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Real Estate Loans Receivable (Narrative) (Details)
12 Months Ended
Oct. 01, 2016
loan
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
loan
Dec. 31, 2015
USD ($)
Financing Receivable, Modifications [Line Items]          
Loan term   2 years      
Provision for loan losses related to three Genesis real estate loans   $ 0 $ 62,966,000 $ 6,935,000  
Loan paid off   180,830,000 96,023,000 249,552,000  
Allowance for loan losses   68,372,000 68,372,000 6,563,000 $ 0
Real estate loans with outstanding balances   2,567,000      
Triple-net          
Financing Receivable, Modifications [Line Items]          
Loan paid off   165,830,000 $ 96,023,000 $ 237,262,000  
Genesis Healthcare Four Restructured Loans | Triple-net          
Financing Receivable, Modifications [Line Items]          
Loan term     5 years    
Interest rate     10.00%    
Basis spread on variable rate     0.25%    
Genesis Healthcare Loans          
Financing Receivable, Modifications [Line Items]          
Restructured real estate loans | loan 4     2  
Genesis Healthcare Loans | Triple-net          
Financing Receivable, Modifications [Line Items]          
Long-term debt       $ 317,000,000  
Provision for loan losses related to three Genesis real estate loans   0 $ 62,966,000 $ 6,935,000  
Loan paid off   85,289,000      
Allowance for loan losses   $ 68,372,000