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Real Estate Investments - Mortgage Loans (Details)
$ in Thousands
1 Months Ended 3 Months Ended
Apr. 30, 2016
USD ($)
property
Mar. 31, 2016
USD ($)
loan
item
$ / item
Mar. 31, 2015
USD ($)
Mar. 31, 2016
state
Mar. 31, 2016
item
Mar. 31, 2016
property
Mar. 31, 2016
USD ($)
Mar. 31, 2016
Mortgage Loans                
Scheduled principal payments received   $ 1,015 $ 2,786          
Commitments funded   $ 15,683            
Investment Commitment             $ 193,894  
Remaining commitment             113,139  
Real Estate Investment                
Mortgage Loans                
Gross Investments             1,229,756  
Percentage of Investments               100.00%
Number of Properties | property           176    
Number of states | state       28        
Number of operators | item         29      
Mortgage Loans on Real Estate                
Mortgage Loans                
Gross Investments             225,299  
Percentage of Investments               100.00%
Number of Loans | loan   17            
Number of Properties | property           36    
Number of states | state       8        
Number of operators | item         11      
Interest rate for mortgage loans, low end of range (as a percent)   7.30%            
Interest rate for mortgage loans, high end of range (as a percent)   13.90%            
Scheduled principal payments received   $ 502            
Mortgage Loans on Real Estate | Subsequent Event                
Mortgage Loans                
Remaining loan commitments $ 5,500              
Mortgage Loans on Real Estate | Michigan | Subsequent Event                
Mortgage Loans                
Interest rate for mortgage loans, low end of range (as a percent) 9.41%              
Commitments funded $ 7,750              
Face amount of originated mortgages $ 12,250              
Term of mortgage loan receivable 4 years              
Number of properties under additional commitment | property 2              
Remaining loan commitments $ 4,500              
Number of beds or units securing loan | property 216              
Mortgage Loans on Real Estate | Minimum                
Mortgage Loans                
General amortization schedule of mortgage loans   20 years            
Specified basis points for annual increase in interest rate (as a percent)   0.10%            
Mortgage Loans on Real Estate | Maximum                
Mortgage Loans                
General amortization schedule of mortgage loans   30 years            
Specified basis points for annual increase in interest rate (as a percent)   0.25%            
Additional Loan Commitments | Wisconsin                
Mortgage Loans                
Scheduled principal payments received     501          
SNF Beds | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         9,533      
SNF Beds | Mortgage Loans on Real Estate                
Mortgage Loans                
Number of Beds/Units | item         3,676      
ALF Units | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         5,479      
ALF Units | Mortgage Loans on Real Estate                
Mortgage Loans                
Number of Beds/Units | item         270      
Skilled Nursing                
Mortgage Loans                
Number of Properties | property           2    
Number of Beds/Units | item         4,050      
Proceeds received from the payoff of a mortgage loan   $ 513            
Skilled Nursing | Real Estate Investment                
Mortgage Loans                
Gross Investments             582,362  
Percentage of Investments               47.40%
Number of Properties | property           96    
Investment per Bed/Unit | $ / item   111.89            
Skilled Nursing | Mortgage Loans on Real Estate                
Mortgage Loans                
Gross Investments             210,423  
Percentage of Investments               93.40%
Number of Loans | loan   13            
Number of Properties | property           28    
Investment per Bed/Unit | $ / item   57.24            
Commitments funded   $ 6,599 11,358          
Skilled Nursing | SNF Beds | Mortgage Loans on Real Estate                
Mortgage Loans                
Number of Beds/Units | item         3,676      
Skilled Nursing | ALF Units | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         5,205      
Assisted Living                
Mortgage Loans                
Number of Beds/Units | item         3,428      
Assisted Living | Real Estate Investment                
Mortgage Loans                
Gross Investments             540,240  
Percentage of Investments               43.90%
Number of Properties | property           71    
Investment per Bed/Unit | $ / item   61.52            
Assisted Living | Mortgage Loans on Real Estate                
Mortgage Loans                
Gross Investments             13,667  
Percentage of Investments               6.10%
Number of Loans | loan   3            
Number of Properties | property           8    
Investment per Bed/Unit | $ / item   50.62            
Assisted Living | SNF Beds | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         8,781      
Assisted Living | ALF Units | Mortgage Loans on Real Estate                
Mortgage Loans                
Number of Beds/Units | item         270      
Range of Care                
Mortgage Loans                
Number of Loans | loan   3            
Proceeds received from the payoff of a mortgage loan     $ 2,285          
Range of Care | Real Estate Investment                
Mortgage Loans                
Gross Investments             43,907  
Percentage of Investments               3.60%
Number of Properties | property           7    
Investment per Bed/Unit | $ / item   48.36            
Range of Care | SNF Beds | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         634      
Range of Care | ALF Units | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units | item         274      
Other                
Mortgage Loans                
Gross Investments             1,209  
Percentage of Investments               0.50%
Number of Loans | loan   1            
Other | Real Estate Investment                
Mortgage Loans                
Gross Investments             $ 19,486  
Percentage of Investments               1.50%
Number of Properties | property           2    
Investment per Bed/Unit | $ / item   78.39            
Number of parcels of land | item   3            
Other | SNF Beds | Real Estate Investment                
Mortgage Loans                
Number of Beds/Units         118 2