10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON,  DC20549

FORM 10-Q

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

For the quarterly period ended September 30, 2014

or

☐TRANSITION 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

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 ☒  No ☐

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 ☒  No ☐

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 ☐	Accelerated filer ☒
Non-accelerated filer ☐	Smaller reporting company ☐
(Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ☐  No ☒

Number of registrant’s shares of common stock, $.01 par value, outstanding as of December 12, 2014:  48,661,042.

FIVE STAR QUALITY CARE, INC.

FORM 10-Q

SEPTEMBER 30, 2014

INDEX

PART I	Financial Information	Page
Item 1.	Condensed Consolidated Financial Statements (unaudited)	1
	Condensed Consolidated Balance Sheets – September 30, 2014 and December 31, 2013	1
	Condensed Consolidated Statements of Operations – Three and Nine Months Ended September 30, 2014 and 2013	2
	Condensed Consolidated Statements of Comprehensive Income (Loss) – Three and Nine Months Ended September 30, 2014 and 2013	3
	Condensed Consolidated Statements of Cash Flows – Nine Months Ended September 30, 2014 and 2013	4
	Notes to Condensed Consolidated Financial Statements	5
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	18
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	28
Item 4.	Controls and Procedures	28
	Warning Concerning Forward Looking Statements	29
PART II	Other Information
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	33
Item 6.	Exhibits	33
	Signatures	34

As used herein the terms “we”, “us” or “our” mean Five Star Quality Care, Inc. and its consolidated subsidiaries unless the context otherwise requires.

Part I.   Financial Information

Item 1.  Condensed Consolidated Financial Statements

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(unaudited)

	September 30,		December 31,
	2014		2013
ASSETS
Current assets:
Cash and cash equivalents	$	24,947	$	23,628
Accounts receivable, net of allowance of $3,959 and $4,281 at September 30, 2014 and December 31, 2013, respectively		35,732		36,940
Due from related persons		12,728		11,659
Investments in available for sale securities, of which $9,125 and $4,690 are restricted as of September 30, 2014 and December 31, 2013, respectively		24,177		19,150
Restricted cash		3,636		9,003
Prepaid and other current assets		39,491		33,799
Assets of discontinued operations		2,529		16,705
Total current assets		143,240		150,884
Property and equipment, net		354,081		340,276
Equity investment in an investee		6,806		5,913
Restricted cash		3,599		9,795
Restricted investments in available for sale securities		19,876		11,905
Goodwill and other intangible assets		26,573		26,407
Other long term assets		49,713		45,003
	$	603,888	$	590,183
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Revolving credit facility, secured, principally by real estate	$	25,000	$	35,000
Accounts payable and accrued expenses		72,079		69,343
Accrued compensation and benefits		43,344		31,888
Due to related persons		20,019		20,587
Mortgage notes payable		1,828		1,159
Accrued real estate taxes		14,453		9,934
Security deposits and current portion of continuing care contracts		7,234		8,025
Other current liabilities		22,343		18,607
Liabilities of discontinued operations		1,049		3,985
Total current liabilities		207,349		198,528
Long term liabilities:
Mortgage notes payable		50,246		36,461
Continuing care contracts		1,387		1,531
Accrued self-insurance obligations		40,364		38,002
Other long term liabilities		4,794		5,283
Total long term liabilities		96,791		81,277
Commitments and contingencies
Shareholders’ equity:
Common stock, $.01 par value: 75,000,000 shares authorized, 48,661,042 and 48,613,442 shares issued and outstanding at September 30, 2014 and December 31, 2013, respectively		486		486
Additional paid in capital		356,519		355,570
Accumulated deficit		(60,654)		(48,996)
Accumulated other comprehensive income		3,397		3,318
Total shareholders’ equity		299,748		310,378
	$	603,888	$	590,183

See accompanying notes.

1

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

(unaudited)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Revenues:
Senior living revenue	$	277,411	$	269,845	$	824,580	$	807,984
Management fee revenue		2,438		2,290		7,296		6,873
Reimbursed costs incurred on behalf of managed communities		54,490		52,128		163,673		156,705
Total revenues		334,339		324,263		995,549		971,562
Operating expenses:
Senior living wages and benefits		135,507		131,026		402,469		394,309
Other senior living operating expenses		71,217		68,020		214,368		198,359
Costs incurred on behalf of managed communities		54,490		52,128		163,673		156,705
Rent expense		49,481		48,743		147,758		145,035
General and administrative		17,865		15,334		54,187		45,849
Depreciation and amortization		8,278		6,736		23,529		19,691
Impairment of long-lived assets		589		—		589		—
Total operating expenses		337,427		321,987		1,006,573		959,948
Operating (loss) income		(3,088)		2,276		(11,024)		11,614
Interest, dividend and other income		214		191		623		599
Interest and other expense		(1,324)		(1,179)		(3,803)		(3,990)
Loss on early extinguishment of debt		—		(599)		—		(599)
Gain on sale of available for sale securities reclassified from other comprehensive (loss) income		23		36		349		6
(Loss) income from continuing operations before income taxes and equity in earnings of an investee		(4,175)		725		(13,855)		7,630
Benefit from (provision for) income taxes		1,763		(164)		4,558		(1,076)
Equity in earnings of an investee		38		64		59		219
(Loss) income from continuing operations		(2,374)		625		(9,238)		6,773
Loss from discontinued operations		(634)		(1,383)		(2,420)		(3,683)
Net (loss) income	$	(3,008)	$	(758)	$	(11,658)	$	3,090
Weighted average shares outstanding—basic and diluted		48,020		48,272		48,012		48,253
Basic and diluted (loss) income per share from:
Continuing operations	$	(0.05)	$	0.01	$	(0.19)	$	0.14
Discontinued operations		(0.01)		(0.03)		(0.05)		(0.07)
Net (loss) income per share—basic and diluted	$	(0.06)	$	(0.02)	$	(0.24)	$	0.07

See accompanying notes.

2

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(in thousands)

(unaudited)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Net (loss) income	$	(3,008)	$	(758)	$	(11,658)	$	3,090
Other comprehensive (loss) income:
Unrealized (loss) gain on investments in available for sale securities, net of tax		(234)		108		287		(65)
Unrealized (loss) gain on equity investment in an investee		(33)		13		8		(68)
Less: Realized gain on investments in available for sale securities reclassified and included in net (loss) income, net of tax		(14)		(22)		(216)		(4)
Other comprehensive (loss) income		(281)		99		79		(137)
Comprehensive (loss) income	$	(3,289)	$	(659)	$	(11,579)	$	2,953

See accompanying notes.

3

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

	Nine Months Ended September 30,
	2014		2013
Cash flows from operating activities:
Net (loss) income	$	(11,658)	$	3,090
Adjustments to reconcile net (loss) income to cash provided by operating activities:
Depreciation and amortization		24,313		20,589
Loss on early extinguishment of debt		—		599
Loss from discontinued operations before income tax		3,927		5,840
Gain on sale of available for sale securities		(349)		(6)
Impairment of long-lived assets		589		—
Equity in earnings of an investee		(59)		(219)
Stock-based compensation		949		792
Deferred income taxes		(6,726)		(2,282)
Provision for losses on receivables		1,998		4,414
Changes in assets and liabilities:
Accounts receivable		(790)		(3,435)
Prepaid expenses and other assets		(4,620)		4,690
Accounts payable and accrued expenses		1,858		(3,988)
Accrued compensation and benefits		11,456		4,668
Due (to) from related persons, net		(1,952)		209
Other current and long term liabilities		9,347		3,118
Cash provided by operating activities		28,283		38,079
Cash flows from investing activities:
Payments into restricted cash and investment accounts, net		11,563		1,617
Acquisition of property and equipment		(39,189)		(37,267)
Acquisition of senior living community, net of liabilities assumed		(5,926)		—
Purchase of available for sale securities		(21,349)		(13,416)
Investment in Affiliates Insurance Company		(825)		—
Proceeds from sale of property and equipment to Senior Housing Properties Trust		23,776		19,934
Proceeds from sale of available for sale securities		8,737		5,925
Cash used in investing activities		(23,213)		(23,207)
Cash flows from financing activities:
Proceeds from borrowings on credit facilities		10,000		60,000
Repayments of borrowings on credit facilities		(20,000)		(50,000)
Purchase and retirement of convertible senior notes		—		(24,872)
Repayments of mortgage notes payable		(1,064)		(813)
Cash used in financing activities		(11,064)		(15,685)
Cash flows from discontinued operations:
Net cash provided by (used in) operating activities		7,020		(4,314)
Net cash provided by investing activities		293		7,603
Net cash used in financing activities		—		(7,534)
Net cash flows provided by (used in) discontinued operations		7,313		(4,245)
Change in cash and cash equivalents		1,319		(5,058)
Cash and cash equivalents at beginning of period		23,628		24,638
Cash and cash equivalents at end of period	$	24,947	$	19,580
Supplemental cash flow information:
Cash paid for interest	$	2,562	$	2,656
Cash paid for income taxes, net	$	1,041	$	1,775
Non-cash activities:
Issuance of common stock	$	189	$	182
Real estate acquisition	$	(15,518)	$	—
Assumption of mortgage note payable	$	15,518	$	—

See accompanying notes.

4

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

Note 1.  Basis of Presentation and Organization

General

The accompanying condensed consolidated financial statements of Five Star Quality Care, Inc. and its subsidiaries, which we refer to as we, us or our, areunaudited.  Certain information and disclosures required by U.S. generally accepted accounting principles for complete financial statements have been condensed or omitted.  We believe the disclosures made are adequate to make the information presented not misleading.  However, the accompanying financial statements should be read in conjunction with the financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2013, or our Annual Report.  In the opinion of our management, all adjustments, which include only normal recurring adjustments, considered necessary for a fair presentation have been included.  All intercompany transactions and balances with or among our consolidated subsidiaries have been eliminated.  Our operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.  Reclassifications have been made to the prior year’s condensed consolidated financial statements to conform to the current year’s presentation.

We operate senior living communities, including independent living communities, assisted living communities and skilled nursing facilities, or SNFs.  As of September 30, 2014, we operated 256senior living communities located in 31 states containing 30,114 living units, including 225 primarily independent and assisted living communities with 27,292 living units and 31 SNFs with 2,822 living units.  As of September 30, 2014, we owned and operated 31 communities (3,061 living units), we leased and operated 181 communities (20,002 living units) and we managed 44 communities (7,051 living units).  These 256 senior living communities included 10,464 independent living apartments, 14,440 assisted living suites and 5,210 skilled nursing units.  The foregoing numbers exclude: (i) 38 living units in one assisted living community that has been temporarily closed for a major renovation; (ii) one assisted living community with 32 living units that we own which is being offered for sale and is classified as a discontinued operation; and (iii) four SNFs and three assisted living communities with a total of 480 living units that we lease from Senior Housing Properties Trust or its subsidiaries, or SNH, that are being offered for sale and are classified as discontinued operations.

Revisions to Prior Period Financial Statements

As discussed further in the notes to our financial statements contained in our Annual Report, we identified errors related to our accounts payable and certain other matters that affected previously reported interim periods in 2013. We have revised the prior year’s condensed consolidated financial statements to correct for these errors in the periods in which they occurred.

Segment Information

We have two operating segments: senior living communities and rehabilitation and wellness. In the senior living community segment, we operate for our own account or manage for the account of 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 for a reportable segment as prescribed under Financial Accounting Standards Board, or FASB, Accounting Standards CodificationTM, or ASC, Topic 280 and therefore we have determined that our business is comprised of one reportable segment, senior living. All of our operations and assets are located in the United States, except for the operations of our captive insurance company subsidiary, which participates in our workers’ compensation, professional liability and automobile insurance programs,that is organized in the Cayman Islands.

Note 2. Recent Accounting Pronouncements

In August 2014, the FASB issued Accounting Standards Update 2014-15, Presentation of Financial Statements – Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern.  The update requires an entity to evaluate whether there are conditions or events that raise substantial doubt about the entity’s ability to continue

5

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

as a going concern within one year after the date that the financial statements are issued (or within one year after the financial statements are available to be issued when applicable) and to provide related footnote disclosures in certain circumstances.  The update is effective for the annual period ending after December 15, 2016, and for annual and interim periods thereafter with early adoption permitted.  The implementation of this update is not expected to cause any significant changes to our condensed consolidated financial statements.

Note 3. Property and Equipment

Property and equipment consists of the following:

	September 30,		December 31,
	2014		2013
Land	$	24,172	$	22,214
Buildings and improvements		303,565		286,467
Furniture, fixtures and equipment		131,301		114,765
Property and equipment, at cost		459,038		423,446
Accumulated depreciation		(104,957)		(83,170)
Property and equipment, net	$	354,081	$	340,276

We recorded depreciation expense of $7,504 and $6,442 for the three months ended September 30, 2014 and 2013, respectively, and $21,787 and $18,824 for the nine months ended September 30, 2014 and 2013, respectively, relating to our property and equipment.

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.  As a result of our intangibles and long-lived assets impairment review, we recorded $589 and $186 of impairment charges to our long-lived assets in continuing operations as of September 30, 2014 and December 31, 2013, respectively.

As of September 30, 2014, we had $5,595 of assets included in our property and equipment associated with certain senior living communities that we lease from SNH that we typically request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.  See Note 10.

6

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

Note 4. Accumulated Other Comprehensive Income

The following table details the changes in accumulated other comprehensive income, net of tax, for the nine months ended September 30, 2014:

	Equity Investment in an Investee		Investments in Available for Sale Securities			Accumulated Other Comprehensive Income
Balance at January 1, 2014	$	48	$	3,270	$	3,318
Unrealized gain on investments, net of  tax		—		253		253
Equity interest in an investee’s unrealized gain on investments		19		—		19
Reclassification adjustment:
Realized gain on investments, net of tax		—		(194)		(194)
Balance at March 31, 2014		67		3,329		3,396
Unrealized gain on investments, net of  tax		—		268		268
Equity interest in an investee’s unrealized gain on investments		22		—		22
Reclassification adjustment:
Realized gain on investments, net of tax		—		(8)		(8)
Balance at June 30, 2014	$	89	$	3,589	$	3,678
Unrealized loss on investments, net of  tax		—		(234)		(234)
Equity interest in an investee’s unrealized loss on investments		(33)		—		(33)
Reclassification adjustment:
Realized gain on investments, net of tax		—		(14)		(14)
Balance at September 30, 2014	$	56	$	3,341	$	3,397

Accumulated other comprehensive income represents the unrealized appreciation of our investments, net of tax, and our share of other comprehensive income of Affiliates Insurance Company, or AIC.

Note 5.  Income Taxes

For the nine months ended September 30, 2014, we recognized a net tax benefit from continuing operations of $4,558.  We also recognized a tax benefit from discontinued operations of $1,426.  As of December 31, 2013, our federal net operating loss carry forward, which begins to expire in 2026 if unused, was approximately $81,583. This includes $278 of federal net operating losses that are attributable to unvested stock grants which will be recorded as an increase to additional paid in capital once they are realized in accordance with FASB ASC Topic 718. As of December 31, 2013, our tax credit carry forward, which begins to expire in 2022 if unused, was approximately $15,235.  Our net operating loss carry forwards and tax credit carry forwards are subject to possible audit and adjustments by the Internal Revenue Service.

We maintain a partial valuation allowance against certain deferred tax assets related to impaired investments and certain state net operating loss carry forwards.  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 condensed consolidated statement of operations, which will affect our results of operations.

Note 6.  Earnings Per Share

We computed basic earnings per common share, or EPS, for the three and nine months ended September 30, 2014 and 2013 using the weighted average number of shares of our common stock, $.01 par value per share, or our common shares, outstanding during the periods.  Diluted EPS reflects the more dilutive earnings per common share amount calculated using the two-class method or the treasury stock method.  For the three and nine months ended September 30, 2013, respectively, 145 and 1,318 potentially dilutive common shares related to our former convertible senior notes due in 2026, or the Notes,  were not included in the computation of diluted EPS because to do so would have been antidilutive.

7

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

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

	Three Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Diluted loss from discontinued operations	$	(634)	48,020	$	(0.01)	$	(1,383)	48,272	$	(0.03)

	Nine Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Diluted loss from discontinued operations	$	(2,420)	48,012	$	(0.05)	$	(3,683)	48,253	$	(0.07)

Note 7.  Fair Values of Assets and Liabilities

Our assets recorded at fair value have been categorized based upon a fair value hierarchy in accordance with FASB ASC Topic 820. 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.

8

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

Recurring Fair Value Measures

The tables below present the assets measured at fair value at September 30, 2014 and December 31, 2013 categorized by the level of inputs used in the valuation of each asset.

	As of September 30, 2014
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	6,625	$	6,625	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		4,000		4,000		—		—
REIT industry		453		453		—		—
Other		3,626		3,626		—		—
Total equity securities		8,079		8,079		—		—
Debt securities
International bond fund(3)		2,373		—		2,373		—
High yield fund(4)		2,399		—		2,399		—
Industrial bonds		6,539		—		6,539		—
Government bonds		12,354		6,832		5,522		—
Financial bonds		2,685		—		2,685		—
Other		9,624		—		9,624		—
Total debt securities		35,974		6,832		29,142		—
Total available for sale securities		44,053		14,911		29,142		—
Total	$	50,678	$	21,536	$	29,142	$	—

	As of December 31, 2013
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	14,866	$	14,866	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		3,668		3,668		—		—
REIT industry		704		704		—		—
Other		3,875		3,875		—		—
Total equity securities		8,247		8,247		—		—
Debt securities
International bond fund(3)		2,329		—		2,329		—
High yield fund(4)		2,309		—		2,309		—
Industrial bonds		5,234		—		5,234		—
Government bonds		7,075		4,558		2,517		—
Financial bonds		1,154		—		1,154		—
Other		4,706		—		4,706		—
Total debt securities		22,807		4,558		18,249		—
Total available for sale securities		31,054		12,805		18,249		—
Total	$	45,920	$	27,671	$	18,249	$	—

(1) Cash equivalents, consisting of money market funds held principally for obligations arising from our self-insurance programs. Cash equivalents are reported on our balance sheet as cash and cash equivalents and current and long term restricted cash.  Cash equivalents include $4,943 and $13,181 of balances that are restricted at September 30, 2014 and December 31, 2013, respectively.

(2) Investments in available for sale securities are reported on our balance sheet as current and long term investments in available for sale securities and are reported at fair value of $24,177 and $19,876, respectively, at September 30, 2014 and $19,150 and $11,905, respectively, at December 31, 2013. Our investments in available for sale securities had amortized costs of $42,012 and $29,127 as of September 30, 2014 and December 9

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

31, 2013, respectively, had unrealized gains of $2,304 and $2,185 as of September 30, 2014 and December 31, 2013, respectively, and had unrealized losses of $263 and $257 as of September 30, 2014 and December 31, 2013, respectively. At September 30, 2014, 42 of the securities we hold, with a fair value of $13,986, have been in a loss position for less than 12 months and 12 of the securities we hold, with a fair value of $1,548, have been in a loss position for greater than 12 months. We do not believe these securities are impaired primarily because they have not been in a loss position for an extended period of time, the financial conditions of the issuers of these securities remain strong with solid fundamentals, or we intend to hold these securities until recovery, and other factors that support our conclusion that the loss is temporary. During the nine months ended September 30, 2014 and 2013, we received gross proceeds of $8,737 and $5,925, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $399 and $314, respectively, and gross realized losses totaling $50 and $308, respectively.  We record gains and losses on the sales of our available for sale securities using the specific identification method.

