Debt Instrument Collateral Number Of Owned Nursing Centers

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Debt Instrument, Term of Debt Agreement

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Letters of credit issued under this revolver outstanding.

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Long-term debt five year maturity.

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Long-term debt for syndicate of banks mortgage debt .

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Mortgage loan with principal and interest payable monthly based.

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Net income tax benefit.

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Number of Letters of Credit

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Number of licensed nursing beds.

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Aggregate notional amount specified by the derivative(s). Expressed as an absolute value.

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Accumulated change in equity from transactions and other events and circumstances from non-owner sources, net of tax effect, at period end. Excludes Net Income (Loss), and accumulated changes in equity from transactions resulting from investments by owners and distributions to owners. Includes foreign currency translation items, certain pension adjustments, unrealized gains and losses on certain investments in debt and equity securities, other than temporary impairment (OTTI) losses related to factors other than credit losses on available-for-sale and held-to-maturity debt securities that an entity does not intend to sell and it is not more likely than not that the entity will be required to sell before recovery of the amortized cost basis, as well as changes in the fair value of derivatives related to the effective portion of a designated cash flow hedge.

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Face (par) amount of debt instrument at time of issuance.

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Effective interest rate for the funds borrowed under the debt agreement considering interest compounding and original issue discount or premium.

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Minimum contractual interest rate for funds borrowed, under the debt agreement.

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Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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Amount of unused borrowing capacity under the long-term financing arrangement that is available to the entity as of the balance sheet date.

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Amount of debt issuance costs (for example, but not limited to, legal, accounting, broker, and regulatory fees).

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Fair value, before effects of master netting arrangements, of a financial liability or contract with one or more underlyings, notional amount or payment provision or both, and the contract can be net settled by means outside the contract or delivery of an asset. Includes liabilities elected not to be offset. Excludes liabilities not subject to a master netting arrangement.

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The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

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Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility.

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Carrying amount of long-term debt, net of unamortized discount or premium, including current and noncurrent amounts. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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The interest rate applicable to the portion of the carrying amount of long-term borrowings outstanding as of the balance sheet date, including current maturities, which accrues interest at a set, unchanging rate.

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Long-Term Debt and Interest Rate Swap (Details) (USD $)	3 Months Ended	0 Months Ended
Long-Term Debt and Interest Rate Swap (Details) (USD $)	Mar. 31, 2015 Bed Center Letter_Of_Credit	May 01, 2013	Feb. 01, 2015	Dec. 31, 2014	Mar. 30, 2014
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt for syndicate of banks mortgage debt	$ 45,000,000
Long-term debt five year maturity	5 years
Mortgage loan with principal and interest payable monthly based	25 years
Long-term debt interest based on LIBOR	4.50%
Long-term debt fixed based on the interest rate swap	6.87%
Number of owned nursing centers secured	13
Letters of credit issued under Revolver outstanding	3.00%
Number of letters of credit	11avca_NumberofLettersofCredit
Accumulated other comprehensive loss	553,000			495,000
Number of licensed nursing beds	6,004avca_NumberOfLicensedNursingBeds
Glasgow, Kentucky
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Number of licensed nursing beds			94
Interest rate swap
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt fixed based on the interest rate swap	6.87%
Notional Amount of interest rate derivatives	21,594,000
Liability at fair value	(891,000)
Net of the income tax benefit, interest rate swap	(553,000)
Accumulated other comprehensive loss	338,000
Revolving credit facility
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt revolving credit facility		20,000,000			27,500,000
Borrowing under the revolving credit facility	11,540,000
LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt interest based on LIBOR	4.50%
Loans Payable
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Debt interest rate at period end	4.70%
Credit Agreement
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Revolving credit facility and the maximum loan		65,000,000
Loan acquisition costs		1,341,000
Term of debt agreement	5 years
Revolving credit facility \| Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Borrowings outstanding	7,000,000			4,500,000
Loans Payable \| Glasgow Term Loan \| The PrivateBank
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Amount of term loan			5,000,000
Term loan maturity period			18 months
Minimum base rate percentage			4.75%
Letter of Credit \| Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Borrowings outstanding	$ 8,106,000