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Loans Receivable - Other Secured Loans (Details)
$ in Thousands, £ in Millions
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Oct. 31, 2016
USD ($)
Oct. 31, 2016
USD ($)
Dec. 31, 2015
GBP (£)
Dec. 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
Nov. 30, 2014
USD ($)
property
item
Sep. 30, 2016
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2015
GBP (£)
Sep. 30, 2015
USD ($)
Dec. 31, 2015
GBP (£)
Dec. 31, 2015
USD ($)
Dec. 31, 2015
USD ($)
May 31, 2015
USD ($)
Feb. 28, 2015
USD ($)
Jun. 30, 2013
USD ($)
Jul. 31, 2012
USD ($)
Jun. 30, 2012
GBP (£)
Loans Receivable:                                              
Senior secured term loan                     $ 762,715   $ 762,715         $ 932,212          
Loans receivable, other                     64,057   64,057         114,322          
Amount draw on the revolving line of credit facility                         1,157,897   $ 282,099                
Loan amount outstanding                     1,372,032   1,372,032         $ 397,432          
Revolving credit facility                                              
Loans Receivable:                                              
Loan facility maximum $ 100,000 $ 100,000                                          
Floor rate 1.00%                                            
Period under which QCP may draw unsecured revolving facility 1 year                                            
Percentage of decrease in commitment 50.00%                                            
Facility fee 0.50%                                            
Revolving credit facility | LIBOR                                              
Loans Receivable:                                              
Loan, basis spread on variable rate 6.25%                                            
Subsequent event                                              
Loans Receivable:                                              
Term of facility   5 years                                          
NHP[Member]                                              
Loans Receivable:                                              
Number of facilities | property                 273 273                          
Number of beds acquired | item                 12,500 12,500                          
Four Seasons Health Care                                              
Loans Receivable:                                              
Senior secured term loan | £     £ 40.0                         £ 40.0              
HC-One Facility                                              
Loans Receivable:                                              
Number of facilities | property           36                                  
Loan facility maximum             £ 502.0   £ 395.0                     $ 795,000      
Amount draw on the revolving line of credit facility                 £ 363.0 $ 574,000                          
Term of facility                 5 years 5 years                          
Increase in loan facility         £ 11.0   £ 108.0 $ 164,000                              
Amount of facility converted into sale-leaseback transaction           £ 174.0               £ 174.0 254,000                
Paydowns received | £         £ 34.0                                    
Non-call period shortened         17 months                                    
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                               £ 34.0 $ 52,000            
Loan amount outstanding                     362,000   362,000                    
Tandem Health Care Loan                                              
Loans Receivable:                                              
Loan facility maximum                                           $ 205,000  
Loans receivable, other                     256,000   256,000                    
Cash payments received from borrower                     8,000 $ 8,000 23,000   21,000                
Interest income related to loans                     $ 8,000 $ 8,000 $ 23,000   $ 22,000                
Loan receivable, interest rate payable (as a percent)                     11.50%   11.50%                    
Loan receivable subordinated to senior mortgage debt                     $ 377,000   $ 377,000                    
Tandem Health Care Loan - First Tranche                                              
Loans Receivable:                                              
Loans receivable, other                                           $ 100,000  
Loan receivable, interest rate payable (as a percent)                     12.00%   12.00%                    
Tandem Health Care Loan - Second Tranche                                              
Loans Receivable:                                              
Loans receivable, other                                         $ 102,000    
Loan receivable, interest rate payable (as a percent)                     14.00%   14.00%                    
Tandem Health Care Loan Third Tranche [Member]                                              
Loans Receivable:                                              
Loans receivable, other                                     $ 50,000        
Loan receivable, interest rate payable (as a percent)                     6.00%   6.00%                    
Tandem Health Care Loan Fourth Tranche [Member]                                              
Loans Receivable:                                              
Loans receivable, other                                     $ 5,000        
Loan receivable, interest rate payable (as a percent)                     6.00%   6.00%                    
Four Seasons                                              
Loans Receivable:                                              
Payment to purchase senior secured term loan     £ 28.0 $ 42,000                                      
Marketable debt security, par value | £                                             £ 138.5
Four Seasons | LIBOR                                              
Loans Receivable:                                              
Loan, basis spread on variable rate     6.00% 6.00%