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Loans Receivable - Tandem Health Care Loan (Details) $ in Thousands |  | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | ---
Jul. 31, 2017 USD ($) | Dec. 31, 2017 USD ($) property bed | Sep. 30, 2017 USD ($) | Jun. 30, 2017 USD ($) | Dec. 31, 2017 USD ($) property bed | Dec. 31, 2016 USD ($) | Dec. 31, 2015 USD ($) | May 31, 2015 USD ($)
Loans Receivable |  |  |  |  |  |  |  |
Loans receivable, other |  | $ 188,418 |  |  | $ 188,418 | $ 195,946 |  |
Long-term debt |  | 7,786,301 |  |  | 7,786,301 |  |  |
Loans receivable, net |  | 313,326 |  |  | 313,326 | 807,954 |  |
Tandem Health Care Loan |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Loans receivable, other |  | 105,000 |  | $ 189,000 | 105,000 | 256,000 |  | $ 257,000
Interest rate payable (percent) |  |  |  |  |  |  |  | 11.50%
Write down of loans receivable |  | $ 84,000 | $ 3,000 | 57,000 | 144,000 |  |  |
Loans receivable, net |  |  |  | $ 200,000 |  |  |  |
Repayment on loans and leases receivable | $ 197,000 |  |  |  |  |  |  |
Proceeds from deposit on loan | $ 8,000 |  |  |  |  |  |  |
Interest income related to loans |  |  |  |  | 23,000 | 31,000 | $ 29,000 |
Cash payments received from borrower |  |  |  |  | $ 25,000 | $ 30,000 | $ 29,000 |
Maximum | Tandem Health Care Loan |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Loans receivable, other |  |  |  |  |  |  |  | $ 257,000
Tandem Health Care |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Number of leasehold properties under the right to buy option | property |  | 9 |  |  | 9 |  |  |
Amount of purchase price for option to buy leasehold properties |  | $ 82,000 |  |  | $ 82,000 |  |  |
Number of beds | bed |  | 4,766 |  |  | 4,766 |  |  |
Senior Loans | Tandem Health Care |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Long-term debt |  | $ 257,000 |  |  | $ 257,000 |  |  |
Building | Tandem Health Care |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Number of properties | property |  | 32 |  |  | 32 |  |  |
Leasehold properties | Tandem Health Care |  |  |  |  |  |  |  |
Loans Receivable |  |  |  |  |  |  |  |
Number of properties | property |  | 9 |  |  | 9 |  |  |

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