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Real Estate Investments - Owned Properties (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2017
USD ($)
state
item
property
$ / item
Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 1,305,918
Percentage of Investments 100.00%
Number of properties | property 181
Number of states | state 28
Number of operators | item 27
Operating leases  
Number of ways to compute annual rent increases | item 4
Real Estate Investment | Minimum  
Operating leases  
Operating Lease Initial Term 10 years
Specified annual increase over the prior year's rent (as a percent) 2.00%
Real Estate Investment | Maximum  
Operating leases  
Operating Lease Initial Term 15 years
Specified annual increase over the prior year's rent (as a percent) 3.00%
Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units | item 9,363
Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units | item 5,981
ROC  
Real Estate Investments  
Number of properties reclassified during period | property 7
ALF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 699,004
Percentage of Investments 53.50%
Number of properties | property 104
Average Investment per Bed/Unit | $ / item 122.48
ALF | Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units | item 5,707
SNF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 579,627
Percentage of Investments 44.40%
Number of properties | property 76
Average Investment per Bed/Unit | $ / item 60.89
SNF | Real Estate Investment | Development  
Real Estate Investments  
Number of beds/units under development | item 143
SNF | Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units | item 9,245
SNF | Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units | item 274
SNFs with ALF units | Real Estate Investment  
Real Estate Investments  
Number of properties | property 7
Properties under Development | Development  
Real Estate Investments  
Number of developments | item 3
Properties under Development | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 17,071
Percentage of Investments 1.30%
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 | item 3
Other | Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units | item 118
MC | Real Estate Investment | Development  
Real Estate Investments  
Number of developments | property 2
Number of beds/units under development | property 132
Hospital | Real Estate Investment  
Real Estate Investments  
Number of properties | property 1
Hospital | Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units | property 2
Hospital | Real Estate Investment | Hospital Beds  
Real Estate Investments  
Number of beds/units | property 116