2011 Q4 Form 10-K Financial Statement

#000104746913007401 Filed on July 08, 2013

View on sec.gov

Income Statement

Concept 2011 Q4 2011 2010 Q4
Revenue $32.30M $138.2M $25.85M
YoY Change 24.95% 172.12% 281.27%
Cost Of Revenue $26.90M $122.2M $21.49M
YoY Change 25.17%
Gross Profit $5.400M $29.10M $4.350M
YoY Change 24.14%
Gross Profit Margin 16.72% 21.05% 16.83%
Selling, General & Admin $5.330M $21.10M $4.690M
YoY Change 13.65% -40.23% 17.54%
% of Gross Profit 98.7% 72.51% 107.82%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $1.170M $3.359M $480.0K
YoY Change 143.75% 166.27% 100.0%
% of Gross Profit 21.67% 11.54% 11.03%
Operating Expenses $7.330M $137.1M $6.400M
YoY Change 14.53% 160.33% -0.62%
Operating Profit -$1.930M $1.109M -$2.050M
YoY Change -5.85% -159.15%
Interest Expense -$1.720M $7.381M -$1.680M
YoY Change 2.38% 216.93% 425.0%
% of Operating Profit 665.55%
Other Income/Expense, Net -$20.00K -$7.288M $820.0K
YoY Change -102.44% 1422.17%
Pretax Income -$4.140M -$6.179M -$1.450M
YoY Change 185.52% 162.53% -4933.33%
Income Tax -$200.0K $215.0K $10.00K
% Of Pretax Income
Net Earnings -$4.520M -$6.164M -$1.040M
YoY Change 334.62% 180.21%
Net Earnings / Revenue -13.99% -4.46% -4.02%
Basic Earnings Per Share -$0.59
Diluted Earnings Per Share -$4.431M -$0.59 -$1.368M
COMMON SHARES
Basic Shares Outstanding 10.49M shares
Diluted Shares Outstanding 10.49M shares

Balance Sheet

Concept 2011 Q4 2011 2010 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments $7.400M $7.400M $3.900M
YoY Change 89.74% 89.74% -13.33%
Cash & Equivalents $7.364M $7.400M $3.911M
Short-Term Investments
Other Short-Term Assets $2.600M $2.600M $4.100M
YoY Change -36.59% 18.18% 272.73%
Inventory
Prepaid Expenses
Receivables $18.78M $18.80M $11.20M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $28.74M $28.70M $19.26M
YoY Change 49.2% 64.94% 150.15%
LONG-TERM ASSETS
Property, Plant & Equipment $102.4M $105.1M $43.66M
YoY Change 134.65% 179.52% 166.22%
Goodwill $3.600M $2.680M
YoY Change 34.33%
Intangibles $35.27M
YoY Change
Long-Term Investments
YoY Change
Other Assets $122.0K $14.70M $63.94K
YoY Change 90.82% 61.54% -97.09%
Total Long-Term Assets $130.4M $130.4M $63.70M
YoY Change 104.66% 98.78% 183.1%
TOTAL ASSETS
Total Short-Term Assets $28.74M $28.70M $19.26M
Total Long-Term Assets $130.4M $130.4M $63.70M
Total Assets $159.1M $159.1M $82.96M
YoY Change 91.79% 91.69% 174.7%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $12.08M $12.10M $3.411M
YoY Change 253.97% 255.88% 241.13%
Accrued Expenses $9.881M $9.900M $9.665M
YoY Change 2.24% 2.06% 211.77%
Deferred Revenue
YoY Change
Short-Term Debt $7.300M $7.300M $2.000M
YoY Change 265.0%
Long-Term Debt Due $4.600M $4.600M $1.500M
YoY Change 206.67% 27.78% 114.29%
Total Short-Term Liabilities $34.11M $34.10M $17.16M
YoY Change 98.77% 104.19% 257.46%
LONG-TERM LIABILITIES
Long-Term Debt $105.1M $105.1M $47.00M
YoY Change 123.62% 122.67% 181.44%
Other Long-Term Liabilities $2.438M $4.300M $1.267M
YoY Change 92.36% 2.38% 322.48%
Total Long-Term Liabilities $2.438M $109.4M $1.267M
YoY Change 92.36% 112.84% -92.54%
TOTAL LIABILITIES
Total Short-Term Liabilities $34.11M $34.10M $17.16M
Total Long-Term Liabilities $2.438M $109.4M $1.267M
Total Liabilities $143.6M $142.8M $68.35M
YoY Change 110.11% 107.26% 205.13%
SHAREHOLDERS EQUITY
Retained Earnings -$18.71M -$12.55M
YoY Change 49.12%
Common Stock
YoY Change
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $16.33M $16.30M $14.06M
YoY Change
Total Liabilities & Shareholders Equity $159.1M $159.1M $82.96M
YoY Change 91.79% 91.69% 174.7%

Cashflow Statement

Concept 2011 Q4 2011 2010 Q4
OPERATING ACTIVITIES
Net Income -$4.520M -$6.164M -$1.040M
YoY Change 334.62% 180.21%
Depreciation, Depletion And Amortization $1.170M $3.359M $480.0K
YoY Change 143.75% 166.27% 100.0%
Cash From Operating Activities $960.0K $1.992M -$130.0K
YoY Change -838.46% -263.28% -139.39%
INVESTING ACTIVITIES
Capital Expenditures -$1.520M $4.245M -$440.0K
YoY Change 245.45% 275.25% 91.3%
Acquisitions $57.58M
YoY Change 494.03%
Other Investing Activities -$4.820M -$12.69M -$6.920M
YoY Change -30.35% -4.01% 2062.5%
Cash From Investing Activities -$6.330M -$60.99M -$7.360M
YoY Change -13.99% 324.72% 1214.29%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 2.680M $62.45M 5.950M
YoY Change -54.96% 316.06% 122.85%
NET CHANGE
Cash From Operating Activities 960.0K $1.992M -130.0K
Cash From Investing Activities -6.330M -$60.99M -7.360M
Cash From Financing Activities 2.680M $62.45M 5.950M
Net Change In Cash -2.690M $3.453M -1.540M
YoY Change 74.68% -705.79% -163.11%
FREE CASH FLOW
Cash From Operating Activities $960.0K $1.992M -$130.0K
Capital Expenditures -$1.520M $4.245M -$440.0K
Free Cash Flow $2.480M -$2.253M $310.0K
YoY Change 700.0% -4.18% -44.64%

Facts In Submission

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CY2011 adk Warrants Issued For Financings Costs
WarrantsIssuedForFinancingsCosts
