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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
item
Mar. 31, 2018
USD ($)
Dec. 31, 2018
USD ($)
Investment in Unconsolidated Joint Ventures      
Carrying Value $ 27,515   $ 30,615
Income Recognized 1,085 $ 631  
Cash Interest Received $ 1,105 543  
Joint Venture      
Investment in Unconsolidated Joint Ventures      
Number of beds/units | item 684    
Investment commitment $ 28,550    
Carrying Value 27,515    
Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Capital Contributions 293 380  
Income Recognized 1,085 631  
Cash Interest Received $ 1,105 543  
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 24,325    
Capital Contributions 293 380  
Income Recognized 553 429  
Cash Interest Received 552 446  
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized 128 128  
Cash Interest Received $ 121 97  
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 15.00%    
Number of beds/units | item 99    
Investment commitment $ 2,900    
Carrying Value $ 3,190    
Combination UDP-ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized   $ 74  
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Preferred return percentage 15.00%    
Number of beds/units | item 127    
Investment commitment $ 3,400    
Income Recognized 404    
Cash Interest Received $ 432