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Receivables (Schedule of Other Receivables and Advances) (Details) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Receivables before the allowance for doubtful accounts $ 51,999 $ 47,316
Other receivables and advances 1,407 862
Medicare    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Receivables before the allowance for doubtful accounts 14,415 16,312
Medicaid and other non-federal government programs    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Receivables before the allowance for doubtful accounts 20,133 14,710
Other patient and resident receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Receivables before the allowance for doubtful accounts $ 17,451 $ 16,294