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Subsequent Events - Debt Obligations (Details)
 1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2020
USD ($)
item
Mar. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Debt Obligations            
Stockholders' Equity Attributable to Noncontrolling Interest     $ 8,483,000 $ 8,483,000 $ 7,481,000  
Investment Commitments.     79,716,000 79,716,000    
Amount borrowed       207,900,000 116,200,000 $ 213,000,000
Payments on debt       159,667,000 138,866,000 154,767,000
Outstanding Balance     693,388,000 693,388,000 645,029,000  
Available for borrowing     527,600,000 527,600,000 581,833,000  
Bank Borrowings            
Debt Obligations            
Amount borrowed       107,900,000 116,200,000 113,000,000
Payments on debt       126,000,000 100,700,000 123,600,000
Outstanding Balance     93,900,000 93,900,000 112,000,000  
Available for borrowing     506,100,000 506,100,000 488,000,000  
Bank Borrowings | Subsequent Event            
Debt Obligations            
Amount borrowed   $ 18,000,000        
Outstanding Balance   111,900,000        
Available for borrowing   $ 488,100,000        
Senior Unsecured Notes            
Debt Obligations            
Amount borrowed     100,000,000 100,000,000   100,000,000
Payments on debt       33,667,000 38,166,000 $ 31,167,000
Outstanding Balance     599,488,000 599,488,000 533,029,000  
Available for borrowing     $ 21,500,000 $ 21,500,000 $ 93,833,000  
2020 Acquisitions | SNF | Subsequent Event | Texas            
Debt Obligations            
Number of beds/units acquired | item 140          
Purchase Price $ 13,500,000,000          
Initial lease term 10 years          
Initial cash yield 8.50%          
Percentage of annual escalation 2.00%          
Number of times option to renewal the lease | item 2          
Lease renewal term 5 years