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Other Assets - Narrative (Details)
$ in Thousands
2 Months Ended 3 Months Ended 12 Months Ended
Apr. 25, 2018
USD ($)
hospital
Mar. 31, 2019
USD ($)
Mar. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Mar. 31, 2018
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Notes receivable   $ 24,119 $ 24,119 $ 24,110  
Professional fees     $ 100    
Notes Receivable [Member]          
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Notes receivable       $ 900  
Note receivable interest rate       9.00%  
Promissory Notes, Secured By Facilities Owned By Borrower [Member]          
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Notes receivable $ 23,000       $ 2,200
Note receivable interest rate 9.00%        
Long-Term Acute Care Facility [Member]          
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Number of properties used to secure notes by borrower | hospital 7        
Inpatient Rehabilitation Hospital [Member]          
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Number of properties used to secure notes by borrower | hospital 1        
Hospitals [Member] | Notes Receivable [Member]          
Accounts, Notes, Loans and Financing Receivable [Line Items]          
Proceeds from payments   $ 300