inability to meet certain terms of our credit agreements would adversely affect our business.

Our $35.0 million Credit Agreement and our $150.0 million Credit Facility agreement, or together, our credit agreements, include various conditions to our borrowing and various financial and other covenants and events of default. We may not be able to satisfy all of these conditions or may default on some of these covenants for various reasons, including matters which are beyond our control. If we are unable to borrow under our credit agreements we may be unable to meet our business obligations or to grow by buying additional properties, or we may be required to sell some of our properties. If we default under our credit agreements at a time when borrowed amounts are outstanding under these instruments, our lenders may demand immediate payment. Any default under our credit agreements would likely have serious and adverse consequences to us and would likely cause the market price of our securities to materially decline.

In the future, we may obtain additional debt financing, and the covenants and conditions which apply to any such additional indebtedness may be more restrictive than the covenants and conditions contained in our credit agreements.

We continue to seek acquisitions and other strategic opportunities that may require a significant amount of management resources and costs.

We continue to seek acquisitions and other strategic opportunities. Accordingly, we are often engaged in evaluating potential transactions and other strategic alternatives. In addition, from time to time, we engage in preliminary discussions that may result in one or more transactions. Although there is uncertainty that any of these discussions will result in definitive agreements or the completion of any transaction, we may devote a significant amount of our management resources to such transactions, which could negatively impact our existing and continuing operations. In addition, we may incur significant costs in connection with seeking acquisitions regardless of whether these acquisitions are completed.

Failure to comply with laws governing the privacy and security of personal information, including relating to health, could materially and adversely affect our business, financial condition and results of operations.

We are required to comply with federal and state laws governing the privacy, security, use and disclosure of personally identifiable information, including information relating to health. Under HIPAA, we are required to comply

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with the HIPAA privacy rule, security standards, and standards for electronic healthcare transactions. State laws also govern the privacy of individual health information, and rules regarding state privacy rights may be more stringent than HIPAA. Other federal and state laws govern the privacy of other personal information. If we fail to comply with applicable federal or state standards, we could be subject to civil sanctions and criminal penalties, which could materially and adversely affect our business, financial condition and results of operations.

We rely on information technology in our operations, and any material failure, inadequacy, interruption or security failure of that technology could harm our business.

We rely on information technology networks and systems, including the Internet, to process, transmit and store electronic information and to manage or support a variety of our business processes, including medical records, financial transactions and maintenance of records, which may include personally identifiable information of patients, residents and other customers, payroll data and workforce scheduling information. We purchase some of our information technology from vendors, on whom our systems depend. We rely on commercially available systems, software, tools and monitoring to provide security for processing, transmitting and storing this confidential information, such as personally identifiable information relating to health and financial accounts. Although we have taken steps to protect the security of the data maintained in our information systems, it is possible that our security measures will not be able to prevent the systems’ improper functioning, or the improper disclosure of personally identifiable information such as in the event of cyber attacks. Security breaches, including physical or electronic break-ins, computer viruses, attacks by hackers and similar breaches, can create system disruptions, shutdowns or unauthorized disclosure of confidential information. Any failure to maintain proper function, security and availability of our information systems could interrupt our operations, damage our reputation, subject us to liability claims or regulatory penalties and could materially and adversely affect us.

Termination of assisted living resident agreements and resident attrition could adversely affect our revenues and earnings.

State regulations governing assisted living facilities typically require a written resident agreement with each resident. Most of these regulations also require that each resident have the right to terminate these assisted living resident agreements for any reason on reasonable notice. Consistent with these regulations, most resident agreements allow residents to terminate their agreements on 30 days’ notice. Thus, we may be unable to contract with assisted living residents to stay for longer periods of time, unlike typical apartment leasing arrangements that involve lease agreements with terms of up to a year or longer. If a large number of residents elected to terminate their resident agreements at or around the same time, our revenues and earnings could be materially and adversely affected. In addition, the advanced ages of our senior living residents makes the resident turnover rate in our senior living communities difficult to predict.

Our business requires us to make significant capital expenditures to maintain and improve our communities.

Our communities sometimes require significant expenditures to address ongoing required maintenance and to make them attractive to residents. Physical characteristics of senior living communities and rehabilitation hospitals are mandated by various governmental authorities; changes in these regulations may require us to make significant expenditures. In addition, we often are required to make significant capital expenditures when we acquire new facilities. Our available financial resources may be insufficient to fund these expenditures. In addition to capital expenditures we are making at some of our senior living communities, we expect to make certain capital expenditures at our rehabilitation hospitals. SNH has historically provided most of the capital we need to improve the properties we lease from them; however, whenever SNH provides such capital, our rent increases and we may be unable to pay the increased rent without experiencing losses.  In addition, for properties we manage for SNH, SNH funds these capital expenditures, resulting in the invested capital on which its returns are based increasing, which may reduce or prevent our receipt of incentive fees.

We face significant competition and we may be unable to operate profitably.

We compete with numerous other companies that provide senior living and rehabilitation hospital services, including home healthcare companies and other real estate based service providers. Although some states require certificates of need to develop new SNFs and assisted living communities, there are fewer barriers to competition for home healthcare or for independent and assisted living services. Many of our existing competitors are larger and have greater financial resources than us. Some of our competitors are not for profit entities which have endowment income and may not have the same financial pressures that we face. We cannot assure that we will be able to attract a sufficient

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number of residents to our communities or that we will be able to attract employees and keep wages and other employee benefits, insurance costs and other operating expenses at levels which will allow us to compete successfully or to operate profitably.

Increased leverage may harm our financial condition and results of operations.

Our total consolidated long term debt as of December 31, 2012 was approximately $37.6 million and represented approximately 10% of our total book capitalization as of that date. In addition to our indebtedness, we have substantial lease and other obligations. The indenture governing the Notes does not limit the amount of additional indebtedness, including senior or secured indebtedness, which we can create, incur, assume or guarantee, nor does it limit the amount of indebtedness or other liabilities that our subsidiaries can create, incur, assume or guarantee.

Our level of indebtedness could have important consequences to our business, because:

·it could affect our ability to satisfy our debt obligations;

·the portion of our cash flows from operations required to make interest and principal payments will not be available for operations, working capital, capital expenditures, expansion, acquisitions or general corporate or other purposes;

·it may impair our ability to obtain additional financing in the future;

·it may limit our flexibility in planning for, or reacting to, changes in our business and industry; and

·it may make us more vulnerable to downturns in our business, our industry or the economy in general than a company with less debt leverage.

RISKS ARISING FROM CERTAIN RELATIONSHIPS OF OURS AND OUR ORGANIZATION AND STRUCTURE

We are subject to possible conflicts of interest; we have engaged in, and expect to continue to engage in, transactions with parties that may be considered related parties.

Our business is subject to possible conflicts of interest as follows:

·as of December 31, 2012, we leased from SNH 188 of our 261 senior living communities (including 11 senior living communities which we have classified as discontinued operations) and our two rehabilitation hospitals (which we have classified as discontinued operations) for total annual rent of approximately $197.7 million plus percentage rent based on increases in gross revenues at certain properties;

·as of December 31, 2012, we managed 39 senior living communities which are owned by SNH, and during 2012, we realized $5.6 million in management fees from SNH plus reimbursement of approximately $123.3 million of operating expenses which we incurred at these managed communities;

·we manage a portion of a senior living community for D&R Yonkers LLC, which is owned by SNH’s President and Chief Operating Officer and its Treasurer and Chief Financial Officer and to which SNH subleases such portion;

·we purchase various management services from RMR, the manager of SNH, and we lease our headquarters building from an affiliate of RMR;

·our Chief Executive Officer, Bruce J. Mackey Jr., and our Chief Financial Officer, Paul V. Hoagland, are also employees of RMR, our Managing Directors, Barry M. Portnoy and Gerard M. Martin, are directors of RMR, Mr. Barry Portnoy is a managing trustee of SNH and is also the majority beneficial owner and the chairman of RMR;

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·RMR’s simultaneous contractual obligations to us and SNH create potential conflicts of interest, or the appearance of such conflicts of interest, and under the business management agreement with RMR, in the event of a conflict between SNH and us, RMR may act on behalf of SNH rather than on our behalf; and

·we lease our headquarters from an affiliate of RMR.

On December 31, 2001, SNH distributed substantially all of its ownership of our common shares to its shareholders. Simultaneously with the spin off, we entered into agreements with SNH and RMR which, among other things, limit (subject to certain exceptions) ownership of more than 9.8% of our voting shares, restrict our ability to take any action that could jeopardize the tax status of SNH as a real estate investment trust, or REIT, and limit our ability to acquire real estate of types which are owned by SNH or other businesses managed by RMR. As a result of these agreements, our leases and management contracts with SNH, and our business management agreement with RMR, SNH, RMR and their respective affiliates have significant roles in our business and we do not anticipate any changes to those roles in the future. In addition, as of December 31, 2012, SNH owned 4.2 million of our common shares, or approximately 8.8% of our outstanding common shares, and SNH is our largest stockholder.

We believe that our historical and ongoing business dealings with SNH, RMR and D&R Yonkers LLC have benefited us and that, despite the foregoing possible conflicts of interest, the transactions we have entered with SNH, RMR and D&R Yonkers LLC have been commercially reasonable and not less favorable than otherwise available to us. Nonetheless, in the past, in particular following periods of volatility in the overall market or declines in the market price of a company’s securities, stockholder litigation, dissident stockholder director nominations and dissident stockholder proposals have often been instituted against companies alleging conflicts of interest in business dealings with affiliated and related persons and entities. Our relationships with SNH, RMR, D&R Yonkers LLC, AIC, the other businesses and entities to which RMR provides management services, Messrs. Portnoy and Martin and with RMR affiliates may precipitate such activities. These activities, if instituted against us, could result in substantial costs and a diversion of our management’s attention.

Our leases of certain of our senior living communities are subordinated to mortgage debt of SNH, and a default by SNH could result in the termination of those leases.

Our leases with SNH for 31 of our senior living communities, which had 2012 revenues totaling $195.1 million, are subordinated to mortgage financing secured by such communities. As a result, in the event SNH was to default on such mortgage financing, by reason of our default under our leases or for reasons unrelated to us or beyond our control, and its lender were to foreclose on such properties, our leases would terminate as a matter of law. While we may be able to enter into new leases with the lenders or the purchaser or purchasers of such properties, or they may elect to continue our occupancy under the terms of the lease as if there had been no foreclosure, such parties are not obligated to pursue either such option and, if we are able to retain possession, the terms of our continued occupancy may not be as favorable to us as those contained in our leases with SNH. If we do not enter into new leases of such communities following a foreclosure, we would lose the right to continue to operate these communities and we may incur material obligations to residents, employees and other parties as a result of such loss, each of which could have a material and adverse effect on our results of operations.

Ownership limitations, anti-takeover and other provisions in our charter, bylaws and certain material agreements, as well as certain provisions of Maryland law, may prevent our stockholders from receiving a takeover premium or from implementing changes.

Our charter and bylaws contain separate provisions which prohibit any stockholder from owning more than 9.8% and 5% of the number or value of any class or series of our outstanding shares of stock.  The 9.8% ownership limitation in our charter is consistent with our contractual obligations with SNH to not take actions that may conflict with SNH’s status as a REIT under the Internal Revenue Code.  The 5% ownership limitation in our bylaws is intended to help us preserve the tax treatment of our net operating losses and other tax benefits.  We also believe these provisions promote good orderly governance.  These provisions inhibit acquisitions of a significant stake in us and may prevent a change in our control. Additionally, many provisions contained in our charter and bylaws and under Maryland law may further deter persons from attempting to acquire control of us and implement changes that may be beneficial to our stockholders, including, for example, provisions relating to:

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·the division of our Directors into three classes, with the term of one class expiring each year, which could delay a change of control;

·stockholder voting rights and standards for the election of Directors and other provisions which require larger majorities for approval of actions which are not approved by our Directors than for actions which are approved by our Directors;

·the power of our Board of Directors, without a stockholders’ vote, to authorize and issue additional shares and create classes of shares on terms that it determines;

·required qualifications for an individual to serve as a Director and a requirement that certain of our Directors be “Independent Directors” and other Directors be “Managing Directors” as defined in our bylaws;

·limitations on the ability of our stockholders to propose nominees for election as Directors and propose other business to be considered at a meeting of stockholders;

·limitations on the ability of our stockholders to remove our Directors;

·the authority of our Board of Directors, and not our stockholders, to adopt, amend or repeal our bylaws and to fill vacancies on our Board of Directors;

·because of our ownership of AIC, we are an insurance holding company under applicable state law; accordingly, anyone who intends to solicit proxies for a person to serve as one of our Directors or for another proposal of business not approved by our Board of Directors may be required to receive pre-clearance from the concerned insurance regulators; and

·the authority of our Board of Directors to adopt certain amendments to our charter without stockholder approval to increase or decrease the number of shares of stock or the number of shares of any class or series that we have authority to issue.

The terms of our leases and management contracts with SNH and our business management agreement with RMR provide that our rights under these agreements may be cancelled by SNH and RMR, respectively, upon the acquisition by any person or group of more than 9.8% of our voting stock, and upon other change in control events, as defined in those documents including, in certain of the SNH leases and management agreements, the adoption of any proposal (other than a precatory proposal) or the election to our Board of Directors of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of our Directors in office immediately prior to the making of such proposal or the nomination or appointment of such individual. If the breach of these ownership limitations causes a default, stockholders causing the default may become liable to us or to other stockholders for damages. Additionally, we maintain a rights agreement whereby, in the event a person or group of persons acquires 10% or more of our outstanding common shares, our stockholders, other than such person or group, will be entitled to purchase additional shares or other securities or our property at a discount. In addition, a termination of our business management agreement, or a change in control event of us, including upon the acquisition by any person or group of more than 9.8% of our voting stock, is a default under our Credit Agreement unless approved by our lender. Also, certain provisions of Maryland law may have an anti-takeover effect. For these reasons, among others, our stockholders may be unable to realize a change of control premium for securities they own or otherwise effect a change of our policies or a change of our control.

Our rights and the rights of our stockholders to take action against our Directors and officers are limited.

Our charter limits the liability of our Directors and officers to us and our stockholders for money damages to the maximum extent permitted under Maryland law. Under current Maryland law, our Directors and officers will not have any liability to us and our stockholders for money damages other than liability resulting from:

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·actual receipt of an improper benefit or profit in money, property or services; or

·active and deliberate dishonesty by such director or officer that was established by a final judgment as being material to the cause of action adjudicated.

Our charter and contractual obligations authorize and may require us to indemnify our present and former Directors and officers for actions taken by them in those capacities to the maximum extent permitted by Maryland law. However, except with respect to proceedings to enforce rights to indemnification, we will indemnify any person referenced in the previous sentence in connection with a proceeding initiated by such person against us only if such proceeding is authorized by our charter or bylaws or by our Board of Directors or stockholders. In addition, we may be obligated to pay or reimburse the expenses incurred by our present and former Directors and officers without requiring a preliminary determination of their ultimate entitlement to indemnification. As a result, we and our stockholders may have more limited rights against our present and former Directors and officers than might otherwise exist absent the provisions in our charter and contracts or that might exist with other companies, which could limit your recourse in the event of actions not in your best interest.

Disputes with SNH and RMR and stockholder litigation against us or our Directors and officers may be referred to binding arbitration.

Our contracts with SNH and RMR provide that any dispute arising under those contracts may be referred to binding arbitration. Similarly, our bylaws provide that actions by our stockholders against us or against our Directors and officers, including derivative and class actions, may be referred to binding arbitration. As a result, we and our stockholders may not be able to pursue litigation for these disputes in courts against SNH, RMR or our Directors or officers. In addition, the ability to collect attorneys’ fees or other damages may be limited in the arbitration, which may discourage attorneys from agreeing to represent parties wishing to commence such a proceeding.

We may experience losses from our business dealings with Affiliates Insurance Company.

We have invested approximately $5.2 million in AIC, we have purchased substantially all our property insurance in a program designed and reinsured in part by AIC, and we are currently investigating the possibilities to expand our relationship with AIC to other types of insurance. We, SNH, RMR and five other companies to which RMR provides management services each own 12.5% of AIC, and we and those other AIC shareholders participate in a combined insurance program designed and reinsured in part by AIC. Our principal reason for investing in AIC and for purchasing insurance in these programs is to seek to improve our financial results by obtaining improved insurance coverages at lower costs than may be otherwise available to us or by participating in any profits which we may realize as an owner of AIC. These beneficial financial results may not occur, and we may need to invest additional capital in order to continue to pursue these results. AIC’s business involves the risks typical of an insurance business, including the risk that it may not operate profitably. Accordingly, our anticipated financial benefits from our business dealings with AIC may be delayed or not achieved, and we may experience losses from these dealings.

Climate change legislation and resulting increased energy costs at our communities could materially and adversely affect our business, financial condition and results of operations.

The current political debate about climate change has resulted in various treaties, laws and regulations which are intended to limit carbon emissions. We believe these laws being enacted or proposed may cause energy costs at our communities to increase in the future.  In the longer term, we believe any such increased costs will be passed through and paid by our patients, residents and other customers in higher charges for our services.  However, in the short term, these increased costs, if material in amount, could materially and adversely affect our financial condition and results of operations.  For more information regarding climate change matters and their possible adverse impact on us, please see “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Impact of Climate Change.”

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RISKS RELATED TO OUR SECURITIES

Any notes we may issue will be effectively subordinated to the debts of our subsidiaries and to our secured debt.

We conduct substantially all of our business through, and substantially all of our communities are owned by, our subsidiaries. Consequently, our ability to pay debt service on the outstanding Notes and any notes we issue in the future will be dependent upon the cash flow of our subsidiaries and payments by those subsidiaries to us as dividends or otherwise. Our subsidiaries are separate legal entities and have their own liabilities. Payments due on the outstanding Notes, and any notes we may issue, are, or will be, effectively subordinated to liabilities of our non-guarantor subsidiaries. Certain of our subsidiaries guarantee our obligations under the Notes and those subsidiaries and additional subsidiaries guarantee our obligations under our credit agreements. In addition, as of December 31, 2012, our subsidiaries which have not guaranteed the Notes had approximately $46.3 million of debt.  The Notes are unsecured and, as such, effectively subordinated to our and our subsidiary guarantor secured debt. We may incur additional secured indebtedness that would effectively rank senior to the outstanding Notes. In addition, our non-guarantor subsidiaries have substantial additional obligations, including trade payables and lease obligations, to which the Notes are and will be effectively subordinated.

Our right to receive assets of any of our subsidiaries upon its liquidation or reorganization will be structurally subordinated to the claims of our subsidiaries’ creditors, except to the extent that we are recognized as a creditor of such subsidiary, in which case our claims would still be subordinated to any security interests in the assets of such subsidiaries and any indebtedness of our subsidiaries that is senior to that held by us. In the event of our insolvency, bankruptcy, liquidation, reorganization, dissolution or winding up, we and the subsidiaries that guarantee the Notes, or any new notes we may issue, may not have sufficient assets to pay amounts due on any or all such notes.

The Notes may permit redemption before maturity, and our noteholders may be unable to reinvest proceeds at the same or a higher rate.

The terms of the Notes permit us, and the terms of future notes may permit us, to redeem all or a portion thereof after a certain amount of time, or up to a certain percentage of those outstanding notes prior to certain dates. Generally, the redemption price will equal the principal amount being redeemed, plus accrued interest to the redemption date, plus any applicable premium. If a redemption occurs, our noteholders may be unable to reinvest the money they receive in the redemption at a rate that is equal to or higher than the rate of return on the applicable notes.

There may be no public market for notes we may issue and one may not develop.

There is currently a limited trading market for the Notes. In addition, any notes we may issue will be a new issue for which no trading market currently exists. We may not list our notes on any securities exchange or seek approval for price quotations to be made available through any automated quotation system. We cannot assure that an active trading market for any of our notes will exist in the future. Even if a market develops, the liquidity of the trading market for any of our notes and the market price quoted for any such notes may be adversely affected by changes in the overall market for fixed income securities, by changes in our financial performance or prospects, or by changes in the prospects for the senior living industry generally. Also, we have purchased and retired $101.6 million face amount of the outstanding Notes. These purchases reduced the number and amount of the outstanding Notes and may decrease the liquidity of the Notes.

We do not intend to pay cash dividends on our common shares in the foreseeable future.

We have never declared or paid any cash dividends on our common shares, and we currently do not anticipate paying any cash dividends in the foreseeable future. Because we do not anticipate paying cash dividends, holders who convert the outstanding Notes into our common shares will not realize a return on their investment unless the trading price of our common shares appreciates.

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The market price of our common shares has fluctuated and a number of factors may cause the market price of our common shares to decline.

The market price of our common shares has fluctuated and could fluctuate significantly in the future if any of the risks described herein occur or in response to various factors and events, including, but not limited to:

·the liquidity of the market for our common shares;

·changes in our operating results;

·changes in analysts’ expectations; and

·general economic and industry trends and conditions.

In addition, the stock market in recent years has experienced broad price and volume fluctuations that often have been unrelated to the operating performance of particular companies. These market fluctuations may also cause the market price of our common shares to decline. Stockholders may be unable to resell our common shares at or above the price at which they purchased our common shares.

Item 2.   Properties

OUR SENIOR LIVING COMMUNITIES

As of December 31, 2012, we owned or leased and operated as continuing operations 211 senior living communities which we have categorized into two groups as follows:

										Percent of
		Type of units				Average		Revenues for		revenues
		Indep.	Assist.	Skilled	Total	occupancy for		the year ended		from private
	No. of	living	living	nursing	living	the year ended		Dec. 31, 2012		resources
Type of community	communities	apts.	suites	beds	units	Dec. 31, 2012		(Restated)		(Restated)
								(in thousands)
Independent and assisted living communities	180	6,895	11,251	2,020	20,166	86.8	%	$	876,632	86.4	%
SNFs	31	69	—	2,776	2,845	82.8	%	182,356		26.8	%
Totals:	211	6,964	11,251	4,796	23,011	86.3	%	$	1,058,988	76.1	%

Excluded from the preceding and following data are 39 independent and assisted living communities containing 3,347 independent living apartments, 2,865 assisted living suites and 478 skilled nursing beds that we manage for the account of SNH.  Also excluded are two SNFs and one assisted living community containing 303 living units that we own and seven SNFs and four assisted living communities containing 824 living units that we lease from SNH which we have classified as discontinued operations.  Unless specifically provided below or unless the context provides otherwise, the discussion and analysis provided below does not include the senior living communities we have classified as discontinued operations.

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Independent and Assisted Living Communities

As of December 31, 2012, we owned or leased and operated 180 independent and assisted living communities.  We leased 146 of these communities from SNH and four of these communities from HCP, Inc., or HCP. We own the remaining 30 communities.  These communities have 20,166 living units and are located in 26 states.  The following table provides additional information about these communities and their operations as of December 31, 2012:

										Percent of
		Type of units				Average		Revenues for		revenues
		Indep.	Assist.	Skilled	Total	occupancy for		the year ended		from private
	No. of	living	living	nursing	living	the year ended		Dec. 31, 2012		resources
Location	communities	apts.	suites	beds	units	Dec. 31, 2012		(Restated)		(Restated)
								(in thousands)
1. Alabama	7	—	335	—	335	90.0	%	$	12,617	100.0	%
2. Arizona	4	471	350	188	1,009	77.4	%	41,601		81.5	%
3. California	9	496	423	59	978	80.9	%	43,863		92.4	%
4. Delaware	6	336	322	341	999	80.2	%	64,968		65.8	%
5. Florida	9	1,180	718	155	2,053	92.2	%	79,059		76.7	%
6. Georgia	11	111	524	40	675	86.8	%	25,445		93.1	%
7. Illinois	2	112	73	—	185	93.7	%	5,248		100.0	%
8. Indiana	16	949	577	140	1,666	87.3	%	64,481		87.8	%
9. Kansas	3	332	67	200	599	90.7	%	29,671		72.6	%
10. Kentucky	9	491	281	183	955	91.7	%	44,882		83.9	%
11. Maryland	10	270	661	—	931	91.8	%	51,852		99.8	%
12. Massachusetts	1	—	124	—	124	82.3	%	7,430		100.0	%
13. Minnesota	1	—	230	—	230	83.5	%	12,803		95.4	%
14. Mississippi	2	—	114	—	114	95.4	%	3,887		100.0	%
15. Missouri	1	111	—	—	111	92.9	%	2,725		100.0	%
16. Nebraska	2	31	108	62	201	86.9	%	8,599		58.9	%
17. New Jersey	5	215	563	60	838	90.1	%	38,563		82.9	%
18. New Mexico	1	114	35	60	209	80.9	%	12,196		80.7	%
19. North Carolina	15	143	1,295	—	1,438	84.5	%	59,421		98.1	%
20. Ohio	1	143	115	60	318	89.3	%	18,390		86.4	%
21. Pennsylvania	10	—	1,002	—	1,002	83.8	%	37,486		100.0	%
22. South Carolina	18	101	857	100	1,058	82.6	%	40,322		91.9	%
23. Tennessee	11	7	670	—	677	95.0	%	24,296		100.0	%
24. Texas	9	898	588	298	1,784	81.7	%	81,162		83.8	%
25. Virginia	11	284	716	—	1,000	90.4	%	37,998		100.0	%
26. Wisconsin	6	100	503	74	677	91.3	%	27,667		66.1	%
Totals:	180	6,895	11,251	2,020	20,166	86.8	%	$	876,632	86.4	%

Skilled Nursing Facilities

As of December 31, 2012, we operated 31 SNFs that we lease from SNH. These facilities have 2,845 living units and are located in seven states. The following table provides additional information about these facilities and their operations as of December 31, 2012:

		Type of units				Average				Percent of
		Indep.	Assist.	Skilled	Total	occupancy for		Revenues for		revenues
	No. of	living	living	nursing	living	the year ended		the year ended		from private
Location	communities	apts.	suites	beds	units	Dec. 31, 2012		Dec. 31, 2012		resources
								(in thousands)
1. California	4	—	—	373	373	91.5	%	36,627		13.2	%
2. Colorado	7	46	—	754	800	82.7	%	53,769		32.1	%
3. Iowa	4	19	—	285	304	82.5	%	16,411		30.9	%
4. Kansas	1	4	—	56	60	87.8	%	3,309		26.9	%
5. Nebraska	10	—	—	613	613	85.5	%	33,882		30.5	%
6. Wisconsin	3	—	—	504	504	74.5	%	26,767		29.0	%
7. Wyoming	2	—	—	191	191	77.6	%	11,591		23.2	%
Totals:	31	69	—	2,776	2,845	82.8	%	$	182,356	26.8	%

OUR INPATIENT REHABILITATION HOSPITALS

As of December 31, 2012, we operated two inpatient rehabilitation hospitals that we lease from SNH.  These hospitals are located in Massachusetts and have 321 beds dedicated to inpatient rehabilitation services to patients at the two hospital locations and at three satellite locations.  In addition, we lease and operate 13 outpatient clinics affiliated with these hospitals.  For the year ended December 31, 2012, the combined revenues of these operations, which we have classified as discontinued operations, were $107.0 million, of which approximately 67% came from Medicare, 3% came from Medicaid and the remaining 30% came from health insurance companies or other sources.  The average occupancy at these inpatient facilities for the year ended December 31, 2012 was 60.3%.

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OUR SNH LEASES AND MANAGEMENT AGREEMENTS

SNH Leases

The following table provides a summary of our leases (including with respect to 11 senior living communities which we have classified as discontinued operations) and is followed by a summary of the material terms of our leases with SNH.  Because it is a summary, it does not contain all of the information that may be important to you.  If you would like more information, you should read the leases which are among the exhibits listed in Item 15 of this Amended 2012 Annual Report and incorporated herein by reference.

	Number of properties	Annual minimum  rent as of December 31, 2012		Initial expiration date	Renewal terms
1. Lease No. 1 for SNFs and independent and assisted living communities (1)	91	$	58.8 million	December 31, 2024	Two 15-year renewal options.
2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53	70.4 million		June 30, 2026	Two 10-year renewal options.
3. Lease No. 3 for independent and assisted living communities (2)	17	34.0 million		December 31, 2028	Two 15-year renewal options.
4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29	34.5 million		April 30, 2017	Two 15-year renewal options.
Totals	190	$	197.7 million

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

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

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

Percentage Rent.  Our leases with SNH require us to pay percentage rent at 181 of the 188 senior living communities we lease from SNH (including 11 senior living communities which we have classified as discontinued operations) equal to 4% of the amount by which gross revenues, as defined in our leases, of each property exceeds gross revenues in a specific base year.  These amounts are in addition to the minimum annual rent amounts payable by us to SNH.  We paid total percentage rent of $4.9 million in 2012.  Different base years apply to those communities that pay percentage

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rent. The base year is usually the first full calendar year after each community is leased.  We do not pay percentage rent for our rehabilitation hospitals.

Operating Costs.  Each lease is a so-called “triple-net” lease which requires us to pay all costs incurred in the operation of the properties, including the costs of maintenance, personnel, services to residents, insurance and real estate and personal property taxes.

Rent During Renewal Term.  For all but seven of the properties we lease from SNH, rent during each applicable renewal term is the same as the minimum rent and percentage rent payable during the initial term.  For the remaining seven properties, rent during the second renewal term is based on the fair market rental value of such properties.

Licenses.  Our leases require us to obtain, maintain and comply with all applicable permits and licenses necessary to operate the leased properties.

Maintenance and Alterations.  We are required to operate continuously and maintain, at our expense, the leased properties in good order and repair, including structural and nonstructural components. We may request SNH to fund amounts needed for repairs and renovations in return for rent increases according to formulas in the leases; however, SNH is not obligated to fund such requests and we are not required to sell them to SNH.  At the end of each lease term, we are required to surrender the leased properties in substantially the same condition as existed on the commencement date of the lease, subject to any permitted alterations and ordinary wear and tear.

Assignment and Subletting.  SNH’s consent is generally required for any direct or indirect assignment or sublease of any of the properties.  Also, in the event of any assignment or subletting, we remain liable under the applicable lease.

Indemnification and Insurance.  With limited exceptions, we are required to indemnify SNH from all liabilities which may arise from the ownership or operation of the leased properties. We generally are required to maintain insurance against such risks and in such amounts as SNH shall reasonably require and may be commercially reasonable.  Each lease requires that SNH be named as an additional insured under these insurance policies.

Damage, Destruction, Condemnation and Environmental Matters.  If any of the leased properties is damaged by fire or other casualty or taken for a public use, we are generally obligated to rebuild it unless the property cannot be restored. If the property cannot be restored, SNH will generally receive all insurance or taking proceeds and we are liable to SNH for the amount of any deductible or deficiency between the replacement cost and the insurance proceeds, and our rent will be adjusted pro rata.  We are also required to remove and dispose of any hazardous substance at the leased properties in compliance with all applicable environmental laws and regulations.

Events of Default.  Events of default under each lease generally include the following:

·our failure to pay rent or any money due under the lease when it is due, which failure continues for five business days;

·our failure to maintain the insurance required under such lease;

·any person or group acquiring ownership of 9.8% or more of our outstanding voting stock or any change in our control, the adoption of any stockholder proposal (other than a precatory proposal) or the election to our Board of Directors of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of our directors in office immediately prior to the making of such proposal or the nomination or appointment of such individual;

·the occurrence of certain events with respect to our insolvency or dissolution;

·our default under indebtedness which gives the holder the right to accelerate;

·our being declared ineligible to receive reimbursement under Medicare or Medicaid programs for any of the leased properties which participate in such programs or the revocation of any material license required for our operations; and

·our failure to perform any terms, covenants or agreements of such lease and the continuance thereof for a specified period of time after written notice.

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Remedies.  Upon the occurrence of any event of default, each lease provides that, among other things, SNH may, to the extent legally permitted:

·accelerate the rents;

·terminate the leases in whole or in part;

·enter the property and take possession of any and all our personal property and retain or sell the same at a public or private sale;

·make any payment or perform any act required to be performed by us under the leases; and

·rent the property and recover from us the difference between the amount of rent which would have been due under the lease and the rent received from the re-letting.

We are obligated to reimburse SNH for all costs and expenses incurred in connection with any exercise of the foregoing remedies.

Management.  We may not enter into any new management agreement affecting any leased property without the prior written consent of SNH.

Lease Subordination.  Our leases may be subordinated to any mortgages on properties leased from SNH.  As of December 31, 2012, SNH had mortgages on 31 of our communities to which our leases were subordinated.  These 31 communities had 4,233 living units and 2012 revenues totaling $195.1 million.  SNH’s outstanding borrowing secured by mortgages on these 31 communities totaled $361.7 million as of December 31, 2012.

Financing Limitations; Security.  Our leases subject to mortgage financings of SNH require SNH’s consent before we incur debt secured by our investments in our tenant subsidiaries that lease or operate the properties subject to these leases. Further, our leases subject to mortgage financings prohibit our tenant subsidiaries from incurring liabilities, other than operating liabilities incurred in the ordinary course of business, secured by our accounts receivable or purchase money debt. We may pledge interests in our leases only if the pledge is approved by SNH.  In addition, in connection with our leases subject to mortgage financings with SNH, certain of our subsidiaries pledged to the lenders under such mortgage financings certain tangible and intangible personal property, such as accounts receivable and contract rights, located at, or arising from the operations of, the properties subject to such leases to secure their obligations under such leases and certain of their obligations relating to such mortgage financings.

Non-Economic Circumstances.  If we determine that continued operations of one or more properties is not economical, we may negotiate with SNH to close or sell that community, including SNH’s ownership in the property. In the event of such a sale, SNH receives the net proceeds and our rent for the remaining properties in the affected lease is reduced according to formulas contained in the applicable lease.

Our Relationship with SNH.  SNH is our largest landlord. We were a 100% owned subsidiary of SNH before December 31, 2001. On December 31, 2001, SNH distributed substantially all of our then outstanding common shares to its shareholders.  Both we and SNH receive management services from RMR.  SNH owns 4,235,000, or 8.8%, of our outstanding common shares as of December 31, 2012.  For more information about our dealings with SNH, and about the risks which may arise as a result of these related person transactions, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Related Person Transactions” of this Amended 2012 Annual Report.

Management Contracts

We began managing communities for SNH’s account in June 2011 in connection with SNH’s acquisition of certain senior living communities at that time.  We have since begun managing additional communities that SNH has acquired.  With the exception of the management agreement for the senior living community in New York, described in Note 15 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, or Note 15, which is incorporated herein by reference, the management agreements for the communities we manage for SNH’s account provide us with a management fee equal to 3% of the gross revenues realized at the communities, plus reimbursement for our direct costs and expenses related to the communities and an incentive fee equal to 35% of the annual net operating income of the communities after SNH realizes an annual return equal to 8% of its invested capital.  The management agreements generally expire on December 31, 2031, and are subject to automatic renewal for two consecutive 15 year terms, unless earlier terminated or timely notice of nonrenewal is delivered.  The management agreements provide that we and SNH each have the option to terminate the contracts upon the acquisition by a person or group of more than 9.8% of the other’s voting stock and upon other change in control events affecting the other party, as defined in those documents, including the adoption of any shareholder proposal (other than a precatory proposal) or the election to the board of directors or board of trustees of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of the board of directors or board of trustees in office immediately prior to the making of such proposal or the nomination or appointment of such individual.

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In connection with the management agreements, we and SNH have entered into three pooling agreements, two pooling agreements which pool our management agreements with SNH for communities that include assisted living units, or the AL Pooling Agreements, and a third pooling agreement, which pools our management agreements with SNH for communities that include only independent living units, or the IL Pooling Agreement.  We entered into the initial AL Pooling Agreement in May 2011 and the second AL Pooling Agreement in October 2012.  In connection with entering into the second AL Pooling Agreement, we and SNH amended and restated the initial AL Pooling Agreement so that it includes only 20 identified communities.  The second AL Pooling Agreement includes the management agreements for the remaining communities that include assisted living units that we currently manage for SNH (other than with respect to the senior living community in New York as further described in Note 15).  We entered into the IL Pooling Agreement in August 2012.  Each of the AL Pooling Agreements and the IL Pooling Agreement aggregates the determinations of fees and expenses of the various communities that are subject to such pooling agreement, including determinations of our incentive fees and SNH’s return of its invested capital.  Under each of the pooling agreements, SNH has the right, after the period of time specified in the agreement has elapsed and subject to our cure rights, to terminate all, but not less than all, of the management agreements that are subject to the agreement if SNH does not receive its minimum return in each of three consecutive years.  In addition, under each of the pooling agreements, we have a limited right to require the sale of underperforming communities.  Also, under each of the pooling agreements, any nonrenewal notice given by us with respect to a community is deemed a nonrenewal with respect to all the communities that are subject to that agreement.

Item 6.   Selected Financial Data

The following table sets forth selected financial data for the periods and dates indicated.  Our comparative results are impacted by community acquisitions and dispositions during the periods shown.  This data should be read in conjunction with, and is qualified in its entirety by reference to “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Amended 2012 Annual Report and our Consolidated Financial Statements and accompanying notes included in Item 15 of this Amended 2012 Annual Report.  For a more detailed discussion on the restatement of our previously issued financial statements, see Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report.

	Year ended December 31,
	2012 (Restated)		2011 (Restated)			2010			2009			2008
	(in thousands, except per share data)
Operating data:
Total revenues	$	1,207,145	$	1,060,187		$	991,195		$	927,321		$	841,137
Net income from continuing operations	11,824		74,168			24,705			40,650			12,298
Net income (loss) from discontinued operations	11,717		(3,381		)	(1,213		)	(2,320		)	(16,794		)
Net income (loss)	23,541		70,787			23,492			38,330			(4,496		)
Basic net income (loss) per share:
Income from continuing operations	0.25		1.76			0.69			1.21			0.39
Income (loss) from discontinued operations	0.24		(0.08		)	(0.03		)	(0.07		)	(0.53		)
Net income (loss)	0.49		1.68			0.66			1.14			(0.14		)
Diluted net income (loss) per share:
Income from continuing operations	0.25		1.67			0.67			1.10			0.39
Income (loss) from discontinued operations	0.24		(0.08		)	(0.03		)	(0.05		)	(0.53		)
Net income (loss)	0.49		1.59			0.64			1.05			(0.14		)
Balance sheet data (as of December 31):
Total assets	592,569		599,346			379,897			413,100			412,638
Total long term indebtedness	37,621		75,996			37,905			54,167			152,865
Other long term obligations	43,067		38,039			39,211			33,590			37,344
Total shareholders’ equity	313,554		288,321			164,767			139,315			85,339

Item 7.   Management’s Discussion and Analysis of Financial Condition and Results of Operations

GENERAL INDUSTRY TRENDS

The senior living industry generally is experiencing growth as a result of demographic factors.  According to census data, the population in the United States over age 75 is growing much faster than the general population.  A large number of independent and assisted living communities were built in the 1990s.  This development activity caused an excess supply of new, high priced communities.  Longer than projected fill up periods resulted in low occupancy, price discounting and financial distress for many independent and assisted living operators.  Development activity was significantly reduced in the early part of the last decade.  We believe that the nationwide supply and demand for these types of facilities is about balanced today.  We believe that the aging of the United States population and the significant reliance of independent and assisted living services upon revenues from residents’ private resources should mean that these types of facilities can be profitably operated.

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The increasing availability of assisted living facilities in the 1990s caused occupancy at many SNFs to decline.  This fact, together with restrictions on development of new SNFs by most states and assisted living facilities in some states, has generally caused nursing care to be delivered in older facilities.  We believe that many SNFs currently in operation are becoming physically obsolete and that political pressures from an aging population will eventually cause governmental authorities to permit increased new construction.

Beginning in 2007, problems in certain domestic credit markets presaged a global credit crisis that led to a recession in the United States.  The recession resulted in aggressive government spending in the United States, significant employee layoffs, reduced availability of credit on reasonable terms in most markets, and lower real estate prices. The weakened economic conditions created by the recession negatively affected our occupancy.  While the economy grew moderately in 2012, it is unclear when current economic conditions, especially the housing market, may materially and sustainably improve.  Although many of the services we provide are needs driven, some of those needs may be deferred during recessions; for example, relocating to a senior living community may be delayed when sales of houses are delayed.  Also, we have experienced some pricing pressures from competition.

Rehabilitation hospitals provide intensive medical services, including physical therapy, occupational therapy and speech language services beyond the capability customarily available in SNFs.  We believe that our experience in providing high quality rehabilitation services at our IRFs has assisted us in providing increasing amounts of rehabilitation services at our senior living communities.

OPERATIONS

We earn our senior living revenue primarily by providing housing and services to our senior living residents.  During 2012, approximately 24% of our senior living revenues from continuing operations came from the Medicare and Medicaid programs and approximately 76% of our senior living revenues from continuing operations came from residents’ private resources.  We bill all private pay residents in advance for the housing and services to be provided in the following month.

Our material expenses are:

·Wages and benefits — includes wages for our employees working at our senior living communities and wage related expenses such as health insurance, workers’ compensation insurance and other benefits.

·Other senior living operating expenses — includes utilities, housekeeping, dietary, maintenance, marketing, insurance and community level administrative costs at our senior living communities.

·Rent expense — we lease 188 senior living communities (including 11 senior living communities which we have classified as discontinued operations) and two rehabilitation hospitals (which we have classified as discontinued operations) from SNH and four senior living communities from HCP.

·Hospital expenses — includes wages and benefits for our hospital based staff and other operating expenses related to our hospital business.

·General and administrative expenses — principally wage related costs for headquarters and regional staff supporting our communities and hospitals.

·Costs incurred on behalf of managed communities — includes wages and benefits for staff and other operating expenses related to the communities that we manage for the account of SNH, which are reimbursed to us by SNH, including from revenues we receive from the applicable managed communities, pursuant to our management agreements with SNH.

·Depreciation and amortization expense — we incur depreciation expense on buildings and furniture and equipment that we own and we incur amortization expense on certain identifiable intangible assets.

·Interest and other expenses — primarily includes interest on outstanding debt and amortization of deferred financing costs.

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During 2012, we added managed communities to our senior living portfolio and sold our institutional pharmacy business. We have three operating segments: senior living communities, rehabilitation and wellness and rehabilitation hospitals. In the senior living community segment, we operate for our own account or manage for the account of SNH independent living communities, assisted living communities and SNFs that are subject to centralized oversight and provide housing and services to elderly residents. Our rehabilitation and wellness operating segment does not meet any of the quantitative thresholds of a reportable segment as prescribed under Financial Accounting Standards Board, or FASB, Accounting Standards CodificationTM, or ASC, Topic 280, and as discussed further in Note 12 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Report, our rehabilitation hospital operating segment has been reclassified as discontinued operations. After the reclassification of our rehabilitation hospital business as discontinued operations, our business is comprised of one reportable segment, senior living.  All of our operations and assets are located in the United States, except for the operations of our captive insurance company subsidiary, which participates in our workers’ compensation, professional liability and automobile insurance programs and which is organized in the Cayman Islands.

As discussed further in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, we are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 to correct certain errors in the accounting for income taxes.   In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses, and certain other immaterial items.  We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total, and corrected certain other immaterial errors in cash flow presentation.  We have also corrected the classification of certain of our available for sale debt securities from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable.

INVESTMENT ACTIVITIES

In 2011, we acquired from unrelated parties seven senior living communities containing 854 living units with one community located in Arizona and six communities located in Indiana, or the Indiana Communities, for an aggregate purchase price of $148.4 million, excluding closing costs and including $38.0 million of assumed mortgage notes and $2.6 million of assumed net working capital liabilities.

In 2012, we completed the sale of our pharmacy business to Omnicare. We received $34.3 million in sale proceeds from Omnicare, which included $3.8 million in working capital.  We recorded a pre-tax capital gain on sale of our pharmacy business of $23.3 million.

During 2012 and 2011, we made capital expenditures for property, plant and equipment in our continuing operations, on a net basis after considering the proceeds from sales of property and equipment to SNH, of $27.0 million and $26.1 million, respectively, and acquisitions of senior living communities, net of working capital assumed, of $0 and $107.8 million, respectively.

During 2012 and 2011, we received gross proceeds of $4.2 million and $10.9 million, respectively, in connection with the sale of available for sale securities and recorded a net realized loss before tax of $19,000 and a net realized gain before tax of $4.1 million, respectively.

During 2012 and 2011, we purchased and retired $12.4 million and $623,000 par value of the outstanding Notes, respectively, and recorded a gain of $45,000 and $1,000, respectively, net of related unamortized costs, on early extinguishment of debt.

