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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2018
USD ($)
item
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
loan
item
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Investment in Unconsolidated Joint Ventures          
Carrying Value $ 30,397   $ 30,397   $ 29,898
Capital Contribution     25,144    
Income Recognized $ 726 $ 575 1,357 $ 1,020  
Cash Interest Received     $ 1,256 754  
Joint Venture          
Investment in Unconsolidated Joint Ventures          
Number of Loans | loan     2    
Number of beds/units | item 811   811    
Investment commitment     $ 31,950    
Carrying Value $ 30,397   30,397    
Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions     497 3,734  
Income Recognized     1,357 1,020  
Cash Interest Received     $ 1,256 754  
Combination ALF, MC and ILF community | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage     15.00%    
Currently paid in cash as a percentage     7.00%    
Number of beds/units | item 585   585    
Investment commitment     $ 25,650    
Carrying Value $ 23,859   23,859    
Capital Contributions     497 987  
Income Recognized     951 719  
Cash Interest Received     1,062 619  
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Income Recognized     255 255  
Cash Interest Received     $ 194 135  
Combination ALF/IL/MC | Mezzanine Loans | ADC Arrangement          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage     15.00%    
Currently paid in cash as a percentage     12.00%    
Number of beds/units | item 99   99    
Investment commitment     $ 2,900    
Carrying Value $ 3,138   3,138    
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions       2,747  
Income Recognized     151 $ 46  
Amount withheld for interest     $ 336   $ 653
Combination UDP-ALF/MC | Mezzanine Loans | ADC Arrangement          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage     15.00%    
Currently paid in cash as a percentage     10.00%    
Number of beds/units | item 127   127    
Investment commitment     $ 3,400    
Carrying Value $ 3,400   $ 3,400