330000 USD
CY2012 us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
8753000 USD
CY2012Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
15937000 USD
CY2010Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
3911000 USD
CY2012 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
11691000 USD
CY2012 us-gaap Use Of Estimates
UseOfEstimates
<div style="font-size:10.0pt;font-family:Times New Roman;"> <p style="FONT-FAMILY: times;">&#160;</p> <p style="FONT-FAMILY: times;"><font size="2"><b><i>Use of Estimates</i></b></font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;The preparation of consolidated financial statements in conformity with U.S.&#160;GAAP requires management to make certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported results of operations during the reporting period. Examples of significant estimates include allowance for doubtful accounts, contractual allowances for Medicare, Medicaid, and managed care reimbursements, deferred tax valuation allowance, fair value of derivative instruments, fair value of employee and nonemployee stock based awards, fair value estimation methods used to determine the assigned fair value of assets and liabilities acquired in acquisitions, and valuation of goodwill and other long-lived assets. Actual results could differ materially from those estimates.</font></p> </div>
CY2011Q4 adk Allowance For Uncollectible Accounts Management Fees Receivables
AllowanceForUncollectibleAccountsManagementFeesReceivables
100000 USD
CY2012 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
13900000 shares
CY2011 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
7700000 shares
CY2012 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
-7040000 USD
CY2012 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
4700000 USD
CY2011 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
-6164000 USD
CY2012Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
2471000 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
6844000 USD
CY2012 us-gaap Advertising Expense
AdvertisingExpense
400000 USD
CY2011 us-gaap Advertising Expense
AdvertisingExpense
200000 USD
CY2012Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-25753000 USD
CY2012Q4 adk Working Capital
WorkingCapital
-5900000 USD
CY2012 us-gaap Revenue Recognition Services Management Fees
RevenueRecognitionServicesManagementFees
<div style="font-size:10.0pt;font-family:Times New Roman;"> <p style="FONT-FAMILY: times;">&#160;</p> <p style="FONT-FAMILY: times;"><font size="2"><b><i>Management Fee Receivables and Revenue</i></b></font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Management fee receivables and revenue are recorded in the month that services are provided. As of December&#160;31, 2012 and 2011, management recorded an allowance for uncollectible management fee receivables of $0.0&#160;million and $0.1&#160;million, respectively.</font></p> </div>
CY2012 adk Number Of Operated Long Term Lease Agreements
NumberOfOperatedLongTermLeaseAgreements
11 item
CY2012Q4 adk Allowance For Uncollectible Accounts Patient Care Receivables
AllowanceForUncollectibleAccountsPatientCareReceivables
3700000 USD
CY2011Q4 adk Allowance For Uncollectible Accounts Patient Care Receivables
AllowanceForUncollectibleAccountsPatientCareReceivables
1300000 USD
CY2012Q4 adk Allowance For Uncollectible Accounts Management Fees Receivables
AllowanceForUncollectibleAccountsManagementFeesReceivables
0 USD
CY2012 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<div style="font-size:10.0pt;font-family:Times New Roman;"> <p style="FONT-FAMILY: times;">&#160;</p> <p style="FONT-FAMILY: times;"><font size="2"><b><i>Concentrations of Credit Risk</i></b></font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Financial instruments which potentially expose the Company to concentrations of credit risk consist primarily of cash and cash equivalents, restricted cash, restricted investments, and accounts receivable. Cash and cash equivalents, restricted cash and restricted investments are held with various financial institutions. From time to time, these balances exceed the federally insured limits. These balances are maintained with high quality financial institutions which management believes limits the risk.</font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Accounts receivable are recorded at net realizable value. The Company performs ongoing evaluations of its residents and significant third-party payers with which they contract, generally not requiring collateral. Management believes that credit risk with respect to accounts receivable from residents is limited based on the stature and diversity of the third-party payers with which they contract. The Company maintains an allowance for doubtful accounts which management believes is sufficient to cover potential losses. Delinquent accounts receivable are charged against the allowance for doubtful accounts once likelihood of collection has been determined. Accounts receivable are considered to be past due and placed on delinquent status based upon contractual terms, how frequently payments are received, and on an individual account basis.</font></p> </div>
