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Mortgage and Other Notes Receivable (Narrative) (Details)
$ in Thousands
 1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2025
USD ($)
Aug. 31, 2024
USD ($)
extensionOption
Jun. 30, 2024
USD ($)
facility
Feb. 29, 2024
USD ($)
extensionOption
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Feb. 01, 2025
USD ($)
Dec. 31, 2024
mortgage
Dec. 31, 2024
unit
Dec. 31, 2024
property
Dec. 31, 2024
Dec. 31, 2024
renewalOption
Dec. 31, 2024
loan
Nov. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           $ (289,175)                      
Number of health care properties related to mortgage notes receivables                   11   16          
Credit loss reserve           (20,249) $ (15,476) $ (20,200)                  
Financing receivable, allowance for credit loss, period increase (decrease)         $ 3,600                        
Loans and leases agreement           138,200                      
Financing receivable, excluding accrued interest, after allowance for credit loss           (268,926) (245,271)                    
Loans and lease receivable, number Of underlying properties | property                       3          
Interest income and other           23,711 21,799 24,698                  
Probability of default, increase, current conditions adjustment                         20.00%        
Estimated credit losses, current conditions adjustment, combined                         40.00%        
Carriage Crossing Senior Living                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement       $ 15,000                          
Contingent incentive payments       $ 2,000                          
Loan term       5 years                          
Financing receivable, stated interest rate       8.75%                          
Number of additional lease renewal options | extensionOption       2                          
Note receivable renewal term       1 year                          
Compass Senior Living , LLC                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement     $ 9,500                            
Loan term     5 years                            
Financing receivable, stated interest rate     8.50%                            
Number of mortgage note receivable facilities | facility     2                            
Clear Sky Senior Living                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement   $ 27,700                              
Loan term   4 years                              
Financing receivable, stated interest rate   9.00%                              
Number of additional lease renewal options | extensionOption   2                              
Note receivable renewal term   1 year                              
Financing receivable, after allowance for credit loss           (7,400)                      
Montecito Medical Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Interest income and other           1,900 1,800 1,800                  
Loans and leases agreement           $ 50,000                      
Loan term           5 years                      
Number of additional lease renewal options | renewalOption                           2      
Financing receivable, after allowance for credit loss           $ (4,500)                      
Investment interest rate                         7.50%        
Notes receivable, interest rate, master credit agreement                         9.50%        
Incremental percentage increase in the stated rate of a note receivable                         2.50%        
Deferred interest rate, additional interest rate accrued                         4.50%        
Montecito Medical Real Estate | Subsequent Event                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, proceeds from principal payments $ 6,200                                
Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, after allowance for credit loss           (16,072)                      
Aggregate principle amount issued           400 300                    
Interest income and other           $ 1,300 1,200 1,300                  
Senior Living Communities                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Note receivable renewal term           1 year                      
Financing receivable, after allowance for credit loss           $ (43,916)                      
Revolving amount line of credit           20,000                      
Revolving note receivable amount outstanding           $ (11,300)                      
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]                                  
Credit loss reserve           (16,100) (11,900)                    
Interest income and other           1,300 1,800 $ 1,700                  
Non-performing                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (25,869)                      
Non-performing | between 1.0x and 1.5x                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss         (14,500) (15,869)                      
Mezzanine                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve           (8,600)                      
Mezzanine | Subsequent Event                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve                 $ (10,000)                
Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve           (1,400) (2,100)                    
Bickford | Non-performing                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (700)                      
Secured By Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (175,800) (162,400)                    
Not Secured By Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss             $ (98,300)                    
Financing receivable, after allowance for credit loss           (113,400)                      
Capital Funding Group, Inc.                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, stated interest rate                                 10.00%
Financing receivable, excluding accrued interest, after allowance for credit loss         $ (25,000)                     $ (50,000) $ (8,100)
Property Held by Fund | Montecito Medical Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, after allowance for credit loss           $ (15,600)                      
Properties | property           6                      
Combined purchase price of medical office buildings           $ 64,700                      
Fully Funded | Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement           14,700                      
Number of construction loans | loan                             1    
Note receivable interest rate                         10.00%        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Unlikely to be Collected Financing Receivable | Bickford Note Investment                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Increase in mortgage note receivable from sale of real estate           (12,200)                      
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]                                  
Loans and leases agreement           $ 32,700                      
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