National Health Investors (NHI) 10-K 22 Feb 22 2021 FY Annual report Financial data

Document And Entity Information

Document And Entity Information - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Feb. 14, 2022	Jun. 30, 2021
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2021
Document Transition Report	false
Entity File Number	001-10822
Entity Registrant Name	National Health Investors Inc
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	62-1470956
Entity Address, Address Line One	222 Robert Rose Drive
Entity Address, City or Town	Murfreesboro
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37129
City Area Code	(615)
Local Phone Number	890-9100
Title of 12(b) Security	Common Stock, $0.01 par value
Trading Symbol	NHI
Security Exchange Name	NYSE
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Public Float			$ 2,937,844
Entity Common Stock, Shares Outstanding		45,850,599
Documents Incorporated by Reference	Portions of the Registrant’s definitive proxy statement for its 2022 annual meeting of stockholders are incorporated by reference into Part III, Items 10, 11, 12, 13, and 14 of this Form 10-K.
Amendment Flag	false
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	FY
Entity Central Index Key	0000877860
Current Fiscal Year End Date	--12-31
ICFR Auditor Attestation Flag	true

Audit Information

Audit Information	12 Months Ended
	Dec. 31, 2021
Auditor Information [Abstract]
Auditor Location	Nashville, Tennessee
Auditor Firm ID	243
Auditor Name	BDO USA, LLP

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Real Estate Properties [Abstract]
Land	$ 186,658	$ 220,361
Buildings and improvements	2,707,422	3,041,616
Construction in progress	468	3,093
Real estate properties, gross	2,894,548	3,265,070
Less accumulated depreciation	(576,668)	(597,638)
Real estate properties, net	2,317,880	2,667,432
Mortgage and other notes receivable, net	299,952	292,427
Cash and cash equivalents	37,412	43,344
Straight-line rent receivable	96,198	95,703
Assets held for sale, net	66,398	0
Equity-method investment and other assets	21,036	21,583
Total Assets	2,838,876	3,120,489
Liabilities and Equity
Debt	1,242,883	1,499,285
Accounts payable and accrued expenses	23,181	25,189
Dividends Payable	41,266	49,818
Lease deposit liabilities	8,838	10,638
Deferred income	5,725	12,614
Total Liabilities	1,321,893	1,597,544
Commitments and Contingencies
National Health Investors, Inc. Stockholders' Equity:
Common stock, $.01 par value; 60,000,000 shares authorized; 44,587,486 and 42,700,411 shares issued and outstanding, respectively	459	452
Capital in excess of par value	1,591,182	1,540,946
Cumulative net income in (excess) deficit of dividends	(84,558)	(22,015)
Accumulated other comprehensive income	0	(7,149)
Total National Health Investors Stockholders' Equity	1,507,083	1,512,234
Noncontrolling interest	9,900	10,711
Total Equity	1,516,983	1,522,945
Total Liabilities and Equity	$ 2,838,876	$ 3,120,489

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Financing Receivable, Allowance for Credit Loss	$ 5,210	$ 4,946
Common stock, par value (in usd per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	100,000,000	100,000,000
Common stock, shares issued (in shares)	45,850,599	45,185,992
Common stock, shares outstanding (in shares)	45,850,599	45,185,992

Consolidated Statements Of Inco

Consolidated Statements Of Income - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Revenues:
Lease Income	$ 271,049,000	$ 307,208,000	$ 294,182,000
Interest income from mortgage and other notes	27,666,000	25,603,000	23,899,000
Revenues	298,715,000	332,811,000	318,081,000
Expenses:
Depreciation	80,798,000	83,150,000	76,816,000
Interest expense	50,810,000	52,882,000	56,299,000
Legal expense	908,000	1,252,000	507,000
Franchise, excise and other taxes	788,000	534,000	1,550,000
General and administrative	18,431,000	13,304,000	13,399,000
Property taxes and insurance on leased properties	11,638,000	9,653,000	5,798,000
Loan and realty losses (recoveries), net	52,766,000	991,000	2,440,000
Total operating expenses	216,139,000	161,766,000	156,809,000
Loss on convertible note retirement	1,912,000	3,924,000	823,000
Income (Loss) from Equity Method Investments	(1,545,000)	(3,126,000)	0
Gain on sale of real estate	32,498,000	21,316,000	0
Investment and other gains	350,000	0	0
Net income	111,967,000	185,311,000	160,449,000
Less: net income attributable to noncontrolling interest	(163,000)	(185,000)	7,000
Net income attributable to common stockholders	$ 111,804,000	$ 185,126,000	$ 160,456,000
Weighted average common shares outstanding:
Basic	45,714,221	44,696,285	43,417,828
Diluted	45,729,497	44,698,004	43,703,248
Basic:
Net income per common share attributable to common stockholders	$ 2.45	$ 4.14	$ 3.70
Diluted:
Net income per common share attributable to common stockholders	$ 2.44	$ 4.14	$ 3.67

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement of Comprehensive Income [Abstract]
Net income	$ 111,967	$ 185,311	$ 160,449
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax	(137)	(10,047)	(3,940)
Other comprehensive income (loss):
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax	(7,286)	(6,330)	791
Total other comprehensive income (loss)	7,149	(3,717)	(4,731)
Comprehensive income	119,116	181,594	155,718
Less: comprehensive income attributable to noncontrolling interest	(163)	(185)	7
Comprehensive income attributable to common stockholders	$ 118,953	$ 181,409	$ 155,725

Consolidated Statements Of Cash

Consolidated Statements Of Cash Flows - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Cash flows from operating activities:
Net income	$ 111,967,000	$ 185,311,000	$ 160,449,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	80,798,000	83,150,000	76,816,000
Amortization	4,354,000	5,392,000	5,117,000
Amortization of commitment fees and note receivable discounts	(729,000)	(867,000)	(493,000)
Amortization of lease inducement	1,026,000	987,000	845,000
Straight-line rental income	(14,603,000)	(20,411,000)	(22,084,000)
Non-cash interest income on construction loan	(2,614,000)	(3,839,000)	(2,204,000)
Gain on sale of real estate	(32,498,000)	(21,316,000)	0
Loss on extinguishment of debt	1,912,000	3,924,000	823,000
Income (Loss) from Equity Method Investments	1,545,000	3,126,000	0
Loan and realty losses (recoveries), net	(52,766,000)	(991,000)	(2,440,000)
Payment of lease incentives	(1,042,000)	(623,000)	(3,100,000)
Share-based compensation	8,415,000	3,061,000	3,646,000
Change in operating assets and liabilities:
Equity-method investment and other assets	(4,050,000)	160,000	1,604,000
Accounts payable and accrued expenses	3,352,000	(6,681,000)	300,000
Deferred income	260,000	(217,000)	16,796,000
Net cash provided by operating activities	210,859,000	232,148,000	240,955,000
Cash flows from investing activities:
Investment in mortgage and other notes receivable	(72,236,000)	(58,356,000)	(108,232,000)
Collection of mortgage and other notes receivable	67,790,000	46,612,000	2,897,000
Investment in real estate	(46,817,000)	(102,712,000)	(219,187,000)
Proceeds from disposition of real estate properties	238,864,000	39,631,000	0
Investment in renovations of existing real estate	(3,465,000)	(13,854,000)	(17,999,000)
Investment in real estate development	(64,000)	(158,000)	0
Payments to Acquire Equity Method Investments	0	(875,000)	0
Proceeds from Equity Method Investment, Distribution	1,205,000	0	0
Net cash used in investing activities	(185,277,000)	89,712,000	342,521,000
Cash flows from financing activities:
Payments on revolving credit facility	95,000,000	205,000,000	397,000,000
Payments on revolving credit facility	(393,000,000)	(207,000,000)	(181,000,000)
Borrowings on term loan	0	100,000,000	0
Payments of term loans	(293,316,000)	(43,729,000)	(1,187,000)
Proceeds from Issuance of Senior Long-term Debt	396,784,000	0	0
Payment for Debt Extinguishment or Debt Prepayment Cost	(1,462,000)	(1,619,000)	0
Debt issuance costs	(5,018,000)	(1,039,000)	(126,000)
Distributions to noncontrolling interest	(910,000)	(748,000)	(15,000)
Proceeds for noncontrolling interest	0	13,000	643,000
Taxes remitted in relation to employee stock options exercised	0	(2,705,000)	(1,559,000)
Proceeds from equity offering, net	47,904,000	34,649,000	95,774,000
Convertible bond redemption	(66,076,000)	0	(22,468,000)
Dividends paid to stockholders	(182,900,000)	(194,584,000)	(179,739,000)
Net cash provided by (used in) financing activities	(402,994,000)	(111,762,000)	107,323,000
Increase (decrease) in cash and cash equivalents	(6,858,000)	30,674,000	5,757,000
Cash and cash equivalents and restricted cash, beginning of period	46,343,000	15,669,000	9,912,000
Cash and cash equivalents and restricted cash, end of period	39,485,000	46,343,000	15,669,000
Supplemental disclosure of cash flow information:
Interest paid, net of amounts capitalized	43,680,000	43,406,000	54,027,000
Supplemental schedule of non-cash investing and financing activities:
Change in straight-line rent receivable related to investments in real estate	0	0	38,000,000
Reclass of note balance into real estate investment	0	63,220,000	14,000,000
Noncontrolling Interest, Noncash Increase from Subsidiary Equity Issuance	0	10,778,000	0
Increase in mortgage note receivable from sale of real estate	0	4,000,000	0
Change in other assets related to investments in real estate	0	348,000	291,000
Noncash or Part Noncash Acquisition, Other Assets Acquired	(33,000)
Change in accounts payable related to investments in real estate construction	(62,000)	0	(1,082,000)
Change in accounts payable related to investments in real estate acquisition	0	0	2,911,000
Change in Accounts Payable, Renovations of existing real estate	0	784,000	0
Change in accounts payable related to distributions to noncontrolling interests	$ 64,000	$ 138,000	$ 0

Consolidated Statement Of Equit

Consolidated Statement Of Equity - USD ($) $ in Thousands	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Cumulative Dividends In Excess Of Net Income [Member]	Cumulative Dividends In Excess Of Net Income [Member]Revision of Prior Period, Accounting Standards Update, Adjustment [Member]	Accumulated Other Comprehensive Income (Loss) [Member]	Parent [Member]	Noncontrolling Interest [Member]	At-The-Market [Member]Common Stock [Member]	Convertible Debt [Member]Common Stock [Member]
Noncontrolling Interest, Increase from Subsidiary Equity Issuance	$ (643)							$ (643)
Balance, shares at Dec. 31, 2018		42,700,411
Balance, value at Dec. 31, 2018	1,389,713	$ 427	$ 1,369,919	$ 18,068		$ 1,299	$ 1,389,713
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to common stockholders	160,456			160,456		(4,731)	155,725
Comprehensive income	155,718
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt, Subsequent Adjustments	95,774						95,774
Stock Issued During Period, Shares, New Issues		1,209,522
Stock Issued During Period, Value, New Issues	(38,186)	$ (12)	(95,762)				(38,186)
Payments of Stock Issuance Costs	(1,559)		1,559				1,559
Shares issued on stock options exercised, shares		51,156
Share-based Payment Arrangement, Noncash Expense			3,646
Share-based compensation	3,646						3,646
Dividends declared, $1.43 per share	(183,855)			(183,855)			(183,855)
Distributions to noncontrolling interest	(15)							(15)
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	(7)							(7)
Stock Issued During Period, Value, Conversion of Convertible Securities, Net of Adjustments		$ 6	38,180
Shares issued on stock options exercised, value	(1)	$ (1)					(1)
Balance, shares at Dec. 31, 2019		44,587,486
Balance, value at Dec. 31, 2019	1,498,252	$ 446	1,505,948	(5,331)		(3,432)	1,497,631	621
Noncontrolling Interest, Increase from Subsidiary Equity Issuance	(10,791)							(10,791)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to common stockholders	185,126			185,126		(3,717)	181,409
Comprehensive income	181,594
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt, Subsequent Adjustments	$ 34,649						34,649
Stock Issued During Period, Shares, New Issues	535,990								535,990
Stock Issued During Period, Value, New Issues		$ (5)	(34,644)
Shares issued on stock options exercised, shares		62,516
Share-based Payment Arrangement, Noncash Expense			3,061
Share-based compensation	$ 3,061						3,061
Dividends declared, $1.43 per share	(197,585)			(197,585)			(197,585)
Distributions to noncontrolling interest	(886)							886
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	(2,705)		2,705				(2,705)
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	185							185
Shares issued on stock options exercised, value	$ (1)	$ (1)	(2)				(1)
Balance, shares at Dec. 31, 2020	45,185,992	45,185,992
Balance, value at Dec. 31, 2020	$ 1,522,945	$ 452	1,540,946	(22,015)		(7,149)	1,512,234	10,711
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Retained Earnings (Accumulated Deficit)					$ (4,225)
Net income attributable to common stockholders	111,804			111,804		7,149	118,953
Comprehensive income	119,116
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt, Subsequent Adjustments	$ 47,904						47,904
Stock Issued During Period, Shares, New Issues	661,951								661,951	626,397
Stock Issued During Period, Value, New Issues	$ (6,076)	(7)	(47,897)				(6,076)
Share-based Payment Arrangement, Noncash Expense			8,415
Share-based compensation	8,415						8,415
Dividends declared, $1.43 per share	(174,347)			(174,347)			(174,347)
Distributions to noncontrolling interest	(974)							974
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	163							163
Stock Issued During Period, Value, Conversion of Convertible Securities, Net of Adjustments		$ 0
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt							(6,076)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture		2,656
Shares issued on stock options exercised, value	$ 0	$ 0	0				0
Balance, shares at Dec. 31, 2021	45,850,599	45,850,599
Balance, value at Dec. 31, 2021	$ 1,516,983	$ 459	$ 1,591,182	$ (84,558)		$ 0	$ 1,507,083	$ 9,900

Organization and Nature of Busi

Organization and Nature of Business	12 Months Ended
	Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization and Nature of Business	Note 1. Organization and Nature of Business National Health Investors, Inc. (“NHI,” “the Company,” “we,” “us” or “our”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint venture, mortgage and mezzanine financing of need-driven and discretionary senior housing and medical facility investments. Our portfolio consists of lease, mortgage and other note investments in independent living facilities, assisted living facilities, entrance-fee communities, senior living campuses, skilled nursing facilities and a hospital. As of December 31, 2021, we had investments of approximately $2.9 billion in 198 health care real estate properties located in 33 states and leased pursuant primarily to triple-net leases to 31 lessees consisting of 125 senior housing communities (“SHO”), 72 skilled nursing facilities and one hospital, excluding ten properties classified as assets held for sale. Our portfolio of 14 mortgages along with other notes receivable totaled $305.2 million, excluding an allowance for expected credit losses of $5.2 million, as of December 31, 2021. Units and beds disclosures in these consolidated financial statements are unaudited.

Basis of Presentation and Signi

Basis of Presentation and Significant Accounting Policies	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Significant Accounting Policies	Note 2. Basis of Presentation and Significant Accounting Policies Principles of Consolidation - The consolidated financial statements include the accounts of the Company, its wholly owned subsidiaries and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights (“variable interest entities” or “VIEs”) if the Company is deemed to be the primary beneficiary of such entities. All material intercompany transactions and balances are eliminated in consolidation. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We apply Financial Accounting Standards Board (“FASB”) guidance for our arrangements with VIEs which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with FASB guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI would consolidate the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis. If the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provisions of Accounting Standards Codification (“ASC”) Topic 810, Consolidation . These provisions provide for consolidation of majority-owned entities where a majority voting interest held by the Company demonstrates control of such entities in the absence of any legal constraints. At December 31, 2021, we held interests in ten unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that the Company is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line receivables, excluding our investment accounted for under the equity method discussed in Note 5. The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below ( $ in thousands ). Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 66,499 $ 85,800 Notes 3, 4 2014 Senior Living Communities Notes and straight-line receivable $ 83,592 $ 94,027 Notes 3, 4 2016 Senior Living Management Notes and straight-line receivable $ 26,659 $ 26,659 — 2018 Sagewood, LCS affiliate Notes $ 110,233 $ 110,233 Note 4 2019 Encore Senior Living 3 Notes and straight-line receivable $ 28,063 $ 34,285 Note 3 2020 Timber Ridge OpCo, LLC Various 2 $ (5,000) $ — Note 5 2020 Watermark Retirement Notes and straight-line receivable $ 8,401 $ 10,094 Note 4 2021 Montecito Medical Real Estate Notes and funding commitment $ 12,320 $ 50,000 Note 4 2021 Vizion Health Notes and straight-line receivable $ 20,280 $ 22,397 Notes 3, 4 2021 Navion Senior Solutions Notes and straight-line receivable $ 6,744 $ 13,744 Notes 3, 4 1 Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives 2 Loan commitment, equity method investment and straight-line rent receivables 3 Formerly 41 Management We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly, our maximum exposure to loss as a result of these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. Economic loss on a lease, in excess of what is presented in the table above, if any, would be limited to that resulting from any period of arrearage and non-payment of monthly rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease to a new tenant. The potential extent of such loss would be dependent upon individual facts and circumstances, and is therefore not included in the table above. In the future, NHI may be deemed the primary beneficiary of the operations if the tenants do not have adequate liquidity to accept the risks and rewards as the tenant and operator of the properties and might be required to consolidate the financial position and results of operations of the tenants into our consolidated financial statements. We consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, (“Discovery”) and LCS Timber Ridge LLC (“LCS”), to invest in senior housing facilities. As of and for the year ended December 31, 2021 and 2020, our noncontrolling interests relate to these partnerships with Discovery and LCS. NHI directs the activities that most significantly impact economic performance of these joint venture entities, subject to limited protective rights extended to our JV partners for specified business decisions. We consider both entities to be VIEs, based on our determination that the total equity at risk in each is insufficient to finance activities without additional subordinated financial support. Because of our control of these entities, we include their assets, liabilities, noncontrolling interests and operations in our consolidated financial statements. We use the equity method of accounting when we own an interest in an entity whereby we can exert significant influence over but cannot control the entity’s operations. We discontinue equity method accounting if our investment in an entity (and net advances) is reduced to zero unless we have guaranteed obligations of the entity or are otherwise committed to provide further financial support for the entity. We structured our Timber Ridge OpCo investment to be compliant with the provisions of RIDEA which permits us to receive rent payments through a triple-net lease between a property company and an operating company and allows us to receive distributions from the operating company to a taxable REIT subsidiary (“TRS”). Our TRS holds our equity interests in unconsolidated operating companies thus providing an organizational structure that allows the TRS to engage in a broad range of activities and share in revenues that are otherwise non-qualifying income under the REIT gross income tests. Noncontrolling Interests - As mentioned above, we consolidate real estate partnerships formed with Discovery in June 2019 and LCS in January 2020, both of which invest in senior housing facilities. The noncontrolling interests reflected in the consolidated financial statements relate to these partnerships from the date of inception of these arrangements. Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Earnings Per Share - The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options using the treasury stock method, to the extent dilutive. Diluted earnings per share also incorporate the potential dilutive impact of our convertible debt. We apply the treasury stock method to our convertible debt instruments, the effect of which is that conversion will not be assumed for purposes of computing diluted earnings per share unless the average share price of our common stock for the period exceeds the conversion price per share. Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: Level 1 - Quoted prices in active markets for identical assets or liabilities. Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy. Real Estate Properties - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, personal property and lease and other intangibles. For properties acquired in transactions accounted for as asset purchases, the purchase price, which includes transaction costs, is allocated based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives of 40 years, and improvements over their estimated useful lives ranging to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings. Real Estate Investment Impairment - We evaluate the recoverability of the carrying amount of our real estate properties on a property-by-property basis. We review our properties for recoverability when events or circumstances, including significant physical changes in the property, significant adverse changes in general economic conditions, reclassification of the real estate properties as held for sale, or significant deterioration of the underlying cash flows of the property, indicate that the carrying amount of the property may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows from a property compared to the carrying amount of that property. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the estimated fair value of the property. Leases - Leases entered into or modified since 2019 are accounted for under the guidance of ASC Topic 842, Leases . All of our leases are classified as operating leases and generally have an initial leasehold term of 10 to 15 years followed by one or more five thereof, and to maintain specified minimal personal injury and property damage insurance. The leases also require the tenant to indemnify and hold us harmless from all claims resulting from the use, occupancy and related activities of each property by the tenant, and to indemnify us against all costs related to any release, discovery, clean-up and removal of hazardous substances or materials, or other environmental responsibility with respect to each facility. While we do not incorporate residual value guarantees, the above lease provisions and considerations impact our expectation of realizable value from our properties upon the expiration of their lease terms. The residual value of our real estate under lease is still subject to various market, asset, and tenant-specific risks and characteristics. As the classification of our leases is dependent on the fair value of estimated cash flows at lease commencement, management’s projected residual values represent significant assumptions in our accounting for operating leases. Similarly, the exercise of renewal options is also subject to these same risks, making a tenant’s lease term another significant variable in a lease’s cash flows. Initial direct costs that are incremental to entering into a lease are capitalized in accordance with the provisions of Topic 842. FASB Lease Modifications Related to Effects of the COVID-19 Pandemic - In April 2020, the FASB issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the coronavirus pandemic (“COVID-19”). The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of COVID-19 is a lease modification under ASC 842. Instead, an entity that elects not to evaluate whether a concession directly related to COVID-19, which does not substantially increase either its rights as lessor or the obligations of the tenant, is a modification can elect whether to apply the modification guidance. An entity should apply the election consistently to leases with similar characteristics and similar circumstances. During 2021 and 2020, the Company provided $26.5 million and $7.1 million, respectively in lease concessions as a result of COVID-19, as discussed in more detail in Note 8. NHI has elected not to apply the modification guidance under ASC 842 and has accounted for the related concessions as variable lease payments, recorded as rental income when received. Financial Instruments - Credit Losses - With the adoption of Accounting Standards Update 2016-13, Financial Instruments - Credit Losses effective January 1, 2020, we estimate and record an allowance for credit losses upon origination of the loan, based on expected credit losses over the term of the loan and update this estimate each reporting period. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine and revolving lines of credit are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans and revolving lines of credit are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date. Calculation of the allowance for credit losses involves significant judgment. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectible. Upon adoption, we recorded an allowance for expected credit losses of $3.9 million that is reflected as an adjustment to “ Mortgage and other notes receivable, net of credit loss reserve ” in the Consolidated Balance Sheets and recorded a corresponding cumulative-effect adjustment to “ Cumulative dividends in excess of net income ”. Upon adoption, we also recorded a $0.3 million reserve for estimated credit losses pertaining to unfunded loan commitments as an adjustment to “ Cumulative dividends in excess of net income”. The corresponding credit loss liability is included in the financial statement line item “ Accounts payable and accrued expenses ” in the Consolidated Balance Sheets. Cash and Cash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit or subject to an agreement (e.g. with a qualified intermediary subject to an Internal Revenue Code Section 1031 exchange agreement or in accordance with agency agreements governing our mortgages). The following table sets forth our “ Cash and cash equivalents and restricted cash ” reported within the Company’s Consolidated Statements of Cash Flows ( $ in thousands ): As of December 31, 2021 2020 Cash and cash equivalents $ 37,412 $ 43,344 Restricted cash (included in Other assets) 2,073 2,999 $ 39,485 $ 46,343 Assets Held for Sale - We consider properties to be assets held for sale when (1) management commits to a plan to sell the property, (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we anticipate the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property’s value at the lower of its carrying value or its estimated fair value, less estimated transaction costs. Depreciation and amortization of the property are discontinued. Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that often exceed federally insured limits. We have not experienced any losses in such accounts. Our mortgages and other notes receivable consist primarily of secured loans on facilities. Our financial instruments, principally our investments in notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis. Deferred Loan Costs - Costs incurred to acquire debt are capitalized and amortized by the straight-line method, which approximates the effective-interest method, over the term of the related debt. Deferred Income - Deferred income primarily includes rents received in advance from tenants and non-refundable commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or lessee expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the lease agreements and the creditworthiness of the parties. Rental Income - Our leases generally provide for rent escalators throughout the term of the lease. Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectible and the lease provides for specific contractual escalators. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the lessee over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the lessee once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rentals and are excluded from the schedule of minimum lease payments. If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rent receivable in the Consolidated Balance Sheets and an increase in rental income in the Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts. Property operating expenses that are reimbursed by our operators are recorded as Rental income. Accordingly, we record a corresponding Taxes and insurance on leased properties expense in the Consolidated Statements of Income. Rental income includes reimbursement of property operating expenses for the years ended December 2021, 2020 and 2019, totaling $11.6 million, $9.7 million and $5.8 million, respectively. Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved. The Company reviews its operating lease receivables for collectability on a regular basis, taking into consideration changes in factors such as the tenant’s payment history, the financial condition of the tenant, business conditions in which the tenant operates and economic conditions in the area where the property is located. In the event that collectability with respect to any tenant is not probable, a direct write-off of the receivable is made as an adjustment to rental income and any future rental revenue is recognized only when the tenant makes a rental payment. During the third quarter of 2021, we placed Holiday Retirement (“Holiday”) on cash basis because of unpaid contractual rent due. Rent due but uncollected and unrecognized for the year ended December 31, 2021, excluding penalties and interest, totaled $11.4 million. Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. We identify a mortgage loan as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to mortgage interest income on non-performing mortgage loans is to recognize mortgage interest income in the period when the cash is received. As of December 31, 2021, we did not identify any of our mortgages as non-performing. Derivatives - In the normal course of business, we are subject to risk from adverse fluctuations in interest rates. We have chosen to manage this risk through the use of derivative financial instruments, primarily interest rate swaps. Counterparties to these contracts are major financial institutions. We are exposed to credit loss in the event of nonperformance by these counterparties. We do not use derivative instruments for trading or speculative purposes. Our objective in managing exposure to market risk is to limit the impact on cash flows relating to the change in market interest rates on our variable rate debt. To qualify for hedge accounting, our interest rate swaps must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions must be, and be expected to remain, probable of occurring in accordance with our related assertions. All of our hedges are cash flow hedges. We recognize all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities at their fair value in the Consolidated Balance Sheets. Changes in the fair value of derivative instruments that are not designated as hedges or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated in qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in accumulated other comprehensive income (loss), whereas the change in fair value of any ineffective portion is recognized in earnings. Gains and losses are reclassified from accumulated other comprehensive income (loss) into earnings once the underlying hedged transaction is recognized in earnings. Federal Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. Aside from such income taxes which may be applicable to the taxable income in the TRS, we will not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and make distributions to stockholders at least equal to or in excess of 90% our taxable income. Accordingly, no provision for federal income taxes has been made in the consolidated financial statements. A failure to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows. Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees. Our tax returns filed for years beginning in 2018 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our Consolidated Statements of Income as a component of income tax expense. Segment Disclosures - We are in the business of owning and financing health care properties. We are managed as one segment for internal purposes and for internal decision making for all periods presented.