Key Statistical Data For the Years Ended December 31, 2012 and 2011

The following tables present a summary of our operations for the years ended December 31, 2012 and 2011:

	For the years ended December 31,
	2012			2011
(dollars in thousands, except average monthly rate)	(Restated)			(Restated)			Change			%/bps Change
Senior living revenue	$	1,074,333		$	1,038,737		$	35,596		3.4	%
Management fee revenue	5,817			898			4,919			547.8	%
Reimbursed costs incurred on behalf of managed communities	126,995			20,552			106,443			517.9	%
Total revenue	1,207,145			1,060,187			146,958			13.9	%
Senior living wages and benefits	(522,444		)	(510,012		)	(12,432		)	(2.4	)%
Other senior living operating expenses	(259,749		)	(249,491		)	(10,258		)	(4.1	)%
Costs incurred on behalf of managed communities	(126,995		)	(20,552		)	(106,443		)	(517.9	)%
Rent expense	(190,184		)	(183,950		)	(6,234		)	(3.4	)%
General and administrative expenses	(61,777		)	(57,443		)	(4,334		)	(7.5	)%
Depreciation and amortization expense	(24,480		)	(19,160		)	(5,320		)	(27.8	)%
Impairment of long-lived assets	—			(3,080		)	3,080			100.0	%
Gain on settlement	3,365			—			3,365			100.0	%
Interest, dividend and other income	881			1,240			(359		)	(29.0	)%
Interest and other expense	(6,268		)	(3,917		)	(2,351		)	(60.0	)%
Acquisition related costs	(108		)	(1,759		)	1,651			93.9	%
Gain on early extinguishment of debt	45			1			44			4400.0	%
(Loss) gain on sale of available for sale securities	(19		)	4,116			(4,135		)	(100.5	)%
(Provision) benefit for income taxes	(7,904		)	57,849			(65,753		)	(113.7	)%
Equity in earnings of Affiliates Insurance Company	316			139			177			127.3	%
Income from continuing operations	$	11,824		$	74,168		$	(62,344	)	(84.1	)%
Total number of communities (end of period):
Owned and leased communities	211			211			—			—
Managed communities	39			23			16			69.6	%
Number of total communities	250			234			16			6.8	%
Total number of living units (end of period):
Owned and leased living units	23,011			23,011			—			—
Managed living units	6,690			3,393			3,297			97.2	%
Number of total living units	29,701			26,404			3,297			12.5	%
Owned and leased communities:
Occupancy %	86.3		%	86.2		%	n/a			10	bps
Average monthly rate	$	4,373		$	4,419		$	(46	)	(1.0	)%
Percent of senior living revenue from Medicaid	11.2		%	11.1		%	n/a			10
Percent of senior living revenue from Medicare	12.7		%	14.6		%	n/a			(190	)bps
Percent of senior living revenue from private and other sources	76.1		%	74.3		%	n/a			180	bps

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Comparable communities (senior living communities that we have owned or leased and operated continuously since January 1, 2011):

	For the years ended December 31,
	2012			2011
(dollars in thousands, except average monthly rate)	(Restated)			(Restated)			Change			%/bps Change
Senior living revenue	$	1,023,752		$	1,014,362		$	9,390		0.9	%
Senior living wages and benefits	(505,849		)	(501,573		)	(4,276		)	(0.9	)%
Other senior living operating expenses	(246,568		)	(243,237		)	(3,331		)	(1.4	)%
No. of communities (end of period)	198			198			n/a			—
No. of living units (end of period)	21,422			21,422			n/a			—
Occupancy %	85.9		%	86.0		%	n/a			(10	)bps
Average monthly rate	$	4,499		$	4,482		$	17		0.4	%
Percent of senior living revenue from Medicaid	11.7		%	11.3		%	n/a			40	bps
Percent of senior living revenue from Medicare	13.3		%	14.9		%	n/a			(160	)bps
Percent of senior living revenue from private and other sources	75.0		%	73.8		%	n/a			120	bps

Year ended December 31, 2012 Compared to year ended December 31, 2011

Our senior living revenue increased by 3.4% for the year ended December 31, 2012 compared to the year ended December 31, 2011 primarily because we operated the 13 communities which we began operating in 2011 for a full year in 2012, partially offset by a 3.7% reduction in aggregate Medicare payment rates at our SNFs.  Our senior living revenue at the communities that we operated continuously since January 1, 2011 through December 31, 2012, or our current year comparable communities, increased 0.9% primarily due to an increase in Medicaid payment rates in certain states, partially offset by a slight decrease in occupancy and a 3.7% reduction in aggregate Medicare payment rates at our SNFs.

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Our management fee revenue and reimbursed costs at our managed communities increased significantly during the year ended December 31, 2012 due to an increase in the number of communities we managed from 23 to 39 during 2012 and because we managed these 23 communities for a full year in 2012 compared to a partial year in 2011.  For the year ended December 31, 2012, we recorded approximately $5.8 million of management fee revenue and $127.0 million of reimbursed costs incurred at these communities.

Our senior living wages and benefits increased 2.4% for the year ended December 31, 2012 compared to the year ended December 31, 2011 primarily because we operated 13 communities which we began operating in 2011 for a full year in 2012 and because of wage increases at our current year comparable communities.  Our other senior living operating expenses, which include utilities, housekeeping, dietary, maintenance, insurance and community level administrative costs, increased by 4.1% because we operated 13 communities which we began operating in 2011 for a full year in 2012, and because of increased charges from various service providers, partially offset by a decrease in pharmacy expense and decreased utility costs as a result of mild weather experienced throughout the United States during the first quarter of 2012.  Our senior living wages and benefits at our current year comparable communities increased by 0.9% due primarily to wage increases.  Our other senior living operating expenses at our current year comparable communities increased by 1.4% primarily due to an increase in charges from various service providers, partially offset by a decrease in pharmacy expense and decreased utility costs as a result of mild weather experienced throughout the United States during the first quarter of 2012.  Our senior living rent expense increased by 3.4% compared to the year ended December 31, 2011 primarily due to the addition of six communities we began to lease during the second quarter of 2011 and our payment of additional rent for senior living community capital improvements purchased by SNH at our request since January 1, 2011.

Our depreciation and amortization expense increased by 27.8% for the year ended December 31, 2012 compared to the year ended December 31, 2011 primarily due to additional depreciation and amortization resulting from the seven owned senior living communities that we acquired in the second and third quarters of 2011 and capital expenditures (net of sales of capital improvements to SNH), including depreciation costs arising from our purchase of furniture and fixtures for our owned communities.

General and administrative expenses increased by 7.5% for the year ended December 31, 2012 compared to the year ended December 31, 2011 primarily due to increased regional personnel and information technology costs resulting from our acquisitions of additional communities during 2011, and wage increases.

Our interest, dividend and other income decreased by 29.0% for the year ended December 31, 2012 compared to the year ended December 31, 2011 due to lower investable cash balances and lower yields realized on our investments.

Our interest and other expense increased by 60.0% for the year ended December 31, 2012 compared to the year ended December 31, 2011 primarily due to our assumption of four mortgage notes in connection with our acquisition of four senior living communities during the second and third quarters of 2011, interest paid on our Credit Facility and the bridge loan from SNH, or the Bridge Loan, partially offset by our purchase and retirement of $13.0 million par value of the outstanding Notes since January 1, 2011.

For the year ended December 31, 2012, we recognized tax expense from continuing operations of $7.9 million, of which $1.2 million represents current state tax expense that is payable without regard to our tax loss carry forwards.  During the fourth quarter of 2011 we evaluated the realizability of certain of our deferred tax assets, which include, among other things, our net operating losses and tax credits, and determined that it is more likely than not that we will realize the benefit of such deferred tax assets.  As of December 31, 2012, our federal net operating loss carry forward, which will begin to expire in 2026 if unused, was approximately $70.8 million, and our tax credit carry forward, which will begin to expire in 2022 if unused, was approximately $11.7 million.

Discontinued operations:

Income from discontinued operations for the year ended December 31, 2012 increased $15.1 million to $11.7 million, compared to a loss of $3.4 million for the year ended December 31, 2011.  Income from discontinued operations for the year ended December 31, 2012 is primarily due to the $23.3 million gain on sale that we recorded relating to the sale of our pharmacy business, partially offset by income tax expense of $5.4 million and losses we incurred at assisted living communities, SNFs and our rehabilitation hospital business that we have sold or expect to sell.  The loss from discontinued operations for the year ended December 31, 2011 is primarily due to an

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impairment charge of $3.9 million to reduce the carrying value of two SNFs we own to their estimated fair value, less costs to sell, and losses we incurred at assisted living communities, SNFs and our rehabilitation hospital business that we have sold or expect to sell, partially offset by income from our pharmacy business.

Key Statistical Data For the Years Ended December 31, 2011 and 2010:

The following tables present a summary of our operations for the years ended December 31, 2011 and 2010:

	For the year ended December 31,
(dollars in thousands, except average monthly rate)	2011 (Restated)			2010			Change			%/bps Change
Senior living revenue	$	1,038,737		$	991,195		$	47,542		4.8	%
Management fee revenue	898			—			898			100.0	%
Reimbursed costs incurred on behalf of managed communities	20,552			—			20,552			100.0	%
Total revenue	1,060,187			991,195			68,992			7.0	%
Senior living wages and benefits	(510,012		)	(486,386		)	(23,626		)	(4.9	)%
Other senior living operating expenses	(249,491		)	(233,080		)	(16,411		)	(7.0	)%
Costs incurred on behalf of managed communities	(20,552		)	—			(20,552		)	(100.0	)%
Rent expense	(183,950		)	(176,839		)	(7,111		)	(4.0	)%
General and administrative expenses	(57,443		)	(55,486		)	(1,957		)	(3.5	)%
Depreciation and amortization expense	(19,160		)	(14,077		)	(5,083		)	(36.1	)%
Impairment of long-lived assets	(3,080		)	—			(3,080		)	(100.0	)%
Interest, dividend and other income	1,240			1,757			(517		)	(29.4	)%
Interest and other expense	(3,917		)	(2,597		)	(1,320		)	(50.8	)%
Acquisition related costs	(1,759		)	—			(1,759		)	(100.0	)%
Gain on investments in trading securities	—			4,856			(4,856		)	(100.0	)%
Loss on put right related to auction rate securities	—			(4,714		)	4,714			100.0	%
Gain on early extinguishment of debt	1			592			(591		)	(99.8	)%
Gain on sale of available for sale securities	4,116			933			3,183			341.2	%
Benefit (provision) for income taxes	57,849			(1,448		)	59,297			4095.1	%
Equity in earnings (losses) of Affiliates Insurance Company	139			(1		)	140			14000.0	%
Income from continuing operations	$	74,168		$	24,705		$	49,463		200.2	%
Total number of communities (end of period):
Owned and leased communities	211			198			13			6.6	%
Managed communities	23			—			23			100.0	%
Number of total communities	234			198			36			18.2	%
Total number of living units (end of period):
Owned and leased living units	23,011			21,422			1,589			7.4	%
Managed living units	3,393			—			3,393			100.0	%
Number of total living units	26,404			21,422			4,982			23.3	%
Occupancy %	86.2		%	86.5		%	n/a			(30	)bps
Average monthly rate	$	4,419		$	4,375		$	44		1.0	%
Percent of senior living revenue from Medicaid	11.1		%	11.6		%	n/a			(50	)bps
Percent of senior living revenue from Medicare	14.6		%	14.3		%	n/a			30	bps
Percent of senior living revenue from private and other sources	74.3		%	74.1		%	n/a			20	bps

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Comparable communities (senior living communities that we have owned or leased and operated continuously since January 1, 2010):

	For the year ended December 31,
(dollars in thousands, except average monthly rate)	2011 (Restated)			2010			Change			%/bps Change
Senior living revenue	$	1,010,545		$	989,617		$	20,928		2.1	%
Senior living wages and benefits	(499,882		)	(485,679		)	(14,203		)	(2.9	)%
Other senior living operating expenses	(242,382		)	(232,733		)	(9,649		)	(4.1	)%
No. of communities (end of period)	197			197			n/a			—
No. of living units (end of period)	21,312			21,312			n/a			—
Occupancy %	86.0		%	86.5		%	n/a			(50	)bps
Average monthly rate	$	4,491		$	4,379		$	112		2.6	%
Percent of senior living revenue from Medicaid	11.3		%	11.5		%	n/a			(20	)bps
Percent of senior living revenue from Medicare	15.0		%	14.4		%	n/a			60	bps
Percent of senior living revenue from private and other sources	73.7		%	74.1		%	n/a			(40	)bps

Year ended December 31, 2011 Compared to year ended December 31, 2010

Our senior living revenue increased by 4.8% for the year ended December 31, 2011 compared to the year ended December 31, 2010 primarily because the number of communities in our continuing operations that we owned and leased as of the end of the period increased from 198 to 211 and increased per diem charges to residents, partially offset by a decrease in occupancy and the CMS 11.1% reduction in aggregate Medicare payment rates for SNFs.  Our senior living revenue at the communities in our continuing operations that we operated continuously since January 1, 2010 through December 31, 2011, or our prior year comparable communities, increased 2.1% due primarily to increased per diem charges to residents, offset by a decrease in occupancy and the CMS 11.1% reduction in aggregate Medicare payment rates for SNFs.

In 2011, we began to manage 23 communities.  For the year ended December 31, 2011, we recorded management fee revenue of approximately $898,000 and $20.6 million of reimbursed costs incurred at these communities.

Our senior living wages and benefits increased 4.9% for the year ended December 31, 2011 compared to the year ended December 31, 2010 primarily because the number of communities in our continuing operations that we owned and leased as of the end of the period increased from 198 to 211 and because of wage increases and increased employee health insurance costs at our prior year comparable communities.  Our other senior living operating expenses, which include utilities, housekeeping, dietary, maintenance, insurance and community level administrative costs, increased by 7.0% due to an increase in the number of communities in our continuing operations that we owned and leased from 198 to 211, plus increased charges from various service providers, marketing costs and general maintenance expenses.  Our senior living wages and benefits at our prior year comparable communities increased by 2.9% due primarily to wage increases and higher employee health insurance costs.  Our other senior living operating expenses at our prior year comparable communities increased by 4.1% primarily due to increases in charges from various service providers, marketing costs and general maintenance expenses.  Our senior living rent expense increased by 4.0% compared to the year ended December 31, 2010 primarily due to our payment of additional rent for senior living community capital improvements purchased by SNH at our request since January 1, 2010.

Our depreciation and amortization expense increased by 36.1% for the year ended December 31, 2011 compared to the year ended December 31, 2010 primarily due to capital expenditures (net of sales of capital improvements to SNH), including depreciation costs arising from our purchase of furniture and fixtures for our owned communities.

During our evaluation of long-lived and other intangible assets, we identified and recorded an impairment of long-lived assets of $3.1 million related to several senior living communities.

General and administrative expenses increased by 3.5% for the year ended December 31, 2011 compared to the year ended December 31, 2010 primarily due to increased regional support costs resulting from our acquisitions of additional communities during 2011, plus wage increases.

During the year ended December 31, 2011, we recognized a gain of $4.1 million on sales of available for sale securities held by our captive insurance company and we incurred $1.8 million of acquisition related costs, all of which relate to completed transactions.

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During the year ended December 31, 2010, we recognized a gain of $4.9 million on investments in trading securities related to our holdings of auction rate securities, or ARS, a loss of $4.7 million on the value of our right pursuant to an agreement with UBS AG, or UBS, to require UBS to acquire our ARS at par value and a gain of $933,000 on a sale of available for sale securities held by our captive insurance company.

During the year ended December 31, 2011, we purchased and retired $623,000 par value of outstanding Notes for $622,000 plus accrued interest, and recorded a gain of $1,000 net of related unamortized costs on early extinguishment of debt.

During the year ended December 31, 2010, we purchased and retired $11.8 million par value of outstanding Notes for $10.8 million plus accrued interest and prepaid a $4.6 million HUD insured mortgage note.  As a result of the purchase and prepayment, we recorded a gain on extinguishment of debt of $592,000, net of related unamortized costs and prepayment penalties.

Our interest, dividend and other income decreased by 29.4% for the year ended December 31, 2011 compared to the year ended December 31, 2010 due to lower investable cash balances and lower yields realized on our investments.

Our interest and other expense increased by 50.8% for the year ended December 31, 2011 compared to the year ended December 31, 2010 primarily due to our assumption of four mortgage notes totaling $39.2 million in connection with our acquisition of four senior living communities during 2011, interest on our outstanding balance on the Bridge Loan, partially offset by our purchase and retirement of $12.4 million par value of the outstanding Notes since January 1, 2010.

For the year ended December 31, 2011, we recognized a tax benefit from continuing operations of $57.8 million, which includes a deferred tax benefit of $58.9 million attributable to a reduction of valuation allowance and current tax expense of $1.0 million for state taxes on operating income that are payable without regard to our tax loss carry forwards.  As of December 31, 2011, our federal net operating loss carry forward, which will begin to expire in 2026 if unused, was approximately $98.2 million, and our tax credit carry forward, which will begin to expire in 2022 if unused, was approximately $10.5 million.

Discontinued operations:

Loss from discontinued operations for the year ended December 31, 2011 increased $2.2 million to $3.4 million, compared to a loss of $1.2 million for the year ended December 31, 2010.  The losses in both years are primarily due to losses we incurred at assisted living communities, SNFs and our rehabilitation hospital business that we have sold or expect to sell, partially offset by income from our pharmacy business that we have sold.  Loss from discontinued operations for the year ended December 31, 2011 includes an asset impairment charge of $3.9 million to reduce the carrying value of two SNFs to their estimated fair value based upon the then expected sale price less costs to sell.

LIQUIDITY AND CAPITAL RESOURCES

As of December 31, 2012, we had $24.6 million of unrestricted cash and cash equivalents and $35.0 million and $149.4 million available to borrow under our Credit Agreement and our Credit Facility, respectively. We expect to use cash balances, borrowings under our Credit Agreement, which is scheduled to expire in March 2013, and our Credit Facility, and the cash flow from our operations to fund our operations, debt repayments, investments in and maintenance of our properties, including those which are not improvements that we may sell to SNH for increased rent pursuant to our leases with SNH, future property acquisitions and other general business purposes.  We believe such amounts will be sufficient to fund these activities for the next 12 months and for the foreseeable future thereafter.  If, however, our occupancies decline from historic levels, the non-government rates we receive for our services decline or government reimbursement rates are reduced and we are unable to generate positive cash flow for an extended period, we expect that we would explore alternatives to fund our operations.  Such alternatives may include further reducing our costs, incurring debt under, and perhaps in addition to, our Credit Agreement and our Credit Facility, engaging in sale leaseback transactions of our owned communities, mortgage financing our communities that are not subject to existing mortgages and issuing new equity or debt securities.  We have an effective shelf registration statement that allows us to issue public securities on an expedited basis, but this registration statement does not assure that there will be buyers for such securities.

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Auction Rate and Available for Sale Securities

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

Until June 30, 2010, we held investments in trading securities which consisted of ARS that were primarily bonds issued by various entities to fund student loans pursuant to the Federal Family Education Loan Program.  Pursuant to their terms, the ARS were subject to periodic auctions, which impacted their liquidity and terms.  Due to events in the credit markets, auctions for these ARS failed starting in the first quarter of 2008.  In November 2008, we entered into a settlement agreement with UBS related to our investment in ARS and on June 30, 2010, we exercised our right pursuant to this agreement to require UBS to acquire our remaining ARS at par value.  UBS settled and paid to us $41.5 million on July 1, 2010, which was net of our outstanding balance on our UBS secured revolving credit facility of $6.3 million.

Assets and Liabilities

Our total current assets at December 31, 2012 were $158.6 million, compared to $162.6 million at December 31, 2011.  At December 31, 2012, we had cash and cash equivalents of $24.6 million compared to $28.4 million at December 31, 2011.  The decrease in cash and cash equivalents results from repayment of a portion of the amount outstanding under our Credit Facility, repayment of the Bridge Loan and our purchase and retirement of a portion of the outstanding Notes during 2012, each with cash on hand, partially offset by cash received from operations and the sale of our pharmacy business.  Our current and long term liabilities were $198.3 million and $80.7 million, respectively, at December 31, 2012 compared to $197.0 million and $114.0 million, respectively, at December 31, 2011.  The increase in current liabilities primarily results from the reclassification of the Notes into current liabilities at December 31, 2012 and timing of payment and accrual differences, partially offset by the repayment of the Bridge Loan.  The decrease in long term liabilities primarily results from the reclassification of the Notes into current liabilities, partially offset by an increase in accrued self insurance obligations.

We had net cash flows from continuing operations of $47.5 million for the year ended December 31, 2012 compared to $42.0 million for the year ended December 31, 2011. Acquisitions of property and equipment, including the acquisition of senior living communities, on a net basis after considering the proceeds from sales of fixed assets to SNH, were $27.0 million and $133.9 million for the years ended December 31, 2012 and 2011, respectively. During 2012 and 2011, we purchased and retired a total of $12.4 million and $623,000, respectively, par value of the outstanding Notes for $12.0 million and $622,000, respectively, plus accrued interest.

Acquisitions and Related Financings

In May 2011, we acquired from an unrelated third party an assisted living community containing 116 living units located in Arizona for $25.6 million, excluding closing costs.  We financed the acquisition with cash on hand and by assuming a Federal National Mortgage Association, or FNMA, mortgage note for $18.7 million.  We have included the results of this community’s operations in our consolidated financial statements from the date of acquisition. We allocated the purchase price of this community to land, building and equipment. This community primarily provides independent and assisted living services and, as of December 31, 2012, all of the residents pay for their services with private resources.

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From June 2011 to September 2011, we purchased the Indiana Communities for an aggregate purchase price, excluding closing costs, of $122.8 million.  The Indiana Communities primarily offer independent and assisted living services, which are currently primarily paid by residents from their private resources and contain 1,476 living units.  We also entered into the Bridge Loan agreement with SNH under which SNH agreed to lend us up to $80.0 million to help fund the purchase of the Indiana Communities.  In addition to the proceeds of the Bridge Loan, we also funded these acquisitions with a portion of the proceeds from a public offering of our common shares, or the Public Offering, by assuming mortgage notes secured by three of the Indiana Communities, by assuming net working capital liabilities of the Indiana Communities and with cash on hand.  During 2011, we repaid $42.0 million of the principal amount then outstanding under the Bridge Loan with proceeds from the Public Offering and cash generated by operations.  In April 2012, we repaid in full the principal amount then outstanding under the Bridge Loan, resulting in termination of the Bridge Loan.  We funded the April 2012 repayment of the Bridge Loan with borrowings under our Credit Facility and cash on hand.

In June 2011, we issued 11,500,000 of our common shares in the Public Offering, raising net proceeds of approximately $53,953.  We used proceeds from the Public Offering to repay amounts outstanding under the Bridge Loan and to fund a portion of the cash purchase price of the Indiana Communities acquisition as described above.

Litigation Settlement

On May 29, 2012, we entered into a settlement agreement, or the Settlement Agreement, with subsidiaries of Sunrise Senior Living Inc., or Sunrise, pursuant to which we agreed to settle our long running litigation with Sunrise, involving amounts charged by Sunrise to us for certain insurance programs for senior living communities managed by Sunrise for us.  Pursuant to the Settlement Agreement, Sunrise paid us $4.0 million in cash and we recorded a gain of $3.4 million, net of legal fees, in our consolidated statements of income.

Our Leases and Management Agreements with SNH

As of December 31, 2012, we leased 177 senior living communities, which are included in our continuing operations, and 11 senior living communities and two rehabilitation hospitals which we have classified as discontinued operations, from SNH under four leases.  Our total annual rent payable to SNH as of December 31, 2012 was $197.7 million, excluding percentage rent based on increases in gross revenues at certain properties.  We paid approximately $4.9 million in percentage rent to SNH for the years ended December 31, 2012 and 2011.

Upon our request, SNH may purchase capital improvements made at the properties we lease from SNH and increase our rent pursuant to contractual formulas; however, SNH is not obligated to purchase these improvements from us and we are not obligated to sell them to SNH.  During the year ended December 31, 2012, SNH reimbursed us $30.5 million for capital expenditures made at the properties leased from SNH and these purchases resulted in our annual rent being increased by approximately $2.5 million.

During 2012, we entered into several management agreements and pooling agreements with SNH and its affiliates, as well as entered into lease amendments with SNH.  For more information regarding these 2012 activities, see Note 15, which is incorporated herein by reference.

Our Revenues

Our revenues from services to residents at our senior living communities and patients of our rehabilitation hospitals and affiliated clinics are our primary source of cash to fund our operating expenses, including rent, capital expenditures and principal and interest payments on our debt.

During the past several years, weak economic conditions throughout the country have negatively affected many entities both within and outside of our industry.  These conditions have resulted in, among other things, a decrease in our communities’ occupancy, and it is unclear when these conditions, especially in the housing market, may materially improve. Although many of the services that we provide are needs-driven, some of our prospective residents may be deferring their decisions to relocate to senior living communities in light of current economic circumstances.

At some of our senior living communities (principally our SNFs) and our clinics, Medicare and Medicaid programs provide operating revenues for skilled nursing and rehabilitation services. We derived approximately 24%, 26% and 26% of our consolidated revenues from continuing operations from these programs for each of the years ended December 31, 2012, 2011 and 2010, respectively.

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Our net Medicare revenues from services to senior living community residents from continuing operations totaled $134.2 million, $149.9 million and $141.0 million for the years ended December 31, 2012, 2011 and 2010, respectively. Our net Medicaid revenues from services to senior living community residents from continuing operations totaled $118.5 million, $113.8 million and $113.7 million for the years ended December 31, 2012, 2011 and 2010, respectively.  Our net Medicare revenues from our rehabilitation hospital business, which we have classified as discontinued operations, totaled $71.1 million, $68.6 million and $60.3 million for the years ended December 31, 2012, 2011 and 2010, respectively. Our net Medicaid revenues from our rehabilitation hospital business, which we have classified as discontinued operations, totaled $3.3 million, $2.7 million and $3.4 million for the years ended December 31, 2012, 2011 and 2010, respectively. CMS adopted a final rule that took effect on October 1, 2011, the effect of which was to reduce aggregate Medicare payment rates for SNFs by approximately 11.1%, or $3.87 billion, in federal fiscal year 2012.  CMS also updated Medicare payment rates for SNFs effective October 1, 2012, which CMS estimates will increase aggregate Medicare payment rates for SNFs by 1.8%, or $670 million, for federal fiscal year 2013.  Due to the prior reduction of approximately 11.1% discussed above, however, Medicare payment rates will be lower for federal fiscal year 2013 than they were in federal fiscal year 2011. We expect the reduction to Medicare SNF payment rates in federal fiscal year 2013 to be material and adverse to our future financial results of operations. Some of the states in which we operate either have not raised Medicaid rates by amounts sufficient to offset increasing costs or have frozen or reduced, or are expected to freeze or reduce, Medicaid rates. In addition, certain temporary increases in federal payments to states for Medicaid programs ended as of June 30, 2011. We expect the ending of these temporary federal payments, combined with the anticipated slow recovery of state revenues, to result in continued challenging state fiscal conditions. Some state budget deficits likely will increase, and certain states may reduce Medicaid payments to healthcare services providers like us as part of an effort to balance their budgets. We cannot currently estimate the type and magnitude of the potential Medicare and Medicaid policy changes, rate reductions or other changes and the impact on us of the possible failure of these programs to increase rates to match our expenses, but they may be material and adverse to our operations and may affect our future results of operations. Similarly, we are unable to predict the impact on us of the reforms to insurance, payment systems and healthcare delivery systems contained in and to be developed pursuant to the ACA.  Although expanded insurance availability may provide additional paying consumers for the services we provide, if the changes to be implemented under the ACA result in reduced payments for our services, or the failure of Medicare, Medicaid or insurance payment rates to cover our costs, our future financial results could be adversely and materially affected.

Medicare and Medicaid programs provided approximately 70%, 68% and 64% of our revenues from our rehabilitation hospital business, which we have classified as discontinued operations, for the years ended December 31, 2012, 2011 and 2010, respectively. Effective October 1, 2011, CMS adopted a final rule that updated Medicare IRF PPS rates, which CMS estimated would result in an aggregate net increase of 2.2% in IRF Medicare payments for federal fiscal year 2012.  The rule adjusts the aggregate rates by a rebased market basket update increase of approximately 2.9% to account for inflation, reduced by an automatic 0.1% and by a productivity adjustment of 1.0%, both pursuant to the ACA, and increased by 0.4% in estimated outlier payments.  CMS subsequently adopted updated Medicare payment rates for IRFs effective October 1, 2012, which CMS estimates will increase aggregate Medicare payment rates for IRFs by 2.1%, or $140 million, for federal fiscal year 2013. The aggregate effect on our IRF Medicare payments for federal fiscal year 2013 may vary from CMS’s estimate based on wage indexes and LIP percentages contained in the final rule.

In addition, our two rehabilitation hospitals must satisfy the 60% Rule in order to be classified as an IRF by the Medicare program.  Pursuant to the 60% Rule, at least 60% of a facility’s inpatient population must require intensive rehabilitation services for one of CMS’s 13 designated medical conditions. An IRF that fails to meet the requirements of the 60% Rule is subject to reclassification as a different type of healthcare provider, the effect of which would be to lower that IRF’s Medicare payment rates.  Although we believe that our IRFs are operating in compliance with the 60% Rule, the actual percentage of patients at our IRFs who receive services for a designated condition may not be as high as we believe, and it may decline. In addition, the Obama Administration has proposed in the past, and may propose in the future, changing the 60% Rule to a greater percentage, such that a higher percentage of a facility’s population would have to receive services for treatment of a designated condition.  If the percentage were increased, our IRFs’ ability to maintain compliance with the rule would become more difficult.  Our failure to remain in compliance, or a CMS finding of noncompliance, if it occurs, will result in our receiving lower Medicare rates than we currently receive at our IRFs and could materially and adversely affect our future financial results.

Insurance

Increases over time in the costs of insurance, especially professional liability insurance, workers’ compensation and employee health insurance, have had an adverse impact upon our results of operations.  Although we self insure a large portion of these costs, our costs have increased as a result of the higher costs that we incur to settle claims and to purchase

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re-insurance for claims in excess of the self insurance amounts.  These increased costs may continue in the future.  We, RMR and other companies to which RMR provides management services are the shareholders of an insurance company, which has designed and reinsured in part a property insurance program under which we and the other shareholders participate.  For more information about our existing insurance see “Business — Insurance” of this Amended 2012 Annual Report.

Rehabilitation Hospitals

In October 2006, we began to operate two rehabilitation hospitals located in Massachusetts that provide extensive inpatient and outpatient health rehabilitation services. These hospitals are leased from SNH through June 30, 2026.  We have classified our rehabilitation hospital business as discontinued operations.

Discontinued Operations

In August 2010, at our request, SNH sold four SNFs located in Nebraska which we leased from SNH to an unrelated party for net proceeds of approximately $1.5 million, and our annual rent payable to SNH decreased by approximately $145,000 per year.

In November 2010, at our request, SNH agreed to sell one assisted living community located in Pennsylvania with 70 living units that was leased to us.  SNH sold this community in May 2011, and our annual rent to SNH decreased by approximately $72,000 per year.

Also in November 2010, at our request, SNH agreed to sell three SNFs located in Georgia with an aggregate of 329 living units that were leased to us.  SNH consummated the sale of two of these communities in May 2011 and one community in June 2011, and our annual rent to SNH decreased by approximately $1.8 million per year.

In 2011, we decided to offer for sale two SNFs we own that are located in Michigan with a total of 271 living units.  In October 2012, we entered an agreement to sell these two SNFs for $8.0 million, including the assumption of $7.5 million of HUD mortgage debt by the buyer.  In connection with this agreement, we recorded a $294,000 asset impairment charge to reduce the carrying value of these properties to their estimated fair value less costs to sell.  Completion of this sale is subject to customary closing conditions and we can provide no assurance that a sale of these SNFs will be completed.

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

In September 2012, we completed the sale of our pharmacy business to Omnicare. We received $34.3 million in sale proceeds from Omnicare, which included $3.8 million in working capital.  We recorded a pre-tax capital gain on sale of the pharmacy business of $23.3 million.  In connection with the sale, Omnicare did not acquire the real estate we owned associated with one pharmacy located in South Carolina.  We intend to sell this real estate and we recorded a $350,000 asset impairment charge during the third quarter of 2012 to reduce the carrying value of this property to its estimated fair value less costs to sell.

In the second quarter of 2013, we reclassified 11 of our held for sale senior living communities as discontinued operations.  In the third quarter of 2013, in connection with entering into a purchase agreement with SNH and certain unrelated parties, we reclassified our rehabilitation hospital business as discontinued operations.  These 11 senior living communities and our rehabilitation hospital business are retrospectively presented as discontinued operations throughout this amended 2012 Annual Report.  Please see Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Report for more information regarding the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors for the years ended December 31, 2012 and 2011.

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

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

Contractual Obligations Table

As of December 31, 2012, our contractual obligations from continuing and discontinued operations were as follows (dollars in thousands):

	Payment due by period
	Total		Less than 1 year		1-3 years		3-5 years		More than 5 years
Contractual Obligations
Long Term Debt Obligations (1) (2)	$	71,132	$	26,114	$	2,716	$	3,056	$	39,246
Projected Interest on Long Term Debt Obligations (3)	29,874		3,460		5,217		4,876		16,321
Operating Lease Obligations (4)	2,351,411		198,871		395,968		372,396		1,384,176
Continuing care contracts (5)	1,708		—		794		582		332
Accrued Self Insurance Obligations (6)	34,647		—		27,910		6,737		—
Total	$	2,488,772	$	228,445	$	432,605	$	387,647	$	1,440,075

(1)Long Term Debt Obligations consist of the amounts due under one FNMA, three Federal Home Loan Mortgage Corporation, or FMCC, and two HUD insured mortgages as well as the outstanding Notes.

(2)Holders of our outstanding Notes ($24,872 in principal amount outstanding) may require us to repurchase all or a portion of the outstanding Notes on each of October 15, 2013, 2016 and 2021, or upon the occurrence of certain change in control events prior to October 15, 2013.  The amounts in the table reflect these Notes in the “Less than 1 year” category as we expect the holders of the Notes to require we repurchase them on October 15, 2013.

(3)Projected Interest on Long Term Obligations is interest attributable to only the long term debt obligations listed above at existing rates and is not intended to project future interest costs which may result from debt payments, new debt issuances or change in interest rates.

(4)Operating Lease Obligations consist of the annual lease payments to SNH and HCP through the lease terms ending between 2014 and 2028.  These amounts do not include percentage rent that may become payable under these leases.

(5)Non-refundable resident continuing care contracts.  See Note 2 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report for further information regarding these contracts.

(6)Accrued Self Insurance Obligations reflected on our balance sheet are insurance reserves related to workers’ compensation and professional liability insurance.

Debt Financings and Covenants

We have a $35.0 million Credit Agreement that is available for general business purposes, including acquisitions.  The maturity date of our Credit Agreement is March 18, 2013.  Borrowings under our Credit Agreement typically bear interest at LIBOR (with a floor of 2% per annum) plus a spread of 400 basis points, or 6% as of December 31, 2012.  We may draw, repay and redraw funds until maturity, and no principal repayment is due until maturity.  The weighted average interest rate for borrowings under our Credit Agreement was 6.25% for the years ended December 31, 2012 and 2011.  There were no borrowings under our Credit Agreement during the year ended December 31, 2010.  As of December 31, 2012 and February 15, 2013, we had $0 outstanding under our Credit Agreement.

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

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

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

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

In May 2011, we entered into the Bridge Loan agreement with SNH under which SNH agreed to lend us up to $80.0 million to fund a part of the purchase price for our acquisitions of certain assets of the Indiana Communities.  During 2011, we completed our acquisitions of the assets of the Indiana Communities and, in connection with the acquisitions, borrowed $80.0 million under the Bridge Loan.  During 2011, we repaid $42.0 million of this advance with proceeds from the Public Offering and cash generated by operations.  In April 2012, we repaid in full the principal amount then outstanding under the Bridge Loan, resulting in termination of the Bridge Loan.  We funded the April 2012 repayment of the Bridge Loan with borrowings under our Credit Facility and cash on hand.

At December 31, 2012, we had six irrevocable standby letters of credit totaling $755,000.  The six letters of credit are security for our lease obligation to HCP, to an automobile leasing company and to a mortgagee of our property encumbered by a FNMA insured mortgage.  The letters of credit are renewed annually.  The maturity dates for these letters of credit range from April 2013 to September 2013.  Our obligations under these letters of credit are secured by cash.

In October 2006, we issued $126.5 million principal amount of the Notes.  Our net proceeds from this issuance were approximately $122.6 million.  The Notes bear interest at a rate of 3.75% per annum and are convertible into our common shares at any time.  The initial conversion rate, which is subject to adjustment, is 76.9231 common shares per $1,000 principal amount of the Notes, which represents an initial conversion price of $13.00 per share.  The Notes are guaranteed by certain of our wholly owned subsidiaries.  The Notes mature on October 15, 2026.  We may prepay the Notes at any time and the holders may require that we purchase all or a portion of these Notes on each of October 15 2013, 2016 and 2021.  If a “fundamental change”, as defined in the indenture governing the Notes, occurs, holders of the Notes may require us to repurchase all or a portion of their Notes for cash at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus any accrued and unpaid interest and, in certain circumstances, plus a make whole premium as defined in the indenture governing the Notes.  As of December 31, 2012, we believe we were in compliance with all applicable covenants of this indenture.

During the years ended December 31, 2012 and 2011, we purchased and retired $12.4 million and $623,000 par value of the outstanding Notes, respectively, and recorded a gain of $45,000 and $1,000, respectively, net of related unamortized costs, on early extinguishment of debt.  We funded these purchases principally with available cash.  As a result of these purchases and other purchases we made in prior years, $24.9 million in principal amount of the Notes remain outstanding.

At December 31, 2012, six of our senior living communities were encumbered by mortgage notes with an aggregate outstanding principal balance of $46.3 million: (1) two of our communities, which we have classified as discontinued operations, were encumbered by HUD insured mortgage notes; (2) one of our communities was encumbered by a FNMA mortgage note and; (3) three of our communities were encumbered by FMCC mortgage notes.  These mortgages contain HUD, FNMA and FMCC, respectively, standard mortgage covenants.   The weighted average interest rate on these notes was 6.67% as of December 31, 2012.  Payments of principal and interest are due monthly until maturities at varying dates ranging from June 2023 to May 2039.  As of December 31, 2012, we believe we were in compliance with all applicable covenants under these mortgages.

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Off Balance Sheet Arrangements

We have pledged certain of our assets, such as accounts receivable, with a carrying value, as of December 31, 2012, of $12.6 million arising from our operation of 30 properties owned by SNH and leased to us which secures SNH’s borrowings from its lender, FNMA.  As of December 31, 2012, we had no other off balance sheet arrangements that have had or that we expect would be reasonably likely to have a future material effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

Related Person Transactions

We have relationships and historical and continuing transactions with our Directors, our executive officers, SNH, RMR, AIC and other companies to which RMR provides management services and others affiliated with them.  For example: SNH, which is our former parent, our largest landlord and our largest stockholder and RMR provides management services to both us and SNH; D&R Yonkers LLC, which is owned by SNH’s executive officers and for which we manage a portion of a senior living community which it subleases from SNH in order to accommodate certain requirements of New York healthcare licensing laws; we, RMR, SNH and five other companies to which RMR provides management services each currently own 12.5% of AIC, an Indiana insurance company, and we and the other shareholders of AIC have property insurance in place providing $500.0 million of coverage pursuant to an insurance program arranged by AIC and with respect to which AIC is a reinsurer of certain coverage amounts; and RMR, a company that employs our President and Chief Executive Officer; our Treasurer and Chief Financial Officer; and one of our Managing Directors and which is majority owned by one of our Managing Directors, assists us with various aspects of our business pursuant to the business management agreement.  For further information about these and other such relationships and related person transactions, please see Note 15, which is incorporated herein by reference, and the section captioned “Business” above in Part I, Item 1 of this Amended 2012 Annual Report.  In addition, for more information about these transactions and relationships and about the risks that may arise as a result of these and other related person transactions and relationships, please see elsewhere in this Amended 2012 Annual Report, including “Warning Concerning Forward Looking Statements” and Part I, Item 1A, “Risk Factors.”  Copies of certain of our agreements with these related parties, including our leases, forms of management agreements and related pooling agreements and former Bridge Loan agreement with SNH, our management agreement with D&R Yonkers LLC, our business management agreement with RMR, our headquarters lease with an affiliate of RMR and our shareholders agreement with AIC and its shareholders, are publicly available as exhibits to our public filings with the SEC and accessible at the SEC’s website at www.sec.gov.

We believe that our agreements with SNH, RMR, D&R Yonkers LLC and AIC are on commercially reasonable terms.  We also believe that our relationships with SNH, RMR, D&R Yonkers LLC and AIC and their affiliated and related persons and entities benefit us and, in fact, provide us with competitive advantages in operating and growing our business.

Critical Accounting Policies

Our critical accounting policies concern revenue recognition, our assessments of the net realizable value of our accounts receivable, reserves related to our self insurance programs and our valuations of our goodwill, other intangibles and long-lived assets.

Our revenue recognition policies involve judgments about Medicare and Medicaid rate calculations.  These judgments are based principally upon our experience with these programs and our knowledge of current rules and regulations applicable to these programs.  We recognize revenues when services are provided and these amounts are reported at their estimated net realizable amounts.  Some Medicare and Medicaid revenues are subject to audit and retroactive adjustment and sometimes retroactive legislative changes.

Our policies for valuing accounts receivable involve significant judgments based upon our experience, including consideration of the age of the receivables, the terms of the agreements with our residents, their third party payers or other obligors, the residents or payers stated intent to pay, the residents or payers financial capacity and other factors which may include litigation or rate and payment appeal proceedings.

Determining reserves for the casualty, liability, workers’ compensation and healthcare losses and costs that we have incurred as of the end of a reporting period involves significant judgments based upon our experience and our

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expectations of future events, including projected settlements for pending claims, known incidents which we expect may result in claims, estimates of incurred but not yet reported claims, expected changes in premiums for insurance provided by insurers whose policies provide for retroactive adjustments, estimated litigation costs and other factors.  Since these reserves are based on estimates, the actual expenses we incur may differ from the amount reserved.  We regularly adjust these estimates to reflect changes in the foregoing factors, our actual claims experience, recommendations from our professional consultants, changes in market conditions and other factors; it is possible that such adjustments may be material.

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

As of our evaluation date, the fair value of the senior living reporting unit exceeds its carrying value by approximately 29%.  As of December 31, 2012, our carrying amount of goodwill was $25.5 million.  The key variables that affect the cash flows of our senior living reporting unit are estimated revenue growth rates, estimated operating expenses excluding interest and taxes, estimated capital expenditures, growth rate assumptions and the weighted average cost of our capital. We select the revenue growth rate based on our view of the growth prospects of the senior living reporting unit considering expected occupancy rates and private pay and government and third party reimbursement rates. Estimated operating expenses and capital expenditures consider our historical and expected future operating experience. These assumptions are subject to uncertainty, including our ability to increase a reporting unit’s revenue and improve its profitability.  For the senior living reporting unit, relatively small declines in the future performance and cash flows or small changes in other key assumptions may result in a goodwill impairment charges.  Future events that could have a negative effect on the fair value of the senior living reporting unit include, but are not limited to:

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

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

·Future Medicare and Medicaid rate reductions and other changes from the ACA which impact our monthly rates,

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

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

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

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

We review the carrying value of intangibles and long lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable.  If there is an indication that the carrying value of an asset is not recoverable, we determine the amount of impairment loss, if any, by comparing the historical carrying value of the asset to its estimated fair value.  We determine estimated fair value through an evaluation of recent financial performance, recent sales of similar assets, market conditions and projected undiscounted cash flows

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that our asset or asset groups are expected to generate.  This process requires that estimates be made and if we misjudge or estimate incorrectly this could have a material effect on our financial statements.  As a result of our intangibles and long lived assets impairment review, we believe that our intangibles and long lived assets were not impaired as of December 31, 2012.

Some of our judgments and estimates are based upon published industry statistics and in some cases third party professionals.  Any misjudgments or incorrect estimates affecting our critical accounting policy could have a material effect on our financial statements.

In the future we may need to revise the judgments, estimates and assessments we use to formulate our critical accounting policies to incorporate information which is not now known.  We cannot predict the effect changes to the premises underlying our critical accounting policies may have on our future results of operations, although such changes could be material and adverse.

Recently Announced Accounting Pronouncements

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

Inflation and Deflation

Inflation in the past several years in the United States has been modest.  Future inflation might have either positive or negative impacts on our business.  Rising price levels may allow us to increase occupancy charges to residents, but may also cause our operating costs, including our percentage rent, to increase.  Also, our ability to realize rate increases paid by Medicare and Medicaid programs may be limited despite inflation.

Deflation would likely have a negative impact upon us.  A large component of our expenses consists of our fixed minimum rental obligations.  Accordingly, we believe that a general decline in price levels which could cause our charges to residents to decline would likely not be fully offset by a decline in our expenses.

Seasonality

Our senior living business is subject to modest effects of seasonality.  During the calendar fourth quarter holiday periods, nursing home and assisted living residents are sometimes discharged to join family celebrations and relocations and admission decisions are often deferred. The first quarter of each calendar year usually coincides with increased illness among nursing home and assisted living residents which can result in increased costs or discharges to hospitals. As a result of these factors, nursing home and assisted living operations sometimes produce greater earnings in the second and third quarters of a calendar year and lesser earnings in the first and fourth quarters. We do not believe that this seasonality will cause fluctuations in our revenues or operating cash flow to such an extent that we will have difficulty paying our expenses, including rent, which do not fluctuate seasonally.

