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Real Estate Investments - Disposals (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
USD ($)
Sep. 30, 2017
USD ($)
item
property
Sep. 30, 2016
USD ($)
property
Dec. 31, 2016
USD ($)
Disposals and other        
Carrying value   $ 1,060,597   $ 1,025,702
Gain (loss) on sale of properties $ 1,780 $ 5,054 $ 3,582  
ALF        
Disposals and other        
Number of properties sold | property   4    
Number of beds or units in property sold | item   175    
Carrying value   $ 8,726    
Sales price   14,250    
Gain (loss) on sale of properties   $ 5,054    
ALF | Florida        
Disposals and other        
Number of properties sold | property     2  
SNF | Texas        
Disposals and other        
Number of properties sold | property     2  
ALF and SNF | Florida and Texas        
Disposals and other        
Carrying value 9,791   $ 9,791  
Sales price     13,600  
Gain (loss) on sale of properties     3,775  
School | New Jersey        
Disposals and other        
Carrying value $ 3,997   3,997  
Sales price     3,850  
Gain (loss) on sale of properties     $ (193)