Real Estate Properties and Inve

Real Estate Properties and Investments	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
Real Estate Properties and Investments	Real Estate Properties and Investments 2021 Acquisitions and New Leases of Real Estate During the year ended December 31, 2021, we completed the following real estate acquisitions as described below ( $ in thousands ): Operator Date Properties Asset Class Land Building and Improvements Total Vizion Health Q2 2021 1 HOSP $ 1,470 $ 38,780 $ 40,250 Navion Senior Solutions Q2 2021 1 SHO 531 6,069 6,600 $ 2,001 $ 44,849 $ 46,850 Vizion Health In May 2021, we acquired a 64-bed specialty behavioral hospital located in Oklahoma for a total purchase price of $40.3 million, including $0.3 million in closing costs, and concurrently leased the hospital to an affiliate of Vizion Health. The 15-year master lease, which includes two five Navion Senior Solutions In June 2021, we acquired a 48-unit assisted living and memory care community in Tennessee for a purchase price of $6.6 million, including closing costs of $0.1 million. The community was added to an existing master lease with Navion Senior Solutions (“Navion”) whose term was reset for 12 years, has a lease rate of 7.5% with fixed annual escalators of 2.5% and offers two optional extensions of five years each. 2020 Acquisitions and New Leases of Real Estate During the year ended December 31, 2020, we completed the following real estate acquisitions as described below ($ in thousands) : Operator Date Properties Asset Class Land Building and Improvements Total Bickford Senior Living Q1 2020 1 SHO $ 1,588 $ 13,512 $ 15,100 Life Care Services Q1 2020 1 SHO 4,370 130,522 134,892 Autumn Trace Q2 2020 2 SHO 344 13,906 14,250 Encore Senior Living 1 Q3 2020 1 SHO 504 11,796 12,300 $ 6,806 $ 169,736 $ 176,542 1 Formerly 41 Management Bickford - Shelby, MI In January 2020, we acquired a 60-unit assisted living/memory care facility located in Shelby, Michigan, from Bickford. The acquisition price was $15.1 million and included the full payment of an outstanding construction note receivable to us of $14.1 million, including interest. We added the facility to an existing master lease for a term of twelve years at an initial lease rate of 8%, with CPI escalators subject to a floor and ceiling. Life Care Services In January 2020, we acquired an 80% equity interest in a property company, NHI-LCS JV I, LLC (“Timber Ridge PropCo”), which owns a 401-unit Continuing Care Retirement Community (“CCRC”) located in Issaquah, Washington comprising 330 independent living units, 26 assisted living/memory care units and 45 skilled nursing beds. The same transaction conveyed to NHI a 25% equity interest in the newly formed operating company, Timber Ridge OpCo. Total consideration for NHI’s interests in the combined venture was $125.0 million, comprised of the $59.3 million remaining balance of a mortgage note initially funded in 2015, an additional loan of $21.7 million, and cash of $43.1 million to Timber Ridge PropCo and $0.9 million to Timber Ridge OpCo. Total debt due from Timber Ridge PropCo of $81.0 million, which is eliminated upon consolidation, bears interest to NHI at 5.75%. LCS paid $10.8 million for its 20% equity stake in Timber Ridge PropCo and provided $2.6 million for a 75% equity participation in Timber Ridge OpCo. The lease between Timber Ridge PropCo and Timber Ridge OpCo carries a rate of 6.75% for an initial term of seven years plus renewal options and has a CPI-based lease escalator, subject to floor and ceiling. NHI’s contribution was allocated to our interest in the tangible assets of Timber Ridge PropCo with no material fair value allocated to Timber Ridge OpCo beyond our initial investment. The lease between Timber Ridge PropCo and Timber Ridge OpCo includes an “earn out” provision whereby Timber Ridge OpCo could become eligible for a payment of $10.0 million based on the attainment of certain operating metrics. See Note 5 for a discussion of Timber Ridge PropCo. Autumn Trace In May 2020, we acquired two senior housing facilities each with 44 assisted living units for a total purchase price of $14.3 million, including $0.2 million in closing costs. The facilities are located in Indiana and are leased to Autumn Trace Senior Communities, which was a new operator relationship for NHI. The 15-year master lease has an initial lease rate of 7.25% with fixed annual escalators of 2.25% and offers two optional extensions of five years each. NHI was also granted a purchase option on a newly opened Indiana facility. Encore Senior Living In September 2020, we acquired a 43-unit assisted living and memory care facility located in Bellevue, Wisconsin from Encore Senior Living, (“Encore”), formerly 41 Management. The acquisition price was $12.3 million and included the full payment of an outstanding mortgage loan of $3.9 million, plus accrued interest. The property is leased to an affiliate of Encore pursuant to a 15-year master lease that has an initial lease rate of 7.5% with fixed annual escalators of 2.5% and offers two optional extensions of five years each. 2021 Asset Dispositions During the year ended December 31, 2021, we completed the following real estate dispositions as described below ( $ in thousands ): Operator Date Properties Asset Class Net Proceeds Net Real Estate Investment Other 1 Gain/(Impairment) 2 Bickford Q2 2021 6 SHO $ 39,924 $ 34,485 $ 1,871 $ 3,568 Community Health Systems Q2 2021 1 MOB 3,887 946 62 2,879 TrustPoint Hospital Q3 2021 1 HOSP 31,215 21,018 1,562 8,635 Holiday Q3 2021 8 SHO 114,133 113,611 (1,360) 1,882 Quorum Health Q3 2021 1 HOSP 8,314 9,568 — (1,254) Senior Living Management Q3 2021 1 SHO 12,847 3,212 210 9,425 Holiday Q3 2021 1 SHO 5,666 10,388 (81) (4,641) Brookdale Senior Living Q4 2021 1 ALF 11,880 11,696 — 184 Senior Living Management Q4 2021 1 SLC 7,275 3,335 256 3,684 Genesis Q4 2021 1 SLC 3,723 1,677 (166) 2,211 $ 238,864 $ 209,936 $ 2,354 $ 26,573 1 Includes straight-line rent and deferred lease intangibles 2 Impairments are included in “Loan and realty losses” in our Consolidated Income Statement for the year ended December 31, 2021 Bickford During the second quarter of 2021, we sold to affiliates of Bickford a portfolio of six properties that were being leased to Bickford for a purchase price of $52.9 million. We received approximately $39.9 million in cash consideration upon sale and originated a second mortgage note receivable for the remaining purchase price of $13.0 million. A gain was not recognized related to the $13.0 million second mortgage note receivable, which is discussed in more detail in Note 4. We recorded a gain upon completion of this transaction totaling approximately $3.6 million representing the excess of the $39.9 million cash consideration received over the net book value of the assets sold of $34.5 million and the write off of straight-line rents receivable of approximately $1.9 million. Rental income from this portfolio was $1.6 million, $5.6 million and $6.3 million for the years ended December 31, 2021, 2020 and 2019, respectively. Upon completion of the sale, Bickford satisfied the terms of our prior agreement that contingently abated $2.1 million in rental income for the third quarter of 2020. These six properties were part of our ongoing negotiations for the sale to Bickford of nine properties being leased to Bickford. One property was classified as assets held for sale on our Consolidated Balance Sheet as of December 31, 2021. We continue to explore our options for the remaining two properties, which could include a sale to a third party, re-tenanting, or retaining the existing lease with Bickford. Reference Note 8 for discussion of additional contingent consideration associated with this disposition that was not included in the transaction price at the time of closing. Community Health Systems During the second quarter of 2021, we sold a medical office building located in Florida for approximately $4.3 million in cash consideration, and incurred $0.4 million of transaction costs, resulting in a gain of approximately $2.9 million. Revenue for this property was $0.1 million for the year ended December 31, 2021 and $0.3 million for both the years ended December 31, 2020 and 2019, respectively. TrustPoint Hospital In July 2021, we sold a behavioral hospital located in Tennessee for cash consideration of $31.2 million and recorded a gain of approximately $8.6 million. Rental income was $1.4 million for the year ended December 31, 2021 and $2.7 million for both the years ended December 31, 2020 and 2019, respectively. Holiday In August 2021, we sold a portfolio of eight properties that was leased to Holiday with an aggregate net book value of $113.6 million for total cash consideration of $115.0 million, and incurred transaction costs of $0.9 million, and recognized a gain of approximately $1.9 million associated with this transaction. Rental income was $5.9 million for the year ended December 31, 2021 and $10.0 million for both the years ended December 31, 2020 and 2019, respectively. In September 2021, we sold a property that was leased to Holiday located in Indiana with a net book value of $10.4 million for total cash consideration of $5.8 million, incurred transactions costs of $0.1 million, and recognized an impairment of approximately $4.6 million associated with this transaction. Rental income was $0.4 million for the year ended December 31, 2021 and $0.6 million for both the years ended December 31, 2020 and 2019, respectively. Quorum Health In September 2021, we sold an acute care hospital located in Kentucky for cash consideration of $9.0 million, incurred $0.7 million of transaction costs, and recorded an impairment charge of approximately $1.3 million. Rental income was $2.5 million, $3.1 million and $3.4 million, for the years ended December 31, 2021, 2020 and 2019, respectively. Senior Living Management In September 2021, we sold a senior living community located in Florida for cash consideration of $14.0 million, incurred transaction costs of $1.2 million and recorded a gain of approximately $9.4 million. Rental income was $0.8 million for the year ended December 31, 2021 and $1.3 million for both the years ended December 31, 2020 and 2019, respectively. In December 2021, we sold a senior living community located in Florida for cash consideration of $7.8 million, incurred transaction costs of $0.5 million and recorded a gain of approximately $3.7 million. Rental income was $0.5 million for the year ended December 31, 2021 and $0.7 million for both the years ended December 31, 2020 and 2019, respectively. Brookdale In December 2021, we sold an assisted living facility located in Ohio for cash consideration of $12.0 million, incurred transactions cost of $0.1 million and recorded a gain of approximately $0.2 million. We received a net lease termination fee of $2.5 million for the year ended December 31, 2021 included in “ Interest income and o ther ” on the Consolidated Statement of Income. Rental income was $1.4 million for the years ended December 31, 2021, 2020 and 2019. Genesis In December 2021, we sold a senior living community located in Idaho for cash consideration of $3.9 million, incurred transaction costs of $0.2 million and recorded a gain of approximately $2.2 million. Rental income was $0.8 million for the year ended December 31, 2021 and $0.7 million for both the years ended December 31, 2020 and 2019, respectively. 2020 Asset Dispositions Brookdale Disposition In January 2020, we sold a portfolio of eight assisted living properties located in Arizona (4), Tennessee (3) and South Carolina (1) to Brookdale Senior Living for cash consideration of $39.3 million pursuant to the exercise of its option to purchase the properties. These properties were classified in assets held for sale on the Consolidated Balance Sheet as of December 31, 2019. We recorded a gain of $20.8 million from the sale. We recognized rental income from this portfolio of $0.2 million and $4.3 million for the years ended December 31, 2020 and 2019, respectively. Bickford In February 2020, we disposed of two assisted living properties previously classified as held for sale in exchange for a term note of $4.0 million from the buyer, Bickford. The note, which is due February 2025 and bears interest at 7%, began amortizing on a twenty-five-year basis in January 2021. Assets Held for Sale and Impairments of Real Estate At December 31, 2021, we classified ten properties, including three transition properties, to assets held for sale on our Consolidated Balance Sheet. Rental income associated with these properties was $5.4 million, $8.0 million and $8.8 million for the years ended December 31, 2021, 2020 and 2019, respectively. In 2021, we recorded $5.9 million in impairment charges on two properties that were sold during the year. We recorded impairment charges of $39.5 million on seven properties that were classified to assets held for sale during the year and $6.4 million on one transitioning property held in use. These impairment charges are included in “ Loan and realty losses ” in the Consolidated Statement of Income. In 2019, we recognized an impairment loss of $2.5 million, related to the disposition of two Bickford properties located in Indiana. We reduced the carrying values of the impaired properties to their estimated fair values or, with respect to the properties classified as held for sale, to their estimated fair value less costs to sell. To estimate the fair values of the properties, we utilized a market approach which considered binding agreements for sales (Level 1 inputs), non-binding offers to purchase from unrelated third parties and/or broker quotes of estimated values (Level 3 inputs), and/or independent third-party valuations (Level 1 and 3 inputs). 2022 Asset Disposition HCA In January 2022, we sold a medical office building located in Texas for approximately $5.1 million in cash consideration, and incurred $0.3 million of transaction costs, resulting in a gain of approximately $3.0 million. The property was classified as assets held for sale on the Consolidated Balance Sheet as of December 31, 2021. Revenue for this property was $0.3 million for the years ended December 31, 2021, 2020 and 2019, respectively. Major Tenants The following table contains information regarding tenant concentration in our portfolio, including properties classified as held for sale, $2.6 million for our corporate office and a credit loss reserve balance of $5.2 million, based on the percentage of revenues for the years ended December 31, 2021, 2020 and 2019 related to tenants or affiliates of tenants, that exceed 10% of total revenue ( $ in thousands ): as of December 31, 2021 Revenues 1 Asset Real Notes Year Ended December 31, Class Estate 2 Receivable 2021 2020 2019 Senior Living Communities EFC $ 573,631 $ 42,266 $ 50,726 17% $ 50,734 15% $ 48,450 15% National HealthCare Corporation SNF 171,188 — 37,735 12% 37,820 11% 38,131 12% Bickford Senior Living ALF 490,308 40,599 34,599 12% 49,451 15% 56,210 17% Holiday 3 ILF 377,735 — N/A N/A 40,705 12% 40,459 13% All others, net Various 1,414,475 222,297 164,017 55% 144,448 44% 129,033 41% Escrow funds received from tenants for property operating expenses Various — — 11,638 4% 9,653 3% 5,798 2% $ 3,027,337 $ 305,162 $ 298,715 $ 332,811 $318,081 1 Includes interest income on notes receivable 2 Amounts reflect gross investment and include four Bickford properties held for sale and one Holiday property held for sale. 3 Below 10% for year ended December 31, 2021, as such revenues are included in All others, net At December 31, 2021, the two states in which we had an investment concentration of 10% or more were South Carolina, (11.6%) and Texas (10.3%). At December 31, 2020, the two states in which we had an investment concentration of 10% or more were South Carolina (10.9%) and Texas (10.5%). Senior Living Communities As of December 31, 2021, we leased ten retirement communities totaling 2,068 units to Senior Living Communities, LLC (“Senior Living”). The 15-year master lease, which began in December 2014, contains two renewal options of five years each and provides for an annual escalator of 3% effective January 1, 2019. Straight-line rent revenue of $2.5 million, $4.3 million and $4.9 million was recognized from the Senior Living Communities lease for the years ended December 31, 2021, 2020 and 2019, respectively. NHC The facilities leased to NHC, a publicly held company, are under two master leases and consist of three independent living facilities and 39 skilled nursing facilities (four of which are subleased to other parties for whom the lease payments are guaranteed to us by NHC). These facilities are leased to NHC under the terms of an amended master lease agreement originally dated October 17, 1991 (“the 1991 lease”), which includes our 35 legacy properties and a master lease agreement dated August 30, 2013 (“the 2013 lease”), which includes seven skilled nursing facilities acquired in 2013. The 1991 lease expiration is December 31, 2026. There are two additional five The following table summarizes the percentage rent income from NHC ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Current year $ 3,536 $ 3,687 $ 3,650 Prior year final certification 1 (5) (14) 334 Total percentage rent income $ 3,531 $ 3,673 $ 3,984 1 For purposes of the percentage rent calculation described in the master lease agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year. Two of our board members, including our chairman, are also members of NHC’s board of directors. As of December 31, 2021, NHC owned 1,630,642 shares of our common stock. Bickford Senior Living As of December 31, 2021, we leased 38 facilities, excluding four facilities classified as assets held for sale, under four master leases to Bickford Senior Living. Lease maturity dates range from 2023 through 2033. Straight-line rent revenue of $1.7 million, $2.8 million and $4.5 million was recognized from the Bickford leases for the years ended December 31, 2021, 2020 and 2019, respectively. As previously discussed, we disposed of six properties that were leased to Bickford in 2021. As discussed more fully in Note 8, we granted lease concessions to Bickford in 2021 and 2020 as a result of the COVID-19 pandemic. Holiday As of December 31, 2021, we leased 16 ILFs, excluding one property classified as assets held for sale, to Holiday. The master lease, which matures in 2035, provides for annual lease escalators beginning November 1, 2020, with a floor of 2% and a ceiling of 3%. Straight-line rent revenue of $5.3 million, $6.5 million, and $6.6 million was recognized from the Holiday lease for the years ended December 31, 2021, 2020 and 2019, respectively. As previously discussed, we disposed of nine properties that were leased to Holiday in 2021. On July 30, 2021, Welltower completed the acquisition of a portfolio of legacy Holiday properties from Fortress Investment Group and a new agreement with Atria Senior Living to assume operations of the Holiday portfolio. These transactions resulted in a Welltower-controlled subsidiary becoming the tenant under our existing master lease for the NHI-owned Holiday real estate assets. We have received no rent due under the master lease for these facilities since this change in tenant ownership occurred. Accordingly, we have placed the tenant on cash basis and filed suit against Welltower, Inc. and certain subsidiaries for default under the master lease. Rent due but uncollected and unrecognized for the year ended December 31, 2021, excluding penalties and interest, totaled $11.4 million. As of December 31, 2021, we have a lease deposit of $8.8 million. See Note 8. Commitment and Contingencies for more detail regarding litigation. Other Portfolio Activity Tenant Transitioning Nine properties were transitioned during 2019 to five new tenants following a period of non-compliance by the former operators. We recognized rental income from these nine properties of $3.0 million, $4.6 million and $3.6 million for the years ended December 31, 2021, 2020 and 2019, respectively. As previously noted, we recognized real estate impairment charges on four of the transition properties, of which three of the properties were classified as assets held for sale on our Consolidated Balance Sheet as of December 31, 2021. No properties were transitioned during 2021 or 2020. Purchase Options Certain of our leases contain purchase options allowing tenants to acquire the leased properties. At December 31, 2021, we had a net investment of $12.4 million in two real estate properties, included in assets held for sale, which are subject to exercisable tenant purchase options. Tenant purchase options on ten properties in which we had an aggregate net investment of $89.8 million at December 31, 2021, become exercisable between 2022 and 2028. Rental income from leased properties with tenant purchase options either currently exercisable or exercisable in the future was $12.8 million, $12.3 million and $12.2 million for the years ended December 31, 2021, 2020 and 2019, respectively. We cannot reasonably estimate at this time the probability that these purchase options will be exercised in the future. Consideration to be received from the exercise of any tenant purchase option is expected to exceed our net investment in the leased property or properties. In June 2021, we received notification of a tenant’s intention to acquire, pursuant to a purchase option, a hospital located in California. The purchase option calls for a minimum purchase price of $15.0 million with any appreciation above $15.0 million to be split evenly between the parties. The net investment at December 31, 2021 was $13.6 million and was classified in assets held for sale on the Consolidated Balance Sheet as of December 31, 2021. Rental income was $1.9 million, for the years ended December 31, 2021, 2020 and 2019, respectively. The transaction will close no earlier than one year after the receipt of the notice of exercise. Future Minimum Lease Payments Future minimum lease payments to be received by us under our operating leases at December 31, 2021 are as follows ( $ in thousands ): Year Ending December 31, 2022 $ 268,096 2023 261,788 2024 258,381 2025 259,664 2026 263,620 Thereafter 1,092,671 $ 2,404,220 Variable Lease Payments Most of our existing leases contain annual escalators in rent payments. For financial statement purposes, rental income is recognized on a straight-line basis over the term of the lease where the lease contains fixed escalators. Some of our leases contain escalators that are determined annually based on a variable index or other factor that is indeterminable at the inception of the lease. The table below indicates the revenue recognized as a result of fixed and variable lease escalators ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Lease payments based on fixed escalators, net of deferrals $ 241,172 $ 272,630 $ 262,178 Lease payments based on variable escalators 4,662 5,501 4,967 Straight-line rent income 14,603 20,411 22,084 Escrow funds received from tenants for property operating expenses 11,638 9,653 5,798 Amortization of lease incentives (1,026) (987) (845) Rental income $ 271,049 $ 307,208 $ 294,182

