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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019 USD ($) item	Jun. 30, 2018 USD ($)	Jun. 30, 2019 USD ($) item	Jun. 30, 2018 USD ($)	Dec. 31, 2018 USD ($)
Investment in Unconsolidated Joint Ventures
Carrying Value	$ 27,521		$ 27,521		$ 30,615
Income Recognized	$ 128	$ 726	1,213	$ 1,357
Cash Interest Received			$ 1,402	1,256
Joint Venture
Investment in Unconsolidated Joint Ventures
Number of beds/units | item	684		684
Investment commitment			$ 28,550
Carrying Value	$ 27,521		27,521
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			293	497
Income Recognized			1,213	1,357
Cash Interest Received			$ 1,402	1,256
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			8.00%
Number of beds/units | item	585		585
Investment commitment			$ 25,650
Carrying Value	$ 24,324		24,324
Capital Contributions			293	497
Income Recognized			553	951
Cash Interest Received			727	1,062
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized			256	255
Cash Interest Received			$ 243	194
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		99
Investment commitment			$ 2,900
Carrying Value	$ 3,197		3,197
Combination ALF/MC | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized			404
Cash Interest Received			$ 432
Combination UDP-ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized				$ 151
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		127
Investment commitment			$ 3,400

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