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Real Estate Investments - Properties sold (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2018
USD ($)
Sep. 30, 2018
USD ($)
item
property
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
item
property
Disposals and other        
Carrying value $ 1,107,043 $ 1,107,043   $ 1,086,089
Net gain 14,353 $ 62,698 $ 5,054  
Properties sold        
Disposals and other        
Number of properties sold | property   8   4
Number of beds or units in property sold | item   605   175
Sales price   $ 85,375   $ 14,250
Carrying value 19,970 19,970   8,726
Net gain   $ 62,698   $ 5,054
ALF | Ohio and Pennsylvania | Properties sold        
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   48,445    
ALF | Kansas | Properties sold        
Disposals and other        
Sales price   350    
Carrying value 346 $ 346    
ALF | Indiana and Iowa | Properties sold        
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
SNF | Alabama | Properties sold        
Disposals and other        
Number of properties sold | property   2    
Number of beds or units in property sold | item   285    
Sales price   $ 17,525    
Carrying value $ 3,272 3,272    
Net gain   $ 14,253