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Real Estate (Narrative) (Details)
1 Months Ended 3 Months Ended
Jan. 31, 2018
USD ($)
Mar. 31, 2018
USD ($)
properties
beds_or_units
renewalOptions
Master_Leases
shares
Mar. 31, 2017
USD ($)
Jan. 12, 2018
beds_or_units
Dec. 31, 2017
USD ($)
properties
Sep. 30, 2017
USD ($)
Number of Real Estate Properties | properties         210  
Number of States in which Entity Operates         32  
Nonportfolio Assets, Original Cost         $ 1,298,000  
Real Estate Investment Property, Portfolio Assets           $ 2,682,387,000
Number of Lessees         27  
Payments to Acquire Real Estate   $ 14,404,000 $ 118,011,000      
Lessee Payment To Acquire Purchase Option   1,275,000 1,250,000      
Operating Leases, Income Statement, Lease Revenue   69,253,000 63,127,000      
Deferred Rent Receivables, Net   102,046,000     $ 97,359,000  
Straight Line Rent   5,962,000 5,755,000      
Real Estate Properties, Commitment To Purchase, Amount   $ 47,017,000        
Holiday Acquisition Holdings [Member]            
Number of Real Estate Properties | properties   25        
Lessor, Operating Lease, Term of Contract   17 years        
Lease Escalator Rate, After Lease Year 3   3.50%        
Operating Leases, Income Statement, Lease Revenue   $ 10,954,000 $ 10,954,000      
Percentage of Continuing Revenue   15.00% 17.00%      
Straight Line Rent   $ 1,530,000 $ 1,849,000      
National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties   42        
Number of Master Leases | Master_Leases   2        
Operating Leases, Income Statement, Lease Revenue   $ 9,674,000 $ 9,513,000      
Percentage of Continuing Revenue   13.00% 14.00%      
Lessor Equity Shares Owned, Significant Lessee | shares   1,630,462        
National Healthcare Corporation [Member] | NHC - 1991 Lease [Member]            
Number of Real Estate Properties | properties   35        
Number Of Additional Lease Renewal Options | renewalOptions   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        
Bickford Senior Living [Member]            
Number of Real Estate Properties | properties   47        
Operating Leases, Income Statement, Lease Revenue   $ 11,445,000 $ 9,373,000      
Percentage of Continuing Revenue   16.00% 14.00%      
Straight Line Rent   $ 1,169,000 $ 910,000      
Minimum Annual Lease Income   $ 41,942,000        
Senior Living Communities [Member]            
Number of Real Estate Properties | properties   9        
Number of Units in Real Estate Property   1,970        
Lessor, Operating Lease, Term of Contract   15 years        
Lease Escalator Rate Lease Year 2 to Lease Year 4   4.00%        
Lease Escalator Rate after Lease Year 4   3.00%        
Operating Leases, Income Statement, Lease Revenue   $ 11,449,000 $ 11,431,000      
Percentage of Continuing Revenue   16.00% 17.00%      
Straight Line Rent   $ 1,359,000 $ 1,746,000      
Number Of Additional Lease Renewal Options   2        
Lease Renewal Period In Years   5 years        
Ensign Group [Member]            
Real Estate Properties, Commitment To Purchase | properties   2        
Default Tenant [Member]            
Percentage of Continuing Revenue   4.00%        
Deferred Rent Receivables, Net   $ 3,773,000        
Senior Housing Community [Member]            
Number of Real Estate Properties | properties         136  
Skilled Nursing Facility [Member]            
Number of Real Estate Properties | properties         69  
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties   39        
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member] | Subleased Facilities [Member]            
Number of Real Estate Properties | properties   4        
Hospital [Member]            
Number of Real Estate Properties | properties         3  
Medical Office Building [Member]            
Number of Real Estate Properties | properties         2  
Independent Living Facility [Member] | National Healthcare Corporation [Member]            
Number of Real Estate Properties | properties   3        
Ensign Waxahachie Purchase [Member]            
Number of Units in Real Estate Property | beds_or_units       121    
Payments to Acquire Real Estate $ 14,404,000          
Lessee Payment To Acquire Purchase Option $ 1,275,000          
Lessor, Operating Lease, Term of Contract 13 years          
Initial lease rate       8.20%