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Loans Receivable - Tandem Health Care Loan (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Jul. 31, 2017
USD ($)
Dec. 31, 2017
USD ($)
property
bed
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
property
bed
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
May 31, 2015
USD ($)
Loans Receivable                
Loans receivable, other   $ 188,418     $ 188,418 $ 195,946    
Long-term debt   7,786,301     7,786,301      
Loans receivable, net   313,326     313,326 807,954    
Tandem Health Care Loan                
Loans Receivable                
Loans receivable, other   105,000   $ 189,000 105,000 256,000   $ 257,000
Interest rate payable (percent)               11.50%
Write down of loans receivable   $ 84,000 $ 3,000 57,000 144,000      
Loans receivable, net       $ 200,000        
Repayment on loans and leases receivable $ 197,000              
Proceeds from deposit on loan $ 8,000              
Interest income related to loans         23,000 31,000 $ 29,000  
Cash payments received from borrower         $ 25,000 $ 30,000 $ 29,000  
Maximum | Tandem Health Care Loan                
Loans Receivable                
Loans receivable, other               $ 257,000
Tandem Health Care                
Loans Receivable                
Number of leasehold properties under the right to buy option | property   9     9      
Amount of purchase price for option to buy leasehold properties   $ 82,000     $ 82,000      
Number of beds | bed   4,766     4,766      
Senior Loans | Tandem Health Care                
Loans Receivable                
Long-term debt   $ 257,000     $ 257,000      
Building | Tandem Health Care                
Loans Receivable                
Number of properties | property   32     32      
Leasehold properties | Tandem Health Care                
Loans Receivable                
Number of properties | property   9     9