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Subsequent Events - Debt Obligations (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($)	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Debt Obligations
Stockholders' Equity Attributable to Noncontrolling Interest		$ 7,481,000	$ 3,488,000
Investment Commitments.		184,560,000
Amount borrowed		116,200,000	213,000,000	$ 201,100,000
Payments on debt		138,866,000	154,767,000	163,667,000
Outstanding Balance		645,029,000	667,502,000
Available for borrowing		581,833,000	567,167,000
Bank Borrowings
Debt Obligations
Amount borrowed		116,200,000	113,000,000	123,600,000
Payments on debt		100,700,000	123,600,000	137,000,000
Outstanding Balance		112,000,000	96,500,000
Available for borrowing		488,000,000	503,500,000
Bank Borrowings | Subsequent Event
Debt Obligations
Amount borrowed	$ 26,400,000
Outstanding Balance	138,400,000
Available for borrowing	461,600,000
Senior Unsecured Notes
Debt Obligations
Amount borrowed			100,000,000	77,500,000
Payments on debt		38,166,000	31,167,000	$ 26,667,000
Outstanding Balance		533,029,000	571,002,000
Available for borrowing		$ 93,833,000	$ 63,667,000
Senior Unsecured Notes | Subsequent Event
Debt Obligations
Payments on debt	4,167,000
Outstanding Balance	528,862,000
Available for borrowing	$ 98,000,000
74-Unit ALF/MC | ALF and MC
Debt Obligations
Number of Beds or Units in Real Estate Property Sold | item		74
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
74-Unit ALF/MC | ALF and MC | Subsequent Event
Debt Obligations
Stockholders' Equity Attributable to Noncontrolling Interest	$ 919,000
Investment Commitments.	$ 15,950,000

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Amount of borrowing capacity currently available under the credit facility (current borrowing capacity less the amount of borrowings outstanding).

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Amount, after unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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