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Real Estate Loans Receivable - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2019
USD ($)
loan
Mar. 31, 2019
USD ($)
loan
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Financing Receivable, Modifications [Line Items]          
Provision for loan losses $ 18,690 $ 18,690 $ 0    
Allowance for loan losses $ 87,062 $ 87,062 $ 68,372    
Number of real estate loans on non-accrual status | loan 3 3      
Real estate loans with outstanding balances $ 21,224 $ 21,224      
Triple-net | Genesis Healthcare Loans          
Financing Receivable, Modifications [Line Items]          
Loan loss charge       $ 62,966 $ 6,935