CY2012 us-gaap Advertising Cost Policy Expensed Advertising Cost
AdvertisingCostPolicyExpensedAdvertisingCost
<div style="font-size:10.0pt;font-family:Times New Roman;"> <p style="FONT-FAMILY: times;">&#160;</p> <p style="FONT-FAMILY: times;"><font size="2"><b><i>Advertising</i></b></font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Advertising costs are expensed as incurred. Advertising costs for the years ended December&#160;31, 2012 and 2011 were approximately $0.4&#160;million and $0.2&#160;million, respectively.</font></p> </div>
CY2012 us-gaap Prior Period Reclassification Adjustment Description
PriorPeriodReclassificationAdjustmentDescription
<div style="font-size:10.0pt;font-family:Times New Roman;"> <p style="FONT-FAMILY: times;">&#160;</p> <p style="FONT-FAMILY: times;"><font size="2"><b><i>Reclassifications</i></b></font></p> <p style="FONT-FAMILY: times;"><font size="2">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Certain reclassifications have been made to the 2011financial information to conform to the 2012 presentation. Reclassifications to 2011 financial information previously reported include reclassifications to reflect debt issued in connection with acquisitions on a gross basis, reflecting the proceeds from debt issuance as a financing activity, and the consideration transferred funded by the debt issuance as a component of the cost of acquisitions in investment activities in the consolidated statements of cash flows. The Company reclassified $2.7&#160;million of goodwill acquired in conjunction with 2011 acquisitions that were previously reported as CON/bed licenses and included in property and equipment.</font></p> </div>
CY2012 adk Number Of Skilled Nursing Facilities
NumberOfSkilledNursingFacilities
46 item
CY2012 adk Number Of Assisted Living Facilities
NumberOfAssistedLivingFacilities
3 item
CY2012 adk Number Of Independent Living And Senior Housing Facilities
NumberOfIndependentLivingAndSeniorHousingFacilities
1 item
CY2012 adk Number Of Units In Facilities
NumberOfUnitsInFacilities
5000 item
CY2012 adk Number Of Facilities Managed
NumberOfFacilitiesManaged
13 item
CY2011Q4 us-gaap Disposal Group Including Discontinued Operation Property Plant And Equipment Net
DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipmentNet
45000 USD
CY2011Q4 us-gaap Disposal Group Including Discontinued Operation Other Assets
DisposalGroupIncludingDiscontinuedOperationOtherAssets
2000 USD
CY2012Q4 us-gaap Number Of Reportable Segments
NumberOfReportableSegments
3 item
CY2012 us-gaap Cost Of Services Excluding Depreciation Depletion And Amortization
CostOfServicesExcludingDepreciationDepletionAndAmortization
168207000 USD
CY2012 us-gaap General And Administrative Expense
GeneralAndAdministrativeExpense
17005000 USD
CY2012 us-gaap Lease And Rental Expense
LeaseAndRentalExpense
7689000 USD
CY2012 us-gaap Depreciation And Amortization
DepreciationAndAmortization
6805000 USD
CY2012 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
5777000 USD
CY2012Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
159939000 USD
CY2011Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
110606000 USD
CY2012Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
151064000 USD
CY2012Q4 adk Escrow Deposit Current
EscrowDepositCurrent
279000 USD
CY2012Q4 us-gaap Pledged Assets Not Separately Reported Other Financial Instruments
PledgedAssetsNotSeparatelyReportedOtherFinancialInstruments
1357000 USD
CY2012Q4 us-gaap Restricted Cash And Cash Equivalents At Carrying Value
RestrictedCashAndCashEquivalentsAtCarryingValue
1742000 USD
CY2012Q4 us-gaap Replacement Reserve Escrow
ReplacementReserveEscrow
372000 USD
CY2012Q4 adk Restricted Cash And Cash Equivalent Reserve For Specified Purpose
RestrictedCashAndCashEquivalentReserveForSpecifiedPurpose
1602000 USD
CY2012Q4 adk Restricted Cash Cash Equivalents And Investments Other
RestrictedCashCashEquivalentsAndInvestmentsOther
5241000 USD
CY2012Q4 us-gaap Restricted Cash And Investments Noncurrent
RestrictedCashAndInvestmentsNoncurrent
7215000 USD
CY2012Q4 us-gaap Restricted Cash And Investments
RestrictedCashAndInvestments
8957000 USD
CY2011Q4 adk Escrow Deposit Current
EscrowDepositCurrent
326000 USD
CY2011Q4 us-gaap Assets Held In Trust Current
AssetsHeldInTrustCurrent
45000 USD
CY2011Q4 adk Refundable Escrow Deposit
RefundableEscrowDeposit
500000 USD
CY2011Q4 us-gaap Pledged Assets Not Separately Reported Other Financial Instruments
PledgedAssetsNotSeparatelyReportedOtherFinancialInstruments
1012000 USD
CY2011Q4 us-gaap Replacement Reserve Escrow
ReplacementReserveEscrow
1130000 USD
CY2011Q4 adk Restricted Cash And Cash Equivalent Reserve For Specified Purpose
