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Real Estate Investments - Owned Properties (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2017
USD ($)
state
item
property
$ / item
Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 1,354,369
Percentage of Investments 100.00%
Number of properties | property 180
Number of states | state 27
Number of operators | item 28
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 9,394
Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units | item 6,046
ROC  
Real Estate Investments  
Number of properties reclassified during period | property 7
ALF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 742,518
Percentage of Investments 54.80%
Number of properties | property 103
Investment per Bed/Unit | $ / item 128.64
ALF | Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units | item 5,772
SNF | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 579,757
Percentage of Investments 42.80%
Number of properties | property 76
Investment per Bed/Unit | $ / item 60.71
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 9,276
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 | $ $ 21,878
Percentage of Investments 1.60%
Other | Real Estate Investment  
Real Estate Investments  
Gross Investments | $ $ 10,216
Percentage of Investments 0.80%
Number of properties | property 1
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
Investment per Bed/Unit | $ / item 78.39
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