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Real Estate Loans Receivable (Tables)
12 Months Ended
Dec. 31, 2010
Real Estate Loans Receivable (Tables) [Abstract]  
Summary of real estate loans receivable
                 
    December 31,  
    2010     2009  
Mortgage loans
  $ 109,283     $ 74,517  
Other real estate loans
    327,297       352,846  
 
           
Totals
  $ 436,580     $ 427,363  
 
           
Summary of real estate loan activity
                                                                         
    Year Ended  
    December 31, 2010     December 31, 2009     December 31, 2008  
    Senior                     Senior                     Senior              
    Housing     Medical             Housing     Medical             Housing     Medical        
    and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals     and Care(1)     Facilities     Totals  
Advances on real estate loans receivable:
                                                                       
Investments in new loans
  $ 9,742     $ 41,644     $ 51,386     $ 20,036     $     $ 20,036     $ 121,493     $     $ 121,493  
Draws on existing loans
    46,113       1,236       47,349       52,910       1,471       54,381       21,265             21,265  
 
                                                     
Sub-total
    55,855       42,880       98,735       72,946       1,471       74,417       142,758             142,758  
Less: Seller financing on property sales
          (1,470 )     (1,470 )                       (59,649 )           (59,649 )
 
                                                     
Net cash advances on real estate loans
    55,855       41,410       97,265       72,946       1,471       74,417       83,109             83,109  
Receipts on real estate loans receivable:
                                                                       
Loan payoffs
    5,619       6,233       11,852       61,659       32,197       93,856       8,815             8,815  
Principal payments on loans
    24,203       7,440       31,643       15,890       2,033       17,923       9,354             9,354  
 
                                                     
Total receipts on real estate loans
    29,822       13,673       43,495       77,549       34,230       111,779       18,169             18,169  
 
                                                     
Net advances (receipts) on real estate loans
  $ 26,033     $ 27,737     $ 53,770     $ (4,603 )   $ (32,759 )   $ (37,362 )   $ 64,940     $     $ 64,940  
 
                                                     
 
(1)   Represents activity for the senior housing triple-net segment.
Summary of allowance for losses on loans receivable
                         
    Year Ended December 31,  
    2010     2009     2008  
Balance at beginning of year
  $ 5,183     $ 7,500     $ 7,406  
Provision for loan losses
    29,684       23,261       94  
Charge-offs
    (33,591 )     (25,578 )      
 
                 
Balance at end of year
  $ 1,276     $ 5,183     $ 7,500  
 
                 
Summary of loan impairments
                         
    Year Ended December 31,  
    2010     2009     2008  
Balance of impaired loans at end of year
  $ 9,691     $ 67,126     $ 72,770  
Allowance for loan losses
    1,276       5,183       7,500  
 
                 
Balance of impaired loans not reserved
  $ 8,415     $ 61,943     $ 65,270  
 
                 
Average impaired loans for the year
  $ 38,409     $ 69,948     $ 36,785  
Interest recognized on impaired loans(1)
    103       530       3,288  
 
(1)   Represents interest recognized prior to placement on non-accrual status.