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Triple-Net Lease Arrangements (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2015
USD ($)
state
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
state
Sep. 30, 2014
USD ($)
Dec. 31, 2016
property
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Concentration Risk [Line Items]              
Number of states properties are located in | state 38   38        
Straight-line rent receivables, net $ 541   $ 541     $ 766 $ 473
Allowance of straight line rent receivables 81,000   81,000     $ 58,000 $ 37,800
Straight-line rent allowances expense $ 5,900 $ 6,600 $ 19,500 $ 15,700      
Customer Concentration Risk | Senior Care Centers, LLC | Real estate investments based on gross book value              
Concentration Risk [Line Items]              
Percentage of revenue or gross book value (Texas accounted for more than 10% of total revenue)     19.00%        
Customer Concentration Risk | Senior Care Centers, LLC | Revenue              
Concentration Risk [Line Items]              
Percentage of revenue or gross book value (Texas accounted for more than 10% of total revenue) 13.20% 1.50%          
Customer Concentration Risk | Avamere Group, LLC | Real estate investments based on gross book value              
Concentration Risk [Line Items]              
Percentage of revenue or gross book value (Texas accounted for more than 10% of total revenue)     9.60%        
Customer Concentration Risk | Avamere Group, LLC | Revenue              
Concentration Risk [Line Items]              
Percentage of revenue or gross book value (Texas accounted for more than 10% of total revenue) 10.80% 9.20%          
TEXAS | Revenue              
Concentration Risk [Line Items]              
Number of states properties are located in | state 1   1        
Minimum | TEXAS | Revenue              
Concentration Risk [Line Items]              
Percentage of revenue or gross book value (Texas accounted for more than 10% of total revenue)     10.00%        
Skilled Nursing Facilities | Forecast              
Concentration Risk [Line Items]              
Number of properties with exercised purchase options | property         7