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Real Estate Investments - Mortgage Loan Activity (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2018
USD ($)
item
Mortgage Loans  
Number of Units in Real Estate Property 811
Mortgage Loans  
Mortgage Loans  
General amortization schedule of mortgage loans 30 years
Michigan | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF  
Mortgage Loans  
Interest rate for mortgage loan (as a percent) 8.70%
Specified basis points for annual increase in interest rate (as a percent) 2.25%
General amortization schedule of mortgage loans 5 years
Michigan | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF | SNF Beds  
Mortgage Loans  
Number of Units in Real Estate Property 112
Michigan | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF  
Mortgage Loans  
Interest rate for mortgage loan (as a percent) 9.41%
Specified basis points for annual increase in interest rate (as a percent) 2.25%
General amortization schedule of mortgage loans 5 years
Additions to mortgage loans | $ $ 7,125
Michigan | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF | SNF Beds  
Mortgage Loans  
Number of Units in Real Estate Property 126
Michigan | Mortgage Loans | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF  
Mortgage Loans  
Additions to mortgage loans | $ $ 7,400