XML 59 R47.htm IDEA: XBRL DOCUMENT v3.22.0.1
Real Estate Properties and Investments (Narrative) (Details)
12 Months Ended
Jan. 13, 2022
USD ($)
Dec. 31, 2021
USD ($)
numberOfProperty
Dec. 31, 2020
USD ($)
numberOfBedOrUnitInTheProperty
Dec. 31, 2019
USD ($)
numberOfProperty
Dec. 31, 2021
USD ($)
Dec. 31, 2021
numberOfProperty
Dec. 31, 2021
numberOfBedOrUnitInTheProperty
Dec. 31, 2021
numberOfRenewalOption
Dec. 31, 2021
Dec. 31, 2021
numberOfMasterLease
Dec. 31, 2021
shares
Sep. 30, 2021
numberOfRenewalOption
Jan. 31, 2020
USD ($)
numberOfBedOrUnitInTheProperty
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           198              
Number of States in which Entity Operates         33                
Straight Line Rent   $ 14,603,000 $ 20,411,000 $ 22,084,000                  
Lessor, Operating Lease, Renewal Term   5 years                      
Loans and Leases Receivable, Gross         $ 305,162,000                
Incentive to Lessee     9,782,000   9,545,000                
Maximum Commitment For All Active Development Projects         31,345,000                
Development in Process         23,480,000                
Gain on sale of real estate   $ 32,498,000 21,316,000 0                  
Payments to Acquire Real Estate   46,817,000 102,712,000 219,187,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   274,700,000                      
Impairment of Real Estate   6,400,000                      
Contingent Funding Commitment         33,850,000                
Lease deposit liabilities     10,638,000   8,838,000                
Lease Income   $ 271,049,000 307,208,000 294,182,000                  
Financing Receivable, Allowance for Credit Loss     (4,946,000)   (5,210,000)                
Loans and Leases Receivable, Net Amount     (292,427,000)   (299,952,000)                
Minimum Holding Period After Purchase Option Exercise   1 year                      
Lease Abatement [Member]                          
Real Estate [Line Items]                          
Operating lease, lease income   $ 2,250,000                      
Skilled Nursing Facility [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           72              
Holiday Acquisition Holdings [Member]                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost   (900,000)                      
Holiday Arbor Glenn                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost   (100,000)                      
Senior Living Management [Member]                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost   (1,200,000)                      
Brookdale Senior Living [Member]                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost   (100,000)                      
Hospital [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Senior Living Management Grand Maitland                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost   (500,000)                      
Current Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Real Estate Investments During The Period   $ 46,850,000                      
Current Period Real Estate Acquisition | Real Estate Property Company [Member] | Noncontrolling Interest [Member]                          
Real Estate [Line Items]                          
Noncash or Part Noncash Acquisition, Interest Acquired   20.00%                      
Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           10              
Impairment of Real Estate   $ 39,500,000                      
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Gain on sale of real estate   26,573,000                      
Straight Line Rent Adjustments   (2,354,000)                      
Lease Abatement for 2020 | Lease Abatement [Member]                          
Real Estate [Line Items]                          
Operating lease, lease income   2,150,000                      
Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Spinoff                          
Real Estate [Line Items]                          
Impairment of Real Estate   5,900,000                      
Not Secured By Real Estate [Member]                          
Real Estate [Line Items]                          
Loans and Leases Receivable, Net Amount     (37,900,000)   (74,200,000)                
Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Real Estate Investments During The Period   $ 176,542,000                      
Prior Period Real Estate Acquisition | Real Estate Operating Company [Member] | Noncontrolling Interest [Member]                          
Real Estate [Line Items]                          
Noncash or Part Noncash Acquisition, Interest Acquired   75.00%                      
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         900,000                
Prior Period Real Estate Acquisition | Real Estate Operating Company [Member] | Controlling Interest [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         2,600,000                
Prior Period Real Estate Acquisition | Real Estate Property Company [Member] | Noncontrolling Interest [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         10,800,000                
Disposal Group, Held-for-sale, Not Discontinued Operations                          
Real Estate [Line Items]                          
Lease Income   $ 5,400,000 $ 8,000,000 $ 8,800,000                  
Bickford Senior Living [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           38              
Percentage of Continuing Revenue   12.00% 15.00% 17.00%                  
Straight Line Rent   $ 1,700,000 $ 2,800,000 $ 4,500,000                  
