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Mortgage and Other Notes Receivable (Details)
12 Months Ended
Jan. 28, 2022
USD ($)
numberOfProperty
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2021
numberOfBedOrUnitInTheProperty
Dec. 31, 2021
numberOfRenewalOption
Dec. 31, 2021
Dec. 31, 2021
numberOfProperty
Dec. 31, 2021
numberOfLoan
Sep. 30, 2021
numberOfRenewalOption
Jan. 31, 2020
USD ($)
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 299,952,000 $ 292,427,000                
Number of health care properties related to mortgage notes receivables         14     14      
Loans and Leases Receivable, Commitments, Fixed Rates   274,700,000                  
Payments to Acquire Real Estate   46,817,000 102,712,000 $ 219,187,000              
Probability of Default, Increase, Current Conditions Adjustment             20.00%        
Estimated Credit Losses, Current Conditions Adjustment, Combined             44.00%        
Increase in mortgage note receivable from sale of real estate   0 4,000,000 $ 0              
Number of Construction Loans | numberOfLoan                 3    
Financing Receivable, Allowance for Credit Loss   5,210,000 4,946,000                
Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 42,266,000                  
Note Receivable Interest Rate             10.00%        
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty         2,068            
Number Of Additional Lease Renewal Options             2     2  
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                  
Loans and Lease Receivable, Maximum Revolving Amount   20,000,000                  
Revolving Note Receivable, Maximum Amount Available for Working Capital Purposes   10,000,000                  
Revolving Note Receivable, Amount Outstanding   $ 9,600,000 11,300,000                
Loans Receivable, Description of Variable Rate Basis, Reference Rate Maturity   10 years                  
Loans Receivable, Description, Variable Rate Basis, Reference Rate   7.52%                  
Loans Receivable, Basis Spread on Variable Rate             6.00%        
Number of Term Loans             2        
Bickford Note Investment [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 36,700,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   42,900,000                  
Contingent Incentive Payments   2,000,000                  
LCS Sagewood [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   180,000,000                  
Notes Receivable, Number Of Loans, Master Credit Agreement             2        
Increase (Decrease) in Notes Receivables   61,200,000                  
The Courtyard at Bellevue                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty         43            
Bickford Senior Living [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   40,599,000                  
Proceeds from Interest Received   900,000                  
Bickford Senior Living [Member] | Loan Balance Threshold Payment Terms Change                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   5,300,000                  
Bickford Senior Living [Member] | Contractual Interest Rate Reduction                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Note Receivable Interest Rate             8.00%        
Timber Ridge OpCo [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Financing Receivable, Revolving   5,000,000                  
Montecito Medical Real Estate                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   12,300,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   $ 50,000,000                  
Number Of Additional Lease Renewal Options | numberOfRenewalOption           2          
Notes Receivable, Interest Rate, Master Credit Agreement             9.50%        
Loan Term   5 years                  
Note Receivable Renewal Term   1 year                  
Incremental Percentage Increase in the Stated Rate of a Note Receivable             2.50%        
Vizion Health                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   $ 20,000,000                  
Notes Receivable, Interest Rate, Master Credit Agreement             8.50%        
Loan Term   5 years                  
Incremental Percentage Increase in the Stated Rate of a Note Receivable             2.50%        
Note receivable, Payment Terms, Initial Percent of Excess Operating Cash Flow             90.00%        
Note receivable, Payment Terms, Reduced Percent of Excess Operating Cash Flow             50.00%        
Vizion Health | Loan Balance Threshold Payment Terms Change                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   $ 15,000,000                  
Navion Senior Solutions [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Note Receivable Interest Rate             8.00%        
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty         48            
Loans and Leases Receivable, Commitments, Fixed Rates   $ 3,600,000                  
Number Of Additional Lease Renewal Options | numberOfRenewalOption           2          
Loan Term   10 years                  
Encore Senior Living | Subsequent Event [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Number of Units in Real Estate Property | numberOfProperty 108                    
Loans and Leases Receivable, Commitments, Fixed Rates $ 28,500,000                    
Number Of Additional Lease Renewal Options | numberOfProperty 2                    
Notes Receivable, Interest Rate, Master Credit Agreement 8.50%                    
Loan Term 4 years                    
Note Receivable Renewal Term 1 year                    
Secured By Real Estate [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 230,900,000 259,500,000                
Not Secured By Real Estate [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   74,200,000 $ 37,900,000                
Not Secured By Real Estate [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty         186            
After 2021 [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Lease Receivable, Maximum Revolving Amount   15,000,000                  
Note A [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   12,000,000                  
Note A [Member] | LCS Sagewood [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   110,794,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   $ 118,800,000                  
Notes Receivable, Interest Rate, Master Credit Agreement             7.25%        
Loan Term   10 years                  
Notes Receivable, Total Borrowings, Master Credit Agreement   $ 118,800,000                  
Loans And Leases Receivable, Commitment, Fixed Rates, Escalator, Basis Points             10        
Note Receivable, Prepayment Penalty, Rate             2.00%        
Note Receivable, Prepayment Penalty, Rate Decrease             1.00%        
Note Receivable, First Note Year For Rate Escalator   3 years                  
Note B [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   $ 2,000,000                  
Note B [Member] | LCS Sagewood [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Notes Receivable, Interest Rate, Master Credit Agreement             8.50%        
Loan Term   5 years                  
June 2019 Transaction [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty         248            
Prior Period Investment [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 32,970,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   50,400,000                  
Prior Period Investment [Member] | Senior Living Communities [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   32,700,000                  
Prior Period Investment [Member] | Bickford Note Investment [Member] | June 2020                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Loans and Leases Receivable, Commitments, Fixed Rates   14,200,000                  
Prior Period Investment [Member] | 41 Management Sussex                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   17,708,000                  
Number of Units in Real Estate Property | numberOfProperty               110      
Loans and Leases Receivable, Commitments, Fixed Rates   $ 22,200,000                  
Number Of Additional Lease Renewal Options | numberOfProperty               2      
Notes Receivable, Interest Rate, Master Credit Agreement             8.50%        
Loan Term   4 years                  
Note Receivable Renewal Term   1 year                  
Payments Related To Mortgage Loan Reserved For Working Capital   $ 4,900,000                  
Prior Period Investment [Member] | Bickford Senior Living [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   4,000,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   4,000,000                  
Prior Period Investment [Member] | Watermark Retirement                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   3,307,000                  
Loans and Leases Receivable, Commitments, Fixed Rates   5,000,000                  
Prior Period Investment [Member] | Timber Ridge OpCo [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   0                  
Loans and Leases Receivable, Commitments, Fixed Rates   5,000,000                  
Current Period Real Estate Acquisition | LCS Timber Ridge [Member] | Consideration Type, Total Mortgage [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures                     $ 81,000,000
June 2020 | Bickford Note Investment [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   7,955,000                  
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Bickford Senior Living [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Note Receivable Interest Rate     7.00%       10.00%        
Loans and Leases Receivable, Commitments, Fixed Rates   $ 13,000,000                  
Loan Term   15 years                  
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Bickford Senior Living [Member] | Unlikely to be Collected Financing Receivable                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Increase in mortgage note receivable from sale of real estate   $ 13,000,000                  
Note A Phase Two | LCS Sagewood [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   98,800,000                  
Commitment Fees                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Noninterest Income, Other Operating Income   400,000                  
Note A Phase I | LCS Sagewood [Member]                      
Financing Receivable, Allowance for Credit Loss [Line Items]                      
Mortgage and other notes receivable, net   $ 110,800,000