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Real Estate Investments - Commitments (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2016
USD ($)
property
Mar. 31, 2015
USD ($)
Investment commitments    
Funding $ 15,683  
Commitment Funded $ 80,755  
Real Estate Investment Completed Projects    
Investment commitments    
Number of Properties | property 1  
Number of Beds/Units | property 66  
Commitment Funded $ 11,808  
Real Estate Investment Development Redevelopment Renovation and Expansion Projects    
Development, redevelopment, renovation, and expansion activity    
CIP, Balance at the beginning of the period 31,965  
Funded 15,526  
Capitalized Interest 686  
Conversions out of CIP (10,365)  
CIP, Balance at the end of the period 37,812  
Amount funded during the period for commitments on completed capital projects capitalized directly into building 1,165  
Real Estate Development Commitments    
Investment commitments    
Funding 13,439 $ 5,041
Expansion Commitments    
Investment commitments    
Funding 3,253 4,928
Skilled Nursing | Real Estate Investment Development Redevelopment Renovation and Expansion Projects    
Development, redevelopment, renovation, and expansion activity    
CIP, Balance at the beginning of the period 1,252  
Funded 2,117  
Conversions out of CIP (13)  
CIP, Balance at the end of the period 3,356  
Skilled Nursing | Real Estate Development Commitments    
Investment commitments    
Funding   1,763
Skilled Nursing | Expansion Commitments    
Investment commitments    
Funding $ 2,118 1,835
Assisted Living | Florida    
Real estate investment disposal activity    
Number of beds or units in property sold | property 48  
Sales price $ 1,750  
Assisted Living | Real Estate Investment Development Redevelopment Renovation and Expansion Projects    
Development, redevelopment, renovation, and expansion activity    
CIP, Balance at the beginning of the period 30,713  
Funded 13,409  
Capitalized Interest 686  
Conversions out of CIP (10,352)  
CIP, Balance at the end of the period 34,456  
Assisted Living | Real Estate Development Commitments    
Investment commitments    
Funding 13,439 3,278
Assisted Living | Expansion Commitments    
Investment commitments    
Funding $ 1,135 $ 3,093