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Dispositions of Real Estate and Discontinued Operations - HCR ManorCare, Inc. (Details) $ in Thousands | 1 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2015 | Dec. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) facility | Dec. 31, 2011 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Proceeds from sale of buildings |  | $ 335,709 | $ 462,242 | $ 0 |
HCRMC |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of properties disposed (in facilities) | facility |  |  |  | 13 |
Proceeds from sale of buildings |  |  |  | $ 153,000 |
Maximum |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Federal and state built-in gain tax from assets sold |  |  |  |  | $ 2,000,000
HCRMC |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Income from direct financing leases |  |  |  | 385,000 |
Cash payments received |  |  |  | $ 385,000 |
Federal and state built-in gain tax from assets sold, term |  |  |  |  | 10 years
Period intended to hold the assets |  |  |  |  | 10 years
Federal built-in gain tax from assets sold, federal term | 5 years |  |  |  |
Federal built-in gain tax from assets sold, state term | 10 years |  |  |  |
Period intended to sell the assets |  |  |  | 5 years |
State built-in gain from assets sold |  |  |  | $ 47,000 |

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