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Real Estate Investments - Owned Properties (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2016
USD ($)
state
item
property
$ / item
Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 1,292,459
Percentage of Investments 100.00%
Number of properties | property 180
Number of states | state 28
Number of operators 27
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 9,363
ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 5,881
ALF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 681,365
Percentage of Investments 52.70%
Number of properties | property 103
Average Investment per Bed/Unit | $ / item 121.52
ALF | ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 5,607
SNF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 535,460
Percentage of Investments 41.40%
Number of properties | property 69
Average Investment per Bed/Unit | $ / item 62.18
SNF | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 8,611
ROC | 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
ROC | SNF Beds | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 634
ROC | ALF Units | Real Estate Investment  
Real Estate Investments  
Number of Beds/Units 274
Properties under Development | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 21,511
Percentage of Investments 1.70%
Other | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 10,216
Percentage of Investments 0.80%
Number of properties | property 1
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
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 3
Development Project | MC | Real Estate Investment  
Real Estate Investments  
Number of beds/units under development 66
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 143