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Commitments and Contingencies (Details) (USD $) | 12 Months Ended |  | 1 Months Ended |  | 12 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Dec. 31, 2011 property | Dec. 31, 2010 property | Dec. 31, 2011 SNF Beds Unit | Dec. 31, 2010 SNF Beds Unit | Dec. 31, 2011 Skilled Nursing property | Dec. 31, 2010 Skilled Nursing property | Dec. 31, 2011 Skilled Nursing Texas payment property | Dec. 31, 2011 Skilled Nursing SNF Beds Unit | Dec. 31, 2010 Skilled Nursing SNF Beds Unit | Dec. 31, 2011 Skilled Nursing SNF Beds Texas Unit | Dec. 31, 2010 Skilled Nursing SNF Beds Texas Unit | Dec. 31, 2011 Other Senior Housing property | Dec. 31, 2010 Other Senior Housing property | Dec. 31, 2011 Other Senior Housing SNF Beds Unit | Dec. 31, 2010 Other Senior Housing SNF Beds Unit | Dec. 31, 2010 Assisted Living Unit property | Dec. 31, 2009 Assisted Living Unit property | Dec. 31, 2011 Capital improvement commitment expiring 8/1/2012 Skilled Nursing property | Jan. 31, 2012 Capital improvement commitment expiring 8/31/2012 Other Senior Housing Subsequent capital expenditures property | Dec. 31, 2011 Capital improvement commitment expiring 8/31/2013 Other Senior Housing property | Dec. 31, 2011 Capital improvement commitment expiring 10/11/2013 Skilled Nursing | Dec. 31, 2011 Capital improvement commitment expiring 10/11/2013 Skilled Nursing SNF Beds Unit | Dec. 31, 2011 Capital improvement commitment expiring 12/31/2014 Assisted Living D Y property | Dec. 31, 2014 Capital improvement commitment expiring 12/31/2014 Assisted Living | Dec. 31, 2013 Capital improvement commitment expiring 12/31/2014 Assisted Living | Dec. 31, 2012 Capital improvement commitment expiring 12/31/2014 Assisted Living | Dec. 31, 2011 Loan commitment expiring 3/31/2012 Other Senior Housing property | Dec. 31, 2011 Loan commitment expiring 12/31/2012 Other Senior Housing property | Dec. 31, 2011 Loan commitment expiring 12/31/2012 Senior Housing
Commitments and Contingencies |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Properties | 9 | 10 |  |  | 7 | 5 | 4 |  |  |  |  | 2 | 1 |  |  | 4 | 3 |  |  |  |  |  |  |  |  |  |  |  |
Number of beds/units acquired |  |  | 1,134 | 805 |  |  |  | 1,016 | 668 | 524 | 166 |  |  | 118 | 137 | 241 | 192 |  |  |  |  | 120 |  |  |  |  |  |  |
Number of earn-out payments |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent earn-out payment, maximum |  |  |  |  |  |  | $ 11,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Earn-out liabilities, amount recorded at date of acquisition |  |  |  |  |  |  | 9,841,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Non-cash interest expense |  |  |  |  |  |  | 464,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
First contingent earn-out payment, amount |  |  |  |  |  |  | 4,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Earn-out liabilities | 6,305,000 |  |  |  |  |  | 6,305,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commitment | 14,080,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 | 730,000 | 730,000 | 8,250,000 |  | 5,000,000 | 5,000,000 | 5,000,000 | 5,000,000 |  |  | 2,500,000
Used Commitment | 724,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 674,000 | 50,000 |  |  |  |  |  |  |  | 232,000
Open Commitment | 13,356,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 |  | 56,000 | 8,200,000 |  | 5,000,000 | 5,000,000 | 5,000,000 | 5,000,000 |  |  |
Estimated yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9.00% | 9.00% | 9.00% |  |  |  |  |  |  |  | 8.50%
Subsequent capital improvement expenditures |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 56,000 |  |  |  |  |  |  |  |  |  |
Commitment | 2,550,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 50,000 | 2,500,000 |
Used Commitment | 252,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20,000 | 232,000 |
Open Commitment | $ 2,298,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 30,000 | $ 2,268,000 |
Estimated yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10.00% | 8.50% |
Properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 2 | 2 |  |  | 37 |  |  |  | 1 | 2 |
Reference rate for estimated yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9.50% |  |  |  |  |  |
Maturity period of US Treasury note (in years) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10 |  |  |  |  |  |
Number of days prior to funding (in days) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |
Basis points added/deducted from the base rate (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0.42% |  |  |  |  |  |

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