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

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

During the nine months ended September 30, 2014, we did not change the type of inputs used to determine the fair value of any of our assets and liabilities that we measure at fair value.  Accordingly, there were no transfers of assets or liabilities between levels of the fair value hierarchy during the nine months ended September 30, 2014.

The carrying values of accounts receivable and accounts payable approximate fair value as of September 30, 2014 and December 31, 2013.  The carrying value and fair value of our mortgage notes payable were $52,074 and $55,551, respectively, as of September 30, 2014 and $37,620 and $41,113, respectively, as of December 31, 2013, 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, an Indiana insurance company that we owned at September 30, 2014 in equal proportion with each of the other six shareholders of that company (see Note 10), categorized in Level 2 of the fair value 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.

Non-Recurring Fair Value Measures

We evaluate the recoverability of goodwill assets in the fourth quarter of each fiscal year, or more frequently if events or changes in circumstances indicate that goodwill or other intangible assets may be impaired.  As of October 1, 2013, we evaluated our goodwill for impairment and determined that the fair value of our reporting units exceeded their carrying values on that date.  As of September 30, 2014, no events or changes in circumstances had occurred that would trigger the need for an additional impairment review.

Goodwill was valued primarily using discounted cash flow models that incorporate assumptions for each reporting unit’s short and long term revenue growth rates, operating margins, and discount rates, which represent our best estimates of current and forecasted market conditions, current cost structure, and the implied rate of return that management believes a market participant would require for an investment in a company having similar risks and business characteristics to the reporting unit being assessed.

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

10

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

historical carrying value of the asset to its estimated fair value.  As a result of our intangibles and long-lived assets impairment review, we recorded $589 and $186 of impairment charges to our long-lived assets in continuing operations as of September 30, 2014 and December 31, 2013, respectively.  We determine estimated fair value based on input from market participants, our experience selling similar assets, market conditions and internally developed cash flow models that our asset or asset groups are expected to generate.  The fair values of the impaired assets were $478 and $137 as of September 30, 2014 and December 31, 2013, respectively, and are considered to be a Level 3 fair value measurement.

The fair value of assets held for sale is determined based on the use of appraisals, input from market participants, our experience selling similar assets and/or internally developed cash flow models, all of which are considered to be Level 3 fair value measurements.

See Note 11 for discussion of fair value measurements related to an acquisition that occurred during the second quarter of 2014.

Note 8.  Indebtedness

We have a $25,000 revolving secured line of credit, or our Credit Agreement, that is available for general business purposes, including acquisitions.  The maturity date of our Credit Agreement is March 18, 2016.  Borrowings under our Credit Agreement typically bear interest at LIBOR plus a premium of 250 basis points, or 2.65% as of September 30, 2014.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under our Credit Agreement. We may draw, repay and redraw funds under our Credit Agreement until maturity, and no principal repayment is due until maturity.  We made no borrowings under our Credit Agreement during the nine months ended September 30, 2014 and 2013.  As of September 30, 2014, we had no amounts outstanding under our Credit Agreement.  We incurred interest expense and other associated costs related to our Credit Agreement of $48 and $35 for the three months ended September 30, 2014 and 2013, respectively, and $144 and $277 for the nine months ended September 30, 2014 and 2013, 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 certain related collateral. Our Credit Agreement provides for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default, such as a change of control of us, which includes termination of our business management and shared services agreement, or our business management agreement, with Reit Management & Research LLC, or RMR.

We also have a $150,000 secured revolving credit facility, or our Credit Facility, that is available for general business purposes, including acquisitions.  The maturity date of our Credit Facility is April 13, 2015, and, subject to the payment of extension fees and meeting certain other conditions, our Credit Facility includes options for us to extend its stated maturity date for two consecutiveone-year periods.  Borrowings under our Credit Facility typically bear interest at LIBOR plus a premium of 250 basis points, or 2.65% as of September 30, 2014.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under our Credit Facility.  We may draw, repay and redraw funds under our Credit Facility until maturity, and no principal repayment is due until maturity.  The weighted average interest rate for borrowings under our Credit Facility was 2.76% and 3.15% for the nine months ended September 30, 2014 and 2013, respectively.  As of September 30, 2014, we had $25,000 outstanding under our Credit Facility.  We incurred interest expense and other associated costs related to our Credit Facility of $552 and $542 for the three months ended September 30, 2014 and 2013, respectively, and $1,687 and $1,442 for the nine months ended September 30, 2014 and 2013, respectively.

We are the borrower under our Credit Facility, and certain of our subsidiaries guarantee our obligations under our Credit Facility, which is secured by real estate mortgages on 15 senior living communities with 1,549 living units owned by our guarantor subsidiaries and our guarantor subsidiaries’ accounts receivable and certain related collateral.  Our Credit

11

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

Facility provides for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default, such as 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.  Our Credit Agreement and Credit Facility require that we deliver quarterly and annual financial statements within the time periods specified within those agreements.  The lenders under each of our Credit Agreement and Credit Facility have waived until December 31, 2014 any default resulting from our not timely delivering our financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014as required under those agreements.  Our condensed consolidated financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014, are being delivered to our lenders contemporaneously with the filing of this Quarterly Report on Form 10-Q and the filing of our Quarterly Reports on Forms 10-Q for the quarters ended March 31, 2014, and June 30, 2014, which are being filed substantially concurrently with this Quarterly Report.

In October 2006, we issued $126,500 principal amount of the Notes.  Our net proceeds from this issuance were approximately $122,600.  The Notes bore interest at a rate of 3.75% per annum and were convertible into our common shares at any time.  The conversion rate, which was subject to adjustment, was 76.9231 common shares per $1 principal amount of the Notes, which represented a conversion price of $13.00 per share.  The Notes were guaranteed by certain of our wholly owned subsidiaries.  The Notes were scheduled to mature on October 15, 2026.  We were entitled to prepay the Notes at any time and the holders were entitled to require us to purchase all or a portion of these Notes on each of October 15, 2013, 2016 and 2021 at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus any accrued and unpaid interest.  We periodically repurchased Notes in open market transactions or in privately negotiated transactions, and, on July 8, 2013, we redeemed all of the $24,872 principal amount of the Notes then outstanding at a redemption price equal to the principal amount, plus accrued and unpaid interest.  We incurred interest expense and other associated costs related to the Notes of $21 and $511 for the three and nine months ended September 30, 2013, respectively.

At September 30, 2014, five of our senior living communities were encumbered by mortgage notes with an aggregate outstanding principal balance of $52,074:  (1) two of our communities were encumbered by a Federal National Mortgage Association, or FNMA, mortgage note and (2) three of our communities were encumbered by Federal Home Loan Mortgage Corporation, or FMCC, mortgage notes.  These mortgages contain FNMA and FMCC, respectively, standard mortgage covenants.  We recorded mortgage premiums in connection with our assumption of the FNMA and FMCC mortgage notes at the time of our acquisitions of the encumbered communities in order to record the assumed mortgage notes at their estimated fair value.  We are amortizing the mortgage premiums as a reduction of interest expense until the maturity of the respective mortgage notes.  The weighted average interest rate on these five notes was 6.77% as of September 30, 2014.  Payments of principal and interest are due monthly under these mortgage notes until maturities at varying dates ranging from June 2018 to September 2032.  We incurred mortgage interest expense, including premium amortization, of $709 and $581 for the three months ended September 30, 2014 and 2013, respectively, and $1,957 and $2,425 for the nine months ended September 30, 2014 and 2013, respectively, and including some 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 lender approvals.  As of September 30, 2014, we believe we were in compliance with all applicable covenants under these mortgages.

Note 9. Off Balance Sheet Arrangements 

We have pledged certain of our assets, including our accounts receivable with a carrying value, as of September 30, 2014, of $13,767, arising from our operation of 26 properties owned by SNH and leased to us to secure SNH’s borrowings from its lender, FNMA.  As of September 30, 2014, 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,

12

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

Note 10. Related Person Transactions

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 September 30, 2014, SNH owned 4,235 of our common shares, or approximately 8.7% 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.

As of September 30, 2014, we leased 184 senior living communities (including seven that we have classified as discontinued operations) from 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 September 30, 2014 was $191,375, excluding percentage rent.  Our total rent expense (which includes rent for all properties we lease from SNH, including properties that we have classified as discontinued operations) under all of our leases with SNH, net of lease inducement amortization, was $49,030 and $50,622 for the three months ended September 30, 2014 and 2013, respectively, and $146,611 and $152,089 for the nine months ended September 30, 2014 and 2013, respectively. As of September 30, 2014 and 2013, we had outstanding rent due and payable to SNH of $17,405 and $17,863, respectively.  During the nine months ended September 30, 2014, pursuant to the terms of our leases with SNH, we sold $23,776 of improvements made to properties leased from SNH, and, as a result, our annual rent payable to SNH increased by approximately $1,903.  As of September 30, 2014, our property and equipment included $5,595 for similar improvements we have made to properties we lease from SNH that we typically request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.

We and SNH previously agreed that SNH would offer for sale 11 senior living communities we lease from SNH, which we have classified as discontinued operations.  Our rent payable to SNH is reduced as these sales occur pursuant to terms set in our leases with SNH.  In August 2013, we and SNH sold one of these communities, a SNF located in Missouri with 112 living units, for a sale price of $2,550, and as a result of this sale, our annual minimum rent payable to SNH decreased by $255 in accordance with the terms of the applicable lease.  In January 2014, we and SNH sold one of these communities, an assisted living community located in Texas with 48 assisted living units, for a sale price of $2,400, and as a result of this sale, our annual minimum rent payable to SNH decreased by $210 in accordance with the terms of the applicable lease. In June 2014, we and SNH sold two of these communities, both of which are SNFs located in Wisconsin, with a combined total of 139 living units, for a sale price of $4,500, and as a result of this sale, our annual minimum rent payable to SNH decreased by $450 in accordance with the terms of the applicable lease. In October 2014, we and SNH sold one of these communities, an assisted living community in Virginia with 55 assisted living units, for a sale price of $2,850, and as a result of this sale, our annual minimum rent payable to SNH decreased by $285 in accordance with the terms of the applicable lease. Also in October 2014, we and SNH sold one assisted living community and one SNF located in Arizona with a combined total of 160 living units, for a sale price of $5,900, and as a result of this sale, our annual minimum rent payable to SNH decreased by $590 in accordance with the terms of the applicable lease. We can provide no assurance that the remaining four senior living communities that we and SNH have agreed to offer for sale will be sold or what the terms of any such sales may provide.

Concurrent and in connection with entering into the Villa Valencia Agreement, described below, we and SNH entered into the Fifth Amendment to the Amended and Restated Master Lease Agreement (Lease No. 4), or Lease No. 4. Under this Lease No. 4 amendment, we exercised the first of our existing options under Lease No. 4, extending the term from April 30, 2017 to April 30, 2032, and a third option for us to extend the term of Lease No. 4 from May 1, 2047 to April 30, 2062, was added.

As of September 30, 2014, we managed 44 senior living communities for the account of SNH.  In connection with these management agreements, we and SNH have entered into four combination agreements, or pooling agreements: three

13

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

pooling agreements combine our management agreements with SNH for communities that include assisted living units, or the AL Pooling Agreements, and a fourth pooling agreement combines our management agreements with SNH for communities that include only independent living units, or the IL Pooling Agreement.The management agreements that are included in each of our pooling agreements are on substantially similar terms.  Our first AL Pooling Agreement includes 20 identified communities and our second AL Pooling Agreement includes 19 identified communities.  The third AL Pooling Agreement currently includes the management agreement for a community we began managing in November 2013 and two communities we began managing in December 2014.  The IL Pooling Agreement currently includes management agreements for two communities that have only independent living units.  A senior living community in New York and one senior living community in California described below that we manage for SNH are not included in any of our pooling agreements.  Each of the AL Pooling Agreements and the IL Pooling Agreement aggregates the determination 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 on its invested capital.We earned management fees from SNH of $2,438 and $2,290 for the three months ended September 30, 2014 and 2013, respectively, and $7,295 and $6,866 for the nine months ended September 30, 2014 and 2013, respectively.

Our second AL Pooling Agreement previously included the management agreement for the assisted living community known as Villa Valencia, which is located in California.  On July 10, 2014, we entered into an agreement with SNH, pursuant to which the management agreement for Villa Valencia was removed from the second AL Pooling Agreement as of July 1, 2014. We expect that the management agreement affecting the Villa Valencia community will not be included in any pooling agreement until after extensive renovations planned at that community are completed.

Also on July 10, 2014, we entered into an amendment to the management agreements with SNH that include assisted living units to (i) extend the term of each of the management agreements between us and SNH for Villa Valencia and the 19 assisted living communities currently included in the second AL Pooling Agreement from December 31, 2031 to December 31, 2033 and (ii) extend the term of the management agreement between us and SNH for the senior living community known as Willow Pointe, which is currently included in the third AL Pooling Agreement, from December 31, 2031 to December 31, 2035. On July 10, 2014, we also entered into an amendment to our management agreements with SNH that include only independent living units to extend the term of the management agreements between us and SNH for two independent living communities from December 31, 2031 to December 31, 2032. The term of the 20 management agreements included in the first AL Pooling Agreement were not affected by these amendments and those management agreements expire on December 31, 2031.

We 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 199 living units, pursuant to a long term management agreement with SNH.  In order to accommodate certain requirements of New York healthcare licensing laws, SNH subleases another portion of this senior living community that is subject to those 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.  We manage this portion of the community pursuant to a long term management agreement with D&R Yonkers LLC.

We may enter into additional management arrangements with SNH for us to manage senior living communities that SNH may acquire in the future.  We expect that these management arrangements will be pursuant to long term management agreements on terms similar to our existing management agreements and that those agreements may be added to our existing pooling agreements or that we may enter into additional pooling agreements with SNH with respect to these management agreements.

RMR provides business management and shared services to us pursuant to our business management agreement.  RMR also provides management services to SNH.  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

14

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

director of RMR.  Mr. Bruce Mackey, our President and Chief Executive Officer, and Mr. Paul Hoagland, our Treasurer and Chief Financial Officer, are officers of RMR.  RMR provides management services to SNH, SNH’s officers are executive officers of RMR and SNH’s President and Chief Operating Officer serves as a director of RMR.  Our Independent Directors also serve as independent directors or independent trustees of other public companies (but not SNH) to which RMR or its affiliates provide management services.  Mr. Barry Portnoy serves as a managing director or managing trustee of those companies and Mr. Adam Portnoy serves as a managing trustee of a majority of those companies.  In addition, officers of RMR serve as officers of those companies.

Pursuant to our business management agreement with RMR, we recognized aggregate business management, administrative and information system service fees of $3,390 and $3,014 for the three months ended September 30, 2014 and 2013, respectively, and $10,433 and $10,175 for the nine months ended September 30, 2014 and 2013, respectively.  These amounts are included in general and administrative expenses in our condensed consolidated statements of operations.  We also lease our headquarters from an affiliate of RMR for annual rent of approximately $785, which amount is subject to fixed increases.  Our rent expense for our headquarters, which included our utilities and real estate taxes that we are required to pay as additional rent, under this lease, was $371 and $355 for the three months ended September 30, 2014 and 2013, respectively, and $1,043 and $1,049 for the nine months ended September 30, 2014 and 2013, respectively.

We, RMR, SNH, and four other companies to which RMR provides management services currently own AIC, an Indiana insurance company.  All of our Directors and most of the trustees and directors of the other AIC shareholders 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.

On March 25, 2014, as a result of the removal, without cause, of all of the trustees of Equity Commonwealth (formerly known as CommonWealth REIT), or EQC, EQC underwent a change in control, as defined in the shareholders agreement among us, the other shareholders of AIC and AIC. As a result of that change in control and in accordance with the terms of the shareholders agreement, on May 9, 2014, we and those other shareholders purchased pro rata the AIC shares EQC owned.  Pursuant to that purchase, we purchased 2,857 AIC shares from EQC for $825.  Following these purchases, we and the other remaining six shareholders each owned approximately 14.3% of AIC.

In June 2014, we and the other shareholders of AIC renewed our participation in an insurance program arranged by AIC. In connection with that renewal, we purchased a one-year property insurance policy providing $500,000 of coverage with respect to which AIC is a reinsurer of certain coverage amounts.  We paid AIC a premium, including taxes and fees, of approximately $3,901 in connection with that policy, which amount may be adjusted from time to time as we acquire or dispose of properties that are included in the policy.

As of September 30, 2014, we have invested $6,034 in AIC since its formation in 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 $6,806 and $5,913 as of September 30, 2014 and December 31, 2013, respectively.  We recognized income of $38 and $64 for the three months ended September 30, 2014 and 2013, respectively, and$59 and $219for the nine months ended September 30, 2014 and 2013, respectively, related to our investment in AIC.

In June 2014, we, RMR, SNH and three other companies to which RMR provides management services extended our and their combined directors’ and officers’ liability insurance policy through August 31, 2014.  In September 2014, we purchased a two year combined directors’ and officers’ insurance policy with RMR and five other companies managed by RMR that provides $10,000 in aggregate primary coverage, including certain errors and omission coverage.  At that time, we also purchased separate additional one year directors’ and officers’ liability insurance policies that provide $20,000 of aggregate excess coverage plus $5,000 of excess non-indemnifiable coverage.  The total premium payable by us for these policies purchased in September 2014 was approximately $357. 

15

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

Note 11.  Acquisition

In May 2014, we acquired a senior living community with 116 living units located in Alabama for approximately $19,914, including the assumption of approximately $13,920 of mortgage debt and the assumption of approximately $68 of net working capital liabilities,  but excluding closing costs. This community primarily offers independent and assisted living services that are currently 100% paid by residents from their private resources. We funded this acquisition with cash on hand and borrowings under our Credit Facility. We incurred acquisition related costs of $81 during the second quarter of 2014.  These costs include transaction costs, professional fees and other acquisition related expenses.  The preliminary allocation of the purchase price was based on management’s judgment after evaluating several factors, including valuation assessments of tangible and intangible assets, and estimates of the fair value of liabilities assumed. The definitelived intangible assets were valued using the income approach and are categorized in Level 3 of the fair value hierarchy.  The valuation of certain tangible assets and liabilities acquired was determined using the cost approach.  For personal property, we primarily used the cost approach to estimate reproduction or replacement cost.  The fair value of these assets and liabilities are also categorized in Level 3 of the fair value hierarchy.  The following table summarizes the preliminary allocation of the purchase price to the estimated fair values of the assets acquired and liabilities assumed:

Land	$	1,208
Buildings and improvements		17,946
Furniture, fixtures and equipment		421
Total property, plant and equipment		19,575
Intangible assets		1,937
Net working capital liabilities assumed		(68)
Mortgage debt assumed		(13,920)
Premium on assumed  mortgage debt		(1,598)
Net cash paid	$	5,926

Note 12.  Discontinued Operations

In September 2012, we completed the sale of our pharmacy business to Omnicare, Inc., or Omnicare. In connection with the sale, Omnicare did not acquire the real estate we own associated with one pharmacy located in South Carolina.  In July 2014, we sold this real estate for a sale price of $205.