RestrictedCashAndCashEquivalentReserveForSpecifiedPurpose
1767000 USD
CY2011Q4 adk Restricted Cash Cash Equivalents And Investments Other
RestrictedCashCashEquivalentsAndInvestmentsOther
1973000 USD
CY2011Q4 us-gaap Restricted Cash And Investments
RestrictedCashAndInvestments
6753000 USD
CY2012Q1 adk Number Of Skilled Nursing Facilities For Which Entity Terminated Agreement To Acquire Or Lease
NumberOfSkilledNursingFacilitiesForWhichEntityTerminatedAgreementToAcquireOrLease
15 item
CY2010 adk Number Of Mortgages Obtained
NumberOfMortgagesObtained
2 item
CY2010 adk Term Of Certificates Of Deposit To Be Held As Collateral For Other Debt Obligations
TermOfCertificatesOfDepositToBeHeldAsCollateralForOtherDebtObligations
P5Y
CY2012Q4 adk Accrued Payroll Related Expenses Current
AccruedPayrollRelatedExpensesCurrent
5626000 USD
CY2012Q4 us-gaap Accrued Employee Benefits Current
AccruedEmployeeBenefitsCurrent
3790000 USD
CY2012Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
1245000 USD
CY2012Q4 us-gaap Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
3069000 USD
CY2012Q4 us-gaap Accrued Liabilities Current
AccruedLiabilitiesCurrent
13730000 USD
CY2011Q4 adk Accrued Payroll Related Expenses Current
AccruedPayrollRelatedExpensesCurrent
5040000 USD
CY2011Q4 us-gaap Accrued Employee Benefits Current
AccruedEmployeeBenefitsCurrent
2023000 USD
CY2011Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
AccrualForTaxesOtherThanIncomeTaxesCurrent
982000 USD
CY2011Q4 us-gaap Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
1836000 USD
CY2011 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
-0.009 pure
CY2011 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.263 pure
CY2011 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
-0.035 pure
CY2012 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.340 pure
CY2012 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
-0.006 pure
CY2012 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
-0.008 pure
CY2012 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.335 pure
CY2012 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
-0.007 pure
CY2012Q4 us-gaap Operating Loss Carryforwards
OperatingLossCarryforwards
14200000 USD
CY2012 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-97000 USD
CY2012 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
90000 USD
CY2011 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
215000 USD
CY2012 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
-7000 USD
CY2011 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
215000 USD
CY2012 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
97000 USD
CY2011 us-gaap Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
-191000 USD
CY2012 us-gaap Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
-20000 USD
CY2011 us-gaap Income Tax Expense Benefit Intraperiod Tax Allocation
IncomeTaxExpenseBenefitIntraperiodTaxAllocation
24000 USD
CY2012 us-gaap Income Tax Expense Benefit Intraperiod Tax Allocation
IncomeTaxExpenseBenefitIntraperiodTaxAllocation
77000 USD
CY2011Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
494000 USD
CY2011Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
429000 USD
CY2011Q4 us-gaap Deferred Tax Assets Gross Current
DeferredTaxAssetsGrossCurrent
923000 USD
CY2012Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
1265000 USD
CY2012Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
464000 USD
CY2012Q4 us-gaap Deferred Tax Assets Gross Current
DeferredTaxAssetsGrossCurrent
1729000 USD
CY2011Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
3896000 USD
CY2011Q4 adk Deferred Tax Assets Liabilities Noncontrolling Interests
DeferredTaxAssetsLiabilitiesNoncontrollingInterests
38000 USD
CY2011Q4 adk Deferred Tax Liabilities Property Plant And Equipment And Intangible Assets
DeferredTaxLiabilitiesPropertyPlantAndEquipmentAndIntangibleAssets
1434000 USD
CY2011Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
832000 USD
CY2011Q4 adk Deferred Tax Assets Liabilities Other
DeferredTaxAssetsLiabilitiesOther
648000 USD
CY2011Q4 adk Deferred Tax Assets Liabilities Noncurrent
DeferredTaxAssetsLiabilitiesNoncurrent
5054000 USD
CY2011Q4 adk Deferred Tax Assets Net Of Liabilities Gross
DeferredTaxAssetsNetOfLiabilitiesGross
5977000 USD
CY2011Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
6063000 USD
CY2012Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
4825000 USD
CY2012Q4 adk Deferred Tax Liabilities Property Plant And Equipment And Intangible Assets
DeferredTaxLiabilitiesPropertyPlantAndEquipmentAndIntangibleAssets
1091000 USD
CY2012Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
848000 USD
CY2012Q4 adk Deferred Tax Assets Liabilities Other
DeferredTaxAssetsLiabilitiesOther
-277000 USD
CY2012Q4 adk Deferred Tax Assets Liabilities Noncurrent
DeferredTaxAssetsLiabilitiesNoncurrent
6181000 USD
CY2012Q4 adk Deferred Tax Assets Net Of Liabilities Gross
DeferredTaxAssetsNetOfLiabilitiesGross