Lessor, Operating Lease, Term of Contract   12 years                      
Initial lease rate                 8.00%        
Proceeds from Sale of Real Estate   $ 39,900,000                      
Gain on sale of real estate   3,568,000                      
Lease Income   34,599,000 $ 49,451,000 $ 56,210,000                  
Loans and Leases Receivable, Net Amount         (40,599,000)                
Bickford Senior Living [Member] | Lease Abatement [Member]                          
Real Estate [Line Items]                          
Operating lease, lease income   2,100,000                      
Bickford Senior Living [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           4              
Bickford Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty       2   6              
Property, Plant and Equipment, Net         34,500,000                
Note Receivable Interest Rate     7.00%           10.00%        
Proceeds from Sale of Real Estate   52,900,000                      
Loans and Leases Receivable, Commitments, Fixed Rates   13,000,000                      
Impairment of Real Estate   2,500,000                      
Straight Line Rent Adjustments   (1,871,000)                      
Lease Income   $ 1,600,000 $ 5,600,000 $ 6,300,000                  
Loan Term   15 years                      
Bickford Senior Living [Member] | Current Period Investment [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             2            
Bickford Senior Living [Member] | Lease Abatement for 2020 | Lease Abatement [Member]                          
Real Estate [Line Items]                          
Operating lease, lease income   $ 2,100,000                      
Bickford Senior Living [Member] | Negotiations to sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties           6 9            
Bickford Senior Living [Member] | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             1            
Real Estate Investments During The Period   15,100,000                      
Proceeds from Sale and Collection of Notes Receivable   $ 14,100,000                      
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             60            
National Healthcare Corporation [Member]                          
Real Estate [Line Items]                          
Percentage of Continuing Revenue   12.00% 11.00% 12.00%                  
Number of Master Leases | numberOfMasterLease                   2      
Lessor Equity Shares Owned, Significant Lessee | shares                     1,630,642    
Lease Income   $ 37,735,000 $ 37,820,000 $ 38,131,000                  
Loans and Leases Receivable, Net Amount         0                
National Healthcare Corporation [Member] | NHC - 1991 Lease [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           35              
Minimum Annual Lease Income   $ 30,800,000                      
Lessor, Operating Lease, Renewal Term   5 years                      
Percentage Rent Rate   0.04                      
Number Of Additional Lease Renewal Options | numberOfRenewalOption               2          
National Healthcare Corporation [Member] | NHC - 2013 Lease [Member]                          
Real Estate [Line Items]                          
Minimum Annual Lease Income   $ 3,500,000                      
Number Of Real Estate Properties Acquired | numberOfProperty   7                      
Purchase Option Amount         49,000,000                
Percentage Rent Rate   0.04                      
National Healthcare Corporation [Member] | Skilled Nursing Facility [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           39              
National Healthcare Corporation [Member] | Skilled Nursing Facility [Member] | Subleased Facilities [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           4              
National Healthcare Corporation [Member] | Independent Living Facility [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           3              
Autumn Trace                          
Real Estate [Line Items]                          
Lease Escalator Minimum                 2.25%        
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             44            
Initial lease rate                 7.25%        
Lessee, Operating Lease, Renewal Term   5 years                      
Autumn Trace | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             2            
Real Estate Investments During The Period   $ 14,250,000                      
Lessor, Operating Lease, Term of Contract   15 years                      
Asset Purchase Transaction Costs   $ 200,000                      
Senior Living Communities [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           10              
Percentage of Continuing Revenue   17.00% 15.00% 15.00%                  
Straight Line Rent   $ (2,500,000) $ (4,300,000) $ (4,900,000)                  
Lessor, Operating Lease, Renewal Term   5 years                      
Number Of Additional Lease Renewal Options                 2     2  
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             2,068            
Lessor, Operating Lease, Term of Contract   15 years                      
Note Receivable Interest Rate                 10.00%        
Lease Escalator Rate after Lease Year 4                 3.00%        
Lease Income   $ 50,726,000 $ 50,734,000 48,450,000                  
Loans and Leases Receivable, Net Amount         (42,266,000)                
Notes Receivable, Interest Rate, Master Credit Agreement                 7.25%        