Impact of Climate Change

The current political debate about climate change has resulted in various treaties, laws and regulations which are intended to limit carbon emissions.  We believe these laws being enacted or proposed may cause energy costs at our communities to increase in the future.  In the longer term, we believe any such increased costs will be passed through and paid by our patients, residents and other customers in higher charges for our services.  However, in the short term, these increased costs, if material in amount, could materially and adversely affect our financial condition and results of operations.

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There have recently been severe weather activities in different parts of the country that some observers believe evidence global climate change, including the recent Hurricane Sandy that impacted portions of the eastern United States in October 2012.  Such severe weather that may result from climate change may have an adverse affect on individual properties we own, lease or operate.  We mitigate these risks by owning, leasing and operating a diversified portfolio of properties and by procuring insurance coverage we believe adequate to protect us from material damages and losses from such activities.  However, there can be no assurance that our mitigation efforts will be sufficient or that storms that may occur due to future climate change or otherwise could not have a material adverse affect on our business.

Item 9A.  Controls and Procedures

Our management carried out an evaluation, under the supervision and with the participation of our President and Chief Executive Officer and our Treasurer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures pursuant to Exchange Act Rules 13a-15 and 15d-15 as of December 31, 2012.  Based on that evaluation, at the time our 2012 Annual Report was filed with the SEC, our President and Chief Executive Officer and our Treasurer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of December 31, 2012.  Subsequently, as a result of the errors described in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, our management, including our President and Chief Executive Officer and our Treasurer and Chief Financial Officer, identified material weaknesses, described below, in our internal control over financial reporting as of December 31, 2012.  As a result, our management reevaluated our disclosure controls and procedures and concluded that our disclosure controls and procedures were not effective as of December 31, 2012 because of the material weaknesses described below.

Management Report on Assessment of Internal Control Over Financial Reporting

We are responsible for establishing and maintaining adequate internal control over financial reporting.  Our internal control system is designed to provide reasonable assurance to our management and Board of Directors regarding the preparation and fair presentation of published financial statements.  All internal control systems, no matter how well designed, have inherent limitations.  Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation.

In connection with preparing our 2012 Annual Report, our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2012 based on the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control—Integrated Framework (1992 Framework) and concluded that our internal control over financial reporting was effective as of December 31, 2012.

As more fully described in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, subsequent to the filing of our 2012 Annual Report our management and our Audit Committee concluded that our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within our 2012 Annual Report should be restated and that those financial statements should no longer be relied upon.

Accordingly, our management reevaluated the effectiveness of our internal control over financial reporting as of December 31, 2012 based on the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control—Integrated Framework (1992 Framework) and concluded that our internal control over financial reporting was not effective as of December 31, 2012 because of the material weaknesses described below.

We determined that we had a material weakness in our internal controls over accounting for income taxes, specifically, our internal controls did not provide for timely reconciliation and review of the income tax accounts.  We also determined we had material weaknesses in our internal controls due to a lack of sufficient personnel with requisite technical accounting competencies and that we had an insufficient level of oversight in the financial statement close process.  A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our financial statements will not be prevented or detected on a timely basis.

Ernst & Young LLP, the independent registered public accounting firm that audited the consolidated financial statements included in this Amended 2012 Annual Report, has reissued an attestation report on our internal control over financial reporting.  Their report appears elsewhere herein.

Remediation of Material Weaknesses in Internal Control Over Financial Reporting

We are developing our remediation plan for the material weaknesses described above, which, at a minimum, will include:

·Enhancing internal control around the accounting for income taxes to include additional layers of review by qualified persons, whether sourced internally or externally; and

·Recruiting additional experienced personnel for certain accounting roles.

We have begun to implement the remediation plan while we continue to develop it.  Successful remediation of the material weaknesses described above will require review and evidence of the effectiveness of the related internal control processes as part of our periodic assessments of our internal controls over financial reporting.  As we continue to evaluate and work to enhance our internal control over financial reporting, we may determine that additional measures should be taken to address the material weaknesses described above or other control deficiencies, or that we should modify the remediation plan.  We expect that the remediation of the material weaknesses described above will be completed before December 31, 2014.

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Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting during the quarter ended December 31, 2012 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART IV

Item 15.  Exhibits and Financial Statement Schedules

(a) Index to Financial Statements

Consolidated Financial Statements of Five Star Quality Care, Inc.	Page
Reports of Independent Registered Public Accounting Firm	F-1 / F-2
Consolidated Balance Sheets at December 31, 2012 and 2011	F-3
Consolidated Statements of Income for the years ended December 31, 2012, 2011 and 2010	F-4
Consolidated Statements of Comprehensive Income for the years ended December 31, 2012, 2011 and 2010	F-5
Consolidated Statements of Shareholders’ Equity for the years ended December 31, 2012, 2011 and 2010	F-6
Consolidated Statements of Cash Flows for the years ended December 31, 2012, 2011 and 2010	F-7
Notes to Consolidated Financial Statements	F-8

All other schedules for which provision is made in the applicable accounting regulations of the SEC are not required under the related instructions, or are inapplicable, and therefore have been omitted.

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(b) Exhibits

Exhibit Number	Description
3.1	Composite Copy of Articles of Amendment and Restatement, dated December 5, 2001, as amended to date. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
3.2	Articles Supplementary, as corrected by Certificate of Correction, dated March 19, 2004. (Incorporated by reference to the Company’s registration statement on Form 8-A dated March 19, 2004 and the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2004, respectively.)
3.3	Amended and Restated Bylaws of the Company, adopted February 14, 2012. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2011.)
4.1	Form of Common Share Certificate. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
4.2	Rights Agreement, dated March 10, 2004, between the Company and EquiServe Trust Company, N.A. (Incorporated by reference to the Company’s Current Report on Form 8-K dated March 10, 2004.)
4.3	Appointment of Successor Rights Agent, dated December 13, 2004, between the Company and Wells Fargo Bank, National Association. (Incorporated by reference to the Company’s Current Report on Form 8-K dated December 13, 2004.)
4.4	Indenture related to 3.75% Convertible Senior Notes due 2026, dated as of October 18, 2006, among the Company, each of the guarantors named therein and U.S. Bank National Association, as Trustee. (Incorporated by reference to the Company’s Current Report on Form 8-K dated October 24, 2006.)
10.1	2001 Stock Option and Stock Incentive Plan of the Company, as amended. (+) (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 25, 2006.)
10.2	Form of Restricted Share Agreement. (+) (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.)
10.3	Representative form of Indemnification Agreement. (+) (Incorporated by reference to the Company’s

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Exhibit Number	Description
	Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.4	Summary of Director Compensation. (+) (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 15, 2012.)
10.5	Credit and Security Agreement, dated as of March 18, 2010, among the Company, each of the Guarantors party thereto, Jefferies Finance LLC, as Arranger, Administrative Agent and Collateral Agent, and Jefferies Group Inc., as Issuing Bank. (Incorporated by reference to the Company’s Current Report on Form 8-K dated March 24, 2010.)
10.6	Amendment and Consent under Credit and Security Agreement, dated as of April 13, 2012, among the Company, the Guarantors party thereto, Jefferies Finance LLC, Jefferies Group, Inc. and the other parties thereto. (Incorporated by reference to the Company’s Current Report on Form 8-K dated April 13, 2012.)
10.7	Credit Agreement, dated as of April 13, 2012, among the Company, the Guarantors party thereto, Citibank, N.A. and the other parties thereto. (Incorporated by reference to the Company’s Current Report on Form 8-K dated April 13, 2012.)
10.8	Transaction Agreement, dated December 7, 2001, among Senior Housing Properties Trust, certain subsidiaries of Senior Housing Properties Trust, the Company, certain subsidiaries of the Company, FSQ, Inc., Hospitality Properties Trust, HRPT Properties Trust (now known as CommonWealth REIT) and Reit Management & Research LLC. (Incorporated by reference to Senior Housing Properties Trust’s Current Report on Form 8-K dated December 13, 2001.)
10.9	Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.10	Partial Termination of and First Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of October 1, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2009.)
10.11	Second Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of November 17, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2009.)
10.12	Third Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of December 10, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2009.)
10.13	Partial Termination of and Fourth Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 1, 2010, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.)
10.14	Fifth Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of May 1, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Current Report on Form 8-K dated June 8, 2011.)
10.15	Partial Termination of and Sixth Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of June 1, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Current Report on Form 8-K dated June 8, 2011.)
10.16	Seventh Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of June 20, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five

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Exhibit Number	Description
	Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
10.17	Eighth Amendment to Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 31, 2012, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.18	Amended and Restated Guaranty Agreement (Lease No. 1), dated as of August 4, 2009, made by the Company, as Guarantor, for the benefit of certain subsidiaries of Senior Housing Properties Trust, relating to the Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.19	Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.20	Partial Termination of and First Amendment to Amended and Restated Master Lease Agreement (Lease No. 2), dated as of November 1, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2009.)
10.21	Partial Termination of and Second Amendment to Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 1, 2010, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.)
10.22	Third Amendment to Amended and Restated Master Lease Agreement (Lease No. 2), dated as of June 20, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
10.23	Fourth Amendment to Amended and Restated Master Lease Agreement (Lease No. 2), dated as of July 22, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
10.24	Fifth Amendment to Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 31, 2012, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.25	Amended and Restated Guaranty Agreement (Lease No. 2), dated as of August 4, 2009, made by the Company, as Guarantor, for the benefit of certain subsidiaries of Senior Housing Properties Trust, relating to the Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.26	Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.27	First Amendment to Amended and Restated Master Lease Agreement (Lease No. 4), dated as of October 1, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2009.)

52

Exhibit Number	Description
10.28	Partial Termination of and Second Amendment to Amended and Restated Master Lease Agreement (Lease No. 4), dated as of May 1, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Current Report on Form 8-K dated June 8, 2011.)
10.29	Third Amendment to Amended and Restated Master Lease Agreement (Lease No. 4), dated as of June 20, 2011, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
10.30	Fourth Amendment to Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 31, 2012, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.31	Amended and Restated Guaranty Agreement (Lease No. 4), dated as of August 4, 2009, made by the Company, as Guarantor, for the benefit of certain subsidiaries of Senior Housing Properties Trust, relating to the Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.32	Amended and Restated Master Lease Agreement, dated as of August 4, 2009, among SNH FM Financing LLC, SNH FM Financing Trust and Ellicott City Land I, LLC, as Landlord, and FVE FM Financing, Inc., as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.33	Amendment No. 1 to Amended and Restated Master Lease Agreement, dated as of August 4, 2009, among SNH FM Financing LLC, SNH FM Financing Trust and Ellicott City Land I, LLC, as Landlord, and FVE FM Financing, Inc., as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.34	Partial Termination of and Amendment No. 2 to Amended and Restated Master Lease Agreement, dated as of August 31, 2012, among SNH FM Financing LLC, SNH FM Financing Trust and Ellicott City Land I, LLC, as Landlord, and FVE FM Financing, Inc., as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.35	Amended and Restated Guaranty Agreement, dated as of August 4, 2009, made by the Company, as Guarantor, for the benefit of SNH FM Financing LLC, SNH FM Financing Trust and Ellicott City Land I, LLC, relating to the Amended and Restated Master Lease Agreement, dated as of August 4, 2009, among SNH FM Financing LLC, SNH FM Financing Trust and Ellicott City Land I, LLC, as Landlord, and FVE FM Financing, Inc., as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.36	Representative form of Subordination, Assignment and Security Agreement. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.37	Lease Realignment Agreement, dated as of August 4, 2009, among Senior Housing Properties Trust and certain of its subsidiaries and the Company and certain of its subsidiaries. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.38	Registration Rights Agreement, dated as of August 4, 2009, between the Company and Senior Housing Properties Trust. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
10.39	Amended and Restated Shareholders Agreement, dated May 21, 2012, among Affiliates Insurance Company, the Company, Hospitality Properties Trust, CommonWealth REIT, Senior Housing Properties Trust, TravelCenters of America LLC, Reit Management & Research LLC, Government Properties Income Trust and Select Income REIT. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2012.)
10.40	Amended and Restated Business Management and Shared Services Agreement, dated as of

53

Exhibit Number	Description
	November 23, 2012, between the Company and Reit Management & Research LLC. (+) (Incorporated by reference to the Company’s Current Report on Form 8-K dated November 23, 2012.)
10.41	Amended and Restated Pooling Agreement No. 1, dated October 30, 2012, between FVE Managers, Inc. and certain subsidiaries of Senior Housing Properties Trust, amending and restating the Pooling Agreement, dated as of May 12, 2011, between such parties. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.42	Pooling Agreement No. 2, dated October 30, 2012, between FVE Managers, Inc. and certain subsidiaries of Senior Housing Properties Trust. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
10.43	Representative form of Accession Agreement, dated as of November 1, 2012, by SNH SE Tenant TRS, Inc. in favor of FVE Managers, Inc., relating to Pooling Agreement No. 2, dated as of October 30, 2012, between FVE Managers, Inc. and certain subsidiaries of Senior Housing Properties Trust. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2012 filed with the Securities and Exchange Commission on February 19, 2013.)
10.44	Representative form of Management Agreement for assisted living communities, dated as of May 12, 2011, between FVE Managers, Inc., as Manager, and SNH SE Burlington Tenant LLC, as Owner. (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.45	Purchase and Sale Agreement, dated as of March 18, 2011, among Residential Care I, L.L.C., Residential Care III, Inc., Clearwater Garden Homes, L.L.C., Rosewalk Garden Homes, L.L.C. and American Senior Home Care, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Clearwater Commons community and the Rosewalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.46	First Amendment to Purchase and Sale Agreement, dated as of April 27, 2011, among Residential Care I, L.L.C., Residential Care III, Inc., Clearwater Garden Homes, L.L.C., Rosewalk Garden Homes, L.L.C. and American Senior Home Care, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Clearwater Commons community and the Rosewalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.47	Second Amendment to Purchase and Sale Agreement, dated as of May 9, 2011, among Residential Care I, L.L.C., Residential Care III, Inc., Clearwater Garden Homes, L.L.C., Rosewalk Garden Homes, L.L.C. and American Senior Home Care, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Clearwater Commons community and the Rosewalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.48	Third Amendment to Purchase and Sale Agreement, dated as of May 11, 2011, among Residential Care I, L.L.C., Residential Care III, Inc., Clearwater Garden Homes, L.L.C., Rosewalk Garden Homes, L.L.C. and American Senior Home Care, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Clearwater Commons community and the Rosewalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.49	Fourth Amendment to Purchase and Sale Agreement, dated as of May 12, 2011, among Residential Care I, L.L.C., Residential Care III, Inc., Clearwater Garden Homes, L.L.C., Rosewalk Garden Homes, L.L.C. and American Senior Home Care, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Clearwater Commons community and the Rosewalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.50	Purchase and Sale Agreement, dated as of March 18, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington

54

Exhibit Number	Description
	Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.51	First Amendment to Purchase and Sale Agreement, dated as of April 27, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.52	Second Amendment to Purchase and Sale Agreement, dated as of May 9, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.53	Third Amendment to Purchase and Sale Agreement, dated as of May 11, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.54	Fourth Amendment to Purchase and Sale Agreement, dated as of May 12, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.55	Fifth Amendment to Purchase and Sale Agreement, dated as of July 1, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
10.56	Sixth Amendment to Purchase and Sale Agreement, dated as of August 1, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2011.)
10.57	Seventh Amendment to Purchase and Sale Agreement, dated as of September 1, 2011, among Residential Care II, L.L.C., Residential Care IV, L.L.C., Residential Care VI, L.L.C., E&F Realty Co., L.L.P., American Senior Home Care, L.L.C. and American Senior Home Care of Ft. Wayne, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Forest Creek Commons community, the Covington Commons community and the Northwoods Commons community). (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2011.)
10.58	Purchase and Sale Agreement, dated as of March 18, 2011, among Residential Care VII, L.L.C. and Riverwalk Garden Homes, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Riverwalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.59	First Amendment to Purchase and Sale Agreement, dated as of April 27, 2011, among Residential Care VII, L.L.C. and Riverwalk Garden Homes, L.L.C., as Sellers, and the Company, as Buyer (with

55

Exhibit Number	Description
	respect to the Riverwalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.60	Second Amendment to Purchase and Sale Agreement, dated as of May 9, 2011, among Residential Care VII, L.L.C. and Riverwalk Garden Homes, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Riverwalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.61	Third Amendment to Purchase and Sale Agreement, dated as of May 11, 2011, among Residential Care VII, L.L.C. and Riverwalk Garden Homes, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Riverwalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.62	Fourth Amendment to Purchase and Sale Agreement, dated as of May 12, 2011, among Residential Care VII, L.L.C. and Riverwalk Garden Homes, L.L.C., as Sellers, and the Company, as Buyer (with respect to the Riverwalk Commons and Garden Homes community). (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.63	$80,000,000 Bridge Loan Agreement, dated as of May 12, 2011, between Senior Housing Properties Trust, as Lender, and the Company, together with certain subsidiaries thereof, collectively as Borrowers. (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
10.64	Letter agreement, dated November 18, 2011, between the Company and Rosemary Esposito. (+) (Incorporated by reference to the Company’s Current Report on Form 8-K dated November 22, 2011.)
12.1	Computation of Ratio of Earnings to Fixed Charges. (Filed herewith.)
21.1	Subsidiaries of the Company. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2012 filed with the Securities and Exchange Commission on February 19, 2013.)
23.1	Consent of Ernst & Young LLP. (Filed herewith.)
31.1	Rule 13a-14(a) Certification of Chief Executive Officer. (Filed herewith.)
31.2	Rule 13a-14(a) Certification of Chief Financial Officer. (Filed herewith.)
32.1	Section 1350 Certification of Chief Executive Officer and Chief Financial Officer. (Furnished herewith.)
99.1	Lease Agreement, dated as of November 19, 2004, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant (with respect to 4 properties). (Incorporated by reference to the Company’s Registration Statement on Form S-1, File No. 333-119955, as amended on November 29, 2004.)
99.2	Guaranty Agreement, dated as of November 19, 2004, made by the Company in favor of the Beneficiaries named therein (with respect to 4 properties). (Incorporated by reference to the Company’s Registration Statement on Form S-1, File No. 333-119955, as amended on November 29, 2004.)
99.3	Amended and Restated Security Agreement (Lease No. 1), dated as of August 4, 2009, among Five Star Quality Care Trust, as Tenant, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.4	Amended and Restated Subtenant Guaranty Agreement (Lease No. 1), dated as of August 4, 2009, made by certain subsidiaries of the Company, each a Subtenant Guarantor, for the benefit of the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly

56

Exhibit Number	Description
	Report on Form 10-Q for the quarter ended June 30, 2009.)
99.5	Amended and Restated Subtenant Security Agreement (Lease No. 1), dated as of August 4, 2009, made by certain subsidiaries of the Company, as Subtenants, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 1), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.6	Amended and Restated Security Agreement (Lease No. 2), dated as of August 4, 2009, made by certain subsidiaries of the Company, as Tenant, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.7	Amended and Restated Subtenant Guaranty Agreement (Lease No. 2), dated as of August 4, 2009, made by certain subsidiaries of the Company, each a Subtenant Guarantor, for the benefit of the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.8	Amended and Restated Subtenant Security Agreement (Lease No. 2), dated as of August 4, 2009, made by certain subsidiaries of the Company, as Subtenants, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 2), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.9	Amended and Restated Security Agreement (Lease No. 4), dated as of August 4, 2009, made by certain subsidiaries of the Company, as Tenant, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.10	Amended and Restated Subtenant Guaranty Agreement (Lease No. 4), dated as of August 4, 2009, made by certain subsidiaries of the Company, each a Subtenant Guarantor, for the benefit of the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.11	Amended and Restated Subtenant Security Agreement (Lease No. 4), dated as of August 4, 2009, made by certain subsidiaries of the Company, as Subtenants, and the Landlord under the Amended and Restated Master Lease Agreement (Lease No. 4), dated as of August 4, 2009, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and certain subsidiaries of the Company, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.)
99.12	Amendment to Subtenant Security Agreement, dated as of August 1, 2010, among certain subsidiaries of Senior Housing Properties Trust and certain subsidiaries of the Company. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.)
99.13	Master Lease Agreement, dated as of September 1, 2008, among certain subsidiaries of Senior Housing Properties Trust, as Landlord, and Five Star Quality Care-RMI, LLC, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2008.)

57

Exhibit Number	Description
99.14	Guaranty Agreement, dated as of September 1, 2008, made by the Company for the benefit of certain subsidiaries of Senior Housing Properties Trust. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2008.)
99.15	Lease Agreement, dated as of May 12, 2011, between 400 Centre Street LLC and the Company. (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 13, 2011.)
99.16	Lease Agreement, dated as of June 20, 2011, between SNH/LTA SE McCarthy New Bern LLC, as Landlord, and FVE SE McCarthy New Bern LLC, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
99.17	Guaranty Agreement, dated as of June 20, 2011, from the Company in favor of SNH/LTA SE McCarthy New Bern LLC. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
99.18	Lease Agreement, dated as of June 23, 2011, between SNH/LTA SE Wilson LLC, as Landlord, and FVE SE Wilson LLC, as Tenant. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
99.19	Guaranty Agreement, dated as of June 23, 2011, from the Company in favor of SNH/LTA SE Wilson LLC. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.)
99.20	Amended and Restated Reimbursement Agreement, dated May 1, 2012, among Reit Management & Research LLC, TravelCenters of America LLC and the Company. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2012.)
99.21	Operations Transfer Agreement, dated as of May 29, 2012, among FVE Managers, Inc., certain subsidiaries of Sunrise Senior Living, Inc. and certain subsidiaries of Senior Housing Properties Trust. (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 29, 2012.)
99.22	Pooling Agreement, dated August 31, 2012, between FVE IL Managers, Inc. and certain subsidiaries of Senior Housing Properties Trust. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
99.23	Representative form of Management Agreement for independent living communities, dated as of December 15, 2011, between FVE IL Managers, Inc., as Manager, and SNH IL Properties Trust, as Owner. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2011.)
99.24	Management Agreement, dated as of August 31, 2012, between FVE Managers, Inc., as Manager, and D&R Yonkers LLC, as Licensee. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.)
101.1	The following materials from the Company’s Annual Report on Form 10-K/A for the year ended December 31, 2012 formatted in XBRL (eXtensible Business Reporting Language): (i) the Consolidated Balance Sheets, (ii) the Consolidated Statements of Income, (iii) the Consolidated Statements of Comprehensive Income, (iv) the Consolidated Statements of Shareholders’ Equity, (v) the Consolidated Statements of Cash Flows, and (vi) related notes to these financial statements, tagged as blocks of text and in detail. (Furnished herewith.)

(+)   Management contract or compensatory plan or arrangement

58

Report of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders of Five Star Quality Care, Inc.

We have audited the accompanying consolidated balance sheets of Five Star Quality Care, Inc. as of December 31, 2012 and 2011, and the related consolidated statements of income, comprehensive income, shareholders’ equity and cash flows for each of the three years in the period ended December 31, 2012. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Five Star Quality Care, Inc. at December 31, 2012 and 2011, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting principles.

As discussed in Note 18 to the consolidated financial statements, the 2012 and 2011 financial statements have been restated to correct the accounting for income taxes and certain other errors.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Five Star Quality Care, Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (1992 framework) and our report dated February 19, 2013, except for the effect of the material weaknesses described in the sixth paragraph of that report, as to which the date is April 15, 2014, expressed an adverse opinion thereon.

	/s/ Ernst & Young LLP
Boston, Massachusetts
February 19, 2013, except for Note 12 and Note 18, as to which the date is April 15, 2014

F-1

Report of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders of Five Star Quality Care, Inc.

We have audited Five Star Quality Care, Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (1992 framework) (the COSO criteria). Five Star Quality Care, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management Report on Assessment of Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our report dated February 19, 2013, we expressed an unqualified opinion that Five Star Quality Care, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2012, based on the COSO criteria. Management has subsequently determined that deficiencies in controls related to the accounting for income taxes, a lack of sufficient personnel with the requisite technical accounting competencies and an insufficient level of oversight in the financial statement close process exist, and has further concluded that such deficiencies represented material weaknesses as of December 31, 2012.  As a result, management has revised its assessment, as presented in the accompanying Management’s Report on Assessment of Internal Control Over Financial Reporting, to conclude that Five Star Quality Care, Inc.’s internal control over financial reporting was not effective as of December 31, 2012. Accordingly, our present opinion on the effectiveness of Five Star Quality Care, Inc.’s internal control over financial reporting as of December 31, 2012, as expressed herein, is different from that expressed in our previous report.

A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of the company’s annual or interim financial statements will not be prevented or detected on a timely basis. The following material weaknesses have been identified and included in management’s assessment. Management has identified material weaknesses in controls related to the accounting for income taxes, a lack of sufficient personnel with the requisite technical accounting competencies and an insufficient level of oversight in the financial statement close process. We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Five Star Quality Care, Inc. as of December 31, 2012 and 2011, and the related consolidated statements of income, comprehensive income, shareholders’ equity, and cash flows for each of the three years in the period ended December 31, 2012. These material weaknesses were considered in determining the nature, timing and extent of audit tests applied in our audit of those consolidated financial statements, and this report does not affect our report dated February 19, 2013, except for Note 12 and Note 18, as to which the date is, April 15, 2014, which expressed an unqualified opinion on those financial statements.

In our opinion, because of the effect of the material weaknesses described above on the achievement of the objectives of the control criteria, Five Star Quality Care, Inc. has not maintained effective internal control over financial reporting as of December 31, 2012, based on the COSO criteria.

	/s/ Ernst & Young LLP
Boston, Massachusetts
February 19, 2013, except for the effect of the material weaknesses described in the sixth paragraph above, as to which the date is April 15, 2014

F-2

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)

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

See accompanying notes.

F-3

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF INCOME

(in thousands, except per share data)

	For the year ended December 31,
	2012			2011
	(Restated)			(Restated)			2010
Revenues:
Senior living revenue	$	1,074,333		$	1,038,737		$	991,195
Management fee revenue	5,817			898			—
Reimbursed costs incurred on behalf of managed communities	126,995			20,552			—
Total revenues	1,207,145			1,060,187			991,195
Operating expenses:
Senior living wages and benefits	522,444			510,012			486,386
Other senior living operating expenses	259,749			249,491			233,080
Costs incurred on behalf of managed communities	126,995			20,552			—
Rent expense	190,184			183,950			176,839
General and administrative	61,777			57,443			55,486
Depreciation and amortization	24,480			19,160			14,077
Impairment of long-lived assets	—			3,080			—
Gain on settlement	(3,365		)	—			—
Total operating expenses	1,182,264			1,043,688			965,868
Operating income	24,881			16,499			25,327
Interest, dividend and other income	881			1,240			1,757
Interest and other expense	(6,268		)	(3,917		)	(2,597		)
Acquisition related costs	(108		)	(1,759		)	—
Gain on investments in trading securities	—			—			4,856
Loss on UBS put right related to auction rate securities	—			—			(4,714		)
Gain on early extinguishment of debt	45			1			592
(Loss) gain on sale of available for sale securities	(19		)	4,116			933
Income from continuing operations before income taxes and equity in earnings (losses) of Affiliates Insurance Company	19,412			16,180			26,154
(Provision) benefit for income taxes	(7,904		)	57,849			(1,448		)
Equity in earnings (losses) of Affiliates Insurance Company	316			139			(1		)
Income from continuing operations	11,824			74,168			24,705
Income (loss) from discontinued operations	11,717			(3,381		)	(1,213		)
Net income	$	23,541		$	70,787		$	23,492
Weighted average shares outstanding - basic	47,952			42,161			35,736
Weighted average shares outstanding - diluted	50,134			45,034			39,207
Basic income per share from:
Continuing operations	$	0.25		$	1.76		$	0.69
Discontinued operations	0.24			(0.08		)	(0.03		)
Net income per share - basic	$	0.49		$	1.68		$	0.66
Diluted income per share from:
Continuing operations	$	0.25		$	1.67		$	0.67
Discontinued operations	0.23			(0.08		)	(0.03		)
Net income per share - diluted	$	0.48		$	1.59		$	0.64

See accompanying notes.

F-4

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(in thousands)

	For the year ended December 31,
	2012 (Restated)		2011 (Restated)			2010
Net income	$	23,541	$	70,787		$	23,492
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax	214		24			1,828
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax	11		(2,460		)	(933		)
Unrealized gains on equity investment in Affiliates Insurance Company	22		76			1
Other comprehensive income (loss)	247		(2,360		)	896
Comprehensive income	$	23,788	$	68,427		$	24,388

See accompanying notes.

F-5

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY

(in thousands, except share data)

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

See accompanying notes.

F-6

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

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

See accompanying notes.

F-7

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

1. Organization and Business

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

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

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

2. Summary of Significant Accounting Policies

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

F-8

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

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

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

Securities not classified as “trading” are classified as “available for sale” and carried at fair value, with unrealized gains and losses reported as a separate component of shareholders’ equity and “other than temporary impairment” losses recorded in our consolidated statements of income.  Realized gains and losses on all available for sale securities are recognized based on specific identification.  Our available for sale investments at December 31, 2012

F-9

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

and 2011 consisted primarily of debt securities.  Restricted investments are kept as security for obligations arising from our self insurance programs.  At December 31, 2012, these investments had a fair value of $23,500 and an unrealized holding gain of $1,780.  At December 31, 2011, these investments had a fair value of $22,229 and an unrealized holding gain of $1,401.

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

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

	December 31, 2012
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	4,052	$	75	$	3,268	$	195	$	7,320	$	270

	December 31, 2011
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	6,414	$	185	$	—	$	—	$	6,414	$	185

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

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

F-10

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

	2012				2011
	Current		Long term		Current		Long term
Insurance reserves	$	3,053	$	8,768	$	1,842	$	4,092
Real estate taxes and capital expenditures as required by our mortgages	2,761		—		2,335		—
Indemnification obligations associated with the sale of our pharmacy business	—		3,398		—		—
Resident security deposits	734		—		661		—
Total	$	6,548	$	12,166	$	4,838	$	4,092

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

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

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

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

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

Goodwill and Other Intangible Assets.   Goodwill represents the costs of business acquisitions in excess of the fair value of identifiable net assets acquired.  We review goodwill for impairment annually during the fourth quarter, or

F-11

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

F-12

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

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

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

F-13

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

3. Property and Equipment

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

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

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

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

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

4. Goodwill and Other Intangible Assets

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

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

Goodwill.  We review goodwill for impairment annually during our fourth quarter or more frequently if events or changes in circumstances exist.  If our review indicates that the carrying amount of goodwill exceeds its fair value, we reduce the carrying amount to fair value.  We evaluate goodwill for impairment at the reporting unit level, and our reporting units are equivalent to our operating segments. All of our goodwill is located in our senior living reporting unit.

F-14

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

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

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

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

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

F-15

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

5.  Income Taxes

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

	2012			2011
	(Restated)			(Restated)
Current deferred tax assets:
Continuing care contracts	$	607		$	676
Allowance for doubtful accounts	1,559			1,795
Insurance reserves	1,015			1,092
Deferred gains on sale lease back transactions	1,278			1,126
Tax credits	465			420
Tax loss carry forwards	9,190			8,114
Other	1,220			1,217
Total current deferred tax assets before valuation allowance	15,334			14,440
Valuation allowance:	(297		)	(481		)
Total current deferred tax assets	15,037			13,959
Non-current deferred tax assets:
Continuing care contracts	228			249
Deferred gains on sale lease back transactions	981			899
Insurance reserves	2,919			2,768
Tax credits	11,264			10,121
Tax loss carry forwards	25,246			36,783
Impairment of securities	501			1,671
Other	1,431			1,842
Total non-current deferred tax assets before valuation allowance	42,570			54,333
Valuation allowance:	(1,891		)	(2,882		)
Total non-current deferred tax assets	40,679			51,451
Current deferred tax liabilities:
Employee stock grants	(130		)	(140		)
Non-current deferred tax liabilities:
Depreciable assets	(1,674		)	187
Lease expense	(696		)	(1,094		)
Goodwill	(1,087		)	(105		)
Identifiable intangibles/other liabilities	(1,008		)	(1,619		)
Total non-current deferred tax liabilities	(4,465		)	(2,631		)
Net deferred tax asset	$	51,121		$	62,639

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

	Balance at Beginning of Period(Restated)		Amounts Charged/ (Credited) To Expense (Restated)			Amounts Charged Off, Net of Recoveries		Balance at End of Period (Restated)
Year Ended December 31, 2010	$	65,231	$	(6,860	)	$	—	$	58,371
Year Ended December 31, 2011	$	58,371	$	(55,008	)	$	—	$	3,363
Year Ended December 31, 2012	$	3,363	$	(1,175	)	$	—	$	2,188

F-16

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

	For the years ended December 31,
	2012		2011
	(Restated)		(Restated)		2010
Taxes at statutory U.S. federal income tax rate	35.0	%	35.0	%	35.0	%
State and local income taxes, net of federal tax benefit	8.3	%	(13.8	)%	8.7	%
Tax credits	(3.7	)%	(16.6	)%	(7.5	)%
Change in valuation allowance	0.1	%	(360.9	)%	(33.5	)%
US permanent differences	0.6	%	0.6	%	1.5	%
Other differences, net	(0.2	)%	1.2	%	1.3	%
Effective tax rate	40.1	%	(354.5	)%	5.5	%

F-17

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

6.  Earnings Per Share

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

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

	Year Ended December 31,
	2012 (Restated)					2011 (Restated)							2010
	Income (loss)		Shares	Per Share		Income (loss)			Shares	Per Share			Income (loss)			Shares	Per Share
Income from continuing operations	$	11,824	47,952	$	0.25	$	74,168		42,161	$	1.76		$	24,705		35,736	$	0.69
Effect of the Notes	677		2,182			962			2,873				1,652			3,471
Diluted income from continuing operations	$	11,824	50,134	$	0.25	$	75,130		45,034	$	1.67		$	26,357		39,207	$	0.67
Diluted income (loss) from discontinued operations	$	11,717	50,134	$	0.23	$	(3,381	)	45,034	$	(0.08	)	$	(1,213	)	39,207	$	(0.03	)

F-18

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

7.  Fair Values of Assets and Liabilities

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

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

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

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

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

	As of December 31, 2012								As of December 31, 2011
Description	Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)		Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)
Cash equivalents (1)	22,149		22,149		—		—		19,745		19,745		—		—
Available for sale securities: (2)
Equity securities
Financial services industry	6,025		6,025		—		—		3,752		3,752		—		—
REIT industry	484		484		—		—		472		472		—		—
Other	775		775		—		—		789		789		—		—
Total equity securities	7,284		7,284		—		—		5,013		5,013		—		—
Debt securities
International bond fund (3)	2,345		—		2,345		—		2,246		—		2,246		—
High yield fund (4)	2,168		—		2,168		—		—		—		—		—
Industrial bonds	5,186		—		5,186		—		7,467		—		7,467		—
Government bonds	4,666		4,666		—		—		5,524		5,524		—		—
Financial bonds	982		—		982		—		1,104		—		1,104		—
Other	869		—		869		—		875		—		875		—
Total debt securities	16,216		4,666		11,550		—		17,216		5,524		11,692		—
Total available for sale securities	23,500		11,950		11,550		—		22,229		10,537		11,692		—
Total	$	45,649	$	34,099	$	11,550	$	—	$	41,974	$	30,282	$	11,692	$	—

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

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

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

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

F-19

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

8.  Indebtedness

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

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

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

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

F-20

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

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

F-21

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

Balance as of December 31, 2012		Effective Interest Rate		Cash Interest Rate		Maturity Date	Monthly Payment
$	19,435	6.64	%	5.86	%	June 2023	$	123
6,712		8.99	%	5.46	%	February 2025	63
2,968		6.36	%	6.70	%	September 2028	25
9,598		6.20	%	6.70	%	September 2032	72
3,045		5.25	%	5.25	%	June 2035	19
4,502		5.55	%	5.55	%	May 2039	27
$	46,260	6.67	%(1)	5.96	%(1)		$	329

(1)Weighted average interest rate.

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

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

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

9.  Leases

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

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

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

F-22

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

	Number of properties	Annual minimum rent as of December 31, 2012		Initial expiration date	Renewal terms
1. Lease No. 1 for SNFs and independent and assisted living communities(1)	91	$	58,779	December 31, 2024	Two 15-year renewal options.
2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53	70,442		June 30, 2026	Two 10-year renewal options.
3. Lease No. 3 for independent and assisted living communities(2)	17	33,997		December 31, 2028	Two 15-year renewal options.
4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29	34,470		April 30, 2017	Two 15-year renewal options.
5. One HCP lease	4	1,183		June 30, 2014	Two 10-year renewal options.
Totals	194	$	198,871

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

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

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

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

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

10.   Shareholders’ Equity

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

F-23

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

11.  Acquisitions

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

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

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

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

	As of December 31, 2011
	Preliminary Amounts Recorded		Measurement Period Adjustment			Revised Amounts Recorded
Land	$	4,715	$	(510	)	$	4,205
Building and improvements	106,240		(15,200		)	91,040
Furniture, fixtures and equipment	11,805		(2,099		)	9,706
Property and equipment	$	122,760	$	(17,809	)	$	104,951
Goodwill related to home health services	$	—	$	14,565		$	14,565
Other intangible assets related to resident agreements	$	—	$	3,244		$	3,244

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

F-24

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

12.  Discontinued Operations

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

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

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

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

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

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

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

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

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

F-25

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

13.  Off Balance Sheet Arrangement

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

14.   Litigation Settlement

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

15. Related Person Transactions

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

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

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

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

·SNH has the option to cancel all of our rights under the leases and management agreements we have with SNH upon the acquisition by a person or group of more than 9.8% of our voting stock and upon other

F-26

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

change in control events affecting us, as defined in those documents, including the adoption of any stockholder proposal (other than a precatory proposal) or the election to our Board of Directors of any individual if such proposal or individual was not approved, nominated or appointed, as the case may be, by vote of a majority of our Directors in office immediately prior to the making of such proposal or the nomination or appointment of such individual;

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

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

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

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

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

In connection with the management agreements, we and SNH have entered into three pooling agreements, two pooling agreements which pool our management agreements with SNH for communities that include assisted living units, or the AL Pooling Agreements, and a third pooling agreement, which pools our management agreements with SNH for communities that include only independent living units, or the IL Pooling Agreement.  We entered into the initial AL Pooling Agreement in May 2011 and the second AL Pooling Agreement in October 2012.  In connection with entering into the second AL Pooling Agreement, we and SNH amended and restated the initial AL Pooling Agreement so that it includes only 20 identified communities.  The second AL Pooling Agreement includes the management

F-27

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

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

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

F-28

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

F-29

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

F-30

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

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

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

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

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

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

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

F-31

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

benefit financially by possibly reducing our insurance expenses or by realizing our pro rata share of any profits of this insurance business.

