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Real Estate Investments - Development and Improvement Projects (Details) - Developments - Real Estate Investment Completed Projects $ in Thousands | 12 Months Ended
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Dec. 31, 2019 USD ($) item property | Dec. 31, 2018 USD ($) item property | Dec. 31, 2017 USD ($) item property
Real Estate Development Commitments |  |  |
Completed development and improvement projects |  |  |
Number of Properties | property | 2 | 1 | 1
Number of Beds/Units | item | 253 | 66 | 66
Total Investment | $ | $ 46,973 | $ 14,998 | $ 13,498
SNF | Real Estate Development Commitments | Kentucky |  |  |
Completed development and improvement projects |  |  |
Number of Properties | property | 1 |  |
Number of Beds/Units | item | 143 |  |
Total Investment | $ | $ 24,974 |  |
MC Units | Real Estate Development Commitments | Illinois |  |  |
Completed development and improvement projects |  |  |
Number of Properties | property |  | 1 |
Number of Beds/Units | item |  | 66 |
Total Investment | $ |  | $ 14,998 |
MC Units | Real Estate Development Commitments, Commitments One | Illinois |  |  |
Completed development and improvement projects |  |  |
Number of Properties | property |  |  | 1
Number of Beds/Units | item |  |  | 66
Total Investment | $ |  |  | $ 13,498
ALF/ILF/MC | Real Estate Development Commitments | Wisconsin |  |  |
Completed development and improvement projects |  |  |
Number of Properties | property | 1 |  |
Number of Beds/Units | item | 110 |  |
Total Investment | $ | $ 21,999 |  |

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