Loan Term   5 years                      
Note Receivable Renewal Term   1 year                      
Purchase Option, Amount, Minimum         38,300,000                
Senior Living Communities [Member] | Capital Improvement Commitment [Member]                          
Real Estate [Line Items]                          
Maximum Commitment For All Active Development Projects         9,930,000                
Development in Process         9,930,000                
Senior Living Communities [Member] | Not Secured By Real Estate [Member]                          
Real Estate [Line Items]                          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             186            
Discovery Senior Living [Member] | Capital Improvement Commitment [Member]                          
Real Estate [Line Items]                          
Maximum Commitment For All Active Development Projects         900,000                
Development in Process         900,000                
Discovery Senior Living [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         4,000,000                
Non-Performing Lease [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty     9                    
Number of Operators/Tenants | numberOfBedOrUnitInTheProperty             5            
Lease Income   $ 3,000,000 $ 4,600,000 3,600,000                  
Asset Impairment Charges   (6,400,000)                      
Non-Performing Lease [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           3              
Brookdale Senior Living [Member]                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   12,000,000                      
Gain on sale of real estate   184,000                      
Gain (Loss) on Contract Termination   2,500,000                      
Brookdale Senior Living [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           8              
Brookdale Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Operating Leases, Income Statement, Lease Revenue       $ 4,300,000                  
Proceeds from Sale of Real Estate   39,300,000                      
Gain on sale of real estate   (200,000) 20,800,000                    
Lease Income   1,400,000 $ 200,000                    
Brookdale Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Subsequent Event [Member]                          
Real Estate [Line Items]                          
Lease Income $ 3,000,000                        
Comfort Care Senior Living [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         6,000,000                
LCS Timber Ridge [Member] | Current Period Real Estate Acquisition | Consideration Type, Total Mortgage [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures                         $ 81,000,000
LCS Timber Ridge [Member] | Current Period Real Estate Acquisition | Skilled Nursing Facility [Member]                          
Real Estate [Line Items]                          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty                         45
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             1            
Real Estate Investments During The Period   $ 134,892,000                      
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             401            
Lessor, Operating Lease, Term of Contract   7 years                      
Initial lease rate                 6.75%        
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         125,000,000                
Note Receivable Interest Rate                 5.75%        
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Real Estate Operating Company [Member]                          
Real Estate [Line Items]                          
Noncash or Part Noncash Acquisition, Interest Acquired   25.00%                      
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Real Estate Property Company [Member]                          
Real Estate [Line Items]                          
Noncash or Part Noncash Acquisition, Interest Acquired   80.00%                      
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Cash [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         43,100,000                
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Existing Mortgage [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         59,300,000                
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Additional Mortgage [Member]                          
Real Estate [Line Items]                          
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures         21,700,000                
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Independent Living Facility [Member]                          
Real Estate [Line Items]                          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             330            
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Assisted Living Facility [Member]                          
Real Estate [Line Items]                          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             26            
Holiday Acquisition Holdings [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           16              
Percentage of Continuing Revenue     12.00% 13.00%                  
Straight Line Rent   $ (5,300,000) $ (6,500,000) $ 6,600,000                  
Proceeds from Sale of Real Estate   115,000,000                      
Gain on sale of real estate   1,882,000                      
Lease deposit liabilities         8,800,000                
Lease Income     40,705,000 40,459,000                  
