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Real Estate Investments - Discontinued Operations and Assets Held for Sale - Balance Sheet (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Balance Sheet data (as of the period ended):    
Land $ 267,803 $ 230,206
Buildings, improvements and lease intangibles 3,915,308 3,675,415
Real estate properties, Total 4,262,698 3,974,071
Accumulated depreciation (1,106,387) (1,015,174)
Total real estate properties, net 3,156,311 2,958,897
Liabilities of properties held for sale 300 587
Inpatient Rehabilitation Facility | Disposal Group, Held-for-sale, Not Discontinued Operations    
Balance Sheet data (as of the period ended):    
Land 1,125 1,125
Buildings, improvements and lease intangibles 34,426 18,231
Real estate properties, Total 35,551 19,356
Accumulated depreciation (30,706) (10,657)
Total real estate properties, net 4,845 8,699
Other assets, net 444 573
Assets held for sale, net 5,289 9,272
Accounts payable and accrued liabilities 93 450
Other liabilities 207 137
Liabilities of properties held for sale $ 300 $ 587