16.  Employee Benefit Plans

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

17.   Selected Quarterly Financial Data (Unaudited)

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

	2012
	First Quarter		Second Quarter		Third Quarter		Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)		(As Restated)
Revenues	$	291,298	$	296,493	$	297,169	$	322,185
Operating income	3,145		10,643		5,478		5,615
Income from continuing operations	1,167		5,576		3,088		1,993
Net income	472		4,910		16,213		1,946
Net income per common share - Basic	$	0.01	$	0.10	$	0.34	$	0.04
Net income per common share - Diluted	$	0.01	$	0.10	$	0.33	$	0.04

	2011
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)			(As Restated)
Revenues	$	252,714	$	255,942	$	274,306		$	277,225
Operating income (loss)	7,230		6,572		3,838			(1,141		)
Income from continuing operations (1)	6,511		4,541		3,225			59,891
Net income (loss)	4,310		4,946		(460		)	61,991
Net income (loss) per common share - Basic	$	0.12	$	0.13	$	(0.01	)	$	1.30
Net income (loss) per common share - Diluted	$	0.12	$	0.13	$	(0.00	)	$	1.23

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

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

F-32

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

	As of September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	14,295		$	—		$	14,295		$	—		$	14,295
Accounts receivable	54,880			1,446			56,326			(14,937		)	41,389
Due from related persons	—			6,088			6,088			—			6,088
Investments in available for sale securities	14,942			—			14,942			—			14,942
Restricted cash	5,904			—			5,904			—			5,904
Prepaid expenses and other current assets(1)	25,441			6,499			31,940			(903		)	31,037
Assets of discontinued operations	13,003			28			13,031			19,692			32,723
Total current assets	128,465			14,061			142,526			3,852			146,378
Property and equipment, net	336,889			872			337,761			(3,772		)	333,989
Equity investment in Affiliates Insurance Company	5,558			—			5,558			—			5,558
Restricted cash	9,262			—			9,262			—			9,262
Restricted investments in available for sale securities	11,904			—			11,904			—			11,904
Goodwill and other intangible assets	28,081			—			28,081			(80		)	28,001
Other long term assets(2)	43,347			2,010			45,357			—			45,357
Total assets	$	563,506		$	16,943		$	580,449		$	—		$	580,449
Current liabilities:
Accounts payable	$	24,500		$	2,645		$	27,145		$	(1,847	)	$	25,298
Accrued expenses	20,840			458			21,298			(201		)	21,097
Accrued compensation and benefits	48,118			—			48,118			(6,950		)	41,168
Due to related persons	12,791			7,124			19,915			—			19,915
Mortgage notes payable	1,076			—			1,076			—			1,076
Accrued real estate taxes	14,909			(1,036		)	13,873			(277		)	13,596
Security deposit liability	9,948			(584		)	9,364			(23		)	9,341
Other current liabilities	16,958			—			16,958			(2		)	16,956
Liabilities of discontinued operations	8,764			7			8,771			9,305			18,076
Total current liabilities	157,904			8,614			166,518			5			166,523
Long term liabilities:
Mortgage notes payable	37,900			—			37,900			—			37,900
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,820			—			1,820			—			1,820
Accrued self insurance obligations	31,868			—			31,868			—			31,868
Other long term liabilities	6,415			83			6,498			(5		)	6,493
Total long term liabilities	102,875			83			102,958			(5		)	102,953
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,468			37			353,505			—			353,505
Accumulated deficit	(53,136		)	6,735			(46,401		)	—			(46,401		)
Accumulated other comprehensive income	1,916			1,474			3,390			—			3,390
Total shareholders’ equity	302,727			8,246			310,973			—			310,973
Total liabilities and shareholders’ equity	$	563,506		$	16,943		$	580,449		$	—		$	580,449

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

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

F-33

	As of June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	23,635		$	—		$	23,635		$	—		$	23,635
Accounts receivable	63,130			1,664			64,794			(23,519		)	41,275
Due from related persons	—			2,536			2,536			—			2,536
Investments in available for sale securities	14,993			—			14,993			—			14,993
Restricted cash	6,507			—			6,507			—			6,507
Prepaid expenses and other current assets(1)	22,073			7,925			29,998			(5,527		)	24,471
Assets of discontinued operations	8,401			14			8,415			38,831			47,246
Total current assets	138,739			12,139			150,878			9,785			160,663
Property and equipment, net	337,836			447			338,283			(6,221		)	332,062
Equity investment in Affiliates Insurance Company	5,408			—			5,408			—			5,408
Restricted cash	6,313			—			6,313			—			6,313
Restricted investments in available for sale securities	11,299			—			11,299			—			11,299
Goodwill and other intangible assets	31,857			—			31,857			(3,564		)	28,293
Other long term assets(2)	50,233			588			50,821			—			50,821
Total assets	$	581,685		$	13,174		$	594,859		$	—		$	594,859
Current liabilities:
Revolving credit facility, secured principally by real estate	$	37,500		$	—		$	37,500		$	—		$	37,500
Accounts payable	24,766			2,539			27,305			(2,228		)	25,077
Accrued expenses	23,742			(1,982		)	21,760			(181		)	21,579
Accrued compensation and benefits	45,388			—			45,388			(6,689		)	38,699
Due to related persons	15,956			3,452			19,408			—			19,408
Mortgage notes payable	1,060			—			1,060			—			1,060
Accrued real estate taxes	11,378			(916		)	10,462			(343		)	10,119
Security deposit liability	10,033			(523		)	9,510			(23		)	9,487
Other current liabilities	17,421			2,048			19,469			—			19,469
Liabilities of discontinued operations	8,491			(5		)	8,486			9,464			17,950
Total current liabilities	195,735			4,613			200,348			—			200,348
Long term liabilities:
Mortgage notes payable	38,175			—			38,175			—			38,175
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,838			—			1,838			—			1,838
Accrued self insurance obligations	28,296			—			28,296			—			28,296
Other long term liabilities	6,800			83			6,883			—			6,883
Total long term liabilities	99,981			83			100,064			—			100,064
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,309			(8		)	353,301			—			353,301
Accumulated deficit	(69,575		)	6,961			(62,614		)	—			(62,614		)
Accumulated other comprehensive income	1,756			1,525			3,281			—			3,281
Total shareholders’ equity	285,969			8,478			294,447			—			294,447
Total liabilities and shareholders’ equity	$	581,685		$	13,174		$	594,859		$	—		$	594,859

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

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

F-34

	As of March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,645		$	—		$	26,645		$	—		$	26,645
Accounts receivable	65,106			1,638			66,744			(25,591		)	41,153
Due from related persons	—			4,607			4,607			—			4,607
Investments in available for sale securities	8,773			—			8,773			—			8,773
Restricted cash	5,749			—			5,749			—			5,749
Prepaid expenses and other current assets(1)	26,294			7,737			34,031			(6,204		)	27,827
Assets of discontinued operations	8,515			39			8,554			41,788			50,342
Total current assets	141,082			14,021			155,103			9,993			165,096
Property and equipment, net	353,539			1,053			354,592			(24,147		)	330,445
Equity investment in Affiliates Insurance Company	5,335			—			5,335			—			5,335
Restricted cash	6,317			—			6,317			—			6,317
Restricted investments in available for sale securities	12,871			—			12,871			—			12,871
Goodwill and other intangible assets	15,157			—			15,157			14,154			29,311
Other long term assets(2)	50,966			907			51,873			—			51,873
Total assets	$	585,267		$	15,981		$	601,248		$	—		$	601,248
Current liabilities:
Accounts payable	$	22,831		$	2,697		$	25,528		$	(2,139	)	$	23,389
Accrued expenses	24,027			(1,269		)	22,758			(502		)	22,256
Accrued compensation and benefits	44,632			—			44,632			(7,695		)	36,937
Due to related persons	13,467			5,662			19,129			—			19,129
Mortgage notes payable	1,044			—			1,044			—			1,044
Bridge loan from Senior Housing Properties Trust	38,000			—			38,000			—			38,000
Accrued real estate taxes	9,878			(1,055		)	8,823			(268		)	8,555
Security deposit liability	10,724			(470		)	10,254			(23		)	10,231
Other current liabilities	15,532			2,113			17,645			—			17,645
Liabilities of discontinued operations	8,932			21			8,953			10,627			19,580
Total current liabilities	189,067			7,699			196,766			—			196,766
Long term liabilities:
Mortgage notes payable	38,446			—			38,446			—			38,446
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	1,883			—			1,883			—			1,883
Accrued self insurance obligations	30,438			—			30,438			—			30,438
Other long term liabilities	7,184			83			7,267			—			7,267
Total long term liabilities	115,233			83			115,316			—			115,316
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,036			(53		)	352,983			—			352,983
Accumulated deficit	(74,213		)	6,689			(67,524		)	—			(67,524		)
Accumulated other comprehensive income	1,665			1,563			3,228			—			3,228
Total shareholders’ equity	280,967			8,199			289,166			—			289,166
Total liabilities and shareholders’ equity	$	585,267		$	15,981		$	601,248		$	—		$	601,248

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

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

F-35

	As of September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	41,946		$	—		$	41,946		$	—		$	41,946
Accounts receivable	59,972			(186		)	59,786			(23,315		)	36,471
Investments in available for sale securities	17,283			—			17,283			—			17,283
Restricted cash	5,171			—			5,171			—			5,171
Prepaid and other current assets	21,001			(245		)	20,756			(6,986		)	13,770
Assets of discontinued operations	8,812			13			8,825			40,910			49,735
Total current assets	154,185			(418		)	153,767			10,609			164,376
Property and equipment, net	353,639			1,049			354,688			(6,773		)	347,915
Equity investment in Affiliates Insurance Company	5,245			—			5,245			—			5,245
Restricted cash	4,306			—			4,306			—			4,306
Restricted investments in available for sale securities	12,987			—			12,987			—			12,987
Goodwill and other intangible assets	15,383			—			15,383			(3,836		)	11,547
Other long term assets	3,334			—			3,334			—			3,334
Total assets	$	549,079		$	631		$	549,710		$	—		$	549,710
Current liabilities:
Accounts payable	$	21,512		$	—		$	21,512		$	(2,368	)	$	19,144
Accrued expenses	27,433			(922		)	26,511			(400		)	26,111
Accrued compensation and benefits	44,091			—			44,091			(7,415		)	36,676
Due to related persons	16,306			—			16,306			—			16,306
Mortgage notes payable	1,012			—			1,012			—			1,012
Bridge loan from Senior Housing Properties Trust	48,000			—			48,000			—			48,000
Accrued real estate taxes	14,833			—			14,833			(298		)	14,535
Security deposit liability	10,677			(424		)	10,253			(22		)	10,231
Other current liabilities	15,477			2,058			17,535			(1		)	17,534
Liabilities of discontinued operations	8,854			(4		)	8,850			10,504			19,354
Total current liabilities	208,195			708			208,903			—			208,903
Long term liabilities:
Mortgage notes payable	38,977			—			38,977			—			38,977
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,068			—			2,068			—			2,068
Accrued self insurance obligations	27,074			—			27,074			—			27,074
Other long term liabilities	7,715			—			7,715			—			7,715
Total long term liabilities	113,116			—			113,116			—			113,116
Shareholders’ equity:
Common stock	476			—			476			—			476
Additional paid in capital	352,501			(72		)	352,429			—			352,429
Accumulated deficit	(129,983		)	(5		)	(129,988		)	—			(129,988		)
Accumulated other comprehensive income	4,774			—			4,774			—			4,774
Total shareholders’ equity	227,768			(77		)	227,691			—			227,691
Total liabilities and shareholders’ equity	$	549,079		$	631		$	549,710		$	—		$	549,710

F-36

	As of June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	43,158		$	—		$	43,158		$	—		$	43,158
Accounts receivable	63,031			(195		)	62,836			(25,708		)	37,128
Investments in available for sale securities	19,954			—			19,954			—			19,954
Restricted cash	4,072			—			4,072			—			4,072
Prepaid and other current assets	17,505			(245		)	17,260			(7,223		)	10,037
Assets of discontinued operations	12,436			19			12,455			43,396			55,851
Total current assets	160,156			(421		)	159,735			10,465			170,200
Property and equipment, net	273,208			529			273,737			(6,539		)	267,198
Equity investment in Affiliates Insurance Company	5,202			—			5,202			—			5,202
Restricted cash	3,712			—			3,712			—			3,712
Restricted investments in available for sale securities	12,445			—			12,445			—			12,445
Acquisition deposits	7,509			—			7,509			—			7,509
Goodwill and other intangible assets	15,496			—			15,496			(3,926		)	11,570
Other long term assets	3,823			—			3,823			—			3,823
Total assets	$	481,551		$	108		$	481,659		$	—		$	481,659
Current liabilities:
Accounts payable	$	18,621		$	—		$	18,621		$	(2,592	)	$	16,029
Accrued expenses	22,395			(1,289		)	21,106			(610		)	20,496
Accrued compensation and benefits	46,882			—			46,882			(8,884		)	37,998
Due to related persons	17,417			—			17,417			—			17,417
Mortgage notes payable	321			—			321			—			321
Bridge loan from Senior Housing Properties Trust	9,000			—			9,000			—			9,000
Accrued real estate taxes	10,428			—			10,428			(335		)	10,093
Security deposit liability	10,434			(436		)	9,998			(28		)	9,970
Other current liabilities	16,094			1,951			18,045			(5		)	18,040
Liabilities of discontinued operations	8,582			3			8,585			12,454			21,039
Total current liabilities	160,174			229			160,403			—			160,403
Long term liabilities:
Mortgage notes payable	19,614			—			19,614			—			19,614
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,133			—			2,133			—			2,133
Accrued self insurance obligations	24,415			—			24,415			—			24,415
Other long term liabilities	8,304			—			8,304			—			8,304
Total long term liabilities	91,748			—			91,748			—			91,748
Shareholders’ equity:
Common stock	475			—			475			—			475
Additional paid in capital	352,414			(48		)	352,366			—			352,366
Accumulated deficit	(129,454		)	(73		)	(129,527		)	—			(129,527		)
Accumulated other comprehensive income	6,194			—			6,194			—			6,194
Total shareholders’ equity	229,629			(121		)	229,508			—			229,508
Total liabilities and shareholders’ equity	$	481,551		$	108		$	481,659		$	—		$	481,659

F-37

	As of March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,008		$	—		$	26,008		$	—		$	26,008
Accounts receivable	64,419			(115		)	64,304			(26,934		)	37,370
Investments in available for sale securities	14,062			—			14,062			—			14,062
Restricted cash	6,838			—			6,838			—			6,838
Acquisition deposits	13,000			—			13,000			—			13,000
Prepaid and other current assets	19,872			—			19,872			(6,833		)	13,039
Assets of discontinued operations	12,542			115			12,657			44,838			57,495
Total current assets	156,741			—			156,741			11,071			167,812
Property and equipment, net	201,277			409			201,686			(7,055		)	194,631
Equity investment in Affiliates Insurance Company	5,117			—			5,117			—			5,117
Restricted cash	15,771			—			15,771			—			15,771
Restricted investments in available for sale securities	3,359			—			3,359			—			3,359
Goodwill and other intangible assets	15,609			—			15,609			(4,016		)	11,593
Other long term assets	3,821			—			3,821			—			3,821
Total assets	$	401,695		$	409		$	402,104		$	—		$	402,104
Current liabilities:
Revolving line of credit, secured, principally by accounts receivable	$	5,000		$	—		$	5,000		$	—		$	5,000
Accounts payable	25,992			—			25,992			(2,624		)	23,368
Accrued expenses	22,412			(1,452		)	20,960			31			20,991
Accrued compensation and benefits	45,385			—			45,385			(8,054		)	37,331
Due to related persons	17,823			—			17,823			—			17,823
Accrued real estate taxes	8,102			—			8,102			(256		)	7,846
Security deposit liability	10,390			(456		)	9,934			(28		)	9,906
Other current liabilities	11,325			2,064			13,389			(9		)	13,380
Liabilities of discontinued operations	8,905			100			9,005			10,940			19,945
Total current liabilities	155,334			256			155,590			—			155,590
Long term liabilities:
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,213			—			2,213			—			2,213
Accrued self insurance obligations	28,640			—			28,640			—			28,640
Other long term liabilities	8,728			—			8,728			—			8,728
Total long term liabilities	76,863			—			76,863			—			76,863
Shareholders’ equity:
Common stock	360			—			360			—			360
Additional paid in capital	297,908			(24		)	297,884			—			297,884
Accumulated deficit	(134,650		)	177			(134,473		)	—			(134,473		)
Accumulated other comprehensive income	5,880			—			5,880			—			5,880
Total shareholders’ equity	169,498			153			169,651			—			169,651
Total liabilities and shareholders’ equity	$	401,695		$	409		$	402,104		$	—		$	402,104

F-38

	For the three months ended December 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	279,154		$	(422	)	$	278,732		$	(8,942	)	$	269,790
Rehabilitation hospital revenue	27,547			—			27,547			(27,547		)	—
Management fee revenue	2,150			—			2,150			—			2,150
Reimbursed costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Total revenues	359,096			(422		)	$	358,674		(36,489		)	$	322,185
Operating expenses:
Senior living wages and benefits	135,356			31			135,387			(6,389		)	128,998
Other senior living operating expenses	70,007			(182		)	69,825			(2,712		)	67,113
Costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Rehabilitation hospital expenses	24,763			—			24,763			(24,763		)	—
Rent expense	50,598			—			50,598			(2,865		)	47,733
General and administrative	16,153			44			16,197			—			16,197
Depreciation and amortization	6,433			(19		)	6,414			(130		)	6,284
Total operating expenses	353,555			(126		)	353,429			(36,859		)	316,570
Operating income	5,541			(296		)	5,245			370			5,615
Interest, dividend and other income	243			—			243			—			243
Interest and other expense	(1,475		)	—			(1,475		)	—			(1,475		)
Acquisition related costs	(8		)	—			(8		)	—			(8		)
Loss on sale of available for sale securities	(81		)	—			(81		)	—			(81		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,220			(296		)	3,924			370			4,294
Provision for income taxes	(807		)	(1,424		)	(2,231		)	(150		)	(2,381		)
Equity in earnings of Affiliates Insurance Company	80			—			80			—			80
Income from continuing operations	3,493			(1,720		)	1,773			220			1,993
Income (loss) from discontinued operations	6			167			173			(220		)	(47		)
Net income	$	3,499		$	(1,553	)	$	1,946		$	—		$	1,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Basic	$	0.07					$	0.04					$	0.04
Diluted income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Diluted	$	0.07					$	0.04					$	0.04

F-39

	For the three months ended September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	277,568		$	(310	)	$	277,258		$	(8,613	)	$	268,645
Rehabilitation hospital revenue	26,328			—			26,328			(26,328		)	—
Management fee revenue	1,277			—			1,277			—			1,277
Reimbursed costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Total revenues	332,420			(310		)	332,110			(34,941		)	297,169
Operating Expenses:
Senior living wages and benefits	137,816			22			137,838			(6,454		)	131,384
Other senior living operating expenses	66,858			19			66,877			(2,298		)	64,579
Costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Rehabilitation hospital expenses	23,734			—			23,734			(23,734		)	—
Rent expense	50,523			—			50,523			(2,864		)	47,659
General and administrative	14,602			45			14,647			—			14,647
Depreciation and amortization	6,324			(20		)	6,304			(129		)	6,175
Total operating expenses	327,104			66			327,170			(35,479		)	291,691
Operating income	5,316			(376		)	4,940			538			5,478
Interest, dividend and other income	199			—			199			—			199
Interest and other expense	(1,762		)	—			(1,762		)	—			(1,762		)
Acquisition related costs	(100		)	—			(100		)	—			(100		)
Gain on sale of available for sale securities	63			—			63			—			63
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,716			(376		)	3,340			538			3,878
Provision for income taxes	(426		)	(260		)	(686		)	(219		)	(905		)
Equity in earnings of Affiliates Insurance Company	115			—			115			—			115
Income from continuing operations	3,405			(636		)	2,769			319			3,088
Income from discontinued operations	13,034			410			13,444			(319		)	13,125
Net income	$	16,439		$	(226	)	$	16,213		$	—		$	16,213
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.27						0.28						0.28
Net income per common share - Basic	$	0.34					$	0.34					$	0.34
Diluted income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.26						0.27						0.27
Net income per common share - Diluted	$	0.33					$	0.33					$	0.33

F-40

	For the three months ended June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	278,076		$	(147	)	$	277,929		$	(8,836	)	$	269,093
Rehabilitation hospital revenue	26,386			—			26,386			(26,386		)	—
Institutional pharmacy revenue	17,232			—			17,232			(17,232		)	—
Management fee revenue	1,302			—			1,302			—			1,302
Reimbursed costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Total revenues	349,094			(147		)	348,947			(52,454		)	296,493
Operating expenses:
Senior living wages and benefits	136,618			12			136,630			(6,378		)	130,252
Other senior living operating expenses	66,242			(200		)	66,042			(2,245		)	63,797
Costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Rehabilitation hospital expenses	23,872			—			23,872			(23,872		)	—
Institutional pharmacy expenses	17,258			—			17,258			(17,258		)	—
Rent expense	50,297			—			50,297			(2,866		)	47,431
General and administrative	15,389			45			15,434			—			15,434
Depreciation and amortization	6,709			(20		)	6,689			(486		)	6,203
Gain on settlement	(3,365		)	—			(3,365		)	—			(3,365		)
Total operating expenses	339,118			(163		)	338,955			(53,105		)	285,850
Operating income	9,976			16			9,992			651			10,643
Interest, dividend and other income	246			—			246			(12		)	234
Interest and other expense	(1,605		)	—			(1,605		)	—			(1,605		)
Gain on early extinguishment of debt	45			—			45			—			45
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	8,662			16			8,678			639			9,317
Provision for income taxes	(3,807		)	250			(3,557		)	(260		)	(3,817		)
Equity in earnings of Affiliates Insurance Company	76			—			76			—			76
Income from continuing operations	4,931			266			5,197			379			5,576
Loss from discontinued operations	(293		)	6			(287		)	(379		)	(666		)
Net income	$	4,638		$	272		$	4,910		$	—		$	4,910
Per Share data:
Basic income per share from:
Continuing operations	$	0.10					$	0.11					$	0.12
Discontinued operations	(0.01		)				(0.01		)				(0.02		)
Net income per common share - Basic	$	0.09					$	0.10					$	0.10
Diluted income per share from:
Continuing operations	$	0.10					$	0.11					$	0.11
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.09					$	0.10					$	0.10

F-41

	For the three months ended March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	276,220		$	(220	)	$	276,000		$	(9,195	)	$	266,805
Rehabilitation hospital revenue	26,787			—			26,787			(26,787		)	—
Institutional pharmacy revenue	18,621			—			18,621			(18,621		)	—
Management fee revenue	1,088			—			1,088			—			1,088
Reimbursed costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Total revenues	346,121			(220		)	345,901			(54,603		)	291,298
Operating expenses:
Senior living wages and benefits	138,374			24			138,398			(6,588		)	131,810
Other senior living operating expenses	66,962			(290		)	66,672			(2,412		)	64,260
Costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Rehabilitation hospital expenses	24,119			—			24,119			(24,119		)	—
Institutional pharmacy expenses	18,750			—			18,750			(18,750		)	—
Rent expense	50,227			—			50,227			(2,866		)	47,361
General and administrative	15,455			44			15,499			—			15,499
Depreciation and amortization	6,316			(19		)	6,297			(479		)	5,818
Total operating expenses	343,608			(241		)	343,367			(55,214		)	288,153
Operating income	2,513			21			2,534			611			3,145
Interest, dividend and other income	217			—			217			(12		)	205
Interest and other expense	(1,426		)	—			(1,426		)	—			(1,426		)
Loss on sale of available for sale securities	(1		)	—			(1		)	—			(1		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,303			21			1,324			599			1,923
Provision for income taxes	(602		)	45			(557		)	(244		)	(801		)
Equity in earnings of Affiliates Insurance Company	45			—			45			—			45
Income from continuing operations	746			66			812			355			1,167
Loss from discontinued operations	(377		)	37			(340		)	(355		)	(695		)
Net income	$	369		$	103		$	472		$	—		$	472
Per Share data:
Basic income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Basic	$	0.01					$	0.01					$	0.01
Diluted income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.01					$	0.01					$	0.01

F-42

	For the three months ended December 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	274,733		$	(429	)	$	274,304		$	(9,259	)	$	265,045
Rehabilitation hospital revenue	27,085			—			27,085			(27,085		)	—
Institutional pharmacy revenue	18,790			—			18,790			(18,790		)	—
Management fee revenue	515			—			515			(1		)	514
Reimbursed costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Total revenues	332,788			(429		)	332,359			(55,134		)	277,225
Operating expenses:
Senior living wages and benefits	137,411			21			137,432			(6,515		)	130,917
Other senior living operating expenses	66,532			420			66,952			(2,409		)	64,543
Costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Rehabilitation hospital expense	24,507			—			24,507			(24,507		)	—
Institutional pharmacy expense	18,433			—			18,433			(18,433		)	—
Rent expense	49,935			—			49,935			(2,867		)	47,068
General and administrative	15,298			(25		)	15,273			—			15,273
Depreciation and amortization	6,348			(32		)	6,316			(497		)	5,819
Impairment of long lived assets	3,500			—			3,500			(420		)	3,080
Total operating expenses	333,629			384			334,013			(55,647		)	278,366
Operating loss	(841		)	(813		)	(1,654		)	513			(1,141		)
Interest, dividend and other income	278			—			278			(14		)	264
Interest and other expenses	(1,512		)	—			(1,512		)	—			(1,512		)
Acquisition related costs	(229		)	—			(229		)	—			(229		)
Gain on sale of available for sale securities	3,460			—			3,460			—			3,460
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,156			(813		)	343			499			842
Benefit for income taxes	51,560			7,666			59,226			(205		)	59,021
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	52,744			6,853			59,597			294			59,891
Income from discontinued operations	2,657			(263		)	2,394			(294		)	2,100
Net income	$	55,401		$	6,590		$	61,991		$	—		$	61,991
Per Share data:
Basic income per share from:
Continuing operations	$	1.11					$	1.25					$	1.26
Discontinued operations	0.05						0.05						0.04
Net income per common share - Basic	$	1.16					$	1.30					$	1.30
Diluted income per share from:
Continuing operations	$	1.05					$	1.18					$	1.19
Discontinued operations	0.05						0.05						0.04
Net income per common share - Diluted	$	1.10					$	1.23					$	1.23

F-43

	For the three months ended September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	275,605		$	(342	)	$	275,263		$	(9,640	)	$	265,623
Rehabilitation hospital revenue	26,273			—			26,273			(26,273		)	—
Institutional pharmacy revenue	18,914			—			18,914			(18,914		)	—
Management fee revenue	359			—			359			—			359
Reimbursed costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Total revenues	329,475			(342		)	329,133			(54,827		)	274,306
Operating expenses:
Senior living wages and benefits	136,135			(63		)	136,072			(6,808		)	129,264
Other senior living operating expenses	68,669			(330		)	68,339			(2,495		)	65,844
Costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Rehabilitation hospital expense	23,300			—			23,300			(23,300		)	—
Institutional pharmacy expense	18,472			—			18,472			(18,472		)	—
Rent expense	50,140			—			50,140			(2,866		)	47,274
General and administrative	14,418			(24		)	14,394			—			14,394
Depreciation and amortization	5,858			—			5,858			(490		)	5,368
Total operating expenses	325,316			(417		)	324,899			(54,431		)	270,468
Operating income	4,159			75			4,234			(396		)	3,838
Interest, dividend and other income	368			—			368			(13		)	355
Interest and other expenses	(1,034		)	—			(1,034		)	—			(1,034		)
Acquisition related costs	(226		)	—			(226		)	—			(226		)
Gain on sale of available for sale securities	529			—			529			—			529
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,796			75			3,871			(409		)	3,462
Provision for income taxes	(186		)	(104		)	(290		)	25			(265		)
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	3,638			(29		)	3,609			(384		)	3,225
Loss from discontinued operations	(4,166		)	97			(4,069		)	384			(3,685		)
Net loss	$	(528	)	$	68		$	(460	)	$	—		$	(460	)
Per Share data:
Basic income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09		)				(0.09		)				(0.08		)
Net loss per common share - Basic	$	(0.01	)				$	(0.01	)				$	(0.01	)
Diluted income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09		)				(0.08		)				(0.07		)
Net loss per common share - Diluted	$	(0.01	)				$	(0.00	)				$	(0.00	)

F-44

	For the three months ended June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	266,066		$	(358	)	$	265,708		$	(10,353	)	$	255,355
Rehabilitation hospital revenue	26,337			—			26,337			(26,337		)	—
Institutional pharmacy revenue	19,573			—			19,573			(19,573		)	—
Management fee revenue	25			—			25			—			25
Reimbursed costs incurred on behalf of managed communities	562			—			562			—			562
Total revenues	312,563			(358		)	312,205			(56,263		)	255,942
Operating expenses:
Senior living wages and benefits	133,570			78			133,648			(7,120		)	126,528
Other senior living operating expenses	61,143			(93		)	61,050			(2,009		)	59,041
Costs incurred on behalf of managed communities	562			—			562			—			562
Rehabilitation hospital expense	23,445			—			23,445			(23,445		)	—
Institutional pharmacy expense	18,642			—			18,642			(18,642		)	—
Rent expense	48,003			—			48,003			(3,028		)	44,975
General and administrative	14,154			(24		)	14,130			—			14,130
Depreciation and amortization	4,620			—			4,620			(486		)	4,134
Total operating expenses	304,139			(39		)	304,100			(54,730		)	249,370
Operating income	8,424			(319		)	8,105			(1,533		)	6,572
Interest, dividend and other income	331			—			331			(14		)	317
Interest and other expenses	(870		)	—			(870		)	—			(870		)
Acquisition related costs	(1,202		)	—			(1,202		)	—			(1,202		)
Gain on sale of available for sale securities	51			—			51			—			51
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	6,734			(319		)	6,415			(1,547		)	4,868
Provision for income taxes	(441		)	(25		)	(466		)	93			(373		)
Equity in earnings of Affiliates Insurance Company	46			—			46			—			46
Income from continuing operations	6,339			(344		)	5,995			(1,454		)	4,541
Income from discontinued operations	(1,143		)	94			(1,049		)	1,454			405
Net income	$	5,196		$	(250	)	$	4,946		$	—		$	4,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03		)				(0.03		)				0.01
Net income per common share - Basic	$	0.14					$	0.13					$	0.13
Diluted income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03		)				(0.03		)				0.01
Net income per common share - Diluted	$	0.14					$	0.13					$	0.13

F-45

	For the three months ended March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	263,379		$	66		$	263,445		$	(10,731	)	$	252,714
Rehabilitation hospital revenue	25,625			—			25,625			(25,625		)	—
Institutional pharmacy revenue	19,337			—			19,337			(19,337		)	—
Total revenues	308,341			66			308,407			(55,693		)	252,714
Operating expenses:
Senior living wages and benefits	130,337			206			130,543			(7,240		)	123,303
Other senior living operating expenses	63,349			(390		)	62,959			(2,896		)	60,063
Rehabilitation hospital expense	24,053			—			24,053			(24,053		)	—
Institutional pharmacy expense	18,889			—			18,889			(18,889		)	—
Rent expense	47,662			—			47,662			(3,029		)	44,633
General and administrative	13,670			(24		)	13,646			—			13,646
Depreciation and amortization	4,311			—			4,311			(472		)	3,839
Total operating expenses	302,271			(208		)	302,063			(56,579		)	245,484
Operating income	6,070			274			6,344			886			7,230
Interest, dividend and other income	319			—			319			(15		)	304
Interest and other expenses	(501		)	—			(501		)	—			(501		)
Acquisition related costs	—			—			—			(102		)	(102		)
Gain on early extinguishment of debt	—			—			—			1			1
Gain on sale of available for sale securities	76			—			76			—			76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	5,964			274			6,238			770			7,008
Provision for income taxes	(379		)	(109		)	(488		)	(46		)	(534		)
Equity in earnings of Affiliates Insurance Company	37			—			37			—			37
Income from continuing operations	5,622			165			5,787			724			6,511
Loss from discontinued operations	(1,489		)	12			(1,477		)	(724		)	(2,201		)
Net income	$	4,133		$	177		$	4,310		$	—		$	4,310
Per Share data:
Basic income per share from:
Continuing operations	$	0.16					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Basic	$	0.12					$	0.12					$	0.12
Diluted income per share from:
Continuing operations	$	0.15					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Diluted	$	0.11					$	0.12					$	0.12

F-46

18.   Restatement of Previously Issued Financial Statements

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

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

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

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

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

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

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

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

·We made certain other immaterial corrections that impacted our consolidated statements of income, including adjustments to general and administrative and depreciation expense, and made other balance

F-47

sheet classification changes that are not material, individually or in aggregate, in the restated consolidated financial statements included herein.

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

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

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

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

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

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

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

F-48

	For the Year Ended December 31, 2012
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,111,018		$	—		$	—		$	247		$	(1,346	)	$	(1,099	)	$	1,109,919		$	(35,586	)	$	1,074,333
Rehabilitation hospital revenue	107,048			—			—			—			—			—			107,048			(107,048		)	—
Total revenues	1,350,878			—			—			247			(1,346		)	(1,099		)	1,349,779			(142,634		)	1,207,145
Senior living wages and benefits	548,164			—			—			89			—			89			548,253			(25,809		)	522,444
Other senior living operating expenses	270,069			—			693			—			(1,346		)	(653		)	269,416			(9,667		)	259,749
Rehabilitation hospital expenses	96,488			—			—			—			—			—			96,488			(96,488		)	—
Rent expense	201,641			—			—			—			—			—			201,641			(11,457		)	190,184
General and administrative	61,599			—			—			178			—			178			61,777			—			61,777
Depreciation and amortization	25,064			—			—			(78		)	—			(78		)	24,986			(506		)	24,480
Total operating expenses	1,330,020			—			693			189			(1,346		)	(464		)	1,329,556			(143,927		)	1,185,629
Operating income	20,858			—			(693		)	58			—			(635		)	20,223			1,293			21,516
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	18,754			—			(693		)	58			—			(635		)	18,119			1,293			19,412
Provision for income taxes	(5,642		)	(1,739		)	—			—			—			(1,739		)	(7,381		)	(523		)	(7,904		)
Income from continuing operations	13,428			(1,739		)	(693		)	58			—			(2,374		)	11,054			770			11,824
Income from discontinued operations	11,517			966			—			4			—			970			12,487			(770		)	11,717
Net income	$	24,945		$	(773	)	$	(693	)	$	62		$	—		$	(1,404	)	$	23,541		$	—		$	23,541
Per Share data:
Basic income per share from:
Continuing operations	$	0.28																	$	0.23					$	0.25
Discontinued operations	0.24																		0.26						0.24
Net income per share - basic	$	0.52																	$	0.49					$	0.49
Diluted income per share from:
Continuing operations	$	0.28																	$	0.22					$	0.25
Discontinued operations	0.24																		0.25						0.23
Net income per share - diluted	$	0.52																	$	0.48					$	0.48

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

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

F-49

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

	For the Year Ended December 31, 2011
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,078,380		$	—		$	—		$	400		$	(1,464	)	$	(1,064	)	$	1,077,316		$	(38,579	)	$	1,038,737
Rehabilitation hospital revenue	105,320			—			—			—			—			—			105,320			(105,320		)	—
Total revenues	1,205,150			—			—			400			(1,464		)	(1,064		)	1,204,086			(143,899		)	1,060,187
Senior living wages and benefits	536,386			—			—			242			—			242			536,628			(26,616		)	510,012
Other senior living operating expenses	259,655			—			1,070			—			(1,464		)	(394		)	259,261			(9,770		)	249,491
Rehabilitation hospital expenses	95,305			—			—			—			—			—			95,305			(95,305		)	—
Rent expense	195,407			—			—			—			—			—			195,407			(11,457		)	183,950
General and administrative	57,540			—			—			(97		)	—			(97		)	57,443			—			57,443
Depreciation and amortization	19,694			—			—			(32		)	—			(32		)	19,662			(502		)	19,160
Impairment of long-lived assets	3,500			—			—			—			—			—			3,500			(420		)	3,080
Total operating expenses	1,188,039			—			1,070			113			(1,464		)	(281		)	1,187,758			(144,070		)	1,043,688
Operating income	17,111			—			(1,070		)	287			—			(783		)	16,328			171			16,499
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	16,792			—			(1,070		)	287			—			(783		)	16,009			171			16,180
Provision for income taxes	50,554			7,365			—			—			—			7,365			57,919			(70		)	57,849
Income from continuing operations	67,485			7,365			(1,070		)	287			—			6,582			74,067			101			74,168
Income from discontinued operations	(3,284		)	(13		)	—			17			—			4			(3,280		)	(101		)	(3,381		)
Net income	64,201			7,352			(1,070		)	304			—			6,586			70,787			—			70,787
Per Share data:
Basic income per share from:
Continuing operations	$	1.60																	$	1.76					$	1.76
Discontinued operations	(0.08		)																(0.08		)				(0.08		)
Net income per share - basic	$	1.52																	$	1.68					$	1.68
Diluted income per share from:
Continuing operations	$	1.52																	$	1.67					$	1.67
Discontinued operations	(0.07		)																(0.07		)				(0.08		)
Net income per share - diluted	$	1.45																	$	1.59					$	1.59

F-50

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

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

F-51

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

FIVE STAR QUALITY CARE, INC.
By:	/s/ Bruce J. Mackey Jr.
	Bruce J. Mackey Jr.
	President and Chief Executive Officer

Dated:  April 15, 2014

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

Signature	Title	Date
/s/ Bruce J. Mackey Jr.	President and Chief Executive Officer	April 15, 2014
Bruce J. Mackey Jr.	(Principal Executive Officer)
/s/ Paul V. Hoagland	Chief Financial Officer and Treasurer	April 15, 2014
Paul V. Hoagland	(Principal Financial Officer and Accounting Officer)
/s/ Barry M. Portnoy	Managing Director	April 15, 2014
Barry M. Portnoy
/s/ Gerard M. Martin	Managing Director	April 15, 2014
Gerard M. Martin
/s/ Bruce M. Gans	Independent Director	April 15, 2014
Bruce M. Gans
/s/ Barbara D. Gilmore	Independent Director	April 15, 2014
Barbara D. Gilmore
/s/ Donna D. Fraiche	Independent Director	April 15, 2014
Donna D. Fraiche

EX-12.1

Exhibit 12.1

FIVE STAR QUALITY CARE, INC.

Computation of Ratio of Earnings to Fixed Charges

(in thousands except ratios)

	Year ended December 31,
	2012		2011
	(Restated)		(Restated)		2010		2009		2008
Consolidated earnings	$	135,055	$	182,310	$	182,291	$	168,768	$	131,608
Consolidated fixed charges	115,643		166,130		156,137		125,788		117,917
Ratio of consolidated earnings to fixed charges	1.2x		1.1x		1.2x		1.3x		1.1x
Calculation of consolidated earnings:
Income from continuing operations before income taxes and equity in earnings (losses) of Affiliates Insurance Company	$	19,412	$	16,180	$	26,154	$	42,980	$	13,691
Fixed charges	115,643		166,130		156,137		125,788		117,917
Consolidated earnings	$	135,055	$	182,310	$	182,291	$	168,768	$	131,608
Calculation of consolidated fixed charges:
Interest expense	$	6,390	$	4,171	$	2,945	$	4,235	$	6,070
Amortization of debt discounts / premium	206		83		—		—		34
Amortization of deferred finance costs	107		123		100		130		233
Estimated interest component of rent expense	108,940		161,753		153,092		121,423		111,580
Fixed charges	$	115,643	$	166,130	$	156,137	$	125,788	$	117,917

EX-23.1

Exhibit23.1

Consent Of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statement (Form S-3 No. 333-185135) of Five Star Quality Care, Inc., and

(2) Registration Statement (Form S-8 No. 333-161186) pertaining to the 2011 Stock Option and Stock Incentive Plan of Five Star Quality Care, Inc.;

of our report dated February 19, 2013 (except for Note 12 and Note 18 as to which the date is April 15, 2014) with respect to the consolidated financial statements of Five Star Quality Care, Inc. and our report dated February 19, 2013 (except for the effect of the material weaknesses described in the sixth paragraph as to which the date is April 15, 2014) with respect to the effectiveness of internal control over financial reporting of Five Star Quality Care, Inc. included in this Form 10-K/A for the year ended December 31, 2012.

	/s/ Ernst & Young LLP
Boston, Massachusetts
April 15, 2014

EX-31.1

Exhibit 31.1

CERTIFICATION PURSUANT TO EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a)

I, Bruce J. Mackey Jr., certify that:

1.I have reviewed this Amendment No. 1 to Annual Report on Form 10-K of Five Star Quality Care, Inc.;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f))  for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: April 15, 2014	/s/ Bruce J. Mackey Jr.
	Bruce J. Mackey Jr.
	President and Chief Executive Officer

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a)

I, Paul V. Hoagland, certify that:

1.I have reviewed this Amendment No. 1 to Annual Report on Form 10-K of Five Star Quality Care, Inc.;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f))  for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: April 15, 2014	/s/ Paul V. Hoagland
	Paul V. Hoagland
	Treasurer and Chief Financial Officer

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SEC. 1350

In connection with the filing by Five Star Quality Care, Inc. (the “Company”) of this Amendment No. 1 to Annual Report on Form 10-K for the year ended December 31, 2012 (the “Report”), each of the undersigned hereby certifies, to the best of his knowledge:

1.The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2.The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

	/s/ Bruce J. Mackey Jr.
	Bruce J. Mackey Jr.
	President and Chief Executive Officer
	/s/ Paul V. Hoagland
	Paul V. Hoagland
	Treasurer and Chief Financial Officer
Date:April 15, 2014

XML

Organization and Business (Details) (USD $)	Dec. 31, 2012 property	Dec. 31, 2011	Dec. 31, 2012 Senior Living Communities state property unit	Dec. 31, 2012 Rehabilitation hospitals bed hospital property satellite	Dec. 31, 2012 Independent and assisted living communities property unit	Dec. 31, 2012 SNF property unit	Dec. 31, 2012 Independent living apartment unit	Dec. 31, 2012 Assisted living suites unit	Dec. 31, 2012 Skilled nursing units unit	Dec. 31, 2012 Outpatient clinics unit	Dec. 31, 2012 Assisted living communities property	Dec. 31, 2001 SNH	Dec. 31, 2012 SNH Senior Living Communities property	Dec. 31, 2012 SNH Rehabilitation hospitals property	Jun. 30, 2012 SNH Rehabilitation hospitals property	Dec. 31, 2012 SNH SNF property	Dec. 31, 2012 SNH Assisted living communities property
Real estate properties
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01										$ 0.01
Number of properties operated			250		219	31
Number of states in which real estate properties are located			31
Number of living units in properties operated			29,701		26,856	2,845	10,311	14,116	5,274
Number of properties owned and operated			30
Number of living units in properties owned and operated			2,920
Number of properties leased and operated	194		181	2									188	2	2
Number of units in properties leased and operated			20,091
Number of properties managed			39										39
Number of units in properties managed			6,690
Number of real estate properties classified as discontinued operations						2					1		11	2		7	4
Number of units in real estate property classified as discontinued operations					824	303
Number of units in properties leased and operated										13
Number of beds used to provide inpatient rehabilitation services to patients				321
Number of hospital locations where inpatient rehabilitation services are provided				2
Number of satellite locations where inpatient rehabilitation services are provided				3

XML

Indebtedness (Details) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		12 Months Ended							1 Months Ended	12 Months Ended								12 Months Ended							12 Months Ended						12 Months Ended	1 Months Ended	12 Months Ended										12 Months Ended
	Jun. 30, 2012	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Sep. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Jul. 31, 2010 HUD	Dec. 31, 2012 Standby letters of credit item	Dec. 31, 2012 Standby letters of credit HCP item	Dec. 31, 2012 Revolving secured line of credit	Dec. 31, 2011 Revolving secured line of credit	Dec. 31, 2010 Revolving secured line of credit	Feb. 15, 2013 Revolving secured line of credit	Dec. 31, 2012 Revolving secured line of credit Maximum	Dec. 31, 2012 Revolving secured line of credit Minimum	Dec. 31, 2012 Revolving secured line of credit LIBOR	Dec. 31, 2012 Bridge Loan	Dec. 31, 2011 Bridge Loan	Dec. 31, 2012 Bridge Loan SNH	Dec. 31, 2011 Bridge Loan SNH	Sep. 30, 2011 Bridge Loan SNH	May 31, 2011 Bridge Loan SNH property	Dec. 31, 2012 New Credit Facility item	Feb. 15, 2013 New Credit Facility	Apr. 30, 2012 New Credit Facility	Dec. 31, 2012 New Credit Facility Maximum	Dec. 31, 2012 New Credit Facility Minimum	Dec. 31, 2012 New Credit Facility Senior Living Communities item unit	Dec. 31, 2012 New Credit Facility LIBOR	Oct. 31, 2006 Notes	Dec. 31, 2012 Notes	Dec. 31, 2011 Notes	Dec. 31, 2010 Notes	Dec. 31, 2012 Mortgage notes	Dec. 31, 2011 Mortgage notes	Dec. 31, 2010 Mortgage notes	Dec. 31, 2012 Mortgage notes HUD item	Dec. 31, 2012 Mortgage notes FNMA item	Dec. 31, 2012 Mortgage notes FMCC item	Dec. 31, 2012 Mortgage notes Senior Living Communities item	Dec. 31, 2012 UBS Credit Facility	Dec. 31, 2011 UBS Credit Facility	Dec. 31, 2010 UBS Credit Facility
Indebtedness
Maximum borrowing capacity											$ 755		$ 35,000															$ 150,000
Variable rate basis																			LIBOR													LIBOR
Floor interest rate (as a percent)																			2.00%
Basis spread (as a percent)																	6.00%	4.00%
Interest rate at period end (as a percent)																													2.71%	2.50%
Number of irrevocable standby letters of credit											6	6
Interest expense and other associated costs incurred													676	726	508					314	593	314	593			1,746								1,124	1,470	1,738	2,843	1,588	650					0	0	149
Amount agreed to be lent																								80,000	80,000
Number of communities assets acquired as part of the purchase price																									6
Amount borrowed															0								80,000										126,500
Repayments of borrowing			38,000	42,000																			42,000
Number of extensions to maturity date																										2
Extension period available																										1 year
Number of real estate properties mortgaged																																								2	1	3	6
Number of real estate properties securing borrowings on the new credit facility																															15
Number of units in real estate properties securing borrowings on the new credit facility																															1,549
Proceeds from issue of notes																																	122,600
Interest rate (as a percent)																																		3.75%
Conversion ratio, number of common shares per $1,000 principal amount																																		76.9231
Initial conversion price of shares (in dollars per share)																																		$ 13.00
Percentage of principal amount at which notes may be required to be repurchased in event of fundamental change																																		100.00%
Outstanding notes purchased and retired																																		12,410	623
Gain, net of related unamortized costs, on early extinguishment of debt	45	1	45	1	592																													45	1
Principal amount outstanding	24,872	37,282		37,282		24,872	37,282	37,282	37,282																									24,872
Mortgage notes, total																																											46,260
Prepayment of debt										4,635
Prepayment penalties										134
Weighted average interest rate (as a percent)													6.25%	6.25%												2.98%
Amount outstanding under credit facility													$ 0			$ 0										$ 0	$ 0

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

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Indebtedness (Details 2) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Indebtedness
Mortgage Notes	$ 46,260
Principal payments due under terms of mortgages
2013	1,242
2014	1,318
2015	1,398
2016	1,483
2017	1,573
Thereafter	39,246
Mortgage Notes	46,260
Mortgage notes
Indebtedness
Mortgage Notes	46,260
Effective Interest Rate (as a percent)	6.67%
Cash Interest Rate (as a percent)	5.96%
Monthly Payment	329
Interest expense and other associated costs incurred	2,843	1,588	650
Principal payments due under terms of mortgages
Mortgage Notes	46,260
June 2023
Indebtedness
Mortgage Notes	19,435
Effective Interest Rate (as a percent)	6.64%
Cash Interest Rate (as a percent)	5.86%
Monthly Payment	123
Principal payments due under terms of mortgages
Mortgage Notes	19,435
February 2025
Indebtedness
Mortgage Notes	6,712
Effective Interest Rate (as a percent)	8.99%
Cash Interest Rate (as a percent)	5.46%
Monthly Payment	63
Principal payments due under terms of mortgages
Mortgage Notes	6,712
September 2028
Indebtedness
Mortgage Notes	2,968
Effective Interest Rate (as a percent)	6.36%
Cash Interest Rate (as a percent)	6.70%
Monthly Payment	25
Principal payments due under terms of mortgages
Mortgage Notes	2,968
September 2032
Indebtedness
Mortgage Notes	9,598
Effective Interest Rate (as a percent)	6.20%
Cash Interest Rate (as a percent)	6.70%
Monthly Payment	72
Principal payments due under terms of mortgages
Mortgage Notes	9,598
June 2035
Indebtedness
Mortgage Notes	3,045
Effective Interest Rate (as a percent)	5.25%
Cash Interest Rate (as a percent)	5.25%
Monthly Payment	19
Principal payments due under terms of mortgages
Mortgage Notes	3,045
May 2039
Indebtedness
Mortgage Notes	4,502
Effective Interest Rate (as a percent)	5.55%
Cash Interest Rate (as a percent)	5.55%
Monthly Payment	27
Principal payments due under terms of mortgages
Mortgage Notes	$ 4,502

XML

Property and Equipment (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended									3 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2011 SNH	Dec. 31, 2012 SNH	Dec. 31, 2012 Land	Dec. 31, 2011 Land	Dec. 31, 2012 Building and improvements	Dec. 31, 2011 Building and improvements	Dec. 31, 2012 Furniture, fixtures and equipments	Dec. 31, 2011 Furniture, fixtures and equipments
Property and Equipment
Property and equipment, gross	$ 402,751	$ 383,698										$ 21,714	$ 21,013	$ 277,330	$ 271,601	$ 103,707	$ 91,084
Accumulated depreciation	(65,257)	(50,716)
Property and equipment, net	337,494	332,982		333,989	332,062	330,445	347,915	267,198	194,631
Depreciation expense	22,882	19,097	14,006
Assets held for sale for increased rent pursuant to the terms of leases with SNH										7,114	9,625
Impairment charge of long lived and other intangible assets	$ 644	$ 4,358								$ 3,080

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Indebtedness (Tables)

12 Months Ended

Dec. 31, 2012

Indebtedness

Schedule of principal payments due under the terms of mortgages (including mortgages securing properties that the entity has classified as discontinued operations)

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

Mortgage notes

Indebtedness

Summary of mortgage notes

Balance as of December 31, 2012		Effective Interest Rate		Cash Interest Rate		Maturity Date	Monthly Payment
$	19,435	6.64	%	5.86	%	June 2023	$	123
6,712		8.99	%	5.46	%	February 2025	63
2,968		6.36	%	6.70	%	September 2028	25
9,598		6.20	%	6.70	%	September 2032	72
3,045		5.25	%	5.25	%	June 2035	19
4,502		5.55	%	5.55	%	May 2039	27
$	46,260	6.67	%(1)	5.96	%(1)		$	329

(1) Weighted average interest rate.

