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Real Estate Investments - Acquisitions (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2016
USD ($)
item
property
Jun. 30, 2015
USD ($)
contract
item
property
Real estate investments    
Contingent consideration $ 2,000  
Investment Commitment 215,619  
2016 Acquisitions    
Real estate investments    
Purchase Price 69,550  
Transaction Costs 391  
Total Acquisition Costs $ 69,941  
Number of properties acquired | property 5  
Number of beds/units acquired | item 396  
2016 Acquisitions | Skilled Nursing | Real Estate Investment    
Real estate investments    
Purchase Price $ 16,000  
Transaction Costs 45  
Total Acquisition Costs $ 16,045  
Number of properties acquired | property 1  
Number of beds/units acquired | item 126  
2016 Acquisitions | Skilled Nursing | Real Estate Investment | Texas    
Real estate investments    
Number of beds/units acquired | property 126  
2016 Acquisitions | Assisted Living    
Real estate investments    
Purchase Price $ 53,550  
Transaction Costs 346  
Total Acquisition Costs $ 53,896  
Number of properties acquired | property 4  
Number of beds/units acquired | item 270  
2016 Acquisitions | Memory Care | Kentucky    
Real estate investments    
Purchase Price $ 14,250  
Contingent consideration 2,000  
2016 Acquisitions | Memory Care | Georgia    
Real estate investments    
Purchase Price 14,300  
2016 Acquisitions | Memory Care | Kansas    
Real estate investments    
Purchase Price $ 25,000  
Number of properties acquired | property 2  
2015 Acquisitions | Real Estate Investment    
Real estate investments    
Purchase Price   $ 24,957
Transaction Costs   78
Total Acquisition Costs   $ 25,035
Number of properties acquired | property   1
Number of beds/units acquired | item   106
2015 Acquisitions | Skilled Nursing | Real Estate Investment    
Real estate investments    
Purchase Price   $ 13,946
Total Acquisition Costs   $ 13,946
Number of properties acquired | property   1
Number of beds/units acquired | item   106
2015 Acquisitions | Skilled Nursing | Real Estate Investment | Wisconsin    
Real estate investments    
Purchase Price   $ 13,946
Number of beds/units acquired | property   106
2015 Acquisitions | Skilled Nursing | Mortgage Loans on Real Estate    
Real estate investments    
Loan commitment under which the purchase option was exercised   $ 10,600
2015 Acquisitions | Skilled Nursing | Mortgage Loans on Real Estate | Wisconsin    
Real estate investments    
Loan commitment under which the purchase option was exercised   10,600
2015 Acquisitions | Land | Real Estate Investment    
Real estate investments    
Purchase Price   11,011
Transaction Costs   78
Total Acquisition Costs   $ 11,089
2015 Acquisitions | Land | Real Estate Development Commitments One | Real Estate Investment    
Real estate investments    
Number of Development Commitments | contract   3
2015 Acquisitions | Land | Real Estate Development Commitments One | Maximum | Real Estate Investment    
Real estate investments    
Investment Commitment   $ 42,922
2015 Acquisitions | Land | Real Estate Development Commitments Two | Maximum | Real Estate Investment    
Real estate investments    
Investment Commitment   $ 12,182