Mortgage and Other Notes Receiv

Mortgage and Other Notes Receivable	12 Months Ended
	Dec. 31, 2021
Mortgage and Other Notes Receivable [Abstract]
Mortgage and Other Notes Receivable	Mortgage and Other Notes Receivable At December 31, 2021, our investments in mortgage notes receivable totaled $230.9 million secured by real estate and other assets of the borrower (e.g., UCC liens on personal property) related to 14 facilities and other notes receivable totaled $74.2 million substantially all of which are guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner. At December 31, 2020, our investments in mortgage notes receivable totaled $259.5 million and other notes receivable totaled $37.9 million. These balances exclude a credit loss reserve of $5.2 million and $4.9 million at December 31, 2021 and 2020, respectively. All of our notes were on full accrual basis at December 31, 2021 and 2020, respectively. 2021 Mortgage and Other Notes Receivable Montecito Medical Real Estate In April 2021, the Company entered into a $50.0 million mezzanine loan and security agreement with Montecito Medical Real Estate for a new fund that will invest in medical real estate, including medical office buildings, throughout the United States. Amounts under the loan agreement will be funded as real estate investments are identified for acquisition. Borrowings under the loan agreement will bear interest at an annual rate of 9.5% and accrue an additional 2.5% in interest to be paid upon certain future events including repayments, sales of fund investments, and refinancings. Funds drawn in accordance with this agreement are required to be repaid on a per-investment basis five years from deployment of the funds for the applicable investment and includes two one Vizion Health - Brookhaven In May 2021, we provided a $20.0 million, five Navion Senior Solutions In May 2021, we provided a ten Bickford As part of the sale of six properties to Bickford discussed in Note 3, we executed a $13.0 million second mortgage as a component of the purchase price consideration. The loan is secured by a security interest in the portfolio that is subordinate only to the first mortgage on the portfolio held by a third party. This second mortgage note receivable bears interest at a 10% annual rate and matures in April 2026. As amended, payments of principal and interest commencing in April 2022, are required based on a 15-year amortization schedule. In addition, the interest rate will be reset to 8% if Bickford prepays approximately $5.3 million in principal prior to December 31, 2022. Interest income was $0.9 million for the year ended December 31, 2021. Given the size of the Company financing provided relative to the purchase price, its subordination to the first mortgage outstanding and the ongoing negative impact of the COVID-19 pandemic on Bickford’s operating results, we did not include this note receivable in the determination of the gain to be recognized upon sale of the portfolio in accordance with the provisions of ASC 610-20, Other Income – Gains and Losses from the Derecognition of Nonfinancial Assets . Therefore, this note receivable is not reflected in “ Mortgage and other notes receivable, net ” in the Consolidated Balance Sheet as of December 31, 2021. We will re-evaluate the collectability of this note receivable each reporting period and recognize the note receivable and related deferred gain at such time the note receivable is considered probable of collection in accordance with ASC 610-20. 2020 Mortgage and Other Notes Receivable During the year ended December 31, 2020 we made the following note receivable investments and commitments as described below ($ in thousands) : Operator Date Properties Asset Class Amount Funded 1 Remaining Timber Ridge OpCo (See Note 5) Q1 2020 1 SHO $ 5,000 $ — $ 5,000 Bickford Senior Living (See Note 3) Q1 2020 2 SHO 4,000 (4,000) — Bickford Senior Living Q2 2020 1 SHO 14,200 (7,955) 6,245 Watermark Retirement Q2 2020 2 SHO 5,000 (3,307) 1,693 Encore Senior Living Q4 2020 1 SHO 22,200 (17,708) 4,492 $ 50,400 $ (32,970) $ 17,430 1 Amounts as of December 31, 2021 Watermark Retirement In June 2020, we provided a $5.0 million loan commitment to Watermark Retirement to provide working capital liquidity in connection with the renewal of an existing lease on two continuing care retirement communities. The total funded amount on the loan was $3.3 million as of December 31, 2021. Encore Senior Living In November 2020, we committed to providing first mortgage financing to Encore for up to $22.2 million to construct, a 110-unit independent living, assisted living and memory care community in Sussex, Wisconsin. The approximate four stabilization of the facility. Additional security on the loan includes personal and corporate guarantees and the funding of a $4.9 million working capital escrow. The total amount funded on the note was $17.7 million as of December 31, 2021. 2022 Mortgage and Other Notes Receivable In January 2022, we entered into an agreement to fund a $28.5 million development loan with Encore to construct, a 108-unit assisted living and memory care community in Fitchburg, Wisconsin. The four one Other Activity Bickford Senior Living As of December 31, 2021, we had commitments of $42.9 million in three construction loans to Bickford. At December 31, 2021, we had funded $36.7 million toward these commitments. The construction loans are secured by first mortgage liens on substantially all real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreements, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the properties at stabilization of the underlying operations. On these development projects, Bickford, as borrower, is entitled to up to $2.0 million per project in incentives based on the achievement of predetermined operational milestones and, if funded, will increase NHI's future purchase price and eventual NHI lease payment. Life Care Services - Sagewood In December 2018, we entered into an agreement to lend LCS-Westminster Partnership IV LLP (“LCS-WP IV”), an affiliate of LCS, the manager of the facility, up to $180.0 million. The loan took the form of two notes under a master credit agreement. The senior note (“Note A”) totals $118.8 million at a 7.25% interest rate with 10 basis-point annual escalators after three years and has a term of 10 years. We have funded $110.8 million and $98.8 million of Note A as of December 31, 2021 and 2020, respectively. Note A is interest-only and was locked to prepayment until January 2021. After 2020, the prepayment penalty started at 2% and declines to 1% in 2022. The second note (“Note B”) was a construction loan for up to $61.2 million at an annual interest rate of 8.5% and carried a maturity of five years. During the year ended December 31, 2021, LCS-WP IV repaid the fully drawn Note B principal balance of $61.2 million. As a result, we recognized the remaining Note B commitment fee of $0.4 million in “ Interest income and other ” during the year ended December 31, 2021. Life Care Services - Timber Ridge In February 2015, we entered into a loan agreement in which the proceeds were used to fund the construction of Phase II of Timber Ridge at Talus, a Type-A continuing care retirement community in Issaquah, Washington. The outstanding balance due from LCS-Westminster Partnership III LLP (“LCS-WP III”), an affiliate of LCS and the manager of the facility, was $59.3 million as of January 31, 2020, when we acquired the property. Timber Ridge PropCo assumed the debt (see Note 3) which was increased to $81.0 million as part of the transaction. To provide working capital in support of the CCRC’s entry-fee model, NHI agreed to supply a revolving line of credit permitting draws up to a maximum of $5.0 million. Because of our control of Timber Ridge PropCo, we consolidate its assets, liabilities, noncontrolling interest and operations in our consolidated financial statements. See Note 5 for more information about our equity-method investment in Timber Ridge OpCo. Senior Living Communities We provided a $20.0 million revolving line of credit whose borrowings are to be used primarily to finance construction projects within the Senior Living portfolio, including building additional units. No more than $10.0 million may be used to meet general working capital needs. Beginning January 1, 2023, availability under the revolver reduces to $15.0 million. The revolver matures in December 2029 at the time of lease maturity. The outstanding balance under the facility at December 31, 2021 and 2020, was $9.6 million and $11.3 million, respectively and bears interest at 7.52% per annum, the prevailing 10-year U.S. Treasury rate plus 6%. On July 31, 2020, Senior Living Communities repaid two fully drawn mezzanine loans of $12.0 million and $2.0 million, respectively. The purpose of the mezzanine loans were to partially fund construction of a 186-unit senior living campus on Daniel Island in South Carolina. The loans bore interest, payable monthly, at a 10% annual rate. In June 2019, we provided a mortgage loan of $32.7 million to Senior Living for the acquisition of a 248-unit continuing care retirement community in Columbia, South Carolina. The financing is for a term of five years with two one year extensions and carries an interest rate of 7.25%. Additionally, the loan conveys to NHI a purchase option at a stated minimum price of $38.3 million, subject to adjustment for market conditions. Credit Loss Reserve Our principal measures of credit quality, except for construction mortgages, are debt service coverage for amortizing loans and interest or fixed charge coverage for non-amortizing loans collectively (“Coverage”). A Coverage ratio provides a measure of the borrower’s ability to make scheduled principal and interest payments. The Coverage ratios presented in the following table have been calculated utilizing the most recent date for which data is available, September 30, 2021, using EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) and the requisite debt service, interest service or fixed charges, as defined in the applicable loan agreement. We categorize Coverage into three levels: (i) more than 1.5x, (ii) between 1.0x and 1.5x, and (iii) less than 1.0x. We update the calculation of coverage on a quarterly basis. Coverage is not a meaningful credit quality indicator for construction mortgages as either these developments are not generating any operating income, or they have insufficient operating income as occupancy levels necessary to stabilize the properties have not yet been achieved. We measure credit quality for these mortgages by considering the construction and stabilization timeline and the financial condition of the borrower as well as economic and market conditions. As of December 31, 2021, we did not have any construction loans that we considered underperforming. The tables below present outstanding note balances as of December 31, 2021 at amortized cost. We consider the guidance in ASC 310-20 when determining whether a modification, extension or renewal constitutes a current period origination. The credit quality indicator as of December 31, 2021, is presented below for the amortized cost, net by year of origination of ( $ in thousands ): 2021 2020 2019 2018 2017 Prior Total Mortgages more than 1.5x $ — $ 25,579 $ 9,018 $ 138,932 $ — $ 4,331 $ 177,860 between 1.0x and 1.5x — — — — — — — less than 1.0x — 3,944 39,123 — — 10,000 53,067 No coverage available — — — — — — — — 29,523 48,141 138,932 — 14,331 230,927 Mezzanine more than 1.5x 3,568 — — — — 10,159 13,727 between 1.0x and 1.5x 32,385 — — — — — 32,385 less than 1.0x — — — — — 14,500 14,500 No coverage available — — 750 — — — 750 35,953 — 750 — — 24,659 61,362 Revolver more than 1.5x — between 1.0x and 1.5x 12,873 less than 1.0x — 12,873 Credit loss reserve (5,210) $ 299,952 Due to the economic uncertainty created by the COVID-19 pandemic and the potential impact on the collectability of our mortgages and other notes receivable, we forecasted at the beginning of the pandemic a 20% increase in the probability of a default and a 20% increase in the amount of loss from a default resulting in an effective adjustment of 44%. The allowance for expected credit losses is presented in the following table for the year ended December 31, 2021 ( $ in thousands ): Beginning balance January 1, 2021 $ 4,946 Additions for expected credit losses 457 Deduction for expected credit losses (193) Balance December 31, 2021 $ 5,210

Equity-Method Investment And Ot

Equity-Method Investment And Other Assets	12 Months Ended
	Dec. 31, 2021
Equity Method Investments And Other Assets [Abstract]
Equity-Method Investment	Equity Method Investment Our initial $0.9 million investment in the operating company, Timber Ridge OpCo, held by our taxable REIT subsidiary (“TRS”) arose in conjunction with the acquisition of a CCRC from LCS-Westminster Partnership III, LLP, in January 2020. We structured our arrangement with our JV partner, LCS Timber Ridge LLC, to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”). Accordingly, the TRS holds our 25% equity interest in Timber Ridge OpCo, which permits the TRS to engage in activities and share in cash flows that would otherwise be non-qualifying income under the REIT gross income test. As part of our investment, we provided Timber Ridge OpCo a revolving credit facility of up to $5.0 million of which no funds have been drawn. We account for our investment in Timber Ridge OpCo under the equity method since we are not the primary beneficiary of Timber Ridge OpCo as our participating rights do not give us the power to direct the activities that most significantly impact its economic performance. Our equity share in the losses of Timber Ridge OpCo during the years ended December 31, 2021 and 2020, was $1.5 million and $3.1 million, respectively. During the year ended December 31, 2021, we received $1.2 million in cash distributions from Timber Ridge OpCo. Under the equity method, we decrease the carrying value of our investment for losses in the entity and distributions to NHI for cumulative amounts up to and including our basis plus any commitments to fund operations. Our commitments are currently limited to the additional $5.0 million under the revolving credit facility. As of December 31, 2021, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses of $5.0 million in excess of our original basis are included in “ Accounts payable and accrued expenses ” in our Consolidated Balance Sheet as of December 31, 2021. Excess unrecognized equity method losses were $1.0 million as of December 31, 2021. The Timber Ridge property is subject to mortgages granted to early residents secured by a Deed of Trust and Indenture of Trust (the “Deed and Indenture”). Subsequent to these early transactions, the practice was discontinued at Timber Ridge. As part of our acquisition, Timber Ridge PropCo acquired the Timber Ridge property and a subordination agreement was entered into pursuant to which the Trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the loan made by NHI to Timber Ridge PropCo. In addition, by terms of the resident loan assumption agreement, during the term of the lease (seven years with two renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these liabilities under the guarantee. As a result of the subordination and resident loan assumption agreements, a liability was not recorded for the resident loan obligation upon acquisition and as of December 31, 2021. With the periodic settlement of some of the outstanding resident loans in the normal course of entrance-fee operations, the balance secured by the Deed and Indenture has been reduced to $15.2 million at December 31, 2021.

Other Assets

Other Assets	12 Months Ended
	Dec. 31, 2021
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Other Assets	Other Assets Other assets consist of the following ( $ in thousands ): December 31, 2021 December 31, 2020 Accounts receivable and prepaid expenses $ 3,210 $ 2,594 Lease incentive payments, net 9,545 9,782 Regulatory escrows 6,208 6,208 Restricted cash 2,073 2,999 $ 21,036 $ 21,583

Debt

Debt	12 Months Ended
	Dec. 31, 2021
Debt Instruments [Abstract]
Debt	Debt Debt consists of the following ( $ in thousands ): December 31, December 31, 2020 Revolving credit facility - unsecured $ — $ 298,000 Bank term loans - unsecured 375,000 650,000 Senior notes - unsecured, net of discount of $2,921 397,079 — Private placement term loans - unsecured 400,000 400,000 Fannie Mae term loans - secured, non-recourse 77,038 95,354 Convertible senior notes - unsecured — 60,000 Unamortized loan costs (6,234) (4,069) $ 1,242,883 $ 1,499,285 Aggregate principal maturities of debt as of December 31, 2021 for each of the next five years and thereafter are included in the table below. These maturities do not include the impact of any debt incurred or repaid subsequent to December 31, 2021 ( $ in thousands ): For The Year Ending December 31, 2022 $ 75,389 2023 475,408 2024 75,425 2025 125,816 2026 — Thereafter 497,079 1,249,117 Less: unamortized loan costs (6,234) $ 1,242,883 Unsecured revolving credit facility and bank term loans Our unsecured bank credit facility consists of two term loans – $75.0 million maturing in August 2022 and $300.0 million maturing in September 2023 - and a $550.0 million revolving credit facility that was initially scheduled to mature in August 2021. In April 2021, the Company elected to exercise the extension option on the revolving credit facility available after payment of a 10 basis point extension fee totaling $0.6 million, extending the maturity of the revolver to August 2022. We plan to execute a multiple year extension of our revolving credit facility prior to the August 2022 maturity date, which is discussed in more detail in the “ Unsecured revolving credit facility and bank term loans renewal ” section below. Should we experience a delay in executing the new credit facility, some combination of cash on hand, proceeds from recent and planned asset sales and operating cash flows is expected to be used to pay off the $75.0 million term loan at its maturity in August 2022. We had swap agreements to fix the interest rates on $400.0 million of term loans that matured December 31, 2021. In January 2021, we repaid a $100.0 million term loan that was entered into July 2020 with the net proceeds from the 2031 Senior Notes offering discussed below. The term loan bore interest at a rate of 30-day LIBOR (with a 50 basis point floor) plus 185 basis points (“bps”), based on our current leverage ratios. Upon repayment, the Company expensed approximately $1.9 million of deferred financing costs associated with this loan which is included in “ Loss on early retirement of debt ” in our Consolidated Statement of Income for the year ended December 31, 2021. The revolving facility fee is currently 25 bps per annum, and based on our current credit ratings, the facility presently provides for floating interest on the revolver and the term loans at 30-day LIBOR plus 120 bps and a blended 127 bps, respectively. At December 31, 2021 and December 31, 2020, 30-day LIBOR was 10 and 14 bps, respectively. At December 31, 2021, we had $550.0 million available to draw on the revolving portion of our credit facility, subject to usual and customary covenants. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. At December 31, 2021, we were in compliance with these ratios. Pinnacle Bank is a participating member of our banking group. A member of NHI’s Board of Directors and chairman of our audit committee is also the chairman of Pinnacle Financial Partners, Inc., the holding company for Pinnacle Bank. NHI’s local banking transactions are conducted primarily through Pinnacle Bank. Unsecured revolving credit facility and bank term loans renewal We are negotiating with the banks comprising the lending syndicate under the Credit Agreement the significant terms for a new credit agreement that will provide us with a senior unsecured revolving credit facility that will replace the existing facility. We have received firm commitment letters from three banks representing $345.0 million. Senior Notes 2031 On January 26, 2021, we issued $400.0 million aggregate principal amount of 3.00% senior notes that mature on February 1, 2031 and pay interest semi-annually on February 1 and August 1 of each year, beginning on August 1, 2021 (the “2031 Senior Notes”). The 2031 Senior Notes were sold at an issue price of 99.196% of face value before the underwriters’ discount. Our net proceeds from the 2031 Senior Notes offering, after deducting underwriting discounts and expenses, were approximately $392.3 million. We used the net proceeds from the 2031 Senior Notes offering to repay our $100.0 million term loan that was entered into in July 2020 and reduce borrowings outstanding under our revolving credit facility. The 2031 Senior Notes are subject to affirmative and negative covenants, including financial covenants. As of December 31, 2021 we were in compliance with all these covenants. Private placement term loans Our unsecured private placement term loans, payable interest-only, are summarized below ( $ in thousands ): Amount Inception Maturity Fixed Rate $ 125,000 January 2015 January 2023 3.99 % 50,000 November 2015 November 2023 3.99 % 75,000 September 2016 September 2024 3.93 % 50,000 November 2015 November 2025 4.33 % 100,000 January 2015 January 2027 4.51 % $ 400,000 Except for specific debt-coverage ratios and net worth minimums, covenants pertaining to the private placement term loans are generally conformed with those governing our credit facility. Our unsecured private placement term loan agreements include a rate increase provision that is effective if any rating agency lowers our credit rating on our senior unsecured debt below investment grade and our compliance leverage increases to 50% or mo re. Fannie Mae term loans In March 2015 we obtained $78.1 million in Fannie Mae financing. The term debt financing consists of interest-only payments at an annual rate of 3.79% and a 10-year maturity. On December 23, 2021, we repaid two Fannie Mae term loans with a combined balance of $17.9 million, plus accrued interest of $0.1 million. The payoff included a prepayment fee of $1.5 million, which is reflected in the line item “ Loss on early retirement of debt ” in our Consolidated Statements of Income for the year ended December 31, 2021. The remaining mortgages are non-recourse and secured by eleven properties leased to Bickford. In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, is subject to prepayment penalties until 2024, bears interest at a nominal rate of 4.6%, and has remaining balance of $16.9 million at December 31, 2021. Collectively, these notes are secured by 12 facilities having a net book value of $110.5 million, excluding one property in assets held for sale at December 31, 2021. Repayment of HUD mortgage loans In the fourth quarter of 2020, we repaid ten HUD mortgage loans with a combined balance of $42.6 million, plus accrued interest of $0.2 million. The payoff included a prepayment fee of $1.6 million and the recognition of the unamortized discount and deferred financing cost of $1.2 million and $1.1 million, respectively, which are reflected in the line item “ Loss on early retirement of debt ” in our Consolidated Statements of Income for the year ended December 31, 2020. Convertible senior notes On April 1, 2021, our 3.25% senior unsecured convertible notes (the “Convertible Notes”) issued March 2014 matured. The Company paid $67.1 million, including accrued interest of $1.0 million and a $6.1 million conversion premium, to retire the Convertible Notes. The conversion premium was recorded as a reduction of “ Capital in excess of par value ” in our Consolidated Balance Sheet as of December 31, 2021. In December 2019, through the issuance of common stock and cash we retired $60.0 million of the remaining $120.0 million of convertible notes outstanding at that time. Total consideration given in the exchange of $73.1 million included the issuance of 626,397 shares of NHI common stock with a fair value of $51.0 million and cash disbursed of $22.1 million. The consideration was allocated as $60.3 million to the note retirement with the remaining expenditure of $12.8 million allocated to retirement of the equity feature of the notes. A loss of $0.8 million for the year ended December 31, 2019, resulted from the excess allocation of cash expenditures over the book value of the notes retired, net of discount and issuance costs. Interest Rate Swap Agreements On December 31, 2021, our $400.0 million interest rate swap agreements in place to hedge against fluctuations in variable interest rates applicable to our bank loans matured. The matured swaps had an average interest rate of 1.92%. In June 2020,$210.0 million notional amount of swaps matured. If the fair value of the hedge was an asset, we include it in our Consolidated Balance Sheets in the line item “ Other assets ”, and, if a liability, as a component of “ Accounts payable and accrued expenses ”. See Note 12 for fair value disclosures about our interest rate swap agreements. Net liability balances for our hedges included as components of “ Accounts payable and accrued expenses ” on December 31, 2020 were $7.1 million. The following table summarizes interest expense ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Interest expense on debt at contractual rates $ 40,866 $ 43,458 $ 53,923 Losses reclassified from accumulated other comprehensive income into interest expense 7,286 6,330 (791) Capitalized interest (40) (254) (399) Amortization of debt issuance costs, debt discount and other 2,698 3,348 3,566 Total interest expense $ 50,810 $ 52,882 $ 56,299

Commitments, Contingencies and

Commitments, Contingencies and Uncertainties	12 Months Ended
	Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments And Contingencies	Commitments, Contingencies and Uncertainties In the normal course of business, we enter into a variety of commitments, typically consisting of funding of revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account classified below as loan commitments, and commitments for the funding of construction for expansion or renovation to our existing properties under lease classified below as development commitments. In our leasing operations, we offer to our tenants and to sellers of newly acquired properties a variety of inducements which originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned will be included in the respective lease bases when funded. The tables below summarize our existing, known commitments and contingencies as of December 31, 2021 according to the nature of their impact on our leasehold or loan portfolios ($ in thousands) : Asset Class Type Total Funded Remaining Loan Commitments: LCS Sagewood Note A SHO Construction $ 118,800 $ (110,794) $ 8,006 Bickford Senior Living SHO Construction 42,900 (36,655) 6,245 Encore Senior Living SHO Construction 22,200 (17,708) 4,492 Senior Living Communities SHO Revolving Credit 20,000 (9,566) 10,434 Encore Senior Living SHO Construction 10,800 (9,071) 1,729 Timber Ridge OpCo SHO Working Capital 5,000 — 5,000 Watermark Retirement SHO Working Capital 5,000 (3,307) 1,693 Montecito Medical Real Estate MOB Mezzanine Loan 50,000 (12,320) 37,680 $ 274,700 $ (199,421) $ 75,279 See Note 4 and Note 5 to our consolidated financial statements for further details of our loan commitments. As provided above, loans funded do not include the effects of discounts or commitment fees. The credit loss liability for unfunded loan commitments is estimated using the same methodology as for our funded mortgage and other notes receivable based on the estimated amount that we expect to fund. We applied the same COVID-19 pandemic adjustments as discussed in Note 4. The liability for expected credit losses on our unfunded loans is presented in the following table for the year ended December 31, 2021 ( $ in thousands ): Beginning balance January 1, 2021 $ 270 Provision for expected credit losses 685 Balance at December 31, 2021 $ 955 Asset Class Type Total Funded Remaining Development Commitments: Woodland Village SHO Construction $ 7,515 $ (7,425) $ 90 Senior Living Communities SHO Renovation 9,930 (9,930) — Discovery Senior Living SHO Renovation 900 (900) — Watermark Retirement SHO Renovation 6,500 (4,436) 2,064 Navion Senior Solutions SHO Renovation 3,650 (213) 3,437 Other SHO Various 2,850 (576) 2,274 $ 31,345 $ (23,480) $ 7,865 In addition to the commitments listed above, one of our consolidated real estate partnerships has committed to funding up to $2.0 million toward the purchase of condominium units located at one of the facilities. As of December 31, 2021, we have funded $1.0 million toward the commitment. As of December 31, 2021, we had the following contingent lease inducements which are generally based on the performance of facility operations and may or may not be met by the tenant ( $ in thousands ): Asset Class Total Funded Remaining Contingencies (Lease Inducements): Timber Ridge OpCo SHO $ 10,000 $ — $ 10,000 Comfort Care Senior Living SHO 6,000 — 6,000 Wingate Healthcare SHO 5,000 — 5,000 Navion Senior Solutions SHO 4,850 (1,500) 3,350 Discovery Senior Living SHO 4,000 — 4,000 Ignite Medical Resorts SNF 2,000 — 2,000 Sante Partners SHO 2,000 — 2,000 $ 33,850 $ (1,500) $ 32,350 Bickford Contingent Note Arrangement Related to the sale of six properties to Bickford discussed further in Note 3, we reached an agreement with Bickford in the third quarter of 2021 whereby Bickford would owe us up to $4.5 million under a contingent note arrangement. We have the one-time option to determine fair market value of the portfolio between May 1, 2023 and April 30, 2026, at which time the amount owed under the contingent note arrangement, if any, will be determined as the lesser of (i) the difference between the fair market value of the portfolio and $52.1 million, which amount represents the purchase consideration for the portfolio of $52.9 million less $0.8 million in mortgage debt repayment fees previously paid by us associated with this portfolio, and (ii) $4.5 million. Any amount due on the contingent note arrangement will accrue interest at an annual rate of 10% and will be due in five years from the determination date. COVID-19 Pandemic Contingencies Since the World Health Organization declared coronavirus disease 2019 a pandemic on March 11, 2020, the continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses, and financial markets. The COVID-19 pandemic and related health and safety measures continue to impact the operations of many of the Company’s tenants, operators and borrowers. The federal government has provided economic assistance and other forms of assistance which mitigated to some extent the negative financial impact of the pandemic for certain of our tenants and operators who are eligible. Revenues for the operators of our properties continue to be significantly impacted by occupancy. Building occupancy rates have been and may continue to be adversely affected by the COVID-19 pandemic if it continues to cause sustained negative trends such as early resident move-outs, delays in admitting new residents, or other collateral events. In addition, our operators may experience a material increase in their operating costs, including costs related to enhanced health and safety precautions and increased retention and recruitment labor costs among other measures. A decrease in occupancy or increase in costs could have a material adverse effect on the ability of our operators to meet their financial and other contractual obligations to us, including the payment of rent, as well as on our results of operations. Throughout the pandemic to date, we have granted various rent concessions to tenants whose operations have been adversely affected by the pandemic. When applicable, we have elected not to apply the modification guidance under ASC 842 and have decided to account for the related concessions as variable lease payments, recorded as rental income when received. We will evaluate any rent deferral requests as a result of the COVID-19 pandemic on a tenant-by-tenant basis. The extent of future concessions we make as a result of the COVID-19 pandemic, which could have a material impact on our future operating results, cannot be reasonably or reliably projected by us at this time. Our pandemic related rent concessions that will be accounted for as variable lease payments recognized upon receipt are shown in the following table ( $ in thousands ): 2021 Activity 2020 Activity Cumulative Totals Deferrals Abatements Collections Deferrals Abatements Deferrals Abatements Collections Bickford $ 18,250 $ — $ — $ 3,750 $ 2,100 $ 22,000 $ 2,100 $ — Holiday 1,800 — — — — 1,800 — — All Others 6,339 100 82 1,232 50 7,571 150 82 $ 26,389 $ 100 $ 82 $ 4,982 $ 2,150 $ 31,371 $ 2,250 $ 82 The majority of the deferred amounts noted in the table above accrue interest starting at 8% per annum under the terms of each tenant’s deferral agreement. In addition to the concessions noted above, we have agreed with Bickford to defer up to $4.0 million in deferrals in the first quarter of 2022. We have also reached agreement with three other tenants regarding additional rent deferrals of approximately $0.5 million for the first quarter of 2022. We anticipate some of our tenants may need additional rent deferrals to assist them with the ongoing impact of the pandemic on their operations. The timing and amount of any additional deferrals cannot yet be determined. In 2021, we modified three leases with two operators that reset and reduced rental income by $1.6 million for the year ended December 31, 2021 and will reduce the rental income by approximately $4.2 million for each of the next two Litigation Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no material adverse effect on our financial condition, results of operations or cash flows. East Lake Capital Management LLC In June 2018, East Lake Capital Management LLC and certain related entities, including Regency (for three assisted living facilities in Tennessee, Indiana and North Carolina), filed suit against NHI in Texas seeking injunctive and declaratory relief and unspecified monetary damages. NHI responded with counterclaims and filed motions requesting the immediate appointment of a receiver and for pre-judgment possession. Resulting from these claims and counterclaims, on December 6, 2018, the parties entered into an agreement resulting in Regency vacating the facilities in December 2018. On September 22, 2021, all parties entered into an agreement whereby NHI was entitled to receive $0.4 million to settle all claims for this matter. The settlement amount was received in December 2021 and recognized in “ Other income ” in the Consolidated Statement of Income for the year ended December 31, 2021. In addition, we had approximately $0.3 million in liabilities recorded related to the facilities subject to the litigation that was reversed and recognized in “ Interest income and other ” for the year ended December 31, 2021. Welltower, Inc. In June 2021, Welltower announced that it would acquire certain assets from the senior housing portfolio of Holiday, a privately held senior living management company in which 17 senior living facilities were included in Holiday’s portfolio and are governed by a master lease originally executed between a Holiday subsidiary and NHI in 2013. We have received no rent due under the master lease for these facilities since this change in tenant ownership occurred. On December 20, 2021, NHI and its subsidiaries NHI-REIT of Next House, LLC, Myrtle Beach Retirement Resident LLC, and Vorhees Retirement Residence LLC filed suit against Welltower, Inc., Welltower Victory II TRS LLC, and Well Churchill Leasehold Owner LLC (collectively the "Welltower Entities") in the Delaware Court of Chancery (Case No. 2021-1097-MTZ). In the litigation, we contend that the Welltower Entities have failed repeatedly to honor their legal obligations to NHI. In particular, we assert that the Welltower Entities acquired assets from a third party, Holiday Retirement, that included leases to NHI senior living facilities and fraudulently induced NHI to consent to the assignment of the leases, and then immediately failed to pay rent or provide a promised security agreement that was intended to secure against their default, all as part of an effort to pressure NHI to agree to new conditions outside the assignment agreement or force a sale of the properties to the Welltower Entities. The Litigation further asserts that the Welltower Entities currently owe unpaid contractual rent. Unpaid contractual rent, excluding penalties and interest, totaled $11.4 million for the year ended December 31, 2021.

