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Receivables (Tables)
12 Months Ended
Dec. 31, 2016
Receivables [Abstract]  
Schedule of Accounts, Notes, Loans and Financing Receivable
Receivables, before the allowance for doubtful accounts, consist of the following components:
 
December 31,
 
2016
 
2015
 
 
 
 
Medicare
$
20,402,000

 
$
14,415,000

Medicaid and other non-federal government programs
31,208,000

 
20,133,000

Other patient and resident receivables
20,868,000

 
17,451,000

   
$
72,478,000

 
$
51,999,000

Other receivables and advances
$
1,193,000

 
$
1,407,000