In June 2013, we decided to offer for sale one assisted living community we own with 32 living units.  We are in the process of offering this community for sale.

Please see Note 10 above for a discussion of 11 senior living communities that we lease or had leased from SNH which are included in discontinued operations for all of the periods presented in these condensed consolidated financial statements;four of which had been sold as of September 30, 2014 and three additional of which were sold in October 2014.

We can provide no assurance that we will be able to sell the senior living community that we are offering for sale, or that we and SNH will be able to sell the senior living communities we lease from SNH that are being offered for sale, or what the terms or timing of any such sales may be.

We have reclassified our condensed consolidated balance sheets and condensed consolidated statements of operations for all periods presented to show the financial position and results of operations of our senior living communities, pharmacies and rehabilitation hospitals which have been sold or are expected to be sold as discontinued.  Below is a

16

FIVE STAR QUALITY CARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, except per share data)

(unaudited)

summary of the operating results of these discontinued operations included in the condensed consolidated financial statements for the three and nine months ended September 30, 2014 and 2013:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Revenues	$	4,990	$	35,198	$	18,793	$	115,332
Expenses		(6,079)		(36,290)		(22,639)		(119,095)
Impairment on discontinued assets		—		(1,127)		—		(2,358)
Benefit from income taxes		455		836		1,426		2,438
Net loss	$	(634)	$	(1,383)	$	(2,420)	$	(3,683)

Note 13.  Legal Proceedings and Claims

We have been, are currently, and expect in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of our business, some of which may involve material amounts.  Also, the defense and resolution of these claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings may require us to incur significant expense.  We account for claims and litigation losses in accordance with ASC Topic 450, Contingencies, or ASC 450. Under ASC 450, loss contingency provisions are recorded for probable and estimable losses at our best estimate of a loss or, when a best estimate cannot be made, at our estimate of the minimum loss. These estimates are often developed prior to knowing the amount of the ultimate loss, require the application of considerable judgment, and are refined as additional information becomes known. Accordingly, we are often initially unable to develop a best estimate of loss and therefore the estimated minimum loss amount, which could be zero, is recorded; then, as information becomes known, the minimum loss amount is updated, as appropriate. Occasionally, a minimum or best estimate amount may be increased or decreased when events result in a changed expectation.

In August 2014, in connection with an ongoing and routine compliance audit of medical records, we became aware of certain potential inadequate medical record documentation and other possible failures to comply with appropriate policies at one of our SNFs.  We have commenced anin depth review of these matters that is ongoing.  We have determined that a loss in connection with this matter is reasonably possible, but cannot be reasonably estimated at this time; accordingly, we have not recorded any loss for this matter at this time.  However, such loss could have a material adverse impact on our business, financial condition, and results of operations.

17

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

RESULTS OF OPERATIONS

We have two operating segments: senior living communities and rehabilitation and wellness. In the senior living community segment, we operate for our own account or manage for the account of 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 therefore we have determined that our business is comprised of one reportable segment, senior living. All of our operations and assets are located in the United States, except for the operations of our captive insurance company subsidiary, which participates in our workers’ compensation, professional liability and automobile insurance programs,that is organized in the Cayman Islands.

Key Statistical Data For the ThreeMonths Ended September 30, 2014 and 2013:

The following tables present a summary of our operations for the three months ended September 30, 2014 and 2013:

	Three Months Ended September 30,
(dollars in thousands, except average monthly rate)	2014			2013			Change		%/bpsChange
Senior living revenue	$	277,411		$	269,845		$	7,566	2.8	%
Management fee revenue		2,438			2,290			148	6.5	%
Reimbursed costs incurred on behalf of managed communities		54,490			52,128			2,362	4.5	%
Total revenue		334,339			324,263			10,076	3.1	%
Senior living wages and benefits		(135,507)			(131,026)			(4,481)	(3.4)	%
Other senior living operating expenses		(71,217)			(68,020)			(3,197)	(4.7)	%
Costs incurred on behalf of managed communities		(54,490)			(52,128)			(2,362)	(4.5)	%
Rent expense		(49,481)			(48,743)			(738)	(1.5)	%
General and administrative expenses		(17,865)			(15,334)			(2,531)	(16.5)	%
Depreciation and amortization expense		(8,278)			(6,736)			(1,542)	(22.9)	%
Impairment of long-lived assets		(589)			—			(589)	(100.0)	%
Interest, dividend and other income		214			191			23	12.0	%
Interest and other expense		(1,324)			(1,179)			(145)	(12.3)	%
Loss on early extinguishment of debt		—			(599)			599	100.0	%
Gain on sale of available for sale securities reclassified from other comprehensive (loss) income		23			36			(13)	(36.1)	%
Benefit from (provision for) income taxes		1,763			(164)			1,927	1,175.0	%
Equity in earnings of an investee		38			64			(26)	(40.6)	%
(Loss) income from continuing operations	$	(2,374)		$	625		$	(2,999)	(479.8)	%
Total number of communities (end of period):
Owned and leased communities		212			211			1	0.5	%
Managed communities		44			40			4	10.0	%
Number of total communities(1)		256			251			5	2.0	%
Total number of living units (end of period):
Owned and leased living units		23,063			22,948			115	0.5	%
Managed living units		7,051			6,771			280	4.1	%
Number of total living units(2)		30,114			29,719			395	1.3	%
Owned and leased communities:
Occupancy %		86.1	%		86.0	%		n/a	10 bps
Average monthly rate(3)	$	4,492		$	4,407		$	85	1.9	%
Percent of senior living revenue from Medicaid		10.9	%		11.2	%		n/a	(30) bps
Percent of senior living revenue from Medicare		11.4	%		11.7	%		n/a	(30) bps
Percent of senior living revenue from private and other sources		77.7	%		77.1	%		n/a	60 bps

(1) Excludes those senior living communities that we have classified as discontinued operations.

(2) Excludes 38 living units in one senior living community that has been temporarily closed for a major renovation.

(3) Average monthly rate is calculated as total operating revenues divided by occupied units during the period multiplied by 30 days.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Comparable communities (senior living communities that we have owned or leased and operated continuously since July 1, 2013):

	Three Months Ended September 30,
(dollars in thousands, except average monthly rate)	2014			2013			Change		%/bps Change
Senior living revenue	$	276,108		$	269,845		$	6,263	2.3	%
Management fee revenue		2,333			2,268			65	2.9	%
Senior living wages and benefits		(135,007)			(131,026)			(3,981)	(3.0)	%
Other senior living operating expenses		(70,905)			(68,020)			(2,885)	(4.2)	%
Total number of communities (end of period):
Owned and leased communities		211			211			n/a	—
Managed communities		39			39			n/a	—
Number of total communities(1)		250			250			n/a	—
Total number of living units (end of period):
Owned and leased living units		22,948			22,948			n/a	—
Managed living units		6,678			6,678			n/a	—
Number of total living units(2)		29,626			29,626			n/a	—
Owned and leased communities:
Occupancy %		86.0	%		86.0	%		n/a	—
Average monthly rate(3)	$	4,495		$	4,407		$	88	2.0	%
Percent of senior living revenue from Medicaid		11.0	%		11.2	%		n/a	(20) bps
Percent of senior living revenue from Medicare		11.5	%		11.7	%		n/a	(20) bps
Percent of senior living revenue from private and other sources		77.5	%		77.1	%		n/a	40 bps

(1) Excludes those senior living communities that we have classified as discontinued operations.

(2) Excludes 38 living units in one senior living community that has been temporarily closed for a major renovation.

(3) Average monthly rate is calculated as total operating revenues divided by occupied units during the period multiplied by 30 days.

Three Months Ended September 30, 2014 Compared to Three Months Ended September 30, 2013

Our senior living revenue increased by 2.8% for the three months ended September 30, 2014 compared to the same period in 2013 primarily due to increased charges to private pay residents and an increase in occupancy, partially offset by federal government sequestration Medicare rate cuts during the third quarter 2014 compared to the same period in 2013.

Our management fee revenue increased by 6.5% during the three months ended September 30, 2014 compared to the same period in 2013 primarily due to an increase in the number of communities we managed.

Our senior living wages and benefits increased by 3.4% for the three months ended September 30, 2014 compared to the same period in 2013 primarily due to increased employee health insurance costs.  Our other senior living operating expenses, which include utilities, housekeeping, dietary, maintenance, insurance and community level administrative costs, increased by 4.7% due to increased charges from various service providers, increased charges related to outsourcing certain of our housekeeping services and increased general maintenance expenses.  Our rent expense increased by 1.5% compared to the same period in 2013 primarily due to additional rent resulting from senior living community capital improvements purchased by SNH since July 1, 2013, pursuant to our leases with SNH.

General and administrative expenses increased by 16.5% for the three months ended September 30, 2014 compared to the same period in 2013 primarily due to increased costs incurred in connection with the preparation of our restatement of our previously issued financial statements and the delayed completion of our 2013 financial reporting.

Our depreciation and amortization expense increased by 22.9% for the three months ended September 30, 2014 compared to the same period in 2013 primarily due to capital expenditures (net of our sales of capital improvements to SNH), including depreciation costs arising from our purchase of furniture and fixtures for our owned communities.

Our interest and other expense increased by 12.3% for the three months ended September 30, 2014 compared to the same period in 2013 primarily due to the assumption of mortgage debt incurred in connection with the acquisition of a senior

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

living community in the second quarter of 2014, partially offset by our redemption of $24.9 million principal amount of the Notes outstanding in July 2013.

For the three months ended September 30, 2014, we recognized a tax benefit from continuing operations of $1.8 million which includes certain adjustments in this quarter to our prior year federal net operating loss, our state net operating loss, certain state tax estimates and adjustments to deferred tax assets and liabilities.  During this period, we also recognized a tax benefit from discontinued operations of $0.5 million.  As of December 31, 2013, our federal net operating loss carry forward, which begins to expire in 2026 if unused, was approximately $81.6 million, and our tax credit carry forward, which begins to expire in 2022 if unused, was approximately $15.2 million.  For more information about our taxes, see Note 5 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q. 

Discontinued operations:

We recorded a loss from discontinued operations for the three months ended September 30, 2014 of $0.6million compared to a loss of $1.4million for the three months ended September 30, 2013.  The losses in both periods were primarily due to losses incurred at assisted living communities, SNFs and our rehabilitation hospitals that we have sold or transferred or expect to sell or transfer.  The loss for the three months ended September 30, 2014 is after giving effect to a tax benefit of $0.5 million that we recognized in this period relating to our discontinued operations.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Key Statistical Data For the Nine Months Ended September 30, 2014 and 2013:

The following tables present a summary of our operations for the nine months ended September 30, 2014 and 2013:

	Nine Months Ended September 30,
(dollars in thousands, except average monthly rate)	2014			2013			Change		%/bpsChange
Senior living revenue	$	824,580		$	807,984		$	16,596	2.1	%
Management fee revenue		7,296			6,873			423	6.2	%
Reimbursed costs incurred on behalf of managed communities		163,673			156,705			6,968	4.4	%
Total revenue		995,549			971,562			23,987	2.5	%
Senior living wages and benefits		(402,469)			(394,309)			(8,160)	(2.1)	%
Other senior living operating expenses		(214,368)			(198,359)			(16,009)	(8.1)	%
Costs incurred on behalf of managed communities		(163,673)			(156,705)			(6,968)	(4.4)	%
Rent expense		(147,758)			(145,035)			(2,723)	(1.9)	%
General and administrative expenses		(54,187)			(45,849)			(8,338)	(18.2)	%
Depreciation and amortization expense		(23,529)			(19,691)			(3,838)	(19.5)	%
Impairment of long-lived assets		(589)			—			(589)	(100.0)	%
Interest, dividend and other income		623			599			24	4.0	%
Interest and other expense		(3,803)			(3,990)			187	4.7	%
Loss on early extinguishment of debt		—			(599)			599	100.0	%
Gain on sale of available for sale securities reclassified from other comprehensive income (loss)		349			6			343	5,716.7	%
Benefit from (provision for) income taxes		4,558			(1,076)			5,634	523.6	%
Equity in earnings of an investee		59			219			(160)	(73.1)	%
(Loss) income from continuing operations	$	(9,238)		$	6,773		$	(16,011)	(236.4)	%
Total number of communities (end of period):
Owned and leased communities		212			211			1	0.5	%
Managed communities		44			40			4	10.0	%
Number of total communities(1)		256			251			5	2.0	%
Total number of living units (end of period):
Owned and leased living units		23,063			22,948			115	0.5	%
Managed living units		7,051			6,771			280	4.1	%
Number of total living units(2)		30,114			29,719			395	1.3	%
Owned and leased communities:
Occupancy %		85.9	%		86.0	%		n/a	(10) bps
Average monthly rate(3)	$	4,521		$	4,439		$	82	1.8	%
Percent of senior living revenue from Medicaid		10.8	%		11.0	%		n/a	(20) bps
Percent of senior living revenue from Medicare		12.0	%		12.5	%		n/a	(50) bps
Percent of senior living revenue from private and other sources		77.2	%		76.5	%		n/a	70 bps

(1) Excludes those senior living communities that we have classified as discontinued operations.

(2) Excludes 38 living units in one senior living community that has been temporarily closed for a major renovation.

(3) Average monthly rate is calculated as total operating revenues divided by occupied units during the period multiplied by 30 days.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Comparable communities (senior living communities that we have owned or leased and operated continuously since January 1, 2013):

	Nine Months Ended September 30,
(dollars in thousands, except average monthly rate)	2014			2013			Change		%/bps Change
Senior living revenue	$	822,519		$	807,984		$	14,535	1.8	%
Management fee revenue		6,975			6,844			131	1.9	%
Senior living wages and benefits		(401,678)			(394,309)			(7,369)	(1.9)	%
Other senior living operating expenses		(213,876)			(198,359)			(15,517)	(7.8)	%
Total number of communities (end of period):
Owned and leased communities		211			211			n/a	—
Managed communities		39			39			n/a	—
Number of total communities(1)		250			250			n/a	—
Total number of living units (end of period):
Owned and leased living units		22,948			22,948			n/a	—
Managed living units		6,678			6,678			n/a	—
Number of total living units(2)		29,626			29,626			n/a	—
Owned and leased communities:
Occupancy %		85.9	%		86.0	%		n/a	(10) bps
Average monthly rate(3)	$	4,523		$	4,439		$	84	1.9	%
Percent of senior living revenue from Medicaid		10.9	%		11.0	%		n/a	(10) bps
Percent of senior living revenue from Medicare		12.0	%		12.5	%		n/a	(50) bps
Percent of senior living revenue from private and other sources		77.1	%		76.5	%		n/a	60 bps

(1) Excludes those senior living communities that we have classified as discontinued operations.

(2) Excludes 38 living units in one senior living community that has been temporarily closed for a major renovation.

(3) Average monthly rate is calculated as total operating revenues divided by occupied units during the period multiplied by 30 days.

Nine Months Ended September 30, 2014 Compared to Nine Months Ended September 30, 2013

Our senior living revenue increased by 2.1% for the nine months ended September 30, 2014 compared to the same period in 2013 primarily due to increased charges to private pay residents, partially offset by federal government sequestration Medicare rate cuts and a slight decrease in occupancy.

Our management fee revenue increased by 6.2% for the nine months ended September 30, 2014 compared to the same period in 2013 due to an increase in the number of communities we managed from 40 to 44.

Our senior living wages and benefits increased by 2.1% for the nine months ended September 30, 2014 compared to the same period in 2013 primarily due to increased employee health insurance costs.Our other senior living operating expenses, which include utilities, housekeeping, dietary, maintenance, insurance and community level administrative costs, increased by 8.1%due to increased charges from various service providers, increased costs for utilities and snow removal as a result of the unusually cold weather conditions, increased charges related to outsourcing certain of our housekeeping services and increased costs relating to our professional liability insurance program.  Our rent expense increased by 1.9% compared to the same period in 2013 primarily due to additional rent resulting from senior living community capital improvements purchased by SNH since January 1, 2013, pursuant to our leases with SNH.

General and administrative expenses increased by 18.2% for the nine months ended September 30, 2014 compared to the same period in 2013 primarily due to increased costs incurred in connection with the preparation of our restatement of our previously issued financial statements and the delayed completion of our 2013 financial reporting.

Our depreciation and amortization expense increased by 19.5% for the nine months ended September 30, 2014 compared to the same period in 2013 primarily due to capital expenditures (net of our sales of capital improvements to SNH), including depreciation costs arising from our purchase of furniture and fixtures for our owned communities.

Our interest and other expense decreased by 4.7% for the nine months ended September 30, 2014 compared to the same period in 2013 primarily due to our redemption of $24.9 million principal amount of the Notes outstanding in July 2013, the prepayment by the buyer of two of our SNFs we sold in April 2013 of our then outstanding mortgage debt that

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

encumbered these SNFs, and lower costs incurred under our Credit Agreement, partially offset by increased costs under our Credit Facility for the nine months ended September 30, 2014 compared to the same period in 2013.

For the nine months ended September 30, 2014, we recognized a tax benefit from continuing operations of $4.6 million which includes certain adjustments in the current quarter to our prior year federal net operating loss, our state net operating loss, certain state tax estimates and adjustments to deferred tax assets and liabilities.  During this period, we also recognized a tax benefit from discontinued operations of $1.4 million.  As of December 31, 2013, our federal net operating loss carry forward, which begins to expire in 2026 if unused, was approximately $81.6 million, and our tax credit carry forward, which begins to expire in 2022 if unused, was approximately $15.2 million.  For more information about our taxes, see Note 5 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q. 

Discontinued operations:

We recorded a loss from discontinued operations for the nine months ended September 30, 2014 of $2.4 million, compared to a loss of $3.7 million for the nine months ended September 30, 2013.  The lossesin both periods were primarily due to losses incurred at assisted living communities, SNFs and our rehabilitation hospitals that we have sold or transferred or expect to sell or transfer.  The loss for the nine months ended September 30, 2014 is after giving effect to a tax benefit of $1.4 million that we recognized in this period relating to our discontinued operations.

LIQUIDITY AND CAPITAL RESOURCES

As of September 30, 2014, we had $24.9 million of unrestricted cash and cash equivalents and $25.0 million and $124.4 million available to borrow under our Credit Agreement and our Credit Facility, respectively. We expect to use the cash flow from our operations, our cash balances, borrowings under our Credit Agreement and our Credit Facility and proceeds from our sales to SNH of qualified capital improvements we may make to properties that we lease from SNH for increased rent pursuant to our leases with SNH to fund our operations, debt repayments, investments in and maintenance of our properties, future property acquisitions and other general business purposes. We also have in the past assumed mortgage debt in connection with certain of our acquisitions and we may do so in the future. We believe such amounts will be sufficient to fund our business 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 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 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 owned communities that are not subject to existing mortgages and issuing new debt or equity securities.

