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Commitments and Contingencies (Details) (USD $) | 1 Months Ended | 9 Months Ended | 12 Months Ended |  | 3 Months Ended | 9 Months Ended |  |  |  | 1 Months Ended |  | 1 Months Ended | 9 Months Ended | 1 Months Ended | 9 Months Ended | 1 Months Ended | 9 Months Ended |  | 9 Months Ended | 1 Months Ended |  | 1 Months Ended | 3 Months Ended | 9 Months Ended | 1 Months Ended | 9 Months Ended
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Oct. 31, 2012 | Sep. 30, 2012 property Unit | Sep. 30, 2011 property | Dec. 31, 2011 | Sep. 30, 2011 SNF Beds bed | Sep. 30, 2012 Skilled Nursing bed | Sep. 30, 2011 Skilled Nursing | Sep. 30, 2012 Skilled Nursing property item bed | Sep. 30, 2011 Skilled Nursing property bed | Dec. 31, 2011 Skilled Nursing | Sep. 30, 2012 Skilled Nursing Maximum | Sep. 30, 2011 Skilled Nursing SNF Beds bed | Oct. 31, 2012 Assisted living and Memory care property Kansas Unit | Oct. 31, 2012 Assisted living and Memory care property Kansas Maximum | Oct. 31, 2012 Capital improvement commitment expiring 3/31/13 Skilled Nursing | Sep. 30, 2012 Capital improvement commitment expiring 3/31/13 Skilled Nursing property | Oct. 31, 2012 Capital improvement commitment expiring 10/11/2013 UDP units | Sep. 30, 2012 Capital improvement commitment expiring 10/11/2013 UDP units | Sep. 30, 2012 Capital improvement commitment expiring 10/11/2013 UDP units SNF Beds Texas Unit bed | Oct. 31, 2012 Capital improvement commitment expiring 12/1/13 UDP units | Sep. 30, 2012 Capital improvement commitment expiring 12/1/13 UDP units | Sep. 30, 2012 Capital improvement commitment expiring 12/1/13 UDP units Colorado Unit | Sep. 30, 2012 Capital improvement commitment expiring on 6/12/2014 Skilled Nursing property | Sep. 30, 2012 Capital improvement commitment expiring on 8/01/2014 Assisted Living property | Sep. 30, 2012 Capital improvement commitment expiring on 8/01/2014 Assisted Living property | Sep. 30, 2012 Capital improvement commitment expiring 12/31/2014 Assisted Living D property | Oct. 31, 2012 Capital improvement commitment expiring 8/31/2015 EDU units | Sep. 30, 2012 Capital improvement commitment expiring 8/31/2015 EDU units property | Sep. 30, 2012 Loan commitment expiring 12/31/2012 | Oct. 31, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing | Sep. 30, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing property | Sep. 30, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing property | Sep. 30, 2012 Loan commitment expiring 3/31/2013 | Sep. 30, 2012 Loan commitment expiring 5/14/2014 Unit | Oct. 31, 2012 Loan commitment expiring on 11/30/2012 | Sep. 30, 2012 Loan commitment expiring on 11/30/2012
Commitments and Contingencies |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Properties |  | 4 | 7 |  |  |  |  | 4 | 5 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of beds/units acquired |  |  |  |  |  |  |  |  | 524 |  |  |  | 77 |  |  |  |  |  | 120 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of beds/units in existing property that is being replaced |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 90 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Beds/Units |  | 522 |  |  | 782 | 522 |  | 522 |  |  |  | 664 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent earn-out payment, maximum |  |  |  |  |  |  |  |  |  |  | $ 11,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of earn-out payments required |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
First contingent earn-out payment |  |  |  | 4,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Earn-out liabilities |  | 6,634,000 |  | 6,305,000 |  | 6,634,000 |  | 6,634,000 |  | 6,305,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Non-cash interest expense |  |  |  |  |  | 110,000 | 177,000 | 330,000 | 354,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commitment |  | 39,215,000 |  |  |  |  |  |  |  |  |  |  |  | 9,855,000 |  | 1,700,000 |  | 8,250,000 |  |  | 7,935,000 |  | 1,700,000 | 8,000,000 | 6,600,000 | 5,000,000 |  | 30,000 | 2,500,000 |  |  |  |  |  |  |
Used Commitment |  | 2,422,000 |  |  |  |  |  |  |  |  |  |  | 492,000 |  |  | 492,000 |  | 492,000 |  |  | 1,438,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Open Commitment |  | 36,793,000 |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,208,000 |  | 7,758,000 |  |  | 6,497,000 |  | 1,700,000 | 8,000,000 | 6,600,000 | 5,000,000 |  | 30,000 |  |  |  |  |  |  |  |
Initial Cash Yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9.00% |  | 9.00% |  |  | 9.25% |  | 9.00% | 7.75% | 7.75% |  |  |  |  |  | 9.00% | 9.00% |  |  |  |
Purchase Price |  | 80,982,000 | 72,291,000 |  |  | 79,100,000 | 60,841,000 | 79,100,000 | 60,841,000 |  |  |  | 730,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commitment |  | 1,717,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 667,000 | 667,000 | 50,000 | 750,000 |  | 250,000
Used Commitment |  | 413,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 140,000 | 193,000 | 20,000 |  |  | 200,000
Open Commitment |  | 1,304,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 474,000 | 474,000 | 30,000 | 750,000 |  | 50,000
Estimated yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9.00% | 9.00% | 10.00% | 12.00% |  | 9.00%
Properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 1 |  |  |  |
Properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  | 1 | 1 | 1 | 37 |  | 1 |  |  |  |  |  |  |  |
Reference rate for estimated yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  | 9.25% |  |  |  |  |  |  |  |  |  |  |  |  | 9.50% |  |  |  |  |  |  |  |  |  |
Maturity period of US Treasury note |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10 years |  |  |  |  |  |  |  |  |  |
Number of days prior to funding |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |  |  |  |  |
Basis points added/deducted from the base rate (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4.20% |  |  |  |  |  |  |  |  |  |
Number of units in free-standing, private-pay memory care property |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 60 |  |  |  |  |  |  |  |  |  |  |  | 60 |  |
Additional funded loan commitment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 177,000 |  |  |  |  |  |
Additional funded capital improvement commitment |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 219,000 |  | 426,000 |  |  | 847,000 |  |  |  |  |  |  | 30,000 |  |  |  |  |  |  |  |  |
Variable rate basis used to compute estimated yield |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10-year treasury note rate | 10-year treasury note rate |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate used to compute estimated yield |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5.80% | 5.80% |  |  |  |  |  |  |  |  |  |  |
Maturity period of treasury notes |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10 years | 10 years |  |  |  |  |  |  |  |  |  |  |
Principal payments received | $ 50,000 | $ 273,000 | $ 544,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 50,000 |

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