7910000 USD
CY2012Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
8014000 USD
CY2012Q4 us-gaap Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
104000 USD
CY2011 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.340 pure
CY2011 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
-0.031 pure
CY2011Q4 adk Number Of Lease Agreements Initiated
NumberOfLeaseAgreementsInitiated
1 item
CY2012 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
7700000 USD
CY2011 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
7200000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
8049000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
7569000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
7407000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
7274000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
7180000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
21639000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
59118000 USD
CY2011 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
100000 USD
CY2012 adk Percentage Of Skilled Nursing Facility Beds Certified
PercentageOfSkilledNursingFacilityBedsCertified
1.00 pure
CY2012Q4 adk Number Of Beds In Skilled Nursing Facility
NumberOfBedsInSkilledNursingFacility
3804 item
CY2012Q4 us-gaap Deferred Compensation Plan Assets
DeferredCompensationPlanAssets
100000 USD
CY2011Q4 us-gaap Deferred Compensation Plan Assets
DeferredCompensationPlanAssets
300000 USD
CY2012 adk Number Of Skilled Nursing Facilities Acquired
NumberOfSkilledNursingFacilitiesAcquired
11 item
CY2012 adk Number Of Assisted Living Facilities Acquired
NumberOfAssistedLivingFacilitiesAcquired
1 item
CY2012 us-gaap Business Combination Pro Forma Information Revenue Of Acquiree Since Acquisition Date Actual
BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual
35100000 USD
CY2012 us-gaap Business Combination Pro Forma Information Earnings Or Loss Of Acquiree Since Acquisition Date Actual
BusinessCombinationProFormaInformationEarningsOrLossOfAcquireeSinceAcquisitionDateActual
-300000 USD
CY2012 us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
228326000 USD
CY2012 adk Business Acquisitions Pro Forma Operating Expenses
BusinessAcquisitionsProFormaOperatingExpenses
225447000 USD
CY2012 us-gaap Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
2879000 USD
CY2011 us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
226429000 USD
CY2011 adk Business Acquisitions Pro Forma Operating Expenses
BusinessAcquisitionsProFormaOperatingExpenses
219516000 USD
CY2011 us-gaap Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
6913000 USD
CY2012Q4 us-gaap Debt Current
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19387000 USD
CY2012Q4 us-gaap Security Deposit
SecurityDeposit
1720000 USD
CY2012 adk Defined Contribution Plan Eligible Age Of Employees Covered
DefinedContributionPlanEligibleAgeOfEmployeesCovered
P21Y
CY2012 adk Defined Contribution Plan Eligible Period Of Service
DefinedContributionPlanEligiblePeriodOfService
P1Y
CY2012Q4 adk Common Stock Capital Shares Reserved For Future Issuance Stock Options
CommonStockCapitalSharesReservedForFutureIssuanceStockOptions
3026000 shares
CY2012Q4 adk Common Stock Capital Shares Reserved For Future Issuance Exercisable Stock Warrants Employee
CommonStockCapitalSharesReservedForFutureIssuanceExercisableStockWarrantsEmployee
1806000 shares
CY2012Q4 adk Common Stock Capital Shares Reserved For Future Issuance Exercisable Stock Warrants Nonemployee
CommonStockCapitalSharesReservedForFutureIssuanceExercisableStockWarrantsNonemployee
1961000 shares
CY2012Q4 adk Common Stock Capital Shares Reserved For Future Issuance Convertible Debt
CommonStockCapitalSharesReservedForFutureIssuanceConvertibleDebt
7140000 shares
CY2012Q4 us-gaap Common Stock Capital Shares Reserved For Future Issuance
CommonStockCapitalSharesReservedForFutureIssuance
13933000 shares
CY2012Q3 adk Common Stock Dividend Rate Percentage
CommonStockDividendRatePercentage
0.05 pure
CY2012Q4 us-gaap Common Stock Dividends Shares
CommonStockDividendsShares
700000 shares
CY2011Q3 adk Common Stock Dividend Rate Percentage
CommonStockDividendRatePercentage
0.05 pure
CY2011Q4 us-gaap Common Stock Dividends Shares
CommonStockDividendsShares
600000 shares
CY2011Q3 us-gaap Class Of Warrant Or Right Exercise Price Of Warrants Or Rights
ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights
2.38
CY2011Q3 adk Class Of Warrant Or Right Redemption Price
ClassOfWarrantOrRightRedemptionPrice
0.10
CY2011Q3 adk Stock Issued During Period Shares Warrants Exercised
StockIssuedDuringPeriodSharesWarrantsExercised
2897149 shares
CY2011Q3 us-gaap Proceeds From Warrant Exercises
ProceedsFromWarrantExercises
6300000 USD
CY2011Q3 adk Class Of Warrant Or Right Aggregate Call Amount Payable On Expiration Of Unexercised Warrants
ClassOfWarrantOrRightAggregateCallAmountPayableOnExpirationOfUnexercisedWarrants
3000 USD
