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Real Estate Investments - Mortgage Loans Activity (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
item
Mar. 31, 2018
USD ($)
item
Mortgage Loans    
Originations and fundings under mortgage loans receivable $ 1,454 $ 9,610
Scheduled principal payments received (65) (37)
Mortgage loan (premiums)   (1)
(Provision for)/ recovery of loan loss reserve (14) (96)
Net increase in mortgage loans receivable $ 1,375 9,476
Mortgage Loans    
Mortgage Loans    
General amortization schedule of mortgage loans 30 years  
Specified basis points for annual increase in interest rate (as a percent) 2.25%  
Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | Mortgage Loans    
Mortgage Loans    
Additions to mortgage loans   $ 7,400
Interest rate for mortgage loan (as a percent)   8.70%
General amortization schedule of mortgage loans   5 years
Specified basis points for annual increase in interest rate (as a percent)   2.25%
SNF Beds | Mortgage Loans    
Mortgage Loans    
Number of beds/units | item 2,892  
SNF Beds | Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | Mortgage Loans    
Mortgage Loans    
Number of beds/units | item   112