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

XML

Restatement of Previously Issued Financial Statements

12 Months Ended

Dec. 31, 2012

Restatement of Previously Issued Financial Statements

Restatement of Previously Issued Financial Statements

18.   Restatement of Previously Issued Financial Statements

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

	For the Year Ended December 31, 2012
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,111,018		$	—		$	—		$	247		$	(1,346	)	$	(1,099	)	$	1,109,919		$	(35,586	)	$	1,074,333
Rehabilitation hospital revenue	107,048			—			—			—			—			—			107,048			(107,048		)	—
Total revenues	1,350,878			—			—			247			(1,346		)	(1,099		)	1,349,779			(142,634		)	1,207,145
Senior living wages and benefits	548,164			—			—			89			—			89			548,253			(25,809		)	522,444
Other senior living operating expenses	270,069			—			693			—			(1,346		)	(653		)	269,416			(9,667		)	259,749
Rehabilitation hospital expenses	96,488			—			—			—			—			—			96,488			(96,488		)	—
Rent expense	201,641			—			—			—			—			—			201,641			(11,457		)	190,184
General and administrative	61,599			—			—			178			—			178			61,777			—			61,777
Depreciation and amortization	25,064			—			—			(78		)	—			(78		)	24,986			(506		)	24,480
Total operating expenses	1,330,020			—			693			189			(1,346		)	(464		)	1,329,556			(143,927		)	1,185,629
Operating income	20,858			—			(693		)	58			—			(635		)	20,223			1,293			21,516
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	18,754			—			(693		)	58			—			(635		)	18,119			1,293			19,412
Provision for income taxes	(5,642		)	(1,739		)	—			—			—			(1,739		)	(7,381		)	(523		)	(7,904		)
Income from continuing operations	13,428			(1,739		)	(693		)	58			—			(2,374		)	11,054			770			11,824
Income from discontinued operations	11,517			966			—			4			—			970			12,487			(770		)	11,717
Net income	$	24,945		$	(773	)	$	(693	)	$	62		$	—		$	(1,404	)	$	23,541		$	—		$	23,541
Per Share data:
Basic income per share from:
Continuing operations	$	0.28																	$	0.23					$	0.25
Discontinued operations	0.24																		0.26						0.24
Net income per share - basic	$	0.52																	$	0.49					$	0.49
Diluted income per share from:
Continuing operations	$	0.28																	$	0.22					$	0.25
Discontinued operations	0.24																		0.25						0.23
Net income per share - diluted	$	0.52																	$	0.48					$	0.48

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

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

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

	For the Year Ended December 31, 2011
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,078,380		$	—		$	—		$	400		$	(1,464	)	$	(1,064	)	$	1,077,316		$	(38,579	)	$	1,038,737
Rehabilitation hospital revenue	105,320			—			—			—			—			—			105,320			(105,320		)	—
Total revenues	1,205,150			—			—			400			(1,464		)	(1,064		)	1,204,086			(143,899		)	1,060,187
Senior living wages and benefits	536,386			—			—			242			—			242			536,628			(26,616		)	510,012
Other senior living operating expenses	259,655			—			1,070			—			(1,464		)	(394		)	259,261			(9,770		)	249,491
Rehabilitation hospital expenses	95,305			—			—			—			—			—			95,305			(95,305		)	—
Rent expense	195,407			—			—			—			—			—			195,407			(11,457		)	183,950
General and administrative	57,540			—			—			(97		)	—			(97		)	57,443			—			57,443
Depreciation and amortization	19,694			—			—			(32		)	—			(32		)	19,662			(502		)	19,160
Impairment of long-lived assets	3,500			—			—			—			—			—			3,500			(420		)	3,080
Total operating expenses	1,188,039			—			1,070			113			(1,464		)	(281		)	1,187,758			(144,070		)	1,043,688
Operating income	17,111			—			(1,070		)	287			—			(783		)	16,328			171			16,499
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	16,792			—			(1,070		)	287			—			(783		)	16,009			171			16,180
Provision for income taxes	50,554			7,365			—			—			—			7,365			57,919			(70		)	57,849
Income from continuing operations	67,485			7,365			(1,070		)	287			—			6,582			74,067			101			74,168
Income from discontinued operations	(3,284		)	(13		)	—			17			—			4			(3,280		)	(101		)	(3,381		)
Net income	64,201			7,352			(1,070		)	304			—			6,586			70,787			—			70,787
Per Share data:
Basic income per share from:
Continuing operations	$	1.60																	$	1.76					$	1.76
Discontinued operations	(0.08		)																(0.08		)				(0.08		)
Net income per share - basic	$	1.52																	$	1.68					$	1.68
Diluted income per share from:
Continuing operations	$	1.52																	$	1.67					$	1.67
Discontinued operations	(0.07		)																(0.07		)				(0.08		)
Net income per share - diluted	$	1.45																	$	1.59					$	1.59

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

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

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

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

XML

Selected Quarterly Financial Data (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2012

Selected Quarterly Financial Data (Unaudited)

Summary of unaudited quarterly results of operations

	2012
	First Quarter		Second Quarter		Third Quarter		Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)		(As Restated)
Revenues	$	291,298	$	296,493	$	297,169	$	322,185
Operating income	3,145		10,643		5,478		5,615
Income from continuing operations	1,167		5,576		3,088		1,993
Net income	472		4,910		16,213		1,946
Net income per common share - Basic	$	0.01	$	0.10	$	0.34	$	0.04
Net income per common share - Diluted	$	0.01	$	0.10	$	0.33	$	0.04

	2011
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)			(As Restated)
Revenues	$	252,714	$	255,942	$	274,306		$	277,225
Operating income (loss)	7,230		6,572		3,838			(1,141		)
Income from continuing operations (1)	6,511		4,541		3,225			59,891
Net income (loss)	4,310		4,946		(460		)	61,991
Net income (loss) per common share - Basic	$	0.12	$	0.13	$	(0.01	)	$	1.30
Net income (loss) per common share - Diluted	$	0.12	$	0.13	$	(0.00	)	$	1.23

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

Summary of the impact of errors in the quarterly balance sheets

	As of September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	14,295		$	—		$	14,295		$	—		$	14,295
Accounts receivable	54,880			1,446			56,326			(14,937		)	41,389
Due from related persons	—			6,088			6,088			—			6,088
Investments in available for sale securities	14,942			—			14,942			—			14,942
Restricted cash	5,904			—			5,904			—			5,904
Prepaid expenses and other current assets(1)	25,441			6,499			31,940			(903		)	31,037
Assets of discontinued operations	13,003			28			13,031			19,692			32,723
Total current assets	128,465			14,061			142,526			3,852			146,378
Property and equipment, net	336,889			872			337,761			(3,772		)	333,989
Equity investment in Affiliates Insurance Company	5,558			—			5,558			—			5,558
Restricted cash	9,262			—			9,262			—			9,262
Restricted investments in available for sale securities	11,904			—			11,904			—			11,904
Goodwill and other intangible assets	28,081			—			28,081			(80		)	28,001
Other long term assets(2)	43,347			2,010			45,357			—			45,357
Total assets	$	563,506		$	16,943		$	580,449		$	—		$	580,449
Current liabilities:
Accounts payable	$	24,500		$	2,645		$	27,145		$	(1,847	)	$	25,298
Accrued expenses	20,840			458			21,298			(201		)	21,097
Accrued compensation and benefits	48,118			—			48,118			(6,950		)	41,168
Due to related persons	12,791			7,124			19,915			—			19,915
Mortgage notes payable	1,076			—			1,076			—			1,076
Accrued real estate taxes	14,909			(1,036		)	13,873			(277		)	13,596
Security deposit liability	9,948			(584		)	9,364			(23		)	9,341
Other current liabilities	16,958			—			16,958			(2		)	16,956
Liabilities of discontinued operations	8,764			7			8,771			9,305			18,076
Total current liabilities	157,904			8,614			166,518			5			166,523
Long term liabilities:
Mortgage notes payable	37,900			—			37,900			—			37,900
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,820			—			1,820			—			1,820
Accrued self insurance obligations	31,868			—			31,868			—			31,868
Other long term liabilities	6,415			83			6,498			(5		)	6,493
Total long term liabilities	102,875			83			102,958			(5		)	102,953
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,468			37			353,505			—			353,505
Accumulated deficit	(53,136		)	6,735			(46,401		)	—			(46,401		)
Accumulated other comprehensive income	1,916			1,474			3,390			—			3,390
Total shareholders’ equity	302,727			8,246			310,973			—			310,973
Total liabilities and shareholders’ equity	$	563,506		$	16,943		$	580,449		$	—		$	580,449

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

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

	As of June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	23,635		$	—		$	23,635		$	—		$	23,635
Accounts receivable	63,130			1,664			64,794			(23,519		)	41,275
Due from related persons	—			2,536			2,536			—			2,536
Investments in available for sale securities	14,993			—			14,993			—			14,993
Restricted cash	6,507			—			6,507			—			6,507
Prepaid expenses and other current assets(1)	22,073			7,925			29,998			(5,527		)	24,471
Assets of discontinued operations	8,401			14			8,415			38,831			47,246
Total current assets	138,739			12,139			150,878			9,785			160,663
Property and equipment, net	337,836			447			338,283			(6,221		)	332,062
Equity investment in Affiliates Insurance Company	5,408			—			5,408			—			5,408
Restricted cash	6,313			—			6,313			—			6,313
Restricted investments in available for sale securities	11,299			—			11,299			—			11,299
Goodwill and other intangible assets	31,857			—			31,857			(3,564		)	28,293
Other long term assets(2)	50,233			588			50,821			—			50,821
Total assets	$	581,685		$	13,174		$	594,859		$	—		$	594,859
Current liabilities:
Revolving credit facility, secured principally by real estate	$	37,500		$	—		$	37,500		$	—		$	37,500
Accounts payable	24,766			2,539			27,305			(2,228		)	25,077
Accrued expenses	23,742			(1,982		)	21,760			(181		)	21,579
Accrued compensation and benefits	45,388			—			45,388			(6,689		)	38,699
Due to related persons	15,956			3,452			19,408			—			19,408
Mortgage notes payable	1,060			—			1,060			—			1,060
Accrued real estate taxes	11,378			(916		)	10,462			(343		)	10,119
Security deposit liability	10,033			(523		)	9,510			(23		)	9,487
Other current liabilities	17,421			2,048			19,469			—			19,469
Liabilities of discontinued operations	8,491			(5		)	8,486			9,464			17,950
Total current liabilities	195,735			4,613			200,348			—			200,348
Long term liabilities:
Mortgage notes payable	38,175			—			38,175			—			38,175
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,838			—			1,838			—			1,838
Accrued self insurance obligations	28,296			—			28,296			—			28,296
Other long term liabilities	6,800			83			6,883			—			6,883
Total long term liabilities	99,981			83			100,064			—			100,064
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,309			(8		)	353,301			—			353,301
Accumulated deficit	(69,575		)	6,961			(62,614		)	—			(62,614		)
Accumulated other comprehensive income	1,756			1,525			3,281			—			3,281
Total shareholders’ equity	285,969			8,478			294,447			—			294,447
Total liabilities and shareholders’ equity	$	581,685		$	13,174		$	594,859		$	—		$	594,859

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

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

	As of March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,645		$	—		$	26,645		$	—		$	26,645
Accounts receivable	65,106			1,638			66,744			(25,591		)	41,153
Due from related persons	—			4,607			4,607			—			4,607
Investments in available for sale securities	8,773			—			8,773			—			8,773
Restricted cash	5,749			—			5,749			—			5,749
Prepaid expenses and other current assets(1)	26,294			7,737			34,031			(6,204		)	27,827
Assets of discontinued operations	8,515			39			8,554			41,788			50,342
Total current assets	141,082			14,021			155,103			9,993			165,096
Property and equipment, net	353,539			1,053			354,592			(24,147		)	330,445
Equity investment in Affiliates Insurance Company	5,335			—			5,335			—			5,335
Restricted cash	6,317			—			6,317			—			6,317
Restricted investments in available for sale securities	12,871			—			12,871			—			12,871
Goodwill and other intangible assets	15,157			—			15,157			14,154			29,311
Other long term assets(2)	50,966			907			51,873			—			51,873
Total assets	$	585,267		$	15,981		$	601,248		$	—		$	601,248
Current liabilities:
Accounts payable	$	22,831		$	2,697		$	25,528		$	(2,139	)	$	23,389
Accrued expenses	24,027			(1,269		)	22,758			(502		)	22,256
Accrued compensation and benefits	44,632			—			44,632			(7,695		)	36,937
Due to related persons	13,467			5,662			19,129			—			19,129
Mortgage notes payable	1,044			—			1,044			—			1,044
Bridge loan from Senior Housing Properties Trust	38,000			—			38,000			—			38,000
Accrued real estate taxes	9,878			(1,055		)	8,823			(268		)	8,555
Security deposit liability	10,724			(470		)	10,254			(23		)	10,231
Other current liabilities	15,532			2,113			17,645			—			17,645
Liabilities of discontinued operations	8,932			21			8,953			10,627			19,580
Total current liabilities	189,067			7,699			196,766			—			196,766
Long term liabilities:
Mortgage notes payable	38,446			—			38,446			—			38,446
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	1,883			—			1,883			—			1,883
Accrued self insurance obligations	30,438			—			30,438			—			30,438
Other long term liabilities	7,184			83			7,267			—			7,267
Total long term liabilities	115,233			83			115,316			—			115,316
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,036			(53		)	352,983			—			352,983
Accumulated deficit	(74,213		)	6,689			(67,524		)	—			(67,524		)
Accumulated other comprehensive income	1,665			1,563			3,228			—			3,228
Total shareholders’ equity	280,967			8,199			289,166			—			289,166
Total liabilities and shareholders’ equity	$	585,267		$	15,981		$	601,248		$	—		$	601,248

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

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

	As of September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	41,946		$	—		$	41,946		$	—		$	41,946
Accounts receivable	59,972			(186		)	59,786			(23,315		)	36,471
Investments in available for sale securities	17,283			—			17,283			—			17,283
Restricted cash	5,171			—			5,171			—			5,171
Prepaid and other current assets	21,001			(245		)	20,756			(6,986		)	13,770
Assets of discontinued operations	8,812			13			8,825			40,910			49,735
Total current assets	154,185			(418		)	153,767			10,609			164,376
Property and equipment, net	353,639			1,049			354,688			(6,773		)	347,915
Equity investment in Affiliates Insurance Company	5,245			—			5,245			—			5,245
Restricted cash	4,306			—			4,306			—			4,306
Restricted investments in available for sale securities	12,987			—			12,987			—			12,987
Goodwill and other intangible assets	15,383			—			15,383			(3,836		)	11,547
Other long term assets	3,334			—			3,334			—			3,334
Total assets	$	549,079		$	631		$	549,710		$	—		$	549,710
Current liabilities:
Accounts payable	$	21,512		$	—		$	21,512		$	(2,368	)	$	19,144
Accrued expenses	27,433			(922		)	26,511			(400		)	26,111
Accrued compensation and benefits	44,091			—			44,091			(7,415		)	36,676
Due to related persons	16,306			—			16,306			—			16,306
Mortgage notes payable	1,012			—			1,012			—			1,012
Bridge loan from Senior Housing Properties Trust	48,000			—			48,000			—			48,000
Accrued real estate taxes	14,833			—			14,833			(298		)	14,535
Security deposit liability	10,677			(424		)	10,253			(22		)	10,231
Other current liabilities	15,477			2,058			17,535			(1		)	17,534
Liabilities of discontinued operations	8,854			(4		)	8,850			10,504			19,354
Total current liabilities	208,195			708			208,903			—			208,903
Long term liabilities:
Mortgage notes payable	38,977			—			38,977			—			38,977
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,068			—			2,068			—			2,068
Accrued self insurance obligations	27,074			—			27,074			—			27,074
Other long term liabilities	7,715			—			7,715			—			7,715
Total long term liabilities	113,116			—			113,116			—			113,116
Shareholders’ equity:
Common stock	476			—			476			—			476
Additional paid in capital	352,501			(72		)	352,429			—			352,429
Accumulated deficit	(129,983		)	(5		)	(129,988		)	—			(129,988		)
Accumulated other comprehensive income	4,774			—			4,774			—			4,774
Total shareholders’ equity	227,768			(77		)	227,691			—			227,691
Total liabilities and shareholders’ equity	$	549,079		$	631		$	549,710		$	—		$	549,710

	As of June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	43,158		$	—		$	43,158		$	—		$	43,158
Accounts receivable	63,031			(195		)	62,836			(25,708		)	37,128
Investments in available for sale securities	19,954			—			19,954			—			19,954
Restricted cash	4,072			—			4,072			—			4,072
Prepaid and other current assets	17,505			(245		)	17,260			(7,223		)	10,037
Assets of discontinued operations	12,436			19			12,455			43,396			55,851
Total current assets	160,156			(421		)	159,735			10,465			170,200
Property and equipment, net	273,208			529			273,737			(6,539		)	267,198
Equity investment in Affiliates Insurance Company	5,202			—			5,202			—			5,202
Restricted cash	3,712			—			3,712			—			3,712
Restricted investments in available for sale securities	12,445			—			12,445			—			12,445
Acquisition deposits	7,509			—			7,509			—			7,509
Goodwill and other intangible assets	15,496			—			15,496			(3,926		)	11,570
Other long term assets	3,823			—			3,823			—			3,823
Total assets	$	481,551		$	108		$	481,659		$	—		$	481,659
Current liabilities:
Accounts payable	$	18,621		$	—		$	18,621		$	(2,592	)	$	16,029
Accrued expenses	22,395			(1,289		)	21,106			(610		)	20,496
Accrued compensation and benefits	46,882			—			46,882			(8,884		)	37,998
Due to related persons	17,417			—			17,417			—			17,417
Mortgage notes payable	321			—			321			—			321
Bridge loan from Senior Housing Properties Trust	9,000			—			9,000			—			9,000
Accrued real estate taxes	10,428			—			10,428			(335		)	10,093
Security deposit liability	10,434			(436		)	9,998			(28		)	9,970
Other current liabilities	16,094			1,951			18,045			(5		)	18,040
Liabilities of discontinued operations	8,582			3			8,585			12,454			21,039
Total current liabilities	160,174			229			160,403			—			160,403
Long term liabilities:
Mortgage notes payable	19,614			—			19,614			—			19,614
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,133			—			2,133			—			2,133
Accrued self insurance obligations	24,415			—			24,415			—			24,415
Other long term liabilities	8,304			—			8,304			—			8,304
Total long term liabilities	91,748			—			91,748			—			91,748
Shareholders’ equity:
Common stock	475			—			475			—			475
Additional paid in capital	352,414			(48		)	352,366			—			352,366
Accumulated deficit	(129,454		)	(73		)	(129,527		)	—			(129,527		)
Accumulated other comprehensive income	6,194			—			6,194			—			6,194
Total shareholders’ equity	229,629			(121		)	229,508			—			229,508
Total liabilities and shareholders’ equity	$	481,551		$	108		$	481,659		$	—		$	481,659

	As of March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,008		$	—		$	26,008		$	—		$	26,008
Accounts receivable	64,419			(115		)	64,304			(26,934		)	37,370
Investments in available for sale securities	14,062			—			14,062			—			14,062
Restricted cash	6,838			—			6,838			—			6,838
Acquisition deposits	13,000			—			13,000			—			13,000
Prepaid and other current assets	19,872			—			19,872			(6,833		)	13,039
Assets of discontinued operations	12,542			115			12,657			44,838			57,495
Total current assets	156,741			—			156,741			11,071			167,812
Property and equipment, net	201,277			409			201,686			(7,055		)	194,631
Equity investment in Affiliates Insurance Company	5,117			—			5,117			—			5,117
Restricted cash	15,771			—			15,771			—			15,771
Restricted investments in available for sale securities	3,359			—			3,359			—			3,359
Goodwill and other intangible assets	15,609			—			15,609			(4,016		)	11,593
Other long term assets	3,821			—			3,821			—			3,821
Total assets	$	401,695		$	409		$	402,104		$	—		$	402,104
Current liabilities:
Revolving line of credit, secured, principally by accounts receivable	$	5,000		$	—		$	5,000		$	—		$	5,000
Accounts payable	25,992			—			25,992			(2,624		)	23,368
Accrued expenses	22,412			(1,452		)	20,960			31			20,991
Accrued compensation and benefits	45,385			—			45,385			(8,054		)	37,331
Due to related persons	17,823			—			17,823			—			17,823
Accrued real estate taxes	8,102			—			8,102			(256		)	7,846
Security deposit liability	10,390			(456		)	9,934			(28		)	9,906
Other current liabilities	11,325			2,064			13,389			(9		)	13,380
Liabilities of discontinued operations	8,905			100			9,005			10,940			19,945
Total current liabilities	155,334			256			155,590			—			155,590
Long term liabilities:
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,213			—			2,213			—			2,213
Accrued self insurance obligations	28,640			—			28,640			—			28,640
Other long term liabilities	8,728			—			8,728			—			8,728
Total long term liabilities	76,863			—			76,863			—			76,863
Shareholders’ equity:
Common stock	360			—			360			—			360
Additional paid in capital	297,908			(24		)	297,884			—			297,884
Accumulated deficit	(134,650		)	177			(134,473		)	—			(134,473		)
Accumulated other comprehensive income	5,880			—			5,880			—			5,880
Total shareholders’ equity	169,498			153			169,651			—			169,651
Total liabilities and shareholders’ equity	$	401,695		$	409		$	402,104		$	—		$	402,104

Summary of the impact of errors in the quarterly income statements

	For the three months ended December 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	279,154		$	(422	)	$	278,732		$	(8,942	)	$	269,790
Rehabilitation hospital revenue	27,547			—			27,547			(27,547		)	—
Management fee revenue	2,150			—			2,150			—			2,150
Reimbursed costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Total revenues	359,096			(422		)	$	358,674		(36,489		)	$	322,185
Operating expenses:
Senior living wages and benefits	135,356			31			135,387			(6,389		)	128,998
Other senior living operating expenses	70,007			(182		)	69,825			(2,712		)	67,113
Costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Rehabilitation hospital expenses	24,763			—			24,763			(24,763		)	—
Rent expense	50,598			—			50,598			(2,865		)	47,733
General and administrative	16,153			44			16,197			—			16,197
Depreciation and amortization	6,433			(19		)	6,414			(130		)	6,284
Total operating expenses	353,555			(126		)	353,429			(36,859		)	316,570
Operating income	5,541			(296		)	5,245			370			5,615
Interest, dividend and other income	243			—			243			—			243
Interest and other expense	(1,475		)	—			(1,475		)	—			(1,475		)
Acquisition related costs	(8		)	—			(8		)	—			(8		)
Loss on sale of available for sale securities	(81		)	—			(81		)	—			(81		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,220			(296		)	3,924			370			4,294
Provision for income taxes	(807		)	(1,424		)	(2,231		)	(150		)	(2,381		)
Equity in earnings of Affiliates Insurance Company	80			—			80			—			80
Income from continuing operations	3,493			(1,720		)	1,773			220			1,993
Income (loss) from discontinued operations	6			167			173			(220		)	(47		)
Net income	$	3,499		$	(1,553	)	$	1,946		$	—		$	1,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Basic	$	0.07					$	0.04					$	0.04
Diluted income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Diluted	$	0.07					$	0.04					$	0.04

	For the three months ended September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	277,568		$	(310	)	$	277,258		$	(8,613	)	$	268,645
Rehabilitation hospital revenue	26,328			—			26,328			(26,328		)	—
Management fee revenue	1,277			—			1,277			—			1,277
Reimbursed costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Total revenues	332,420			(310		)	332,110			(34,941		)	297,169
Operating Expenses:
Senior living wages and benefits	137,816			22			137,838			(6,454		)	131,384
Other senior living operating expenses	66,858			19			66,877			(2,298		)	64,579
Costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Rehabilitation hospital expenses	23,734			—			23,734			(23,734		)	—
Rent expense	50,523			—			50,523			(2,864		)	47,659
General and administrative	14,602			45			14,647			—			14,647
Depreciation and amortization	6,324			(20		)	6,304			(129		)	6,175
Total operating expenses	327,104			66			327,170			(35,479		)	291,691
Operating income	5,316			(376		)	4,940			538			5,478
Interest, dividend and other income	199			—			199			—			199
Interest and other expense	(1,762		)	—			(1,762		)	—			(1,762		)
Acquisition related costs	(100		)	—			(100		)	—			(100		)
Gain on sale of available for sale securities	63			—			63			—			63
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,716			(376		)	3,340			538			3,878
Provision for income taxes	(426		)	(260		)	(686		)	(219		)	(905		)
Equity in earnings of Affiliates Insurance Company	115			—			115			—			115
Income from continuing operations	3,405			(636		)	2,769			319			3,088
Income from discontinued operations	13,034			410			13,444			(319		)	13,125
Net income	$	16,439		$	(226	)	$	16,213		$	—		$	16,213
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.27						0.28						0.28
Net income per common share - Basic	$	0.34					$	0.34					$	0.34
Diluted income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.26						0.27						0.27
Net income per common share - Diluted	$	0.33					$	0.33					$	0.33

	For the three months ended June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	278,076		$	(147	)	$	277,929		$	(8,836	)	$	269,093
Rehabilitation hospital revenue	26,386			—			26,386			(26,386		)	—
Institutional pharmacy revenue	17,232			—			17,232			(17,232		)	—
Management fee revenue	1,302			—			1,302			—			1,302
Reimbursed costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Total revenues	349,094			(147		)	348,947			(52,454		)	296,493
Operating expenses:
Senior living wages and benefits	136,618			12			136,630			(6,378		)	130,252
Other senior living operating expenses	66,242			(200		)	66,042			(2,245		)	63,797
Costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Rehabilitation hospital expenses	23,872			—			23,872			(23,872		)	—
Institutional pharmacy expenses	17,258			—			17,258			(17,258		)	—
Rent expense	50,297			—			50,297			(2,866		)	47,431
General and administrative	15,389			45			15,434			—			15,434
Depreciation and amortization	6,709			(20		)	6,689			(486		)	6,203
Gain on settlement	(3,365		)	—			(3,365		)	—			(3,365		)
Total operating expenses	339,118			(163		)	338,955			(53,105		)	285,850
Operating income	9,976			16			9,992			651			10,643
Interest, dividend and other income	246			—			246			(12		)	234
Interest and other expense	(1,605		)	—			(1,605		)	—			(1,605		)
Gain on early extinguishment of debt	45			—			45			—			45
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	8,662			16			8,678			639			9,317
Provision for income taxes	(3,807		)	250			(3,557		)	(260		)	(3,817		)
Equity in earnings of Affiliates Insurance Company	76			—			76			—			76
Income from continuing operations	4,931			266			5,197			379			5,576
Loss from discontinued operations	(293		)	6			(287		)	(379		)	(666		)
Net income	$	4,638		$	272		$	4,910		$	—		$	4,910
Per Share data:
Basic income per share from:
Continuing operations	$	0.10					$	0.11					$	0.12
Discontinued operations	(0.01		)				(0.01		)				(0.02		)
Net income per common share - Basic	$	0.09					$	0.10					$	0.10
Diluted income per share from:
Continuing operations	$	0.10					$	0.11					$	0.11
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.09					$	0.10					$	0.10

	For the three months ended March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	276,220		$	(220	)	$	276,000		$	(9,195	)	$	266,805
Rehabilitation hospital revenue	26,787			—			26,787			(26,787		)	—
Institutional pharmacy revenue	18,621			—			18,621			(18,621		)	—
Management fee revenue	1,088			—			1,088			—			1,088
Reimbursed costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Total revenues	346,121			(220		)	345,901			(54,603		)	291,298
Operating expenses:
Senior living wages and benefits	138,374			24			138,398			(6,588		)	131,810
Other senior living operating expenses	66,962			(290		)	66,672			(2,412		)	64,260
Costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Rehabilitation hospital expenses	24,119			—			24,119			(24,119		)	—
Institutional pharmacy expenses	18,750			—			18,750			(18,750		)	—
Rent expense	50,227			—			50,227			(2,866		)	47,361
General and administrative	15,455			44			15,499			—			15,499
Depreciation and amortization	6,316			(19		)	6,297			(479		)	5,818
Total operating expenses	343,608			(241		)	343,367			(55,214		)	288,153
Operating income	2,513			21			2,534			611			3,145
Interest, dividend and other income	217			—			217			(12		)	205
Interest and other expense	(1,426		)	—			(1,426		)	—			(1,426		)
Loss on sale of available for sale securities	(1		)	—			(1		)	—			(1		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,303			21			1,324			599			1,923
Provision for income taxes	(602		)	45			(557		)	(244		)	(801		)
Equity in earnings of Affiliates Insurance Company	45			—			45			—			45
Income from continuing operations	746			66			812			355			1,167
Loss from discontinued operations	(377		)	37			(340		)	(355		)	(695		)
Net income	$	369		$	103		$	472		$	—		$	472
Per Share data:
Basic income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Basic	$	0.01					$	0.01					$	0.01
Diluted income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.01					$	0.01					$	0.01

	For the three months ended December 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	274,733		$	(429	)	$	274,304		$	(9,259	)	$	265,045
Rehabilitation hospital revenue	27,085			—			27,085			(27,085		)	—
Institutional pharmacy revenue	18,790			—			18,790			(18,790		)	—
Management fee revenue	515			—			515			(1		)	514
Reimbursed costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Total revenues	332,788			(429		)	332,359			(55,134		)	277,225
Operating expenses:
Senior living wages and benefits	137,411			21			137,432			(6,515		)	130,917
Other senior living operating expenses	66,532			420			66,952			(2,409		)	64,543
Costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Rehabilitation hospital expense	24,507			—			24,507			(24,507		)	—
Institutional pharmacy expense	18,433			—			18,433			(18,433		)	—
Rent expense	49,935			—			49,935			(2,867		)	47,068
General and administrative	15,298			(25		)	15,273			—			15,273
Depreciation and amortization	6,348			(32		)	6,316			(497		)	5,819
Impairment of long lived assets	3,500			—			3,500			(420		)	3,080
Total operating expenses	333,629			384			334,013			(55,647		)	278,366
Operating loss	(841		)	(813		)	(1,654		)	513			(1,141		)
Interest, dividend and other income	278			—			278			(14		)	264
Interest and other expenses	(1,512		)	—			(1,512		)	—			(1,512		)
Acquisition related costs	(229		)	—			(229		)	—			(229		)
Gain on sale of available for sale securities	3,460			—			3,460			—			3,460
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,156			(813		)	343			499			842
Benefit for income taxes	51,560			7,666			59,226			(205		)	59,021
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	52,744			6,853			59,597			294			59,891
Income from discontinued operations	2,657			(263		)	2,394			(294		)	2,100
Net income	$	55,401		$	6,590		$	61,991		$	—		$	61,991
Per Share data:
Basic income per share from:
Continuing operations	$	1.11					$	1.25					$	1.26
Discontinued operations	0.05						0.05						0.04
Net income per common share - Basic	$	1.16					$	1.30					$	1.30
Diluted income per share from:
Continuing operations	$	1.05					$	1.18					$	1.19
Discontinued operations	0.05						0.05						0.04
Net income per common share - Diluted	$	1.10					$	1.23					$	1.23

	For the three months ended September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	275,605		$	(342	)	$	275,263		$	(9,640	)	$	265,623
Rehabilitation hospital revenue	26,273			—			26,273			(26,273		)	—
Institutional pharmacy revenue	18,914			—			18,914			(18,914		)	—
Management fee revenue	359			—			359			—			359
Reimbursed costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Total revenues	329,475			(342		)	329,133			(54,827		)	274,306
Operating expenses:
Senior living wages and benefits	136,135			(63		)	136,072			(6,808		)	129,264
Other senior living operating expenses	68,669			(330		)	68,339			(2,495		)	65,844
Costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Rehabilitation hospital expense	23,300			—			23,300			(23,300		)	—
Institutional pharmacy expense	18,472			—			18,472			(18,472		)	—
Rent expense	50,140			—			50,140			(2,866		)	47,274
General and administrative	14,418			(24		)	14,394			—			14,394
Depreciation and amortization	5,858			—			5,858			(490		)	5,368
Total operating expenses	325,316			(417		)	324,899			(54,431		)	270,468
Operating income	4,159			75			4,234			(396		)	3,838
Interest, dividend and other income	368			—			368			(13		)	355
Interest and other expenses	(1,034		)	—			(1,034		)	—			(1,034		)
Acquisition related costs	(226		)	—			(226		)	—			(226		)
Gain on sale of available for sale securities	529			—			529			—			529
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,796			75			3,871			(409		)	3,462
Provision for income taxes	(186		)	(104		)	(290		)	25			(265		)
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	3,638			(29		)	3,609			(384		)	3,225
Loss from discontinued operations	(4,166		)	97			(4,069		)	384			(3,685		)
Net loss	$	(528	)	$	68		$	(460	)	$	—		$	(460	)
Per Share data:
Basic income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09		)				(0.09		)				(0.08		)
Net loss per common share - Basic	$	(0.01	)				$	(0.01	)				$	(0.01	)
Diluted income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09						(0.08		)				(0.07		)
Net loss per common share - Diluted	$	(0.01	)				$	(0.00	)				$	(0.00	)

	For the three months ended June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	266,066		$	(358	)	$	265,708		$	(10,353	)	$	255,355
Rehabilitation hospital revenue	26,337			—			26,337			(26,337		)	—
Institutional pharmacy revenue	19,573			—			19,573			(19,573		)	—
Management fee revenue	25			—			25			—			25
Reimbursed costs incurred on behalf of managed communities	562			—			562			—			562
Total revenues	312,563			(358		)	312,205			(56,263		)	255,942
Operating expenses:
Senior living wages and benefits	133,570			78			133,648			(7,120		)	126,528
Other senior living operating expenses	61,143			(93		)	61,050			(2,009		)	59,041
Costs incurred on behalf of managed communities	562			—			562			—			562
Rehabilitation hospital expense	23,445			—			23,445			(23,445		)	—
Institutional pharmacy expense	18,642			—			18,642			(18,642		)	—
Rent expense	48,003			—			48,003			(3,028		)	44,975
General and administrative	14,154			(24		)	14,130			—			14,130
Depreciation and amortization	4,620			—			4,620			(486		)	4,134
Total operating expenses	304,139			(39		)	304,100			(54,730		)	249,370
Operating income	8,424			(319		)	8,105			(1,533		)	6,572
Interest, dividend and other income	331			—			331			(14		)	317
Interest and other expenses	(870		)	—			(870		)	—			(870		)
Acquisition related costs	(1,202		)	—			(1,202		)	—			(1,202		)
Gain on sale of available for sale securities	51			—			51			—			51
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	6,734			(319		)	6,415			(1,547		)	4,868
Provision for income taxes	(441		)	(25		)	(466		)	93			(373		)
Equity in earnings of Affiliates Insurance Company	46			—			46			—			46
Income from continuing operations	6,339			(344		)	5,995			(1,454		)	4,541
Income from discontinued operations	(1,143		)	94			(1,049		)	1,454			405
Net income	$	5,196		$	(250	)	$	4,946		$	—		$	4,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03		)				(0.03		)				0.01
Net income per common share - Basic	$	0.14					$	0.13					$	0.13
Diluted income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03						(0.03		)				0.01
Net income per common share - Diluted	$	0.14					$	0.13					$	0.13

	For the three months ended March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	263,379		$	66		$	263,445		$	(10,731	)	$	252,714
Rehabilitation hospital revenue	25,625			—			25,625			(25,625		)	—
Institutional pharmacy revenue	19,337			—			19,337			(19,337		)	—
Total revenues	308,341			66			308,407			(55,693		)	252,714
Operating expenses:
Senior living wages and benefits	130,337			206			130,543			(7,240		)	123,303
Other senior living operating expenses	63,349			(390		)	62,959			(2,896		)	60,063
Rehabilitation hospital expense	24,053			—			24,053			(24,053		)	—
Institutional pharmacy expense	18,889			—			18,889			(18,889		)	—
Rent expense	47,662			—			47,662			(3,029		)	44,633
General and administrative	13,670			(24		)	13,646			—			13,646
Depreciation and amortization	4,311			—			4,311			(472		)	3,839
Total operating expenses	302,271			(208		)	302,063			(56,579		)	245,484
Operating income	6,070			274			6,344			886			7,230
Interest, dividend and other income	319			—			319			(15		)	304
Interest and other expenses	(501		)	—			(501		)	—			(501		)
Acquisition related costs	—			—			—			(102		)	(102		)
Gain on early extinguishment of debt	—			—			—			1			1
Gain on sale of available for sale securities	76			—			76			—			76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	5,964			274			6,238			770			7,008
Provision for income taxes	(379		)	(109		)	(488		)	(46		)	(534		)
Equity in earnings of Affiliates Insurance Company	37			—			37			—			37
Income from continuing operations	5,622			165			5,787			724			6,511
Loss from discontinued operations	(1,489		)	12			(1,477		)	(724		)	(2,201		)
Net income	$	4,133		$	177		$	4,310		$	—		$	4,310
Per Share data:
Basic income per share from:
Continuing operations	$	0.16					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Basic	$	0.12					$	0.12					$	0.12
Diluted income per share from:
Continuing operations	$	0.15					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Diluted	$	0.11					$	0.12					$	0.12

