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Investment Activity (Dispositions Table) (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 6 Months Ended | 9 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | --- | ---
Sep. 30, 2021 USD ($) property | Aug. 31, 2021 USD ($) property | Dec. 31, 2021 USD ($) property | Sep. 30, 2021 USD ($) property | Jun. 30, 2021 USD ($) property facility | Jun. 30, 2022 USD ($) property | Sep. 30, 2022 USD ($) property | Dec. 31, 2022 USD ($) property facility | Dec. 31, 2021 USD ($) property | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($) | May 31, 2022 property
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  |  |  | 160 |  |  |  |
Proceeds from sales of real estate |  |  | $ 238,864 |  |  |  |  | $ 168,958 | $ 238,864 | $ 39,631 |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | 28,342 | $ 32,498 | 21,316 |  |
Impairment of real estate recognized during the year |  |  | $ 5,895 |  |  |  |  | 21,531 |  | $ 6,400 | $ 0 |
Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  | 22 |  |  |  | 22 |  | 22 |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  |  | 168,989 |  |  |  |
Net Real Estate Investment |  |  |  |  |  |  |  | 143,038 |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | 28,342 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  |  |  | $ 2,391 |  |  |  |
Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net Real Estate Investment |  |  | $ 209,936 |  |  |  |  |  | $ 209,936 |  |  |
Straight line rent adjustments |  |  | 2,354 |  |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  | 32,468 |  |  |  |  |  |  |  |  |
Hospital Corporation of America | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  |  |  | 1 |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 4,868 |  |  |  |
Net Real Estate Investment |  |  |  |  |  |  |  | 1,904 |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | $ 2,964 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 0 |  |  |  |  |  |
Vitality Senior Living | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  |  |  | 1 |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 8,302 |  |  |  |
Net Real Estate Investment |  |  |  |  |  |  |  | 8,285 |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | 17 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 0 |  |  |  |  |  |
Holiday Vero Beach | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  | 1 |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  | $ 2,990 |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  | 3,020 |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | 0 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 30 |  |  |  |  |  |
Chancellor Senior Living | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  | 2 |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  | $ 7,305 |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  | 7,357 |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | $ 0 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 52 |  |  |  |  |  |
Bickford |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties |  |  |  |  |  |  |  | 36 |  |  |  | 3
Proceeds from sales of real estate |  |  |  |  | $ 39,924 |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  | $ 3,568 |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 0 |  |  |  |  |  |  |  |
Bickford | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  | 3 |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  | $ 25,959 |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  | 28,268 |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  |  | $ 0 |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 2,309 |  |  |  |  |  |
Bickford | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  | 6 |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  |  | 52,100 |  |  |  |
Net Real Estate Investment |  |  |  |  | $ 34,485 |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  |  | 1,871 |  |  | (1,900) |  |  |  |
Comfort Care Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  | 4 |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  | $ 40,000 |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  | 38,444 |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  | 1,556 |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 0 |  |  |  |  |  |
Helix Healthcare | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  | 1 |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  | $ 19,500 |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  | 10,535 |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  | 8,965 |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | 0 |  |  |  |  |  |
Discovery Senior Living College Park | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  |  | 2 |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  | $ 16,379 |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  |  | 15,159 |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  | $ 1,220 |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | 0 |  |  |  |  |  |
National HealthCare Corporation | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  |  |  | 7 |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  | $ 43,686 |  |  |  |  |
Net Real Estate Investment |  |  |  |  |  |  | 30,066 |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  |  |  | $ 13,620 |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  | $ 0 |  |  |  |  |  |
Community Health Systems |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  | 3,887 |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  |  | $ 2,879 |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | 0 |  |  |  |  |  |  |  |
Community Health Systems | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  |  |  | 1 |  |  |  |  |  |  |
Net Real Estate Investment |  |  |  |  | $ 946 |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  |  | $ 62 |  |  |  |  |  |  |
TrustPoint Hospital |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  | 31,215 |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  | 8,635 |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 0 |  |  |  |  |  |  |  |