Equity and Dividends

Equity and Dividends	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Equity and Dividends	Note 9. Equity and Dividends At-the-Market (ATM) Equity Program In March 2020 the Company entered into a new ATM equity offering sales agreement pursuant to which the Company may sell, from time to time, up to an aggregate sales price of $500.0 million of the Company’s common shares through the ATM equity program. Upon entering into the new agreement, the Company terminated its previously existing ATM equity program, dated February 22, 2017. During the year ended December 31, 2021, we issued 661,951 common shares through the ATM program with an average price of $73.62, resulting in net proceeds after transaction costs of approximately $47.9 million. During the year ended December 31, 2020, 535,990 common shares were issued for $34.6 million in net proceeds after transactions cost. Dividends The following table summarizes dividends declared by the Board of Directors during the years ended December 31, 2021 and 2020: Year Ended December 31, 2021 Date of Declaration Date of Record Date Paid/Payable Quarterly Dividend March 12, 2021 March 31, 2021 May 7, 2021 $1.1025 June 3, 2021 June 30, 2021 August 6, 2021 $0.90 August 6, 2021 September 30, 2021 November 5, 2021 $0.90 November 5, 2021 December 31, 2021 January 31, 2022 $0.90 Year Ended December 31, 2020 Date of Declaration Date of Record Date Paid/Payable Quarterly Dividend February 19, 2020 March 31, 2020 May 8, 2020 $1.1025 June 15, 2020 June 30, 2020 August 7, 2020 $1.1025 September 14, 2020 September 30, 2020 November 6, 2020 $1.1025 December 15, 2020 December 31, 2020 January 29, 2021 $1.1025 On February 16, 2022, the Board of Directors declared a $0.90 per share dividend to common stockholders of record on March 31, 2022, payable May 6, 2022.

Share-Based Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2021
Deferred Compensation Arrangements [Abstract]
Share-Based Compensation	Share-Based Compensation We recognize share-based compensation for all stock options granted over the requisite service period using the fair value of these grants as estimated at the date of grant using the Black-Scholes pricing model over the requisite service period using the market value of our publicly traded common stock on the date of grant. Share-Based Compensation Plans The Compensation Committee of the Board of Directors (the “Committee”) has the authority to select the participants to be granted options; to designate whether the option granted is an incentive stock option (“ISO”), a non-qualified option, or a stock appreciation right; to establish the number of shares of common stock that may be issued upon exercise of the option; to establish the vesting provision for any award; and to establish the term any award may be outstanding. The exercise price of any ISO’s granted will not be less than 100% of the fair market value of the shares of common stock on the date granted and the term of an ISO may not be more than ten years. The exercise price of any non-qualified options granted will not be less than 100% of the fair market value of the shares of common stock on the date granted unless so determined by the Committee. The Company’s outstanding stock incentive awards have been granted under two incentive plans – the 2012 Stock Incentive Plan (“2012 Plan”) and the 2019 Stock Incentive Plan (“2019” Plan”). The individual option grant awards may vest over periods up to five years. The term of the options under the 2019 Plan is up to ten years from the date of grant. As of December 31, 2021, shares available for future grants totaled 2,117,336 all under the 2019 Plan. Compensation expense is recognized only for the awards that ultimately vest. Accordingly, forfeitures that were not expected may result in the reversal of previously recorded compensation expense. The following is a summary of share-based compensation expense, net of forfeitures, included in “ General and administrative expenses ” in the Consolidated Statements of Income ( $ in thousands ): December 31, 2021 December 31, 2020 December 31, 2019 Non-cash share-based compensation expense $ 8,415 $ 3,061 $ 3,646 Determining Fair Value of Option Awards The fair value of each option award was estimated on the grant date using the Black-Scholes option valuation model with the weighted average assumptions indicated in the following table. Each grant is valued as a single award with an expected term based upon expected employee and termination behavior. Compensation cost is recognized on the graded vesting method over the requisite service period for each separately vesting tranche of the award as though the award were, in substance, multiple awards. The expected volatility is derived using daily historical data for periods preceding the date of grant. The risk-free interest rate is the approximate yield on the United States Treasury Strips having a life equal to the expected option life on the date of grant. The expected life is an estimate of the number of years an option will be held before it is exercised. Stock Options The weighted average fair value of options granted was $14.54, $5.57 and $6.30 for December 31, 2021, 2020 and 2019, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions: December 31, 2021 December 31, 2020 December 31, 2019 Dividend yield 6.7% 5.1% 5.5% Expected volatility 48.1% 17.1% 18.2% Expected lives 2.9 years 2.9 years 2.7 years Risk-free interest rate 0.33% 1.30% 2.39% Stock Option Activity The following tables summarize our outstanding stock options, after giving effect to modifications of 83,334 options in November 2019 as, in substance, the forfeiture of old and issuance of new options concurrent with an employee’s retirement: Weighted Average Number Weighted Average Remaining of Shares Exercise Price Contractual Life (Years) Outstanding December 31, 2018 920,346 $69.24 Options granted under 2012 Plan 685,334 $79.08 Options exercised under 2012 Plan (501,664) $71.52 Options forfeited under 2012 Plan (100,002) $73.89 Outstanding December 31, 2019 1,004,014 $74.35 Options granted under 2012 Plan 319,669 $90.79 Options granted under 2019 Plan 272,331 $89.76 Options exercised under 2012 Plan (512,509) $72.98 Options forfeited under 2012 Plan (16,669) $81.37 Options forfeited under 2019 Plan (32,998) $90.79 Outstanding December 31, 2020 1,033,838 $83.54 Options granted under 2012 Plan 12,500 $69.20 Options granted under 2019 Plan 639,500 $69.20 Options exercised under 2012 Plan (20,000) $60.52 Options forfeited under 2019 Plan (13,333) $90.79 Options outstanding, December 31, 2021 1,652,505 $78.10 3.37 Exercisable at December 31, 2021 1,169,991 $79.12 3.08 Remaining Grant Number Exercise Contractual Date of Shares Price Life in Years 2/22/2017 55,331 $ 74.78 0.14 2/20/2018 88,170 $ 64.33 1.14 2/21/2019 313,504 $ 79.96 2.14 2/21/2020 536,000 $ 90.79 3.15 5/1/2020 7,500 $ 53.76 3.33 2/25/2021 652,000 $ 69.20 4.15 Options outstanding, December 31, 2021 1,652,505 Including outstanding stock options, our stockholders have authorized an additional 3,769,841 shares of common stock that may be issued under the share-based payments plans. The following table summarizes our outstanding non-vested stock options: Number of Shares Weighted Average Grant Date Fair Value Non-vested December 31, 2020 431,844 $5.79 Options granted under 2012 Plan 12,500 $14.54 Options granted under 2019 Plan 639,500 $14.54 Options vested under 2012 Plan (212,838) $5.18 Options vested under 2019 Plan (388,492) $6.98 Non-vested December 31, 2021 482,514 $7.51 As of December 31, 2021, unrecognized compensation expense totaling $1.8 million associated with unvested stock options is expected to be recognized over the following periods: 2022 - $1.6 million and 2023 - $0.2 million. Share-based compensation is included in “ General and administrative expense ” in the Consolidated Statements of Income. At December 31, 2021, there was no material intrinsic value of stock options outstanding and exercisable. The aggregate intrinsic value of stock options exercised during the years ended December 31, 2021, 2020 and 2019 was $0.2 million or $9.27 per share; $8.1 million or $15.84 per share, and $5.7 million or $11.28 per share, respectively.

Earnings Per Common Share

Earnings Per Common Share	12 Months Ended
	Dec. 31, 2021
Earnings Per Share [Abstract]
Earnings Per Common Share	Earnings Per Common Share The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options and the conversion of our convertible debt using the treasury stock method, to the extent dilutive. Dilution resulting from the conversion option within our convertible debt is determined by computing an average of incremental shares included in each quarterly diluted EPS computation. If our average stock price for the period is higher than the conversion price of our convertible debt, the conversion feature is considered dilutive. The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share ( $ in thousands, except share and per share amounts ): Year Ended December 31, 2021 2020 2019 Net income attributable to common stockholders $ 111,804 $ 185,126 $ 160,456 BASIC: Weighted average common shares outstanding 45,714,221 44,696,285 43,417,828 DILUTED: Weighted average common shares outstanding 45,714,221 44,696,285 43,417,828 Stock options 4,823 1,719 75,196 Convertible debt 10,453 — 210,224 Weighted average dilutive common shares outstanding 45,729,497 44,698,004 43,703,248 Net income attributable to common stockholders - basic $ 2.45 $ 4.14 $ 3.70 Net income attributable to common stockholders - diluted $ 2.44 $ 4.14 $ 3.67 Incremental anti-dilutive shares excluded: Net share effect of stock options with an exercise price in excess of the average market price for our common shares 383,716 390,596 4,678 Regular dividends declared per common share $ 3.8025 $ 4.41 $ 4.20

Fair Value Of Financial Instrum

Fair Value Of Financial Instruments	12 Months Ended
	Dec. 31, 2021
Fair Value Disclosures [Abstract]
Fair Value Of Financial Instruments	Fair Value Of Financial Instruments Our financial assets and liabilities measured at fair value (based on the hierarchy of the three levels of inputs described in Note 2) on a recurring basis include derivative financial instruments. Derivative financial instruments include our interest rate swap agreements. Derivative financial instruments . Derivative financial instruments are valued in the market using discounted cash flow techniques. These techniques incorporate Level 1 and Level 2 inputs. The market inputs are utilized in the discounted cash flow calculation considering the instrument’s term, notional amount, discount rate and credit risk. Significant inputs to the derivative valuation model for interest rate swaps are observable in active markets and are classified as Level 2 in the hierarchy. Assets and liabilities measured at fair value on a recurring basis are as follows ( $ in thousands ): Fair Value Measurement Balance Sheet Classification December 31, December 31, 2020 Level 2 Interest rate swap liability Accounts payable and accrued expenses $ — $ (7,149) Carrying amounts and fair values of financial instruments that are not carried at fair value at December 31, 2021 and December 31, 2020 in the Consolidated Balance Sheets are as follows ( $ in thousands ): Carrying Amount Fair Value Measurement 2021 2020 2021 2020 Level 2 Variable rate debt $ 373,682 $ 945,078 $ 375,000 $ 948,000 Fixed rate debt $ 869,201 $ 554,207 $ 858,124 $ 575,292 Level 3 Mortgage and other notes receivable, net $ 299,952 $ 292,427 $ 314,821 $ 321,021 Fixed rate debt. Fixed rate debt is classified as Level 2 and its value is based on quoted prices for similar instruments or calculated utilizing model derived valuations in which significant inputs are observable in active markets. Mortgage and other notes receivable . The fair value of mortgage and other notes receivable is based on credit risk and discount rates that are not observable in the marketplace and therefore represents a Level 3 measurement. Carrying amounts of cash and cash equivalents and restricted cash, accounts receivable and accounts payable approximate fair value due to their short-term nature. The fair value of our borrowings under our revolving credit facility and other variable rate debt are reasonably estimated at their notional amounts at December 31, 2021 and 2020, due to the predominance of floating interest rates, which generally reflect market conditions.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2021
Income Taxes [Abstract]
Income Taxes	Income Taxes Beginning with our inception in 1991, we have elected to be taxed as a REIT under the Internal Revenue Code. We have recorded state income tax expense of $0.1 million related to a Texas franchise tax that has attributes of an income tax for each of the years ended December 31, 2021, 2020, and 2019. Some of our leases require taxes to be reimbursed by our tenants. State income taxes are combined in “ Franchise, excise and other taxes ” in our Consolidated Statements of Income. The Company has a deferred tax asset, which is fully reserved through a valuation allowance, of $0.6 million and $0.9 million as of December 31, 2021 and 2020, respectively, as a result of its participation in the operations of a joint venture during the years 2012 through 2016, and Timber Ridge OpCo structured as a taxable REIT subsidiary (“TRS”) under provisions of the Internal Revenue Code. See Note 5 for a discussion of Timber Ridge OpCo. The Company made state income tax payments of $0.1 million for each of the years ended December 31, 2021, 2020, and 2019. Dividend payments to common stockholders for the last three years are characterized for tax purposes as follows on a per share basis: (Unaudited) December 31, 2021 December 31, 2020 December 31, 2019 Ordinary income $ 2.87799 $ 3.50400 $ 4.20000 Capital gain 0.43890 0.10999 — Return of capital 0.48562 0.79603 — Dividends paid per common share $ 3.8025 $ 4.41 $ 4.20

