Advocat Inc. (Advocat) provides long-term care services to nursing home patients in eight states, primarily in the Southeast and Southwest United States. Advocat provides a range of long-term care services to the elderly, including skilled nursing, ancillary health care services and assisted living. In addition to the nursing and social services usually provided in long-term care centers, the Company offers a variety of rehabilitative, nutritional, respiratory, and other specialized ancillary services. As of December 31, 2008, its operations include 50 nursing centers containing 5,773 licensed nursing beds and 14 assisted living units. Its nursing centers range in size from 48 to 320 licensed nursing beds. Advocat’s nursing centers provide skilled nursing healthcare services, including room and board, nutrition services, recreational therapy, social services and housekeeping and laundry services.