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Real Estate Investments - Lease (Details) | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2019 USD ($) property | Mar. 31, 2019 USD ($) item | Sep. 30, 2018 USD ($) | Sep. 30, 2019 USD ($) property | Sep. 30, 2018 USD ($) | Dec. 31, 2018 USD ($)
Real estate investments |  |  |  |  |  |
Carrying value | $ 1,132,271,000 |  |  | $ 1,132,271,000 |  | $ 1,106,581,000
Income and Expenses, Lessor [Abstract] |  |  |  |  |  |
Base cash rental income | 33,754,000 |  |  | 100,687,000 |  |
Base cash rental income previous |  |  | $ 31,506,000 |  | $ 95,273,000 |
Variable cash rental income | 3,926,000 |  |  | 12,488,000 |  |
Variable cash rental income previous |  |  | 76,000 |  | 395,000 |
Straight-Line Rent | 1,085,000 |  | 3,189,000 | 3,598,000 | 8,629,000 |
Adjustment for collectability |  |  |  | (1,926,000) |  |
Amortization of Lease Incentives | (100,000) |  | (560,000) | (281,000) | (1,651,000) |
Total Rental Income | 38,665,000 |  |  | 114,566,000 |  |
Total Rental Income previous |  |  | $ 34,211,000 |  | $ 102,646,000 |
Reimbursement Of Real Estate Tax Expense | 3,849,000 |  |  | 12,094,000 |  |
Contingent rental income | 77,000 |  |  | 394,000 |  |
Number of operating seniors | item |  | 2 |  |  |  |
Rent receivable written off |  | $ 1,926,000 |  |  |  |
Purchase Option in Lease Arrangements |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Gross Investment | 148,374,000 |  |  | 148,374,000 |  |
Carrying value | $ 128,609,000 |  |  | $ 128,609,000 |  |
ALF | Purchase Option in Lease Arrangements | California |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 2 |  |  | 2 |  |
Gross Investment | $ 28,246,000 |  |  | $ 28,246,000 |  |
Carrying value | $ 15,551,000 |  |  | $ 15,551,000 |  |
ALF | Purchase Option in Lease Arrangements | California | Minimum |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Purchase option ending period |  |  |  | 24 months |  |
ALF | Purchase Option in Lease Arrangements | California | Maximum |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Purchase option ending period |  |  |  | 48 months |  |
MC | Purchase Option in Lease Arrangements | Florida |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 1 |  |  | 1 |  |
Gross Investment | $ 14,201,000 |  |  | $ 14,201,000 |  |
Carrying value | $ 12,845,000 |  |  | $ 12,845,000 |  |
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 2 |  |  | 2 |  |
Gross Investment | $ 30,087,000 |  |  | $ 30,087,000 |  |
Carrying value | $ 28,007,000 |  |  | $ 28,007,000 |  |
MC | Purchase Option in Lease Arrangements | Texas |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 2 |  |  | 2 |  |
Gross Investment | $ 25,265,000 |  |  | $ 25,265,000 |  |
Carrying value | $ 24,490,000 |  |  | $ 24,490,000 |  |
ALF and MC | Purchase Option in Lease Arrangements | California |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 2 |  |  | 2 |  |
Gross Investment | $ 38,895,000 |  |  | $ 38,895,000 |  |
Carrying value | $ 36,777,000 |  |  | $ 36,777,000 |  |
ALF and MC | Purchase Option in Lease Arrangements | South Carolina |  |  |  |  |  |
Real estate investments |  |  |  |  |  |
Number of properties | property | 1 |  |  | 1 |  |
Gross Investment | $ 11,680,000 |  |  | $ 11,680,000 |  |
Carrying value | $ 10,939,000 |  |  | $ 10,939,000 |  |

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