Schedule III - Real Estate and

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2021
Schedule III - Real Estate and Accumulated Depreciation [Abstract]
Schedule III - Real Estate and Accumulated Depreciation [Text Block]	NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Skilled Nursing Facilities Anniston, AL $ — $ 70 $ 4,477 $ — $ 70 $ 4,477 $ 4,547 $ 3,666 10/17/1991 Moulton, AL — 25 688 — 25 688 713 688 10/17/1991 Avondale, AZ — 453 6,678 — 453 6,678 7,131 4,335 8/13/1996 Brooksville, FL — 1,217 16,166 — 1,217 16,166 17,383 4,816 2/1/2010 Crystal River, FL — 912 12,117 — 912 12,117 13,029 3,610 2/1/2010 Dade City, FL — 605 8,042 — 605 8,042 8,647 2,396 2/1/2010 Hudson, FL (2 facilities) — 1,290 22,392 — 1,290 22,392 23,682 12,357 Various Merritt Island, FL — 701 8,869 — 701 8,869 9,570 7,602 10/17/1991 New Port Richey, FL — 228 3,023 — 228 3,023 3,251 901 2/1/2010 Plant City, FL — 405 8,777 — 405 8,777 9,182 7,458 10/17/1991 Stuart, FL — 787 9,048 — 787 9,048 9,835 7,900 10/17/1991 Trenton, FL — 851 11,312 — 851 11,312 12,163 3,370 2/1/2010 Glasgow, KY — 33 2,110 — 33 2,110 2,143 2,064 10/17/1991 Greenfield, MA — 370 4,341 — 370 4,341 4,711 953 8/30/2013 Holyoke, MA — 110 944 — 110 944 1,054 218 8/30/2013 Quincy, MA — 450 710 — 450 710 1,160 152 8/30/2013 Taunton, MA — 900 5,906 — 900 5,906 6,806 1,310 8/30/2013 Desloge, MO — 178 3,804 — 178 3,804 3,982 3,804 10/17/1991 Joplin, MO — 175 4,034 — 175 4,034 4,209 3,185 10/17/1991 Kennett, MO — 180 4,928 — 180 4,928 5,108 4,784 10/17/1991 Maryland Heights, MO — 150 4,790 — 150 4,790 4,940 4,658 10/17/1991 St. Charles, MO — 420 5,512 — 420 5,512 5,932 5,512 10/17/1991 Manchester, NH (2 facilities) — 790 20,077 — 790 20,077 20,867 4,334 8/30/2013 Epsom, NH — 630 2,191 — 630 2,191 2,821 503 8/30/2013 Albany, OR — 190 10,415 — 190 10,415 10,605 2,441 3/31/2014 Creswell, OR — 470 8,946 — 470 8,946 9,416 1,993 3/31/2014 Forest Grove, OR — 540 11,848 — 540 11,848 12,388 2,674 3/31/2014 Anderson, SC — 308 4,643 — 308 4,643 4,951 4,483 10/17/1991 Greenwood, SC — 174 3,457 174 3,457 3,631 3,245 10/17/1991 Laurens, SC — 42 3,426 — 42 3,426 3,468 3,112 10/17/1991 Orangeburg, SC — 300 3,714 — 300 3,714 4,014 1,294 9/25/2008 Athens, TN — 38 1,463 — 38 1,463 1,501 1,364 10/17/1991 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Chattanooga, TN — 143 2,309 — 143 2,309 2,452 2,295 10/17/1991 Dickson, TN — 90 3,541 — 90 3,541 3,631 3,214 10/17/1991 Franklin, TN — 47 1,130 — 47 1,130 1,177 1,130 10/17/1991 Hendersonville, TN — 363 3,837 — 363 3,837 4,200 3,281 10/17/1991 Johnson City, TN — 85 1,918 — 85 1,918 2,003 1,918 10/17/1991 Lewisburg, TN (2 facilities) — 46 994 — 46 994 1,040 994 10/17/1991 McMinnville, TN — 73 3,618 — 73 3,618 3,691 3,186 10/17/1991 Milan, TN — 41 1,826 — 41 1,826 1,867 1,691 10/17/1991 Pulaski, TN — 53 3,921 — 53 3,921 3,974 3,461 10/17/1991 Lawrenceburg, TN — 98 2,900 — 98 2,900 2,998 2,429 10/17/1991 Dunlap, TN — 35 3,679 — 35 3,679 3,714 3,111 10/17/1991 Smithville, TN — 35 3,816 — 35 3,816 3,851 3,325 10/18/1991 Somerville, TN — 26 677 — 26 677 703 677 10/19/1991 Sparta, TN — 80 1,602 — 80 1,602 1,682 1,525 10/20/1991 Austin, TX — 606 9,895 — 606 9,895 10,501 1,675 4/1/2016 Canton, TX — 420 12,330 — 420 12,330 12,750 3,387 4/18/2013 Corinth, TX — 1,075 13,935 — 1,075 13,935 15,010 4,056 4/18/2013 Ennis, TX — 986 9,025 — 986 9,025 10,011 2,894 10/31/2011 Euless, TX — 1,241 12,629 — 1,241 12,629 13,870 2,323 4/1/2016 Fort Worth, TX — 1,380 14,370 — 1,380 14,370 15,750 1,772 5/10/2018 Garland, TX — 1,440 14,310 — 1,440 14,310 15,750 1,761 5/10/2018 Gladewater, TX — 70 17,840 — 70 17,840 17,910 2,869 4/1/2016 Greenville, TX — 1,800 13,948 — 1,800 13,948 15,748 4,202 10/31/2011 Houston, TX (3 facilities) — 2,808 42,511 — 2,808 42,511 45,319 13,456 Various Katy, TX — 610 13,893 — 610 13,893 14,503 2,376 4/1/2016 Kyle, TX — 1,096 12,279 — 1,096 12,279 13,375 3,766 6/11/2012 Marble Falls, TX — 480 14,989 — 480 14,989 15,469 2,497 4/1/2016 McAllen, TX — 1,175 8,259 — 1,175 8,259 9,434 1,548 4/1/2016 New Braunfels, TX — 1,430 13,666 — 1,430 13,666 15,096 2,245 2/24/2017 San Antonio, TX (3 facilities) — 2,370 40,054 — 2,370 40,054 42,424 9,479 Various Waxahachie, TX — 1,330 14,349 — 1,330 14,349 15,679 1,919 1/17/2018 Bristol, VA — 176 2,511 — 176 2,511 2,687 2,459 10/17/1991 Oak Creek, WI — 2,000 14,903 7,402 2,000 22,305 24,305 1,298 12/7/2018 — 37,700 550,312 7,402 37,700 557,714 595,414 209,401 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Assisted Living Facilities Rainbow City, AL — 670 11,330 — 670 11,330 12,000 2,647 10/31/2013 Sacramento, CA — 660 10,840 — 660 10,840 11,500 2,395 6/1/2014 Pueblo West, CO — 169 7,431 — 169 7,431 7,600 539 7/23/2019 Bartow, FL — 225 3,192 — 225 3,192 3,417 989 11/30/2010 Lakeland, FL — 307 3,117 — 307 3,117 3,424 968 11/30/2010 St. Cloud, FL — 250 3,167 — 250 3,167 3,417 985 11/30/2010 Greensboro, GA — 672 4,849 631 672 5,480 6,152 1,425 9/15/2011 Ames, IA 3,193 360 4,670 — 360 4,670 5,030 1,128 6/28/2013 Burlington, IA 3,901 200 8,374 — 200 8,374 8,574 2,028 6/28/2013 Cedar Falls, IA — 260 4,700 30 260 4,730 4,990 1,174 6/28/2013 Ft. Dodge, IA 4,008 100 7,208 — 100 7,208 7,308 1,708 6/28/2013 Iowa City, IA — 297 2,725 33 297 2,758 3,055 906 6/30/2010 Marshalltown, IA 5,714 240 6,208 — 240 6,208 6,448 1,495 6/28/2013 Muscatine, IA — 140 1,802 — 140 1,802 1,942 485 6/28/2013 Urbandale, IA 8,113 540 4,292 — 540 4,292 4,832 1,079 6/28/2013 Caldwell, ID — 320 9,353 — 320 9,353 9,673 2,063 3/31/2014 Weiser, ID — 20 2,433 — 20 2,433 2,453 571 12/21/2012 Aurora, IL — 1,195 11,713 — 1,195 11,713 12,908 1,931 5/9/2017 Bolingbrook, IL — 1,290 14,677 — 1,290 14,677 15,967 1,958 3/16/2017 Bourbonnais, IL 7,974 170 16,594 — 170 16,594 16,764 3,885 6/28/2013 Crystal Lake, IL (2 facilities) — 1,060 30,043 170 1,060 30,213 31,273 4,282 Various Gurnee, IL — 1,244 13,856 — 1,244 13,856 15,100 959 9/10/2019 Moline, IL 3,896 250 5,630 — 250 5,630 5,880 1,371 6/28/2013 Oswego, IL — 390 20,957 212 390 21,169 21,559 3,137 6/1/2016 Quincy, IL 6,055 360 12,403 — 360 12,403 12,763 2,927 6/28/2013 Rockford, IL 6,412 390 12,575 — 390 12,575 12,965 3,014 6/28/2013 South Barrington, IL — 1,610 13,456 — 1,610 13,456 — 15,066 1,833 3/16/2017 St. Charles, IL — 820 22,188 252 820 22,440 23,260 3,356 6/1/2016 Tinley Park, IL — 1,622 11,354 — 1,622 11,354 12,976 2,043 6/23/2016 Attica, IN — 284 7,891 — 284 7,891 8,175 397 5/1/2020 Carmel, IN — 463 7,055 — 463 7,055 7,518 1,987 11/12/2014 Crawfordsville, IN — 300 3,134 — 300 3,134 3,434 766 6/28/2013 Crown Point, IN — 574 7,336 353 574 7,689 8,263 2,063 10/30/2013 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Greenwood, IN — 791 7,020 227 791 7,247 8,038 2,060 11/7/2013 Linton, IN — 60 6,015 — 60 6,015 6,075 304 5/1/2020 Valparaiso, IN — 1,414 16,099 — 1,414 16,099 17,513 1,189 5/31/2019 Bastrop, LA — 325 2,456 — 325 2,456 2,781 765 4/30/2011 Bossier City, LA — 500 3,344 — 500 3,344 3,844 1,075 4/30/2011 Minden, LA — 280 1,698 — 280 1,698 1,978 526 4/30/2011 West Monroe, LA — 770 5,627 — 770 5,627 6,397 1,684 4/30/2011 Baltimore, MD — 860 8,078 534 860 8,612 9,472 1,992 10/31/2013 Battle Creek, MI — 398 3,093 197 398 3,290 3,688 1,174 10/19/2009 Bridgeport, MI — 220 7,849 — 220 7,849 8,069 764 6/20/2018 Brighton, MI — 410 13,090 — 410 13,090 13,500 1,028 5/22/2019 Lansing, MI — 1,020 9,684 174 1,020 9,858 10,878 1,402 10/19/2009 Okemos, MI — 340 8,082 — 340 8,082 8,422 2,700 11/19/2009 Saginaw, MI — 290 8,779 — 290 8,779 9,069 863 6/19/2018 Shelby, MI — 1,588 13,512 — 1,588 13,512 15,100 788 1/27/2020 Shelby Township, MI — 570 10,230 — 570 10,230 10,800 828 4/30/2019 Champlin, MN — 980 4,460 — 980 4,460 5,440 1,443 3/10/2010 Hugo, MN — 400 3,945 132 400 4,077 4,477 1,224 3/10/2010 Maplewood, MN — 1,700 6,544 — 1,700 6,544 8,244 2,111 3/10/2010 North Branch, MN — 595 2,985 30 595 3,015 3,610 1,015 3/10/2010 Mahtomedi, MN — 515 8,825 — 515 8,825 9,340 500 12/27/2019 Charlotte, NC — 650 17,663 2,000 650 19,663 20,313 3,450 7/1/2015 Durham, NC — 860 6,903 — 860 6,903 7,763 794 12/15/2017 Hendersonville, NC (2 facilities) — 3,120 12,980 — 3,120 12,980 16,100 1,882 3/16/2017 Lincoln, NE 8,418 380 10,904 — 380 10,904 11,284 2,541 6/28/2013 Omaha, NE (2 facilities) 2,455 1,110 15,437 851 1,110 16,288 17,398 3,020 Various Columbus, OH — 1,100 26,002 — 1,100 26,002 27,102 2,826 4/30/2018 Lancaster, OH — 530 20,530 — 530 20,530 21,060 4,068 7/31/2015 Middletown, OH — 940 15,548 — 940 15,548 16,488 3,239 10/31/2014 Worthington, OH — — 18,869 1,476 — 20,345 — 20,345 2,577 4/30/2018 McMinnville, OR — 390 9,183 — 390 9,183 9,573 1,433 8/31/2016 Milwaukie, OR — 370 5,283 64 370 5,347 5,717 1,026 9/30/2014 Ontario, OR (2 facilities) — 429 6,128 — 429 6,128 6,557 1,443 12/21/2012 Portland, OR (2 facilities) — 1,430 31,542 — 1,430 31,542 32,972 4,428 8/31/2015 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Erie, PA — 1,030 15,206 3 1,030 15,209 — 16,239 1,557 4/30/2018 Reading, PA — 1,027 11,179 — 1,027 11,179 12,206 866 5/31/2019 Manchester, TN — 534 6,068 — 534 6,068 6,602 118 6/3/2021 Fredericksburg, VA — 1,615 9,271 — 1,615 9,271 10,886 1,615 9/20/2016 Midlothian, VA — 1,646 8,635 — 1,646 8,635 10,281 1,550 10/31/2016 Suffolk, VA — 1,022 9,320 — 1,022 9,320 10,342 1,420 3/25/2016 Beaver Dam, WI — 210 13,749 157 210 13,906 14,116 5,146 12/21/2012 Bellevue, WI — 504 11,796 — 504 11,796 12,300 458 9/30/2020 60,139 50,375 740,164 7,526 50,375 747,690 798,065 129,386 Independent Living Facilities Fort Smith, AR — 590 22,447 — 590 22,447 23,037 4,864 12/23/2013 Rogers, AR — 1,470 25,282 — 1,470 25,282 26,752 5,476 12/23/2013 Fresno, CA — 420 10,899 — 420 10,899 11,319 2,468 12/23/2013 Modesto, CA — 1,170 22,673 — 1,170 350 22,673 23,843 4,853 12/23/2013 Pinole, CA — 1,020 18,066 — 1,020 350 18,066 19,086 3,910 12/23/2013 Roseville, CA — 630 31,343 — 630 350 31,343 31,973 6,720 12/23/2013 West Covina, CA — 940 20,280 — 940 350 20,280 21,220 4,339 12/23/2013 Vero Beach, FL — 550 37,450 1,293 550 350 38,743 39,293 3,122 2/1/2019 Athens, GA — 910 31,940 — 910 31,940 32,850 6,846 12/23/2013 Columbus, GA — 570 8,639 — 570 8,639 9,209 1,980 12/23/2013 Columbus, IN — 348 6,124 — 348 6,124 6,472 458 5/31/2019 St. Charles, MO — 344 3,181 — 344 3,181 3,525 2,668 10/17/1991 Voorhees, NJ — 670 23,710 — 670 23,710 24,380 5,059 12/23/2013 Gahanna, OH — 920 22,919 — 920 22,919 23,839 4,993 12/23/2013 Broken Arrow, OK — 2,660 18,477 — 2,660 18,477 21,137 4,068 12/23/2013 Tulsa, OK 16,899 1,980 32,620 501 1,980 33,121 35,101 3,813 12/1/2017 Greenville, SC — 560 16,547 — 560 16,547 17,107 3,642 12/23/2013 Myrtle Beach, SC — 1,310 26,229 — 1,310 26,229 27,539 5,617 12/23/2013 Chattanooga, TN — 9 1,567 — 9 1,567 1,576 1,401 10/17/1991 Johnson City, TN — 55 4,077 — 55 4,077 4,132 3,211 10/17/1991 Chehalis, WA — 1,980 7,710 7,445 1,980 15,155 17,135 1,791 1/15/2016 Vancouver, WA (2 facilities) — 1,030 19,183 — 1,030 19,183 20,213 4,211 12/23/2013 16,899 20,136 411,363 9,239 20,136 420,602 440,738 85,510 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Senior Living Campuses Loma Linda, CA — 1,200 10,800 7,326 1,200 18,126 19,326 4,149 9/28/2012 Bonita Springs, FL — 1,810 24,382 930 1,810 25,312 27,122 4,448 7/1/2015 Maitland, FL — 2,317 9,161 491 2,317 9,652 11,969 6,740 8/6/1996 Michigan City, IN — 974 22,667 — 974 22,667 23,641 1,676 5/31/2019 Portage, IN — 661 21,959 — 661 21,959 22,620 1,627 5/31/2019 Needham, MA — 5,500 45,157 1,451 5,500 46,608 52,108 4,244 1/15/2019 Salisbury, MD — 1,876 44,084 471 1,876 44,555 46,431 3,422 5/31/2019 Roscommon, MI — 44 6,005 — 44 6,005 6,049 1,177 8/31/2015 Mt. Airy, NC — 1,370 7,470 150 1,370 7,620 8,990 1,590 12/17/2014 McMinnville, OR — 410 26,667 — 410 26,667 27,077 3,922 8/31/2016 Silverdale, WA — 1,750 23,860 2,167 1,750 26,027 27,777 6,714 8/16/2012 — 17,912 242,212 12,986 17,912 255,198 273,110 39,709 Entrance-Fee Communities Bridgeport, CT — 4,320 23,494 4,596 4,320 28,090 32,410 4,661 6/1/2016 North Branford, CT — 7,724 64,430 — 7,724 64,430 72,154 9,480 11/3/2016 Southbury, CT — 10,320 17,143 5,327 10,320 22,470 32,790 3,379 11/8/2016 Fernandina Beach, FL — 1,430 63,420 1,522 1,430 64,942 66,372 12,656 12/17/2014 St. Simons Island, GA — 8,770 38,070 963 8,770 39,033 47,803 7,847 12/17/2014 Winston-Salem, NC — 8,700 73,920 507 8,700 74,427 83,127 14,578 12/17/2014 Greenville, SC — 5,850 90,760 — 5,850 90,760 96,610 17,537 12/17/2014 Myrtle Beach, SC — 3,910 82,140 542 3,910 82,682 86,592 16,365 12/17/2014 Pawleys Island, SC — 1,480 38,620 460 1,480 39,080 40,560 8,050 12/17/2014 Spartanburg, SC — 900 49,190 1,021 900 50,211 51,111 9,949 12/17/2014 Issaquah, WA — 4,370 130,522 — 4,370 130,522 134,892 7,183 01/31/2020 — 57,774 671,709 14,938 57,774 686,647 744,421 111,685 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2021 ($ in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings and Accumulated Acquired/ Encumbrances (A) Land Improvements Acquisition Land Improvements Total (D) Depreciation (B) Constructed Hospitals Tulsa, OK — 1,470 38,780 — 1,470 38,780 40,250 608 5/28/2021 — 1,470 38,780 — 1,470 38,780 40,250 608 Total continuing operations properties 77,038 185,367 2,654,540 52,091 185,367 2,706,631 2,891,998 576,299 Corporate office — 1,291 677 582 1,291 1,259 2,550 369 $ 77,038 $ 186,658 $ 2,655,217 $ 52,673 $ 186,658 $ 2,707,890 $ 2,894,548 $ 576,668 NOTES TO SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION (A) See the notes to the consolidated financial statements. (B) Depreciation is calculated using estimated useful lives up to 40 years for all completed facilities. (C) Subsequent to NHC’s transfer of the original real estate properties in 1991, we have purchased from NHC $33,909,000 of additions to those properties. As the additions were purchased from NHC rather than developed by us, the $33,909,000 has been included as Initial Cost to Company. (D) At December 31, 2021, the tax basis of the Company’s net real estate assets was $2,395,000,000. NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION FOR THE YEARS ENDED DECEMBER 31, 2021, 2020, AND 2019 ($ in thousands) December 31, 2021 2020 2019 Investment in Real Estate: Balance at beginning of period $ 3,265,070 $ 3,074,846 $ 2,818,365 Additions through cash expenditures 50,346 116,724 237,186 Change in accounts payable related to investments in real estate construction (388) (784) 1,829 Change in other assets related to investments in real estate — 348 292 Additions through non-controlling interest — 10,778 — Real estate acquired in exchange for straight-line rent receivable — — 38,000 Real estate acquired in exchange for mortgage notes receivable — 63,220 14,000 Sale of properties for cash (276,429) (62) — Properties classified as held for sale (137,651) — (34,826) Impairment of property (6,400) — — Balance at end of period $ 2,894,548 $ 3,265,070 $ 3,074,846 Accumulated Depreciation: Balance at beginning of period $ 597,638 $ 514,453 $ 451,483 Addition charged to costs and expenses 80,798 83,150 76,816 Amortization of right-of-use asset 36 — 60 Sale of properties (70,063) 35 — Properties classified as held for sale (31,741) — (13,906) Contingent asset acquisition liability relieved — — — Balance at end of period $ 576,668 $ 597,638 $ 514,453

Schedule IV - Mortgage Loans on

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2021
Schedule IV - Mortgage Loans on Real Estate [Abstract]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Text Block]	NATIONAL HEALTH INVESTORS, INC. SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE December 31, 2021 Monthly Amount Subject To Interest Maturity Payment Prior Original Carrying Delinquent Principal Rate Date Terms Liens Face Amount Amount or Interest ( $ in thousands ) First Mortgages: Skilled nursing facilities: Lexington, VA 8.0% 2032-12-31 $21,000 $ 3,089 $ 1,522 Brookneal, VA 8.0% 2031-12-31 $21,000 $ 2,780 $ 1,467 Laurel Fork, VA 8.0% 2030-12-31 $20,000 $ 2,672 $ 1,342 Assisted living facilities: Oviedo, FL 8.25% 2021-12-31 Interest Only $ 10,000 $ 10,000 Indianapolis, IN 7.0% 2022-12-31 Interest Only $ 6,423 $ 6,423 Wabash/Lafayette, IN 7.0% 2025-12-31 Interest Only $ 4,000 $ 3,944 Entrance fee communities: Columbia, SC 7.3% 2024-12-31 Interest Only $ 32,700 $ 32,700 Construction Loan: Phoenix, AZ 7.25% 2028-12-31 Interest Only $ 118,800 $ 110,232 Canton, MI 9.0% 2023-12-31 Interest Only $ 14,700 $ 14,700 Chesapeake, VA 9.0% 2025-12-31 Interest Only $ 14,200 $ 7,955 Virginia Beach, VA 9.0% 2023-12-31 Interest Only $ 14,000 $ 14,000 Oshkosh, WI 8.50% 2024-12-31 Interest Only $ 6,045 $ 9,018 Sussex, WI 8.50% 2024-12-31 Interest Only $ 22,200 $ 17,624 $ 230,927 $ — At December 31, 2021, the tax basis of our mortgage loans on real estate was $248,173,000. Balloon payments on our interest only mortgage receivables are equivalent to the carrying amounts listed above except for unamortized commitment fees of $698,000. See the notes to our consolidated financial statements for more information on our mortgage loan receivables. NATIONAL HEALTH INVESTORS, INC. SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE FOR THE YEARS ENDED DECEMBER 31, 2021, 2020, AND 2019 ($ in thousands) December 31, 2021 2020 2019 Reconciliation of mortgage loans on real estate Balance at beginning of period $ 259,491 $ 294,120 $ 202,877 Additions: New mortgage loans 33,160 55,059 105,345 Amortization of loan discount and commitment fees 741 806 440 Total Additions 33,901 55,865 105,785 Deductions: Loan commitment fees received — 222 108 Mortgage notes receivable related to investments in real estate — 63,220 14,000 Collection of principal, less recoveries of previous write-downs 62,465 27,052 434 Total Deductions 62,465 90,494 14,542 Balance at end of period $ 230,927 $ 259,491 $ 294,120

Basis of Presentation and Sig_2

Basis of Presentation and Significant Accounting Policies (Policy)	12 Months Ended
	Dec. 31, 2021
Policy Text Block [Abstract]
Consolidation	Principles of Consolidation - The consolidated financial statements include the accounts of the Company, its wholly owned subsidiaries and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights (“variable interest entities” or “VIEs”) if the Company is deemed to be the primary beneficiary of such entities. All material intercompany transactions and balances are eliminated in consolidation. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We apply Financial Accounting Standards Board (“FASB”) guidance for our arrangements with VIEs which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with FASB guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI would consolidate the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis. If the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provisions of Accounting Standards Codification (“ASC”) Topic 810, Consolidation . These provisions provide for consolidation of majority-owned entities where a majority voting interest held by the Company demonstrates control of such entities in the absence of any legal constraints. At December 31, 2021, we held interests in ten unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that the Company is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line receivables, excluding our investment accounted for under the equity method discussed in Note 5. The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below ( $ in thousands ). Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 66,499 $ 85,800 Notes 3, 4 2014 Senior Living Communities Notes and straight-line receivable $ 83,592 $ 94,027 Notes 3, 4 2016 Senior Living Management Notes and straight-line receivable $ 26,659 $ 26,659 — 2018 Sagewood, LCS affiliate Notes $ 110,233 $ 110,233 Note 4 2019 Encore Senior Living 3 Notes and straight-line receivable $ 28,063 $ 34,285 Note 3 2020 Timber Ridge OpCo, LLC Various 2 $ (5,000) $ — Note 5 2020 Watermark Retirement Notes and straight-line receivable $ 8,401 $ 10,094 Note 4 2021 Montecito Medical Real Estate Notes and funding commitment $ 12,320 $ 50,000 Note 4 2021 Vizion Health Notes and straight-line receivable $ 20,280 $ 22,397 Notes 3, 4 2021 Navion Senior Solutions Notes and straight-line receivable $ 6,744 $ 13,744 Notes 3, 4 1 Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives 2 Loan commitment, equity method investment and straight-line rent receivables 3 Formerly 41 Management We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly, our maximum exposure to loss as a result of these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. Economic loss on a lease, in excess of what is presented in the table above, if any, would be limited to that resulting from any period of arrearage and non-payment of monthly rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease to a new tenant. The potential extent of such loss would be dependent upon individual facts and circumstances, and is therefore not included in the table above. In the future, NHI may be deemed the primary beneficiary of the operations if the tenants do not have adequate liquidity to accept the risks and rewards as the tenant and operator of the properties and might be required to consolidate the financial position and results of operations of the tenants into our consolidated financial statements. We consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, (“Discovery”) and LCS Timber Ridge LLC (“LCS”), to invest in senior housing facilities. As of and for the year ended December 31, 2021 and 2020, our noncontrolling interests relate to these partnerships with Discovery and LCS. NHI directs the activities that most significantly impact economic performance of these joint venture entities, subject to limited protective rights extended to our JV partners for specified business decisions. We consider both entities to be VIEs, based on our determination that the total equity at risk in each is insufficient to finance activities without additional subordinated financial support. Because of our control of these entities, we include their assets, liabilities, noncontrolling interests and operations in our consolidated financial statements. We use the equity method of accounting when we own an interest in an entity whereby we can exert significant influence over but cannot control the entity’s operations. We discontinue equity method accounting if our investment in an entity (and net advances) is reduced to zero unless we have guaranteed obligations of the entity or are otherwise committed to provide further financial support for the entity. We structured our Timber Ridge OpCo investment to be compliant with the provisions of RIDEA which permits us to receive rent payments through a triple-net lease between a property company and an operating company and allows us to receive distributions from the operating company to a taxable REIT subsidiary (“TRS”). Our TRS holds our equity interests in unconsolidated operating companies thus providing an organizational structure that allows the TRS to engage in a broad range of activities and share in revenues that are otherwise non-qualifying income under the REIT gross income tests. Noncontrolling Interests - As mentioned above, we consolidate real estate partnerships formed with Discovery in June 2019 and LCS in January 2020, both of which invest in senior housing facilities. The noncontrolling interests reflected in the consolidated financial statements relate to these partnerships from the date of inception of these arrangements.
Use of Estimates	Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Earnings Per Share	Earnings Per Share - The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options using the treasury stock method, to the extent dilutive. Diluted earnings per share also incorporate the potential dilutive impact of our convertible debt. We apply the treasury stock method to our convertible debt instruments, the effect of which is that conversion will not be assumed for purposes of computing diluted earnings per share unless the average share price of our common stock for the period exceeds the conversion price per share.
Fair Value Of Financial Instruments	Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: Level 1 - Quoted prices in active markets for identical assets or liabilities. Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy.
Property, Plant and Equipment, Impairment	Real Estate Properties - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, personal property and lease and other intangibles. For properties acquired in transactions accounted for as asset purchases, the purchase price, which includes transaction costs, is allocated based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives of 40 years, and improvements over their estimated useful lives ranging to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings.
Lessor, Leases	Leases - Leases entered into or modified since 2019 are accounted for under the guidance of ASC Topic 842, Leases . All of our leases are classified as operating leases and generally have an initial leasehold term of 10 to 15 years followed by one or more five
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]	Cash and Cash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit or subject to an agreement (e.g. with a qualified intermediary subject to an Internal Revenue Code Section 1031 exchange agreement or in accordance with agency agreements governing our mortgages). The following table sets forth our “ Cash and cash equivalents and restricted cash ” reported within the Company’s Consolidated Statements of Cash Flows ( $ in thousands ): As of December 31, 2021 2020 Cash and cash equivalents $ 37,412 $ 43,344 Restricted cash (included in Other assets) 2,073 2,999 $ 39,485 $ 46,343
Concentration Risk, Credit Risk	Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that often exceed federally insured limits. We have not experienced any losses in such accounts. Our mortgages and other notes receivable consist primarily of secured loans on facilities. Our financial instruments, principally our investments in notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis.
Deferred Charges	Deferred Loan Costs - Costs incurred to acquire debt are capitalized and amortized by the straight-line method, which approximates the effective-interest method, over the term of the related debt.
Revenue Recognition, Deferred Revenue	Deferred Income - Deferred income primarily includes rents received in advance from tenants and non-refundable commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or lessee expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the lease agreements and the creditworthiness of the parties.
Revenue Recognition, Leases	Rental Income - Our leases generally provide for rent escalators throughout the term of the lease. Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectible and the lease provides for specific contractual escalators. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the lessee over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the lessee once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rentals and are excluded from the schedule of minimum lease payments. If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rent receivable in the Consolidated Balance Sheets and an increase in rental income in the Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts. Property operating expenses that are reimbursed by our operators are recorded as Rental income. Accordingly, we record a corresponding Taxes and insurance on leased properties expense in the Consolidated Statements of Income. Rental income includes reimbursement of property operating expenses for the years ended December 2021, 2020 and 2019, totaling $11.6 million, $9.7 million and $5.8 million, respectively. Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved. The Company reviews its operating lease receivables for collectability on a regular basis, taking into consideration changes in factors such as the tenant’s payment history, the financial condition of the tenant, business conditions in which the tenant operates and economic conditions in the area where the property is located. In the event that collectability with respect to any tenant is not probable, a direct write-off of the receivable is made as an adjustment to rental income and any future rental revenue is recognized only when the tenant makes a rental payment. During the third quarter of 2021, we placed Holiday Retirement (“Holiday”) on cash basis because of unpaid contractual rent due. Rent due but uncollected and unrecognized for the year ended December 31, 2021, excluding penalties and interest, totaled $11.4 million.
Revenue Recognition, Interest	Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. We identify a mortgage loan as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to mortgage interest income on non-performing mortgage loans is to recognize mortgage interest income in the period when the cash is received. As of December 31, 2021, we did not identify any of our mortgages as non-performing.
Derivatives	Derivatives - In the normal course of business, we are subject to risk from adverse fluctuations in interest rates. We have chosen to manage this risk through the use of derivative financial instruments, primarily interest rate swaps. Counterparties to these contracts are major financial institutions. We are exposed to credit loss in the event of nonperformance by these counterparties. We do not use derivative instruments for trading or speculative purposes. Our objective in managing exposure to market risk is to limit the impact on cash flows relating to the change in market interest rates on our variable rate debt. To qualify for hedge accounting, our interest rate swaps must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions must be, and be expected to remain, probable of occurring in accordance with our related assertions. All of our hedges are cash flow hedges. We recognize all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities at their fair value in the Consolidated Balance Sheets. Changes in the fair value of derivative instruments that are not designated as hedges or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated in qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in accumulated other comprehensive income (loss), whereas the change in fair value of any ineffective portion is recognized in earnings. Gains and losses are reclassified from accumulated other comprehensive income (loss) into earnings once the underlying hedged transaction is recognized in earnings.
Income Tax	Federal Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. Aside from such income taxes which may be applicable to the taxable income in the TRS, we will not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and make distributions to stockholders at least equal to or in excess of 90% our taxable income. Accordingly, no provision for federal income taxes has been made in the consolidated financial statements. A failure to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows. Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees. Our tax returns filed for years beginning in 2018 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our Consolidated Statements of Income as a component of income tax expense.
Segment Reporting	Segment Disclosures - We are in the business of owning and financing health care properties. We are managed as one segment for internal purposes and for internal decision making for all periods presented.
New Accounting Pronouncements	FASB Lease Modifications Related to Effects of the COVID-19 Pandemic - In April 2020, the FASB issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the coronavirus pandemic (“COVID-19”). The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of COVID-19 is a lease modification under ASC 842. Instead, an entity that elects not to evaluate whether a concession directly related to COVID-19, which does not substantially increase either its rights as lessor or the obligations of the tenant, is a modification can elect whether to apply the modification guidance. An entity should apply the election consistently to leases with similar characteristics and similar circumstances. During 2021 and 2020, the Company provided $26.5 million and $7.1 million, respectively in lease concessions as a result of COVID-19, as discussed in more detail in Note 8. NHI has elected not to apply the modification guidance under ASC 842 and has accounted for the related concessions as variable lease payments, recorded as rental income when received.
Real Estate Held for Development and Sale, Policy	Assets Held for Sale - We consider properties to be assets held for sale when (1) management commits to a plan to sell the property, (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we anticipate the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property’s value at the lower of its carrying value or its estimated fair value, less estimated transaction costs. Depreciation and amortization of the property are discontinued.
Impairment or Disposal of Long-Lived Assets, Policy	Real Estate Investment Impairment - We evaluate the recoverability of the carrying amount of our real estate properties on a property-by-property basis. We review our properties for recoverability when events or circumstances, including significant physical changes in the property, significant adverse changes in general economic conditions, reclassification of the real estate properties as held for sale, or significant deterioration of the underlying cash flows of the property, indicate that the carrying amount of the property may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows from a property compared to the carrying amount of that property. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the estimated fair value of the property.
Credit Loss, Financial Instrument	Financial Instruments - Credit Losses - With the adoption of Accounting Standards Update 2016-13, Financial Instruments - Credit Losses effective January 1, 2020, we estimate and record an allowance for credit losses upon origination of the loan, based on expected credit losses over the term of the loan and update this estimate each reporting period. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine and revolving lines of credit are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans and revolving lines of credit are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date. Calculation of the allowance for credit losses involves significant judgment. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectible. Upon adoption, we recorded an allowance for expected credit losses of $3.9 million that is reflected as an adjustment to “ Mortgage and other notes receivable, net of credit loss reserve ” in the Consolidated Balance Sheets and recorded a corresponding cumulative-effect adjustment to “ Cumulative dividends in excess of net income ”. Upon adoption, we also recorded a $0.3 million reserve for estimated credit losses pertaining to unfunded loan commitments as an adjustment to “ Cumulative dividends in excess of net income”. The corresponding credit loss liability is included in the financial statement line item “ Accounts payable and accrued expenses ” in the Consolidated Balance Sheets.

