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Loans Receivable (Details) $ in Thousands, £ in Millions			1 Months Ended						3 Months Ended	9 Months Ended
Loans Receivable (Details) $ in Thousands, £ in Millions	Nov. 03, 2014 USD ($)	Aug. 29, 2014 USD ($)	Oct. 31, 2015 USD ($)	Sep. 30, 2015 GBP (£) property	Apr. 30, 2015 GBP (£) property	Feb. 28, 2015 GBP (£)	Feb. 28, 2015 USD ($)	Nov. 30, 2014 GBP (£) property item	Sep. 30, 2014 USD ($)	Sep. 30, 2015 GBP (£)	Sep. 30, 2015 USD ($)	Sep. 30, 2014 USD ($)	Sep. 30, 2015 USD ($)	May. 31, 2015 GBP (£)	May. 31, 2015 USD ($)	Feb. 28, 2015 USD ($)	Dec. 31, 2014 USD ($)	Nov. 30, 2014 USD ($)	Jun. 30, 2013 USD ($)	Jul. 31, 2012 USD ($)
Loans Receivable:
Mezzanine													$ 696,877				$ 799,064
Loan receivable, other													90,650				135,363
Unamortized discounts, fees and costs													(8,524)				(14,056)
Allowance for loan losses													(13,410)				(13,410)
Loans receivable, net													$ 765,593				906,961
Percentage of Loan Portfolio				100.00%						100.00%			100.00%
Loans and Leases Receivable, Gross														£ 27	$ 42,000
Performing Loans
Loans Receivable:
Loans receivable, net													$ 748,606
Workout Loans
Loans Receivable:
Loans receivable, net													16,987
NHP[Member]
Loans Receivable:
Number of facilities \| property								273
Number of beds \| item								12,500
Real Estate Secured
Loans Receivable:
Loan receivable, other													90,650				135,363
Loans receivable, net													$ 90,650				135,363
Percentage of Loan Portfolio				12.00%						12.00%			12.00%
Real Estate Secured \| Performing Loans
Loans Receivable:
Loans receivable, net													$ 90,650
Other Secured
Loans Receivable:
Mezzanine													696,877				799,064
Unamortized discounts, fees and costs													(8,524)				(14,056)
Allowance for loan losses													(13,410)				(13,410)
Loans receivable, net													$ 674,943				771,598
Remaining commitments to fund development projects											$ 2,000
Percentage of Loan Portfolio				88.00%						88.00%			88.00%
Other Secured \| Performing Loans
Loans Receivable:
Loans receivable, net													$ 657,956
Other Secured \| Workout Loans
Loans Receivable:
Loans receivable, net													16,987
HC-One Facility
Loans Receivable:
Mezzanine				£ 269						£ 269			408,000
Loan receivable, other								£ 363										$ 574,000
Unamortized discounts, fees and costs				4						4			6,000
Remaining commitments to fund development projects										40	60,000
Number of facilities \| property					36
Loan facility maximum						£ 502		£ 395								$ 795,000
Loan receivable term								5 years
Proceeds from Lines of Credit \| £								£ 355
Increase in loan facility				£ 11		£ 108	$ 164,000
Amount of facility converted into sale/leaseback \| £					£ 174
Non-call period shortened				17 months
Paydown from disposition proceeds without a prepayment premium \| £				£ 34
Number of properties spinoff into a separate joint venture \| property				36
Term to retain security over the spinoff properties				2 years
Cash payments received from borrower										£ 29	$ 45,000
Brookdale receivable
Loans Receivable:
Loan receivable, face amount		$ 68,000
Cash payments received from borrower	$ 68,000
Percentage of equity interest as collteral for secured borrowings		20.00%
Initial interest rate (as a percentage)		7.00%
Tandem Health Care Loan
Loans Receivable:
Loan receivable, other													256,000
Loan facility maximum																				$ 205,000
Loan receivable subordinated to senior mortgage debt													$ 382,000
Loan receivable, interest rate payable (as a percent)				11.50%						11.50%			11.50%
Tandem Health Care Loan - First Tranche
Loans Receivable:
Loan receivable, other																				$ 100,000
Loan receivable, interest rate payable (as a percent)				12.00%						12.00%			12.00%
Tandem Health Care Loan - Second Tranche
Loans Receivable:
Loan receivable, other																			$ 102,000
Loan receivable, interest rate payable (as a percent)				14.00%						14.00%			14.00%
Tandem Health Care Loan Third Tranche [Member]
Loans Receivable:
Loan receivable, other															50,000
Loan receivable, interest rate payable (as a percent)				6.00%						6.00%			6.00%
Tandem Health Care Loan Fourth Tranche [Member]
Loans Receivable:
Loan receivable, other															$ 5,000
Loan receivable, interest rate payable (as a percent)				6.00%						6.00%			6.00%
Delphis
Loans Receivable:
Allowance for loan losses													$ (13,000)				(13,000)
Loans receivable, net reported amount													$ 17,000				$ 17,000
Cash payments received from borrower									$ 600			$ 600
Delphis \| Subsequent event
Loans Receivable:
Cash payments received from borrower			$ 23,000
Loan receivable impairment recovery recognized			$ 6,000