Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 30

-Paragraph 7

-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6578-128477

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 30

-Paragraph 8

-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6613-128477

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 50

-Paragraph 1

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479

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Variable Interest Entity (Details Textual) (USD $) In Thousands, unless otherwise specified		0 Months Ended	3 Months Ended
	Mar. 31, 2014 Bed	Mar. 27, 2014 Rose Terrace Nursing Center	Mar. 31, 2014 Minimum	Mar. 31, 2014 Maximum	Dec. 27, 2011 Variable Interest Entity, Not Primary Beneficiary Culloden, WV Bed
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds	5,449				90
Agreement provides company right to purchase			110.00%	120.00%
Purchase Price		$ 7,693