Basis of Presentation and Sig_3

Basis of Presentation and Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Schedule of Variable Interest Entities [Table Text Block]	The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below ( $ in thousands ). Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 66,499 $ 85,800 Notes 3, 4 2014 Senior Living Communities Notes and straight-line receivable $ 83,592 $ 94,027 Notes 3, 4 2016 Senior Living Management Notes and straight-line receivable $ 26,659 $ 26,659 — 2018 Sagewood, LCS affiliate Notes $ 110,233 $ 110,233 Note 4 2019 Encore Senior Living 3 Notes and straight-line receivable $ 28,063 $ 34,285 Note 3 2020 Timber Ridge OpCo, LLC Various 2 $ (5,000) $ — Note 5 2020 Watermark Retirement Notes and straight-line receivable $ 8,401 $ 10,094 Note 4 2021 Montecito Medical Real Estate Notes and funding commitment $ 12,320 $ 50,000 Note 4 2021 Vizion Health Notes and straight-line receivable $ 20,280 $ 22,397 Notes 3, 4 2021 Navion Senior Solutions Notes and straight-line receivable $ 6,744 $ 13,744 Notes 3, 4 1 Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives 2 Loan commitment, equity method investment and straight-line rent receivables 3 Formerly 41 Management
Schedule of Cash and Cash Equivalents [Table Text Block]	The following table sets forth our “ Cash and cash equivalents and restricted cash ” reported within the Company’s Consolidated Statements of Cash Flows ( $ in thousands ): As of December 31, 2021 2020 Cash and cash equivalents $ 37,412 $ 43,344 Restricted cash (included in Other assets) 2,073 2,999 $ 39,485 $ 46,343

Real Estate Properties and In_2

Real Estate Properties and Investments (Tables)	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
New Real Estate Investments [Table Text Block]	During the year ended December 31, 2021, we completed the following real estate acquisitions as described below ( $ in thousands ): Operator Date Properties Asset Class Land Building and Improvements Total Vizion Health Q2 2021 1 HOSP $ 1,470 $ 38,780 $ 40,250 Navion Senior Solutions Q2 2021 1 SHO 531 6,069 6,600 $ 2,001 $ 44,849 $ 46,850
Prior Year Real Estate Investments [Table Text Block]	During the year ended December 31, 2020, we completed the following real estate acquisitions as described below ($ in thousands) : Operator Date Properties Asset Class Land Building and Improvements Total Bickford Senior Living Q1 2020 1 SHO $ 1,588 $ 13,512 $ 15,100 Life Care Services Q1 2020 1 SHO 4,370 130,522 134,892 Autumn Trace Q2 2020 2 SHO 344 13,906 14,250 Encore Senior Living 1 Q3 2020 1 SHO 504 11,796 12,300 $ 6,806 $ 169,736 $ 176,542 1 Formerly 41 Management
Schedule of Tenant Concentrations [Table Text Block]	Major Tenants The following table contains information regarding tenant concentration in our portfolio, including properties classified as held for sale, $2.6 million for our corporate office and a credit loss reserve balance of $5.2 million, based on the percentage of revenues for the years ended December 31, 2021, 2020 and 2019 related to tenants or affiliates of tenants, that exceed 10% of total revenue ( $ in thousands ): as of December 31, 2021 Revenues 1 Asset Real Notes Year Ended December 31, Class Estate 2 Receivable 2021 2020 2019 Senior Living Communities EFC $ 573,631 $ 42,266 $ 50,726 17% $ 50,734 15% $ 48,450 15% National HealthCare Corporation SNF 171,188 — 37,735 12% 37,820 11% 38,131 12% Bickford Senior Living ALF 490,308 40,599 34,599 12% 49,451 15% 56,210 17% Holiday 3 ILF 377,735 — N/A N/A 40,705 12% 40,459 13% All others, net Various 1,414,475 222,297 164,017 55% 144,448 44% 129,033 41% Escrow funds received from tenants for property operating expenses Various — — 11,638 4% 9,653 3% 5,798 2% $ 3,027,337 $ 305,162 $ 298,715 $ 332,811 $318,081 1 Includes interest income on notes receivable 2 Amounts reflect gross investment and include four Bickford properties held for sale and one Holiday property held for sale. 3 Below 10% for year ended December 31, 2021, as such revenues are included in All others, net
Summary of NHC Percentage Rent [Table Text Block]	The following table summarizes the percentage rent income from NHC ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Current year $ 3,536 $ 3,687 $ 3,650 Prior year final certification 1 (5) (14) 334 Total percentage rent income $ 3,531 $ 3,673 $ 3,984 1 For purposes of the percentage rent calculation described in the master lease agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year.
Schedule of Fixed and Variable Lease Payments [Table Text Block]	Variable Lease Payments Most of our existing leases contain annual escalators in rent payments. For financial statement purposes, rental income is recognized on a straight-line basis over the term of the lease where the lease contains fixed escalators. Some of our leases contain escalators that are determined annually based on a variable index or other factor that is indeterminable at the inception of the lease. The table below indicates the revenue recognized as a result of fixed and variable lease escalators ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Lease payments based on fixed escalators, net of deferrals $ 241,172 $ 272,630 $ 262,178 Lease payments based on variable escalators 4,662 5,501 4,967 Straight-line rent income 14,603 20,411 22,084 Escrow funds received from tenants for property operating expenses 11,638 9,653 5,798 Amortization of lease incentives (1,026) (987) (845) Rental income $ 271,049 $ 307,208 $ 294,182
Asset Dispositions	During the year ended December 31, 2021, we completed the following real estate dispositions as described below ( $ in thousands ): Operator Date Properties Asset Class Net Proceeds Net Real Estate Investment Other 1 Gain/(Impairment) 2 Bickford Q2 2021 6 SHO $ 39,924 $ 34,485 $ 1,871 $ 3,568 Community Health Systems Q2 2021 1 MOB 3,887 946 62 2,879 TrustPoint Hospital Q3 2021 1 HOSP 31,215 21,018 1,562 8,635 Holiday Q3 2021 8 SHO 114,133 113,611 (1,360) 1,882 Quorum Health Q3 2021 1 HOSP 8,314 9,568 — (1,254) Senior Living Management Q3 2021 1 SHO 12,847 3,212 210 9,425 Holiday Q3 2021 1 SHO 5,666 10,388 (81) (4,641) Brookdale Senior Living Q4 2021 1 ALF 11,880 11,696 — 184 Senior Living Management Q4 2021 1 SLC 7,275 3,335 256 3,684 Genesis Q4 2021 1 SLC 3,723 1,677 (166) 2,211 $ 238,864 $ 209,936 $ 2,354 $ 26,573 1 Includes straight-line rent and deferred lease intangibles 2 Impairments are included in “Loan and realty losses” in our Consolidated Income Statement for the year ended December 31, 2021
Lessor, Operating Lease, Payment to be Received, Fiscal Year Maturity	Future Minimum Lease Payments Future minimum lease payments to be received by us under our operating leases at December 31, 2021 are as follows ( $ in thousands ): Year Ending December 31, 2022 $ 268,096 2023 261,788 2024 258,381 2025 259,664 2026 263,620 Thereafter 1,092,671 $ 2,404,220

Mortgage and Other Notes Rece_2

Mortgage and Other Notes Receivable (Tables)	12 Months Ended
	Dec. 31, 2021
Mortgage and Other Notes Receivable [Abstract]
Prior Year Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]	During the year ended December 31, 2020 we made the following note receivable investments and commitments as described below ($ in thousands) : Operator Date Properties Asset Class Amount Funded 1 Remaining Timber Ridge OpCo (See Note 5) Q1 2020 1 SHO $ 5,000 $ — $ 5,000 Bickford Senior Living (See Note 3) Q1 2020 2 SHO 4,000 (4,000) — Bickford Senior Living Q2 2020 1 SHO 14,200 (7,955) 6,245 Watermark Retirement Q2 2020 2 SHO 5,000 (3,307) 1,693 Encore Senior Living Q4 2020 1 SHO 22,200 (17,708) 4,492 $ 50,400 $ (32,970) $ 17,430 1 Amounts as of December 31, 2021
Financing Receivable Credit Quality Indicators	The credit quality indicator as of December 31, 2021, is presented below for the amortized cost, net by year of origination of ( $ in thousands ): 2021 2020 2019 2018 2017 Prior Total Mortgages more than 1.5x $ — $ 25,579 $ 9,018 $ 138,932 $ — $ 4,331 $ 177,860 between 1.0x and 1.5x — — — — — — — less than 1.0x — 3,944 39,123 — — 10,000 53,067 No coverage available — — — — — — — — 29,523 48,141 138,932 — 14,331 230,927 Mezzanine more than 1.5x 3,568 — — — — 10,159 13,727 between 1.0x and 1.5x 32,385 — — — — — 32,385 less than 1.0x — — — — — 14,500 14,500 No coverage available — — 750 — — — 750 35,953 — 750 — — 24,659 61,362 Revolver more than 1.5x — between 1.0x and 1.5x 12,873 less than 1.0x — 12,873 Credit loss reserve (5,210) $ 299,952
Schedule of Financing Receivable, Allowance for Credit Loss, Roll Forward	The allowance for expected credit losses is presented in the following table for the year ended December 31, 2021 ( $ in thousands ): Beginning balance January 1, 2021 $ 4,946 Additions for expected credit losses 457 Deduction for expected credit losses (193) Balance December 31, 2021 $ 5,210

Other Assets (Tables)

Other Assets (Tables)	12 Months Ended
	Dec. 31, 2021
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Schedule of Other Assets [Table Text Block]	ther assets consist of the following ( $ in thousands ): December 31, 2021 December 31, 2020 Accounts receivable and prepaid expenses $ 3,210 $ 2,594 Lease incentive payments, net 9,545 9,782 Regulatory escrows 6,208 6,208 Restricted cash 2,073 2,999 $ 21,036 $ 21,583

Debt Debt (Tables)

Debt Debt (Tables)	12 Months Ended
	Dec. 31, 2021
Debt Instruments [Abstract]
Schedule of Long-term Debt Instruments [Table Text Block]	( $ in thousands ): December 31, December 31, 2020 Revolving credit facility - unsecured $ — $ 298,000 Bank term loans - unsecured 375,000 650,000 Senior notes - unsecured, net of discount of $2,921 397,079 — Private placement term loans - unsecured 400,000 400,000 Fannie Mae term loans - secured, non-recourse 77,038 95,354 Convertible senior notes - unsecured — 60,000 Unamortized loan costs (6,234) (4,069) $ 1,242,883 $ 1,499,285
Schedule of Maturities of Long-term Debt [Table Text Block]	For The Year Ending December 31, 2022 $ 75,389 2023 475,408 2024 75,425 2025 125,816 2026 — Thereafter 497,079 1,249,117 Less: unamortized loan costs (6,234) $ 1,242,883
Schedule of Unsecured Term Loans [Table Text Block]	Our unsecured private placement term loans, payable interest-only, are summarized below ( $ in thousands ): Amount Inception Maturity Fixed Rate $ 125,000 January 2015 January 2023 3.99 % 50,000 November 2015 November 2023 3.99 % 75,000 September 2016 September 2024 3.93 % 50,000 November 2015 November 2025 4.33 % 100,000 January 2015 January 2027 4.51 % $ 400,000
Schedule of Interest Expense [Table Text Block]	The following table summarizes interest expense ( $ in thousands ): Year Ended December 31, 2021 2020 2019 Interest expense on debt at contractual rates $ 40,866 $ 43,458 $ 53,923 Losses reclassified from accumulated other comprehensive income into interest expense 7,286 6,330 (791) Capitalized interest (40) (254) (399) Amortization of debt issuance costs, debt discount and other 2,698 3,348 3,566 Total interest expense $ 50,810 $ 52,882 $ 56,299

Commitments, Contingencies an_2

Commitments, Contingencies and Uncertainties (Tables)	12 Months Ended
	Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract]
Schedule of Loan Commitments [Table Text Block]	The tables below summarize our existing, known commitments and contingencies as of December 31, 2021 according to the nature of their impact on our leasehold or loan portfolios ($ in thousands) : Asset Class Type Total Funded Remaining Loan Commitments: LCS Sagewood Note A SHO Construction $ 118,800 $ (110,794) $ 8,006 Bickford Senior Living SHO Construction 42,900 (36,655) 6,245 Encore Senior Living SHO Construction 22,200 (17,708) 4,492 Senior Living Communities SHO Revolving Credit 20,000 (9,566) 10,434 Encore Senior Living SHO Construction 10,800 (9,071) 1,729 Timber Ridge OpCo SHO Working Capital 5,000 — 5,000 Watermark Retirement SHO Working Capital 5,000 (3,307) 1,693 Montecito Medical Real Estate MOB Mezzanine Loan 50,000 (12,320) 37,680 $ 274,700 $ (199,421) $ 75,279
Off Balance Sheet, Credit Loss, Liability, Roll Forward	The liability for expected credit losses on our unfunded loans is presented in the following table for the year ended December 31, 2021 ( $ in thousands ): Beginning balance January 1, 2021 $ 270 Provision for expected credit losses 685 Balance at December 31, 2021 $ 955
Schedule of Lease Commitments [Table Text Block]	Asset Class Type Total Funded Remaining Development Commitments: Woodland Village SHO Construction $ 7,515 $ (7,425) $ 90 Senior Living Communities SHO Renovation 9,930 (9,930) — Discovery Senior Living SHO Renovation 900 (900) — Watermark Retirement SHO Renovation 6,500 (4,436) 2,064 Navion Senior Solutions SHO Renovation 3,650 (213) 3,437 Other SHO Various 2,850 (576) 2,274 $ 31,345 $ (23,480) $ 7,865
Schedule of Loss Contingencies by Contingency [Table Text Block]	As of December 31, 2021, we had the following contingent lease inducements which are generally based on the performance of facility operations and may or may not be met by the tenant ( $ in thousands ): Asset Class Total Funded Remaining Contingencies (Lease Inducements): Timber Ridge OpCo SHO $ 10,000 $ — $ 10,000 Comfort Care Senior Living SHO 6,000 — 6,000 Wingate Healthcare SHO 5,000 — 5,000 Navion Senior Solutions SHO 4,850 (1,500) 3,350 Discovery Senior Living SHO 4,000 — 4,000 Ignite Medical Resorts SNF 2,000 — 2,000 Sante Partners SHO 2,000 — 2,000 $ 33,850 $ (1,500) $ 32,350
Schedule of Rent Concessions [Table Text Block]	Our pandemic related rent concessions that will be accounted for as variable lease payments recognized upon receipt are shown in the following table ( $ in thousands ): 2021 Activity 2020 Activity Cumulative Totals Deferrals Abatements Collections Deferrals Abatements Deferrals Abatements Collections Bickford $ 18,250 $ — $ — $ 3,750 $ 2,100 $ 22,000 $ 2,100 $ — Holiday 1,800 — — — — 1,800 — — All Others 6,339 100 82 1,232 50 7,571 150 82 $ 26,389 $ 100 $ 82 $ 4,982 $ 2,150 $ 31,371 $ 2,250 $ 82

Equity and Dividends (Tables)

Equity and Dividends (Tables)	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Dividends Declared	The following table summarizes dividends declared by the Board of Directors during the years ended December 31, 2021 and 2020: Year Ended December 31, 2021 Date of Declaration Date of Record Date Paid/Payable Quarterly Dividend March 12, 2021 March 31, 2021 May 7, 2021 $1.1025 June 3, 2021 June 30, 2021 August 6, 2021 $0.90 August 6, 2021 September 30, 2021 November 5, 2021 $0.90 November 5, 2021 December 31, 2021 January 31, 2022 $0.90 Year Ended December 31, 2020 Date of Declaration Date of Record Date Paid/Payable Quarterly Dividend February 19, 2020 March 31, 2020 May 8, 2020 $1.1025 June 15, 2020 June 30, 2020 August 7, 2020 $1.1025 September 14, 2020 September 30, 2020 November 6, 2020 $1.1025 December 15, 2020 December 31, 2020 January 29, 2021 $1.1025 On February 16, 2022, the Board of Directors declared a $0.90 per share dividend to common stockholders of record on March 31, 2022, payable May 6, 2022.

Share-Based Compensation (Table

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2021
Deferred Compensation Arrangements [Abstract]
Share-based Payment Arrangement, Expensed and Capitalized, Amount	The following is a summary of share-based compensation expense, net of forfeitures, included in “ General and administrative expenses ” in the Consolidated Statements of Income ( $ in thousands ): December 31, 2021 December 31, 2020 December 31, 2019 Non-cash share-based compensation expense $ 8,415 $ 3,061 $ 3,646
Schedule of Stock Option Valuation Assumptions [Table Text Block]	The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions: December 31, 2021 December 31, 2020 December 31, 2019 Dividend yield 6.7% 5.1% 5.5% Expected volatility 48.1% 17.1% 18.2% Expected lives 2.9 years 2.9 years 2.7 years Risk-free interest rate 0.33% 1.30% 2.39%
Schedule of Stock Option Activity [Table Text Block]	The following tables summarize our outstanding stock options, after giving effect to modifications of 83,334 options in November 2019 as, in substance, the forfeiture of old and issuance of new options concurrent with an employee’s retirement: Weighted Average Number Weighted Average Remaining of Shares Exercise Price Contractual Life (Years) Outstanding December 31, 2018 920,346 $69.24 Options granted under 2012 Plan 685,334 $79.08 Options exercised under 2012 Plan (501,664) $71.52 Options forfeited under 2012 Plan (100,002) $73.89 Outstanding December 31, 2019 1,004,014 $74.35 Options granted under 2012 Plan 319,669 $90.79 Options granted under 2019 Plan 272,331 $89.76 Options exercised under 2012 Plan (512,509) $72.98 Options forfeited under 2012 Plan (16,669) $81.37 Options forfeited under 2019 Plan (32,998) $90.79 Outstanding December 31, 2020 1,033,838 $83.54 Options granted under 2012 Plan 12,500 $69.20 Options granted under 2019 Plan 639,500 $69.20 Options exercised under 2012 Plan (20,000) $60.52 Options forfeited under 2019 Plan (13,333) $90.79 Options outstanding, December 31, 2021 1,652,505 $78.10 3.37 Exercisable at December 31, 2021 1,169,991 $79.12 3.08 Remaining Grant Number Exercise Contractual Date of Shares Price Life in Years 2/22/2017 55,331 $ 74.78 0.14 2/20/2018 88,170 $ 64.33 1.14 2/21/2019 313,504 $ 79.96 2.14 2/21/2020 536,000 $ 90.79 3.15 5/1/2020 7,500 $ 53.76 3.33 2/25/2021 652,000 $ 69.20 4.15 Options outstanding, December 31, 2021 1,652,505
Schedule of Nonvested Share Activity [Table Text Block]	The following table summarizes our outstanding non-vested stock options: Number of Shares Weighted Average Grant Date Fair Value Non-vested December 31, 2020 431,844 $5.79 Options granted under 2012 Plan 12,500 $14.54 Options granted under 2019 Plan 639,500 $14.54 Options vested under 2012 Plan (212,838) $5.18 Options vested under 2019 Plan (388,492) $6.98 Non-vested December 31, 2021 482,514 $7.51

Earnings Per Common Share (Tabl

Earnings Per Common Share (Tables)	12 Months Ended
	Dec. 31, 2021
Earnings Per Share [Abstract]
Schedule of Earnings Per Share, Basic and Diluted	The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share ( $ in thousands, except share and per share amounts ): Year Ended December 31, 2021 2020 2019 Net income attributable to common stockholders $ 111,804 $ 185,126 $ 160,456 BASIC: Weighted average common shares outstanding 45,714,221 44,696,285 43,417,828 DILUTED: Weighted average common shares outstanding 45,714,221 44,696,285 43,417,828 Stock options 4,823 1,719 75,196 Convertible debt 10,453 — 210,224 Weighted average dilutive common shares outstanding 45,729,497 44,698,004 43,703,248 Net income attributable to common stockholders - basic $ 2.45 $ 4.14 $ 3.70 Net income attributable to common stockholders - diluted $ 2.44 $ 4.14 $ 3.67 Incremental anti-dilutive shares excluded: Net share effect of stock options with an exercise price in excess of the average market price for our common shares 383,716 390,596 4,678 Regular dividends declared per common share $ 3.8025 $ 4.41 $ 4.20

Fair Value Of Financial instr_2

Fair Value Of Financial instruments (Tables)	12 Months Ended
	Dec. 31, 2021
Fair Value, Assets Measured on Recurring Basis [Abstract]
Fair Value, Assets Measured on Recurring Basis	Assets and liabilities measured at fair value on a recurring basis are as follows ( $ in thousands ): Fair Value Measurement Balance Sheet Classification December 31, December 31, 2020 Level 2 Interest rate swap liability Accounts payable and accrued expenses $ — $ (7,149)
Fair Value Measurements, Nonrecurring	Carrying amounts and fair values of financial instruments that are not carried at fair value at December 31, 2021 and December 31, 2020 in the Consolidated Balance Sheets are as follows ( $ in thousands ): Carrying Amount Fair Value Measurement 2021 2020 2021 2020 Level 2 Variable rate debt $ 373,682 $ 945,078 $ 375,000 $ 948,000 Fixed rate debt $ 869,201 $ 554,207 $ 858,124 $ 575,292 Level 3 Mortgage and other notes receivable, net $ 299,952 $ 292,427 $ 314,821 $ 321,021