Assets and Liabilities

At September 30, 2014, we had cash and cash equivalents of $24.9 million compared to $23.6 million at December 31, 2013.Our total current assets at September 30, 2014 were $143.2 million, compared to $150.9 million at December 31, 2013.  The decrease in our total current assets primarily relates to a decrease in our current assets at our discontinued operations due to the sale of our rehabilitation hospitals in December 2013 as well as timing differences for amounts due from related persons.  Our total current and long term liabilities were $207.3 million and $96.8 million, respectively, at September 30, 2014 compared to $198.5 million and $81.3 million, respectively, at December 31, 2013.The increase in our total current liabilities was primarily due to timing of certain accounts payable and accrued expenses, partially offset by repayments we made under our Credit Facility.  The increase in our total long term liabilities was primarily due to the assumption of mortgage debt in connection with our acquisition of asenior living community in the second quarter of 2014.

We had cash flows from operating activities of $28.3 million for the nine months ended September 30, 2014 compared to $38.1 million for the same period in 2013.  Acquisitions of property, plant and equipment on a net basis after considering the proceeds from sales of such assets to SNH, were $15.4 million and $17.3 million for the nine months ended September 30, 2014 and 2013, respectively.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Our Leases and Management Agreements with SNH

As of September 30, 2014, we leased 184 senior living communities (including seven that we have classified as discontinued operations) from SNH under four leases.  Our total annual rent payable to SNH as of September 30, 2014 was $191.4 million, excluding percentage rent based on increases in gross revenues at certain properties.  Our total rent expense under all of our leases with SNH was $49.0 million and $50.6 million for the three months ended September 30, 2014 and 2013, respectively, and $146.6 million and $152.1 million for the nine months ended September 30, 2014 and 2013, respectively, which included approximately $1.5 million and $1.1 million in percentage rent paid to SNH for the three months ended September 30, 2014 and 2013, respectively, and $4.3 million and $4.0 million for the nine months ended September 30, 2014 and 2013, respectively.

Upon our request, SNH may purchase certain capital improvements made at the properties we lease from SNH and increase our rent pursuant to contractual formulas; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.  During the nine months ended September 30, 2014, SNH purchased from us $23.8 million for capital expenditures made at the properties leased from SNH and these purchases resulted in our annual rent being increased by approximately $1.9 million.

During 2013 and 2014, we entered into several management agreements, pooling agreements and lease amendments with SNH and its affiliates.  For more information regarding these activities and our leases and management agreements with SNH, see Note 10 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q, which is incorporated herein by reference, and Note 14 to our consolidated financial statements included in Item 15 of our Annual Report.

Disposition Activity

In January 2014, we and SNH sold an assisted living community located in Texas with 48 assisted living units, for a sale price of $2.4 million, and as a result of this sale, our annual minimum rent payable to SNH decreased by $0.2 million in accordance with the terms of the applicable lease. 

In June 2014, we and SNH sold two SNFs located in Wisconsin with a combined total of 139 living units for a sale price of $4.5 million, and as a result of this sale, our annual minimum rent payable to SNH decreased by $0.5 million in accordance with the terms of the applicable lease.

In October 2014, we and SNH sold an assisted living community in Virginia with 55 assisted living units for a sale price of $2.85 million, and as a result of this sale, our annual minimum rent payable to SNH decreased by $0.3 million in accordance with the terms of the applicable lease.

Also in October 2014, we and SNH sold one assisted living community and one SNF located in Arizona with a combined total of 160 living units, for a sale price of $5.9 million, and as a result of this sale, our annual minimum rent payable to SNH decreased by $0.6 million in accordance with the terms of the applicable lease.

Our Revenues

Our revenues from services to residents at our senior living communities are our primary source of cash to fund our operating expenses, including rent, capital expenditures (net of capital improvements we sell to SNH for increased rent, pursuant to our leases with SNH) 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 in 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.  In recent years, economic indicators reflect an improving housing market; however, even with those improvements, housing sales activity remains below pre-recession levels and it is unclear how sustainable the improvements will be and whether any such improvements will result in any increased demand for our services.

At some of our senior living communities (principally our SNFs), Medicare and Medicaid programs provide operating revenues for skilled nursing and rehabilitation services.  These programs are discussed in Part I, Item 1 of our Annual

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Report under the caption “Government Regulation and Reimbursement”.  We derived approximately 22.8% and 23.5% of our total revenues from these programs during the nine months ended September 30, 2014 and 2013, respectively.

Our net Medicare revenues from services to senior living community residents totaled $97.5 million and $100.6 million during the nine months ended September 30, 2014 and 2013, respectively.  Our net Medicaid revenues from services to senior living community residents totaled $88.3 million and $86.6 million during the nine months ended September 30, 2014 and 2013, respectively.  Our Medicare net revenue is impacted by periodic adjustments to the Prospective Payment System, or PPS, by the Centers for Medicare & Medicaid Services, or CMS. PPS is a method of rate setting which CMS uses to make Medicare payments for services based on a predetermined, fixed payment amount based on the classification system of service deemed to be appropriate for patients, in contrast to a traditional fee-for-service model.  CMS updates PPS rates by facility type annually.  In federal fiscal year 2012, CMS reduced aggregate Medicare PPS rates for SNFs by approximately 11.1%.  Since then, CMS has increased these rates from that reduced level by 1.8% in federal fiscal year 2013 and by 1.3% for federal fiscal year 2014, effective October 1, 2013.  On July 31, 2014, CMS released its final rule for the Medicare PPS for SNFs for federal fiscal year 2015, which went into effect on October 1, 2014.  As part of this rule, CMS will apply a net increase of 2% to Medicare payment rates for SNFs, which will result in an aggregate increase of approximately $750 million in payments to SNFs from federal fiscal year 2014.  Due to the previous reduction of Medicare payment rates of approximately 11.1% for federal fiscal year 2012 discussed above, however, Medicare payment rates will be lower for federal fiscal year 2015 than they were in federal fiscal year 2012.

The Budget Control Act of 2011 and the Bipartisan Budget Act of 2013 allow for automatic reductions in federal spending by means of a process called sequestration, which has reduced Medicare payments by 2% since April 1, 2013, and had an adverse effect on our operations and financial results.  Sequestration remains in effect and could result in reductions to our revenues from Medicare and certain other federal health programs over the next decade.  Any future reductions in Medicare payment rates could be adverse and material to our operations and to our future financial results of operations.  Furthermore, the Middle Class Tax Relief and Job Creation Act of 2012, which was enacted in February 2012, gradually reduces the SNF reimbursement rate for Medicare bad debt from 100% to 65% by federal fiscal year 2015 for beneficiaries dually-eligible for Medicare and Medicaid. Because nearly 90% of SNF bad debt has historically been related to dual-eligible beneficiaries, this rule has a substantial adverse effect on SNFs, including some of those we operate. The same law also reduced the SNF Medicare bad debt reimbursement rate for Medicare beneficiaries not eligible for Medicaid from 70% to 65% in federal fiscal year 2013.

On April 1, 2014, the Protecting Access to Medicare Act of 2014, or PAMA, extended the Medicare outpatient therapy cap exception process through March  31, 2015, further postponing the implementation of certain limits on Medicare payments for outpatient therapies.  PAMA also extended the 0.5% increase to the Medicare Physician Fee Schedule, or MPFS, rates through December 31, 2014 and provided no increase in the MPFS rates, to which Medicare outpatient therapy rates are tied, in the period between January 1, 2015 and March  31, 2015.  Unless further delayed, the MPFS rates are scheduled to be reduced by up to 24% effective April 1, 2015.  Additionally, PAMA established a SNF value-based purchasing program.  Under this program, the United States Department of Health and Human Services, or HHS, will assess SNFs based on hospital readmissions measures and make these assessments available to the public no later than October 1, 2017.  Beginning in federal fiscal year 2019, SNFs will face a 2% withholding of SNF payments and will receive incentive payments based on the higher of their performance or improvement on certain hospital readmission measures.  The collective amount of incentive payments to all SNFs are anticipated to be between 50% and 70% of the total payment amounts withheld.

On October 6, 2014, President Obama signed into law the Improving Medicare Post-Acute Care Transformation Act of 2014, or the IMPACT Act, which requires certain post-acute care providers, including SNFs, to begin collecting and reporting various types of data.  Specifically, the Secretary of HHS will require SNFs to begin reporting certain quality measures and resource use measures in a standardized and interoperable format by October 1, 2016 and begin reporting certain patient assessment data in such a format by October 1, 2018.  Beginning in federal fiscal year 2018, SNFs that fail to comply with the reporting requirements by the established times will be subject to a 2% reduction in their Medicare payment rates for that fiscal year.  Beginning October 1, 2018, the Secretary of HHS will make this data publicly available pursuant to certain procedures to be established.  The IMPACT Act also requires the Secretary of HHS and the Medicare Payment Advisory Commission to submit reports to Congress recommending a future Medicare

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

prospective payment system for post-acute care providers and analyzing both its effects on the reported metrics and financial effect on post-acute care providers.

Although Medicaid is exempt from the sequestration process described above, 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 that had been in effect since October 1, 2008 ended as of June 30, 2011. Despite these freezes and reduced payments to states, according to the 2013 Actuarial Report on the Financial Outlook for Medicaid, Medicaid enrollment is projected to increase at an average annual rate of 3.3% through 2022, due in part to the expansion in Medicaid eligibility under the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, or collectively the ACA, beginning in 2014. Under the ACA, the federal government will pay for 100% of a state’s Medicaid expansion costs for the first three years (2014-2016) and gradually reduce its subsidy to 90% for 2020 and future years. The U.S. Supreme Court has held, however, that states may choose not to participate in the Medicaid expansion program without risking the loss of federal Medicaid funding.  As of August 28, 2014, 21 states have elected not to broaden Medicaid eligibility under the ACA at this time, and two remain undecided; those states choosing not to participate in Medicaid expansion are forgoing the federal funds that would otherwise be available for that purpose.  We expect the ending of temporary federal payments, as well as other costs and budgetary constraints for state governments, to result in continued challenging state fiscal conditions.  Some state budget deficits may 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 predict 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 increasing expenses, but they may be adverse and material to our operations and to our future financial results of operations.  Similarly, we are unable to predict the impact on us of the insurance changes, payment changes, and healthcare delivery systems changes 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 costs of providing required services to residents, our future financial results could be materially and adversely affected.

Debt Financings and Covenants

As of September 30, 2014, we had no outstanding borrowings under our Credit Agreement and $25.0 million outstanding under our Credit Facility.  As of September 30, 2014, we had $52.1 million aggregate principal amount of mortgage notes outstanding.  As of September 30, 2014, we believe we were in compliance with all applicable covenants under our debt agreements.  As of December 12, 2014, we had no amounts outstanding and $25.0 million outstanding under our Credit Agreement and Credit Facility, respectively. Our Credit Facility matures in April 2015 and our Credit Agreement matures in March 2016.  There can be no assurance that we will be successful in renewing, refinancing or replacing either facility and any such renewal, refinancing or replacement may be on terms less favorable to us than the current terms.  Our Credit Agreement and Credit Facility require that we deliver quarterly and annual financial statements within the time periods specified within those agreements. The lenders under each of our Credit Agreement and Credit Facility have waived until December 31, 2014 any default resulting from our not timely delivering our financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014 as required under those agreements. Our condensed consolidated financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014 are being delivered to our lenders contemporaneously with the filing of this Quarterly Report on Form 10-Q and the filing of our Quarterly Reports on Form 10-Q for the quarters ended March 31, 2014, and June 30, 2014, which are being filed substantially concurrently with this Quarterly Report. For more information regarding our debt financings and covenants, including terms governing those financings and their maturities, please see Note 8 to our condensed consolidated financial statements in Part I, Item 1 of this Quarterly Report on Form 10-Q, which is incorporated herein by reference.

Off Balance Sheet Arrangements

We have pledged certain of our assets, including our accounts receivable with a carrying value, as of September 30, 2014, of $13.8 million, arising from our operation of 26 properties owned by SNH and leased to us to secure SNH’s

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

borrowings from its lender, FNMA.  As of September 30, 2014, 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 is our former parent, our largest landlord and our largest stockholder and RMR provides management services to both us and SNH; we provide management services to SNH and to D&R Yonkers LLC which is owned by SNH’s executive officers and we manage a portion of a senior living community which D&R Yonkers LLC subleases from SNH in order to accommodate certain requirements of New York healthcare licensing laws; we, RMR, SNH and four other companies to which RMR provides management services each currently owns approximately 14.3% of AIC; 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 a business management and shared services agreement.  For further information about these and other such relationships and related person transactions, please see Note 10 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q, which is incorporated herein by reference.  In addition, for more information about these transactions and relationships, please see elsewhere in this Quarterly Report on Form 10-Q, including “Warning Concerning Forward Looking Statements” in Part I, our Annual Report, our definitive Proxy Statement for our 2014 Annual Meeting of Stockholders, or our Proxy Statement, and our other filings with the Securities and Exchange Commission, or SEC, including Note 14 to our consolidated financial statements included in our Annual Report, the sections captioned “Business,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Related Person Transactions” and “Warning Concerning Forward Looking Statements” of our Annual Report and the section captioned “Related Person Transactions and Company Review of Such Transactions” and the information regarding our Directors and executive officers in our Proxy Statement.  In addition, please see the section captioned “Risk Factors” of our Annual Report for a description of risks that may arise as a result of these and other related person transactions and relationships.  Our filings with the SEC, including our Annual Report and our Proxy Statement, are available at the SEC’s website at www.sec.gov.  Copies of certain of our agreements with these related parties, including our leases, forms of management agreements and related pooling agreements 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 also publicly available as exhibits to our public filings with the SEC and accessible at the SEC’s website.

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.

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 our experiencing 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.

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Item 3.  Quantitative and Qualitative Disclosures About Market Risk

For quantitative and qualitative disclosures about market risk affecting us, see Item 7A. — “Quantitative and Qualitative Disclosures About Market Risk” in our Annual Report.  Our exposure to market risks has not changed materially from that set forth in our Annual Report.

Item 4. Controls and Procedures

As of the end of the period covered by this report, 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 Rules 13a-15 and 15d-15 under the Securities Exchange Act of 1934, as amended, or the Exchange Act.  During that review and evaluation 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, 2013. As a result, our management concluded that our disclosure controls and procedures were not effective as of September 30, 2014 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 our income tax accounts. We also determined that we had a material weakness in our internal controls over accounts payable; specifically our internal controls did not provide for timely identification of certain incurred obligations. Further, we determined we had material weaknesses in our internal controls due to a lack of sufficient personnel with requisite 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.

Remediation of Material Weaknesses in Internal Control Over Financial Reporting

We are continuing to develop our remediation plan for the material weaknesses described above, which currently includes:

· enhancing internal control over accounting for income taxes to include additional layers of review by qualified persons;

· recruitment of additional experienced personnel for certain accounting positions;

· restructuring of our accounting department; and

· providing enhanced training for employees regarding our accounting policies and procedures.

We have begun to implement this remediation plan while we are continuing to develop it. To date, we have:

· added qualified and experienced personnel by filling a newly created senior level accounting position and hiring additional personnel who are qualified as certified public accountants;

· engaged consultants to supplement our existing accounting staff and to provide additional layers of review by qualified persons; and

· begun restructuring our accounting and tax functions.

Successful remediation of the material weaknesses described above requires 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 by December 31, 2015.

Changes in Internal Control Over Financial Reporting

Except as noted above under “Remediation of Material Weaknesses in Internal Control Over Financial Reporting”, there have been no changes in our internal control over financial reporting during the quarter ended September 30, 2014 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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WARNING CONCERNING FORWARD LOOKING STATEMENTS

THIS QUARTERLY REPORT ON FORM 10-Q 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 PROFITABLY,

· OUR ABILITY TO COMPLY AND TO REMAIN IN COMPLIANCE WITH APPLICABLE MEDICARE, MEDICAID AND OTHER FEDERAL AND STATE REGULATORY, RULE MAKING 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, TO MANAGE ADDITIONAL SENIOR LIVING COMMUNITIES AND TO SELL PROPERTIES WE OFFER FOR SALE,

· THE FUTURE AVAILABILITY OF BORROWINGS UNDER OUR CREDIT FACILITIES,

· OUR EXPECTATION THAT WE WILL BENEFIT FINANCIALLY BY PARTICIPATING IN AIC WITH RMR AND COMPANIES TO WHICH RMR PROVIDES MANAGEMENT SERVICES,

· THE IMPACT OF THE ACA AND OTHER RECENTLY ENACTED, ADOPTED OR PROPOSED LEGISLATION OR REGULATIONS ON US, 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, INCLUDING THOSE THAT MAY RESULT FROM THE IMPACT OF THE ACA AND OTHER RECENTLY ENACTED, ADOPTED OR PROPOSED LEGISLATION OR REGULATIONS, WHICH COULD RESULT IN REDUCED RATES OF PAYMENT TO US,

· 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 BUSINESS,

· INCREASES IN INSURANCE AND TORT LIABILITY COSTS,

· INCREASES IN OUR LABOR COSTS OR IN COSTS WE PAY FOR GOODS AND SERVICES,

· ACTUAL AND POTENTIAL CONFLICTS OF INTEREST WITH OUR MANAGING DIRECTORS, SNH, RMR, AIC AND THEIR RELATED PERSONS AND ENTITIES,

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· DELAYS OR NONPAYMENTS OF GOVERNMENT PAYMENTS TO US THAT COULD RESULT FROM GOVERNMENT SHUTDOWNS, PAYMENT DEFAULTS OR PAYMENT DELAYS,

· 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 ARE CURRENTLY EXPERIENCING BUDGETARY 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 QUARTERLY REPORT ON FORM 10-Q STATES THAT WE EXPECT THAT WE MAY ENTER INTO ADDITIONAL MANAGEMENT ARRANGEMENTS OR POOLING AGREEMENTS 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 ADDITIONAL COMMUNITIES OR THAT WE AND SNH WILL ENTER INTO ANY ADDITIONAL MANAGEMENT ARRANGEMENTS OR POOLING AGREEMENTS,

· 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 AND COMPETITION FROM OTHER PROVIDERS OF SENIOR LIVING SERVICES. WE MAY NOT BE ABLE TO SUCCESSFULLY INTEGRATE NEW COMMUNITIES OR OPERATE AND MANAGE NEW COMMUNITIES PROFITABLY,

· OUR BELIEF THAT THE AGING OF THE U.S. POPULATION WILL INCREASE DEMAND FOR SENIOR LIVING COMMUNITIES MAY NOT BE REALIZED OR MAY NOT RESULT IN INCREASED DEMAND FOR OUR SERVICES,

