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Mortgage Loans on Real Estate (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2010
Dec. 31, 2009
Dec. 31, 2008
Mortgage Loans on Real Estate      
Prior Liens $ 25,639    
Face Amount of Mortgages 142,956    
Carrying Amount of Mortgages 109,283    
Principal Amount of Loans Subject to Delinquent Principal or Interest (1,850)    
Reconciliation of mortgage loans:      
Balance at beginning of year 74,517 137,292 143,091
Additions:      
New mortgage loans 73,439 9,456 22,142
Total additions 73,439 9,456 22,142
Deductions:      
Collections of principal (10,540) (54,696) (4,844)
Conversions of real property (10,070) 0 (23,097)
Charge-offs (18,063) (17,535) 0
Total deductions (38,673) (72,231) (27,941)
Balance at end of year 109,283 74,517 137,292
7.60 % First mortgage relating to one senior housing facility in New York [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 7.60%    
Final Maturity Date Jun. 30, 2013    
Periodic Payment Terms Monthly Payments 234829    
Prior Liens 0    
Face Amount of Mortgages 40,000    
Carrying Amount of Mortgages 37,799    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
8.11 % First mortgage relating to one hospital in California Interest Rate One [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 8.11%    
Final Maturity Date Dec. 01, 2017    
Periodic Payment Terms Monthly Payments 99373    
Prior Liens 0    
Face Amount of Mortgages 17,500    
Carrying Amount of Mortgages 15,218    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
9.50 % First Mortgage Relating To one Hospital In California Interest Rate Two [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 9.50%    
Final Maturity Date Jun. 01, 2020    
Periodic Payment Terms Monthly Payments 146191    
Prior Liens 0    
Face Amount of Mortgages 17,500    
Carrying Amount of Mortgages 13,747    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
7.35 % First mortgage relating to one senior housing facility in North Carolina Interest Rate Two [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 7.35%    
Final Maturity Date Apr. 30, 2015    
Periodic Payment Terms Monthly Payments 40234    
Prior Liens 0    
Face Amount of Mortgages 7,000    
Carrying Amount of Mortgages 6,525    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
6.50 % First mortgage relating to one medical office building in Georgia [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 6.50%    
Final Maturity Date Oct. 01, 2014    
Periodic Payment Terms Monthly Payments 33042    
Prior Liens 0    
Face Amount of Mortgages 6,100    
Carrying Amount of Mortgages 6,100    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
9.63 % First mortgage relating to one hospital in California Interest Rate Year Three [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 9.63%    
Final Maturity Date Jan. 14, 2014    
Periodic Payment Terms Monthly Payments 140072    
Prior Liens 0    
Face Amount of Mortgages 18,800    
Carrying Amount of Mortgages 4,888    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
3.55 % First mortgage relating to one senior housing facility in Arizona In year One [member]
     
Mortgage Loans on Real Estate      
Interest Rate 3.55%    
Final Maturity Date Jan. 01, 2013    
Periodic Payment Terms Monthly Payments 12511    
Prior Liens 0    
Face Amount of Mortgages 4,151    
Carrying Amount of Mortgages 4,151    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
9.13 % Second mortgage relating to one hospital in California Interest Rate Year One [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 9.13%    
Final Maturity Date Oct. 31, 2013    
Periodic Payment Terms Monthly Payments 137558    
Prior Liens 13,747    
Face Amount of Mortgages 13,000    
Carrying Amount of Mortgages 4,107    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
15.21 % Second mortgage relating to one senior housing facility in Wisconsin Interest Rate Year One [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 15.21%    
Final Maturity Date Jan. 15, 2015    
Periodic Payment Terms Monthly Payments 42625    
Prior Liens 7,792    
Face Amount of Mortgages 3,300    
Carrying Amount of Mortgages 3,300    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
Seven first mortgages relating to four senior housing facilities and three medical office buildings Minimum [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 3.00%    
Final Maturity Date Sep. 01, 2011    
Periodic Payment Terms Monthly Payments from $739 to 52,811    
Prior Liens 0    
Face Amount of Mortgages 13,605    
Carrying Amount of Mortgages 11,598    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
Seven first mortgages relating to four senior housing facilities and three medical office buildings Maximum [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 10.90%    
Final Maturity Date Jun. 30, 2020    
12.7% Second mortgage relating to one hospital in massachusetts [Member]
     
Mortgage Loans on Real Estate      
Interest Rate 12.17%    
Final Maturity Date Jun. 30, 2010    
Periodic Payment Terms Monthly Payments 16900    
Prior Liens 4,100    
Face Amount of Mortgages 2,000    
Carrying Amount of Mortgages 1,850    
Principal Amount of Loans Subject to Delinquent Principal or Interest $ (1,850)