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Real Estate (Narrative) (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2017
USD ($)
a
Master_Leases
properties
beds_or_units
renewalOptions
shares
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
properties
Mar. 31, 2016
USD ($)
Sep. 30, 2017
USD ($)
a
Master_Leases
properties
beds_or_units
renewalOptions
shares
Sep. 30, 2016
USD ($)
Dec. 31, 2016
USD ($)
Number of Real Estate Properties | properties 207       207    
Number of States in which Entity Operates 32       32    
Nonportfolio Assets, Original Cost $ 1,298,000       $ 1,298,000    
Real Estate Investment Property, Portfolio Assets $ 2,619,622,000       $ 2,619,622,000    
Number of Lessees 29       29    
Payments to Acquire Real Estate         $ 133,251,000 $ 288,965,000  
Lessee Payment To Acquire Purchase Option         1,250,000 0  
Remaining Unfunded Development Commitment $ 57,299,000       57,299,000    
Real Estate Investments During The Period         134,501,000    
Operating Leases, Income Statement, Lease Revenue 68,204,000 $ 59,272,000     197,077,000 171,374,000  
Deferred Rent Receivables, Net 90,224,000       90,224,000   $ 72,518,000
Straight Line Rent         18,956,000 16,583,000  
Gain on sale of real estate $ 0 0     $ 50,000 4,582,000  
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     $ 32,863,000 $ 32,863,000  
Percentage of Continuing Revenue 15.00% 17.00%     16.00% 18.00%  
Straight Line Rent $ 1,849,000 $ 2,241,000     $ 5,547,000 $ 6,724,000  
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     $ 28,149,000 $ 28,357,000  
Percentage of Continuing Revenue 13.00% 15.00%     14.00% 15.00%  
Lessor Equity Shares Owned, Significant Lessee | shares 1,630,462       1,630,462    
Percentage rent $ 782,000 $ 733,000     $ 2,539,000 $ 2,746,000  
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    
Number of Real Estate Properties To Be Constructed | properties 2       2    
Operating Leases, Income Statement, Lease Revenue $ 10,897,000 $ 8,528,000     $ 30,170,000 $ 21,999,000  
Percentage of Continuing Revenue 15.00% 13.00%     15.00% 12.00%  
Straight Line Rent $ 1,600,000 $ 484,000     $ 3,416,000 $ 482,000  
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         $ 36,494,000    
Bickford Senior Living [Member] | Bickford Development Properties [Member]              
Initial lease rate 9.00%       9.00%    
Number of Real Estate Properties To Be Constructed | properties 5       5    
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    
Transition Tenant [Member]              
Lessor, Operating Lease, Payments to be Received $ 1,500,000       $ 1,500,000    
Number of Units in Real Estate Property | beds_or_units 126       126    
Lessor, Operating Lease, Term of Contract         10 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%    
Purchase Option Amount $ 21,400,000       $ 21,400,000    
Purchase Option, Amount, Forward Rent, Capitalization Rate 8.50%       8.50%    
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     $ 34,293,000 $ 29,566,000  
Percentage of Continuing Revenue 16.00% 16.00%     17.00% 16.00%  
Straight Line Rent $ 1,746,000 $ 1,795,000     $ 5,238,000 $ 5,386,000  
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    
Acadia Healthcare [Member]              
Real Estate Properties, Number Acquired | properties         1    
Operating Leases, Income Statement, Lease Revenue $ 638,000 $ 608,000     $ 1,854,000 $ 1,824,000  
Acadia Healthcare [Member] | Real Estate Acquisition [Member]              
Lessor, Operating Lease, Term of Contract         10 years    
Initial lease rate 7.00%       7.00%    
Land Subject to Ground Leases | a 10       10    
Real Estate Investments During The Period         $ 4,840,000    
Default Tenant [Member]              
Percentage of Continuing Revenue         4.00%    
Deferred Rent Receivables, Net $ 3,200,000       $ 3,200,000    
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    
Gain on sale of real estate       $ 2,805,000      
Asset Held For Sale, Agreed Selling Price     $ 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       $ 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