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2021
Income Taxes [Abstract]
Schedule of Dividends Paid, Per Share [Table Text Block]	Dividend payments to common stockholders for the last three years are characterized for tax purposes as follows on a per share basis: (Unaudited) December 31, 2021 December 31, 2020 December 31, 2019 Ordinary income $ 2.87799 $ 3.50400 $ 4.20000 Capital gain 0.43890 0.10999 — Return of capital 0.48562 0.79603 — Dividends paid per common share $ 3.8025 $ 4.41 $ 4.20

Organization and Nature of Bu_2

Organization and Nature of Business (Details)	Dec. 31, 2021USD ($)	Dec. 31, 2021numberOfProperty	Dec. 31, 2021	Dec. 31, 2021numberOfBedOrUnitInTheProperty	Dec. 31, 2020USD ($)
Real Estate [Line Items]
Real Estate Investment Property, Portfolio Assets	$ 2,900,000,000
Nonportfolio Assets, Original Cost	2,600,000
Number of Real Estate Properties | numberOfProperty		198
Number of Lessees			31
Number of health care properties related to mortgage notes receivables		14		14
Loans and Leases Receivable, Gross	305,162,000
Financing Receivable, Allowance for Credit Loss	$ 5,210,000				$ 4,946,000
Number of States in which Entity Operates	33
Senior Housing Community [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty		125
Skilled Nursing Facility [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty		72
Hospital [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty		1

Basis of Presentation and Sig_4

Basis of Presentation and Significant Accounting Policies (Variable Interest Entities) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Variable Interest Entity [Line Items]
Financing Receivable, Allowance for Credit Loss	$ 5,210	$ 4,946
Lessor, Operating Lease, Renewal Term	5 years
Bickford Senior Living [Member]
Variable Interest Entity [Line Items]
Lessor, Operating Lease, Term of Contract	12 years
Senior Living Communities [Member]
Variable Interest Entity [Line Items]
Lessor, Operating Lease, Term of Contract	15 years
Lessor, Operating Lease, Renewal Term	5 years
Vizion
Variable Interest Entity [Line Items]
Lessor, Operating Lease, Term of Contract	15 years
Navion Senior Solutions [Member]
Variable Interest Entity [Line Items]
Lessor, Operating Lease, Term of Contract	12 years
Straight-Line Rent Receivable [Member] | Bickford Senior Living [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	$ (66,499)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	85,800
Straight-Line Rent Receivable [Member] | Senior Living Communities [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(83,592)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	94,027
Straight-Line Rent Receivable [Member] | Senior Living Management [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(26,659)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	26,659
Notes Receivable [Member] | LCS Sagewood [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(110,233)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	110,233
Notes Receivable [Member] | 41 Management [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(28,063)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	34,285
Notes Receivable [Member] | Timber Ridge OpCo [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(5,000)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	5,000
Notes Receivable [Member] | Watermark Retirement
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(8,401)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	10,094
Notes Receivable [Member] | Montecito Medical Real Estate
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(12,320)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	50,000
Notes Receivable [Member] | Vizion
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(20,280)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	22,397
Notes Receivable [Member] | Navion Senior Solutions [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(6,744)
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	$ 13,744

Basis of Presentation and Sig_5

Basis of Presentation and Significant Accounting Policies (Cash Equivalents and Restricted Cash) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Schedule of Cash Equivalents and Restricted Cash [Abstract]
Cash and Cash Equivalents, at Carrying Value	$ 37,412	$ 43,344
Restricted Cash	2,073	2,999
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	$ 39,485	$ 46,343	$ 15,669	$ 9,912

Basis of Presentation and Sig_6

Basis of Presentation and Significant Accounting Policies (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)numberOfProperty	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment, Useful Life	40 years
Variable Interest Entity Number Of Entities Not Primary Beneficiary | numberOfProperty	10
Lessor, Operating Lease, Renewal Term	5 years
Financing Receivable, Allowance for Credit Loss	$ 5,210	$ 4,946
Number of partnerships consoldidated | numberOfProperty	2
Shares issued on stock options exercised, value	$ 0	1	$ 1
Off-Balance Sheet, Credit Loss, Liability	955	270
Lease Income	271,049	307,208	294,182
Accounting Standards Update 2016-13 [Member]
Property, Plant and Equipment [Line Items]
Financing Receivable, Allowance for Credit Loss		3,900
Parent [Member]
Property, Plant and Equipment [Line Items]
Shares issued on stock options exercised, value	0	1	1
Escrow Funds Received From Tenants [Member]
Property, Plant and Equipment [Line Items]
Lease Income	11,638	$ 9,653	$ 5,798
Lease Payment Deferral and Abatement 2021 | Lease Payment Deferral and Abatement
Property, Plant and Equipment [Line Items]
Lease Income	26,500
Lease Payment Deferral and Abatement 2020 | Lease Payment Deferral and Abatement
Property, Plant and Equipment [Line Items]
Lease Income	$ 7,100
Minimum [Member]
Property, Plant and Equipment [Line Items]
Lessor, Operating Lease, Term of Contract	10 years
Maximum [Member]
Property, Plant and Equipment [Line Items]
Lessor, Operating Lease, Term of Contract	15 years
Building [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment, Useful Life	40 years
Building Improvements [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment, Useful Life	25 years

Real Estate Properties and In_3

Real Estate Properties and Investments (New Real Estate Investments) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)numberOfPropertynumberOfBedOrUnitInTheProperty	Dec. 31, 2020USD ($)
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty	198
Land	$ 186,658	$ 220,361
Current Period Real Estate Acquisition
Real Estate [Line Items]
Land	2,001
Buildings and Improvements, Gross	44,849
Real Estate Investments During The Period	46,850
Prior Period Real Estate Acquisition
Real Estate [Line Items]
Land	6,806
Buildings and Improvements, Gross	169,736
Real Estate Investments During The Period	$ 176,542
Bickford Senior Living [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty	38
Bickford Senior Living [Member] | Prior Period Real Estate Acquisition
Real Estate [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Land	$ 1,588
Buildings and Improvements, Gross	13,512
Real Estate Investments During The Period	$ 15,100
LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition
Real Estate [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Land	$ 4,370
Buildings and Improvements, Gross	130,522
Real Estate Investments During The Period	$ 134,892
Autumn Trace | Prior Period Real Estate Acquisition
Real Estate [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	2
Land	$ 344
Buildings and Improvements, Gross	13,906
Real Estate Investments During The Period	$ 14,250
The Courtyard at Bellevue | Prior Period Real Estate Acquisition
Real Estate [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Land	$ 504
Buildings and Improvements, Gross	11,796
Real Estate Investments During The Period	12,300
Vizion | Current Period Real Estate Acquisition
Real Estate [Line Items]
Land	1,470
Buildings and Improvements, Gross	38,780
Real Estate Investments During The Period	40,250
Navion Senior Solutions [Member] | Current Period Real Estate Acquisition
Real Estate [Line Items]
Land	531
Buildings and Improvements, Gross	6,069
Real Estate Investments During The Period	$ 6,600

Real Estate Properties and In_4

Real Estate Properties and Investments (Prior Year Real Estate Investments) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)numberOfBedOrUnitInThePropertynumberOfProperty	Dec. 31, 2020USD ($)
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty	198
Land	$ 186,658	$ 220,361
Prior Period Real Estate Acquisition
Real Estate [Line Items]
Land	6,806
Buildings and Improvements, Gross	169,736
Real Estate Investments During The Period	$ 176,542
Holiday Acquisition Holdings [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty	16
Bickford Senior Living [Member]
Real Estate [Line Items]
Number of Real Estate Properties | numberOfProperty	38
Bickford Senior Living [Member] | Prior Period Real Estate Acquisition
Real Estate [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Land	$ 1,588
Buildings and Improvements, Gross	13,512
Real Estate Investments During The Period	$ 15,100

Real Estate Properties and In_5

Real Estate Properties and Investments (Dispositions Table) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)numberOfProperty	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)numberOfProperty
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 238,864	$ 39,631	$ 0
Gain on sale of real estate	$ 32,498	21,316	$ 0
Number of Real Estate Properties | numberOfProperty	198
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	$ 209,936
Straight Line Rent Adjustments	2,354
Gain on sale of real estate	26,573
Bickford Senior Living [Member]
Real Estate [Line Items]
Proceeds from disposition of real estate properties	39,924
Gain on sale of real estate	$ 3,568
Number of Real Estate Properties | numberOfProperty	38
Bickford Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 52,100
Real Estate Investments, Net	34,485
Straight Line Rent Adjustments	$ 1,871
Number of Real Estate Properties | numberOfProperty	6		2
Community Health Systems
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 3,887
Gain on sale of real estate	2,879
Community Health Systems | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	946
Straight Line Rent Adjustments	$ 62
Number of Real Estate Properties | numberOfProperty	1
TrustPoint Hospital
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 31,215
Gain on sale of real estate	8,635
TrustPoint Hospital | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	21,018
Straight Line Rent Adjustments	$ 1,562
Number of Real Estate Properties | numberOfProperty	1
Holiday Acquisition Holdings [Member]
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 114,133
Gain on sale of real estate	$ 1,882
Number of Real Estate Properties | numberOfProperty	16
Holiday Acquisition Holdings [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	$ 113,611
Straight Line Rent Adjustments	$ (1,360)
Number of Real Estate Properties | numberOfProperty	8
Quorum Health
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 8,314
Gain on sale of real estate	(1,254)
Quorum Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	$ 9,568
Number of Real Estate Properties | numberOfProperty	1
Senior Living Management [Member]
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 12,847
Gain on sale of real estate	9,425
Senior Living Management [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	3,212
Straight Line Rent Adjustments	$ 210
Number of Real Estate Properties | numberOfProperty	1
Brookdale Senior Living [Member]
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 11,880
Gain on sale of real estate	184
Brookdale Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	11,696
Gain on sale of real estate	$ (200)	$ 20,800
Number of Real Estate Properties | numberOfProperty	1
Genesis Health
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 3,723
Gain on sale of real estate	2,211
Genesis Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	1,677
Straight Line Rent Adjustments	$ (166)
Number of Real Estate Properties | numberOfProperty	1
Holiday Arbor Glenn
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 5,666
Gain on sale of real estate	(4,641)
Holiday Arbor Glenn | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	10,388
Straight Line Rent Adjustments	$ (81)
Number of Real Estate Properties | numberOfProperty	1
Senior Living Management Grand Maitland
Real Estate [Line Items]
Proceeds from disposition of real estate properties	$ 7,275
Gain on sale of real estate	3,684
Senior Living Management Grand Maitland | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Real Estate [Line Items]
Real Estate Investments, Net	3,335
Straight Line Rent Adjustments	$ 256

Real Estate Properties and In_6

Real Estate Properties and Investments (Schedule of Tenant Concentrations) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real Estate [Line Items]
Loans and Leases Receivable, Net Amount	$ 299,952,000	$ 292,427,000
Revenues	298,715,000	332,811,000	$ 318,081,000
Lease Income	271,049,000	$ 307,208,000	$ 294,182,000
Loans and Leases Receivable, Gross	$ 305,162,000
Escrow Funds Received From Tenants [Member]
Real Estate [Line Items]
Percentage of Continuing Revenue	4.00%	3.00%	2.00%
Lease Income	$ 11,638,000	$ 9,653,000	$ 5,798,000
Senior Living Communities [Member]
Real Estate [Line Items]
Property, Plant and Equipment, Gross	573,631,000
Loans and Leases Receivable, Net Amount	$ 42,266,000
Percentage of Continuing Revenue	17.00%	15.00%	15.00%
Lease Income	$ 50,726,000	$ 50,734,000	$ 48,450,000
Bickford Senior Living [Member]
Real Estate [Line Items]
Property, Plant and Equipment, Gross	490,308,000
Loans and Leases Receivable, Net Amount	$ 40,599,000
Percentage of Continuing Revenue	12.00%	15.00%	17.00%
Lease Income	$ 34,599,000	$ 49,451,000	$ 56,210,000
Holiday Acquisition Holdings [Member]
Real Estate [Line Items]
Property, Plant and Equipment, Gross	377,735,000
Percentage of Continuing Revenue		12.00%	13.00%
Lease Income		$ 40,705,000	$ 40,459,000
National Healthcare Corporation [Member]
Real Estate [Line Items]
Property, Plant and Equipment, Gross	171,188,000
Loans and Leases Receivable, Net Amount	$ 0
Percentage of Continuing Revenue	12.00%	11.00%	12.00%
Lease Income	$ 37,735,000	$ 37,820,000	$ 38,131,000
Less than 10% Operators
Real Estate [Line Items]
Property, Plant and Equipment, Gross	1,414,475,000
Loans and Leases Receivable, Net Amount	$ 222,297,000
Percentage of Continuing Revenue	55.00%	44.00%	41.00%
Lease Income	$ 164,017,000	$ 144,448,000	$ 129,033,000

Real Estate Properties and In_7

Real Estate Properties and Investments (Summary of NHC Percentage Rent) (Details) - National Healthcare Corporation [Member] - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Net Investment Income [Line Items]
Operating Lease, Variable Lease Income	$ 3,531	$ 3,673	$ 3,984
Current year [Member]
Net Investment Income [Line Items]
Operating Lease, Variable Lease Income	3,536	3,687	3,650
Prior year final certification [Member]
Net Investment Income [Line Items]
Operating Lease, Variable Lease Income	$ 5	$ 14	$ 334

Real Estate Properties and In_8

Real Estate Properties and Investments (Future Minimum Lease Payments) (Details) $ in Thousands	Dec. 31, 2021USD ($)
Future Minimum Lease Payments [Abstract]
Operating Leases, Future Minimum Payments Due, Next Twelve Months	$ 268,096
Operating Leases, Future Minimum Payments, Due in Two Years	261,788
Operating Leases, Future Minimum Payments, Due in Three Years	258,381
Operating Leases, Future Minimum Payments, Due in Four Years	259,664
Operating Leases, Future Minimum Payments, Due in Five Years	263,620
Operating Leases, Future Minimum Payments, Due Thereafter	1,092,671
Operating Leases, Future Minimum Payments Due	$ 2,404,220

Real Estate Properties and In_9

Real Estate Properties and Investments (Schedule of Fixed and Variable Lease Payments) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Net Investment Income [Line Items]
Lease Income	$ 271,049,000	$ 307,208,000	$ 294,182,000
Fixed Lease Escalation [Member]
Net Investment Income [Line Items]
Lease Income	241,172,000	272,630,000	262,178,000
Variable Lease Escalation [Member]
Net Investment Income [Line Items]
Lease Income	4,662,000	5,501,000	4,967,000
Straight Line Rent Income [Member]
Net Investment Income [Line Items]
Lease Income	14,603,000	20,411,000	22,084,000
Escrow Funds Received From Tenants [Member]
Net Investment Income [Line Items]
Lease Income	11,638,000	9,653,000	5,798,000
Lease Incentives
Net Investment Income [Line Items]
Amortization of lease incentives	$ (1,026,000)	$ (987,000)	$ (845,000)

Real Estate Properties and I_10

Real Estate Properties and Investments (Narrative) (Details)

Jan. 13, 2022USD ($)

Dec. 31, 2021USD ($)numberOfProperty

Dec. 31, 2020USD ($)numberOfBedOrUnitInTheProperty

Dec. 31, 2019USD ($)numberOfProperty

Dec. 31, 2021USD ($)

Dec. 31, 2021numberOfProperty

Dec. 31, 2021numberOfBedOrUnitInTheProperty

Dec. 31, 2021numberOfRenewalOption

Dec. 31, 2021

Dec. 31, 2021numberOfMasterLease

Dec. 31, 2021shares

Sep. 30, 2021numberOfRenewalOption

Jan. 31, 2020USD ($)numberOfBedOrUnitInTheProperty

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

198

Number of States in which Entity Operates

33

Straight Line Rent

$ 14,603,000

$ 20,411,000

$ 22,084,000

Lessor, Operating Lease, Renewal Term

5 years

Loans and Leases Receivable, Gross

$ 305,162,000

Incentive to Lessee

9,782,000

9,545,000

Maximum Commitment For All Active Development Projects

31,345,000

Development in Process

23,480,000

Gain on sale of real estate

$ 32,498,000

21,316,000

0

Payments to Acquire Real Estate

46,817,000

102,712,000

219,187,000

Loans and Leases Receivable, Commitments, Fixed Rates

274,700,000

Impairment of Real Estate

6,400,000

Contingent Funding Commitment

33,850,000

Lease deposit liabilities

10,638,000

8,838,000

Lease Income

$ 271,049,000

307,208,000

294,182,000

Financing Receivable, Allowance for Credit Loss

(4,946,000)

(5,210,000)

Loans and Leases Receivable, Net Amount

(292,427,000)

(299,952,000)

Minimum Holding Period After Purchase Option Exercise

1 year

Lease Abatement [Member]

Real Estate [Line Items]

Operating lease, lease income

$ 2,250,000

Skilled Nursing Facility [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

72

Holiday Acquisition Holdings [Member]

Real Estate [Line Items]

Asset Disposition Transaction Cost

(900,000)

Holiday Arbor Glenn

Real Estate [Line Items]

Asset Disposition Transaction Cost

(100,000)

Senior Living Management [Member]

Real Estate [Line Items]

Asset Disposition Transaction Cost

(1,200,000)

Brookdale Senior Living [Member]

Real Estate [Line Items]

Asset Disposition Transaction Cost

(100,000)

Hospital [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Senior Living Management Grand Maitland

Real Estate [Line Items]

Asset Disposition Transaction Cost

(500,000)

Current Period Real Estate Acquisition

Real Estate [Line Items]

Real Estate Investments During The Period

$ 46,850,000

Current Period Real Estate Acquisition | Real Estate Property Company [Member] | Noncontrolling Interest [Member]

Real Estate [Line Items]

Noncash or Part Noncash Acquisition, Interest Acquired

20.00%

Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

10

Impairment of Real Estate

$ 39,500,000

Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Gain on sale of real estate

26,573,000

Straight Line Rent Adjustments

(2,354,000)

Lease Abatement for 2020 | Lease Abatement [Member]

Real Estate [Line Items]

Operating lease, lease income

2,150,000

Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Spinoff

Real Estate [Line Items]

Impairment of Real Estate

5,900,000

Not Secured By Real Estate [Member]

Real Estate [Line Items]

Loans and Leases Receivable, Net Amount

(37,900,000)

(74,200,000)

Prior Period Real Estate Acquisition

Real Estate [Line Items]

Real Estate Investments During The Period

$ 176,542,000

Prior Period Real Estate Acquisition | Real Estate Operating Company [Member] | Noncontrolling Interest [Member]

Real Estate [Line Items]

Noncash or Part Noncash Acquisition, Interest Acquired

75.00%

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

900,000

Prior Period Real Estate Acquisition | Real Estate Operating Company [Member] | Controlling Interest [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

2,600,000

Prior Period Real Estate Acquisition | Real Estate Property Company [Member] | Noncontrolling Interest [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

10,800,000

Disposal Group, Held-for-sale, Not Discontinued Operations

Real Estate [Line Items]

Lease Income

$ 5,400,000

$ 8,000,000

$ 8,800,000

Bickford Senior Living [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

38

Percentage of Continuing Revenue

12.00%

15.00%

17.00%

Straight Line Rent

$ 1,700,000

$ 2,800,000

$ 4,500,000

Lessor, Operating Lease, Term of Contract

12 years

Initial lease rate

8.00%

Proceeds from Sale of Real Estate

$ 39,900,000

Gain on sale of real estate

3,568,000

Lease Income

34,599,000

$ 49,451,000

$ 56,210,000

Loans and Leases Receivable, Net Amount

(40,599,000)

Bickford Senior Living [Member] | Lease Abatement [Member]

Real Estate [Line Items]

Operating lease, lease income

2,100,000

Bickford Senior Living [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

4

Bickford Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

2

6

Property, Plant and Equipment, Net

34,500,000

Note Receivable Interest Rate

7.00%

10.00%

Proceeds from Sale of Real Estate

52,900,000

Loans and Leases Receivable, Commitments, Fixed Rates

13,000,000

Impairment of Real Estate

2,500,000

Straight Line Rent Adjustments

(1,871,000)

Lease Income

$ 1,600,000

$ 5,600,000

$ 6,300,000

Loan Term

15 years

Bickford Senior Living [Member] | Current Period Investment [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

2

Bickford Senior Living [Member] | Lease Abatement for 2020 | Lease Abatement [Member]

Real Estate [Line Items]

Operating lease, lease income

$ 2,100,000

Bickford Senior Living [Member] | Negotiations to sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties

6

9

Bickford Senior Living [Member] | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

1

Real Estate Investments During The Period

15,100,000

Proceeds from Sale and Collection of Notes Receivable

$ 14,100,000

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

60

National Healthcare Corporation [Member]

Real Estate [Line Items]

Percentage of Continuing Revenue

12.00%

11.00%

12.00%

Number of Master Leases | numberOfMasterLease

2

Lessor Equity Shares Owned, Significant Lessee | shares

1,630,642

Lease Income

$ 37,735,000

$ 37,820,000

$ 38,131,000

Loans and Leases Receivable, Net Amount

0

National Healthcare Corporation [Member] | NHC - 1991 Lease [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

35

Minimum Annual Lease Income

$ 30,800,000

Lessor, Operating Lease, Renewal Term

5 years

Percentage Rent Rate

0.04

Number Of Additional Lease Renewal Options | numberOfRenewalOption

2

National Healthcare Corporation [Member] | NHC - 2013 Lease [Member]

Real Estate [Line Items]

Minimum Annual Lease Income

$ 3,500,000

Number Of Real Estate Properties Acquired | numberOfProperty

7

Purchase Option Amount

49,000,000

Percentage Rent Rate

0.04

National Healthcare Corporation [Member] | Skilled Nursing Facility [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

39

National Healthcare Corporation [Member] | Skilled Nursing Facility [Member] | Subleased Facilities [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

4

National Healthcare Corporation [Member] | Independent Living Facility [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

3

Autumn Trace

Real Estate [Line Items]

Lease Escalator Minimum

2.25%

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

44

Initial lease rate

7.25%

Lessee, Operating Lease, Renewal Term

5 years

Autumn Trace | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

2

Real Estate Investments During The Period

$ 14,250,000

Lessor, Operating Lease, Term of Contract

15 years

Asset Purchase Transaction Costs

$ 200,000

Senior Living Communities [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

10

Percentage of Continuing Revenue

17.00%

15.00%

15.00%

Straight Line Rent

$ (2,500,000)

$ (4,300,000)

$ (4,900,000)

Lessor, Operating Lease, Renewal Term

5 years

Number Of Additional Lease Renewal Options

2

2

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

2,068

Lessor, Operating Lease, Term of Contract

15 years

Note Receivable Interest Rate

10.00%

Lease Escalator Rate after Lease Year 4

3.00%

Lease Income

$ 50,726,000

$ 50,734,000

48,450,000

Loans and Leases Receivable, Net Amount

(42,266,000)

Notes Receivable, Interest Rate, Master Credit Agreement

7.25%

Loan Term

5 years

Note Receivable Renewal Term

1 year

Purchase Option, Amount, Minimum

38,300,000

Senior Living Communities [Member] | Capital Improvement Commitment [Member]

Real Estate [Line Items]

Maximum Commitment For All Active Development Projects

9,930,000

Development in Process

9,930,000

Senior Living Communities [Member] | Not Secured By Real Estate [Member]

Real Estate [Line Items]

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

186

Discovery Senior Living [Member] | Capital Improvement Commitment [Member]

Real Estate [Line Items]

Maximum Commitment For All Active Development Projects

900,000

Development in Process

900,000

Discovery Senior Living [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

4,000,000

Non-Performing Lease [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

9

Number of Operators/Tenants | numberOfBedOrUnitInTheProperty

5

Lease Income

$ 3,000,000

$ 4,600,000

3,600,000

Asset Impairment Charges

(6,400,000)

Non-Performing Lease [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

3

Brookdale Senior Living [Member]

Real Estate [Line Items]

Proceeds from Sale of Real Estate

12,000,000

Gain on sale of real estate

184,000

Gain (Loss) on Contract Termination

2,500,000

Brookdale Senior Living [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

8

Brookdale Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Operating Leases, Income Statement, Lease Revenue

$ 4,300,000

Proceeds from Sale of Real Estate

39,300,000

Gain on sale of real estate

(200,000)