Contractual rent due but not paid   11,400,000                      
Holiday Acquisition Holdings [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Holiday Acquisition Holdings [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           8              
Property, Plant and Equipment, Net         113,600,000                
Straight Line Rent Adjustments   1,360,000                      
Lease Income   $ 5,900,000 10,000,000                    
The Courtyard at Bellevue                          
Real Estate [Line Items]                          
Lease Escalator Minimum                 2.50%        
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             43            
Initial lease rate                 7.50%        
Lessee, Operating Lease, Renewal Term   5 years                      
The Courtyard at Bellevue | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             1            
Real Estate Investments During The Period   $ 12,300,000                      
Wingate Healthcare [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         5,000,000                
Holiday Lease Amendment [Member] | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Lease Escalator Minimum                 2.00%        
Lease Escalator Maximum                 3.00%        
41 Management [Member] | Current Period Investment [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             1            
41 Management [Member] | Prior Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Loans and Leases Receivable, Gross         3,900,000                
Discovery PropCo [Member] | Capital Addition Purchase Commitments [Member]                          
Real Estate [Line Items]                          
Maximum Commitment For All Active Development Projects         2,000,000                
Development in Process         1,000,000                
Ignite Medical Resorts [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         2,000,000                
Timber Ridge OpCo [Member] | Current Period Investment [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             1            
Timber Ridge OpCo [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         10,000,000                
Vizion                          
Real Estate [Line Items]                          
Lease Escalator Minimum                 2.50%        
Number Of Additional Lease Renewal Options | numberOfRenewalOption               2          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             64            
Lessor, Operating Lease, Term of Contract   15 years                      
Initial lease rate                 8.50%        
Lessee, Operating Lease, Renewal Term   5 years                      
Payments for Capital Improvements   $ 2,000,000                      
Vizion | Current Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Real Estate Investments During The Period   40,250,000                      
Asset Purchase Transaction Costs   300,000                      
Vizion Health                          
Real Estate [Line Items]                          
Loans and Leases Receivable, Commitments, Fixed Rates   $ 20,000,000                      
Incremental Percentage Increase in the Stated Rate of a Note Receivable                 2.50%        
Notes Receivable, Interest Rate, Master Credit Agreement                 8.50%        
Loan Term   5 years                      
Navion Senior Solutions [Member]                          
Real Estate [Line Items]                          
Lease Escalator Minimum                 2.50%        
Number Of Additional Lease Renewal Options | numberOfRenewalOption               2          
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty             48            
Lessor, Operating Lease, Term of Contract   12 years                      
Initial lease rate                 7.50%        
Note Receivable Interest Rate                 8.00%        
Loans and Leases Receivable, Commitments, Fixed Rates   $ 3,600,000                      
Lessee, Operating Lease, Renewal Term   5 years                      
Loan Term   10 years                      
Navion Senior Solutions [Member] | Current Period Real Estate Acquisition                          
Real Estate [Line Items]                          
Real Estate Investments During The Period   $ 6,600,000                      
Asset Purchase Transaction Costs   100,000                      
Navion Senior Solutions [Member] | Capital Improvement Commitment [Member]                          
Real Estate [Line Items]                          
Maximum Commitment For All Active Development Projects         3,650,000                
Development in Process         213,000                
Navion Senior Solutions [Member] | Lease Inducement [Member]                          
Real Estate [Line Items]                          
Contingent Funding Commitment         4,850,000                
Community Health Systems                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   4,300,000                      
Gain on sale of real estate   2,879,000                      
Asset Disposition Transaction Cost   (400,000)                      
Community Health Systems | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Straight Line Rent Adjustments   (62,000)                      
Lease Income   100,000 300,000                    
TrustPoint Hospital                          
Real Estate [Line Items]                          
Gain on sale of real estate   8,635,000                      
Lease Income   1,400,000 2,700,000                    