XML

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

XML

Selected Quarterly Financial Data (Unaudited) (Details 2) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Current assets:
Cash and cash equivalents	$ 24,638	$ 14,295	$ 23,635	$ 26,645	$ 28,374	$ 41,946	$ 43,158	$ 26,008	$ 24,638	$ 28,374	$ 20,770	$ 5,017
Accounts receivable	39,205	41,389	41,275	41,153	41,220	36,471	37,128	37,370	39,205	41,220
Due from related persons	6,881	6,088	2,536	4,607					6,881
Investments in available for sale securities	12,920	14,942	14,993	8,773	9,114	17,283	19,954	14,062	12,920	9,114
Restricted cash	6,548	5,904	6,507	5,749	4,838	5,171	4,072	6,838	6,548	4,838
Acquisition deposits								13,000
Prepaid expenses and other current assets		31,037	24,471	27,827		13,770	10,037	13,039
Assets of discontinued operations	30,100	32,723	47,246	50,342	51,826	49,735	55,851	57,495	30,100	51,826
Total current assets	158,610	146,378	160,663	165,096	162,559	164,376	170,200	167,812	158,610	162,559
Property and equipment, net	337,494	333,989	332,062	330,445	332,982	347,915	267,198	194,631	337,494	332,982
Equity investment in Affiliates Insurance Company	5,629	5,558	5,408	5,335	5,291	5,245	5,202	5,117	5,629	5,291
Restricted cash	12,166	9,262	6,313	6,317	4,092	4,306	3,712	15,771	12,166	4,092
Restricted investments in available for sale securities	10,580	11,904	11,299	12,871	13,115	12,987	12,445	3,359	10,580	13,115
Acquisition deposits							7,509
Goodwill and other intangible assets	27,708	28,001	28,293	29,311	29,334	11,547	11,570	11,593	27,708	29,334
Other long term assets	4,168	45,357	50,821	51,873	3,153	3,334	3,823	3,821	4,168	3,153
Total assets	592,569	580,449	594,859	601,248	559,346	549,710	481,659	402,104	592,569	559,346
Current liabilities:
Revolving credit facility, secured principally by real estate			37,500					5,000
Accounts payable	38,035	25,298	25,077	23,389	24,277	19,144	16,029	23,368	38,035	24,277
Accrued expenses	28,010	21,097	21,579	22,256	24,660	26,111	20,496	20,991	28,010	24,660
Accrued compensation and benefits	35,302	41,168	38,699	36,937	33,899	36,676	37,998	37,331	35,302	33,899
Due to related persons	19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494
Mortgage notes payable	1,092	1,076	1,060	1,044	1,027	1,012	321		1,092	1,027
Bridge loan from Senior Housing Properties Trust				38,000	38,000	48,000	9,000			38,000
Accrued real estate taxes	10,723	13,596	10,119	8,555	10,353	14,535	10,093	7,846	10,723	10,353
Security deposit liability	9,057	9,341	9,487	10,231	10,183	10,231	9,970	9,906	9,057	10,183
Other current liabilities	14,775	16,956	19,469	17,645	16,742	17,534	18,040	13,380	14,775	16,742
Liabilities of discontinued operations	16,977	18,076	17,950	19,580	18,355	19,354	21,039	19,945	16,977	18,355
Total current liabilities	198,327	166,523	200,348	196,766	196,990	208,903	160,403	155,590	198,327	196,990
Long term liabilities:
Mortgage notes payable	37,621	37,900	38,175	38,446	38,714	38,977	19,614		37,621	38,714
Convertible senior notes		24,872	24,872	37,282	37,282	37,282	37,282	37,282		37,282
Continuing care contracts	1,708	1,820	1,838	1,883	2,045	2,068	2,133	2,213	1,708	2,045
Accrued self insurance obligations	34,647	31,868	28,296	30,438	28,496	27,074	24,415	28,640	34,647	28,496
Other long term liabilities	6,712	6,493	6,883	7,267	7,498	7,715	8,304	8,728	6,712	7,498
Total long term liabilities	80,688	102,953	100,064	115,316	114,035	113,116	91,748	76,863	80,688	114,035
Commitments and contingencies
Shareholders' equity:
Common stock	482	479	479	479	479	476	475	360	482	479
Additional paid in capital	354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722
Accumulated deficit	(44,455)	(46,401)	(62,614)	(67,524)	(67,996)	(129,988)	(129,527)	(134,473)	(44,455)	(67,996)
Accumulated other comprehensive income	3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116
Total shareholders' equity	313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321	164,767	139,315
Total liabilities and shareholders' equity	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346
Revenues:
Senior living revenue	269,790	268,645	269,093	266,805	265,045	265,623	255,355	252,714	1,074,333	1,038,737	991,195
Management fee revenue	2,150	1,277	1,302	1,088	514	359	25		5,817	898
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562		126,995	20,552
Total revenues	322,185	297,169	296,493	291,298	277,225	274,306	255,942	252,714	1,207,145	1,060,187	991,195
Operating expenses:
Senior living wages and benefits	128,998	131,384	130,252	131,810	130,917	129,264	126,528	123,303	522,444	510,012	486,386
Other senior living operating expenses	67,113	64,579	63,797	64,260	64,543	65,844	59,041	60,063	259,749	249,491	233,080
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562		126,995	20,552
Rent expense	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	55,486
Depreciation and amortization	6,284	6,175	6,203	5,818	5,819	5,368	4,134	3,839	24,480	19,160	14,077
Impairment of long-lived assets					3,080					3,080
Gain on settlement			(3,365)						(3,365)
Total operating expenses	316,570	291,691	285,850	288,153	278,366	270,468	249,370	245,484	1,182,264	1,043,688	965,868
Operating income	5,615	5,478	10,643	3,145	(1,141)	3,838	6,572	7,230	24,881	16,499	25,327
Interest, dividend and other income	243	199	234	205	264	355	317	304	881	1,240	1,757
Interest and other expense	(1,475)	(1,762)	(1,605)	(1,426)	(1,512)	(1,034)	(870)	(501)	(6,268)	(3,917)	(2,597)
Acquisition related costs	(8)	(100)			(229)	(226)	(1,202)	(102)	108	1,759	0
Gain on early extinguishment of debt			45					1	45	1	592
(Loss) gain on sale of available for sale securities	(81)	63		(1)	3,460	529	51	76	(19)	4,116	933
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,294	3,878	9,317	1,923	842	3,462	4,868	7,008	19,412	16,180	26,154
(Provision) benefit for income taxes	(2,381)	(905)	(3,817)	(801)	59,021	(265)	(373)	(534)	(7,904)	57,849	(1,448)
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37	316	139	(1)
Income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705
Income (loss) from discontinued operations	(47)	13,125	(666)	(695)	2,100	(3,685)	405	(2,201)	17,158	(6,184)	(1,213)
Net income	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787	23,492
Basic income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.12	$ 0.02	$ 1.26	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.76	$ 0.69
Discontinued operations (in dollars per share)		$ 0.28	$ (0.02)	$ (0.01)	$ 0.04	$ (0.08)	$ 0.01	$ (0.06)	$ 0.24	$ (0.08)	$ (0.03)
Net income per share - basic (in dollars per share)	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68	$ 0.66
Diluted income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.19	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.67	$ 0.67
Discontinued operations (in dollars per share)		$ 0.27	$ (0.01)	$ (0.01)	$ 0.04	$ (0.07)	$ 0.01	$ (0.06)	$ 0.23	$ (0.08)	$ (0.03)
Net income per share - diluted (in dollars per share)	$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59	$ 0.64
As Reported
Current assets:
Cash and cash equivalents		14,295	23,635	26,645		41,946	43,158	26,008
Accounts receivable	53,134	54,880	63,130	65,106	56,509	59,972	63,031	64,419	53,134	56,509
Investments in available for sale securities		14,942	14,993	8,773		17,283	19,954	14,062
Restricted cash		5,904	6,507	5,749		5,171	4,072	6,838
Acquisition deposits								13,000
Prepaid expenses and other current assets		25,441	22,073	26,294		21,001	17,505	19,872
Assets of discontinued operations	10,430	13,003	8,401	8,515	29,022	8,812	12,436	12,542	10,430	29,022
Total current assets	137,314	128,465	138,739	141,082	148,252	154,185	160,156	156,741	137,314	148,252
Property and equipment, net	335,612	336,889	337,836	353,539	332,185	353,639	273,208	201,277	335,612	332,185
Equity investment in Affiliates Insurance Company		5,558	5,408	5,335		5,245	5,202	5,117
Restricted cash		9,262	6,313	6,317		4,306	3,712	15,771
Restricted investments in available for sale securities		11,904	11,299	12,871		12,987	12,445	3,359
Acquisition deposits							7,509
Goodwill and other intangible assets	27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414
Other long term assets		43,347	50,233	50,966	3,000	3,334	3,823	3,821		3,000
Total assets	571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477
Current liabilities:
Revolving credit facility, secured principally by real estate			37,500					5,000
Accounts payable	36,920	24,500	24,766	22,831	22,736	21,512	18,621	25,992	36,920	22,736
Accrued expenses	22,996	20,840	23,742	24,027	21,698	27,433	22,395	22,412	22,996	21,698
Accrued compensation and benefits	40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975
Due to related persons	11,715	12,791	15,956	13,467	18,659	16,306	17,417	17,823	11,715	18,659
Mortgage notes payable		1,076	1,060	1,044		1,012	321
Bridge loan from Senior Housing Properties Trust				38,000		48,000	9,000
Accrued real estate taxes	11,905	14,909	11,378	9,878	11,466	14,833	10,428	8,102	11,905	11,466
Security deposit liability	9,727	9,948	10,033	10,724	10,606	10,677	10,434	10,390	9,727	10,606
Other current liabilities	15,299	16,958	17,421	15,532	15,745	15,477	16,094	11,325	15,299	15,745
Liabilities of discontinued operations	8,448	8,764	8,491	8,932	10,419	8,854	8,582	8,905	8,448	10,419
Total current liabilities	183,960	157,904	195,735	189,067	189,331	208,195	160,174	155,334	183,960	189,331
Long term liabilities:
Mortgage notes payable		37,900	38,175	38,446		38,977	19,614
Convertible senior notes		24,872	24,872	37,282		37,282	37,282	37,282
Continuing care contracts		1,820	1,838	1,883		2,068	2,133	2,213
Accrued self insurance obligations		31,868	28,296	30,438		27,074	24,415	28,640
Other long term liabilities	6,615	6,415	6,800	7,184	7,415	7,715	8,304	8,728	6,615	7,415
Total long term liabilities	80,591	102,875	99,981	115,233	113,952	113,116	91,748	76,863	80,591	113,952
Commitments and contingencies
Shareholders' equity:
Common stock		479	479	479		476	475	360
Additional paid in capital	354,083	353,468	353,309	353,036	352,819	352,501	352,414	297,908	354,083	352,819
Accumulated deficit	(49,637)	(53,136)	(69,575)	(74,213)	(74,582)	(129,983)	(129,454)	(134,650)	(49,637)	(74,582)
Accumulated other comprehensive income	1,877	1,916	1,756	1,665	1,478	4,774	6,194	5,880	1,877	1,478
Total shareholders' equity	306,805	302,727	285,969	280,967	280,194	227,768	229,629	169,498	306,805	280,194
Total liabilities and shareholders' equity	571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477
Revenues:
Senior living revenue	279,154	277,568	278,076	276,220	274,733	275,605	266,066	263,379	1,111,018	1,078,380
Rehabilitation hospital revenue	27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320
Institutional pharmacy revenue			17,232	18,621	18,790	18,914	19,573	19,337
Management fee revenue	2,150	1,277	1,302	1,088	515	359	25
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562
Total revenues	359,096	332,420	349,094	346,121	332,788	329,475	312,563	308,341	1,350,878	1,205,150
Operating expenses:
Senior living wages and benefits	135,356	137,816	136,618	138,374	137,411	136,135	133,570	130,337	548,164	536,386
Other senior living operating expenses	70,007	66,858	66,242	66,962	66,532	68,669	61,143	63,349	270,069	259,655
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562
Rehabilitation hospital expenses	24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305
Institutional pharmacy expenses			17,258	18,750	18,433	18,472	18,642	18,889
Rent expense	50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407
General and administrative	16,153	14,602	15,389	15,455	15,298	14,418	14,154	13,670	61,599	57,540
Depreciation and amortization	6,433	6,324	6,709	6,316	6,348	5,858	4,620	4,311	25,064	19,694
Impairment of long-lived assets					3,500					3,500
Gain on settlement			(3,365)
Total operating expenses	353,555	327,104	339,118	343,608	333,629	325,316	304,139	302,271	1,330,020	1,188,039
Operating income	5,541	5,316	9,976	2,513	(841)	4,159	8,424	6,070	20,858	17,111
Interest, dividend and other income	243	199	246	217	278	368	331	319
Interest and other expense	(1,475)	(1,762)	(1,605)	(1,426)	(1,512)	(1,034)	(870)	(501)
Acquisition related costs	(8)	(100)			(229)	(226)	(1,202)
Gain on early extinguishment of debt			45
(Loss) gain on sale of available for sale securities	(81)	63		(1)	3,460	529	51	76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,220	3,716	8,662	1,303	1,156	3,796	6,734	5,964	18,754	16,792
(Provision) benefit for income taxes	(807)	(426)	(3,807)	(602)	51,560	(186)	(441)	(379)	(5,642)	50,554
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37
Income from continuing operations	3,493	3,405	4,931	746	52,744	3,638	6,339	5,622	13,428	67,485
Income (loss) from discontinued operations	6	13,034	(293)	(377)	2,657	(4,166)	(1,143)	(1,489)	11,517	(3,284)
Net income	3,499	16,439	4,638	369	55,401	(528)	5,196	4,133	24,945	64,201
Basic income per share from:
Continuing operations (in dollars per share)	$ 0.07	$ 0.07	$ 0.10	$ 0.02	$ 1.11	$ 0.08	$ 0.17	$ 0.16	$ 0.28	$ 1.60
Discontinued operations (in dollars per share)		$ 0.27	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.24	$ (0.08)
Net income per share - basic (in dollars per share)	$ 0.07	$ 0.34	$ (0.09)	$ 0.01	$ 1.16	$ (0.01)	$ 0.14	$ 0.12	$ 0.52	$ 1.52
Diluted income per share from:
Continuing operations (in dollars per share)	$ 0.07	$ 0.07	$ 0.10	$ 0.02	$ 1.05	$ 0.08	$ 0.17	$ 0.15	$ 0.28	$ 1.52
Discontinued operations (in dollars per share)		$ 0.26	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.24	$ (0.07)
Net income per share - diluted (in dollars per share)	$ 0.07	$ 0.33	$ (0.09)	$ 0.01	$ 1.10	$ (0.01)	$ 0.14	$ 0.11	$ 0.52	$ 1.45
Error Corrections
Current assets:
Accounts receivable	1,060	1,446	1,664	1,638	1,790	(186)	(195)	(115)	1,060	1,790
Due from related persons	6,881	6,088	2,536	4,607					6,881
Prepaid expenses and other current assets		6,499	7,925	7,737		(245)	(245)
Assets of discontinued operations	693	28	14	39	996	13	19	115	693	996
Total current assets	18,059	14,061	12,139	14,021	10,470	(418)	(421)		18,059	10,470
Property and equipment, net	5,039	872	447	1,053	4,554	1,049	529	409	5,039	4,554
Other long term assets		2,010	588	907	153					153
Total assets	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869
Current liabilities:
Accounts payable	2,768	2,645	2,539	2,697	2,979				2,768	2,979
Accrued expenses	5,212	458	(1,982)	(1,269)	3,104	(922)	(1,289)	(1,452)	5,212	3,104
Due to related persons	7,769	7,124	3,452	5,662	835				7,769	835
Accrued real estate taxes	(888)	(1,036)	(916)	(1,055)	(835)				(888)	(835)
Security deposit liability	(647)	(584)	(523)	(470)	(400)	(424)	(436)	(456)	(647)	(400)
Other current liabilities	(523)		2,048	2,113	997	2,058	1,951	2,064	(523)	997
Liabilities of discontinued operations	672	7	(5)	21	979	(4)	3	100	672	979
Total current liabilities	14,363	8,614	4,613	7,699	7,659	708	229	256	14,363	7,659
Long term liabilities:
Mortgage notes payable	9,947				8,956				9,947	8,956
Other long term liabilities	101	83	83	83	83				101	83
Total long term liabilities	101	83	83	83	83				101	83
Commitments and contingencies
Shareholders' equity:
Additional paid in capital	81	37	(8)	(53)	(97)	(72)	(48)	(24)	81	(97)
Accumulated deficit	5,182	6,735	6,961	6,689	6,586	(5)	(73)	177	5,182	6,586
Accumulated other comprehensive income	1,486	1,474	1,525	1,563	1,638				1,486	1,638
Total shareholders' equity	6,749	8,246	8,478	8,199	8,127	(77)	(121)	153	6,749	8,127
Total liabilities and shareholders' equity	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869
Revenues:
Senior living revenue	(422)	(310)	(147)	(220)	(429)	(342)	(358)	66	(1,099)	(1,064)
Total revenues	(422)	(310)	(147)	(220)	(429)	(342)	(358)	66	(1,099)	(1,064)
Operating expenses:
Senior living wages and benefits	31	22	12	24	21	(63)	78	206	89	242
Other senior living operating expenses	(182)	19	(200)	(290)	420	(330)	(93)	(390)	(653)	(394)
General and administrative	44	45	45	44	(25)	(24)	(24)	(24)	178	(97)
Depreciation and amortization	(19)	(20)	(20)	(19)	(32)				(78)	(32)
Total operating expenses	(126)					(417)	(39)	(208)	(464)	(281)
Operating income	(296)	(376)	16	21	(813)	75	(319)	274	(635)	(783)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	(296)	(376)	16	21	(813)	75	(319)	274	(635)	(783)
(Provision) benefit for income taxes	(1,424)	(260)	250	45	7,666	(104)	(25)	(109)	(1,739)	7,365
Income from continuing operations	(1,720)	(636)	266	66	6,853	(29)	(344)	165	(2,374)	6,582	649
Income (loss) from discontinued operations	167	410	6	37	(263)	97	94	12	6,934	(2,729)	649
Net income	(1,553)	(226)	272	103	6,590	68	(250)	177	(1,404)	6,586
Diluted income per share from:
Net income per share - diluted (in dollars per share)									$ 0.04	$ 0.14
As Corrected
Current assets:
Cash and cash equivalents		14,295	23,635	26,645		41,946	43,158	26,008
Accounts receivable	54,194	56,326	64,794	66,744	58,299	59,786	62,836	64,304	54,194	58,299
Due from related persons	6,881	6,088	2,536	4,607					6,881
Investments in available for sale securities		14,942	14,993	8,773		17,283	19,954	14,062
Restricted cash		5,904	6,507	5,749		5,171	4,072	6,838
Acquisition deposits								13,000
Prepaid expenses and other current assets		31,940	29,998	34,031		20,756	17,260	19,872
Assets of discontinued operations	11,123	13,031	8,415	8,554	30,018	8,825	12,455	12,657	11,123	30,018
Total current assets	155,373	142,526	150,878	155,103	158,722	153,767	159,735	156,741	155,373	158,722
Property and equipment, net	340,651	337,761	338,283	354,592	336,739	354,688	273,737	201,686	340,651	336,739
Equity investment in Affiliates Insurance Company		5,558	5,408	5,335		5,245	5,202	5,117
Restricted cash		9,262	6,313	6,317		4,306	3,712	15,771
Restricted investments in available for sale securities		11,904	11,299	12,871		12,987	12,445	3,359
Acquisition deposits							7,509
Goodwill and other intangible assets	27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414
Other long term assets		45,357	50,821	51,873	3,153	3,334	3,823	3,821		3,153
Total assets	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346
Current liabilities:
Revolving credit facility, secured principally by real estate			37,500					5,000
Accounts payable	39,688	27,145	27,305	25,528	25,715	21,512	18,621	25,992	39,688	25,715
Accrued expenses	28,208	21,298	21,760	22,758	24,802	26,511	21,106	20,960	28,208	24,802
Accrued compensation and benefits	40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975
Due to related persons	19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494
Mortgage notes payable		1,076	1,060	1,044		1,012	321
Bridge loan from Senior Housing Properties Trust				38,000		48,000	9,000
Accrued real estate taxes	11,017	13,873	10,462	8,823	10,631	14,833	10,428	8,102	11,017	10,631
Security deposit liability	9,080	9,364	9,510	10,254	10,206	10,253	9,998	9,934	9,080	10,206
Other current liabilities	14,776	16,958	19,469	17,645	16,742	17,535	18,045	13,389	14,776	16,742
Liabilities of discontinued operations	9,120	8,771	8,486	8,953	11,398	8,850	8,585	9,005	9,120	11,398
Total current liabilities	198,323	166,518	200,348	196,766	196,990	208,903	160,403	155,590	198,323	196,990
Long term liabilities:
Mortgage notes payable		37,900	38,175	38,446		38,977	19,614
Convertible senior notes		24,872	24,872	37,282		37,282	37,282	37,282
Continuing care contracts		1,820	1,838	1,883		2,068	2,133	2,213
Accrued self insurance obligations		31,868	28,296	30,438		27,074	24,415	28,640
Other long term liabilities	6,716	6,498	6,883	7,267	7,498	7,715	8,304	8,728	6,716	7,498
Total long term liabilities	80,692	102,958	100,064	115,316	114,035	113,116	91,748	76,863	80,692	114,035
Commitments and contingencies
Shareholders' equity:
Common stock		479	479	479		476	475	360
Additional paid in capital	354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722
Accumulated deficit	(44,455)	(46,401)	(62,614)	(67,524)	(67,996)	(129,988)	(129,527)	(134,473)	(44,455)	(67,996)
Accumulated other comprehensive income	3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116
Total shareholders' equity	313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321
Total liabilities and shareholders' equity	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346
Revenues:
Senior living revenue	278,732	277,258	277,929	276,000	274,304	275,263	265,708	263,445	1,109,919	1,077,316
Rehabilitation hospital revenue	27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320
Institutional pharmacy revenue			17,232	18,621	18,790	18,914	19,573	19,337
Management fee revenue	2,150	1,277	1,302	1,088	515	359	25
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562
Total revenues	358,674	332,110	348,947	345,901	332,359	329,133	312,205	308,407	1,349,779	1,204,086
Operating expenses:
Senior living wages and benefits	135,387	137,838	136,630	138,398	137,432	136,072	133,648	130,543	548,253	536,628
Other senior living operating expenses	69,825	66,877	66,042	66,672	66,952	68,339	61,050	62,959	269,416	259,261
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,665	8,324	562
Rehabilitation hospital expenses	24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305
Institutional pharmacy expenses			17,258	18,750	18,433	18,472	18,642	18,889
Rent expense	50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443
Depreciation and amortization	6,414	6,304	6,689	6,297	6,316	5,858	4,620	4,311	24,986	19,662
Impairment of long-lived assets					3,500					3,500
Gain on settlement			(3,365)
Total operating expenses	353,429	327,170	338,955	343,367	334,013	324,899	304,100	302,063	1,329,556	1,187,758
Operating income	5,245	4,940	9,992	2,534	(1,654)	4,234	8,105	6,344	20,223	16,328
Interest, dividend and other income	243	199	246	217	278	368	331	319
Interest and other expense	(1,475)	(1,762)	(1,605)	(1,426)	(1,512)	(1,034)	(870)	(501)
Acquisition related costs	(8)	(100)			(229)	(226)	(1,202)
Gain on early extinguishment of debt			45
(Loss) gain on sale of available for sale securities	(81)	63		(1)	3,460	529	51	76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,924	3,340	8,678	1,324	343	3,871	6,415	6,238	18,119	16,009
(Provision) benefit for income taxes	(2,231)	(686)	(3,557)	(557)	59,226	290	(466)	(488)	(7,381)	57,919
Equity in earnings of Affiliates Insurance Company	80	115	76	45	28	28	46	37
Income from continuing operations	1,773	2,769	5,197	812	59,597	3,609	5,995	5,787	11,054	74,067
Income (loss) from discontinued operations	173	13,444	(287)	(340)	2,394	(4,069)	(1,049)	(1,477)	18,451	(6,013)
Net income	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787
Basic income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.25	$ 0.08	$ 0.16	$ 0.16	$ 0.23	$ 1.76
Discontinued operations (in dollars per share)		$ 0.28	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.26	$ (0.08)
Net income per share - basic (in dollars per share)	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68
Diluted income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.18	$ 0.08	$ 0.16	$ 0.16	$ 0.22	$ 1.67
Discontinued operations (in dollars per share)		$ 0.27	$ (0.01)	$ (0.01)	$ 0.05	$ (0.08)	$ (0.03)	$ (0.04)	$ 0.25	$ (0.07)
Net income per share - diluted (in dollars per share)	$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59
Retrospective Adjustments for Discontinued Operations
Current assets:
Accounts receivable	(14,989)	(14,937)	(23,519)	(25,591)	(17,079)	(23,315)	(25,708)	(26,934)	(14,989)	(17,079)
Prepaid expenses and other current assets		(903)	(5,527)	(6,204)		(6,986)	(7,223)	(6,833)
Assets of discontinued operations	18,977	19,692	38,831	41,788	21,808	40,910	43,396	44,838	18,977	21,808
Total current assets	3,237	3,852	9,785	9,993	3,837	10,609	10,465	11,071	3,237	3,837
Property and equipment, net	(3,157)	(3,772)	(6,221)	(24,147)	(3,757)	(6,773)	(6,539)	(7,055)	(3,157)	(3,757)
Goodwill and other intangible assets	(80)	(80)	(3,564)	14,154	(80)	(3,836)	(3,926)	(4,016)	(80)	(80)
Current liabilities:
Accounts payable	(1,653)	(1,847)	(2,228)	(2,139)	(1,438)	(2,368)	(2,592)	(2,624)	(1,653)	(1,438)
Accrued expenses	(198)	(201)	(181)	(502)	(142)	(400)	(610)	31	(198)	(142)
Accrued compensation and benefits	(5,684)	(6,950)	(6,689)	(7,695)	(5,076)	(7,415)	(8,884)	(8,054)	(5,684)	(5,076)
Accrued real estate taxes	(294)	(277)	(343)	(268)	(278)	(298)	(335)	(256)	(294)	(278)
Security deposit liability	(23)	(23)	(23)	(23)	(23)	(22)	(28)	(28)	(23)	(23)
Other current liabilities	(1)	(2)				(1)	(5)	(9)	(1)
Liabilities of discontinued operations	7,857	9,305	9,464	10,627	6,957	10,504	12,454	10,940	7,857	6,957
Total current liabilities	4	5							4
Long term liabilities:
Other long term liabilities	(4)	(5)							(4)
Total long term liabilities	(4)	(5)							(4)
Commitments and contingencies
Revenues:
Senior living revenue	(8,942)	(8,613)	(8,836)	(9,195)	(9,259)	(9,640)	(10,353)	(10,731)	(35,586)	(38,579)
Rehabilitation hospital revenue	(27,547)	(26,328)	(26,386)	(26,787)	(27,085)	(26,273)	(26,337)	(25,625)	(107,048)	(105,320)
Institutional pharmacy revenue			(17,232)	(18,621)	(18,790)	(18,914)	(19,573)	(19,337)
Management fee revenue					(1)
Reimbursed costs incurred on behalf of managed communities					1
Total revenues	(36,489)	(34,941)	(52,454)	(54,603)	(55,134)	(54,827)	(56,263)	(55,693)	(142,634)	(143,899)
Operating expenses:
Senior living wages and benefits	(6,389)	(6,454)	(6,378)	(6,588)	(6,515)	(6,808)	(7,120)	(7,240)	(25,809)	(26,616)
Other senior living operating expenses	(2,712)	(2,298)	(2,245)	(2,412)	(2,409)	(2,495)	(2,009)	(2,896)	(9,667)	(9,770)
Costs incurred on behalf of managed communities					1
Rehabilitation hospital expenses	(24,763)	(23,734)	(23,872)	(24,119)	(24,507)	(23,300)	(23,445)	(24,053)	(96,488)	(95,305)
Institutional pharmacy expenses			(17,258)	(18,750)	(18,433)	(18,472)	(18,642)	(18,889)
Rent expense	(2,865)	(2,864)	(2,866)	(2,866)	(2,867)	(2,866)	(3,028)	(3,029)	(11,457)	(11,457)
Depreciation and amortization	(130)	(129)	(486)	(479)	(497)	(490)	(486)	(472)	(506)	(502)
Impairment of long-lived assets					(420)					(420)
Total operating expenses	(36,859)	(35,479)	(53,105)	(55,214)	(55,647)	(54,431)	(54,730)	(56,579)	(143,927)	(144,070)
Operating income	370	538	651	611	513	(396)	(1,533)	886	1,293	171
Interest, dividend and other income			(12)	(12)	(14)	(13)	(14)	(15)
Acquisition related costs								(102)
Gain on early extinguishment of debt								1
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	370	538	639	599	499	(409)	(1,547)	770	1,293	171
(Provision) benefit for income taxes	(150)	(219)	(260)	(244)	(205)	25	93	(46)	(523)	(70)
Income from continuing operations	220	319	379	355	294	(384)	(1,454)	724	770	101
Income (loss) from discontinued operations	$ (220)	$ (319)	$ (379)	$ (355)	$ (294)	$ 384	$ 1,454	$ (724)	$ (1,293)	$ (171)

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

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

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Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2012

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

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

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

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

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

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

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

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

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

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

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

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

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

	December 31, 2012
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	4,052	$	75	$	3,268	$	195	$	7,320	$	270

	December 31, 2011
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	6,414	$	185	$	—	$	—	$	6,414	$	185

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

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

	2012				2011
	Current		Long term		Current		Long term
Insurance reserves	$	3,053	$	8,768	$	1,842	$	4,092
Real estate taxes and capital expenditures as required by our mortgages	2,761		—		2,335		—
Indemnification obligations associated with the sale of our pharmacy business	—		3,398		—		—
Resident security deposits	734		—		661		—
Total	$	6,548	$	12,166	$	4,838	$	4,092

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2012

Goodwill and Other Intangible Assets

Schedule of the changes in the carrying amount of goodwill and other intangible assets

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

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Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2012

Property and Equipment

Schedule of property and equipment, at cost

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

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Leases (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended													12 Months Ended
	Dec. 31, 2012 property	Dec. 31, 2012 Lease No. 1 Two 15-year renewal options item property	Dec. 31, 2012 Lease No. 2 Two 10-year renewal options item property	Dec. 31, 2012 Lease No. 3 Two 15-year renewal options item property	Dec. 31, 2012 Lease No. 4 Two 15-year renewal options item property	Dec. 31, 2012 One HCP lease Two 10-year renewal options item property	Dec. 31, 2012 SNH property	Dec. 31, 2011 SNH	Dec. 31, 2010 SNH	Dec. 31, 2012 SNH Lease No. 1 property	Dec. 31, 2012 SNH Lease No. 4 property	Dec. 31, 2012 Senior Living Communities property	Dec. 31, 2012 Senior Living Communities HCP property	Dec. 31, 2012 Senior Living Communities SNH property	Dec. 31, 2011 Senior Living Communities SNH	Dec. 31, 2010 Senior Living Communities SNH	Dec. 31, 2012 Rehabilitation hospitals property	Dec. 31, 2012 Rehabilitation hospitals SNH property	Jun. 30, 2012 Rehabilitation hospitals SNH property
Leases
Number of properties under percentage rent														181
Percentage of gross revenue														4.00%
Percentage rent														$ 4,888	$ 4,879	$ 4,443
Amount funded for leasehold improvements							30,520	33,269	31,894
Increase (decrease) in annual lease rent payable							2,456	2,665	2,550
Number of properties leased and operated	194	91	53	17	29	4						181	4	188			2	2	2
Number of real estate properties classified as discontinued operations														11				2
Annual minimum rent	$ 198,871	$ 58,779	$ 70,442	$ 33,997	$ 34,470	$ 1,183
Number of renewal options		2	2	2	2	2
Renewal term		15 years	10 years	15 years	15 years	10 years
Number of leases							4			4	3
Number of property leases, which exist to accommodate mortgage financing										3	2
Number of leases combined into as and when mortgage financings are paid										1	1

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Summary of Significant Accounting Policies (Details 5) (USD $) In Thousands, unless otherwise specified			12 Months Ended
	Dec. 31, 2012 item	Dec. 31, 2011	Dec. 31, 2012 One form	Dec. 31, 2012 Second form	Dec. 31, 2012 Historical form	Dec. 31, 2012 Second historical form	Dec. 31, 2012 Third historical form
Continuing care contracts
Number of forms of contracts offered to new residents	2
Percentage of resident admission fee that becomes non-refundable			10.00%	30.00%	10.00%		99.00%
Remaining percentage of resident admission fee that becomes non-refundable			90.00%
Monthly reduction in refundable fee, as a percentage of original admission fee			1.50%
Period during which admission fee becomes non-refundable			60 months
Percentage of admission fee that become refundable				70.00%	90.00%	100.00%	1.00%
Number of forms of contracts offered to existing residents	3
Refundable admission fees	$ 4,255	$ 5,082

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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2012

Income Taxes

Schedule of deferred tax assets and liabilities

	2012			2011
	(Restated)			(Restated)
Current deferred tax assets:
Continuing care contracts	$	607		$	676
Allowance for doubtful accounts	1,559			1,795
Insurance reserves	1,015			1,092
Deferred gains on sale lease back transactions	1,278			1,126
Tax credits	465			420
Tax loss carry forwards	9,190			8,114
Other	1,220			1,217
Total current deferred tax assets before valuation allowance	15,334			14,440
Valuation allowance:	(297		)	(481		)
Total current deferred tax assets	15,037			13,959
Non-current deferred tax assets:
Continuing care contracts	228			249
Deferred gains on sale lease back transactions	981			899
Insurance reserves	2,919			2,768
Tax credits	11,264			10,121
Tax loss carry forwards	25,246			36,783
Impairment of securities	501			1,671
Other	1,431			1,842
Total non-current deferred tax assets before valuation allowance	42,570			54,333
Valuation allowance:	(1,891		)	(2,882		)
Total non-current deferred tax assets	40,679			51,451
Current deferred tax liabilities:
Employee stock grants	(130		)	(140		)
Non-current deferred tax liabilities:
Depreciable assets	(1,674		)	187
Lease expense	(696		)	(1,094		)
Goodwill	(1,087		)	(105		)
Identifiable intangibles/other liabilities	(1,008		)	(1,619		)
Total non-current deferred tax liabilities	(4,465		)	(2,631		)
Net deferred tax asset	$	51,121		$	62,639

Schedule of movement in valuation allowance

	Balance at Beginning of Period(Restated)		Amounts Charged/ (Credited) To Expense (Restated)			Amounts Charged Off, Net of Recoveries		Balance at End of Period (Restated)
Year Ended December 31, 2010	$	65,231	$	(6,860	)	$	—	$	58,371
Year Ended December 31, 2011	$	58,371	$	(55,008	)	$	—	$	3,363
Year Ended December 31, 2012	$	3,363	$	(1,175	)	$	—	$	2,188

Schedule of provision (benefit) for income taxes from continuing operations

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

Schedule of difference between effective tax (benefit) rate on continuing operations and the U.S. Federal statutory income tax (benefit) rate

	For the years ended December 31,
	2012		2011
	(Restated)		(Restated)		2010
Taxes at statutory U.S. federal income tax rate	35.0	%	35.0	%	35.0	%
State and local income taxes, net of federal tax benefit	8.3	%	(13.8	)%	8.7	%
Tax credits	(3.7	)%	(16.6	)%	(7.5	)%
Change in valuation allowance	0.1	%	(360.9	)%	(33.5	)%
US permanent differences	0.6	%	0.6	%	1.5	%
Other differences, net	(0.2	)%	1.2	%	1.3	%
Effective tax rate	40.1	%	(354.5	)%	5.5	%

Summary of reconciliation of unrecognized tax benefits

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

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Earnings Per Share (Tables)

12 Months Ended

Dec. 31, 2012

Earnings Per Share

Schedule of reconciliation of income from continuing operations and income (loss) from discontinued operations and the number of common shares used in the computations of diluted EPS

	Year Ended December 31,
	2012 (Restated)					2011 (Restated)							2010
	Income (loss)		Shares	Per Share		Income (loss)			Shares	Per Share			Income (loss)			Shares	Per Share
Income from continuing operations	$	11,824	47,952	$	0.25	$	74,168		42,161	$	1.76		$	24,705		35,736	$	0.69
Effect of the Notes	677		2,182			962			2,873				1,652			3,471
Diluted income from continuing operations	$	11,824	50,134	$	0.25	$	75,130		45,034	$	1.67		$	26,357		39,207	$	0.67
Diluted income (loss) from discontinued operations	$	11,717	50,134	$	0.23	$	(3,381	)	45,034	$	(0.08	)	$	(1,213	)	39,207	$	(0.03	)

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Organization and Business

12 Months Ended

Dec. 31, 2012

Organization and Business

Organization and Business

1. Organization and Business

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

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

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

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Fair Values of Assets and Liabilities (Tables)

12 Months Ended

Dec. 31, 2012

Fair Values of Assets and Liabilities

Schedule of assets measured at fair value on a recurring and non recurring basis, categorized by the level of inputs used in the valuation of each asset

	As of December 31, 2012								As of December 31, 2011
Description	Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)		Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)
Cash equivalents (1)	22,149		22,149		—		—		19,745		19,745		—		—
Available for sale securities: (2)
Equity securities
Financial services industry	6,025		6,025		—		—		3,752		3,752		—		—
REIT industry	484		484		—		—		472		472		—		—
Other	775		775		—		—		789		789		—		—
Total equity securities	7,284		7,284		—		—		5,013		5,013		—		—
Debt securities
International bond fund (3)	2,345		—		2,345		—		2,246		—		2,246		—
High yield fund (4)	2,168		—		2,168		—		—		—		—		—
Industrial bonds	5,186		—		5,186		—		7,467		—		7,467		—
Government bonds	4,666		4,666		—		—		5,524		5,524		—		—
Financial bonds	982		—		982		—		1,104		—		1,104		—
Other	869		—		869		—		875		—		875		—
Total debt securities	16,216		4,666		11,550		—		17,216		5,524		11,692		—
Total available for sale securities	23,500		11,950		11,550		—		22,229		10,537		11,692		—
Total	$	45,649	$	34,099	$	11,550	$	—	$	41,974	$	30,282	$	11,692	$	—

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

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

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

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

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

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

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

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

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

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Acquisitions (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended						12 Months Ended						3 Months Ended														4 Months Ended		0 Months Ended	1 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2011 Land	Dec. 31, 2011 Building and Improvements	Dec. 31, 2011 Furniture, fixtures and equipments	Dec. 31, 2012 Preliminary Amounts Recorded	Sep. 30, 2012 Preliminary Amounts Recorded	Dec. 31, 2011 Preliminary Amounts Recorded	Sep. 30, 2011 Preliminary Amounts Recorded	Jun. 30, 2011 Preliminary Amounts Recorded	Dec. 31, 2011 Preliminary Amounts Recorded Land	Dec. 31, 2011 Preliminary Amounts Recorded Building and Improvements	Dec. 31, 2011 Preliminary Amounts Recorded Furniture, fixtures and equipments	Dec. 31, 2011 Measurement Period Adjustment	Dec. 31, 2011 Measurement Period Adjustment Land	Dec. 31, 2011 Measurement Period Adjustment Building and Improvements	Dec. 31, 2011 Measurement Period Adjustment Furniture, fixtures and equipments	Sep. 30, 2011 Bridge Loan SNH	May 31, 2011 Bridge Loan SNH	Sep. 30, 2011 Indiana Communities item	Sep. 30, 2011 Indiana Communities Mortgage notes item	Aug. 31, 2010 Wisconsin item	May 31, 2011 Arizona item	May 31, 2011 Arizona Mortgage notes
Acquisitions
Number of living units in properties acquired																											1,476		110	116
Aggregate purchase price of properties acquired, excluding closing costs																											$ 122,760		$ 14,700	$ 25,600
Amount agreed to be lent																									80,000	80,000
Assumption of mortgage note payable								40,289																							18,652
Assumption of resident deposits																													1,311
Number of real estate properties mortgaged																												3
Amounts as previously reported and restated to reflect the adjustments made to property and equipment, goodwill and other intangible assets
Property and equipment			104,951					104,951		4,205	91,040	9,706			122,760			4,715	106,240	11,805	(17,809)	(510)	(15,200)	(2,099)
Goodwill related to home health services			14,565					14,565													14,565
Other intangible assets related to resident agreements			3,244					3,244													3,244
Acquisition related costs	$ (8)	$ (100)	$ (229)	$ (226)	$ (1,202)	$ (102)	$ 108	$ 1,759	$ 0				$ (8)	$ (100)	$ (229)	$ (226)	$ (1,202)

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Acquisitions (Tables)

12 Months Ended

Dec. 31, 2012

Acquisitions

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

	As of December 31, 2011
	Preliminary Amounts Recorded		Measurement Period Adjustment			Revised Amounts Recorded
Land	$	4,715	$	(510	)	$	4,205
Building and improvements	106,240		(15,200		)	91,040
Furniture, fixtures and equipment	11,805		(2,099		)	9,706
Property and equipment	$	122,760	$	(17,809	)	$	104,951
Goodwill related to home health services	$	—	$	14,565		$	14,565
Other intangible assets related to resident agreements	$	—	$	3,244		$	3,244

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

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Related Person Transactions

12 Months Ended

Dec. 31, 2012

Related Person Transactions

Related Person Transactions

15. Related Person Transactions

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

XML

Discontinued Operations (Tables)

12 Months Ended

Dec. 31, 2012

Discontinued Operations

Summary of the operating results of discontinued operations included in the financial statements

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

XML

Selected Quarterly Financial Data (Unaudited)

12 Months Ended

Dec. 31, 2012

Selected Quarterly Financial Data (Unaudited)

Selected Quarterly Financial Data (Unaudited)

17.   Selected Quarterly Financial Data (Unaudited)

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

	2012
	First Quarter		Second Quarter		Third Quarter		Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)		(As Restated)
Revenues	$	291,298	$	296,493	$	297,169	$	322,185
Operating income	3,145		10,643		5,478		5,615
Income from continuing operations	1,167		5,576		3,088		1,993
Net income	472		4,910		16,213		1,946
Net income per common share - Basic	$	0.01	$	0.10	$	0.34	$	0.04
Net income per common share - Diluted	$	0.01	$	0.10	$	0.33	$	0.04

	2011
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
	(As Restated)		(As Restated)		(As Restated)			(As Restated)
Revenues	$	252,714	$	255,942	$	274,306		$	277,225
Operating income (loss)	7,230		6,572		3,838			(1,141		)
Income from continuing operations (1)	6,511		4,541		3,225			59,891
Net income (loss)	4,310		4,946		(460		)	61,991
Net income (loss) per common share - Basic	$	0.12	$	0.13	$	(0.01	)	$	1.30
Net income (loss) per common share - Diluted	$	0.12	$	0.13	$	(0.00	)	$	1.23

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

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

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

	As of September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	14,295		$	—		$	14,295		$	—		$	14,295
Accounts receivable	54,880			1,446			56,326			(14,937		)	41,389
Due from related persons	—			6,088			6,088			—			6,088
Investments in available for sale securities	14,942			—			14,942			—			14,942
Restricted cash	5,904			—			5,904			—			5,904
Prepaid expenses and other current assets(1)	25,441			6,499			31,940			(903		)	31,037
Assets of discontinued operations	13,003			28			13,031			19,692			32,723
Total current assets	128,465			14,061			142,526			3,852			146,378
Property and equipment, net	336,889			872			337,761			(3,772		)	333,989
Equity investment in Affiliates Insurance Company	5,558			—			5,558			—			5,558
Restricted cash	9,262			—			9,262			—			9,262
Restricted investments in available for sale securities	11,904			—			11,904			—			11,904
Goodwill and other intangible assets	28,081			—			28,081			(80		)	28,001
Other long term assets(2)	43,347			2,010			45,357			—			45,357
Total assets	$	563,506		$	16,943		$	580,449		$	—		$	580,449
Current liabilities:
Accounts payable	$	24,500		$	2,645		$	27,145		$	(1,847	)	$	25,298
Accrued expenses	20,840			458			21,298			(201		)	21,097
Accrued compensation and benefits	48,118			—			48,118			(6,950		)	41,168
Due to related persons	12,791			7,124			19,915			—			19,915
Mortgage notes payable	1,076			—			1,076			—			1,076
Accrued real estate taxes	14,909			(1,036		)	13,873			(277		)	13,596
Security deposit liability	9,948			(584		)	9,364			(23		)	9,341
Other current liabilities	16,958			—			16,958			(2		)	16,956
Liabilities of discontinued operations	8,764			7			8,771			9,305			18,076
Total current liabilities	157,904			8,614			166,518			5			166,523
Long term liabilities:
Mortgage notes payable	37,900			—			37,900			—			37,900
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,820			—			1,820			—			1,820
Accrued self insurance obligations	31,868			—			31,868			—			31,868
Other long term liabilities	6,415			83			6,498			(5		)	6,493
Total long term liabilities	102,875			83			102,958			(5		)	102,953
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,468			37			353,505			—			353,505
Accumulated deficit	(53,136		)	6,735			(46,401		)	—			(46,401		)
Accumulated other comprehensive income	1,916			1,474			3,390			—			3,390
Total shareholders’ equity	302,727			8,246			310,973			—			310,973
Total liabilities and shareholders’ equity	$	563,506		$	16,943		$	580,449		$	—		$	580,449

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

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

	As of June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	23,635		$	—		$	23,635		$	—		$	23,635
Accounts receivable	63,130			1,664			64,794			(23,519		)	41,275
Due from related persons	—			2,536			2,536			—			2,536
Investments in available for sale securities	14,993			—			14,993			—			14,993
Restricted cash	6,507			—			6,507			—			6,507
Prepaid expenses and other current assets(1)	22,073			7,925			29,998			(5,527		)	24,471
Assets of discontinued operations	8,401			14			8,415			38,831			47,246
Total current assets	138,739			12,139			150,878			9,785			160,663
Property and equipment, net	337,836			447			338,283			(6,221		)	332,062
Equity investment in Affiliates Insurance Company	5,408			—			5,408			—			5,408
Restricted cash	6,313			—			6,313			—			6,313
Restricted investments in available for sale securities	11,299			—			11,299			—			11,299
Goodwill and other intangible assets	31,857			—			31,857			(3,564		)	28,293
Other long term assets(2)	50,233			588			50,821			—			50,821
Total assets	$	581,685		$	13,174		$	594,859		$	—		$	594,859
Current liabilities:
Revolving credit facility, secured principally by real estate	$	37,500		$	—		$	37,500		$	—		$	37,500
Accounts payable	24,766			2,539			27,305			(2,228		)	25,077
Accrued expenses	23,742			(1,982		)	21,760			(181		)	21,579
Accrued compensation and benefits	45,388			—			45,388			(6,689		)	38,699
Due to related persons	15,956			3,452			19,408			—			19,408
Mortgage notes payable	1,060			—			1,060			—			1,060
Accrued real estate taxes	11,378			(916		)	10,462			(343		)	10,119
Security deposit liability	10,033			(523		)	9,510			(23		)	9,487
Other current liabilities	17,421			2,048			19,469			—			19,469
Liabilities of discontinued operations	8,491			(5		)	8,486			9,464			17,950
Total current liabilities	195,735			4,613			200,348			—			200,348
Long term liabilities:
Mortgage notes payable	38,175			—			38,175			—			38,175
Convertible senior notes	24,872			—			24,872			—			24,872
Continuing care contracts	1,838			—			1,838			—			1,838
Accrued self insurance obligations	28,296			—			28,296			—			28,296
Other long term liabilities	6,800			83			6,883			—			6,883
Total long term liabilities	99,981			83			100,064			—			100,064
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,309			(8		)	353,301			—			353,301
Accumulated deficit	(69,575		)	6,961			(62,614		)	—			(62,614		)
Accumulated other comprehensive income	1,756			1,525			3,281			—			3,281
Total shareholders’ equity	285,969			8,478			294,447			—			294,447
Total liabilities and shareholders’ equity	$	581,685		$	13,174		$	594,859		$	—		$	594,859

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

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

	As of March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,645		$	—		$	26,645		$	—		$	26,645
Accounts receivable	65,106			1,638			66,744			(25,591		)	41,153
Due from related persons	—			4,607			4,607			—			4,607
Investments in available for sale securities	8,773			—			8,773			—			8,773
Restricted cash	5,749			—			5,749			—			5,749
Prepaid expenses and other current assets(1)	26,294			7,737			34,031			(6,204		)	27,827
Assets of discontinued operations	8,515			39			8,554			41,788			50,342
Total current assets	141,082			14,021			155,103			9,993			165,096
Property and equipment, net	353,539			1,053			354,592			(24,147		)	330,445
Equity investment in Affiliates Insurance Company	5,335			—			5,335			—			5,335
Restricted cash	6,317			—			6,317			—			6,317
Restricted investments in available for sale securities	12,871			—			12,871			—			12,871
Goodwill and other intangible assets	15,157			—			15,157			14,154			29,311
Other long term assets(2)	50,966			907			51,873			—			51,873
Total assets	$	585,267		$	15,981		$	601,248		$	—		$	601,248
Current liabilities:
Accounts payable	$	22,831		$	2,697		$	25,528		$	(2,139	)	$	23,389
Accrued expenses	24,027			(1,269		)	22,758			(502		)	22,256
Accrued compensation and benefits	44,632			—			44,632			(7,695		)	36,937
Due to related persons	13,467			5,662			19,129			—			19,129
Mortgage notes payable	1,044			—			1,044			—			1,044
Bridge loan from Senior Housing Properties Trust	38,000			—			38,000			—			38,000
Accrued real estate taxes	9,878			(1,055		)	8,823			(268		)	8,555
Security deposit liability	10,724			(470		)	10,254			(23		)	10,231
Other current liabilities	15,532			2,113			17,645			—			17,645
Liabilities of discontinued operations	8,932			21			8,953			10,627			19,580
Total current liabilities	189,067			7,699			196,766			—			196,766
Long term liabilities:
Mortgage notes payable	38,446			—			38,446			—			38,446
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	1,883			—			1,883			—			1,883
Accrued self insurance obligations	30,438			—			30,438			—			30,438
Other long term liabilities	7,184			83			7,267			—			7,267
Total long term liabilities	115,233			83			115,316			—			115,316
Commitments and contingencies
Shareholders’ equity:
Common stock	479			—			479			—			479
Additional paid in capital	353,036			(53		)	352,983			—			352,983
Accumulated deficit	(74,213		)	6,689			(67,524		)	—			(67,524		)
Accumulated other comprehensive income	1,665			1,563			3,228			—			3,228
Total shareholders’ equity	280,967			8,199			289,166			—			289,166
Total liabilities and shareholders’ equity	$	585,267		$	15,981		$	601,248		$	—		$	601,248

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

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

	As of September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	41,946		$	—		$	41,946		$	—		$	41,946
Accounts receivable	59,972			(186		)	59,786			(23,315		)	36,471
Investments in available for sale securities	17,283			—			17,283			—			17,283
Restricted cash	5,171			—			5,171			—			5,171
Prepaid and other current assets	21,001			(245		)	20,756			(6,986		)	13,770
Assets of discontinued operations	8,812			13			8,825			40,910			49,735
Total current assets	154,185			(418		)	153,767			10,609			164,376
Property and equipment, net	353,639			1,049			354,688			(6,773		)	347,915
Equity investment in Affiliates Insurance Company	5,245			—			5,245			—			5,245
Restricted cash	4,306			—			4,306			—			4,306
Restricted investments in available for sale securities	12,987			—			12,987			—			12,987
Goodwill and other intangible assets	15,383			—			15,383			(3,836		)	11,547
Other long term assets	3,334			—			3,334			—			3,334
Total assets	$	549,079		$	631		$	549,710		$	—		$	549,710
Current liabilities:
Accounts payable	$	21,512		$	—		$	21,512		$	(2,368	)	$	19,144
Accrued expenses	27,433			(922		)	26,511			(400		)	26,111
Accrued compensation and benefits	44,091			—			44,091			(7,415		)	36,676
Due to related persons	16,306			—			16,306			—			16,306
Mortgage notes payable	1,012			—			1,012			—			1,012
Bridge loan from Senior Housing Properties Trust	48,000			—			48,000			—			48,000
Accrued real estate taxes	14,833			—			14,833			(298		)	14,535
Security deposit liability	10,677			(424		)	10,253			(22		)	10,231
Other current liabilities	15,477			2,058			17,535			(1		)	17,534
Liabilities of discontinued operations	8,854			(4		)	8,850			10,504			19,354
Total current liabilities	208,195			708			208,903			—			208,903
Long term liabilities:
Mortgage notes payable	38,977			—			38,977			—			38,977
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,068			—			2,068			—			2,068
Accrued self insurance obligations	27,074			—			27,074			—			27,074
Other long term liabilities	7,715			—			7,715			—			7,715
Total long term liabilities	113,116			—			113,116			—			113,116
Shareholders’ equity:
Common stock	476			—			476			—			476
Additional paid in capital	352,501			(72		)	352,429			—			352,429
Accumulated deficit	(129,983		)	(5		)	(129,988		)	—			(129,988		)
Accumulated other comprehensive income	4,774			—			4,774			—			4,774
Total shareholders’ equity	227,768			(77		)	227,691			—			227,691
Total liabilities and shareholders’ equity	$	549,079		$	631		$	549,710		$	—		$	549,710

