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Real Estate Investments - Owned Properties (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2016
USD ($)
state
item
property
$ / item
Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 1,291,386
Percentage of Investments 100.00%
Number of properties | property 179
Number of states | state 28
Number of operators 28
Operating leases  
Number of ways to compute annual rent increases 4
Real Estate Investment | Minimum  
Operating leases  
Initial term of operating lease 10 years
Specified annual increase over the prior year's rent (as a percent) 2.00%
Real Estate Investment | Maximum  
Operating leases  
Initial term of operating lease 15 years
Specified annual increase over the prior year's rent (as a percent) 3.00%
SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 9,298
ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 5,785
Assisted Living | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 649,818
Percentage of Investments 50.30%
Number of properties | property 101
Average Investment per Bed/Unit | $ / item 117.91
Assisted Living | ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 5,511
Skilled Nursing | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 534,822
Percentage of Investments 41.40%
Number of properties | property 69
Average Investment per Bed/Unit | $ / item 62.58
Skilled Nursing | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 8,546
Range of Care | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 43,907
Percentage of Investments 3.40%
Number of properties | property 7
Average Investment per Bed/Unit | $ / item 48.36
Range of Care | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 634
Range of Care | ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 274
Properties under Development | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 43,353
Percentage of Investments 3.40%
Other | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 19,486
Percentage of Investments 1.50%
Number of properties | property 2
Average Investment per Bed/Unit | $ / item 78.39
Number of parcels of land 3
Other | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 118
Schools | Real Estate Investment  
Real Estate Investments  
Number of properties | property 1
Hospital | Real Estate Investment  
Real Estate Investments  
Number of properties | property 1
Hospital | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units | property 2
Hospital | Hospital Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units | property 116
Development Project | Properties under Development  
Real Estate Investments  
Number of developments 5
Development Project | Memory Care | Real Estate Investment  
Real Estate Investments  
Number of properties under development | property 3
Number of beds/units under development 198
Development Project | Independent Living | Real Estate Investment  
Real Estate Investments  
Number of beds/units under development 108
Development Project | ALF & MC | Real Estate Investment  
Real Estate Investments  
Number of beds/units under development 89