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Significant Accounting Policies Significant Accounting Policies (Schedule of Variable Interest Entities) (Tables)
3 Months Ended
Mar. 31, 2018
Variable Interest Entity, Not Primary Beneficiary, Disclosures [Abstract]  
Schedule of Variable Interest Entities [Table Text Block]
Date
Name
Source of Exposure
Carrying Amount
Maximum Exposure to Loss
Note Reference
2012
Bickford
Various1
$
33,528,000

$
55,360,000

Notes 2, 3
2014
Senior Living Communities
Notes and straight-line receivable
$
39,106,000

$
53,377,000

Notes 2, 3
2014
Life Care Services affiliate
Notes receivable
$
54,693,000

$
59,754,000

Note 3
2015
East Lake Capital Mgmt.
Straight-line receivable
$
3,531,000

$
3,531,000

 
2016
The Ensign Group developer
N/A
$

$

Note 2
2016
Senior Living Management
Notes and straight-line receivable
$
26,315,000

$
26,315,000

Note 3
2017
Navion Senior Solutions
Straight-line receivable
$
355,000

$
355,000

 
2017
Evolve Senior Living
Note receivable
$
9,913,000

$
9,913,000