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Debt (Narrative) (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2018
USD ($)
properties
$ / shares
shares
Sep. 30, 2017
USD ($)
shares
Sep. 30, 2018
USD ($)
properties
shares
number_of_loans
$ / shares
Sep. 30, 2017
USD ($)
shares
Dec. 31, 2017
USD ($)
Repayments of Convertible Debt     $ 29,985,000 $ 14,312,000  
Redemptions of Convertible Debt, Total Expenditures, Debt Allocation     27,558,000    
Loss on Cash Flow Hedge Ineffectiveness     (353,000)    
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets $ 235,000   235,000    
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net $ 1,153,000   $ 1,153,000    
Debt Instrument, Convertible, Conversion Ratio     14.37    
Debt Instrument, Convertible, Conversion Price | $ / shares $ 69.57   $ 69.57    
Debt Instrument, Convertible, If-converted Value in Excess of Principal     $ 10,385,000    
Debt Instrument, Convertible, Number of Equity Instruments | shares     1,724,900    
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities | shares 149,153 264,795 57,802 186,545  
Convertible Debt $ 118,418,000   $ 118,418,000   $ 144,938,000
Payments of Debt Issuance Costs     2,113,000 $ 4,149,000  
Gain (Loss) on Extinguishment of Debt 0 $ (495,000) $ (738,000) $ (591,000)  
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage     2000.00%    
Credit Facility, Current Revolving Borrowing Capacity $ 550,000,000   $ 550,000,000    
Number of Real Estate Properties | properties 219   219    
Debt Covenant, Total Leverage Ratio, Tier Two, Begin 0.35   0.35    
Debt Covenant, Total Leverage Ratio, Tier Two, End 0.40   0.40    
$300M Term Loan [Member]          
Term Loans, Outstanding Balance $ 300,000,000   $ 300,000,000    
Bank Term Loans [Member]          
Term Loans, Outstanding Balance $ 250,000,000   $ 250,000,000    
Debt Instrument, Basis Spread on Variable Rate     12700.00%    
Debt Instrument, Variable Rate Basis, Minimum 12300.00%   12300.00%    
Debt Instrument, Name, Convertible Senior Notes [Member]          
Debt Instrument, Interest Rate, Stated Percentage 3.25%   3.25%    
Convertible Debt Instrument, Conversion Ratio, Principal Amount, Basis     $ 1,000    
Gain (Loss) on Extinguishment of Debt     738,000    
Adjustments to Additional Paid in Capital, Convertible Debt with Conversion Feature     2,427,000    
At Inception [Member]          
Proceeds from convertible senior notes     $ 200,000,000    
Debt Instrument, Convertible, Conversion Ratio     13.93    
Debt Instrument, Convertible, Conversion Price | $ / shares $ 71.81   $ 71.81    
Debt Instrument, Convertible, Number of Equity Instruments | shares     2,785,200    
Debt Instrument, Name, Revolving Credit Facility [Member]          
Debt Instrument, Basis Spread on Variable Rate     11500.00%    
Debt Instrument, Variable Rate Basis, Minimum 22600.00%   22600.00%    
Unused balance of the unsecured revolving credit facility $ 527,000,000   $ 527,000,000    
FNMA Berkadia Note [Member]          
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate 4.60%   4.60%    
Debt Instrument, Name, Fannie Mae Term Loans [Member]          
Debt Instrument, Term     10 years    
Mortgage Loans on Real Estate, Face Amount of Mortgages $ 78,084,000   $ 78,084,000    
Debt Instrument, Interest Rate, Stated Percentage 3.79%   3.79%    
Number of Real Estate Properties 13   13    
Net Book Value of Real Estate Pledged Toward Mortgage $ 139,053,000   $ 139,053,000    
Debt Instrument, Name, HUD Mortgages [Member]          
Number of Real Estate Properties | properties 10   10    
Net Book Value of Real Estate Pledged Toward Mortgage $ 51,296,000   $ 51,296,000    
Debt Instrument, Name, HUD Mortgages [Member] | Minimum [Member]          
Mortgage Loans on Real Estate, Interest Rate     4.30%    
Debt Instrument, Name, HUD Mortgages [Member] | Maximum [Member]          
Mortgage Loans on Real Estate, Interest Rate     4.40%    
Debt Instrument, HUD Mortgages, 2049 Maturity [Member]          
Mortgage Loans on Real Estate, Number of Loans | number_of_loans     9    
Debt Instrument, HUD Mortgages, 2047 Maturity [Member]          
Mortgage Loans on Real Estate, Number of Loans | number_of_loans     1    
Bickford Senior Living [Member]          
Number of Real Estate Properties | properties 52   52    
Middletown, OH [Member] | Bickford Senior Living [Member]          
Noncash or Part Noncash Acquisition, Noncash Financial or Equity Instrument Consideration, Rate     2.90%    
Fair Value, Inputs, Level 2 [Member]          
Cash Flow Hedge Derivative Instrument Assets at Fair Value $ 2,511,000   $ 2,511,000   159,000
Cash Flow Hedges Derivative Instruments at Fair Value, Net         $ (588,000)
Tulsa, OK [Member] | FNMA Berkadia Note [Member]          
Mortgage Loans on Real Estate, Face Amount of Mortgages $ 18,043,000   $ 18,043,000