· THIS QUARTERLY REPORT ON FORM 10-Q STATES THAT AT SEPTEMBER 30, 2014 WE HAD $24.9 MILLION OF CASH AND CASH EQUIVALENTS AND $25.0 MILLION OF BORROWINGS OUTSTANDING UNDER OUR CREDIT FACILITIES, LEAVING $149.4 MILLION OF AVAILABILITY, AND THAT WE HAVE IN THE PAST SOLD IMPROVEMENTS TO SNH AND EXPECT 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.  ACCORDINGLY, WE MAY NOT HAVE SUFFICIENT CASH LIQUIDITY,

· THIS QUARTERLY REPORT ON FORM 10-Q STATES THAT DURING THE PAST SEVERAL YEARS, WEAK ECONOMIC CONDITIONS THROUGHOUT THE COUNTRY HAVE NEGATIVELY AFFECTED MANY ENTITIES BOTH IN AND OUTSIDE OF OUR INDUSTRY, THAT THESE CONDITIONS HAVE RESULTED IN, AMONG OTHER THINGS, A DECREASE IN OUR COMMUNITIES’ OCCUPANCY, BUT THAT IN RECENT YEARS ECONOMIC INDICATORS REFLECT AN IMPROVING HOUSING 30

MARKET AND THAT MANY OF THE SERVICES WE PROVIDE ARE NEEDS-DRIVEN.  THIS MAY IMPLY THAT ECONOMIC CONDITIONS WILL IMPROVE, THAT THERE MAY BE PENT UP DEMAND FOR SERVICES THAT WE PROVIDE AND THAT OUR REVENUES AND PROFITABILITY WILL IMPROVE AS A RESULT.  HOWEVER, THERE CAN BE NO ASSURANCE THAT ECONOMIC CONDITIONS WILL IMPROVE, THAT THERE EXISTS ANY PENT UP DEMAND FOR SERVICES WE PROVIDE OR THAT, EVEN IF THERE IS SUCH DEMAND, THAT WE WOULD BE SUCCESSFUL IN ATTRACTING THAT DEMAND, OR THAT OUR REVENUES AND PROFITS WOULD IMPROVE IF ECONOMIC CONDITIONS IMPROVED,

· RESIDENTS 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 INCREASED RELIANCE ON LOWER RATES FROM GOVERNMENTS AND OTHER PAYERS,

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

· 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 SECURING OUR $25.0 MILLION CREDIT AGREEMENT 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 $25.0 MILLION AND $150.0 MILLION, RESPECTIVELY.  ADDITIONALLY, THE AVAILABILITY OF BORROWINGS UNDER OUR CREDIT FACILITIES IS SUBJECT TO OUR SATISFYING CERTAIN FINANCIAL COVENANTS AND MEETING OTHER CUSTOMARY CONDITIONS.  ALSO, OUR CREDIT FACILITY MATURES IN APRIL 2015 AND OUR CREDIT AGREEMENT MATURES IN MARCH 2016.  THERE CAN BE NO ASSURANCE THAT WE WILL BE SUCCESSFUL IN RENEWING OR REPLACING EITHER FACILITY, AND ANY SUCH RENEWAL, REFINANCING OR REPLACEMENT MAY BE ON LESS FAVORABLE TERMS TO US,

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

· OUR FAILURE TO TIMELY FILE OUR 2013 ANNUAL REPORT AND OUR QUARTERLY REPORTS ON FORM 10-Q FOR THE QUARTERS ENDED MARCH 31, 2014, JUNE 30, 2014, AND SEPTEMBER 30, 2014, AND OUR CONSEQUENT INABILITY TO USE OUR SHELF REGISTRATION STATEMENT ON FORM S-3 UNTIL WE HAVE BEEN CURRENT IN OUR FILINGS UNDER THE EXCHANGE ACT FOR A PERIOD OF NOT LESS THAN ONE YEAR MAY NEGATIVELY IMPACT OUR ABILITY TO ISSUE NEW DEBT AND EQUITY SECURITIES,

· THIS QUARTERLY REPORT ON FORM 10-Q STATES THAT WE AND SNH HAVE DECIDED TO OFFER FOR SALE CERTAIN SENIOR LIVING COMMUNITIES THAT WE LEASE FROM SNH, WHICH HAVE NOT YET BEEN SOLD, AND THAT WE HAVE DECIDED TO OFFER FOR SALE ONE COMMUNITY WHICH WE OWN. WE AND SNH MAY BE UNABLE TO SELL ANY OF THOSE COMMUNITIES WE LEASE FROM SNH, AND WE MAY BE UNABLE TO SELL THE ONE COMMUNITY WE OWN, ON ACCEPTABLE TERMS. ACCORDINGLY, WE CAN PROVIDE NO ASSURANCE THAT THESE COMMUNITIES WILL BE SOLD OR WHAT THE TERMS OR TIMING OF ANY SALE WOULD BE, AND

· THIS QUARTERLY REPORT ON FORM 10-Q 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.

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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, REGULATIONS OR RULE MAKING AFFECTING OUR BUSINESS OR CHANGES IN CAPITAL MARKETS OR THE ECONOMY GENERALLY.

THE INFORMATION CONTAINED ELSEWHERE IN THIS QUARTERLY REPORT ON FORM 10-Q OR IN OUR FILINGS WITH THE 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.

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Part II.Other Information

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

On September 30, 2014, pursuant to our equity compensation plan, we granted an aggregate of 50,000 of our common shares, valued at $3.77 per share, the closing price of our common shares on the New York Stock Exchange on that day, to our directors. We made these grants pursuant to an exemption from registration contained in Section 4(a)(2) of the Securities Act of 1933, as amended.

Item 6.  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, File Number 001-16817.)
3.3	Composite Copy of the Amended and Restated Bylaws, adopted February 14, 2012, as amended to date. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2014.)
4.1	Form of Common Share Certificate. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2013.)
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.)
101.1	The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2014 formatted in XBRL (eXtensible Business Reporting Language): (i) the Condensed Consolidated Balance Sheets, (ii) the Condensed Consolidated Statements of Operations, (iii) the Condensed Consolidated Statements of Comprehensive Income (Loss), (iv) the Condensed Consolidated Statements of Cash Flows, and (v) related notes to these financial statements, tagged as blocks of text and in detail. (Filed herewith.)

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SIGNATURES

Pursuant to the requirements 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.

/s/ Bruce J. Mackey Jr.

Bruce J. Mackey Jr.

President and Chief Executive Officer

Dated:  December 16, 2014

/s/ Paul V. Hoagland

Paul V. Hoagland

Treasurer and Chief Financial Officer

(Principal Financial and Accounting Officer)

Dated:  December 16, 2014

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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 Quarterly Report on Form 10-Q 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: December 16, 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 Quarterly Report on Form 10-Q 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: December 16, 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 the Quarterly Report on Form 10-Q for the quarter ended September 30, 2014 (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:December 16, 2014

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Indebtedness (Details) (USD $)	3 Months Ended	9 Months Ended		3 Months Ended	0 Months Ended	1 Months Ended
	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Jul. 08, 2013	Oct. 31, 2006
Indebtedness
Amount borrowed during the period		$ 10,000,000	$ 60,000,000
Gain, net of related unamortized costs, on early extinguishment of debt	(599,000)		(599,000)
Senior Living Communities
Indebtedness
Number of properties operated		256		256
Credit Agreement
Indebtedness
Maximum borrowing capacity		25,000,000		25,000,000
Basis spread (as a percent)		2.50%
Interest rate at period end (as a percent)		2.65%		2.65%
Quarterly commitment fee on the unused part of borrowing availability (as a percent)		0.35%
Principal repayment		0
Amount borrowed during the period		0	0
Amount outstanding under credit facility		0		0
Number of extensions to maturity date		2
Interest expense and other associated costs incurred	35,000	144,000	277,000	48,000
Credit Agreement | LIBOR
Indebtedness
Variable rate basis		LIBOR
Credit Facility
Indebtedness
Maximum borrowing capacity		150,000,000		150,000,000
Basis spread (as a percent)		2.50%
Interest rate at period end (as a percent)		2.65%		2.65%
Quarterly commitment fee on the unused part of borrowing availability (as a percent)		0.35%
Principal repayment		0
Amount outstanding under credit facility		25,000,000		25,000,000
Extension period available		1 year
Weighted average interest rate (as a percent)	3.15%	2.76%	3.15%	2.76%
Interest expense and other associated costs incurred	542,000	1,687,000	1,442,000	552,000
Credit Facility | Senior Living Communities
Indebtedness
Number of real estate properties securing borrowings on the new credit facility		15		15
Number of units in real estate properties securing borrowings on the new credit facility		1,549		1,549
Credit Facility | LIBOR
Indebtedness
Variable rate basis		LIBOR
Notes
Indebtedness
Loan amount						126,500,000
Proceeds from issue of notes						122,600,000
Interest rate (as a percent)						3.75%
Conversion ratio, number of common shares per $1,000 principal amount						0.769231
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%
Amount of notes outstanding redeemed					24,872,000
Interest expense and other associated costs incurred	21,000		511,000
Mortgage notes
Indebtedness
Weighted average interest rate (as a percent)		6.77%		6.77%
Interest expense and other associated costs incurred	581,000	1,957,000	2,425,000	709,000
Mortgage notes | FNMA
Indebtedness
Number of real estate properties mortgaged		2		2
Mortgage notes | FMCC
Indebtedness
Number of real estate properties mortgaged		3		3
Mortgage notes | Senior Living Communities
Indebtedness
Number of real estate properties mortgaged		5		5
Mortgage notes, total		$ 52,074,000		$ 52,074,000

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Discontinued Operations (Tables)

9 Months Ended

Sep. 30, 2014

Discontinued Operations

Summary of the operating results of discontinued operations included in the financial statements

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Revenues	$	4,990	$	35,198	$	18,793	$	115,332
Expenses		(6,079)		(36,290)		(22,639)		(119,095)
Impairment on discontinued assets		—		(1,127)		—		(2,358)
Benefit from income taxes		455		836		1,426		2,438
Net loss	$	(634)	$	(1,383)	$	(2,420)	$	(3,683)

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Acquisitions (Details) (USD $) In Thousands, unless otherwise specified	1 Months Ended	3 Months Ended
	May 31, 2014 item	Jun. 30, 2014	Sep. 30, 2014 item
Senior Living Communities
Acquisitions
Number of units in properties managed			7,051
Alabama senior living community
Acquisitions
Number of units in properties managed	116
Gross amount paid on acquisition	$ 19,914
Acquisition related expenses		81
Percentage amount of living services paid by residents	100.00%
Allocation of purchase price to the estimated fair values
Land	1,208
Building and improvements	17,946
Furniture, fixtures and equipment	421
Total property, plant and equipment	19,575
Intangible assets	1,937
Net working capital liabilities assumed	(68)
Mortgage debt assumed	(13,920)
Premium on assumed mortgage debt	(1,598)
Total assets acquired and liabilities assumed	$ 5,926

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Property and Equipment

9 Months Ended

Sep. 30, 2014

Property and Equipment

Property and Equipment

Note 3. Property and Equipment

Property and equipment consists of the following:

	September 30,		December 31,
	2014		2013
Land	$	24,172	$	22,214
Buildings and improvements		303,565		286,467
Furniture, fixtures and equipment		131,301		114,765
Property and equipment, at cost		459,038		423,446
Accumulated depreciation		(104,957)		(83,170)
Property and equipment, net	$	354,081	$	340,276

We recorded depreciation expense of $7,504 and $6,442 for the three months ended September 30, 2014 and 2013, respectively, and $21,787 and $18,824 for the nine months ended September 30, 2014 and 2013, respectively, relating to our property and equipment.

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.  As a result of our intangibles and long-lived assets impairment review, we recorded $589and $186of impairment charges to our long-lived assets in continuing operations as of September 30, 2014 and December 31, 2013, respectively.

As of September 30, 2014, we had $5,595 of assets included in our property and equipment associated with certain senior living communities that we lease from SNH that we typically request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.  See Note 10.

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Income Taxes (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Benefit from (provision for) income taxes	$ 1,763	$ (164)	$ 4,558	$ (1,076)
Benefit from income taxes	(455)	(836)	(1,426)	(2,438)
Tax credit carry forward, which begins to expire in 2022 if unused					15,235
Federal
Net operating loss carry forward, which begins to expire in 2026 if unused					81,583
Net operating losses that are attributable to unvested stock grants					$ 278

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Accumulated Other Comprehensive Income (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Sep. 30, 2014	Jun. 30, 2014	Mar. 31, 2014
Changes in accumulated other comprehensive income
Balance at the beginning of the period	$ 3,678	$ 3,396	$ 3,318
Unrealized gain (loss) on investments, net of tax	(234)	268	253
Equity interest in an investee's unrealized gain (loss) on investments	(33)	22	19
Realized gain on investments, net of tax	(14)	(8)	(194)
Balance at the end of the period	3,397	3,678	3,396
Equity Investment in Affiliates Insurance Company
Changes in accumulated other comprehensive income
Balance at the beginning of the period	89	67	48
Equity interest in an investee's unrealized gain (loss) on investments	(33)	22	19
Balance at the end of the period	56	89	67
Investments in Available for Sale Securities
Changes in accumulated other comprehensive income
Balance at the beginning of the period	3,589	3,329	3,270
Unrealized gain (loss) on investments, net of tax	(234)	268	253
Realized gain on investments, net of tax	(14)	(8)	(194)
Balance at the end of the period	$ 3,341	$ 3,589	$ 3,329

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Earnings Per Share (Details) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Earnings Per Share
Common stock, par value (in dollars per share)	$ 0.01		$ 0.01		$ 0.01
Income (loss)
(Loss) income from continuing operations	$ (2,374)	$ 625	$ (9,238)	$ 6,773
Diluted (loss) income from continuing operations	(2,374)	625	(9,238)	6,773
Diluted income (loss) from discontinued operations	$ (634)	$ (1,383)	$ (2,420)	$ (3,683)
Shares
(Loss) income from continuing operations (in shares)	48,020,000	48,272,000	48,012,000	48,253,000
Diluted (loss) income from continuing operations (in shares)	48,020,000	48,272,000	48,012,000	48,253,000
Diluted loss from discontinued operations (in shares)	48,020,000	48,272,000	48,012,000	48,253,000
Per Share
(Loss) income from continuing operations (in dollars per share)	$ (0.05)	$ 0.01	$ (0.19)	$ 0.14
Diluted (loss) income from continuing operations (in dollars per share)	$ (0.05)	$ 0.01	$ (0.19)	$ 0.14
Diluted loss from discontinued operations (in dollars per share)	$ (0.01)	$ (0.03)	$ (0.05)	$ (0.07)
Notes
Earnings Per Share
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount		145,000		1,318,000

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Fair Values of Assets and Liabilities (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended	9 Months Ended		12 Months Ended
	Sep. 30, 2014 item	Sep. 30, 2014 item	Sep. 30, 2013	Dec. 31, 2014	Dec. 31, 2013
Fair Values of Assets and Liabilities
Restricted cash equivalents	$ 4,943	$ 4,943			$ 13,181
Available for sale securities, current	24,177	24,177			19,150
Long term investments in available for sale securities	19,876	19,876			11,905
Amortized cost of available for sale securities	42,012	42,012			29,127
Unrealized gains on available for sale securities	2,304	2,304			2,185
Unrealized losses on available for sale securities	263	263			257
Number of available for sale securities in a loss position less than 12 months	42	42
Fair value of securities which are in loss position for less than 12 months	13,986	13,986
Number of available for sale securities in a loss position 12 months or longer	12	12
Fair value of securities which are in loss position for greater than 12 months	1,548	1,548
Gross proceeds from sale of available for sale securities		8,737	5,925
Gross realized gains recorded on sale of available for sale securities		399	314
Gross realized losses recorded on sale of available for sale securities		50	308
Impairment of long-lived assets	589	589			186
Fair value of impaired long-lived assets		478		137
Total
Fair Values of Assets and Liabilities
Cash equivalents	6,625	6,625			14,866
Available for sale securities	44,053	44,053			31,054
Total	50,678	50,678			45,920
Total | Equity securities
Fair Values of Assets and Liabilities
Available for sale securities	8,079	8,079			8,247
Total | Financial services industry
Fair Values of Assets and Liabilities
Available for sale securities	4,000	4,000			3,668
Total | REIT industry
Fair Values of Assets and Liabilities
Available for sale securities	453	453			704
Total | Other
Fair Values of Assets and Liabilities
Available for sale securities	3,626	3,626			3,875
Total | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	35,974	35,974			22,807
Total | International bond fund
Fair Values of Assets and Liabilities
Available for sale securities	2,373	2,373			2,329
Total | High yield fund
Fair Values of Assets and Liabilities
Available for sale securities	2,399	2,399			2,309
Total | Industrial bonds
Fair Values of Assets and Liabilities
Available for sale securities	6,539	6,539			5,234
Total | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	12,354	12,354			7,075
Total | Financial bonds
Fair Values of Assets and Liabilities
Available for sale securities	2,685	2,685			1,154
Total | Other
Fair Values of Assets and Liabilities
Available for sale securities	9,624	9,624			4,706
Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Values of Assets and Liabilities
Cash equivalents	6,625	6,625			14,866
Available for sale securities	14,911	14,911			12,805
Total	21,536	21,536			27,671
Quoted Prices in Active Markets for Identical Assets (Level 1) | Equity securities
Fair Values of Assets and Liabilities
Available for sale securities	8,079	8,079			8,247
Quoted Prices in Active Markets for Identical Assets (Level 1) | Financial services industry
Fair Values of Assets and Liabilities
Available for sale securities	4,000	4,000			3,668
Quoted Prices in Active Markets for Identical Assets (Level 1) | REIT industry
Fair Values of Assets and Liabilities
Available for sale securities	453	453			704
Quoted Prices in Active Markets for Identical Assets (Level 1) | Other
Fair Values of Assets and Liabilities
Available for sale securities	3,626	3,626			3,875
Quoted Prices in Active Markets for Identical Assets (Level 1) | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	6,832	6,832			4,558
Quoted Prices in Active Markets for Identical Assets (Level 1) | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	6,832	6,832			4,558
Significant Other Observable Inputs (Level 2)
Fair Values of Assets and Liabilities
Available for sale securities	29,142	29,142			18,249
Total	29,142	29,142			18,249
Significant Other Observable Inputs (Level 2) | Debt securities
Fair Values of Assets and Liabilities
Available for sale securities	29,142	29,142			18,249
Significant Other Observable Inputs (Level 2) | International bond fund
Fair Values of Assets and Liabilities
Available for sale securities	2,373	2,373			2,329
Significant Other Observable Inputs (Level 2) | High yield fund
Fair Values of Assets and Liabilities
Available for sale securities	2,399	2,399			2,309
Significant Other Observable Inputs (Level 2) | Industrial bonds
Fair Values of Assets and Liabilities
Available for sale securities	6,539	6,539			5,234
Significant Other Observable Inputs (Level 2) | Government bonds
Fair Values of Assets and Liabilities
Available for sale securities	5,522	5,522			2,517
Significant Other Observable Inputs (Level 2) | Financial bonds
Fair Values of Assets and Liabilities
Available for sale securities	2,685	2,685			1,154
Significant Other Observable Inputs (Level 2) | Other
Fair Values of Assets and Liabilities
Available for sale securities	$ 9,624	$ 9,624			$ 4,706

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Recent Accounting Pronouncements

9 Months Ended

Sep. 30, 2014

New Accounting Pronouncements and Changes in Accounting Principles [Abstract]

Recent Accounting Pronouncements

Note 2. Recent Accounting Pronouncements

In August 2014, the FASB issued Accounting Standards Update 2014-15, Presentation of Financial Statements – Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern.  The update requires an entity to evaluate whether there are conditions or events that raise substantial doubt about the entity’s ability to continue as a going concern within one year after the date that the financial statements are issued (or within one year after the financial statements are available to be issued when applicable) and to provide related footnote disclosures in certain circumstances.  The update is effective for the annual period ending after December 15, 2016, and for annual and interim periods thereafter with early adoption permitted.  The implementation of this update is not expected to cause any significant changes to our condensed consolidated financial statements.

