Number of licensed nursing beds.

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Number Of Nursing Center Facilities

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Amount before tax of gain (loss) not previously recognized resulting from the disposal of a discontinued operation.

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Gross amount of debt extinguished.

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Discontinued Operations (Details) $ in Thousands		3 Months Ended		9 Months Ended		12 Months Ended
Discontinued Operations (Details) $ in Thousands	Jul. 01, 2014 USD ($) Facility Bed	Sep. 30, 2015 USD ($) Center Bed	Sep. 30, 2014 USD ($)	Sep. 30, 2015 USD ($) Center Bed	Sep. 30, 2014 USD ($)	Dec. 31, 2014 USD ($)	Apr. 03, 2014 Facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers \| Center		54		54
Number of licensed nursing beds \| Bed		6,004		6,004
Tax expense associated with the gain		$ 0	$ 3,009	$ 0	$ 3,009
Income (loss) from discontinued operations		$ (238)	$ 3,928	(800)	3,444
Rose Terrace Nursing Center
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Reduction in annual rent payments	$ 1,900
Rose Terrace Nursing Center \| Loans Payable \| Rose Terrace Note
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Amount of mortgage loan paid	$ 8,000
Rose Terrace Nursing Center \| West Virginia
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers \| Facility	2						2
Pretax gain on disposition						$ 7,522
Tax expense associated with the gain						$ 2,793
Revenue				0	10,989
Income (loss) from discontinued operations				(159)	165
Rose Terrace Nursing Center \| Culloden West Virginia
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of licensed nursing beds \| Bed	90
Sales price of Rose Terrace	$ 16,500
Rose Terrace Nursing Center \| Danville and Ivydale, West Virginia
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers \| Facility	2
Leased Skilled Nursing Centers \| Arkansas
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income (loss) from discontinued operations				$ (624)	$ (935)