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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2018
USD ($)
loan
item
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Investment in Unconsolidated Joint Ventures      
Number of beds/units | item 811    
Investment commitment $ 31,950    
Carrying Value 30,615 $ 29,898  
Capital Contributions 670 3,848 $ 1,770
Income Recognized 2,864 2,263 1,138
Cash Interest Received $ 2,371 1,738 1,695
Joint Venture      
Investment in Unconsolidated Joint Ventures      
Number of Loans | loan 2    
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    
Investment commitment $ 25,650    
Carrying Value 24,032    
Capital Contributions 670 1,101 1,770
Income Recognized 2,041 1,560 1,138
Cash Interest Received 1,975 1,436 $ 1,695
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized 511 511  
Cash Interest Received $ 396 302  
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    
Investment commitment $ 2,900    
Carrying Value 3,183    
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Capital Contributions   2,747  
Income Recognized 312 192  
Amount withheld for interest $ 177 $ 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    
Investment commitment $ 3,400    
Carrying Value $ 3,400