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Other Real Estate Investments - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
Feb. 28, 2019
USD ($)
extension_option
facility
Sep. 30, 2016
USD ($)
bed
Jul. 31, 2016
USD ($)
bed
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Oct. 31, 2017
USD ($)
Real Estate Properties [Line Items]                  
Preferred equity investment $ 3,100       $ 3,100   $ 3,100    
Purchase price for acquisition of facility             291,275    
Payment to acquire facility             285,946 $ 47,310  
Return of initial investment             2,204 0  
Cumulative contractual preferred return through acquisition date         1,100        
Mortgage Loan Receivable                  
Real Estate Properties [Line Items]                  
Mortgage loan 23,600       23,600   23,600    
Providence | Mortgage Loan Receivable                  
Real Estate Properties [Line Items]                  
Interest income recognized         500 $ 300 1,000 600  
Mortgage loan receivable interest rate (percent)                 9.00%
Mortgage loan                 $ 12,500
Covenant Care | Mortgage Loan Receivable                  
Real Estate Properties [Line Items]                  
Mortgage loan receivable interest rate (percent)   9.00%              
Facilities utilized to secure mortgage loan | facility   5              
Mortgage loan   $ 11,400              
Number of extension options | extension_option   2              
Extension option term (in months)   6 months              
Cascadia Development, LLC                  
Real Estate Properties [Line Items]                  
Preferred equity investment     $ 2,300 $ 2,200          
Preferred equity investment minimum yield     12.00% 12.00%          
Number of beds planned for construction | bed     99 99          
Initial lease yield (percent)     9.00% 9.00%          
Return of initial investment 2,200                
Cascadia Development, LLC | Prime Rate                  
Real Estate Properties [Line Items]                  
Basis spread of preferred equity investment yield     9.50% 9.50%          
Preferred Equity Investment                  
Real Estate Properties [Line Items]                  
Interest income recognized         600 $ 100 600 $ 200  
Recognition of unrecognized preferred return from prior periods         $ 500   400    
Skilled nursing                  
Real Estate Properties [Line Items]                  
Purchase price for acquisition of facility 16,200           $ 246,099    
Payment to acquire facility $ 12,900