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Fair Values of Assets and Liabilities (Details) (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Carrying value and fair value
Transfers of liabilities between Level 1 to Level 2	$ 0
Transfers of assets between Level 2 to Level 1	0
Transfers of liabilities between Level 2 to Level 1	0
Mortgage notes payable	50,246	36,461
Significant Unobservable Inputs (Level 3)
Carrying value and fair value
Mortgage notes payable	55,551	41,113
Carrying value
Carrying value and fair value
Mortgage notes payable	$ 52,074	$ 37,620

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CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Current assets:
Cash and cash equivalents	$ 24,947	$ 23,628
Accounts receivable, net of allowance	35,732	36,940
Due from related persons	12,728	11,659
Investments in available for sale securities, including restricted	24,177	19,150
Restricted cash	3,636	9,003
Prepaid and other current assets	39,491	33,799
Assets of discontinued operations	2,529	16,705
Total current assets	143,240	150,884
Property and equipment, net	354,081	340,276
Equity investment in an investee	6,806	5,913
Restricted cash	3,599	9,795
Restricted investments in available for sale securities	19,876	11,905
Goodwill and other intangible assets	26,573	26,407
Other long term assets	49,713	45,003
TOTAL ASSETS	603,888	590,183
Current liabilities:
Revolving credit facility, secured, principally by real estate	25,000	35,000
Accounts payable and accrued expenses	72,079	69,343
Accrued compensation and benefits	43,344	31,888
Due to related persons	20,019	20,587
Mortgage notes payable	1,828	1,159
Accrued real estate taxes	14,453	9,934
Security deposits and current portion of continuing care contracts	7,234	8,025
Other current liabilities	22,343	18,607
Liabilities of discontinued operations	1,049	3,985
Total current liabilities	207,349	198,528
Long term liabilities:
Mortgage notes payable	50,246	36,461
Continuing care contracts	1,387	1,531
Accrued self-insurance obligations	40,364	38,002
Other long term liabilities	4,794	5,283
Total long term liabilities	96,791	81,277
Commitments and contingencies
Shareholders' equity:
Common stock, $.01 par value: 75,000,000 shares authorized, 48,661,042 shares issued and outstanding	486	486
Additional paid in capital	356,519	355,570
Accumulated deficit	(60,654)	(48,996)
Accumulated other comprehensive income	3,397	3,318
Total shareholders' equity	299,748	310,378
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$ 603,888	$ 590,183

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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013
Cash flows from operating activities:
Net (loss) income	$ (11,658)	$ 3,090
Adjustments to reconcile net (loss) income to cash provided by operating activities:
Depreciation and amortization	24,313	20,589
Loss on early extinguishment of debt		599
Loss from discontinued operations before income tax	3,927	5,840
(Gain) loss on sale of available for sale securities	(349)	(6)
Impairment of long-lived assets	589
Equity in loss (earnings) of an investee	(59)	(219)
Stock-based compensation	949	792
Deferred income taxes	(6,726)	(2,282)
Provision for losses on receivables	1,998	4,414
Changes in assets and liabilities:
Accounts receivable	(790)	(3,435)
Prepaid expenses and other assets	(4,620)	4,690
Accounts payable and accrued expenses	1,858	(3,988)
Accrued compensation and benefits	11,456	4,668
Due from (to) related persons, net	(1,952)	209
Other current and long term liabilities	9,347	3,118
Cash provided by operating activities	28,283	38,079
Cash flows from investing activities:
Payments into (from) restricted cash and investment accounts, net	11,563	1,617
Acquisition of property and equipment	(39,189)	(37,267)
Acquisition of senior living communities, net of liabilities assumed	(5,926)
Purchase of available for sale securities	(21,349)	(13,416)
Investment in Affiliates Insurance Company	(825)
Proceeds from sale of property and equipment to Senior Housing Properties Trust	23,776	19,934
Proceeds from sale of available for sale securities	8,737	5,925
Cash provided by (used in) investing activities	(23,213)	(23,207)
Cash flows from financing activities:
Proceeds from borrowings on credit facilities	10,000	60,000
Repayments of borrowings on credit facilities	(20,000)	(50,000)
Purchase and retirement of convertible senior notes		(24,872)
Repayments of mortgage notes payable	(1,064)	(813)
Cash provided by (used in) financing activities	(11,064)	(15,685)
Cash flows from discontinued operations:
Net cash provided by (used in) operating activities	7,020	(4,314)
Net cash used in investing activities	293	7,603
Net cash used in financing activities		(7,534)
Net cash flows provided by (used in) discontinued operations	7,313	(4,245)
Change in cash and cash equivalents	1,319	(5,058)
Cash and cash equivalents at beginning of period	23,628	24,638
Cash and cash equivalents at end of period	24,947	19,580
Supplemental cash flow information:
Cash paid for interest	2,562	2,656
Cash paid (refunded) for income taxes, net	1,041	1,775
Non-cash activities:
Issuance of common stock	189	182
Real estate acquisition	(15,518)
Assumption of mortgage note payable	$ 15,518

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Related Person Transactions (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended		1 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Oct. 31, 2014 property	Aug. 31, 2013 property	Jan. 31, 2014 property item	Jun. 30, 2014 property item	Dec. 31, 2014 item	Jul. 10, 2014 item
Related person transactions
Management fee revenue	$ 2,438	$ 2,290	$ 7,296	$ 6,873
Assisted living communities
Related person transactions
Number of properties to be sold		1		1
Arizona | SNF
Related person transactions
Number of real estate properties sold					1
Arizona | Assisted living communities
Related person transactions
Number of real estate properties sold					1
Arizona | Senior Living Communities, SNF and Assisted living communities [Member]
Related person transactions
Decrease in annual lease rent payable					590
Number of units in real estate property offered for sale					160
Sales price					5,900
First AL Pooling Agreements
Related person transactions
Number of communities			20
Second AL Pooling Agreements
Related person transactions
Number of communities			19
Third AL Pooling Agreement [Member]
Related person transactions
Number of properties managed									2
IL Pooling Agreement
Related person transactions
Number of communities			2
Senior Living Communities
Related person transactions
Number of real estate properties leased	181		181
Number of properties managed	44		44
Number of communities			1
Number of units in properties managed	7,051		7,051
Assisted living communities
Related person transactions
Number of real estate properties classified as discontinued operations	1		1
Number of units in real estate property offered for sale	32		32
SNH
Related person transactions
Ownership percentage by former parent	100.00%		100.00%
Number of shares owned	4,235		4,235
Percentage of outstanding common shares owned	8.70%		8.70%
Total minimum annual rent payable	191,375		191,375
Rent expense under leases, net of lease inducement amortization	49,030	50,622	146,611	152,089
Outstanding rent due and payable	17,405	17,863	17,405	17,863
Real estate improvements sold			23,776
Increase (decrease) in annual lease rent payable			1,903
Assets held for sale for increased rent pursuant to the terms of leases with SNH	5,595		5,595
Number of combination agreements			4
Number of pooling agreements for communities that include assisted living units			3
Management fee revenue	2,438	2,290	7,295	6,866
Number of independent living communities for which agreement is entered for extension of term										2
SNH | Senior Living Communities
Related person transactions
Number of real estate properties offered for sale classified as discontinued operations	11		11
Number of real estate properties sold			4		3
SNH | Senior Living Communities
Related person transactions
Number of real estate properties leased	184		184
Number of real estate properties classified as discontinued operations	7		7
Number of real estate properties offered for sale classified as discontinued operations	11		11
Number of properties managed	44		44
SNH | Senior Living Communities | Forecast
Related person transactions
Number of remaining real estate properties classified as discontinued operations	4		4
SNH | Senior Living Communities | New York
Related person transactions
Number of units in properties managed	199		199
SNH | Senior Living Communities | Missouri
Related person transactions
Decrease in annual lease rent payable						255
Number of real estate properties sold						1
Number of units in real estate property offered for sale						112
Sales price						2,550
SNH | Senior Living Communities | Texas
Related person transactions
Decrease in annual lease rent payable							210
Number of real estate properties sold							1
Number of units in real estate property offered for sale							48
Sales price							2,400
SNH | Senior Living Communities | Wisconsin
Related person transactions
Decrease in annual lease rent payable								450
Number of real estate properties sold								2
Number of units in real estate property offered for sale								139
Sales price								4,500
SNH | Senior Living Communities | Virginia
Related person transactions
Decrease in annual lease rent payable					285
Number of real estate properties sold					1
Number of units in real estate property offered for sale					55
Sales price					2,850
SNH | Senior Living Communities | D&R Yonkers LLC | New York
Related person transactions
Number of units in properties managed	111		111
SNH | Assisted living communities
Related person transactions
Number of real estate properties classified as discontinued operations	3		3
Number of units in real estate property offered for sale	480		480
SNH | Assisted living communities | Second AL Pooling Agreements
Related person transactions
Number of independent living communities for which agreement is entered for extension of term										19

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Earnings Per Share (Tables)

9 Months Ended

Sep. 30, 2014

Earnings Per Share

Schedule of reconciliation of income from continuing operations and income (loss) from discontinued operations and the number of common shares used in the computations of diluted EPS

	Three Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Diluted loss from discontinued operations	$	(634)	48,020	$	(0.01)	$	(1,383)	48,272	$	(0.03)

	Nine Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Diluted loss from discontinued operations	$	(2,420)	48,012	$	(0.05)	$	(3,683)	48,253	$	(0.07)

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Related Person Transactions (Details) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013	Jun. 30, 2014 item
Related person transactions
Utilities and real estate taxes	$ 49,481	$ 48,743	$ 147,758	$ 145,035
Equity investment in an investee	6,806		6,806		5,913
Income (loss) arising from investment	38	64	59	219
RMR
Related person transactions
Number of Managing Directors also serving as Chairman, majority owner and an employee	1		1
Business management fees	3,390	3,014	10,433	10,175
Annual rent expense under leases			785
Utilities and real estate taxes	371	355	1,043	1,049
Number of entities to whom RMR provides management services	4		4			3
Aggregate coverage of combined directors' and officers' liability insurance policy purchased by the related party	10,000		10,000
Aggregate excess layer coverage of combined directors' and officers' liability insurance policy purchased by the related party	20,000		20,000
Period for which directors' and officers' insurance coverage			2 years
Number of entities to whom RMR manages	5		5
Period for which additional directors' and officers' insurance coverage			1 year
Aggregate excess non-indemnifiable coverage of combined directors' and officers' liability insurance policy purchased by the related party	5,000		5,000
Premium paid for combined directors' and officers' liability insurance policy			357
AIC
Related person transactions
Amount invested in equity investee	6,034		6,034
Equity investment in an investee	6,806	5,913	6,806	5,913
Income (loss) arising from investment	38	64	59	219
Coverage of property insurance			500,000
Annual premiums paid			3,901
AIC | CWH
Related person transactions
Number of other current shareholders of the related party	6		6
Ownership percentage	14.30%		14.30%
Shares purchased (in shares)	2,857		2,857
Value of shares issued by related party			$ 825

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Acquisition (Tables)

9 Months Ended

Sep. 30, 2014

Acquisitions

Summary of allocation of purchase price to the estimated fair values

Land	$	1,208
Buildings and improvements		17,946
Furniture, fixtures and equipment		421
Total property, plant and equipment		19,575
Intangible assets		1,937
Net working capital liabilities assumed		(68)
Mortgage debt assumed		(13,920)
Premium on assumed  mortgage debt		(1,598)
Net cash paid	$	5,926

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Basis of Presentation and Organization

9 Months Ended

Sep. 30, 2014

Organization and Business

Organization and Business

Note 1.  Basis of Presentation and Organization

General

The accompanying condensed consolidated financial statements of Five Star Quality Care, Inc. and its subsidiaries, which we refer to as we, us or our, areunaudited.  Certain information and disclosures required by U.S. generally accepted accounting principles for complete financial statements have been condensed or omitted.  We believe the disclosures made are adequate to make the information presented not misleading.  However, the accompanying financial statements should be read in conjunction with the financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2013, or our Annual Report.  In the opinion of our management, all adjustments, which include only normal recurring adjustments, considered necessary for a fair presentation have been included.  All intercompany transactions and balances with or among our consolidated subsidiaries have been eliminated.  Our operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.  Reclassifications have been made to the prior year’s condensed consolidated financial statements to conform to the current year’s presentation.

We operate senior living communities, including independent living communities, assisted living communities and skilled nursing facilities, or SNFs.  As of September 30, 2014, we operated 256senior living communities located in 31 states containing 30,114 living units, including 225 primarily independent and assisted living communities with 27,292 living units and 31 SNFs with 2,822 living units.  As of September 30, 2014, we owned and operated 31 communities (3,061 living units), we leased and operated 181 communities (20,002 living units) and we managed 44 communities (7,051 living units).  These 256 senior living communities included 10,464 independent living apartments, 14,440 assisted living suites and 5,210 skilled nursing units.  The foregoing numbers exclude: (i) 38 living units inone assisted living community that has been temporarily closed for a major renovation; (ii) one assisted living community with 32 living units that we own which is being offered for sale and is classified as a discontinued operation; and (iii) four SNFs and three assisted living communities with a total of 480 living units that we lease from Senior Housing Properties Trust or its subsidiaries, or SNH, that are being offered for sale and are classified as discontinued operations.

Revisions to Prior Period Financial Statements

As discussed further in the notes to our financial statements contained in our Annual Report, we identified errors related to our accounts payable and certain other matters that affected previously reported interim periods in 2013. We have revised the prior year’s condensed consolidated financial statements to correct for these errors in the periods in which they occurred.

Segment Information

We have two operating segments: senior living communities and rehabilitation and wellness. In the senior living community segment, we operate for our own account or manage for the account of 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 for a reportable segment as prescribed under Financial Accounting Standards Board, or FASB, Accounting Standards CodificationTM, or ASC, Topic 280 and therefore we have determined that our business is comprised of one reportable segment, senior living. All of our operations and assets are located in the United States, except for the operations of our captive insurance company subsidiary, which participates in our workers’ compensation, professional liability and automobile insurance programs,that is organized in the Cayman Islands.

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CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $) In Thousands, except Share data, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
CONSOLIDATED BALANCE SHEETS
Accounts receivable, allowance (in dollars)	$ 3,959	$ 4,281
Investments in available for sale securities, restricted (in dollars)	$ 9,125	$ 4,690
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	48,661,042	48,613,442
Common stock, shares outstanding	48,661,042	48,613,442

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Acquisitions

9 Months Ended

Sep. 30, 2014

Acquisitions

Acquisitions

Note 11.  Acquisition

In May 2014, we acquired a senior living community with 116 living units located in Alabama for approximately $19,914, including the assumption of approximately $13,920 of mortgage debt and the assumption of approximately $68 of net working capital liabilities, but excluding closing costs. This community primarily offers independent and assisted living services that are currently 100% paid by residents from their private resources. We funded this acquisition with cash on hand and borrowings under our Credit Facility.  We incurred acquisition related costs of $81 during the second quarter of 2014.  These costs include transaction costs, professional fees and other acquisition related expenses.  The preliminary allocation of the purchase price was based on management’s judgment after evaluating several factors, including valuation assessments of tangible and intangible assets, and estimates of the fair value of liabilities assumed.  The definite lived intangible assets were valued using the income approach and are categorized in Level 3 of the fair value hierarchy.  The valuation of certain tangible assets and liabilities acquired was determined using the cost approach.  For personal property, we primarily used the cost approach to estimate reproduction or replacement cost.  The fair value of these assets and liabilities are also categorized in Level 3 of the fair value hierarchy.  The following table summarizes the preliminary allocation of the purchase price to the estimated fair values of the assets acquired and liabilities assumed:

Land	$	1,208
Buildings and improvements		17,946
Furniture, fixtures and equipment		421
Total property, plant and equipment		19,575
Intangible assets		1,937
Net working capital liabilities assumed		(68)
Mortgage debt assumed		(13,920)
Premium on assumed  mortgage debt		(1,598)
Net cash paid	$	5,926

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Document and Entity Information	9 Months Ended
	Sep. 30, 2014	Dec. 12, 2012
Document and Entity Information
Entity Registrant Name	FIVE STAR QUALITY CARE INC
Entity Central Index Key	0001159281
Document Type	10-Q
Document Period End Date	Sep. 30, 2014
Amendment Flag	false
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 Common Stock, Shares Outstanding		48,661,042
Document Fiscal Year Focus	2014
Document Fiscal Period Focus	Q3

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Discontinued Operations

9 Months Ended

Sep. 30, 2014

Discontinued Operations

Discontinued Operations

Note 12.  Discontinued Operations

In September 2012, we completed the sale of our pharmacy business to Omnicare, Inc., or Omnicare. In connection with the sale, Omnicare did not acquire the real estate we own associated with one pharmacy located in South Carolina.  In July 2014, we sold this real estate for a sale price of $205.

In June 2013, we decided to offer for sale one assisted living community we own with 32 living units.  We are in the process of offering this community for sale.

Please see Note 10 above for a discussion of 11 senior living communities that we lease or had leased from SNH which are included in discontinued operations for all of the periods presented in these condensed consolidated financial statements; four of which had been sold as of September 30, 2014 and three additional of which were sold in October 2014.

We can provide no assurance that we will be able to sell the senior living community that we are offering for sale, or that we and SNH will be able to sell the senior living communities we lease from SNH that are being offered for sale, or what the terms or timing of any such sales may be.