	As of June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	43,158		$	—		$	43,158		$	—		$	43,158
Accounts receivable	63,031			(195		)	62,836			(25,708		)	37,128
Investments in available for sale securities	19,954			—			19,954			—			19,954
Restricted cash	4,072			—			4,072			—			4,072
Prepaid and other current assets	17,505			(245		)	17,260			(7,223		)	10,037
Assets of discontinued operations	12,436			19			12,455			43,396			55,851
Total current assets	160,156			(421		)	159,735			10,465			170,200
Property and equipment, net	273,208			529			273,737			(6,539		)	267,198
Equity investment in Affiliates Insurance Company	5,202			—			5,202			—			5,202
Restricted cash	3,712			—			3,712			—			3,712
Restricted investments in available for sale securities	12,445			—			12,445			—			12,445
Acquisition deposits	7,509			—			7,509			—			7,509
Goodwill and other intangible assets	15,496			—			15,496			(3,926		)	11,570
Other long term assets	3,823			—			3,823			—			3,823
Total assets	$	481,551		$	108		$	481,659		$	—		$	481,659
Current liabilities:
Accounts payable	$	18,621		$	—		$	18,621		$	(2,592	)	$	16,029
Accrued expenses	22,395			(1,289		)	21,106			(610		)	20,496
Accrued compensation and benefits	46,882			—			46,882			(8,884		)	37,998
Due to related persons	17,417			—			17,417			—			17,417
Mortgage notes payable	321			—			321			—			321
Bridge loan from Senior Housing Properties Trust	9,000			—			9,000			—			9,000
Accrued real estate taxes	10,428			—			10,428			(335		)	10,093
Security deposit liability	10,434			(436		)	9,998			(28		)	9,970
Other current liabilities	16,094			1,951			18,045			(5		)	18,040
Liabilities of discontinued operations	8,582			3			8,585			12,454			21,039
Total current liabilities	160,174			229			160,403			—			160,403
Long term liabilities:
Mortgage notes payable	19,614			—			19,614			—			19,614
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,133			—			2,133			—			2,133
Accrued self insurance obligations	24,415			—			24,415			—			24,415
Other long term liabilities	8,304			—			8,304			—			8,304
Total long term liabilities	91,748			—			91,748			—			91,748
Shareholders’ equity:
Common stock	475			—			475			—			475
Additional paid in capital	352,414			(48		)	352,366			—			352,366
Accumulated deficit	(129,454		)	(73		)	(129,527		)	—			(129,527		)
Accumulated other comprehensive income	6,194			—			6,194			—			6,194
Total shareholders’ equity	229,629			(121		)	229,508			—			229,508
Total liabilities and shareholders’ equity	$	481,551		$	108		$	481,659		$	—		$	481,659

	As of March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Balance Sheet:
Current assets:
Cash and cash equivalents	$	26,008		$	—		$	26,008		$	—		$	26,008
Accounts receivable	64,419			(115		)	64,304			(26,934		)	37,370
Investments in available for sale securities	14,062			—			14,062			—			14,062
Restricted cash	6,838			—			6,838			—			6,838
Acquisition deposits	13,000			—			13,000			—			13,000
Prepaid and other current assets	19,872			—			19,872			(6,833		)	13,039
Assets of discontinued operations	12,542			115			12,657			44,838			57,495
Total current assets	156,741			—			156,741			11,071			167,812
Property and equipment, net	201,277			409			201,686			(7,055		)	194,631
Equity investment in Affiliates Insurance Company	5,117			—			5,117			—			5,117
Restricted cash	15,771			—			15,771			—			15,771
Restricted investments in available for sale securities	3,359			—			3,359			—			3,359
Goodwill and other intangible assets	15,609			—			15,609			(4,016		)	11,593
Other long term assets	3,821			—			3,821			—			3,821
Total assets	$	401,695		$	409		$	402,104		$	—		$	402,104
Current liabilities:
Revolving line of credit, secured, principally by accounts receivable	$	5,000		$	—		$	5,000		$	—		$	5,000
Accounts payable	25,992			—			25,992			(2,624		)	23,368
Accrued expenses	22,412			(1,452		)	20,960			31			20,991
Accrued compensation and benefits	45,385			—			45,385			(8,054		)	37,331
Due to related persons	17,823			—			17,823			—			17,823
Accrued real estate taxes	8,102			—			8,102			(256		)	7,846
Security deposit liability	10,390			(456		)	9,934			(28		)	9,906
Other current liabilities	11,325			2,064			13,389			(9		)	13,380
Liabilities of discontinued operations	8,905			100			9,005			10,940			19,945
Total current liabilities	155,334			256			155,590			—			155,590
Long term liabilities:
Convertible senior notes	37,282			—			37,282			—			37,282
Continuing care contracts	2,213			—			2,213			—			2,213
Accrued self insurance obligations	28,640			—			28,640			—			28,640
Other long term liabilities	8,728			—			8,728			—			8,728
Total long term liabilities	76,863			—			76,863			—			76,863
Shareholders’ equity:
Common stock	360			—			360			—			360
Additional paid in capital	297,908			(24		)	297,884			—			297,884
Accumulated deficit	(134,650		)	177			(134,473		)	—			(134,473		)
Accumulated other comprehensive income	5,880			—			5,880			—			5,880
Total shareholders’ equity	169,498			153			169,651			—			169,651
Total liabilities and shareholders’ equity	$	401,695		$	409		$	402,104		$	—		$	402,104

	For the three months ended December 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	279,154		$	(422	)	$	278,732		$	(8,942	)	$	269,790
Rehabilitation hospital revenue	27,547			—			27,547			(27,547		)	—
Management fee revenue	2,150			—			2,150			—			2,150
Reimbursed costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Total revenues	359,096			(422		)	$	358,674		(36,489		)	$	322,185
Operating expenses:
Senior living wages and benefits	135,356			31			135,387			(6,389		)	128,998
Other senior living operating expenses	70,007			(182		)	69,825			(2,712		)	67,113
Costs incurred on behalf of managed communities	50,245			—			50,245			—			50,245
Rehabilitation hospital expenses	24,763			—			24,763			(24,763		)	—
Rent expense	50,598			—			50,598			(2,865		)	47,733
General and administrative	16,153			44			16,197			—			16,197
Depreciation and amortization	6,433			(19		)	6,414			(130		)	6,284
Total operating expenses	353,555			(126		)	353,429			(36,859		)	316,570
Operating income	5,541			(296		)	5,245			370			5,615
Interest, dividend and other income	243			—			243			—			243
Interest and other expense	(1,475		)	—			(1,475		)	—			(1,475		)
Acquisition related costs	(8		)	—			(8		)	—			(8		)
Loss on sale of available for sale securities	(81		)	—			(81		)	—			(81		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,220			(296		)	3,924			370			4,294
Provision for income taxes	(807		)	(1,424		)	(2,231		)	(150		)	(2,381		)
Equity in earnings of Affiliates Insurance Company	80			—			80			—			80
Income from continuing operations	3,493			(1,720		)	1,773			220			1,993
Income (loss) from discontinued operations	6			167			173			(220		)	(47		)
Net income	$	3,499		$	(1,553	)	$	1,946		$	—		$	1,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Basic	$	0.07					$	0.04					$	0.04
Diluted income per share from:
Continuing operations	$	0.07					$	0.04					$	0.04
Discontinued operations	—						—						—
Net income per common share - Diluted	$	0.07					$	0.04					$	0.04

	For the three months ended September 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	277,568		$	(310	)	$	277,258		$	(8,613	)	$	268,645
Rehabilitation hospital revenue	26,328			—			26,328			(26,328		)	—
Management fee revenue	1,277			—			1,277			—			1,277
Reimbursed costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Total revenues	332,420			(310		)	332,110			(34,941		)	297,169
Operating Expenses:
Senior living wages and benefits	137,816			22			137,838			(6,454		)	131,384
Other senior living operating expenses	66,858			19			66,877			(2,298		)	64,579
Costs incurred on behalf of managed communities	27,247			—			27,247			—			27,247
Rehabilitation hospital expenses	23,734			—			23,734			(23,734		)	—
Rent expense	50,523			—			50,523			(2,864		)	47,659
General and administrative	14,602			45			14,647			—			14,647
Depreciation and amortization	6,324			(20		)	6,304			(129		)	6,175
Total operating expenses	327,104			66			327,170			(35,479		)	291,691
Operating income	5,316			(376		)	4,940			538			5,478
Interest, dividend and other income	199			—			199			—			199
Interest and other expense	(1,762		)	—			(1,762		)	—			(1,762		)
Acquisition related costs	(100		)	—			(100		)	—			(100		)
Gain on sale of available for sale securities	63			—			63			—			63
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,716			(376		)	3,340			538			3,878
Provision for income taxes	(426		)	(260		)	(686		)	(219		)	(905		)
Equity in earnings of Affiliates Insurance Company	115			—			115			—			115
Income from continuing operations	3,405			(636		)	2,769			319			3,088
Income from discontinued operations	13,034			410			13,444			(319		)	13,125
Net income	$	16,439		$	(226	)	$	16,213		$	—		$	16,213
Per Share data:
Basic income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.27						0.28						0.28
Net income per common share - Basic	$	0.34					$	0.34					$	0.34
Diluted income per share from:
Continuing operations	$	0.07					$	0.06					$	0.06
Discontinued operations	0.26						0.27						0.27
Net income per common share - Diluted	$	0.33					$	0.33					$	0.33

	For the three months ended June 30, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	278,076		$	(147	)	$	277,929		$	(8,836	)	$	269,093
Rehabilitation hospital revenue	26,386			—			26,386			(26,386		)	—
Institutional pharmacy revenue	17,232			—			17,232			(17,232		)	—
Management fee revenue	1,302			—			1,302			—			1,302
Reimbursed costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Total revenues	349,094			(147		)	348,947			(52,454		)	296,493
Operating expenses:
Senior living wages and benefits	136,618			12			136,630			(6,378		)	130,252
Other senior living operating expenses	66,242			(200		)	66,042			(2,245		)	63,797
Costs incurred on behalf of managed communities	26,098			—			26,098			—			26,098
Rehabilitation hospital expenses	23,872			—			23,872			(23,872		)	—
Institutional pharmacy expenses	17,258			—			17,258			(17,258		)	—
Rent expense	50,297			—			50,297			(2,866		)	47,431
General and administrative	15,389			45			15,434			—			15,434
Depreciation and amortization	6,709			(20		)	6,689			(486		)	6,203
Gain on settlement	(3,365		)	—			(3,365		)	—			(3,365		)
Total operating expenses	339,118			(163		)	338,955			(53,105		)	285,850
Operating income	9,976			16			9,992			651			10,643
Interest, dividend and other income	246			—			246			(12		)	234
Interest and other expense	(1,605		)	—			(1,605		)	—			(1,605		)
Gain on early extinguishment of debt	45			—			45			—			45
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	8,662			16			8,678			639			9,317
Provision for income taxes	(3,807		)	250			(3,557		)	(260		)	(3,817		)
Equity in earnings of Affiliates Insurance Company	76			—			76			—			76
Income from continuing operations	4,931			266			5,197			379			5,576
Loss from discontinued operations	(293		)	6			(287		)	(379		)	(666		)
Net income	$	4,638		$	272		$	4,910		$	—		$	4,910
Per Share data:
Basic income per share from:
Continuing operations	$	0.10					$	0.11					$	0.12
Discontinued operations	(0.01		)				(0.01		)				(0.02		)
Net income per common share - Basic	$	0.09					$	0.10					$	0.10
Diluted income per share from:
Continuing operations	$	0.10					$	0.11					$	0.11
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.09					$	0.10					$	0.10

	For the three months ended March 31, 2012
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	276,220		$	(220	)	$	276,000		$	(9,195	)	$	266,805
Rehabilitation hospital revenue	26,787			—			26,787			(26,787		)	—
Institutional pharmacy revenue	18,621			—			18,621			(18,621		)	—
Management fee revenue	1,088			—			1,088			—			1,088
Reimbursed costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Total revenues	346,121			(220		)	345,901			(54,603		)	291,298
Operating expenses:
Senior living wages and benefits	138,374			24			138,398			(6,588		)	131,810
Other senior living operating expenses	66,962			(290		)	66,672			(2,412		)	64,260
Costs incurred on behalf of managed communities	23,405			—			23,405			—			23,405
Rehabilitation hospital expenses	24,119			—			24,119			(24,119		)	—
Institutional pharmacy expenses	18,750			—			18,750			(18,750		)	—
Rent expense	50,227			—			50,227			(2,866		)	47,361
General and administrative	15,455			44			15,499			—			15,499
Depreciation and amortization	6,316			(19		)	6,297			(479		)	5,818
Total operating expenses	343,608			(241		)	343,367			(55,214		)	288,153
Operating income	2,513			21			2,534			611			3,145
Interest, dividend and other income	217			—			217			(12		)	205
Interest and other expense	(1,426		)	—			(1,426		)	—			(1,426		)
Loss on sale of available for sale securities	(1		)	—			(1		)	—			(1		)
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,303			21			1,324			599			1,923
Provision for income taxes	(602		)	45			(557		)	(244		)	(801		)
Equity in earnings of Affiliates Insurance Company	45			—			45			—			45
Income from continuing operations	746			66			812			355			1,167
Loss from discontinued operations	(377		)	37			(340		)	(355		)	(695		)
Net income	$	369		$	103		$	472		$	—		$	472
Per Share data:
Basic income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Basic	$	0.01					$	0.01					$	0.01
Diluted income per share from:
Continuing operations	$	0.02					$	0.02					$	0.02
Discontinued operations	(0.01		)				(0.01		)				(0.01		)
Net income per common share - Diluted	$	0.01					$	0.01					$	0.01

	For the three months ended December 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	274,733		$	(429	)	$	274,304		$	(9,259	)	$	265,045
Rehabilitation hospital revenue	27,085			—			27,085			(27,085		)	—
Institutional pharmacy revenue	18,790			—			18,790			(18,790		)	—
Management fee revenue	515			—			515			(1		)	514
Reimbursed costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Total revenues	332,788			(429		)	332,359			(55,134		)	277,225
Operating expenses:
Senior living wages and benefits	137,411			21			137,432			(6,515		)	130,917
Other senior living operating expenses	66,532			420			66,952			(2,409		)	64,543
Costs incurred on behalf of managed communities	11,665			—			11,665			1			11,666
Rehabilitation hospital expense	24,507			—			24,507			(24,507		)	—
Institutional pharmacy expense	18,433			—			18,433			(18,433		)	—
Rent expense	49,935			—			49,935			(2,867		)	47,068
General and administrative	15,298			(25		)	15,273			—			15,273
Depreciation and amortization	6,348			(32		)	6,316			(497		)	5,819
Impairment of long lived assets	3,500			—			3,500			(420		)	3,080
Total operating expenses	333,629			384			334,013			(55,647		)	278,366
Operating loss	(841		)	(813		)	(1,654		)	513			(1,141		)
Interest, dividend and other income	278			—			278			(14		)	264
Interest and other expenses	(1,512		)	—			(1,512		)	—			(1,512		)
Acquisition related costs	(229		)	—			(229		)	—			(229		)
Gain on sale of available for sale securities	3,460			—			3,460			—			3,460
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	1,156			(813		)	343			499			842
Benefit for income taxes	51,560			7,666			59,226			(205		)	59,021
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	52,744			6,853			59,597			294			59,891
Income from discontinued operations	2,657			(263		)	2,394			(294		)	2,100
Net income	$	55,401		$	6,590		$	61,991		$	—		$	61,991
Per Share data:
Basic income per share from:
Continuing operations	$	1.11					$	1.25					$	1.26
Discontinued operations	0.05						0.05						0.04
Net income per common share - Basic	$	1.16					$	1.30					$	1.30
Diluted income per share from:
Continuing operations	$	1.05					$	1.18					$	1.19
Discontinued operations	0.05						0.05						0.04
Net income per common share - Diluted	$	1.10					$	1.23					$	1.23

	For the three months ended September 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	275,605		$	(342	)	$	275,263		$	(9,640	)	$	265,623
Rehabilitation hospital revenue	26,273			—			26,273			(26,273		)	—
Institutional pharmacy revenue	18,914			—			18,914			(18,914		)	—
Management fee revenue	359			—			359			—			359
Reimbursed costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Total revenues	329,475			(342		)	329,133			(54,827		)	274,306
Operating expenses:
Senior living wages and benefits	136,135			(63		)	136,072			(6,808		)	129,264
Other senior living operating expenses	68,669			(330		)	68,339			(2,495		)	65,844
Costs incurred on behalf of managed communities	8,324			—			8,324			—			8,324
Rehabilitation hospital expense	23,300			—			23,300			(23,300		)	—
Institutional pharmacy expense	18,472			—			18,472			(18,472		)	—
Rent expense	50,140			—			50,140			(2,866		)	47,274
General and administrative	14,418			(24		)	14,394			—			14,394
Depreciation and amortization	5,858			—			5,858			(490		)	5,368
Total operating expenses	325,316			(417		)	324,899			(54,431		)	270,468
Operating income	4,159			75			4,234			(396		)	3,838
Interest, dividend and other income	368			—			368			(13		)	355
Interest and other expenses	(1,034		)	—			(1,034		)	—			(1,034		)
Acquisition related costs	(226		)	—			(226		)	—			(226		)
Gain on sale of available for sale securities	529			—			529			—			529
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	3,796			75			3,871			(409		)	3,462
Provision for income taxes	(186		)	(104		)	(290		)	25			(265		)
Equity in earnings of Affiliates Insurance Company	28			—			28			—			28
Income from continuing operations	3,638			(29		)	3,609			(384		)	3,225
Loss from discontinued operations	(4,166		)	97			(4,069		)	384			(3,685		)
Net loss	$	(528	)	$	68		$	(460	)	$	—		$	(460	)
Per Share data:
Basic income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09		)				(0.09		)				(0.08		)
Net loss per common share - Basic	$	(0.01	)				$	(0.01	)				$	(0.01	)
Diluted income per share from:
Continuing operations	$	0.08					$	0.08					$	0.07
Discontinued operations	(0.09						(0.08		)				(0.07		)
Net loss per common share - Diluted	$	(0.01	)				$	(0.00	)				$	(0.00	)

	For the three months ended June 30, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	266,066		$	(358	)	$	265,708		$	(10,353	)	$	255,355
Rehabilitation hospital revenue	26,337			—			26,337			(26,337		)	—
Institutional pharmacy revenue	19,573			—			19,573			(19,573		)	—
Management fee revenue	25			—			25			—			25
Reimbursed costs incurred on behalf of managed communities	562			—			562			—			562
Total revenues	312,563			(358		)	312,205			(56,263		)	255,942
Operating expenses:
Senior living wages and benefits	133,570			78			133,648			(7,120		)	126,528
Other senior living operating expenses	61,143			(93		)	61,050			(2,009		)	59,041
Costs incurred on behalf of managed communities	562			—			562			—			562
Rehabilitation hospital expense	23,445			—			23,445			(23,445		)	—
Institutional pharmacy expense	18,642			—			18,642			(18,642		)	—
Rent expense	48,003			—			48,003			(3,028		)	44,975
General and administrative	14,154			(24		)	14,130			—			14,130
Depreciation and amortization	4,620			—			4,620			(486		)	4,134
Total operating expenses	304,139			(39		)	304,100			(54,730		)	249,370
Operating income	8,424			(319		)	8,105			(1,533		)	6,572
Interest, dividend and other income	331			—			331			(14		)	317
Interest and other expenses	(870		)	—			(870		)	—			(870		)
Acquisition related costs	(1,202		)	—			(1,202		)	—			(1,202		)
Gain on sale of available for sale securities	51			—			51			—			51
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	6,734			(319		)	6,415			(1,547		)	4,868
Provision for income taxes	(441		)	(25		)	(466		)	93			(373		)
Equity in earnings of Affiliates Insurance Company	46			—			46			—			46
Income from continuing operations	6,339			(344		)	5,995			(1,454		)	4,541
Income from discontinued operations	(1,143		)	94			(1,049		)	1,454			405
Net income	$	5,196		$	(250	)	$	4,946		$	—		$	4,946
Per Share data:
Basic income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03		)				(0.03		)				0.01
Net income per common share - Basic	$	0.14					$	0.13					$	0.13
Diluted income per share from:
Continuing operations	$	0.17					$	0.16					$	0.12
Discontinued operations	(0.03						(0.03		)				0.01
Net income per common share - Diluted	$	0.14					$	0.13					$	0.13

	For the three months ended March 31, 2011
										Retrospective
										Adjustments
	As			Error			As			for Discontinued			As
	Reported			Corrections			Corrected			Operations			Restated
Condensed Consolidated Statement of Income:
Revenues:
Senior living revenue	$	263,379		$	66		$	263,445		$	(10,731	)	$	252,714
Rehabilitation hospital revenue	25,625			—			25,625			(25,625		)	—
Institutional pharmacy revenue	19,337			—			19,337			(19,337		)	—
Total revenues	308,341			66			308,407			(55,693		)	252,714
Operating expenses:
Senior living wages and benefits	130,337			206			130,543			(7,240		)	123,303
Other senior living operating expenses	63,349			(390		)	62,959			(2,896		)	60,063
Rehabilitation hospital expense	24,053			—			24,053			(24,053		)	—
Institutional pharmacy expense	18,889			—			18,889			(18,889		)	—
Rent expense	47,662			—			47,662			(3,029		)	44,633
General and administrative	13,670			(24		)	13,646			—			13,646
Depreciation and amortization	4,311			—			4,311			(472		)	3,839
Total operating expenses	302,271			(208		)	302,063			(56,579		)	245,484
Operating income	6,070			274			6,344			886			7,230
Interest, dividend and other income	319			—			319			(15		)	304
Interest and other expenses	(501		)	—			(501		)	—			(501		)
Acquisition related costs	—			—			—			(102		)	(102		)
Gain on early extinguishment of debt	—			—			—			1			1
Gain on sale of available for sale securities	76			—			76			—			76
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	5,964			274			6,238			770			7,008
Provision for income taxes	(379		)	(109		)	(488		)	(46		)	(534		)
Equity in earnings of Affiliates Insurance Company	37			—			37			—			37
Income from continuing operations	5,622			165			5,787			724			6,511
Loss from discontinued operations	(1,489		)	12			(1,477		)	(724		)	(2,201		)
Net income	$	4,133		$	177		$	4,310		$	—		$	4,310
Per Share data:
Basic income per share from:
Continuing operations	$	0.16					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Basic	$	0.12					$	0.12					$	0.12
Diluted income per share from:
Continuing operations	$	0.15					$	0.16					$	0.18
Discontinued operations	(0.04		)				(0.04		)				(0.06		)
Net income per common share - Diluted	$	0.11					$	0.12					$	0.12

XML

Restatement of Previously Issued Financial Statements (Details) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended				3 Months Ended			3 Months Ended								12 Months Ended		3 Months Ended								12 Months Ended								3 Months Ended								12 Months Ended		3 Months Ended								12 Months Ended					12 Months Ended									12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009	Jun. 30, 2013 Senior Living Communities item	Jun. 30, 2013 Senior Living Communities SNH item	Dec. 31, 2012 Senior Living Communities SNH property	Dec. 31, 2012 As Reported	Sep. 30, 2012 As Reported	Jun. 30, 2012 As Reported	Mar. 31, 2012 As Reported	Dec. 31, 2011 As Reported	Sep. 30, 2011 As Reported	Jun. 30, 2011 As Reported	Mar. 31, 2011 As Reported	Dec. 31, 2012 As Reported	Dec. 31, 2011 As Reported	Dec. 31, 2012 Error Corrections	Sep. 30, 2012 Error Corrections	Jun. 30, 2012 Error Corrections	Mar. 31, 2012 Error Corrections	Dec. 31, 2011 Error Corrections	Sep. 30, 2011 Error Corrections	Jun. 30, 2011 Error Corrections	Mar. 31, 2011 Error Corrections	Dec. 31, 2012 Error Corrections	Dec. 31, 2011 Error Corrections	Dec. 31, 2010 Error Corrections	Dec. 31, 2012 Error Corrections Available for sale debt securities	Dec. 31, 2011 Error Corrections Available for sale debt securities	Dec. 31, 2012 Error Corrections Senior Living Communities	Dec. 31, 2011 Error Corrections Senior Living Communities	Jun. 30, 2013 Error Corrections Senior Living Communities property	Dec. 31, 2012 As Corrected	Sep. 30, 2012 As Corrected	Jun. 30, 2012 As Corrected	Mar. 31, 2012 As Corrected	Dec. 31, 2011 As Corrected	Sep. 30, 2011 As Corrected	Jun. 30, 2011 As Corrected	Mar. 31, 2011 As Corrected	Dec. 31, 2012 As Corrected	Dec. 31, 2011 As Corrected	Dec. 31, 2012 Retrospective Adjustments for Discontinued Operations	Sep. 30, 2012 Retrospective Adjustments for Discontinued Operations	Jun. 30, 2012 Retrospective Adjustments for Discontinued Operations	Mar. 31, 2012 Retrospective Adjustments for Discontinued Operations	Dec. 31, 2011 Retrospective Adjustments for Discontinued Operations	Sep. 30, 2011 Retrospective Adjustments for Discontinued Operations	Jun. 30, 2011 Retrospective Adjustments for Discontinued Operations	Mar. 31, 2011 Retrospective Adjustments for Discontinued Operations	Dec. 31, 2012 Retrospective Adjustments for Discontinued Operations	Dec. 31, 2011 Retrospective Adjustments for Discontinued Operations	Sep. 30, 2013 Retrospective Adjustments for Discontinued Operations Senior Living Communities property	Jun. 30, 2013 Retrospective Adjustments for Discontinued Operations Senior Living Communities property	Dec. 31, 2011 Income Taxes	Dec. 31, 2012 Income Taxes Error Corrections	Dec. 31, 2011 Income Taxes Error Corrections	Dec. 31, 2012 Insurance Claims Error Corrections	Dec. 31, 2011 Insurance Claims Error Corrections	Dec. 31, 2012 Other Errors Error Corrections	Dec. 31, 2011 Other Errors Error Corrections	Dec. 31, 2012 Liability for security deposits Error Corrections	Dec. 31, 2012 Asset Additions and Related Accruals Error Corrections	Dec. 31, 2011 Asset Additions and Related Accruals Error Corrections	Dec. 31, 2012 Adjustments for error correction relating to adoption of ASU 2011-07 Error Corrections	Dec. 31, 2011 Adjustments for error correction relating to adoption of ASU 2011-07 Error Corrections	Dec. 31, 2012 Presentation and Classification Error Corrections	Dec. 31, 2011 Presentation and Classification Error Corrections	Dec. 31, 2012 Adjustments for error correction relating to liability for resident security deposits Error Corrections	Dec. 31, 2011 Adjustments for error correction relating to liability for resident security deposits Error Corrections
Net deferred tax asset	$ 51,121				$ 62,639				$ 51,121	$ 62,639
Other current assets	4,780				3,000				4,780	3,000						4,993				3,217				4,993	3,217	(82)				(54)				(82)	(54)							4,911				3,163				4,911	3,163	(131)				(163)				(131)	(163)															1,681	1,016
Transfers of assets between Level 1 to Level 2																																					11,550	11,692
Number of properties leased from SNH offered for sale														10
Number of owned properties offered for sale													1
Condensed Consolidated Balance Sheet:
Accounts receivable	39,205	41,389	41,275	41,153	41,220	36,471	37,128	37,370	39,205	41,220						53,134	54,880	63,130	65,106	56,509	59,972	63,031	64,419	53,134	56,509	1,060	1,446	1,664	1,638	1,790	(186)	(195)	(115)	1,060	1,790							54,194	56,326	64,794	66,744	58,299	59,786	62,836	64,304	54,194	58,299	(14,989)	(14,937)	(23,519)	(25,591)	(17,079)	(23,315)	(25,708)	(26,934)	(14,989)	(17,079)								(331)	(242)						1,391	2,032
Due from related persons	6,881	6,088	2,536	4,607					6,881																	6,881	6,088	2,536	4,607					6,881								6,881	6,088	2,536	4,607					6,881																								6,881		6,881
Prepaid expenses	18,631				10,368				18,631	10,368						19,251				11,097				19,251	11,097																	19,251				11,097				19,251	11,097	(620)				(729)				(620)	(729)
Current net deferred tax assets	15,037				13,959				15,037	13,959						5,400				6,081				5,400	6,081	9,507				7,738				9,507	7,738							14,907				13,819				14,907	13,819														9,507	7,738
Other current assets	4,780				3,000				4,780	3,000						4,993				3,217				4,993	3,217	(82)				(54)				(82)	(54)							4,911				3,163				4,911	3,163	(131)				(163)				(131)	(163)															1,681	1,016
Assets of discontinued operations	30,100	32,723	47,246	50,342	51,826	49,735	55,851	57,495	30,100	51,826						10,430	13,003	8,401	8,515	29,022	8,812	12,436	12,542	10,430	29,022	693	28	14	39	996	13	19	115	693	996							11,123	13,031	8,415	8,554	30,018	8,825	12,455	12,657	11,123	30,018	18,977	19,692	38,831	41,788	21,808	40,910	43,396	44,838	18,977	21,808											693	996
Total current assets	158,610	146,378	160,663	165,096	162,559	164,376	170,200	167,812	158,610	162,559						137,314	128,465	138,739	141,082	148,252	154,185	160,156	156,741	137,314	148,252	18,059	14,061	12,139	14,021	10,470	(418)	(421)		18,059	10,470							155,373	142,526	150,878	155,103	158,722	153,767	159,735	156,741	155,373	158,722	3,237	3,852	9,785	9,993	3,837	10,609	10,465	11,071	3,237	3,837				9,507	7,738	(1,763)	(1,070)	(331)	(242)		693	996			9,953	3,048
Property and equipment, net	337,494	333,989	332,062	330,445	332,982	347,915	267,198	194,631	337,494	332,982						335,612	336,889	337,836	353,539	332,185	353,639	273,208	201,277	335,612	332,185	5,039	872	447	1,053	4,554	1,049	529	409	5,039	4,554							340,651	337,761	338,283	354,592	336,739	354,688	273,737	201,686	340,651	336,739	(3,157)	(3,772)	(6,221)	(24,147)	(3,757)	(6,773)	(6,539)	(7,055)	(3,157)	(3,757)								110	32		4,929	4,522
Goodwill and other intangible assets	27,708	28,001	28,293	29,311	29,334	11,547	11,570	11,593	27,708	29,334						27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414																	27,788	28,081	31,857	15,157	29,414	15,383	15,496	15,609	27,788	29,414	(80)	(80)	(3,564)	14,154	(80)	(3,836)	(3,926)	(4,016)	(80)	(80)
Long term net deferred tax assets	36,214				48,820				36,214	48,820						38,099				48,128				38,099	48,128	(1,885)				692				(1,885)	692							36,214				48,820				36,214	48,820													8,583	(1,885)	692
Other long term assets	4,168	45,357	50,821	51,873	3,153	3,334	3,823	3,821	4,168	3,153							43,347	50,233	50,966	3,000	3,334	3,823	3,821		3,000		2,010	588	907	153					153								45,357	50,821	51,873	3,153	3,334	3,823	3,821		3,153															153
Total assets	592,569	580,449	594,859	601,248	559,346	549,710	481,659	402,104	592,569	559,346						571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869							592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346														7,622	8,583	(1,763)	(1,070)	(221)	(210)		5,622	5,518			9,953	3,048
Accounts payable	38,035	25,298	25,077	23,389	24,277	19,144	16,029	23,368	38,035	24,277						36,920	24,500	24,766	22,831	22,736	21,512	18,621	25,992	36,920	22,736	2,768	2,645	2,539	2,697	2,979				2,768	2,979							39,688	27,145	27,305	25,528	25,715	21,512	18,621	25,992	39,688	25,715	(1,653)	(1,847)	(2,228)	(2,139)	(1,438)	(2,368)	(2,592)	(2,624)	(1,653)	(1,438)															2,768	2,979
Accrued expenses	28,010	21,097	21,579	22,256	24,660	26,111	20,496	20,991	28,010	24,660						22,996	20,840	23,742	24,027	21,698	27,433	22,395	22,412	22,996	21,698	5,212	458	(1,982)	(1,269)	3,104	(922)	(1,289)	(1,452)	5,212	3,104							28,208	21,298	21,760	22,758	24,802	26,511	21,106	20,960	28,208	24,802	(198)	(201)	(181)	(502)	(142)	(400)	(610)	31	(198)	(142)				(544)	(490)						4,929	4,522			827	(928)
Accrued compensation and benefits	35,302	41,168	38,699	36,937	33,899	36,676	37,998	37,331	35,302	33,899						40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975																	40,986	48,118	45,388	44,632	38,975	44,091	46,882	45,385	40,986	38,975	(5,684)	(6,950)	(6,689)	(7,695)	(5,076)	(7,415)	(8,884)	(8,054)	(5,684)	(5,076)
Due to related persons	19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494						11,715	12,791	15,956	13,467	18,659	16,306	17,417	17,823	11,715	18,659	7,769	7,124	3,452	5,662	835				7,769	835							19,484	19,915	19,408	19,129	19,494	16,306	17,417	17,823	19,484	19,494																							7,769		7,769	835
Accrued real estate taxes	10,723	13,596	10,119	8,555	10,353	14,535	10,093	7,846	10,723	10,353						11,905	14,909	11,378	9,878	11,466	14,833	10,428	8,102	11,905	11,466	(888)	(1,036)	(916)	(1,055)	(835)				(888)	(835)							11,017	13,873	10,462	8,823	10,631	14,833	10,428	8,102	11,017	10,631	(294)	(277)	(343)	(268)	(278)	(298)	(335)	(256)	(294)	(278)															(888)	(835)
Security deposit liability	9,057	9,341	9,487	10,231	10,183	10,231	9,970	9,906	9,057	10,183						9,727	9,948	10,033	10,724	10,606	10,677	10,434	10,390	9,727	10,606	(647)	(584)	(523)	(470)	(400)	(424)	(436)	(456)	(647)	(400)							9,080	9,364	9,510	10,254	10,206	10,253	9,998	9,934	9,080	10,206	(23)	(23)	(23)	(23)	(23)	(22)	(28)	(28)	(23)	(23)								(647)	(400)								(251)	(417)
Other current liabilities	14,775	16,956	19,469	17,645	16,742	17,534	18,040	13,380	14,775	16,742						15,299	16,958	17,421	15,532	15,745	15,477	16,094	11,325	15,299	15,745	(523)		2,048	2,113	997	2,058	1,951	2,064	(523)	997							14,776	16,958	19,469	17,645	16,742	17,535	18,045	13,389	14,776	16,742	(1)	(2)				(1)	(5)	(9)	(1)																(523)	997
Liabilities of discontinued operations	16,977	18,076	17,950	19,580	18,355	19,354	21,039	19,945	16,977	18,355						8,448	8,764	8,491	8,932	10,419	8,854	8,582	8,905	8,448	10,419	672	7	(5)	21	979	(4)	3	100	672	979							9,120	8,771	8,486	8,953	11,398	8,850	8,585	9,005	9,120	11,398	7,857	9,305	9,464	10,627	6,957	10,504	12,454	10,940	7,857	6,957								(21)	(17)		693	996
Total current liabilities	198,327	166,523	200,348	196,766	196,990	208,903	160,403	155,590	198,327	196,990						183,960	157,904	195,735	189,067	189,331	208,195	160,174	155,334	183,960	189,331	14,363	8,614	4,613	7,699	7,659	708	229	256	14,363	7,659							198,323	166,518	200,348	196,766	196,990	208,903	160,403	155,590	198,323	196,990	4	5							4					(544)	(490)			(668)	(417)		5,622	5,518			9,953	3,048
Other long term liabilities	6,712	6,493	6,883	7,267	7,498	7,715	8,304	8,728	6,712	7,498						6,615	6,415	6,800	7,184	7,415	7,715	8,304	8,728	6,615	7,415	101	83	83	83	83				101	83							6,716	6,498	6,883	7,267	7,498	7,715	8,304	8,728	6,716	7,498	(4)	(5)							(4)					101	83
Total long term liabilities	80,688	102,953	100,064	115,316	114,035	113,116	91,748	76,863	80,688	114,035						80,591	102,875	99,981	115,233	113,952	113,116	91,748	76,863	80,591	113,952	101	83	83	83	83				101	83							80,692	102,958	100,064	115,316	114,035	113,116	91,748	76,863	80,692	114,035	(4)	(5)							(4)					101	83
Additional paid in capital	354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722						354,083	353,468	353,309	353,036	352,819	352,501	352,414	297,908	354,083	352,819	81	37	(8)	(53)	(97)	(72)	(48)	(24)	81	(97)							354,164	353,505	353,301	352,983	352,722	352,429	352,366	297,884	354,164	352,722																		81	(97)
Accumulated deficit	(44,455)	(46,401)	(62,614)	(67,524)	(67,996)	(129,988)	(129,527)	(134,473)	(44,455)	(67,996)						(49,637)	(53,136)	(69,575)	(74,213)	(74,582)	(129,983)	(129,454)	(134,650)	(49,637)	(74,582)	5,182	6,735	6,961	6,689	6,586	(5)	(73)	177	5,182	6,586							(44,455)	(46,401)	(62,614)	(67,524)	(67,996)	(129,988)	(129,527)	(134,473)	(44,455)	(67,996)														6,579	7,352	(1,763)	(1,070)	366	304
Accumulated other comprehensive income	3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116						1,877	1,916	1,756	1,665	1,478	4,774	6,194	5,880	1,877	1,478	1,486	1,474	1,525	1,563	1,638				1,486	1,638							3,363	3,390	3,281	3,228	3,116	4,774	6,194	5,880	3,363	3,116															1,638
Total shareholders' equity	313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321	164,767	139,315				306,805	302,727	285,969	280,967	280,194	227,768	229,629	169,498	306,805	280,194	6,749	8,246	8,478	8,199	8,127	(77)	(121)	153	6,749	8,127							313,554	310,973	294,447	289,166	288,321	227,691	229,508	169,651	313,554	288,321														8,065	8,990	(1,763)	(1,070)	447	207
Total liabilities and shareholders' equity	592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346						571,356	563,506	581,685	585,267	583,477	549,079	481,551	401,695	571,356	583,477	21,213	16,943	13,174	15,981	15,869	631	108	409	21,213	15,869							592,569	580,449	594,859	601,248	599,346	549,710	481,659	402,104	592,569	599,346														7,622	8,583	(1,763)	(1,070)	(221)	(210)		5,622	5,518			9,953	3,048
Condensed Consolidated Statement of Income:
Senior living revenue	269,790	268,645	269,093	266,805	265,045	265,623	255,355	252,714	1,074,333	1,038,737	991,195					279,154	277,568	278,076	276,220	274,733	275,605	266,066	263,379	1,111,018	1,078,380	(422)	(310)	(147)	(220)	(429)	(342)	(358)	66	(1,099)	(1,064)							278,732	277,258	277,929	276,000	274,304	275,263	265,708	263,445	1,109,919	1,077,316	(8,942)	(8,613)	(8,836)	(9,195)	(9,259)	(9,640)	(10,353)	(10,731)	(35,586)	(38,579)								247	400						(1,346)	(1,464)
Rehabilitation hospital revenue																27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320																	27,547	26,328	26,386	26,787	27,085	26,273	26,337	25,625	107,048	105,320	(27,547)	(26,328)	(26,386)	(26,787)	(27,085)	(26,273)	(26,337)	(25,625)	(107,048)	(105,320)
Total revenues	322,185	297,169	296,493	291,298	277,225	274,306	255,942	252,714	1,207,145	1,060,187	991,195					359,096	332,420	349,094	346,121	332,788	329,475	312,563	308,341	1,350,878	1,205,150	(422)	(310)	(147)	(220)	(429)	(342)	(358)	66	(1,099)	(1,064)							358,674	332,110	348,947	345,901	332,359	329,133	312,205	308,407	1,349,779	1,204,086	(36,489)	(34,941)	(52,454)	(54,603)	(55,134)	(54,827)	(56,263)	(55,693)	(142,634)	(143,899)								247	400	251			(1,346)	(1,464)	(1,346)	(1,464)	251	417
Senior living wages and benefits	128,998	131,384	130,252	131,810	130,917	129,264	126,528	123,303	522,444	510,012	486,386					135,356	137,816	136,618	138,374	137,411	136,135	133,570	130,337	548,164	536,386	31	22	12	24	21	(63)	78	206	89	242							135,387	137,838	136,630	138,398	137,432	136,072	133,648	130,543	548,253	536,628	(6,389)	(6,454)	(6,378)	(6,588)	(6,515)	(6,808)	(7,120)	(7,240)	(25,809)	(26,616)								89	242
Other senior living operating expenses	67,113	64,579	63,797	64,260	64,543	65,844	59,041	60,063	259,749	249,491	233,080					70,007	66,858	66,242	66,962	66,532	68,669	61,143	63,349	270,069	259,655	(182)	19	(200)	(290)	420	(330)	(93)	(390)	(653)	(394)							69,825	66,877	66,042	66,672	66,952	68,339	61,050	62,959	269,416	259,261	(2,712)	(2,298)	(2,245)	(2,412)	(2,409)	(2,495)	(2,009)	(2,896)	(9,667)	(9,770)						693	1,070						1,346	1,464	(1,346)	(1,464)
Rehabilitation hospital expenses																24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305																	24,763	23,734	23,872	24,119	24,507	23,300	23,445	24,053	96,488	95,305	(24,763)	(23,734)	(23,872)	(24,119)	(24,507)	(23,300)	(23,445)	(24,053)	(96,488)	(95,305)
Rent expense	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839					50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407																	50,598	50,523	50,297	50,227	49,935	50,140	48,003	47,662	201,641	195,407	(2,865)	(2,864)	(2,866)	(2,866)	(2,867)	(2,866)	(3,028)	(3,029)	(11,457)	(11,457)
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	55,486					16,153	14,602	15,389	15,455	15,298	14,418	14,154	13,670	61,599	57,540	44	45	45	44	(25)	(24)	(24)	(24)	178	(97)							16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443																		178	(97)
Depreciation and amortization	6,284	6,175	6,203	5,818	5,819	5,368	4,134	3,839	24,480	19,160	14,077					6,433	6,324	6,709	6,316	6,348	5,858	4,620	4,311	25,064	19,694	(19)	(20)	(20)	(19)	(32)				(78)	(32)							6,414	6,304	6,689	6,297	6,316	5,858	4,620	4,311	24,986	19,662	(130)	(129)	(486)	(479)	(497)	(490)	(486)	(472)	(506)	(502)								(78)	(32)
Impairment of long-lived assets					3,080					3,080										3,500					3,500																					3,500					3,500					(420)					(420)
Total operating expenses	316,570	291,691	285,850	288,153	278,366	270,468	249,370	245,484	1,182,264	1,043,688	965,868					353,555	327,104	339,118	343,608	333,629	325,316	304,139	302,271	1,330,020	1,188,039	(126)					(417)	(39)	(208)	(464)	(281)							353,429	327,170	338,955	343,367	334,013	324,899	304,100	302,063	1,329,556	1,187,758	(36,859)	(35,479)	(53,105)	(55,214)	(55,647)	(54,431)	(54,730)	(56,579)	(143,927)	(144,070)						693	1,070	189	113						(1,346)	(1,464)
Operating income	5,615	5,478	10,643	3,145	(1,141)	3,838	6,572	7,230	24,881	16,499	25,327					5,541	5,316	9,976	2,513	(841)	4,159	8,424	6,070	20,858	17,111	(296)	(376)	16	21	(813)	75	(319)	274	(635)	(783)							5,245	4,940	9,992	2,534	(1,654)	4,234	8,105	6,344	20,223	16,328	370	538	651	611	513	(396)	(1,533)	886	1,293	171						(693)	(1,070)	58	287
Income from continuing operations before income taxes and earnings of Affiliates Insurance Company	4,294	3,878	9,317	1,923	842	3,462	4,868	7,008	19,412	16,180	26,154					4,220	3,716	8,662	1,303	1,156	3,796	6,734	5,964	18,754	16,792	(296)	(376)	16	21	(813)	75	(319)	274	(635)	(783)							3,924	3,340	8,678	1,324	343	3,871	6,415	6,238	18,119	16,009	370	538	639	599	499	(409)	(1,547)	770	1,293	171						(693)	(1,070)	58	287
(Provision) benefit for income taxes	(2,381)	(905)	(3,817)	(801)	59,021	(265)	(373)	(534)	(7,904)	57,849	(1,448)					(807)	(426)	(3,807)	(602)	51,560	(186)	(441)	(379)	(5,642)	50,554	(1,424)	(260)	250	45	7,666	(104)	(25)	(109)	(1,739)	7,365							(2,231)	(686)	(3,557)	(557)	59,226	290	(466)	(488)	(7,381)	57,919	(150)	(219)	(260)	(244)	(205)	25	93	(46)	(523)	(70)				(1,739)	7,365
Income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705					3,493	3,405	4,931	746	52,744	3,638	6,339	5,622	13,428	67,485	(1,720)	(636)	266	66	6,853	(29)	(344)	165	(2,374)	6,582	649	9,947	8,956	770	101		1,773	2,769	5,197	812	59,597	3,609	5,995	5,787	11,054	74,067	220	319	379	355	294	(384)	(1,454)	724	770	101				(1,739)	7,365		(1,070)	58	287
Income (loss) from discontinued operations	(47)	13,125	(666)	(695)	2,100	(3,685)	405	(2,201)	17,158	(6,184)	(1,213)					6	13,034	(293)	(377)	2,657	(4,166)	(1,143)	(1,489)	11,517	(3,284)	167	410	6	37	(263)	97	94	12	6,934	(2,729)	649						173	13,444	(287)	(340)	2,394	(4,069)	(1,049)	(1,477)	18,451	(6,013)	(220)	(319)	(379)	(355)	(294)	384	1,454	(724)	(1,293)	(171)								4	17						6,930	(2,746)
Net income	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787	23,492					3,499	16,439	4,638	369	55,401	(528)	5,196	4,133	24,945	64,201	(1,553)	(226)	272	103	6,590	68	(250)	177	(1,404)	6,586							1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787														(773)	7,352	(693)	(1,070)	62	304
Basic income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.12	$ 0.02	$ 1.26	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.76	$ 0.69					$ 0.07	$ 0.07	$ 0.10	$ 0.02	$ 1.11	$ 0.08	$ 0.17	$ 0.16	$ 0.28	$ 1.60																	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.25	$ 0.08	$ 0.16	$ 0.16	$ 0.23	$ 1.76
Discontinued operations (in dollars per share)		$ 0.28	$ (0.02)	$ (0.01)	$ 0.04	$ (0.08)	$ 0.01	$ (0.06)	$ 0.24	$ (0.08)	$ (0.03)						$ 0.27	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.24	$ (0.08)																		$ 0.28	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.26	$ (0.08)
Net income per share - basic (in dollars per share)	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68	$ 0.66					$ 0.07	$ 0.34	$ (0.09)	$ 0.01	$ 1.16	$ (0.01)	$ 0.14	$ 0.12	$ 0.52	$ 1.52																	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68
Diluted income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.19	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.67	$ 0.67					$ 0.07	$ 0.07	$ 0.10	$ 0.02	$ 1.05	$ 0.08	$ 0.17	$ 0.15	$ 0.28	$ 1.52																	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.18	$ 0.08	$ 0.16	$ 0.16	$ 0.22	$ 1.67
Discontinued operations (in dollars per share)		$ 0.27	$ (0.01)	$ (0.01)	$ 0.04	$ (0.07)	$ 0.01	$ (0.06)	$ 0.23	$ (0.08)	$ (0.03)						$ 0.26	$ (0.01)	$ (0.01)	$ 0.05	$ (0.09)	$ (0.03)	$ (0.04)	$ 0.24	$ (0.07)																		$ 0.27	$ (0.01)	$ (0.01)	$ 0.05	$ (0.08)	$ (0.03)	$ (0.04)	$ 0.25	$ (0.07)
Net income per share - diluted (in dollars per share)	$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59	$ 0.64					$ 0.07	$ 0.33	$ (0.09)	$ 0.01	$ 1.10	$ (0.01)	$ 0.14	$ 0.11	$ 0.52	$ 1.45									$ 0.04	$ 0.14							$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59
Consolidated Statement of Comprehensive Income:
Net income	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787	23,492					3,499	16,439	4,638	369	55,401	(528)	5,196	4,133	24,945	64,201	(1,553)	(226)	272	103	6,590	68	(250)	177	(1,404)	6,586							1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787														(773)	7,352	(693)	(1,070)	62	304
Other comprehensive income (loss):
Unrealized gain on investments in available for sale securities, net of tax									214	24	1,828													358	42									(144)	(18)
Realized loss (gain) on investments in available for sale securities reclassified and included in net income, net of tax									11	(2,460)	(933)													19	(4,116)									(8)	1,656
Unrealized gains on equity investment in Affiliates Insurance Company									22	76	1													22	76
Other comprehensive income (loss)									247	(2,360)	896													399	(3,998)									(152)	1,638
Comprehensive income									23,788	68,427	24,388													25,344	60,203									(1,556)	8,224
Consolidated Statement of Cash Flows data:
Net income	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787	23,492					3,499	16,439	4,638	369	55,401	(528)	5,196	4,133	24,945	64,201	(1,553)	(226)	272	103	6,590	68	(250)	177	(1,404)	6,586							1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787														(773)	7,352	(693)	(1,070)	62	304
Depreciation and amortization									24,480	19,160	14,077													25,064	19,694									78	(32)															24,986	19,662									(506)	(502)								(78)	(32)
(Income) loss from discontinued operations	47	(13,125)	666	695	(2,100)	3,685	(405)	2,201	(17,158)	6,184	1,213					(6)	(13,034)	293	377	(2,657)	4,166	1,143	1,489	(11,517)	3,284	(167)	(410)	(6)	(37)	263	(97)	(94)	(12)	(6,934)	2,729	(649)						(173)	(13,444)	287	340	(2,394)	4,069	1,049	1,477	(18,451)	6,013	220	319	379	355	294	(384)	(1,454)	724	1,293	171								(4)	(17)						(6,930)	2,746
Impairment of long-lived assets					3,080					3,080										3,500					3,500																					3,500					3,500					(420)					(420)
Stock-based compensation									1,445	1,173	1,064													1,267	1,271									178	(98)															1,445	1,173																		178	(98)
Deferred income taxes									11,365	(61,491)														10,556	(54,699)									809	(6,792)															11,365	61,491														809	(6,792)
Provision for losses on receivables									4,446	4,197	3,613													5,296	5,257																									5,296	5,257									(850)	(1,060)
Changes in assets and liabilities:
Accounts receivable									(2,431)	(8,344)	(7,246)													(1,921)	(6,578)									730	(1,789)															(1,191)	(8,367)									(1,240)	23								89	243						641	(2,032)
Prepaid expenses and other assets									(11,356)	(1,109)	1,182													(11,270)	(1,025)									28	(99)															(11,242)	(1,124)									(114)	15					(153)	693	1,070								(665)	(1,016)
Accounts payable and accrued expenses									16,701	5,848	(5,853)													15,482	3,537									1,490	2,381															16,972	5,918									(271)	(70)				(54)	(490)										1,544	2,871
Accrued compensation and benefits									1,403	2,770	1,081													2,011	1,924																									2,011	1,924									(608)	846
Due to related persons									(6,891)	1,653	230													(6,944)	818									53	835															(6,891)	1,653																									53	835
Other current and long term liabilities									2,305	2,384	324													4,128	3,367									(1,802)	(975)															2,326	2,392									(21)	(8)				18	83			(247)	(400)						(1,573)	(658)
Cash provided by operating activities									47,508	42,036	105,936													56,755	40,295									(6,930)	2,746															49,825	43,041									(2,317)	(1,005)															(6,930)	2,746
Acquisition of property and equipment									(51,805)	(57,451)	(48,155)													(57,386)	(60,380)																									(57,386)	(60,380)									5,581	2,929
Proceeds from sale of pharmacy business									34,298															34,298										(34,298)																																										(34,298)
Proceeds from disposition of property and equipment									24,818	31,317	24,548													30,520	33,269																									30,520	33,269									(5,702)	(1,952)
Cash used in investing activities									(37,684)	(125,779)	(39,169)													(3,265)	(126,756)									(34,298)																(37,563)	(126,756)									(121)	977															(34,298)
Repayments of mortgage notes payable									(1,028)	(548)	(4,489)													(1,170)	(683)									142	135															(1,028)	(548)																									142	135
Cash provided by (used in) financing activities									(51,066)	90,783	(54,410)													(51,208)	90,648									142	135															(51,066)	90,783																									142	135
Net cash (used in) provided by operating activities of discontinued operations									1,763	2,405	2,722													(6,018)	3,417									5,464	(2,017)															(554)	1,400									2,317	1,005															5,464	(2,017)
Net cash provided by (used in) investing activities of discontinued operations									35,885	(1,706)	802																							35,764	(729)															35,764	(729)									121	(977)															35,764	(729)
Net cash used in financing activities of discontinued operations									(142)	(135)	(128)																							(142)	(135)															(142)	(135)																									(142)	(135)
Net cash flows (used in) provided by discontinued operations									$ 37,506	$ 564	$ 3,396													$ (6,018)	$ 3,417									$ 41,086	$ (2,881)															$ 35,068	$ 536									$ 2,438	$ 28															$ 41,086	$ (2,881)
Number of real estate properties classified as discontinued operations															11																										11																					11	11

