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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
item
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
item
Sep. 30, 2018
USD ($)
Oct. 01, 2019
property
Dec. 31, 2018
USD ($)
Investment in Unconsolidated Joint Ventures            
Carrying Value $ 24,426   $ 24,426     $ 30,615
Cash Interest Received     2,577 $ 1,727    
Income Recognized $ 760 $ 746 $ 1,973 2,103    
Joint Venture            
Investment in Unconsolidated Joint Ventures            
Number of beds/units | item 585   585      
Investment commitment     $ 25,650      
Carrying Value $ 24,426   24,426      
Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Cash Interest Received     2,577 1,727    
Capital Contributions     394 580    
Income Recognized     $ 1,973 2,103    
Preferred Equity Investment | Subsequent Event            
Investment in Unconsolidated Joint Ventures            
Number of properties owned by joint venture | property         4  
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     8.00%      
Number of beds/units | item 585   585      
Investment commitment     $ 25,650      
Carrying Value $ 24,426   24,426      
Cash Interest Received     1,166 1,436    
Capital Contributions     394 580    
Income Recognized     $ 614 1,490    
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Preferred return percentage     15.00%      
Number of beds/units | item 99   99      
Investment commitment     $ 2,900      
Cash Interest Received     979 291    
Income Recognized     955 383    
Combination ALF/MC | Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Cash Interest Received     432      
Income Recognized     $ 404      
Combination UDP-ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Income Recognized       $ 230    
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Preferred return percentage     15.00%      
Number of beds/units | item 127   127      
Investment commitment     $ 3,400