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Real Estate Investments - Owned Properties (Details) - Real Estate Investment
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
state
item
property
$ / item
Real Estate Investments  
Gross Investment | $ $ 1,445,596
Percentage of Investment 100.00%
Number of properties | property 177
Number of states | state 28
Number of operators 29
Operating leases  
Number of ways to compute annual rent increases 4
Minimum  
Operating leases  
Initial lease term 10 years
Specified annual increase over the prior year's rent (as a percent) 2.00%
Maximum  
Operating leases  
Initial lease term 15 years
Specified annual increase over the prior year's rent (as a percent) 3.00%
SNF Beds  
Real Estate Investments  
Number of beds/units 9,011
ALF Units  
Real Estate Investments  
Number of beds/units 6,220
ALF  
Real Estate Investments  
Gross Investment | $ $ 821,167
Percentage of Investment 56.80%
Number of properties | property 104
Investment per Bed/Unit | $ / item 137.80
ALF | ALF Units  
Real Estate Investments  
Number of beds/units 5,959
SNF  
Real Estate Investments  
Gross Investment | $ $ 587,410
Percentage of Investment 40.60%
Number of properties | property 72
Investment per Bed/Unit | $ / item 64.17
SNF | SNF Beds  
Real Estate Investments  
Number of beds/units 8,893
SNF | ALF Units  
Real Estate Investments  
Number of beds/units 261
Properties under Development  
Real Estate Investments  
Gross Investment | $ $ 25,952
Percentage of Investment 1.80%
Properties under Development | Developments  
Real Estate Investments  
Number of developments 2
Properties under Development | Combination ALF and MC community | Developments  
Real Estate Investments  
Number of beds/units under development 78
Properties under Development | Combination ALF, MC and ILF community | Developments  
Real Estate Investments  
Number of beds/units under development 110
Other  
Real Estate Investments  
Gross Investment | $ $ 11,067
Percentage of Investment 0.80%
Number of properties | property 1
Number of parcels of land 3
Other | SNF Beds  
Real Estate Investments  
Number of beds/units 118
Hospital  
Real Estate Investments  
Number of properties | property 1