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

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

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Shareholders' Equity

12 Months Ended

Dec. 31, 2012

Shareholders' Equity

Shareholders' Equity

10.   Shareholders’ Equity

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

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

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

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Document and Entity Information (USD $) In Millions, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Feb. 15, 2013	Jun. 29, 2012
Document and Entity Information
Entity Registrant Name	FIVE STAR QUALITY CARE INC
Entity Central Index Key	0001159281
Document Type	10-K
Document Period End Date	Dec. 31, 2012
Amendment Flag	true
Amendment Description	We are filing this Amendment No. 1 to our Annual Report on Form 10-K for the year ended December 31, 2012, or this Amended 2012 Annual Report, to amend and restate financial statements and other financial information in our Annual Report on Form 10-K for the year ended December 31, 2012, or our 2012 Annual Report, which was filed with the Securities and Exchange Commission, or the SEC, on February 19, 2013. As more fully described in Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report, subsequent to the filing of our 2012 Annual Report our management and the Audit Committee of our Board of Directors, or our Audit Committee, concluded that our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within our 2012 Annual Report should be restated, and that those financial statements previously filed with the SEC should no longer be relied upon. We are restating our consolidated financial statements for the years ended December 31, 2012 and 2011 contained within this Amended 2012 Annual Report to correct certain errors in the accounting for income taxes and other errors. Specifically, the accounting for income tax errors relate to, among other things, the measurement of deferred tax assets for net operating losses and tax credits and the measurement of deferred tax assets and liabilities for temporary differences related to fixed assets, intangible assets and investments. In addition, as part of the restatement we have corrected certain other errors related to insurance receivables, security deposits, accrual of fixed asset additions, classification of senior living operating expenses and certain other immaterial items. The net impact of correcting the errors resulted in an increase to our shareholders' equity of $6,749 and $8,127 at December 31, 2012 and 2011, respectively, and a decrease to net income of $1,404 for the year ended December 31, 2012 and an increase to net income of $6,586 for the year ended December 31, 2011. We corrected the presentation and disclosure of our consolidated statements of cash flows to separately identify the net cash flows from discontinued operations, by category and in total. The restated financial statements include the proceeds from the sale of our pharmacy business of $34,298 for the year ended December 31, 2012 as cash provided by investing activities of discontinued operations and reflect the correction of other errors in the separate disclosures of cash flows for continuing operations and discontinued operations. We have also corrected the footnote presentation of the classification of $11,550 and $11,692 of our available for sale debt securities as of December 31, 2012 and December 31, 2011, respectively, from Level 1 assets to Level 2 assets as defined in the fair value hierarchy and corrected the disclosure of the fair value of our mortgage notes payable which increased $9,947 and $8,956 as of December 31, 2012 and December 31, 2011, respectively. In the second quarter of 2013, we and Senior Housing Properties Trust, or SNH, offered for sale 10 senior living communities that we lease from SNH and classified those communities as discontinued operations. Also, during the second quarter of 2013, we offered for sale one senior living community we own and classified this community as discontinued operations. In the third quarter of 2013, in connection with entering in to a purchase agreement with SNH and certain unrelated parties, we reclassified our rehabilitation hospital business as discontinued operations. These 11 senior living communities and our rehabilitation hospital business are retrospectively presented as discontinued operations throughout this Amended 2012 Annual Report. Please see Note 18 to the Notes to our Consolidated Financial Statements included in Item 15 of this Amended 2012 Annual Report for more information regarding the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors for the years ended December 31, 2012 and 2011. As a result of the error described above, we determined that our disclosure controls and procedures were not effective as of December 31, 2012, and we reassessed the effectiveness of our internal control over financial reporting and determined that we had material weaknesses in our internal controls over accounting for income taxes, that we lacked sufficient personnel with requisite technical accounting competencies and that we had an insufficient level of oversight in the financial statement close process. As a result, we concluded that our internal control over financial reporting was ineffective as of December 31, 2012. Amendments to our 2012 Annual Report included in this Amended 2012 Annual Report The following sections of our 2012 Annual Report are amended and being filed in their entirety in this Amended 2012 Annual Report: Part I, Item 1. Business; Part I, Item 1A. Risk Factors; Part I, Item 2. Properties; Part II, Item 6. Selected Financial Data; Part II, Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations; Part II, Item 9A. Controls and Procedures; and Part IV, Item 15. Exhibits and Financial Statement Schedules. This Amended 2012 Annual Report contains only the items and exhibits to the 2012 Annual Report that are being amended and restated, and unaffected items are not included herein. Except as described above and relating directly to such matters, the financial statements and other disclosures in this Amended 2012 Annual Report do not reflect any events that have occurred after February 19, 2013, the date our 2012 Annual Report was filed with the SEC.
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Accelerated Filer
Entity Public Float			$ 130.5
Entity Common Stock, Shares Outstanding		48,234,022
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	FY

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Acquisitions

12 Months Ended

Dec. 31, 2012

Acquisitions

Acquisitions

11.  Acquisitions

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

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

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

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

	As of December 31, 2011
	Preliminary Amounts Recorded		Measurement Period Adjustment			Revised Amounts Recorded
Land	$	4,715	$	(510	)	$	4,205
Building and improvements	106,240		(15,200		)	91,040
Furniture, fixtures and equipment	11,805		(2,099		)	9,706
Property and equipment	$	122,760	$	(17,809	)	$	104,951
Goodwill related to home health services	$	—	$	14,565		$	14,565
Other intangible assets related to resident agreements	$	—	$	3,244		$	3,244

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

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CONSOLIDATED STATEMENTS OF INCOME (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Revenues:
Senior living revenue	$ 269,790	$ 268,645	$ 269,093	$ 266,805	$ 265,045	$ 265,623	$ 255,355	$ 252,714	$ 1,074,333	$ 1,038,737	$ 991,195
Management fee revenue	2,150	1,277	1,302	1,088	514	359	25		5,817	898
Reimbursed costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562		126,995	20,552
Total revenues	322,185	297,169	296,493	291,298	277,225	274,306	255,942	252,714	1,207,145	1,060,187	991,195
Operating expenses:
Senior living wages and benefits	128,998	131,384	130,252	131,810	130,917	129,264	126,528	123,303	522,444	510,012	486,386
Other senior living operating expenses	67,113	64,579	63,797	64,260	64,543	65,844	59,041	60,063	259,749	249,491	233,080
Costs incurred on behalf of managed communities	50,245	27,247	26,098	23,405	11,666	8,324	562		126,995	20,552
Rent expense	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839
General and administrative	16,197	14,647	15,434	15,499	15,273	14,394	14,130	13,646	61,777	57,443	55,486
Depreciation and amortization	6,284	6,175	6,203	5,818	5,819	5,368	4,134	3,839	24,480	19,160	14,077
Impairment of long-lived assets					3,080					3,080
Gain on settlement			(3,365)						(3,365)
Total operating expenses	316,570	291,691	285,850	288,153	278,366	270,468	249,370	245,484	1,182,264	1,043,688	965,868
Operating income	5,615	5,478	10,643	3,145	(1,141)	3,838	6,572	7,230	24,881	16,499	25,327
Interest, dividend and other income	243	199	234	205	264	355	317	304	881	1,240	1,757
Interest and other expense	(1,475)	(1,762)	(1,605)	(1,426)	(1,512)	(1,034)	(870)	(501)	(6,268)	(3,917)	(2,597)
Acquisition related costs	8	100			229	226	1,202	102	(108)	(1,759)	0
Gain on investments in trading securities											4,856
Loss on UBS put right related to auction rate securities											(4,714)
Gain on early extinguishment of debt			45					1	45	1	592
(Loss) gain on sale of available for sale securities	(81)	63		(1)	3,460	529	51	76	(19)	4,116	933
Income from continuing operations before income taxes and equity in earnings (losses) of Affiliates Insurance Company	4,294	3,878	9,317	1,923	842	3,462	4,868	7,008	19,412	16,180	26,154
(Provision) benefit for income taxes	(2,381)	(905)	(3,817)	(801)	59,021	(265)	(373)	(534)	(7,904)	57,849	(1,448)
Equity in earnings (losses) of Affiliates Insurance Company	80	115	76	45	28	28	46	37	316	139	(1)
Income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705
Income (loss) from discontinued operations	(47)	13,125	(666)	(695)	2,100	(3,685)	405	(2,201)	17,158	(6,184)	(1,213)
Net income	$ 1,946	$ 16,213	$ 4,910	$ 472	$ 61,991	$ (460)	$ 4,946	$ 4,310	$ 23,541	$ 70,787	$ 23,492
Weighted average shares outstanding - basic (in shares)									47,952	42,161	35,736
Weighted average shares outstanding - diluted (in shares)									50,134	45,034	39,207
Basic income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.12	$ 0.02	$ 1.26	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.76	$ 0.69
Discontinued operations (in dollars per share)		$ 0.28	$ (0.02)	$ (0.01)	$ 0.04	$ (0.08)	$ 0.01	$ (0.06)	$ 0.24	$ (0.08)	$ (0.03)
Net income per share - basic (in dollars per share)	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68	$ 0.66
Diluted income per share from:
Continuing operations (in dollars per share)	$ 0.04	$ 0.06	$ 0.11	$ 0.02	$ 1.19	$ 0.07	$ 0.12	$ 0.18	$ 0.25	$ 1.67	$ 0.67
Discontinued operations (in dollars per share)		$ 0.27	$ (0.01)	$ (0.01)	$ 0.04	$ (0.07)	$ 0.01	$ (0.06)	$ 0.23	$ (0.08)	$ (0.03)
Net income per share - diluted (in dollars per share)	$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59	$ 0.64

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Income Taxes

12 Months Ended

Dec. 31, 2012

Income Taxes

Income Taxes

5.  Income Taxes

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

	2012			2011
	(Restated)			(Restated)
Current deferred tax assets:
Continuing care contracts	$	607		$	676
Allowance for doubtful accounts	1,559			1,795
Insurance reserves	1,015			1,092
Deferred gains on sale lease back transactions	1,278			1,126
Tax credits	465			420
Tax loss carry forwards	9,190			8,114
Other	1,220			1,217
Total current deferred tax assets before valuation allowance	15,334			14,440
Valuation allowance:	(297		)	(481		)
Total current deferred tax assets	15,037			13,959
Non-current deferred tax assets:
Continuing care contracts	228			249
Deferred gains on sale lease back transactions	981			899
Insurance reserves	2,919			2,768
Tax credits	11,264			10,121
Tax loss carry forwards	25,246			36,783
Impairment of securities	501			1,671
Other	1,431			1,842
Total non-current deferred tax assets before valuation allowance	42,570			54,333
Valuation allowance:	(1,891		)	(2,882		)
Total non-current deferred tax assets	40,679			51,451
Current deferred tax liabilities:
Employee stock grants	(130		)	(140		)
Non-current deferred tax liabilities:
Depreciable assets	(1,674		)	187
Lease expense	(696		)	(1,094		)
Goodwill	(1,087		)	(105		)
Identifiable intangibles/other liabilities	(1,008		)	(1,619		)
Total non-current deferred tax liabilities	(4,465		)	(2,631		)
Net deferred tax asset	$	51,121		$	62,639

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

	Balance at Beginning of Period(Restated)		Amounts Charged/ (Credited) To Expense (Restated)			Amounts Charged Off, Net of Recoveries		Balance at End of Period (Restated)
Year Ended December 31, 2010	$	65,231	$	(6,860	)	$	—	$	58,371
Year Ended December 31, 2011	$	58,371	$	(55,008	)	$	—	$	3,363
Year Ended December 31, 2012	$	3,363	$	(1,175	)	$	—	$	2,188

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

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

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

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

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

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

	For the years ended December 31,
	2012		2011
	(Restated)		(Restated)		2010
Taxes at statutory U.S. federal income tax rate	35.0	%	35.0	%	35.0	%
State and local income taxes, net of federal tax benefit	8.3	%	(13.8	)%	8.7	%
Tax credits	(3.7	)%	(16.6	)%	(7.5	)%
Change in valuation allowance	0.1	%	(360.9	)%	(33.5	)%
US permanent differences	0.6	%	0.6	%	1.5	%
Other differences, net	(0.2	)%	1.2	%	1.3	%
Effective tax rate	40.1	%	(354.5	)%	5.5	%

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

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

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

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

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Goodwill and Other Intangible Assets

12 Months Ended

Dec. 31, 2012

Goodwill and Other Intangible Assets

Goodwill and Other Intangible Assets

4. Goodwill and Other Intangible Assets

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

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

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

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

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

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

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

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

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

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

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

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

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Employee Benefit Plans

12 Months Ended

Dec. 31, 2012

Employee Benefit Plans

Employee Benefit Plans

16.  Employee Benefit Plans

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

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Discontinued Operations

12 Months Ended

Dec. 31, 2012

Discontinued Operations

Discontinued Operations

12.  Discontinued Operations

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

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

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

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

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

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

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

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

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

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Indebtedness

12 Months Ended

Dec. 31, 2012

Indebtedness

Indebtedness

8.  Indebtedness

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

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

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

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

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

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

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

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

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

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

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

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

Balance as of December 31, 2012		Effective Interest Rate		Cash Interest Rate		Maturity Date	Monthly Payment
$	19,435	6.64	%	5.86	%	June 2023	$	123
6,712		8.99	%	5.46	%	February 2025	63
2,968		6.36	%	6.70	%	September 2028	25
9,598		6.20	%	6.70	%	September 2032	72
3,045		5.25	%	5.25	%	June 2035	19
4,502		5.55	%	5.55	%	May 2039	27
$	46,260	6.67	%(1)	5.96	%(1)		$	329

(1) Weighted average interest rate.

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

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

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

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Discontinued Operations (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended			3 Months Ended	12 Months Ended							1 Months Ended			1 Months Ended						1 Months Ended			1 Months Ended	3 Months Ended	1 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2011 SNH	Dec. 31, 2012 SNH	Dec. 31, 2011 SNH	Dec. 31, 2010 SNH	Jun. 30, 2013 SNH Subsequent event property unit	Dec. 31, 2012 SNH Rehabilitation hospitals property	Aug. 31, 2013 SNH Rehabilitation hospitals Subsequent event hospital	Oct. 31, 2012 SNF property	Oct. 31, 2012 SNF Michigan	Dec. 31, 2011 SNF Michigan unit property	Jun. 30, 2013 SNF SNH Subsequent event unit property	Aug. 31, 2010 SNF SNH Nebraska property	Nov. 30, 2010 SNF SNH Georgia property unit	Jun. 30, 2011 SNF SNH Georgia property	May 31, 2011 SNF SNH Georgia property	Jun. 30, 2013 Assisted living communities Subsequent event property unit	Jun. 30, 2013 Assisted living communities SNH Subsequent event unit property	Aug. 30, 2011 Assisted living communities SNH Pennsylvania	Nov. 30, 2010 Assisted living communities SNH Pennsylvania property unit	Aug. 31, 2011 Assisted living communities SNH Pennsylvania property unit	Sep. 30, 2012 Pharmacy business	Sep. 30, 2012 Pharmacy business	Sep. 30, 2012 Pharmacy business South Carolina item
Discontinued Operations
Number of properties offered for sale																	2		2		2		4	3	1	2	1			1
Number of units in real estate property offered for sale																					271			329			32			70
Sale consideration																				$ 8,000			$ 1,450
HUD mortgage debt	7,547				7,690				7,547	7,690										7,547
Asset impairment charge									644	4,358		3,080								294													350
Number of properties agreed to be sold by the related party																10						7						3			1
Number of living units in property agreed to be sold by the related party																721						578						143			103
Increase (decrease) in annual lease rent payable													2,456	2,665	2,550								(145)	(1,790)						(72)
Decrease in annual lease rent payable (as a percent)																													9.00%
Proceeds from sale of pharmacy business																																34,298
Working capital included in proceeds from sale of business																																3,789
Net cash receipts from sale of pharmacy business, before taxes and transaction costs									34,298
Number of pharmacies whose real estate was not acquired by Omnicare																																		1
Number of hospitals associated with real estate, agreed to be sold by the related party																		2
Summary of the operating results of discontinued operations
Revenues									213,020	251,604	268,685
Expenses									(218,565)	(253,430)	(269,898)
Impairment on assets									(644)	(4,358)		(3,080)								(294)													(350)
(Provision) benefit for income taxes									(5,441)	2,803
Gain on sale									23,347																							23,347
Net income (loss)	$ (47)	$ 13,125	$ (666)	$ (695)	$ 2,100	$ (3,685)	$ 405	$ (2,201)	$ 17,158	$ (6,184)	$ (1,213)

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Earnings Per Share

12 Months Ended

Dec. 31, 2012

Earnings Per Share

Earnings Per Share

6.  Earnings Per Share

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

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

	Year Ended December 31,
	2012 (Restated)					2011 (Restated)							2010
	Income (loss)		Shares	Per Share		Income (loss)			Shares	Per Share			Income (loss)			Shares	Per Share
Income from continuing operations	$	11,824	47,952	$	0.25	$	74,168		42,161	$	1.76		$	24,705		35,736	$	0.69
Effect of the Notes	677		2,182			962			2,873				1,652			3,471
Diluted income from continuing operations	$	11,824	50,134	$	0.25	$	75,130		45,034	$	1.67		$	26,357		39,207	$	0.67
Diluted income (loss) from discontinued operations	$	11,717	50,134	$	0.23	$	(3,381	)	45,034	$	(0.08	)	$	(1,213	)	39,207	$	(0.03	)

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Fair Values of Assets and Liabilities

12 Months Ended

Dec. 31, 2012

Fair Values of Assets and Liabilities

Fair Values of Assets and Liabilities

7.  Fair Values of Assets and Liabilities

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

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

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

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

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

	As of December 31, 2012								As of December 31, 2011
Description	Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)		Total		Quoted Prices in Active Markets for Identical Assets(Level 1)(Restated)		Significant Other Observable Inputs(Level 2)(Restated)		Significant Unobservable Inputs(Level 3)
Cash equivalents (1)	22,149		22,149		—		—		19,745		19,745		—		—
Available for sale securities: (2)
Equity securities
Financial services industry	6,025		6,025		—		—		3,752		3,752		—		—
REIT industry	484		484		—		—		472		472		—		—
Other	775		775		—		—		789		789		—		—
Total equity securities	7,284		7,284		—		—		5,013		5,013		—		—
Debt securities
International bond fund (3)	2,345		—		2,345		—		2,246		—		2,246		—
High yield fund (4)	2,168		—		2,168		—		—		—		—		—
Industrial bonds	5,186		—		5,186		—		7,467		—		7,467		—
Government bonds	4,666		4,666		—		—		5,524		5,524		—		—
Financial bonds	982		—		982		—		1,104		—		1,104		—
Other	869		—		869		—		875		—		875		—
Total debt securities	16,216		4,666		11,550		—		17,216		5,524		11,692		—
Total available for sale securities	23,500		11,950		11,550		—		22,229		10,537		11,692		—
Total	$	45,649	$	34,099	$	11,550	$	—	$	41,974	$	30,282	$	11,692	$	—

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

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

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

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

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

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

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Leases

12 Months Ended

Dec. 31, 2012

Leases

Leases

9.  Leases

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

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

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

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

	Number of properties	Annual minimum rent as of December 31, 2012		Initial expiration date	Renewal terms
1. Lease No. 1 for SNFs and independent and assisted living communities(1)	91	$	58,779	December 31, 2024	Two 15-year renewal options.
2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53	70,442		June 30, 2026	Two 10-year renewal options.
3. Lease No. 3 for independent and assisted living communities(2)	17	33,997		December 31, 2028	Two 15-year renewal options.
4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29	34,470		April 30, 2017	Two 15-year renewal options.
5. One HCP lease	4	1,183		June 30, 2014	Two 10-year renewal options.
Totals	194	$	198,871

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

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

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

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

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

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Related Person Transactions (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended			1 Months Ended		12 Months Ended								1 Months Ended	12 Months Ended				12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Jun. 30, 2011 RMR item	May 31, 2011 RMR item	Dec. 31, 2012 RMR item	Dec. 31, 2011 RMR	Dec. 31, 2010 RMR	Dec. 31, 2011 RMR Georgia	Dec. 31, 2010 RMR Georgia	Dec. 31, 2012 RMR Share Award Plans Restricted shares	Dec. 31, 2011 RMR Share Award Plans Restricted shares	Dec. 31, 2010 RMR Share Award Plans Restricted shares	Jun. 30, 2012 AIC	Dec. 31, 2012 AIC item	Dec. 31, 2011 AIC	Dec. 31, 2010 AIC	Dec. 31, 2012 AIC Maximum	Dec. 31, 2012 Messrs. Mackey, Hoagland and Larkin
Related person transactions
Minimum percentage of business time devoted for services																											80.00%
Percentage of total cash compensation paid														80.00%
Number of employees														820
Management fees receivable under property management agreement as a percentage of gross revenues														0.60%
Business management agreement expense														$ 13,186	$ 11,726	$ 11,214
share in cost of providing internal audit function														209	247	211
Renewal period														1 year
Period before which a written notice is required to be given for termination of the service agreement														60 days
Period before which a notice is required for termination of the business management agreement upon change in control														5 days
Number of buildings owned												2	1
Utilities and real estate taxes	47,733	47,659	47,431	47,361	47,068	47,274	44,975	44,633	190,184	183,950	176,839			1,426	1,271	1,212	71	66
Awards granted (in shares)																			81	77	65
Aggregate value of awards granted during the period																			399	168	394
Portion of the awards granted that vested on the grant date (as percentage)																			20.00%
Portion of the awards granted, which will vest on each of the next four anniversaries of the grant date (as percent)																			20.00%
Number of anniversaries of the grant date over which the awards vest																			4 years
Annual rent expense under leases														748
Ownership percentage	12.50%								12.50%														12.50%			20.00%
Number of other current shareholders of the related party																							5
Amount invested in equity investee																							5,209
Equity investment in Affiliates Insurance Company	5,629	5,558	5,408	5,335	5,291	5,245	5,202	5,117	5,629	5,291													5,629	5,291
Income (loss) related to investment	80	115	76	45	28	28	46	37	316	139	(1)												316	139	(1)
Coverage of property insurance																							500,000
Period for which property insurance program was extended																						1 year
Annual premiums																						$ 6,264		$ 4,500	$ 2,900

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Selected Quarterly Financial Data (Unaudited) (Details) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Selected Quarterly Financial Data (Unaudited)
Revenues	$ 322,185	$ 297,169	$ 296,493	$ 291,298	$ 277,225	$ 274,306	$ 255,942	$ 252,714	$ 1,207,145	$ 1,060,187	$ 991,195
Operating income (loss)	5,615	5,478	10,643	3,145	(1,141)	3,838	6,572	7,230	24,881	16,499	25,327
Net income from continuing operations	1,993	3,088	5,576	1,167	59,891	3,225	4,541	6,511	11,824	74,168	24,705
Net income (loss)	1,946	16,213	4,910	472	61,991	(460)	4,946	4,310	23,541	70,787	23,492
Net income (loss) per common share - Basic (in dollars per share)	$ 0.04	$ 0.34	$ 0.10	$ 0.01	$ 1.30	$ (0.01)	$ 0.13	$ 0.12	$ 0.49	$ 1.68	$ 0.66
Net income (loss) per common share - Diluted (in dollars per share)	$ 0.04	$ 0.33	$ 0.10	$ 0.01	$ 1.23	$ 0.00	$ 0.13	$ 0.12	$ 0.48	$ 1.59	$ 0.64
Income tax benefit from continuing operations	2,381	905	3,817	801	(59,021)	265	373	534	7,904	(57,849)	1,448
Income tax benefit attributable to partial reduction of deferred income tax valuation allowance					$ 58,896

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Related Person Transactions (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended							12 Months Ended							12 Months Ended				12 Months Ended							1 Months Ended				12 Months Ended		1 Months Ended						1 Months Ended
	Dec. 31, 2012 property	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Dec. 31, 2012 property	Dec. 31, 2011	Dec. 31, 2012 Bridge Loan	Dec. 31, 2011 Bridge Loan	Dec. 31, 2012 Senior Living Communities property	Dec. 31, 2012 Rehabilitation hospitals property	Dec. 31, 2012 SNF property	Dec. 31, 2012 SNH item	Dec. 31, 2011 SNH	Dec. 31, 2010 SNH	Aug. 31, 2012 SNH item	Dec. 31, 2012 SNH AL Pooling Agreements property	Dec. 31, 2012 SNH Bridge Loan	Dec. 31, 2011 SNH Bridge Loan	Sep. 30, 2011 SNH Bridge Loan	May 31, 2011 SNH Bridge Loan	Apr. 30, 2012 SNH Bridge Loan Annual rates of interest applicable to borrowings under revolving credit facility	Dec. 31, 2012 SNH Senior Living Communities property	Aug. 31, 2012 SNH Senior Living Communities New York property	May 31, 2012 SNH Senior Living Communities Second AL Pooling Agreements property	Feb. 29, 2012 SNH Senior Living Communities Second AL Pooling Agreements Alabama property	May 31, 2012 SNH Senior Living Communities Second AL Pooling Agreements South Carolina property	Dec. 31, 2012 SNH Senior Living Communities Second AL Pooling Agreements Tennessee property	Dec. 31, 2012 SNH Senior Living Communities Second AL Pooling Agreements Texas property	Aug. 31, 2012 SNH Senior Living Communities IL Pooling Agreement Missouri property	May 31, 2012 SNH Senior Living Communities Sunrise property	Aug. 31, 2012 SNH Senior Living Communities D&R Yonkers LLC item property	Dec. 31, 2012 SNH Rehabilitation hospitals property	Jun. 30, 2012 SNH Rehabilitation hospitals property	Dec. 31, 2012 SNH SNF property	Jul. 31, 2012 SNH Assisted living units Second AL Pooling Agreements South Carolina property
Related person transactions
Ownership percentage by former parent															100.00%
Number of shares owned															4,235
Percentage of outstanding common shares owned															8.80%
Minimum percentage of ownership interest beyond which consent of related party required															9.80%
Minimum percentage of ownership interest of voting stock above which the option to cancel all the lease rights exist															9.80%
Number of real estate properties leased	194							194				181	2												188										2	2
Number of real estate properties classified as discontinued operations														2											11										2		7
Number of properties managed												39													39
Total minimum annual rent payable	$ 2,351,411							$ 2,351,411							$ 197,688
Rent expense under leases, net of lease inducement amortization															200,036	194,524	188,768
Outstanding rent due and payable															17,688	17,318
Real estate improvements sold															30,520	33,269	31,894
Increase (decrease) in annual lease rent payable															2,456	2,665	2,550
Assets held for sale for increased rent pursuant to the terms of leases with SNH															9,625	7,114
Management fees receivable under property management agreement as a percentage of gross revenues															3.00%											5.00%								3.00%
Incentive fee as a percentage of the annual net operating income after the entity realizes an annual return equal to 8% of invested capital															35.00%
Annual return as a percentage of invested surplus specified as a base for determining incentive fee															8.00%
Renewal term of the property management agreement															15 years																			5 years
Number of consecutive renewal terms of agreement															2																			9
Minimum percentage of ownership interest of lessee's voting stock above which the entity has the option to cancel all its rights															9.80%
Number of pooling agreements															3
Number of pooling agreement for communities that include assisted living units															2
Number of properties that the entity agreed to manage																			20							198		92	59	90	78	87						232
Number of properties of which termination date is agreed to be accelerated																																	10
Number of consecutive period during which the entity must not receive the minimum return for the property management agreement to be subject to the pooling agreement																			3 years
Management fee revenue	2,150	1,277	1,302	1,088	514	359	25	5,817	898						5,582	835
Number of properties that the entity will begin to operate as a manager																											10
Number of properties subleased																																		111
Amount agreed to be lent																						80,000	80,000
Interest rate margin over base rate																								1.00%
Interest expense										$ 314	$ 593									$ 314	$ 593
Number of properties securing a debt released as a result of repayment of related debt																		11
Number of properties securing a debt																		28

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Leases (Tables)

12 Months Ended

Dec. 31, 2012

Leases

Summary of real property leases (including 11 senior living communities and two rehabilitation hospitals that the entity has classified as discontinued operations)

	Number of properties	Annual minimum rent as of December 31, 2012		Initial expiration date	Renewal terms
1. Lease No. 1 for SNFs and independent and assisted living communities(1)	91	$	58,779	December 31, 2024	Two 15-year renewal options.
2. Lease No. 2 for SNFs, independent and assisted living communities and rehabilitation hospitals	53	70,442		June 30, 2026	Two 10-year renewal options.
3. Lease No. 3 for independent and assisted living communities(2)	17	33,997		December 31, 2028	Two 15-year renewal options.
4. Lease No. 4 for SNFs and independent and assisted living communities (3)	29	34,470		April 30, 2017	Two 15-year renewal options.
5. One HCP lease	4	1,183		June 30, 2014	Two 10-year renewal options.
Totals	194	$	198,871

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

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

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

Schedule of future minimum rents

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

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

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Litigation Settlement

12 Months Ended

Dec. 31, 2012

Litigation Settlement

Litigation Settlement

14.   Litigation Settlement

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

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Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2012

Summary of Significant Accounting Policies

Restatement of Previously Issued Financial Statements

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

Basis of Presentation

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

Use of Estimates

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

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

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

Earnings Per Share

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

Cash and Cash Equivalents

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

Equity Method Investments

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

Investment Securities

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

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

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

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

	December 31, 2012
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	4,052	$	75	$	3,268	$	195	$	7,320	$	270

	December 31, 2011
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	6,414	$	185	$	—	$	—	$	6,414	$	185

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

Restricted Cash

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

	2012				2011
	Current		Long term		Current		Long term
Insurance reserves	$	3,053	$	8,768	$	1,842	$	4,092
Real estate taxes and capital expenditures as required by our mortgages	2,761		—		2,335		—
Indemnification obligations associated with the sale of our pharmacy business	—		3,398		—		—
Resident security deposits	734		—		661		—
Total	$	6,548	$	12,166	$	4,838	$	4,092

Accounts Receivable and Allowance for Doubtful Accounts

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

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

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

Deferred Finance Costs

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

Property and Equipment

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

Goodwill and Other Intangible Assets

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

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

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

Self Insurance

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

Continuing Care Contracts

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

Leases

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

Taxes

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

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

Fair Value of Financial Instruments

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

Revenue Recognition

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

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

Recently Issued Accounting Pronouncements

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

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

Segment Information

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

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

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

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

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Property and Equipment

12 Months Ended

Dec. 31, 2012

Property and Equipment

Property and Equipment

3. Property and Equipment

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

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

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

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

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

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

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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2012

Summary of Significant Accounting Policies

Schedule of fair value and gross unrealized losses related to the entity's available for sale securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position

	December 31, 2012
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	4,052	$	75	$	3,268	$	195	$	7,320	$	270

	December 31, 2011
	Less than 12 months				Greater than 12 months				Total
	Fair Value		Unrealized Loss		Fair Value		Unrealized Loss		Fair Value		Unrealized Loss
Investments	$	6,414	$	185	$	—	$	—	$	6,414	$	185

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

	2012				2011
	Current		Long term		Current		Long term
Insurance reserves	$	3,053	$	8,768	$	1,842	$	4,092
Real estate taxes and capital expenditures as required by our mortgages	2,761		—		2,335		—
Indemnification obligations associated with the sale of our pharmacy business	—		3,398		—		—
Resident security deposits	734		—		661		—
Total	$	6,548	$	12,166	$	4,838	$	4,092

Schedule of allowance for doubtful accounts

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

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Restatement of Previously Issued Financial Statements (Tables)

12 Months Ended

Dec. 31, 2012

Restatement of Previously Issued Financial Statements

Summary of the effect of the retrospective adjustments to reflect discontinued operations and the correction of errors by financial statement line item

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

	For the Year Ended December 31, 2012
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,111,018		$	—		$	—		$	247		$	(1,346	)	$	(1,099	)	$	1,109,919		$	(35,586	)	$	1,074,333
Rehabilitation hospital revenue	107,048			—			—			—			—			—			107,048			(107,048		)	—
Total revenues	1,350,878			—			—			247			(1,346		)	(1,099		)	1,349,779			(142,634		)	1,207,145
Senior living wages and benefits	548,164			—			—			89			—			89			548,253			(25,809		)	522,444
Other senior living operating expenses	270,069			—			693			—			(1,346		)	(653		)	269,416			(9,667		)	259,749
Rehabilitation hospital expenses	96,488			—			—			—			—			—			96,488			(96,488		)	—
Rent expense	201,641			—			—			—			—			—			201,641			(11,457		)	190,184
General and administrative	61,599			—			—			178			—			178			61,777			—			61,777
Depreciation and amortization	25,064			—			—			(78		)	—			(78		)	24,986			(506		)	24,480
Total operating expenses	1,330,020			—			693			189			(1,346		)	(464		)	1,329,556			(143,927		)	1,185,629
Operating income	20,858			—			(693		)	58			—			(635		)	20,223			1,293			21,516
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	18,754			—			(693		)	58			—			(635		)	18,119			1,293			19,412
Provision for income taxes	(5,642		)	(1,739		)	—			—			—			(1,739		)	(7,381		)	(523		)	(7,904		)
Income from continuing operations	13,428			(1,739		)	(693		)	58			—			(2,374		)	11,054			770			11,824
Income from discontinued operations	11,517			966			—			4			—			970			12,487			(770		)	11,717
Net income	$	24,945		$	(773	)	$	(693	)	$	62		$	—		$	(1,404	)	$	23,541		$	—		$	23,541
Per Share data:
Basic income per share from:
Continuing operations	$	0.28																	$	0.23					$	0.25
Discontinued operations	0.24																		0.26						0.24
Net income per share - basic	$	0.52																	$	0.49					$	0.49
Diluted income per share from:
Continuing operations	$	0.28																	$	0.22					$	0.25
Discontinued operations	0.24																		0.25						0.23
Net income per share - diluted	$	0.52																	$	0.48					$	0.48

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

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

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

	For the Year Ended December 31, 2011
																						Retrospective
				Error Corrections																		Adjustments
	As Reported			Income Taxes			Insurance Claims			Other Errors			Presentation and Classification			Total Error Corrections			As Corrected			for Discontinued Operations			As Restated
Consolidated Statement of Income data:
Senior living revenue	$	1,078,380		$	—		$	—		$	400		$	(1,464	)	$	(1,064	)	$	1,077,316		$	(38,579	)	$	1,038,737
Rehabilitation hospital revenue	105,320			—			—			—			—			—			105,320			(105,320		)	—
Total revenues	1,205,150			—			—			400			(1,464		)	(1,064		)	1,204,086			(143,899		)	1,060,187
Senior living wages and benefits	536,386			—			—			242			—			242			536,628			(26,616		)	510,012
Other senior living operating expenses	259,655			—			1,070			—			(1,464		)	(394		)	259,261			(9,770		)	249,491
Rehabilitation hospital expenses	95,305			—			—			—			—			—			95,305			(95,305		)	—
Rent expense	195,407			—			—			—			—			—			195,407			(11,457		)	183,950
General and administrative	57,540			—			—			(97		)	—			(97		)	57,443			—			57,443
Depreciation and amortization	19,694			—			—			(32		)	—			(32		)	19,662			(502		)	19,160
Impairment of long-lived assets	3,500			—			—			—			—			—			3,500			(420		)	3,080
Total operating expenses	1,188,039			—			1,070			113			(1,464		)	(281		)	1,187,758			(144,070		)	1,043,688
Operating income	17,111			—			(1,070		)	287			—			(783		)	16,328			171			16,499
Income from continuing operations before income taxes and equity in earnings of Affiliates Insurance Company	16,792			—			(1,070		)	287			—			(783		)	16,009			171			16,180
Provision for income taxes	50,554			7,365			—			—			—			7,365			57,919			(70		)	57,849
Income from continuing operations	67,485			7,365			(1,070		)	287			—			6,582			74,067			101			74,168
Income from discontinued operations	(3,284		)	(13		)	—			17			—			4			(3,280		)	(101		)	(3,381		)
Net income	64,201			7,352			(1,070		)	304			—			6,586			70,787			—			70,787
Per Share data:
Basic income per share from:
Continuing operations	$	1.60																	$	1.76					$	1.76
Discontinued operations	(0.08		)																(0.08		)				(0.08		)
Net income per share - basic	$	1.52																	$	1.68					$	1.68
Diluted income per share from:
Continuing operations	$	1.52																	$	1.67					$	1.67
Discontinued operations	(0.07		)																(0.07		)				(0.08		)
Net income per share - diluted	$	1.45																	$	1.59					$	1.59

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

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

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Off Balance Sheet Arrangement

12 Months Ended

Dec. 31, 2012

Off Balance Sheet Arrangement

Off Balance Sheet Arrangement

13.  Off Balance Sheet Arrangement

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