TrustPoint Hospital | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property | 1 |  |  | 1 |  |  |  |  |  |  |  |
Net Real Estate Investment | $ 21,018 |  |  | $ 21,018 |  |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  | 1,562 |  |  |  |  |  |  |  |
Holiday Acquisition Holdings |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | facility |  |  |  |  | 17 |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  | 114,133 |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  | $ 1,900 |  | 1,882 |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 0 |  |  |  |  |  |  |  |
Holiday Acquisition Holdings | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property | 8 | 8 |  | 8 |  |  |  |  |  |  |  |
Net Real Estate Investment | $ 113,611 |  |  | $ 113,611 |  |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  | (1,360) |  |  |  |  |  |  |  |
Quorum Health |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  | 8,314 |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  | 0 |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 1,254 |  |  |  |  |  |  |  |
Quorum Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property | 1 |  |  | 1 |  |  |  |  |  |  |  |
Net Real Estate Investment | $ 9,568 |  |  | $ 9,568 |  |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  | 0 |  |  |  |  |  |  |  |
Senior Living Management |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  | 12,847 |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  | 9,425 |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 0 |  |  |  |  |  |  |  |
Senior Living Management | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property | 1 |  |  | 1 |  |  |  |  |  |  |  |
Net Real Estate Investment | $ 3,212 |  |  | $ 3,212 |  |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  | 210 |  |  |  |  |  |  |  |
Holiday Arbor Glenn |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  | 5,666 |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  |  | 0 |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year | $ 4,600 |  |  | $ 4,641 |  |  |  |  |  |  |  |
Holiday Arbor Glenn | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property | 1 |  |  | 1 |  |  |  |  |  |  |  |
Net Real Estate Investment | $ 10,388 |  |  | $ 10,388 |  |  |  |  |  |  |  |
Straight line rent adjustments |  |  |  | (81) |  |  |  |  |  |  |  |
Brookdale Senior Living |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  | 11,880 |  |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  | $ 184 |  |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | 0 |  |  |  |  |  |  |  |
Brookdale Senior Living | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  | 1 |  |  |  |  |  | 1 |  |  |
Net Real Estate Investment |  |  | $ 11,696 |  |  |  |  |  | $ 11,696 |  |  |
Straight line rent adjustments |  |  |  | 0 |  |  |  |  |  |  |  |
Senior Living Management Grand Maitland |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  | 7,275 |  |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  | $ 3,684 |  |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | 0 |  |  |  |  |  |  |  |
Senior Living Management Grand Maitland | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  | 1 |  |  |  |  |  | 1 |  |  |
Net Real Estate Investment |  |  | $ 3,335 |  |  |  |  |  | $ 3,335 |  |  |
Straight line rent adjustments |  |  | 256 |  |  |  |  |  |  |  |  |
Genesis |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  | 3,723 |  |  |  |  |  |  |  |  |
Gains/Impairment on sales of real estate, net |  |  | $ 2,211 |  |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  | $ 0 |  |  |  |  |  |  |  |
Genesis | Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Properties | property |  |  | 1 |  |  |  |  |  | 1 |  |  |
Net Real Estate Investment |  |  | $ 1,677 |  |  |  |  |  | $ 1,677 |  |  |
Straight line rent adjustments |  |  | $ (166) |  |  |  |  |  |  |  |  |
Vitality, Holiday, Chancellor, and Bickford |  |  |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Impairment of real estate recognized during the year |  |  |  |  |  |  |  | $ 28,500 |  |  |  |

X
- Definition The net gain (loss) resulting from sales and other disposals of real estate owned for investment purposes. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(b)(9)(a)) -URI http://asc.fasb.org/extlink&oid=123367319&loc=SL114868664-224227 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 360 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=123605587&loc=d3e23528-158515 Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(b)(7)(c)) -URI http://asc.fasb.org/extlink&oid=123367319&loc=SL114868664-224227 Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 220 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04(14)(d)) -URI http://asc.fasb.org/extlink&oid=120399700&loc=SL114874048-224260 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 360 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=123605564&loc=d3e23439-158514 Reference 7: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 220 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04(3)(a)) -URI http://asc.fasb.org/extlink&oid=120400993&loc=SL114874131-224263 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 360 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=123605564&loc=d3e23415-158514 + Details
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- Definition The charge against earnings in the period to reduce the carrying amount of real property to fair value. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109226691&loc=d3e2921-110230 + Details
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- Definition The number of real estate properties owned as of the balance sheet date. + References No definition available. + Details
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- Definition The cash inflow from proceeds From Sales of Wholly Owned Real Estate and Real Estate Acquired in Settlement of Loans. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3179-108585 + Details
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