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Real Estate Investments - Property Sales (Details) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2019 USD ($) | Sep. 30, 2018 USD ($) | Jun. 30, 2018 item | Sep. 30, 2019 USD ($) item property | Sep. 30, 2018 USD ($) item property | Dec. 31, 2018 USD ($)
Disposals and other |  |  |  |  |  |
Carrying value | $ 1,132,271 |  |  | $ 1,132,271 |  | $ 1,106,581
Net Gain (Loss) | 6,236 | $ 14,353 |  | $ 6,736 | $ 62,698 |
ALF |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | item |  |  | 6 |  |  |
Properties sold |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 | 8 |
Number of beds or units in property sold | item |  |  |  | 148 | 605 |
Sales price |  |  |  | $ 7,920 | $ 85,375 |
Carrying value | 1,639 | 19,970 |  | 1,639 | 19,970 |
Net Gain (Loss) |  |  |  | $ 6,736 | $ 62,698 |
Properties sold | SNF | Georgia |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  | 148 |  |
Sales price |  |  |  | $ 7,920 |  |
Carrying value | $ 1,639 |  |  | 1,639 |  |
Net Gain (Loss) |  |  |  | 6,236 |  |
Properties sold | SNF | Alabama |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  | 2 |
Number of beds or units in property sold | item |  |  |  |  | 285 |
Sales price |  |  |  |  | $ 17,525 |
Carrying value |  | 3,272 |  |  | 3,272 |
Net Gain (Loss) |  |  |  |  | 14,253 |
Properties sold | ALF |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Net Gain (Loss) |  |  |  | $ 500 |  |
Properties sold | ALF | Kansas |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Sales price |  |  |  |  | 350 |
Carrying value |  | 346 |  |  | $ 346 |
Properties sold | ALF | Ohio and Pennsylvania |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  | 6 |
Number of beds or units in property sold | item |  |  |  |  | 320 |
Sales price |  |  |  |  | $ 67,500 |
Carrying value |  | $ 16,352 |  |  | 16,352 |
Net Gain (Loss) |  |  |  |  | $ 48,445 |

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- Definition The difference between the carrying value and the sale price of real estate or properties that were intended to be sold or held for capital appreciation or rental income. This element refers to the gain (loss) included in earnings and not to the cash proceeds of the sale. This element is a noncash adjustment to net income when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109226691&loc=d3e2941-110230 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3602-108585 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=109226348&loc=d3e2443-110228 + Details
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- Definition Amount of real estate investment property, net of accumulated depreciation, which may include the following: (1) land available-for-sale; (2) land available-for-development; (3) investments in building and building improvements; (4) tenant allowances; (5) developments in-process; (6) rental properties; and (7) other real estate investments. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.1(d)) -URI http://asc.fasb.org/extlink&oid=119400593&loc=d3e572229-122910 + Details
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