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Real Estate Loans Receivable (Tables)
6 Months Ended
Jun. 30, 2011
Real Estate Loans Receivable (Tables) [Abstract]  
Summary of real estate loan activity
                                                 
    Six Months Ended  
    June 30, 2011     June 30, 2010  
    Senior Housing     Medical             Senior Housing     Medical        
    Triple-net     Facilities     Totals     Triple-net     Facilities     Totals  
Advances on real estate loans receivable:
                                               
Investments in new loans
  $ 11,807     $     $ 11,807     $ 8,617     $ 15,799     $ 24,416  
Draws on existing loans
    8,824       7,836       16,660       18,838             18,838  
 
                                   
Sub-total
    20,631       7,836       28,467       27,455       15,799       43,254  
Less: Seller financing on property sales
                            (1,470 )     (1,470 )
 
                                   
Net cash advances on real estate loans
    20,631       7,836       28,467       27,455       14,329       41,784  
Receipts on real estate loans receivable:
                                               
Loan payoffs
    129,860             129,860       1,599             1,599  
Principal payments on loans
    5,164       3,372       8,536       7,705       116       7,821  
 
                                   
Total receipts on real estate loans
    135,024       3,372       138,396       9,304       116       9,420  
 
                                   
Net advances (receipts) on real estate loans
  $ (114,393 )   $ 4,464     $ (109,929 )   $ 18,151     $ 14,213     $ 32,364