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Investment Activity (Asset Disposition Schedule) (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
USD ($)
property
Jun. 30, 2023
USD ($)
property
Mar. 31, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
Sep. 30, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
Property, Plant and Equipment [Line Items]            
Proceeds from sales of real estate         $ 51,542 $ 168,957
Gain $ 737     $ 14,840 13,500 $ 28,342
Impairment of real estate (1,200)          
BAKA Enterprises, LLC            
Property, Plant and Equipment [Line Items]            
Accumulated impaired real estate 16,400       16,400  
Milestone Retirement 1 and 2            
Property, Plant and Equipment [Line Items]            
Mortgage and other notes receivable, net 700       700  
Disposal Group, Disposed of by Sale, Not Discontinued Operations            
Property, Plant and Equipment [Line Items]            
Proceeds from sales of real estate         52,071  
Net Real Estate Investment $ 39,197       39,197  
Gain         13,032  
Impairment of real estate         $ (158)  
Disposal Group, Disposed of by Sale, Not Discontinued Operations | BAKA Enterprises, LLC            
Property, Plant and Equipment [Line Items]            
Properties | property     1      
Proceeds from sales of real estate     $ 7,478      
Net Real Estate Investment     7,505      
Gain     0      
Impairment of real estate     $ (27)      
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford            
Property, Plant and Equipment [Line Items]            
Properties | property     1      
Proceeds from sales of real estate     $ 2,553      
Net Real Estate Investment     1,421      
Gain     1,132      
Impairment of real estate     $ 0      
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Chancellor Senior Living            
Property, Plant and Equipment [Line Items]            
Properties | property   1        
Proceeds from sales of real estate   $ 2,355        
Net Real Estate Investment   1,977        
Gain   378        
Impairment of real estate   $ 0        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Milestone Retirement            
Property, Plant and Equipment [Line Items]            
Properties | property   2        
Proceeds from sales of real estate   $ 3,803        
Net Real Estate Investment   3,934        
Gain   0        
Impairment of real estate   $ (131)        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Chancellor Senior Living            
Property, Plant and Equipment [Line Items]            
Properties | property   1        
Proceeds from sales of real estate   $ 7,633        
Net Real Estate Investment   6,140        
Gain   1,493        
Impairment of real estate   $ 0        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Milestone Retirement            
Property, Plant and Equipment [Line Items]            
Properties | property   1        
Proceeds from sales of real estate   $ 1,602        
Net Real Estate Investment   1,452        
Gain   150        
Impairment of real estate   $ 0        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Chancellor Senior Living            
Property, Plant and Equipment [Line Items]            
Properties | property   1        
Proceeds from sales of real estate   $ 23,724        
Net Real Estate Investment   14,476        
Gain   9,248        
Impairment of real estate   $ 0        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Chancellor Senior Living            
Property, Plant and Equipment [Line Items]            
Properties | property 1       1  
Proceeds from sales of real estate $ 2,923          
Net Real Estate Investment 2,292       $ 2,292  
Gain 631          
Impairment of real estate $ 0