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Real Estate Investments - Mortgage Loans Activity (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
item
Dec. 31, 2017
USD ($)
Mortgage Loans      
Originations and fundings under mortgage loans receivable $ 12,342 $ 21,364 $ 11,913
Pay-offs received   (1,086) (16,665)
Scheduled principal payments received (1,065) (1,050) (1,198)
Mortgage loan premium amortization (4) (4) (4)
(Provision for) recovery of loan loss reserve (113) (192) 60
Net increase (decrease) in mortgage loans receivable $ 11,160 $ 19,032 $ (5,894)
Mortgage Loans      
Mortgage Loans      
Loan Term 30 years    
Mortgage Loans | Minimum      
Mortgage Loans      
Interest rate (as a percent) 9.20%    
Mortgage Loans | Maximum      
Mortgage Loans      
Interest rate (as a percent) 9.90%    
Mortgages with 9.41% Interest, fixed for two years, and escalating by 2.25% thereafter | Mortgage Loans      
Mortgage Loans      
Additions to mortgage loans $ 7,500    
Interest rate (as a percent) 9.41%    
Loan Term 2 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      
Interest rate (as a percent)   8.70%  
Loan Term   5 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  
Michigan | SNF | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Additions to mortgage loans   $ 7,125  
Interest rate (as a percent)   9.41%  
Loan Term   5 years  
Specified basis points for annual increase in interest rate (as a percent)   2.25%  
SNF Beds | Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Number of beds/units | item   112  
SNF Beds | Michigan | SNF | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Number of beds/units | item   126