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Mortgage and Other Notes Receivable (Narrative) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Nov. 30, 2022
USD ($)
facility
extensionOption
Jan. 31, 2022
USD ($)
property
extensionOption
Sep. 30, 2023
USD ($)
Jun. 30, 2022
USD ($)
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
property
Dec. 31, 2021
USD ($)
Dec. 31, 2023
property
Dec. 31, 2023
facility
Dec. 31, 2023
mortgage
Dec. 31, 2023
unit
Dec. 31, 2023
operator
Dec. 31, 2023
Dec. 31, 2023
extensionOption
Dec. 31, 2023
renewalOption
Dec. 31, 2023
loan
Sep. 21, 2023
USD ($)
Sep. 20, 2023
USD ($)
Sep. 30, 2021
property
Jun. 30, 2021
property
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Number of health care properties related to mortgage notes receivables               16   8                    
Credit loss reserve         $ 15,476 $ 15,338                            
Financing receivable, excluding accrued interest, after allowance for credit loss         (245,271) (233,141)                            
Total         130,725                              
Increase in mortgage note receivable from sale of real estate         2,249 0 $ 0                          
Interest income and other         21,799 24,698 27,666                          
Collection of mortgage and other notes receivable         13,465 119,212 67,790                          
Probability of default, increase, current conditions adjustment                         20.00%              
Estimated credit losses, current conditions adjustment, combined                         44.00%              
Encore Senior Living                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         27,700 14,200                            
Total   $ 28,500                                    
Loan term 5 years 4 years                                    
Notes receivable, interest rate, master credit agreement   8.50%                                    
Number of additional lease renewal options | extensionOption   2                                    
Note receivable renewal term   1 year                                    
Capital Funding Group                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Financing receivable, stated interest rate 7.25%                                      
Number of additional lease renewal options | extensionOption 2                                      
Note receivable renewal term 1 year                                      
Payments to acquire receivables $ 42,500                                      
Number of collateral properties | facility 5                                      
Montecito Medical Real Estate                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         20,300 20,300                            
Interest income and other         1,800 1,800 200                          
Total         $ 50,000                              
Loan term         5 years                              
Notes receivable, interest rate, master credit agreement                         9.50%              
Number of additional lease renewal options | renewalOption                             2          
Note receivable renewal term         1 year                              
Investment interest rate                         7.50%              
Incremental percentage increase in the stated rate of a note receivable                         2.50%              
Deferred interest rate, additional interest rate accrued                         4.50%              
Payments for loans         $ 300                              
Bickford                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         16,795                              
Contingent incentive payments         2,000                              
Properties | facility                 39                      
Interest income and other         1,200 1,300 900                          
Repayments of debt         (300) (300)                            
LCS Sagewood                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Increase (decrease) in notes receivables             (61,200)                          
Life-Care Services - Sagewood                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Interest income and other           5,200 10,200                          
Collection of mortgage and other notes receivable       $ 111,300                                
Proceeds repayment fee and accrued interest on receivable       $ 1,100                                
Senior Living Communities                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         $ 48,950                              
Number of additional lease renewal options | extensionOption                           2            
Note receivable renewal term         1 year                              
Revolving amount line of credit         $ 20,000                              
Revolving note receivable amount outstanding         $ (16,300)                              
Loans receivable, description, variable rate basis, reference rate         8.00%                              
Purchase option, minimum amount         $ 38,300                              
Non-performing                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Number of operators/borrowers | operator                       1                
Collections of mortgage and other notes receivable     $ (2,100)                                  
Interest income and other         1,800 1,700 2,100                          
Mezzanine                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Credit loss reserve         10,000                              
Mezzanine | Non-performing                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Financing receivable, excluding accrued interest, after allowance for credit loss         (14,500)                              
Secured By Real Estate                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         162,400 164,600                            
Not Secured By Real Estate                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Mortgage and other notes receivable, net         $ 98,300 $ 83,900                            
Capital Funding Group, Inc.                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Financing receivable, excluding accrued interest, after allowance for credit loss                                 $ (25,000) $ (8,100)    
Financing receivable, stated interest rate                                 10.00%      
Current Period Investment | Encore Senior Living                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Number of units in real estate property | property   108                                    
Property Held by Fund | Montecito Medical Real Estate                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Properties | property         9 9                            
Combined purchase price of medical office buildings         $ 86,700 $ 86,700                            
Fully Funded | Bickford                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Total         14,700                              
Number of construction loans | loan                               1        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Note receivable interest rate                         10.00%              
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford Note Investment | Unlikely to be Collected Financing Receivable                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Increase in mortgage note receivable from sale of real estate         12,700 $ 13,000                            
Negotiations to sale | Bickford                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Properties | property                                     6 6
Commitment Fees                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Commitment fee             $ 400                          
After 2021 | Senior Living Communities                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Revolving amount line of credit         15,000                              
July 2019 Transaction | Senior Living                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Total         $ 32,700                              
Loan term         5 years                              
Notes receivable, interest rate, master credit agreement                         7.25%              
June 2019 Transaction | Senior Living Communities                                        
Accounts, Notes, Loans and Financing Receivable [Line Items]                                        
Number of units in real estate property | unit                     248