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Commitments and Contingencies - Summary of Commitments (Details) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2018
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Commitments and Contingencies            
Investment Commitment   $ 192,932,000   $ 192,932,000    
2018 Funding       24,608,000    
Commitments funded   82,317,000   82,317,000    
Remaining commitment   110,615,000   110,615,000    
Contingent lease incentives, Write off         $ (2,634,000)  
Fair value of earn-out liability   9,292,000   9,292,000   $ 8,916,000
Operating Leases, Income Statement, Lease Revenue   34,211,000 $ 33,233,000 102,646,000 $ 103,533,000  
Subsequent Event | Master lease agreement | Senior Lifestyle            
Commitments and Contingencies            
Contingent lease incentives, Write off $ (6,219,000)          
Earn-out liability, Write off 9,292,000          
Operating Leases, Income Statement, Lease Revenue $ 3,000,000          
Real estate properties            
Commitments and Contingencies            
Investment Commitment   77,882,000   77,882,000    
2018 Funding       17,973,000    
Commitments funded   35,417,000   35,417,000    
Remaining commitment   42,465,000   42,465,000    
Accrued incentives and earn-out liabilities            
Commitments and Contingencies            
Investment Commitment   23,000,000   23,000,000    
Remaining commitment   23,000,000   23,000,000    
Mortgage loans            
Commitments and Contingencies            
Investment Commitment   65,700,000   65,700,000    
2018 Funding       6,005,000    
Commitments funded   23,256,000   23,256,000    
Remaining commitment   42,444,000   42,444,000    
Commitments To Expand and Renovate Properties            
Commitments and Contingencies            
Investment Commitment   39,700,000   39,700,000    
Contingent Funding Commitments            
Commitments and Contingencies            
Investment Commitment   26,000,000   26,000,000    
Joint venture investments            
Commitments and Contingencies            
Investment Commitment   25,650,000   25,650,000    
2018 Funding       580,000    
Commitments funded   23,594,000   23,594,000    
Remaining commitment   2,056,000   2,056,000    
Notes receivable            
Commitments and Contingencies            
Investment Commitment   700,000   700,000    
2018 Funding       50,000    
Commitments funded   50,000   50,000    
Remaining commitment   $ 650,000   $ 650,000