CY2012Q4 us-gaap Notes And Loans Payable Current
NotesAndLoansPayableCurrent
6941000 USD
CY2011Q4 adk Deferred Compensation Plan Number Of Loans Outstanding
DeferredCompensationPlanNumberOfLoansOutstanding
1 item
CY2011 adk Deferred Compensation Plan Loans Outstanding
DeferredCompensationPlanLoansOutstanding
200000 USD
CY2012Q4 us-gaap Disposal Group Including Discontinued Operation Property Plant And Equipment Net
DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipmentNet
5840000 USD
CY2012Q4 us-gaap Disposal Group Including Discontinued Operation Other Assets
DisposalGroupIncludingDiscontinuedOperationOtherAssets
319000 USD
CY2012Q4 adk Principal And Interest Escrow
PrincipalAndInterestEscrow
106000 USD
CY2012 adk Depreciation And Amortization Excluding Amortization Of Intangible Assets
DepreciationAndAmortizationExcludingAmortizationOfIntangibleAssets
6800000 USD
CY2011 adk Depreciation And Amortization Excluding Amortization Of Intangible Assets
DepreciationAndAmortizationExcludingAmortizationOfIntangibleAssets
2600000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
30888000 USD
CY2012Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
26037000 USD
CY2012Q4 us-gaap Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
489000 USD
CY2012 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
6805000 USD
CY2012Q4 us-gaap Stockholders Equity
StockholdersEquity
15891000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
23661000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
20561000 USD
CY2012Q4 us-gaap Assets Of Disposal Group Including Discontinued Operation Current
AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent
6159000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
41000000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
3750000 USD
CY2012Q4 us-gaap Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
52789000 USD
CY2012 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
3779000 USD
CY2012Q4 us-gaap Deferred Rent Credit Noncurrent
DeferredRentCreditNoncurrent
1400000 USD
CY2011Q4 us-gaap Deferred Rent Credit Noncurrent
DeferredRentCreditNoncurrent
1000000 USD
CY2010 adk Number Of Certificates Of Deposit Obtained And Held As Collateral
NumberOfCertificatesOfDepositObtainedAndHeldAsCollateral
2 item
CY2011Q4 us-gaap Debt Current
DebtCurrent
11909000 USD
CY2011Q3 adk Class Of Warrant Or Right Number Of Securities Called By Each Warrant Or Right
ClassOfWarrantOrRightNumberOfSecuritiesCalledByEachWarrantOrRight
1.05 shares
CY2012Q4 adk Salary Retirement And Continuation Costs Reserve
SalaryRetirementAndContinuationCostsReserve
300000 USD
CY2010Q3 adk Number Of Lease Agreements Initiated
NumberOfLeaseAgreementsInitiated
8 item
CY2010Q4 adk Number Of Lease Agreements Initiated
NumberOfLeaseAgreementsInitiated
2 item
CY2012 adk Operating Leases Number Of Skilled Nursing Facilities Leased
OperatingLeasesNumberOfSkilledNursingFacilitiesLeased
11 item
CY2012 adk Defined Contribution Plan Employer Match Percentage
DefinedContributionPlanEmployerMatchPercentage
0.50 pure
CY2012 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.02 pure
CY2012 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
100000 USD
CY2012Q4 us-gaap Deferred Finance Costs Noncurrent Net
DeferredFinanceCostsNoncurrentNet
6137000 USD
CY2012Q4 us-gaap Other Assets Noncurrent
OtherAssetsNoncurrent
3611000 USD
CY2012Q4 us-gaap Lines Of Credit Current
LinesOfCreditCurrent
1498000 USD
CY2012Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
19503000 USD
CY2012Q4 us-gaap Liabilities Of Disposal Group Including Discontinued Operation Current
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent
3662000 USD
CY2012Q4 us-gaap Senior Long Term Notes
SeniorLongTermNotes
128248000 USD
CY2012Q4 us-gaap Convertible Debt Noncurrent
ConvertibleDebtNoncurrent
12009000 USD
CY2012Q4 us-gaap Long Term Line Of Credit
LongTermLineOfCredit
7706000 USD
CY2012Q4 us-gaap Other Long Term Debt Noncurrent
OtherLongTermDebtNoncurrent
864000 USD
CY2012Q4 us-gaap Derivative Liabilities Noncurrent
DerivativeLiabilitiesNoncurrent
3630000 USD
CY2012Q4 us-gaap Common Stock Including Additional Paid In Capital
CommonStockIncludingAdditionalPaidInCapital
41644000 USD
CY2012Q4 us-gaap Minority Interest
MinorityInterest
-838000 USD
CY2012 us-gaap Adjustment Of Warrants Granted For Services
AdjustmentOfWarrantsGrantedForServices
107000 USD
CY2012 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
7197000 USD
CY2012 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
-656000 USD
CY2012 us-gaap Net Income Loss
NetIncomeLoss
-6884000 USD
CY2011 us-gaap Net Income Loss
NetIncomeLoss
-6164000 USD
CY2012 us-gaap Preferred Stock Dividends Income Statement Impact
PreferredStockDividendsIncomeStatementImpact
156000 USD
CY2012 us-gaap Share Based Compensation
ShareBasedCompensation
891000 USD
CY2012 us-gaap Provision For Loan And Lease Losses
ProvisionForLoanAndLeaseLosses
430000 USD
CY2012 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