We have reclassified our condensed consolidated balance sheets and condensed consolidated statements of operations for all periods presented to show the financial position and results of operations of our senior living communities, pharmacies and rehabilitation hospitals 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 condensed consolidated financial statements for the three and nine months ended September 30, 2014 and 2013:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Revenues	$	4,990	$	35,198	$	18,793	$	115,332
Expenses		(6,079)		(36,290)		(22,639)		(119,095)
Impairment on discontinued assets		—		(1,127)		—		(2,358)
Benefit from income taxes		455		836		1,426		2,438
Net loss	$	(634)	$	(1,383)	$	(2,420)	$	(3,683)

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CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Revenues:
Senior living revenue	$ 277,411	$ 269,845	$ 824,580	$ 807,984
Management fee revenue	2,438	2,290	7,296	6,873
Reimbursed costs incurred on behalf of managed communities	54,490	52,128	163,673	156,705
Total revenues	334,339	324,263	995,549	971,562
Operating expenses:
Senior living wages and benefits	135,507	131,026	402,469	394,309
Other senior living operating expenses	71,217	68,020	214,368	198,359
Costs incurred on behalf of managed communities	54,490	52,128	163,673	156,705
Rent expense	49,481	48,743	147,758	145,035
General and administrative	17,865	15,334	54,187	45,849
Depreciation and amortization	8,278	6,736	23,529	19,691
Impairment of long-lived assets	589		589
Total operating expenses	337,427	321,987	1,006,573	959,948
Operating (loss) income	(3,088)	2,276	(11,024)	11,614
Interest, dividend and other income	214	191	623	599
Interest and other expense	(1,324)	(1,179)	(3,803)	(3,990)
Loss on early extinguishment of debt		(599)		(599)
Gain (loss) on sale of available for sale securities reclassified from other comprehensive (loss) income	23	36	349	6
(Loss) income from continuing operations before income taxes and equity in (loss) earnings of an investee	(4,175)	725	(13,855)	7,630
Benefit from (provision for) income taxes	1,763	(164)	4,558	(1,076)
Equity in (loss) earnings of an investee	38	64	59	219
(Loss) income from continuing operations	(2,374)	625	(9,238)	6,773
(Loss) income from discontinued operations	(634)	(1,383)	(2,420)	(3,683)
Net (loss) income	$ (3,008)	$ (758)	$ (11,658)	$ 3,090
Weighted average shares outstanding- basic and diluted	48,020,000	48,272,000	48,012,000	48,253,000
Basic and diluted (loss) income per share from:
Continuing operations	$ (0.05)	$ 0.01	$ (0.19)	$ 0.14
Discontinued operations	$ (0.01)	$ (0.03)	$ (0.05)	$ (0.07)
Net (loss) income per share - basic and diluted	$ (0.06)	$ (0.02)	$ (0.24)	$ 0.07

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Earnings Per Share

9 Months Ended

Sep. 30, 2014

Earnings Per Share

Earnings Per Share

Note 6.  Earnings Per Share

We computed basic earnings per common share, or EPS, for the three and nine months ended September 30, 2014 and 2013 using the weighted average number of shares of our common stock, $.01 par value per share, or our common shares, outstanding during the periods.  Diluted EPS reflects the more dilutive earnings per common share amount calculated using the two-class method or the treasury stock method.  For the three and nine months ended September 30, 2013, respectively, 145 and 1,318 potentially dilutive common shares related to our former convertible senior notes due in 2026, or the Notes,  were not included in the computation of diluted EPS because to do so would have been antidilutive.

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

	Three Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(2,374)	48,020	$	(0.05)	$	625	48,272	$	0.01
Diluted loss from discontinued operations	$	(634)	48,020	$	(0.01)	$	(1,383)	48,272	$	(0.03)

	Nine Months Ended September 30,
	2014					2013
	Income			Per		Income			Per
	(loss)		Shares	Share		(loss)		Shares	Share
(Loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Effect of the Notes		—	—				—	—
Diluted (loss) income from continuing operations	$	(9,238)	48,012	$	(0.19)	$	6,773	48,253	$	0.14
Diluted loss from discontinued operations	$	(2,420)	48,012	$	(0.05)	$	(3,683)	48,253	$	(0.07)

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Income Taxes

9 Months Ended

Sep. 30, 2014

Income Taxes

Income Taxes

Note 5.  Income Taxes

For the nine months ended September 30, 2014, we recognized a net tax benefit from continuing operations of $4,558.  We also recognized a tax benefit from discontinued operations of $1,426.  As of December 31, 2013, our federal net operating loss carry forward, which begins to expire in 2026 if unused, was approximately $81,583. This includes $278 of federal net operating losses that are attributable to unvested stock grants which will be recorded as an increase to additional paid in capital once they are realized in accordance with FASB ASC Topic 718. As of December 31, 2013, our tax credit carry forward, which begins to expire in 2022 if unused, was approximately $15,235.  Our net operating loss carry forwards and tax credit carry forwards are subject to possible audit and adjustments by the Internal Revenue Service.

We maintain a partial valuation allowance against certain deferred tax assets related to impaired investments and certain state net operating loss carry forwards.  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 condensed consolidated statement of operations, which will affect our results of operations.

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Fair Values of Assets and Liabilities (Tables)

9 Months Ended

Sep. 30, 2014

Fair Values of Assets and Liabilities

Schedule of assets and liabilities measured at fair value on a recurring and non recurring basis, categorized by the level of inputs used in the valuation of each asset

	As of September 30, 2014
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	6,625	$	6,625	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		4,000		4,000		—		—
REIT industry		453		453		—		—
Other		3,626		3,626		—		—
Total equity securities		8,079		8,079		—		—
Debt securities
International bond fund(3)		2,373		—		2,373		—
High yield fund(4)		2,399		—		2,399		—
Industrial bonds		6,539		—		6,539		—
Government bonds		12,354		6,832		5,522		—
Financial bonds		2,685		—		2,685		—
Other		9,624		—		9,624		—
Total debt securities		35,974		6,832		29,142		—
Total available for sale securities		44,053		14,911		29,142		—
Total	$	50,678	$	21,536	$	29,142	$	—

	As of December 31, 2013
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	14,866	$	14,866	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		3,668		3,668		—		—
REIT industry		704		704		—		—
Other		3,875		3,875		—		—
Total equity securities		8,247		8,247		—		—
Debt securities
International bond fund(3)		2,329		—		2,329		—
High yield fund(4)		2,309		—		2,309		—
Industrial bonds		5,234		—		5,234		—
Government bonds		7,075		4,558		2,517		—
Financial bonds		1,154		—		1,154		—
Other		4,706		—		4,706		—
Total debt securities		22,807		4,558		18,249		—
Total available for sale securities		31,054		12,805		18,249		—
Total	$	45,920	$	27,671	$	18,249	$	—

(1) Cash equivalents, consisting of money market funds held principally for obligations arising from our self-insurance programs. Cash equivalents are reported on our balance sheet as cash and cash equivalents and current and long term restricted cash.  Cash equivalents include $4,943 and $13,181 of balances that are restricted at September 30, 2014 and December 31, 2013, respectively.

(2) Investments in available for sale securities are reported on our balance sheet as current and long term investments in available for sale securities and are reported at fair value of $24,177 and $19,876, respectively, at September 30, 2014 and $19,150 and $11,905, respectively, at December 31, 2013. Our investments in available for sale securities had amortized costs of $42,012 and $29,127 as of September 30, 2014 and December 31, 2013, respectively, had unrealized gains of $2,304 and $2,185 as of September 30, 2014 and December 31, 2013, respectively, and had unrealized losses of $263 and $257 as of September 30, 2014 and December 31, 2013, respectively. At September 30, 2014, 42 of the securities we hold, with a fair value of $13,986, have been in a loss position for less than 12 months and 12 of the securities we hold, with a fair value of $1,548, have been in a loss position for greater than 12 months. We do not believe these securities are impaired primarily because they have not been in a loss position for an extended period of time, the financial conditions of the issuers of these securities remain strong with solid fundamentals, or we intend to hold these securities until recovery, and other factors that support our conclusion that the loss is temporary. During the nine months ended September 30, 2014 and 2013, we received gross proceeds of $8,737 and $5,925, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $399 and $314, respectively, and gross realized losses totaling $50 and $308, respectively.  We record gains and losses on the sales of our available for sale securities using the specific identification method.

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

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

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Legal Proceedings and Claims

9 Months Ended

Sep. 30, 2014

Loss Contingency, Information about Litigation Matters [Abstract]

Legal Proceedings and Claims

Note 13.  Legal Proceedings and Claims

We have been, are currently, and expect in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of our business, some of which may involve material amounts.  Also, the defense and resolution of these claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings may require us to incur significant expense.  We account for claims and litigation losses in accordance with ASC Topic 450, Contingencies, or ASC 450. Under ASC 450, loss contingency provisions are recorded for probable and estimable losses at our best estimate of a loss or, when a best estimate cannot be made, at our estimate of the minimum loss. These estimates are often developed prior to knowing the amount of the ultimate loss, require the application of considerable judgment, and are refined as additional information becomes known. Accordingly, we are often initially unable to develop a best estimate of loss and therefore the estimated minimum loss amount, which could be zero, is recorded; then, as information becomes known, the minimum loss amount is updated, as appropriate. Occasionally, a minimum or best estimate amount may be increased or decreased when events result in a changed expectation.

In August 2014, in connection with an ongoing and routine compliance audit of medical records, we became aware of certain potential inadequate medical record documentation and other possible failures to comply with appropriate policies at one of our SNFs.  We have commenced an in depth review of these matters that is ongoing.  We have determined that a loss in connection with this matter is reasonably possible, but cannot be reasonably estimated at this time; accordingly, we have not recorded any loss for this matter at this time.  However, such loss could have a material adverse impact on our business, financial condition, and results of operations.

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Off Balance Sheet Arrangement

9 Months Ended

Sep. 30, 2014

Off Balance Sheet Arrangement

Off Balance Sheet Arrangement

Note 9. Off Balance Sheet Arrangements 

We have pledged certain of our assets, including our accounts receivable with a carrying value, as of September 30, 2014, of $13,767, arising from our operation of 26 properties owned by SNH and leased to us to secure SNH’s borrowings from its lender, FNMA.  As of September 30, 2014, 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.

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Fair Values of Assets and Liabilities

9 Months Ended

Sep. 30, 2014

Fair Values of Assets and Liabilities

Fair Values of Assets and Liabilities

Note 7.  Fair Values of Assets and Liabilities

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

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

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

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

Recurring Fair Value Measures

The tables below present the assets measured at fair value at September 30, 2014 and December 31, 2013 categorized by the level of inputs used in the valuation of each asset.

	As of September 30, 2014
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	6,625	$	6,625	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		4,000		4,000		—		—
REIT industry		453		453		—		—
Other		3,626		3,626		—		—
Total equity securities		8,079		8,079		—		—
Debt securities
International bond fund(3)		2,373		—		2,373		—
High yield fund(4)		2,399		—		2,399		—
Industrial bonds		6,539		—		6,539		—
Government bonds		12,354		6,832		5,522		—
Financial bonds		2,685		—		2,685		—
Other		9,624		—		9,624		—
Total debt securities		35,974		6,832		29,142		—
Total available for sale securities		44,053		14,911		29,142		—
Total	$	50,678	$	21,536	$	29,142	$	—

	As of December 31, 2013
			Quoted Prices in
			Active Markets		Significant Other		Significant
			for Identical		Observable		Unobservable
			Assets		Inputs		Inputs
Description	Total		(Level 1)		(Level 2)		(Level 3)
Cash equivalents(1)	$	14,866	$	14,866	$	—	$	—
Available for sale securities:(2)
Equity securities
Financial services industry		3,668		3,668		—		—
REIT industry		704		704		—		—
Other		3,875		3,875		—		—
Total equity securities		8,247		8,247		—		—
Debt securities
International bond fund(3)		2,329		—		2,329		—
High yield fund(4)		2,309		—		2,309		—
Industrial bonds		5,234		—		5,234		—
Government bonds		7,075		4,558		2,517		—
Financial bonds		1,154		—		1,154		—
Other		4,706		—		4,706		—
Total debt securities		22,807		4,558		18,249		—
Total available for sale securities		31,054		12,805		18,249		—
Total	$	45,920	$	27,671	$	18,249	$	—

(1) Cash equivalents, consisting of money market funds held principally for obligations arising from our self-insurance programs. Cash equivalents are reported on our balance sheet as cash and cash equivalents and current and long term restricted cash.  Cash equivalents include $4,943 and $13,181 of balances that are restricted at September 30, 2014 and December 31, 2013, respectively.

(2) Investments in available for sale securities are reported on our balance sheet as current and long term investments in available for sale securities and are reported at fair value of $24,177 and $19,876, respectively, at September 30, 2014 and $19,150 and $11,905, respectively, at December 31, 2013. Our investments in available for sale securities had amortized costs of $42,012 and $29,127 as of September 30, 2014 and December 31, 2013, respectively, had unrealized gains of $2,304 and $2,185 as of September 30, 2014 and December 31, 2013, respectively, and had unrealized losses of $263 and $257 as of September 30, 2014 and December 31, 2013, respectively. At September 30, 2014, 42 of the securities we hold, with a fair value of $13,986, have been in a loss position for less than 12 months and 12 of the securities we hold, with a fair value of $1,548, have been in a loss position for greater than 12 months. We do not believe these securities are impaired primarily because they have not been in a loss position for an extended period of time, the financial conditions of the issuers of these securities remain strong with solid fundamentals, or we intend to hold these securities until recovery, and other factors that support our conclusion that the loss is temporary. During the nine months ended September 30, 2014 and 2013, we received gross proceeds of $8,737 and $5,925, respectively, in connection with the sales of available for sale securities and recorded gross realized gains totaling $399 and $314, respectively, and gross realized losses totaling $50 and $308, respectively.  We record gains and losses on the sales of our available for sale securities using the specific identification method.

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

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

During the nine months ended September 30, 2014, we did not change the type of inputs used to determine the fair value of any of our assets and liabilities that we measure at fair value.  Accordingly, there were no transfers of assets or liabilities between levels of the fair value hierarchy during the nine months ended September 30, 2014.

The carrying values of accounts receivable and accounts payable approximate fair value as of September 30, 2014 and December 31, 2013.  The carrying value and fair value of our mortgage notes payable were $52,074 and $55,551, respectively, as of September 30, 2014 and $37,620 and $41,113, respectively, as of December 31, 2013, 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, an Indiana insurance company that we owned at September 30, 2014 in equal proportion with each of the other six shareholders of that company (see Note 10), categorized in Level 2 of the fair value 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.

Non-Recurring Fair Value Measures

We evaluate the recoverability of goodwill assets in the fourth quarter of each fiscal year, or more frequently if events or changes in circumstances indicate that goodwill or other intangible assets may be impaired.  As of October 1, 2013, we evaluated our goodwill for impairment and determined that the fair value of our reporting units exceeded their carrying values on that date.  As of September 30, 2014, no events or changes in circumstances had occurred that would trigger the need for an additional impairment review.

Goodwill was valued primarily using discounted cash flow models that incorporate assumptions for each reporting unit’s short and long term revenue growth rates, operating margins, and discount rates, which represent our best estimates of current and forecasted market conditions, current cost structure, and the implied rate of return that management believes a market participant would require for an investment in a company having similar risks and business characteristics to the reporting unit being assessed.

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.  As a result of our intangibles and long-lived assets impairment review, we recorded $589 and $186 of impairment charges to our long-lived assets in continuing operations as of September 30, 2014 and December 31, 2013, respectively.  We determine estimated fair value based on input from market participants, our experience selling similar assets, market conditions and internally developed cash flow models that our asset or asset groups are expected to generate.  The fair values of the impaired assets were$478 and $137 as of September 30, 2014 and December 31, 2013, respectively, and are considered to be a Level 3 fair value measurement.

The fair value of assets held for sale is determined based on the use of appraisals, input from market participants, our experience selling similar assets and/or internally developed cash flow models, all of which are considered to be Level 3 fair value measurements.

See Note 11 for discussion of fair value measurements related to an acquisition that occurred during the second quarter of 2014.

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Indebtedness

9 Months Ended

Sep. 30, 2014

Indebtedness

Indebtedness

Note 8.  Indebtedness

We have a $25,000 revolving secured line of credit, or our Credit Agreement, that is available for general business purposes, including acquisitions.  The maturity date of our Credit Agreement is March 18, 2016.  Borrowings under our Credit Agreement typically bear interest at LIBOR plus a premium of 250 basis points, or 2.65% as of September 30, 2014.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under our Credit Agreement. We may draw, repay and redraw funds under our Credit Agreement until maturity, and no principal repayment is due until maturity.  We made no borrowings under our Credit Agreement during the nine months ended September 30, 2014 and 2013.  As of September 30, 2014, we had no amounts outstanding under our Credit Agreement.  We incurred interest expense and other associated costs related to our Credit Agreement of $48 and $35 for the three months ended September 30, 2014 and 2013, respectively, and $144 and $277 for the nine months ended September 30, 2014 and 2013, 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 certain related collateral. Our Credit Agreement provides for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default, such as a change of control of us, which includes termination of our business management and shared services agreement, or our business management agreement, with Reit Management & Research LLC, or RMR.

We also have a $150,000 secured revolving credit facility, or our Credit Facility, that is available for general business purposes, including acquisitions.  The maturity date of our Credit Facility is April 13, 2015, and, subject to the payment of extension fees and meeting certain other conditions, our Credit Facility includes options for us to extend its stated maturity date for two consecutive one-year periods.  Borrowings under our Credit Facility typically bear interest at LIBOR plus a premium of 250 basis points, or 2.65% as of September 30, 2014.  We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused part of our borrowing availability under our Credit Facility. We may draw, repay and redraw funds under our Credit Facility until maturity, and no principal repayment is due until maturity.  The weighted average interest rate for borrowings under our Credit Facility was 2.76% and 3.15% for the nine months ended September 30, 2014 and 2013, respectively.  As of September 30, 2014, we had $25,000 outstanding under our Credit Facility.  We incurred interest expense and other associated costs related to our Credit Facility of $552 and $542 for the three months ended September 30, 2014 and 2013, respectively, and $1,687 and $1,442 for the nine months ended September 30, 2014 and 2013, respectively.

We are the borrower under our Credit Facility, and certain of our subsidiaries guarantee our obligations under our Credit Facility, which is secured by real estate mortgages on 15 senior living communities with 1,549 living units owned by our guarantor subsidiaries and our guarantor subsidiaries’ accounts receivable and certain related collateral.  Our Credit Facility provides for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default, such as 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.  Our Credit Agreement and Credit Facility require that we deliver quarterly and annual financial statements within the time periods specified within those agreements.  The lenders under each of our Credit Agreement and Credit Facility have waived until December 31, 2014 any default resulting from our not timely delivering our financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014 as required under those agreements.  Our condensed consolidated financial statements for the quarters ended March 31, 2014, June 30, 2014, and September 30, 2014, are being delivered to our lenders contemporaneously with the filing of this Quarterly Report on Form 10-Q and the filing of our Quarterly Reports on Forms 10-Q for the quarters ended March 31, 2014, and June 30, 2014, which are being filed substantially concurrently with this Quarterly Report.

In October 2006, we issued $126,500 principal amount of the Notes.  Our net proceeds from this issuance were approximately $122,600.  The Notes bore interest at a rate of 3.75% per annum and were convertible into our common shares at any time.  The conversion rate, which was subject to adjustment, was 76.9231 common shares per $1 principal amount of the Notes, which represented a conversion price of $13.00 per share.  The Notes were guaranteed by certain of our wholly owned subsidiaries.  The Notes were scheduled to mature on October 15, 2026.  We were entitled to prepay the Notes at any time and the holders were entitled to require us to purchase all or a portion of these Notes on each of October 15, 2013, 2016 and 2021 at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus any accrued and unpaid interest.  We periodically repurchased Notes in open market transactions or in privately negotiated transactions, and, on July 8, 2013, we redeemed all of the $24,872 principal amount of the Notes then outstanding at a redemption price equal to the principal amount, plus accrued and unpaid interest.  We incurred interest expense and other associated costs related to the Notes of $21 and $511 for the three and nine months ended September 30, 2013, respectively.

