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Notes Receivable - Other Information (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2016
USD ($)
state
loan
item
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
New and on-going commitments      
Amounts funded $ 14,969 $ 1,554 $ 1,263
Notes Receivable | Loan Receivable with 15.00% Interest Maturing 2021 | Commitments to Extend Credit | SNF      
New and on-going commitments      
Interest rate (as a percent) 15.00%    
Notes Receivable | Loan Receivable with 12.00% Interest Maturing 2018 | Commitments to Extend Credit | ALF      
New and on-going commitments      
Interest rate (as a percent) 12.00%    
Notes Receivable | Loan Receivable with 12.41% Interest Maturing 2021 | Commitments to Extend Credit | SNF      
New and on-going commitments      
Interest rate (as a percent) 12.41%    
Working Capital Loans | Commitments to Extend Credit      
New and on-going commitments      
Total commitments $ 14,225    
Number of Loans | loan 3    
Working Capital Loans | Loan Receivable with 15.00% Interest Maturing 2021 | Commitments to Extend Credit | SNF      
New and on-going commitments      
Total commitments $ 1,400    
Working Capital Loans | Loan Receivable with 12.00% Interest Maturing 2018 | Commitments to Extend Credit | ALF      
New and on-going commitments      
Total commitments 325    
Working Capital Loans | Loan Receivable with 12.41% Interest Maturing 2021 | Commitments to Extend Credit | SNF      
New and on-going commitments      
Total commitments 12,500    
Mezzanine Loans | Notes Receivable | Commitments to Extend Credit      
New and on-going commitments      
Total commitments $ 12,500    
Number of Loans | loan 64    
Number of skilled nursing centers located states | state 8    
Term of loan 5 years    
Mezzanine Loans | Notes Receivable | Commitments to Extend Credit | LIBOR      
New and on-going commitments      
IRR Hurdle (as a percent) 11.75%    
Mezzanine Loans | Notes Receivable | Commitments to Extend Credit | SNF | Oregon      
New and on-going commitments      
Total commitments $ 1,400    
Number of Loans | loan 2    
Remaining commitments $ 200    
Amounts funded $ 1,200    
Number of beds or units securing loan | item 146    
Term of loan 5 years    
IRR Hurdle (as a percent) 15.00%