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Investment Activity (Schedule of Tenant Concentrations) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Tenant Concentration [Line Items]          
Cost of corporate office $ 2,600 $ 2,600 $ 2,600 $ 2,600  
Credit loss 15,808   15,808   $ 15,338
Real estate 2,776,591   2,776,591   $ 2,729,898
Real estate, at cost 2,429,654   2,429,654    
Loans and leases receivable, gross 258,768   258,768    
Rental income 62,255 59,394 188,505 163,935  
Resident fees and services 12,367 12,013 35,860 24,005  
Total revenues 80,106 76,298 $ 240,370 $ 207,524  
Percentage of continuing revenue     15.00% 12.00%  
Independent Living Facility | SHOP          
Tenant Concentration [Line Items]          
Real estate investment property, portfolio assets 344,400   $ 344,400    
Escrow funds received from tenants for property operating expenses          
Tenant Concentration [Line Items]          
Real estate 0   0    
Mortgage and other notes receivable, net 0   0    
Rental income 2,908 $ 2,358 $ 8,738 $ 7,553  
Percentage of continuing revenue     4.00% 4.00%  
Senior Living          
Tenant Concentration [Line Items]          
Real estate 573,631   $ 573,631    
Mortgage and other notes receivable, net 48,950   48,950    
Rental income     $ 38,466 $ 38,325  
Percentage of continuing revenue     16.00% 18.00%  
Bickford          
Tenant Concentration [Line Items]          
Real estate 429,043   $ 429,043    
Mortgage and other notes receivable, net 16,827   16,827    
Rental income     $ 29,280    
Percentage of continuing revenue     12.00%    
National HealthCare Corporation (“NHC”)          
Tenant Concentration [Line Items]          
Real estate 133,770   $ 133,770    
Mortgage and other notes receivable, net 0   0    
Rental income     $ 28,159 $ 27,875  
Percentage of continuing revenue     12.00% 13.00%  
Less than 10% Operators          
Tenant Concentration [Line Items]          
Real estate 1,293,210   $ 1,293,210    
Mortgage and other notes receivable, net $ 192,991   192,991    
Rental income     $ 99,867 $ 109,766  
Percentage of continuing revenue     41.00% 53.00%  
More than 10% Operators          
Tenant Concentration [Line Items]          
Rental income     $ 204,510 $ 183,519