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Notes Receivable - Other Information (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
loan
Dec. 31, 2016
USD ($)
state
Dec. 31, 2016
USD ($)
loan
Dec. 31, 2016
USD ($)
item
Dec. 31, 2016
USD ($)
property
Dec. 31, 2016
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
loan
New and on-going commitments                
Amounts funded             $ 14,969 $ 1,554
Notes Receivable | Commitments to Extend Credit                
New and on-going commitments                
Number of Loans | loan 0   3          
Working Capital Loans | Commitments to Extend Credit                
New and on-going commitments                
Total commitments               2,100
Working Capital Loans | Commitments to Extend Credit | ALF                
New and on-going commitments                
Total commitments               $ 500
Interest rate (as a percent)               6.50%
Working Capital Loans | Loan Receivable with 12.00% Interest Maturing in 2017, Loan one | Commitments to Extend Credit                
New and on-going commitments                
Total commitments               $ 400
Interest rate (as a percent)               12.00%
Working Capital Loans | Loan Receivable with 12.25% Interest Maturing in 2016 | Commitments to Extend Credit                
New and on-going commitments                
Total commitments               $ 400
Interest rate (as a percent)               12.25%
Working Capital Loans | Loan Receivable with 12.00% Interest Maturing in 2017, Loan two | Commitments to Extend Credit                
New and on-going commitments                
Total commitments               $ 400
Interest rate (as a percent)               12.00%
Working Capital Loans | Loan Receivable with 12.00% Interest Maturing in 2017, Loan three | Commitments to Extend Credit                
New and on-going commitments                
Total commitments               $ 400
Interest rate (as a percent)               12.00%
Working Capital Loans | Notes Receivable | Commitments to Extend Credit                
New and on-going commitments                
Number of Loans | loan               5
Total commitments $ 14,225              
Working Capital Loans | Notes Receivable | 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 | Notes Receivable | Loan Receivable with 12.00% Interest Maturing 2018 | Commitments to Extend Credit | ALF                
New and on-going commitments                
Total commitments             325  
Working Capital Loans | Notes Receivable | 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                
Number of Loans | loan     2          
Total commitments             $ 12,500  
Number of states   8     64      
Mezzanine Loans | Notes Receivable | Commitments to Extend Credit | LIBOR                
New and on-going commitments                
Basis spread on variable rate (as a percent)   11.75% 11.75% 11.75% 11.75% 11.75% 11.75%  
Mezzanine Loans | Notes Receivable | Commitments to Extend Credit | SNF | Oregon                
New and on-going commitments                
Total commitments             $ 1,400  
Number of states | property         2      
Amounts funded             1,200  
Remaining commitments   $ 200 $ 200 $ 200 $ 200 $ 200 $ 200  
Number of beds or units securing loan | item       146        
Mezzanine Loans | 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%    
Mezzanine Loans | 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%    
Mezzanine Loans | 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%