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Real Estate (Narrative) (Details)
3 Months Ended 6 Months Ended
Jun. 30, 2017
USD ($)
properties
beds_or_units
renewalOptions
Master_Leases
shares
Mar. 31, 2017
USD ($)
Jun. 30, 2016
USD ($)
properties
Mar. 31, 2016
USD ($)
Jun. 30, 2017
USD ($)
properties
beds_or_units
renewalOptions
Master_Leases
shares
Jun. 30, 2016
USD ($)
properties
Number of Real Estate Properties | properties 207       207  
Number of States in which Entity Operates 32       32  
Nonportfolio Assets, Original Cost $ 1,278,000       $ 1,278,000  
Real Estate Investment Property, Portfolio Assets $ 2,611,526,000       $ 2,611,526,000  
Number of Lessees 29       29  
Payments to Acquire Real Estate         $ 128,411,000 $ 261,610,000
Lessee Payment To Acquire Purchase Option   $ 1,250,000   $ 0    
Remaining Unfunded Development Commitment $ 53,112,000       53,112,000  
Real Estate Investments During The Period         129,661,000  
Operating Leases, Income Statement, Lease Revenue 65,735,000   $ 57,028,000   128,873,000 112,102,000
Straight Line Rent         12,005,000 10,583,000
Gain on sale of real estate $ 0   2,928,000   $ 50,000 4,582,000
Bickford Development Properties [Member]            
Number of Units in Real Estate Property | beds_or_units 60       60  
Ravn Senior Solutions [Member]            
Real Estate Properties, Number Acquired | properties         2  
Number of Units in Real Estate Property | beds_or_units 86       86  
Payments to Acquire Real Estate         $ 16,100,000  
Asset Purchase Transaction Costs         $ 100,000  
Lessor, Operating Lease, Term of Contract         15 years  
Initial lease rate 7.35%       7.35%  
Real Estate Investments During The Period         $ 16,100,000  
Capital Improvements Commitment $ 207,000       207,000  
Lease Incentive Commitment Assessed As Not Probable         1,500,000  
Payments to acquire real estate, seller earnout, contingent, not probable         $ 1,000,000  
Holiday Acquisition Holdings [Member]            
Number of Real Estate Properties | properties 25       25  
Lessor, Operating Lease, Term of Contract 17 years          
Lease Escalator Rate, After Lease Year 3 3.50%       3.50%  
Operating Leases, Income Statement, Lease Revenue $ 10,954,000   $ 10,954,000   $ 21,908,000 $ 21,908,000
Percentage of Continuing Revenue 16.00%   18.00%   16.00% 18.00%
Straight Line Rent $ 1,849,000   $ 2,241,000   $ 3,698,000 $ 4,482,000
National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties 42       42  
Number of Master Leases | Master_Leases 2       2  
Operating Leases, Income Statement, Lease Revenue $ 9,318,000   $ 9,270,000   $ 18,831,000 $ 19,087,000
Percentage of Continuing Revenue 13.00%   15.00%   14.00% 16.00%
Lessor Equity Shares Owned, Significant Lessee | shares 1,630,462       1,630,462  
Percentage rent $ 782,000   $ 733,000   $ 1,757,000 $ 2,013,000
National Healthcare Corporation [Member] | NHC - 1991 Lease [Member]            
Number of Real Estate Properties | properties 35       35  
Number Of Additional Lease Renewal Options | renewalOptions 2       2  
Lease Renewal Period In Years         5 years  
Percentage Rent Rate         0.04  
Minimum Annual Lease Income         $ 30,750,000  
National Healthcare Corporation [Member] | NHC - 2013 Lease [Member]            
Number Of Real Estate Properties Acquired | properties         7  
Percentage Rent Rate         0.04  
Minimum Annual Lease Income         $ 3,450,000  
Purchase Option Amount $ 49,000,000       $ 49,000,000  
Bickford Senior Living [Member]            
Real Estate Properties, Number Acquired | properties         1  
Number of Real Estate Properties | properties 43       43  
Operating Leases, Income Statement, Lease Revenue $ 9,899,000   $ 7,165,000   $ 19,273,000 $ 13,471,000
Percentage of Continuing Revenue 14.00%   12.00%   14.00% 11.00%
Number of Real Estate Properties To Be Constructed | properties 1       1  
Straight Line Rent $ 907,000   $ 63,000   $ 1,816,000 $ (2,000)
Joint Venture Contributed Properties Ownership Interest Retained 85.00%       85.00%  
Joint Venture Contributed Properties Ownership Interest Surrendered 15.00%       15.00%  
Minimum Annual Lease Income         $ 36,423,000  
Bickford Senior Living [Member] | Bickford Development Properties [Member]            
Initial lease rate 9.00%       9.00%  
Free Rent Lease Period, Number of Months         6 months  
Bickford Senior Living [Member] | Bickford RIDEA Properties [Member]            
Number of Real Estate Properties | properties 35       35  
Bickford Senior Living [Member] | Real Estate Acquisition [Member]            
Number of Units in Real Estate Property | beds_or_units 60       60  
