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Real Estate Investments - Properties sold (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
item
property
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
item
property
Disposals and other          
Carrying value $ 1,097,929   $ 1,097,929   $ 1,086,089
Net gain 48,345 $ 5,054 $ 48,345 $ 5,054  
ALF | Ohio and Pennsylvania          
Disposals and other          
Number of properties sold | property     6    
Number of beds or units in property sold | item     320    
Sales price     $ 67,500    
Carrying value $ 16,352   16,352    
Net gain     $ 48,345    
ALF | Indiana and Iowa          
Disposals and other          
Number of properties sold | property         4
Number of beds or units in property sold | item         175
Sales price         $ 14,250
Carrying value         8,726
Net gain         $ 5,054