Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015
Cash Flows From Operating Activities:
Net income	$ 25,565	$ 25,600
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	18,849	18,169
Provision for doubtful accounts receivable	3,795	3,763
Equity in earnings of unconsolidated investments	(3,120)	(2,386)
Distributions from unconsolidated investments	5,635	4,749
Gains on sale of restricted marketable securities	(540)	(421)
Deferred income taxes	(244)	(4,869)
Stock–based compensation	494	1,132
Changes in operating assets and liabilities, net of the effect of acquisitions:
Restricted Cash and Cash Equivalents	(10,342)	(5,701)
Accounts receivable	3,072	(2,877)
Income tax receivable	2,288	4,727
Inventories	431	(146)
Prepaid expenses and other assets	(967)	(699)
Trade accounts payable	1,675	1,244
Accrued payroll	(15,333)	(10,849)
Amounts due to third party payors	1,756	2,526
Other current liabilities and accrued risk reserves	609	3,295
Other noncurrent liabilities	1,073	1,386
Deferred revenue	1,390	1,533
Net cash provided by operating activities	36,086	40,176
Cash Flows From Investing Activities:
Additions to property and equipment	(36,127)	(23,046)
Investments in unconsolidated limited liability companies	(904)	(323)
Investments in notes receivable	(2,144)	(4,237)
Collections of notes receivable	428	228
Change in restricted cash and cash equivalents	4,748	5,738
Purchase of restricted marketable securities	(23,852)	(35,952)
Sale of restricted marketable securities	25,697	28,296
Net cash used in investing activities	(32,154)	(29,296)
Cash Flows From Financing Activities:
Tax (expense) benefit from stock–based compensation	(1,134)	342
Principal payments under capital lease obligations	(1,614)	(1,521)
Dividends paid to preferred stockholders		(4,335)
Dividends paid to common stockholders	(12,101)	(9,667)
Issuance of common shares	10,070	5,743
Entrance fee deposits	(34)	(203)
Change in deposits	216	494
Net cash used in financing activities	(4,597)	(9,147)
Net (Decrease) Increase in Cash and Cash Equivalents	(665)	1,733
Cash and Cash Equivalents, Beginning of Period	38,208	69,767
Cash and Cash Equivalents, End of Period	$ 37,543	$ 71,500