Receivables (Tables)

12 Months Ended

Dec. 31, 2017

Receivables [Abstract]

Schedule of Accounts, Notes, Loans and Financing Receivable

Receivables, before the allowance for doubtful accounts, consist of the following components:

	December 31,
	2017			2016
Medicare	$	20,007,000		$	20,402,000
Medicaid and other non-federal government programs	29,453,000			31,208,000
Other patient and resident receivables	29,704,000			20,868,000
	79,164,000			72,478,000
Less: allowance for doubtful accounts	(14,235,000		)	(10,326,000		)
Accounts receivable, net	64,929,000			62,152,000
Other receivables and advances	$	375,000		$	1,193,000