Proceeds from Sale of Property Held-for-sale   31,200,000                      
TrustPoint Hospital | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Straight Line Rent Adjustments   (1,562,000)                      
Holiday Arbor Glenn                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   5,800,000                      
Gain on sale of real estate   (4,641,000)                      
Impairment of Real Estate   4,600,000                      
Holiday Arbor Glenn | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Property, Plant and Equipment, Net         10,400,000                
Straight Line Rent Adjustments   81,000                      
Lease Income   400,000 600,000                    
Quorum Health                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   9,000,000                      
Gain on sale of real estate   (1,254,000)                      
Impairment of Real Estate   1,300,000                      
Asset Disposition Transaction Cost   (700,000)                      
Quorum Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Lease Income   2,500,000 3,100,000 3,400,000                  
Genesis Health                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   3,900,000                      
Gain on sale of real estate   2,211,000                      
Asset Disposition Transaction Cost   (200,000)                      
Genesis Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Straight Line Rent Adjustments   166,000                      
Lease Income   800,000 700,000                    
Senior Living Management [Member]                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   14,000,000                      
Gain on sale of real estate   9,425,000                      
Senior Living Management [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
Straight Line Rent Adjustments   (210,000)                      
Lease Income   800,000 1,300,000                    
HCA | Subsequent Event [Member]                          
Real Estate [Line Items]                          
Asset Disposition Transaction Cost (300,000)                        
HCA | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Subsequent Event [Member]                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate 5,100,000                        
Lease Income $ 300,000                        
Montecito Medical Real Estate                          
Real Estate [Line Items]                          
Number Of Additional Lease Renewal Options | numberOfRenewalOption               2          
Loans and Leases Receivable, Commitments, Fixed Rates   $ 50,000,000                      
Incremental Percentage Increase in the Stated Rate of a Note Receivable                 2.50%        
Loans and Leases Receivable, Net Amount         (12,300,000)                
Notes Receivable, Interest Rate, Master Credit Agreement                 9.50%        
Loan Term   5 years                      
Note Receivable Renewal Term   1 year                      
Montecito Medical Real Estate | Property Held by Fund                          
Real Estate [Line Items]                          
Number Of Real Estate Properties Acquired | numberOfProperty   6                      
Real Estate Investments During The Period   $ 60,300,000                      
Senior Living Management Grand Maitland                          
Real Estate [Line Items]                          
Proceeds from Sale of Real Estate   7,800,000                      
Gain on sale of real estate   3,684,000                      
Senior Living Management Grand Maitland | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]                          
Real Estate [Line Items]                          
Straight Line Rent Adjustments   (256,000)                      
Lease Income   500,000 700,000                    
Open Now [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             2            
Minimum Annual Lease Income   12,800,000 $ 12,300,000 $ 12,200,000                  
Property, Plant and Equipment, Net         12,400,000                
Open Now [Member] | Hospital [Member]                          
Real Estate [Line Items]                          
Property, Plant and Equipment, Net         13,600,000                
Lease Income   $ 1,900,000                      
Purchase Option, Amount, Minimum         15,000,000                
After 2021 [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty             10            
Property, Plant and Equipment, Net         $ 89,800,000                
SOUTH CAROLINA                          
Real Estate [Line Items]                          
Percentage of Continuing Revenue   11.60% 10.90%                    
SOUTH CAROLINA | Brookdale Senior Living [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           1              
TEXAS                          
Real Estate [Line Items]                          
Percentage of Continuing Revenue   10.30% 10.50%                    
ARIZONA | Brookdale Senior Living [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           4              
TENNESSEE | Brookdale Senior Living [Member] | Asset Held For Sale [Member]                          
Real Estate [Line Items]                          
Number of Real Estate Properties | numberOfProperty           3              
Revenue as % of Total, Exceeds 10% [Member]                          
Real Estate [Line Items]                          
Number of States in which Entity Operates | numberOfBedOrUnitInTheProperty     2       2