Asset Purchase Transaction Costs         $ 200,000  
Lessor, Operating Lease, Term of Contract         14 years  
Initial lease rate 7.25%       7.25%  
Real Estate Investments During The Period         $ 10,400,000  
Capital Improvements Commitment $ 475,000       $ 475,000  
Senior Living Communities [Member]            
Number of Real Estate Properties | properties 9       9  
Number of Units in Real Estate Property 1,970       1,970  
Lessor, Operating Lease, Term of Contract         15 years  
Lease Escalator Rate Lease Year 2 to Lease Year 4 4.00%       4.00%  
Lease Escalator Rate after Lease Year 4 3.00%       3.00%  
Operating Leases, Income Statement, Lease Revenue $ 11,431,000   $ 9,855,000   $ 22,862,000 $ 19,711,000
Percentage of Continuing Revenue 16.00%   16.00%   17.00% 16.00%
Straight Line Rent $ 1,746,000   $ 1,795,000   $ 3,492,000 $ 3,591,000
Number Of Additional Lease Renewal Options 2       2  
Lease Renewal Period In Years         5 years  
Prestige Senior Living [Member]            
Real Estate Properties, Number Acquired | properties         1  
Number of Units in Real Estate Property | beds_or_units 102       102  
Payments to Acquire Real Estate         $ 26,200,000  
Asset Purchase Transaction Costs         $ 112,000  
Lessor, Operating Lease, Term of Contract         12 years  
Initial lease rate 7.00%       7.00%  
Real Estate Investments During The Period         $ 26,200,000  
Lease Escalator Rate Lease Year 2 to Lease Year 4 3.50%       3.50%  
Lease Escalator Rate after Lease Year 4 2.50%       2.50%  
Lease Incentive Commitment Assessed As Not Probable         $ 1,000,000  
Payments to acquire real estate, seller earnout, contingent, not probable         $ 1,000,000  
The Lasalle Group [Member]            
Real Estate Properties, Number Acquired | properties         5  
Number of Units in Real Estate Property | beds_or_units 223       223  
Payments to Acquire Real Estate         $ 61,800,000  
Asset Purchase Transaction Costs         $ 65,000  
Lessor, Operating Lease, Term of Contract         15 years  
Initial lease rate 7.00%       7.00%  
Real Estate Investments During The Period         $ 61,865,000  
Lease Escalator Rate, From Lease Year 1 to Lease Year 3 3.50%       3.50%  
Lease Escalator Rate, After Lease Year 3 2.50%       2.50%  
Lease Incentive Commitment Assessed As Not Probable         $ 5,000,000  
Payments to acquire real estate, seller earnout, contingent, not probable         $ 2,500,000  
Ensign Group [Member]            
Real Estate Properties, Number Acquired | properties         1  
Number of Units in Real Estate Property | beds_or_units 126       126  
Payments to Acquire Real Estate         $ 13,846,000  
Lessee Payment To Acquire Purchase Option         $ 1,250,000  
Lessor, Operating Lease, Term of Contract         14 years  
Initial lease rate 8.35%       8.35%  
Real Estate Properties, Commitment To Purchase | properties 3       3  
Real Estate Investments During The Period         $ 15,096,000  
Senior Housing Community [Member]            
Number of Real Estate Properties | properties 134       134  
Skilled Nursing Facility [Member]            
Number of Real Estate Properties | properties 68   2   68 2
Gain on sale of real estate       2,805,000    
Asset Held For Sale, Agreed Selling Price     $ 24,600,000     $ 24,600,000
Skilled Nursing Facility [Member] | Lease Maturity Extension [Member]            
Number of Real Estate Properties | properties 6       6  
Lessor, Operating Lease, Payments to be Received $ 9,800,000       $ 9,800,000  
Lessor, Operating Lease, Term of Contract         12 years  
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties 39       39  
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member] | Subleased Facilities [Member]            
Number of Real Estate Properties | properties 4       4  
Skilled Nursing Facility [Member] | Health Services Management [Member]            
Lessor, Operating Lease, Payments to be Received   $ 7,241,000        
Hospital [Member]            
Number of Real Estate Properties | properties 3       3  
Medical Office Building [Member]            
Number of Real Estate Properties | properties 2       2  
Independent Living Facility [Member] | National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties 3       3  
Vacant Land [Member]            
Gain on sale of real estate     123,000      
Grangeville, ID [Member]            
Operating Leases, Income Statement, Lease Revenue     $ 73,000      
Gain on sale of real estate       1,654,000    
Real Estate Held-for-sale       1,346,000    
Asset Held For Sale, Agreed Selling Price       $ 3,000,000