At September 30, 2014, five of our senior living communities were encumbered by mortgage notes with an aggregate outstanding principal balance of $52,074 : (1) two of our communities were encumbered by a Federal National Mortgage Association, or FNMA, mortgage note and (2) three of our communities were encumbered by Federal Home Loan Mortgage Corporation, or FMCC, mortgage notes.  These mortgages contain FNMA and FMCC, respectively, standard mortgage covenants.  We recorded mortgage premiums in connection with our assumption of the FNMA and FMCC mortgage notes at the time of our acquisitions of the encumbered communities in order to record the assumed mortgage notes at their estimated fair value.  We are amortizing the mortgage premiums as a reduction of interest expense until the maturity of the respective mortgage notes.  The weighted average interest rate on these five notes was 6.77% as of September 30, 2014.  Payments of principal and interest are due monthly under these mortgage notes until maturities at varying dates ranging from June 2018 to September 2032.  We incurred mortgage interest expense, including premium amortization, of $709 and $581 for the three months ended September 30, 2014 and 2013, respectively, and $1,957 and $2,425 for the nine months ended September 30, 2014 and 2013, respectively, and including some 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 lender approvals.  As of September 30, 2014, we believe we were in compliance with all applicable covenants under these mortgages.

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Related Person Transactions

9 Months Ended

Sep. 30, 2014

Related Person Transactions

Related Person Transactions

Note 10. Related Person Transactions

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 September 30, 2014, SNH owned 4,235 of our common shares, or approximately 8.7% 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.

As of September 30, 2014, we leased 184 senior living communities (including seven that we have classified as discontinued operations) from 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 September 30, 2014 was $191,375, excluding percentage rent.  Our total rent expense (which includes rent for all properties we lease from SNH, including properties that we have classified as discontinued operations) under all of our leases with SNH, net of lease inducement amortization, was $49,030 and $50,622 for the three months ended September 30, 2014 and 2013, respectively, and $146,611 and $152,089 for the nine months ended September 30, 2014 and 2013, respectively. As of September 30, 2014 and 2013, we had outstanding rent due and payable to SNH of $17,405 and $17,863, respectively.  During the nine months ended September 30, 2014, pursuant to the terms of our leases with SNH, we sold $23,776 of improvements made to properties leased from SNH, and, as a result, our annual rent payable to SNH increased by approximately $1,903.  As of September 30, 2014, our property and equipment included $5,595 for similar improvements we have made to properties we lease from SNH that we typically request that SNH purchase from us for an increase in future rent; however, we are not obligated to make these sales and SNH is not obligated to fund such amounts.

We and SNH previously agreed that SNH would offer for sale 11 senior living communities we lease from SNH, which we have classified as discontinued operations.  Our rent payable to SNH is reduced as these sales occur pursuant to terms set in our leases with SNH.  In August 2013, we and SNH sold one of these communities, a SNF located in Missouri with 112 living units, for a sale price of $2,550, and as a result of this sale, our annual minimum rent payable to SNH decreased by $255 in accordance with the terms of the applicable lease.  In January 2014, we and SNH sold one of these communities, an assisted living community located in Texas with 48 assisted living units, for a sale price of $2,400, and as a result of this sale, our annual minimum rent payable to SNH decreased by $210 in accordance with the terms of the applicable lease. In June 2014, we and SNH sold two of these communities, both of which are SNFs located in Wisconsin, with a combined total of 139 living units, for a sale price of $4,500, and as a result of this sale, our annual minimum rent payable to SNH decreased by $450 in accordance with the terms of the applicable lease. In October 2014, we and SNH sold one of these communities, an assisted living community in Virginia with 55 assisted living units, for a sale price of $2,850, and as a result of this sale, our annual minimum rent payable to SNH decreased by $285 in accordance with the terms of the applicable lease. Also in October 2014, we and SNH sold one assisted living community and one SNF located in Arizona with a combined total of 160 living units, for a sale price of $5,900, and as a result of this sale, our annual minimum rent payable to SNH decreased by $590 in accordance with the terms of the applicable lease. We can provide no assurance that the remaining four senior living communities that we and SNH have agreed to offer for sale will be sold or what the terms of any such sales may provide.

Concurrent and in connection with entering into the Villa Valencia Agreement, described below, we and SNH entered into the Fifth Amendment to the Amended and Restated Master Lease Agreement (Lease No. 4), or Lease No. 4. Under this Lease No. 4 amendment, we exercised the first of our existing options under Lease No. 4, extending the term from April 30, 2017 to April 30, 2032, and a third option for us to extend the term of Lease No. 4 from May 1, 2047 to April 30, 2062, was added.

As of September 30, 2014, we managed 44 senior living communities for the account of SNH.  In connection with these management agreements, we and SNH have entered into four combination agreements, or pooling agreements: three pooling agreements combine our management agreements with SNH for communities that include assisted living units, or the AL Pooling Agreements, and a fourth pooling agreement combines our management agreements with SNH for communities that include only independent living units, or the IL Pooling Agreement.The management agreements that are included in each of our pooling agreements are on substantially similar terms.  Our first AL Pooling Agreement includes 20 identified communities and our second AL Pooling Agreement includes 19 identified communities.  The third AL Pooling Agreement currently includes the management agreement for a community we began managing in November 2013 and two communities we began managing in December 2014.  The IL Pooling Agreement currently includes management agreements for two communities that have only independent living units.  A senior living community in New York and one senior living community in California described below that we manage for SNH are not included in any of our pooling agreements.  Each of the AL Pooling Agreements and the IL Pooling Agreement aggregates the determination 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 on its invested capital.We earned management fees from SNH of $2,438 and $2,290 for the three months ended September 30, 2014 and 2013, respectively, and $7,295 and $6,866 for the nine months ended September 30, 2014 and 2013, respectively.

Our second AL Pooling Agreement previously included the management agreement for the assisted living community known as Villa Valencia, which is located in California.  On July 10, 2014, we entered into an agreement with SNH, pursuant to which the management agreement for Villa Valencia was removed from the second AL Pooling Agreement as of July 1, 2014. We expect that the management agreement affecting the Villa Valencia community will not be included in any pooling agreement until after extensive renovations planned at that community are completed.

Also on July 10, 2014, we entered into an amendment to the management agreements with SNH that include assisted living units to (i) extend the term of each of the management agreements between us and SNH for Villa Valencia and the 19 assisted living communities currently included in the second AL Pooling Agreement from December 31, 2031 to December 31, 2033 and (ii) extend the term of the management agreement between us and SNH for the senior living community known as Willow Pointe, which is currently included in the third AL Pooling Agreement, from December 31, 2031 to December 31, 2035. On July 10, 2014, we also entered into an amendment to our management agreements with SNH that include only independent living units to extend the term of the management agreements between us and SNH for two independent living communities from December 31, 2031 to December 31, 2032. The term of the 20 management agreements included in the first AL Pooling Agreement were not affected by these amendments and those management agreements expire on December 31, 2031.

We 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 199 living units, pursuant to a long term management agreement with SNH.  In order to accommodate certain requirements of New York healthcare licensing laws, SNH subleases another portion of this senior living community that is subject to those 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.  We manage this portion of the community pursuant to a long term management agreement with D&R Yonkers LLC.

We may enter into additional management arrangements with SNH for us to manage senior living communities that SNH may acquire in the future.  We expect that these management arrangements will be pursuant to long term management agreements on terms similar to our existing management agreements and that those agreements may be added to our existing pooling agreements or that we may enter into additional pooling agreements with SNH with respect to these management agreements.

RMR provides business management and shared services to us pursuant to our business management agreement.  RMR also provides management services to SNH.  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, and Mr. Paul Hoagland, our Treasurer and Chief Financial Officer, are officers of RMR.  RMR provides management services to SNH, SNH’s officers are executive officers of RMR and SNH’s President and Chief Operating Officer serves as a director of RMR.  Our Independent Directors also serve as independent directors or independent trustees of other public companies (but not SNH) to which RMR or its affiliates provide management services.  Mr. Barry Portnoy serves as a managing director or managing trustee of those companies and Mr. Adam Portnoy serves as a managing trustee of a majority of those companies.  In addition, officers of RMR serve as officers of those companies.

Pursuant to our business management agreement with RMR, we recognized aggregate business management, administrative and information system service fees of $3,390 and $3,014 for the three months ended September 30, 2014 and 2013, respectively, and $10,433 and $10,175 for the nine months ended September 30, 2014 and 2013, respectively.  These amounts are included in general and administrative expenses in our condensed consolidated statements of operations.  We also lease our headquarters from an affiliate of RMR for annual rent of approximately $785, which amount is subject to fixed increases.  Our rent expense for our headquarters, which included our utilities and real estate taxes that we are required to pay as additional rent, under this lease, was $371 and $355 for the three months ended September 30, 2014 and 2013, respectively, and $1,043 and $1,049 for the nine months ended September 30, 2014 and 2013, respectively.

We, RMR, SNH, and four other companies to which RMR provides management services currently own AIC, an Indiana insurance company.  All of our Directors and most of the trustees and directors of the other AIC shareholders 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.

On March 25, 2014, as a result of the removal, without cause, of all of the trustees of Equity Commonwealth (formerly known as CommonWealth REIT), or EQC, EQC underwent a change in control, as defined in the shareholders agreement among us, the other shareholders of AIC and AIC. As a result of that change in control and in accordance with the terms of the shareholders agreement, on May 9, 2014, we and those other shareholders purchased pro rata the AIC shares EQC owned.  Pursuant to that purchase, we purchased 2,857 AIC shares from EQC for $825.  Following these purchases, we and the other remaining six shareholders each owned approximately 14.3% of AIC.

In June 2014, we and the other shareholders of AIC renewed our participation in an insurance program arranged by AIC. In connection with that renewal, we purchased a one-year property insurance policy providing $500,000 of coverage with respect to which AIC is a reinsurer of certain coverage amounts.  We paid AIC a premium, including taxes and fees, of approximately $3,901 in connection with that policy, which amount may be adjusted from time to time as we acquire or dispose of properties that are included in the policy.

As of September 30, 2014, we have invested $6,034 in AIC since its formation in 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 $6,806 and $5,913 as of September 30, 2014 and December 31, 2013, respectively.  We recognized income of $38 and $64 for the three months ended September 30, 2014 and 2013, respectively, and $59 and $219 for the nine months ended September 30, 2014 and 2013, respectively, related to our investment in AIC.

In June 2014, we, RMR, SNH and three other companies to which RMR provides management services extended our and their combined directors’ and officers’ liability insurance policy through August 31, 2014.  In September 2014, we purchased a two year combined directors’ and officers’ insurance policy with RMR and five other companies managed by RMR that provides $10,000 in aggregate primary coverage, including certain errors and omission coverage.  At that time, we also purchased separate additional one year directors’ and officers’ liability insurance policies that provide $20,000 of aggregate excess coverage plus $5,000 of excess non-indemnifiable coverage.  The total premium payable by us for these policies purchased in September 2014 was approximately $357. 

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Off Balance Sheet Arrangement (Details) (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2014 property
Off Balance Sheet Arrangement
Carrying value of accounts receivable and other assets pledged	$ 13,767
Number of properties leased from SNH on which pledge arises	26
Off balance sheet arrangements, asset	0
Off balance sheet arrangements, liability	$ 0

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Accumulated Other Comprehensive Income (Tables)

9 Months Ended

Sep. 30, 2014

Accumulated Other Comprehensive Income

Schedule of changes in accumulated other comprehensive income, net of tax

	Equity Investment in an Investee		Investments in Available for Sale Securities			Accumulated Other Comprehensive Income
Balance at January 1, 2014	$	48	$	3,270	$	3,318
Unrealized gain on investments, net of  tax		—		253		253
Equity interest in an investee’s unrealized gain on investments		19		—		19
Reclassification adjustment:
Realized gain on investments, net of tax		—		(194)		(194)
Balance at March 31, 2014		67		3,329		3,396
Unrealized gain on investments, net of  tax		—		268		268
Equity interest in an investee’s unrealized gain on investments		22		—		22
Reclassification adjustment:
Realized gain on investments, net of tax		—		(8)		(8)
Balance at June 30, 2014	$	89	$	3,589	$	3,678
Unrealized loss on investments, net of  tax		—		(234)		(234)
Equity interest in an investee’s unrealized loss on investments		(33)		—		(33)
Reclassification adjustment:
Realized gain on investments, net of tax		—		(14)		(14)
Balance at September 30, 2014	$	56	$	3,341	$	3,397

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Basis of Presentation and Organization (Details)	9 Months Ended
	Sep. 30, 2014 segment
Segment Information
Number of Operating Segments	2
Senior Living Communities
Real estate properties
Number of properties operated	256
Number of states in which real estate properties are located	31
Number of living units in properties operated	30,114
Number of living units in properties excluded due to temporary closing for renovations	38
Number of properties from which 38 living units were excluded	1
Number of properties owned and operated	31
Number of living units in properties owned and operated	3,061
Number of properties leased and operated	181
Number of units in properties leased and operated	20,002
Number of properties managed	44
Number of units in properties managed	7,051
Independent and assisted living communities
Real estate properties
Number of properties operated	225
Number of living units in properties operated	27,292
SNF
Real estate properties
Number of properties operated	31
Number of living units in properties operated	2,822
Independent living apartment
Real estate properties
Number of living units in properties operated	10,464
Assisted living suites
Real estate properties
Number of living units in properties operated	14,440
Skilled nursing units
Real estate properties
Number of living units in properties operated	5,210
Assisted living communities
Real estate properties
Number of real estate properties classified as discontinued operations	1
Number of units in real estate property classified as discontinued operations	32
SNH | Senior Living Communities
Real estate properties
Number of properties leased and operated	184
Number of properties managed	44
Number of real estate properties classified as discontinued operations	7
SNH | SNF
Real estate properties
Number of real estate properties classified as discontinued operations	4
SNH | Assisted living communities
Real estate properties
Number of real estate properties classified as discontinued operations	3
Number of units in real estate property classified as discontinued operations	480

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Net (loss) income	$ (3,008)	$ (758)	$ (11,658)	$ 3,090
Other comprehensive income (loss):
Unrealized gain (loss) on investments in available for sale securities, net of tax	(234)	108	287	(65)
Unrealized gain (loss) of an equity investment in an investee	(33)	13	8	(68)
Less: Realized gain on investments in available for sale securities reclassified and included in net income, net of tax	(14)	(22)	(216)	(4)
Other comprehensive (loss) income	(281)	99	79	(137)
Comprehensive (loss) income	$ (3,289)	$ (659)	$ (11,579)	$ 2,953

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Accumulated Other Comprehensive Income

9 Months Ended

Sep. 30, 2014

Accumulated Other Comprehensive Income

Accumulated Other Comprehensive Income

Note 4. Accumulated Other Comprehensive Income

The following table details the changes in accumulated other comprehensive income, net of tax, for the nine months ended September 30, 2014:

	Equity Investment in an Investee		Investments in Available for Sale Securities			Accumulated Other Comprehensive Income
Balance at January 1, 2014	$	48	$	3,270	$	3,318
Unrealized gain on investments, net of  tax		—		253		253
Equity interest in an investee’s unrealized gain on investments		19		—		19
Reclassification adjustment:
Realized gain on investments, net of tax		—		(194)		(194)
Balance at March 31, 2014		67		3,329		3,396
Unrealized gain on investments, net of  tax		—		268		268
Equity interest in an investee’s unrealized gain on investments		22		—		22
Reclassification adjustment:
Realized gain on investments, net of tax		—		(8)		(8)
Balance at June 30, 2014	$	89	$	3,589	$	3,678
Unrealized loss on investments, net of  tax		—		(234)		(234)
Equity interest in an investee’s unrealized loss on investments		(33)		—		(33)
Reclassification adjustment:
Realized gain on investments, net of tax		—		(14)		(14)
Balance at September 30, 2014	$	56	$	3,341	$	3,397

Accumulated other comprehensive income represents the unrealized appreciation of our investments, net of tax, and our share of other comprehensive income of Affiliates Insurance Company, or AIC.

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Property and Equipment (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Property and Equipment
Property and equipment, gross	$ 459,038		$ 459,038		$ 423,446
Accumulated depreciation	(104,957)		(104,957)		(83,170)
Property and equipment, net	354,081		354,081		340,276
Depreciation expense	7,504	6,442	21,787	18,824
Impairment of long-lived assets	589		589		186
SNH
Property and Equipment
Assets held for sale for increased rent pursuant to the terms of leases with SNH	5,595		5,595
Land
Property and Equipment
Property and equipment, gross	24,172		24,172		22,214
Building and Improvements
Property and Equipment
Property and equipment, gross	303,565		303,565		286,467
Furniture, fixtures and equipment
Property and Equipment
Property and equipment, gross	$ 131,301		$ 131,301		$ 114,765

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Discontinued Operations (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended		1 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Oct. 31, 2014 property	Jul. 31, 2014	Sep. 30, 2012 item
Discontinued Operations
Impairment on discontinued assets		$ 1,127		$ 2,358
Summary of the operating results of discontinued operations
Revenues	4,990	35,198	18,793	115,332
Expenses	(6,079)	(36,290)	(22,639)	(119,095)
Impairment on discontinued assets		(1,127)		(2,358)
Benefit from income taxes	455	836	1,426	2,438
Net (loss) income	(634)	(1,383)	(2,420)	(3,683)
Assisted living communities
Discontinued Operations
Number of properties to be sold		1		1
Number of living units in property to be sold		32		32
Assisted living communities | Arizona
Discontinued Operations
Number of real estate properties sold					1
Senior Living Communities | SNH
Discontinued Operations
Number of real estate properties offered for sale classified as discontinued operations	11		11
Number of real estate properties sold			4		3
Pharmacy business | South Carolina
Discontinued Operations
Sale consideration						205
Number of pharmacies whose real estate was not acquired by Omnicare							1
SNF | Arizona
Discontinued Operations
Number of real estate properties sold					1
Senior Living Communities, SNF and Assisted living communities [Member] | Arizona
Discontinued Operations
Number of units in real estate property offered for sale					160
Sale consideration					5,900
Decrease in annual lease rent payable					590

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Property and Equipment (Tables)

9 Months Ended

Sep. 30, 2014

Property and Equipment

Schedule of property and equipment

	September 30,		December 31,
	2014		2013
Land	$	24,172	$	22,214
Buildings and improvements		303,565		286,467
Furniture, fixtures and equipment		131,301		114,765
Property and equipment, at cost		459,038		423,446
Accumulated depreciation		(104,957)		(83,170)
Property and equipment, net	$	354,081	$	340,276