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Real Estate - Narrative (Details)
$ in Thousands
1 Months Ended 9 Months Ended 12 Months Ended
Apr. 27, 2016
USD ($)
Mar. 17, 2016
USD ($)
acquisition
Jan. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
property
parcel
state
Dec. 31, 2015
Real Estate Properties [Line Items]          
Number of properties | property       75  
Number of states | state       20  
Number of land parcels held for future development | parcel       2  
Purchase price       $ 3,000,000  
Number of real estate asset acquired | acquisition   2      
Purchase price of property   $ 2,800      
Restricted cash - real estate funds held for exchange     $ 47,000    
Intangibles          
Real Estate Properties [Line Items]          
Lease Term       7 years 1 month 7 years 9 months 24 days
HealthSpring          
Real Estate Properties [Line Items]          
Purchase price of property       $ 41,300  
Property interest acquired (percent) 90.00%        
Payments to acquire property $ 37,200