1959000 USD
CY2012 us-gaap Amortization Of Debt Discount Premium
AmortizationOfDebtDiscountPremium
817000 USD
CY2012 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
-40000 USD
CY2012 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
12415000 USD
CY2012 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
-101000 USD
CY2012 us-gaap Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
-330000 USD
CY2012 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
10753000 USD
CY2012 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
403000 USD
CY2011 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
-218000 USD
CY2012 us-gaap Proceeds From Notes Payable
ProceedsFromNotesPayable
92476000 USD
CY2012 us-gaap Repayments Of Notes Payable
RepaymentsOfNotesPayable
30075000 USD
CY2012 us-gaap Proceeds From Repayments Of Lines Of Credit
ProceedsFromRepaymentsOfLinesOfCredit
365000 USD
CY2012 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
3076000 USD
CY2012 us-gaap Proceeds From Warrant Exercises
ProceedsFromWarrantExercises
137000 USD
CY2012 us-gaap Proceeds From Issuance Of Preferred Stock And Preference Stock
ProceedsFromIssuanceOfPreferredStockAndPreferenceStock
9159000 USD
CY2012 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
-6221000 USD
CY2012 us-gaap Interest Paid
InterestPaid
13023000 USD
CY2012Q4 us-gaap Preferred Stock Value
PreferredStockValue
9159000 USD
CY2012Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
1000000 shares
CY2011Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
1000000 shares
CY2012Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
450000 shares
CY2011Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0 shares
CY2012Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
450000 shares
CY2011Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0 shares
CY2012 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-0.50
CY2011 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-0.59
CY2012 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-0.50
CY2011 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-0.59
CY2012 us-gaap Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures
351000 USD
CY2012Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0
CY2012Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0
CY2012 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
906000 USD
CY2011 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
1774000 USD
CY2012Q4 adk Deferred Tax Assets Convertible Debt Adjustments
DeferredTaxAssetsConvertibleDebtAdjustments
1876000 USD
CY2011Q4 adk Deferred Tax Assets Convertible Debt Adjustments
DeferredTaxAssetsConvertibleDebtAdjustments
1074000 USD
CY2012 adk Number Of Discontinued Operations
NumberOfDiscontinuedOperations
7 item
CY2011Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0
CY2011 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
2694000 USD
CY2012 us-gaap Depreciation And Amortization Discontinued Operations
DepreciationAndAmortizationDiscontinuedOperations
1100000 USD
CY2011 us-gaap Depreciation And Amortization Discontinued Operations
DepreciationAndAmortizationDiscontinuedOperations
600000 USD
CY2010Q4 us-gaap Goodwill
Goodwill
2680000 USD
CY2012 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
3451000 USD
CY2012 us-gaap Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
14300000 USD
CY2011 us-gaap Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
14900000 USD
CY2012 us-gaap Disposal Group Including Discontinued Operation Interest Expense
DisposalGroupIncludingDiscontinuedOperationInterestExpense
600000 USD
CY2011 us-gaap Disposal Group Including Discontinued Operation Interest Expense
DisposalGroupIncludingDiscontinuedOperationInterestExpense
800000 USD
CY2012 us-gaap Discontinued Operation Tax Effect Of Income Loss From Discontinued Operation During Phase Out Period
DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod
200000 USD
CY2011 us-gaap Discontinued Operation Tax Effect Of Income Loss From Discontinued Operation During Phase Out Period
DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod
-200000 USD
CY2012 us-gaap Gain Loss On Sale Of Business
GainLossOnSaleOfBusiness
6700000 USD
CY2012 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.017 pure
CY2012 adk Profit Loss After Payment Of Preferred Dividends
ProfitLossAfterPaymentOfPreferredDividends
-7540000 USD
CY2011 adk Profit Loss After Payment Of Preferred Dividends
ProfitLossAfterPaymentOfPreferredDividends
-7552000 USD
CY2012 us-gaap Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
156000 USD
CY2011 us-gaap Debt Conversion Converted Instrument Amount1
DebtConversionConvertedInstrumentAmount1
150000 USD
CY2012Q4 adk Disposal Group Including Discontinued Operation Notes Payable
DisposalGroupIncludingDiscontinuedOperationNotesPayable
3662000 USD
CY2011Q4 adk Disposal Group Including Discontinued Operation Notes Payable
