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Real Estate Investments - Development and Improvement Projects (Details) - Developments - Real Estate Development Commitments - Real Estate Investment Completed Projects $ in Thousands | 9 Months Ended
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Sep. 30, 2019 USD ($) property item | Sep. 30, 2018 USD ($) item property
Completed development and improvement projects |  |
Number of Properties | property | 2 | 1
Number of Beds/Units | item | 253 | 66
Total Investment | $ | $ 46,389 | $ 13,974
SNF | Kentucky |  |
Completed development and improvement projects |  |
Number of Properties | property | 1 |
Number of Beds/Units | item | 143 |
Total Investment | $ | $ 24,496 |
MC Units | Illinois |  |
Completed development and improvement projects |  |
Number of Properties | property |  | 1
Number of Beds/Units | item |  | 66
Total Investment | $ |  | $ 13,974
ALF/ILF/MC | Wisconsin |  |
Completed development and improvement projects |  |
Number of Properties | property | 1 |
Number of Beds/Units | item | 110 |
Total Investment | $ | $ 21,893 |

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