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Real Estate (Narrative) (Details) (USD $)
3 Months Ended
Mar. 31, 2014
properties
Mar. 31, 2013
Dec. 31, 2013
Number of Real Estate Properties 161    
Number of States in which Entity Operates 30    
Nonportfolio Assets, Original Cost $ 887,000    
Real Estate Investment Property, Portfolio Assets 1,467,328,000    
Number of Lessees 24    
Operating Leases, Income Statement, Lease Revenue 40,313,000 24,105,000  
Straight Line Rent 4,195,000 1,283,000  
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual 2,588,000    
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual 409,000    
Real estate purchase liabilities 4,000,000   2,600,000
Prestige Senior Living [Member]
     
Number of Real Estate Properties 4    
Number of years in initial lease term 15 years 0 months 0 days    
Significant Acquisition, Cost, Cash 40,115,000    
Asset Purchase, Contingent Consideration Arrangements, Earn Out Payments 6,390,000    
Initial lease rate 8.40%    
Real estate purchase liabilities 3,000,000    
Prestige Senior Living [Member] | Capital Improvement Commitment [Member]
     
Number of Real Estate Properties 2    
Capital Improvements Commitment 2,000,000    
Care Investment Trust [Member]
     
Number of Real Estate Properties 14    
Holiday Acquisition Holdings [Member]
     
Number of Real Estate Properties 25    
Number of years in initial lease term 17 years 0 months 0 days    
Initial Lease Amount 31,915,000    
Lease Escalator Rate, From Lease Year 1 to Lease Year 3 4.50%    
Number of Years Until Lease Rate Escalator Change 3 years 0 months 0 days    
Lease Escalator Rate, After Lease Year 3 3.50%    
Operating Leases, Income Statement, Lease Revenue 10,954,000    
Percentage of Continuing Revenue 25.00%    
Billed Rent 7,979,000    
Straight Line Rent 2,975,000    
Bickford Senior Living [Member]
     
Number of Real Estate Properties 29    
Initial Lease Amount 19,108,000    
Joint Venture Contributed Properties Ownership Interest Retained 85.00%    
Joint Venture Contributed Properties Ownership Interest Surrendered 15.00%    
Operating Leases, Income Statement, Lease Revenue 5,263,000 2,081,000  
Percentage of Continuing Revenue 12.00% 8.00%  
Construction and Development Costs 19,254,000    
Bickford Senior Living [Member] | Bickford Development Properties [Member]
     
Number Of Development Projects Active 1    
Maximum Commitment For All Active Development Projects 9,000,000    
Construction and Development Costs 3,958,000    
Bickford Senior Living [Member] | Stabilized Portfolio [Member]
     
Number of Real Estate Properties 27    
Bickford Senior Living [Member] | Unstabilized Portfolio [Member]
     
Number of Real Estate Properties 2    
Operating Leases, Income Statement, Lease Revenue 366,000 146,000  
Construction and Development Costs 15,296,000    
National Healthcare Corporation [Member]
     
Number of Real Estate Properties 42    
Number of Master Leases 2    
Operating Leases, Income Statement, Lease Revenue 9,118,000 8,947,000  
Percentage of Continuing Revenue 21.00% 33.00%  
Percentage rent 581,000 1,315,000  
National Healthcare Corporation [Member] | NHC - 1991 Lease [Member]
     
Number of Real Estate Properties 35    
Number of additional lease renewal options 2    
Lease Renewal Period In Years 5 years 0 months 0 days    
Minimum Annual Lease Income 30,750,000    
National Healthcare Corporation [Member] | NHC - 2013 Lease [Member]
     
Number of Real Estate Properties 7    
Percentage Rent Rate 0.04    
Minimum Annual Lease Income 3,450,000    
Purchase Option Amount $ 49,000,000    
Senior Housing Community [Member]
     
Number of Real Estate Properties 92    
Independent Living Facility [Member] | National Healthcare Corporation [Member]
     
Number of Real Estate Properties 3    
Skilled Nursing Facility [Member]
     
Number of Real Estate Properties 64    
Skilled Nursing Facility [Member] | Prestige Senior Living [Member]
     
Number of Real Estate Properties 3    
Number of Units in Real Estate Property 196    
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member]
     
Number of Real Estate Properties 39    
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member] | Subleased Facilities [Member]
     
Number of Real Estate Properties 4    
Assisted Living Facility [Member] | Prestige Senior Living [Member]
     
Number of Units in Real Estate Property 105    
Hospital [Member]
     
Number of Real Estate Properties 3    
Medical Office Building [Member]
     
Number of Real Estate Properties 2