DisposalGroupIncludingDiscontinuedOperationNotesPayable
240000 USD
CY2012Q4 us-gaap Convertible Debt Current
ConvertibleDebtCurrent
10948000 USD
CY2012 us-gaap Dividends Preferred Stock
DividendsPreferredStock
156000 USD
CY2012 us-gaap Noncontrolling Interest Decrease From Deconsolidation
NoncontrollingInterestDecreaseFromDeconsolidation
-660000 USD
CY2012 adk Goodwill Adjustment From Deconsolidation Of Variable Interest Entities
GoodwillAdjustmentFromDeconsolidationOfVariableInterestEntities
1122000 USD
CY2012Q4 adk Debt Long Term And Short Term Combined Amount Before Unamortized Discount Premium
DebtLongTermAndShortTermCombinedAmountBeforeUnamortizedDiscountPremium
172649000 USD
CY2012Q4 adk Debt Instrument Unamortized Discount Current
DebtInstrumentUnamortizedDiscountCurrent
702000 USD
CY2012Q4 adk Debt Instrument Unamortized Premium Current
DebtInstrumentUnamortizedPremiumCurrent
90000 USD
CY2012Q4 us-gaap Debt Instrument Unamortized Discount
DebtInstrumentUnamortizedDiscount
-1131000 USD
CY2012Q4 us-gaap Debt Instrument Unamortized Premium
DebtInstrumentUnamortizedPremium
358000 USD
CY2012 adk Number Of Operated Variable Interest Entities
NumberOfOperatedVariableInterestEntities
1 item
CY2012 us-gaap Cash Divested From Deconsolidation
CashDivestedFromDeconsolidation
-180000 USD
CY2011 adk Number Of Discontinued Operations
NumberOfDiscontinuedOperations
6 item
CY2012Q4 adk Discontinued Operation Number Of Assisted Living Facilities Agreed To Be Sold
DiscontinuedOperationNumberOfAssistedLivingFacilitiesAgreedToBeSold
6 item
CY2012 adk Goodwill Reclassification Adjustment
GoodwillReclassificationAdjustment
2700000 USD
CY2011Q4 us-gaap Commitments And Contingencies
CommitmentsAndContingencies
USD
CY2011 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.004 pure
CY2012Q4 us-gaap Restricted Cash And Investments Current
RestrictedCashAndInvestmentsCurrent
1742000 USD
CY2011Q4 us-gaap Restricted Cash And Investments Current
RestrictedCashAndInvestmentsCurrent
1883000 USD
CY2012 us-gaap Proceeds From Sale Of Property Plant And Equipment
ProceedsFromSaleOfPropertyPlantAndEquipment
3000 USD
CY2011Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
35265000 USD
CY2012Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
46355000 USD
CY2012 adk Intangible Assets Deconsolidation Of Variable Interest Entities
IntangibleAssetsDeconsolidationOfVariableInterestEntities
3458000 USD
CY2012 adk Finite And Indefinite Lived Intangible Assets Acquired
FiniteAndIndefiniteLivedIntangibleAssetsAcquired
19763000 USD
CY2012 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
2521000 USD
CY2011 us-gaap Increase Decrease In Restricted Cash And Investments
IncreaseDecreaseInRestrictedCashAndInvestments
-1070000 USD
CY2012 us-gaap Increase Decrease In Restricted Cash And Investments
IncreaseDecreaseInRestrictedCashAndInvestments
3178000 USD
CY2011 adk Noncash Deferred Income Tax
NoncashDeferredIncomeTax
7000 USD
CY2012 adk Noncash Deferred Income Tax
NoncashDeferredIncomeTax
104000 USD
CY2012 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
61901000 USD
CY2011 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
57582000 USD
CY2012 adk Number Of Facilities
NumberOfFacilities
50 item
CY2012Q4 adk Defined Contribution Plan Potential Maximum Obligation
DefinedContributionPlanPotentialMaximumObligation
100000 USD
CY2012Q4 adk Number Of Skilled Nursing Facilities
NumberOfSkilledNursingFacilities
35 item
CY2012 adk Number Of Facilities Leased And Operated
NumberOfFacilitiesLeasedAndOperated
11 item
CY2012 adk Number Of Facilities Owned And Operated
NumberOfFacilitiesOwnedAndOperated
26 item
CY2012 adk Effective Income Tax Rate Reconciliation Affiliates
EffectiveIncomeTaxRateReconciliationAffiliates
-0.015 pure
CY2011 adk Effective Income Tax Rate Reconciliation Affiliates
EffectiveIncomeTaxRateReconciliationAffiliates
-0.076 pure
CY2011 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
2300000 USD
CY2011 adk Business Combination Bargain Purchase Gains
BusinessCombinationBargainPurchaseGains
1100000 USD
CY2011 adk Business Combination Operating Income Loss
BusinessCombinationOperatingIncomeLoss
1200000 USD
CY2011Q4 us-gaap Business Acquisition Share Price
BusinessAcquisitionSharePrice
5.68
CY2011 us-gaap Business Acquisition Equity Interests Issued Or Issuable Number Of Shares Issued
BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued
36337 shares
CY2011 adk Number Of Skilled Nursing Facilities Acquired
NumberOfSkilledNursingFacilitiesAcquired
15 item
CY2012 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
2000000 USD
CY2011 adk Number Of Assisted Living Facilities Acquired
NumberOfAssistedLivingFacilitiesAcquired
2 item
CY2011 us-gaap Noncash Or Part Noncash Acquisition Other Assets Acquired1
NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1
6441000 USD
CY2012 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
500000 USD

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