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Real Estate Investments - Property Sales (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
item
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
property
item
Dec. 31, 2018
USD ($)
Disposals and other          
Carrying value $ 1,118,389   $ 1,118,389   $ 1,106,581
Net Gain (Loss) $ 500 $ 48,345 $ 500 $ 48,345  
ALF          
Disposals and other          
Number of properties sold | item   6      
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 (Loss)       $ 48,345