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Significant Accounting Policies Significant Accounting Policies (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2016
USD ($)
Dec. 31, 2015
USD ($)
Variable Interest Entity, Number Of Entities, Not Primary Beneficiary 7  
Loans and Leases Receivable, Net Amount $ 183,993 $ 133,714
Unamortized Loan Commitment and Origination Fees and Unamortized Discounts or Premiums   (1,317)
Unamortized Debt Issuance Expense $ 10,185 $ 11,814
Life Care Services [Member]    
Notes Receivable, Number Of Loans, Master Credit Agreement 2