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Segment Reporting (Schedule of Segment Reporting Information, by Segment) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Segment Reporting Information [Line Items]      
Rental income $ 217,700 $ 271,049 $ 307,208
Resident fees and services 35,796 0 0
Interest income and other 24,698    
Total revenues 278,194 298,715 332,811
Senior housing operating expenses 28,193 0 0
Taxes and insurance on leased properties 9,788    
NOI 240,213    
Depreciation 70,880 80,798 83,150
Interest 44,917 50,810 52,882
Legal 2,555    
Franchise, excise and other taxes 844 788 534
General and administrative 22,768 18,431 13,304
Loan and realty losses 61,911 52,766 991
Gains on sales of real estate, net (28,342) (32,498) (21,316)
Loss on operations transfer, net 710 0 0
Gain on note receivable payoff (1,113) 0 0
Loss on early retirement of debt 151 1,912 3,924
Gains from equity method investment (569) 1,545 3,126
Net income 65,501 111,967 $ 185,311
Total assets 2,507,424 $ 2,838,876  
Operating Segments | Real Estate Investments      
Segment Reporting Information [Line Items]      
Rental income 217,700    
Resident fees and services 0    
Interest income and other 24,383    
Total revenues 242,083    
Senior housing operating expenses 0    
Taxes and insurance on leased properties 9,788    
NOI 232,295    
Depreciation 64,407    
Interest 3,089    
Legal 0    
Franchise, excise and other taxes 0    
General and administrative 0    
Loan and realty losses 61,911    
Gains on sales of real estate, net (28,342)    
Loss on operations transfer, net 710    
Gain on note receivable payoff (1,113)    
Loss on early retirement of debt 0    
Gains from equity method investment (569)    
Net income 132,202    
Total assets 2,225,176    
Operating Segments | SHOP      
Segment Reporting Information [Line Items]      
Rental income 0    
Resident fees and services 35,796    
Interest income and other 0    
Total revenues 35,796    
Senior housing operating expenses 28,193    
Taxes and insurance on leased properties 0    
NOI 7,603    
Depreciation 6,408    
Interest 0    
Legal 0    
Franchise, excise and other taxes 0    
General and administrative 0    
Loan and realty losses 0    
Gains on sales of real estate, net 0    
Loss on operations transfer, net 0    
Gain on note receivable payoff 0    
Loss on early retirement of debt 0    
Gains from equity method investment 0    
Net income 1,195    
Total assets 274,135    
Non-segment/Corporate      
Segment Reporting Information [Line Items]      
Rental income 0    
Resident fees and services 0    
Interest income and other 315    
Total revenues 315    
Senior housing operating expenses 0    
Taxes and insurance on leased properties 0    
NOI 315    
Depreciation 65    
Interest 41,828    
Legal 2,555    
Franchise, excise and other taxes 844    
General and administrative 22,768    
Loan and realty losses 0    
Gains on sales of real estate, net 0    
Loss on operations transfer, net 0    
Gain on note receivable payoff 0    
Loss on early retirement of debt 151    
Gains from equity method investment 0    
Net income (67,896)    
Total assets $ 8,113