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Loans Receivable and Investments 2018 Activity (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jun. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
loan
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Gains (losses) on real estate loan investments   $ 13,202 $ 124 $ 2,271
Income from loans and investments   $ 124,218 117,608 $ 98,094
Ownership interests in properties accounted for under the equity method   25.00%    
Secured Mortgage Loans and Other        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Gains (losses) on real estate loan investments     600  
Ardent subsidiary        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Marketable Securities $ 200,000      
Offering price, percentage of par value 98.60%      
Effective interest rate on investment 10.00%      
Ardent        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Proceeds from fees received $ 14,000      
Recognition of deferred revenue 13,200      
Income from loans and investments 27,200      
Ardent        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Ownership interests in properties accounted for under the equity method   9.80%    
Partial Payments of Loan Receivable        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Proceeds from collection of loans receivable     37,600  
Full Repayments on Loans Receivable        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Proceeds from collection of loans receivable   $ 862,900 $ 35,500  
Number of Loans Repaid | loan   14    
Weighted interest rate   9.10%    
Gains (losses) on real estate loan investments   $ 27,800    
Full Repayments on Loans Receivable | Ardent        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Proceeds from collection of loans receivable 713,000      
Revolving Credit Facility | Ardent        
Accounts, Notes, Loans and Financing Receivable [Line Items]        
Proceeds from collection of loans receivable $ 13,000