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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018 USD ($) item	Sep. 30, 2017 USD ($)	Sep. 30, 2018 USD ($) loan item	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($)
Investment in Unconsolidated Joint Ventures
Carrying Value	$ 30,511		$ 30,511		$ 29,898
Capital Contribution			24,608
Income Recognized	$ 746	$ 615	2,103	$ 1,635
Cash Interest Received			$ 1,727	1,236
Joint Venture
Investment in Unconsolidated Joint Ventures
Number of Loans | loan			2
Number of beds/units | item	811		811
Investment commitment			$ 31,950
Carrying Value	$ 30,511		30,511
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			580	3,847
Income Recognized			2,103	1,635
Cash Interest Received			$ 1,727	1,236
Combination ALF, MC and ILF community | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			7.00%
Number of beds/units | item	585		585
Investment commitment			$ 25,650
Carrying Value	$ 23,942		23,942
Capital Contributions			580	1,100
Income Recognized			1,490	1,134
Cash Interest Received			1,436	1,020
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized			383	383
Cash Interest Received			$ 291	216
Combination ALF/IL/MC | Mezzanine Loans | ADC Arrangement
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			12.00%
Number of beds/units | item	99		99
Investment commitment			$ 2,900
Carrying Value	$ 3,169		3,169
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions				2,747
Income Recognized			230	$ 118
Amount withheld for interest			$ 257		$ 653
Combination UDP-ALF/MC | Mezzanine Loans | ADC Arrangement
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			10.00%
Number of beds/units | item	127		127
Investment commitment			$ 3,400
Carrying Value	$ 3,400		$ 3,400

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Number of mortgage loans within investment in mortgage loan on real estate by entity with substantial portion of business acquiring and holding investment real estate or interest in real estate.

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-Section S99
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