20,800,000

Lease Income

1,400,000

$ 200,000

Brookdale Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Subsequent Event [Member]

Real Estate [Line Items]

Lease Income

$ 3,000,000

Comfort Care Senior Living [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

6,000,000

LCS Timber Ridge [Member] | Current Period Real Estate Acquisition | Consideration Type, Total Mortgage [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

$ 81,000,000

LCS Timber Ridge [Member] | Current Period Real Estate Acquisition | Skilled Nursing Facility [Member]

Real Estate [Line Items]

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

45

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

1

Real Estate Investments During The Period

$ 134,892,000

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

401

Lessor, Operating Lease, Term of Contract

7 years

Initial lease rate

6.75%

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

125,000,000

Note Receivable Interest Rate

5.75%

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Real Estate Operating Company [Member]

Real Estate [Line Items]

Noncash or Part Noncash Acquisition, Interest Acquired

25.00%

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Real Estate Property Company [Member]

Real Estate [Line Items]

Noncash or Part Noncash Acquisition, Interest Acquired

80.00%

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Cash [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

43,100,000

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Existing Mortgage [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

59,300,000

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Consideration Type, Additional Mortgage [Member]

Real Estate [Line Items]

Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures

21,700,000

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Independent Living Facility [Member]

Real Estate [Line Items]

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

330

LCS Timber Ridge [Member] | Prior Period Real Estate Acquisition | Assisted Living Facility [Member]

Real Estate [Line Items]

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

26

Holiday Acquisition Holdings [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

16

Percentage of Continuing Revenue

12.00%

13.00%

Straight Line Rent

$ (5,300,000)

$ (6,500,000)

$ 6,600,000

Proceeds from Sale of Real Estate

115,000,000

Gain on sale of real estate

1,882,000

Lease deposit liabilities

8,800,000

Lease Income

40,705,000

40,459,000

Contractual rent due but not paid

11,400,000

Holiday Acquisition Holdings [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Holiday Acquisition Holdings [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

8

Property, Plant and Equipment, Net

113,600,000

Straight Line Rent Adjustments

1,360,000

Lease Income

$ 5,900,000

10,000,000

The Courtyard at Bellevue

Real Estate [Line Items]

Lease Escalator Minimum

2.50%

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

43

Initial lease rate

7.50%

Lessee, Operating Lease, Renewal Term

5 years

The Courtyard at Bellevue | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

1

Real Estate Investments During The Period

$ 12,300,000

Wingate Healthcare [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

5,000,000

Holiday Lease Amendment [Member] | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Lease Escalator Minimum

2.00%

Lease Escalator Maximum

3.00%

41 Management [Member] | Current Period Investment [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

1

41 Management [Member] | Prior Period Real Estate Acquisition

Real Estate [Line Items]

Loans and Leases Receivable, Gross

3,900,000

Discovery PropCo [Member] | Capital Addition Purchase Commitments [Member]

Real Estate [Line Items]

Maximum Commitment For All Active Development Projects

2,000,000

Development in Process

1,000,000

Ignite Medical Resorts [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

2,000,000

Timber Ridge OpCo [Member] | Current Period Investment [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

1

Timber Ridge OpCo [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

10,000,000

Vizion

Real Estate [Line Items]

Lease Escalator Minimum

2.50%

Number Of Additional Lease Renewal Options | numberOfRenewalOption

2

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

64

Lessor, Operating Lease, Term of Contract

15 years

Initial lease rate

8.50%

Lessee, Operating Lease, Renewal Term

5 years

Payments for Capital Improvements

$ 2,000,000

Vizion | Current Period Real Estate Acquisition

Real Estate [Line Items]

Real Estate Investments During The Period

40,250,000

Asset Purchase Transaction Costs

300,000

Vizion Health

Real Estate [Line Items]

Loans and Leases Receivable, Commitments, Fixed Rates

$ 20,000,000

Incremental Percentage Increase in the Stated Rate of a Note Receivable

2.50%

Notes Receivable, Interest Rate, Master Credit Agreement

8.50%

Loan Term

5 years

Navion Senior Solutions [Member]

Real Estate [Line Items]

Lease Escalator Minimum

2.50%

Number Of Additional Lease Renewal Options | numberOfRenewalOption

2

Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty

48

Lessor, Operating Lease, Term of Contract

12 years

Initial lease rate

7.50%

Note Receivable Interest Rate

8.00%

Loans and Leases Receivable, Commitments, Fixed Rates

$ 3,600,000

Lessee, Operating Lease, Renewal Term

5 years

Loan Term

10 years

Navion Senior Solutions [Member] | Current Period Real Estate Acquisition

Real Estate [Line Items]

Real Estate Investments During The Period

$ 6,600,000

Asset Purchase Transaction Costs

100,000

Navion Senior Solutions [Member] | Capital Improvement Commitment [Member]

Real Estate [Line Items]

Maximum Commitment For All Active Development Projects

3,650,000

Development in Process

213,000

Navion Senior Solutions [Member] | Lease Inducement [Member]

Real Estate [Line Items]

Contingent Funding Commitment

4,850,000

Community Health Systems

Real Estate [Line Items]

Proceeds from Sale of Real Estate

4,300,000

Gain on sale of real estate

2,879,000

Asset Disposition Transaction Cost

(400,000)

Community Health Systems | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Straight Line Rent Adjustments

(62,000)

Lease Income

100,000

300,000

TrustPoint Hospital

Real Estate [Line Items]

Gain on sale of real estate

8,635,000

Lease Income

1,400,000

2,700,000

Proceeds from Sale of Property Held-for-sale

31,200,000

TrustPoint Hospital | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Straight Line Rent Adjustments

(1,562,000)

Holiday Arbor Glenn

Real Estate [Line Items]

Proceeds from Sale of Real Estate

5,800,000

Gain on sale of real estate

(4,641,000)

Impairment of Real Estate

4,600,000

Holiday Arbor Glenn | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Property, Plant and Equipment, Net

10,400,000

Straight Line Rent Adjustments

81,000

Lease Income

400,000

600,000

Quorum Health

Real Estate [Line Items]

Proceeds from Sale of Real Estate

9,000,000

Gain on sale of real estate

(1,254,000)

Impairment of Real Estate

1,300,000

Asset Disposition Transaction Cost

(700,000)

Quorum Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Lease Income

2,500,000

3,100,000

3,400,000

Genesis Health

Real Estate [Line Items]

Proceeds from Sale of Real Estate

3,900,000

Gain on sale of real estate

2,211,000

Asset Disposition Transaction Cost

(200,000)

Genesis Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Straight Line Rent Adjustments

166,000

Lease Income

800,000

700,000

Senior Living Management [Member]

Real Estate [Line Items]

Proceeds from Sale of Real Estate

14,000,000

Gain on sale of real estate

9,425,000

Senior Living Management [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

Straight Line Rent Adjustments

(210,000)

Lease Income

800,000

1,300,000

HCA | Subsequent Event [Member]

Real Estate [Line Items]

Asset Disposition Transaction Cost

(300,000)

HCA | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Subsequent Event [Member]

Real Estate [Line Items]

Proceeds from Sale of Real Estate

5,100,000

Lease Income

$ 300,000

Montecito Medical Real Estate

Real Estate [Line Items]

Number Of Additional Lease Renewal Options | numberOfRenewalOption

2

Loans and Leases Receivable, Commitments, Fixed Rates

$ 50,000,000

Incremental Percentage Increase in the Stated Rate of a Note Receivable

2.50%

Loans and Leases Receivable, Net Amount

(12,300,000)

Notes Receivable, Interest Rate, Master Credit Agreement

9.50%

Loan Term

5 years

Note Receivable Renewal Term

1 year

Montecito Medical Real Estate | Property Held by Fund

Real Estate [Line Items]

Number Of Real Estate Properties Acquired | numberOfProperty

6

Real Estate Investments During The Period

$ 60,300,000

Senior Living Management Grand Maitland

Real Estate [Line Items]

Proceeds from Sale of Real Estate

7,800,000

Gain on sale of real estate

3,684,000

Senior Living Management Grand Maitland | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]

Real Estate [Line Items]

Straight Line Rent Adjustments

(256,000)

Lease Income

500,000

700,000

Open Now [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

2

Minimum Annual Lease Income

12,800,000

$ 12,300,000

$ 12,200,000

Property, Plant and Equipment, Net

12,400,000

Open Now [Member] | Hospital [Member]

Real Estate [Line Items]

Property, Plant and Equipment, Net

13,600,000

Lease Income

$ 1,900,000

Purchase Option, Amount, Minimum

15,000,000

After 2021 [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfBedOrUnitInTheProperty

10

Property, Plant and Equipment, Net

$ 89,800,000

SOUTH CAROLINA

Real Estate [Line Items]

Percentage of Continuing Revenue

11.60%

10.90%

SOUTH CAROLINA | Brookdale Senior Living [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

1

TEXAS

Real Estate [Line Items]

Percentage of Continuing Revenue

10.30%

10.50%

ARIZONA | Brookdale Senior Living [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

4

TENNESSEE | Brookdale Senior Living [Member] | Asset Held For Sale [Member]

Real Estate [Line Items]

Number of Real Estate Properties | numberOfProperty

3

Revenue as % of Total, Exceeds 10% [Member]

Real Estate [Line Items]

Number of States in which Entity Operates | numberOfBedOrUnitInTheProperty

2

2

Mortgage and Other Notes Rece_3

Mortgage and Other Notes Receivable (Schedule of New Investments) (Details)	12 Months Ended
	Dec. 31, 2021USD ($)numberOfPropertynumberOfBedOrUnitInTheProperty	Dec. 31, 2020USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	198
Loans and Leases Receivable, Commitments, Fixed Rates	$ 274,700,000
Loans and Leases Receivable, Net Amount	$ (299,952,000)	$ (292,427,000)
Senior Living Communities [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	10
Loans and Leases Receivable, Net Amount	$ (42,266,000)
Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	38
Loans and Leases Receivable, Net Amount	$ (40,599,000)
Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	42,900,000
Loans and Leases Receivable, Net Amount	$ (36,700,000)
Current Period Investment [Member] | 41 Management [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Current Period Investment [Member] | Timber Ridge OpCo [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Current Period Investment [Member] | Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	2
Current Period Investment [Member] | Bickford Senior Living [Member] | June 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
Current Period Investment [Member] | Watermark Retirement
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	2
Prior Period Real Estate Acquisition | Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty	1
June 2020 | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	$ (7,955,000)
Prior Period Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	50,400,000
Loans and Leases Receivable, Net Amount	(32,970,000)
Loans and Leases Receivable, Loans in Process	17,430,000
Prior Period Investment [Member] | Senior Living Communities [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	32,700,000
Prior Period Investment [Member] | Timber Ridge OpCo [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	0
Loans and Leases Receivable, Loans in Process	5,000,000
Prior Period Investment [Member] | Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	4,000,000
Loans and Leases Receivable, Net Amount	(4,000,000)
Loans and Leases Receivable, Loans in Process	0
Prior Period Investment [Member] | Bickford Senior Living [Member] | June 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Loans in Process	6,245,000
Prior Period Investment [Member] | Watermark Retirement
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	(3,307,000)
Loans and Leases Receivable, Loans in Process	1,693,000
Prior Period Investment [Member] | Bickford Note Investment [Member] | June 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	14,200,000
Prior Period Investment [Member] | 41 Management Sussex
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	22,200,000
Loans and Leases Receivable, Net Amount	(17,708,000)
Loans and Leases Receivable, Loans in Process	$ 4,492,000

Mortgage and Other Notes Rece_4

Mortgage and Other Notes Receivable (Schedule of Prior Year Schedule of Accounts, Notes, Loans and Financing Receivable) (Details)	12 Months Ended
	Dec. 31, 2021USD ($)numberOfProperty	Dec. 31, 2020USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	198
Loans and Leases Receivable, Net Amount	$ 299,952,000	$ 292,427,000
Loans and Leases Receivable, Commitments, Fixed Rates	274,700,000
Prior Period Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	32,970,000
Loans and Leases Receivable, Commitments, Fixed Rates	50,400,000
Loans and Leases Receivable, Loans in Process	17,430,000
Timber Ridge OpCo [Member] | Prior Period Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	0
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Loans in Process	$ 5,000,000
Senior Living Communities [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	10
Loans and Leases Receivable, Net Amount	$ 42,266,000
Senior Living Communities [Member] | Prior Period Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	32,700,000
Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	36,700,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 42,900,000
Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of Real Estate Properties | numberOfProperty	38
Loans and Leases Receivable, Net Amount	$ 40,599,000
Bickford Senior Living [Member] | Prior Period Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	4,000,000
Loans and Leases Receivable, Commitments, Fixed Rates	4,000,000
Loans and Leases Receivable, Loans in Process	$ 0

Mortgage and Other Notes Rece_5

Mortgage and Other Notes Receivable (Schedule of Bickford Construction Loans) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 274,700,000
Loans and Leases Receivable, Net Amount	(299,952,000)	$ (292,427,000)
Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	42,900,000
Loans and Leases Receivable, Net Amount	(36,700,000)
June 2020 | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Net Amount	$ (7,955,000)

Mortgage and Other Notes Rece_6

Mortgage and Other Notes Receivable (Schedule of Financing Receivables By Credit Quality Indicator) (Details) - USD ($)	Dec. 31, 2021	Dec. 31, 2020
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	$ 305,162,000
Financing Receivable, Allowance for Credit Loss	(5,210,000)	$ (4,946,000)
Loans and Leases Receivable, Net Amount	299,952,000	$ 292,427,000
Mortgages [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	230,927,000
Mortgages [Member] | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	29,523,000
Mortgages [Member] | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	48,141,000
Mortgages [Member] | 2018
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	138,932,000
Mortgages [Member] | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	14,331,000
Mortgages [Member] | EBITDARM Coverage above 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	177,860,000
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	25,579,000
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	9,018,000
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2018
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	138,932,000
Mortgages [Member] | EBITDARM Coverage above 1.5x | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	4,331,000
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	0
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	0
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x | 2018
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	0
Mortgages [Member] | EBITDARM Coverage Below 1.0x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	53,067,000
Mortgages [Member] | EBITDARM Coverage Below 1.0x | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	3,944,000
Mortgages [Member] | EBITDARM Coverage Below 1.0x | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	39,123,000
Mortgages [Member] | EBITDARM Coverage Below 1.0x | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	10,000,000
Mezzanine
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	61,362,000
Mezzanine | 2021 Member
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	35,953,000
Mezzanine | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	750,000
Mezzanine | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	24,659,000
Mezzanine | EBITDARM Coverage above 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	13,727,000
Mezzanine | EBITDARM Coverage above 1.5x | 2021 Member
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	3,568,000
Mezzanine | EBITDARM Coverage above 1.5x | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	10,159,000
Mezzanine | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	32,385,000
Mezzanine | EBITDARM Coverage, 1.0x to 1.5x | 2021 Member
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	32,385,000
Mezzanine | EBITDARM Coverage, 1.0x to 1.5x | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	0
Mezzanine | EBITDARM Coverage Below 1.0x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	14,500,000
Mezzanine | EBITDARM Coverage Below 1.0x | Prior to 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	14,500,000
Mezzanine | EBITDARM Coverage Not Available
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	750,000
Mezzanine | EBITDARM Coverage Not Available | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	750,000
Revolving Credit Facility
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	12,873,000
Revolving Credit Facility | EBITDARM Coverage above 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	0
Revolving Credit Facility | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	$ 12,873,000

Mortgage and Other Notes Rece_7

Mortgage and Other Notes Receivable (Schedule of Financing Receivable, Allowance for Credit Loss, Roll Forward) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Financing Receivable, Allowance for Credit Loss [Line Items]
Financing Receivable, Allowance for Credit Loss	$ 5,210	$ 4,946
Financing Receivable, Allowance for Credit Loss, Period Increase (Decrease)	457
Financing Receivable, Credit Loss, Expense (Reversal)	$ (193)
Accounting Standards Update 2016-13 [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Financing Receivable, Allowance for Credit Loss		$ 3,900

Mortgage and Other Notes Rece_8

Mortgage and Other Notes Receivable (Details)	Jan. 28, 2022USD ($)numberOfProperty	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)	Dec. 31, 2021numberOfBedOrUnitInTheProperty	Dec. 31, 2021numberOfRenewalOption	Dec. 31, 2021	Dec. 31, 2021numberOfProperty	Dec. 31, 2021numberOfLoan	Sep. 30, 2021numberOfRenewalOption	Jan. 31, 2020USD ($)
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 299,952,000	$ 292,427,000
Number of health care properties related to mortgage notes receivables					14			14
Loans and Leases Receivable, Commitments, Fixed Rates		274,700,000
Payments to Acquire Real Estate		46,817,000	102,712,000	$ 219,187,000
Probability of Default, Increase, Current Conditions Adjustment							20.00%
Estimated Credit Losses, Current Conditions Adjustment, Combined							44.00%
Increase in mortgage note receivable from sale of real estate		0	4,000,000	$ 0
Number of Construction Loans | numberOfLoan									3
Financing Receivable, Allowance for Credit Loss		5,210,000	4,946,000
Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 42,266,000
Note Receivable Interest Rate							10.00%
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty					2,068
Number Of Additional Lease Renewal Options							2			2
Notes Receivable, Interest Rate, Master Credit Agreement							7.25%
Loan Term		5 years
Note Receivable Renewal Term		1 year
Purchase Option, Amount, Minimum		$ 38,300,000
Loans and Lease Receivable, Maximum Revolving Amount		20,000,000
Revolving Note Receivable, Maximum Amount Available for Working Capital Purposes		10,000,000
Revolving Note Receivable, Amount Outstanding		$ 9,600,000	11,300,000
Loans Receivable, Description of Variable Rate Basis, Reference Rate Maturity		10 years
Loans Receivable, Description, Variable Rate Basis, Reference Rate		7.52%
Loans Receivable, Basis Spread on Variable Rate							6.00%
Number of Term Loans							2
Bickford Note Investment [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 36,700,000
Loans and Leases Receivable, Commitments, Fixed Rates		42,900,000
Contingent Incentive Payments		2,000,000
LCS Sagewood [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		180,000,000
Notes Receivable, Number Of Loans, Master Credit Agreement							2
Increase (Decrease) in Notes Receivables		61,200,000
The Courtyard at Bellevue
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty					43
Bickford Senior Living [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		40,599,000
Proceeds from Interest Received		900,000
Bickford Senior Living [Member] | Loan Balance Threshold Payment Terms Change
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		5,300,000
Bickford Senior Living [Member] | Contractual Interest Rate Reduction
Financing Receivable, Allowance for Credit Loss [Line Items]
Note Receivable Interest Rate							8.00%
Timber Ridge OpCo [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Financing Receivable, Revolving		5,000,000
Montecito Medical Real Estate
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		12,300,000
Loans and Leases Receivable, Commitments, Fixed Rates		$ 50,000,000
Number Of Additional Lease Renewal Options | numberOfRenewalOption						2
Notes Receivable, Interest Rate, Master Credit Agreement							9.50%
Loan Term		5 years
Note Receivable Renewal Term		1 year
Incremental Percentage Increase in the Stated Rate of a Note Receivable							2.50%
Vizion Health
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		$ 20,000,000
Notes Receivable, Interest Rate, Master Credit Agreement							8.50%
Loan Term		5 years
Incremental Percentage Increase in the Stated Rate of a Note Receivable							2.50%
Note receivable, Payment Terms, Initial Percent of Excess Operating Cash Flow							90.00%
Note receivable, Payment Terms, Reduced Percent of Excess Operating Cash Flow							50.00%
Vizion Health | Loan Balance Threshold Payment Terms Change
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		$ 15,000,000
Navion Senior Solutions [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Note Receivable Interest Rate							8.00%
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty					48
Loans and Leases Receivable, Commitments, Fixed Rates		$ 3,600,000
Number Of Additional Lease Renewal Options | numberOfRenewalOption						2
Loan Term		10 years
Encore Senior Living | Subsequent Event [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of Units in Real Estate Property | numberOfProperty	108
Loans and Leases Receivable, Commitments, Fixed Rates	$ 28,500,000
Number Of Additional Lease Renewal Options | numberOfProperty	2
Notes Receivable, Interest Rate, Master Credit Agreement	8.50%
Loan Term	4 years
Note Receivable Renewal Term	1 year
Secured By Real Estate [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 230,900,000	259,500,000
Not Secured By Real Estate [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		74,200,000	$ 37,900,000
Not Secured By Real Estate [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty					186
After 2021 [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Lease Receivable, Maximum Revolving Amount		15,000,000
Note A [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		12,000,000
Note A [Member] | LCS Sagewood [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		110,794,000
Loans and Leases Receivable, Commitments, Fixed Rates		$ 118,800,000
Notes Receivable, Interest Rate, Master Credit Agreement							7.25%
Loan Term		10 years
Notes Receivable, Total Borrowings, Master Credit Agreement		$ 118,800,000
Loans And Leases Receivable, Commitment, Fixed Rates, Escalator, Basis Points							10
Note Receivable, Prepayment Penalty, Rate							2.00%
Note Receivable, Prepayment Penalty, Rate Decrease							1.00%
Note Receivable, First Note Year For Rate Escalator		3 years
Note B [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		$ 2,000,000
Note B [Member] | LCS Sagewood [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Notes Receivable, Interest Rate, Master Credit Agreement							8.50%
Loan Term		5 years
June 2019 Transaction [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of Units in Real Estate Property | numberOfBedOrUnitInTheProperty					248
Prior Period Investment [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 32,970,000
Loans and Leases Receivable, Commitments, Fixed Rates		50,400,000
Prior Period Investment [Member] | Senior Living Communities [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		32,700,000
Prior Period Investment [Member] | Bickford Note Investment [Member] | June 2020
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates		14,200,000
Prior Period Investment [Member] | 41 Management Sussex
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		17,708,000
Number of Units in Real Estate Property | numberOfProperty								110
Loans and Leases Receivable, Commitments, Fixed Rates		$ 22,200,000
Number Of Additional Lease Renewal Options | numberOfProperty								2
Notes Receivable, Interest Rate, Master Credit Agreement							8.50%
Loan Term		4 years
Note Receivable Renewal Term		1 year
Payments Related To Mortgage Loan Reserved For Working Capital		$ 4,900,000
Prior Period Investment [Member] | Bickford Senior Living [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		4,000,000
Loans and Leases Receivable, Commitments, Fixed Rates		4,000,000
Prior Period Investment [Member] | Watermark Retirement
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		3,307,000
Loans and Leases Receivable, Commitments, Fixed Rates		5,000,000
Prior Period Investment [Member] | Timber Ridge OpCo [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		0
Loans and Leases Receivable, Commitments, Fixed Rates		5,000,000
Current Period Real Estate Acquisition | LCS Timber Ridge [Member] | Consideration Type, Total Mortgage [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures											$ 81,000,000
June 2020 | Bickford Note Investment [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		7,955,000
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Bickford Senior Living [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Note Receivable Interest Rate			7.00%				10.00%
Loans and Leases Receivable, Commitments, Fixed Rates		$ 13,000,000
Loan Term		15 years
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Bickford Senior Living [Member] | Unlikely to be Collected Financing Receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Increase in mortgage note receivable from sale of real estate		$ 13,000,000
Note A Phase Two | LCS Sagewood [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		98,800,000
Commitment Fees
Financing Receivable, Allowance for Credit Loss [Line Items]
Noninterest Income, Other Operating Income		400,000
Note A Phase I | LCS Sagewood [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Mortgage and other notes receivable, net		$ 110,800,000

Equity-Method Investment (Narra

Equity-Method Investment (Narrative) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real Estate [Line Items]
Guarantor Obligations, Maximum Exposure, Undiscounted	$ 15,200
Equity Method Investments	(5,000)
Income (Loss) from Equity Method Investments	(1,545)	$ (3,126)	$ 0
Proceeds from Equity Method Investment, Distribution	1,205	$ 0	$ 0
Timber Ridge OpCo [Member]
Real Estate [Line Items]
Financing Receivable, Revolving	5,000
Proceeds from Equity Method Investment, Distribution	1,200
Equity Method Investment, Difference Between Carrying Amount and Underlying Equity	1,000
Timber Ridge OpCo [Member] | Notes Receivable [Member]
Real Estate [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	$ 5,000

Other Assets (Details)

Other Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Accounts receivable and others assets	$ 3,210	$ 2,594
Incentive to Lessee	9,545	9,782
Escrow Deposit	6,208	6,208
Restricted Cash	2,073	2,999
Other Assets	$ 21,036	$ 21,583

Debt (Schedule of Debt) (Detail

Debt (Schedule of Debt) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Revolving credit facility - unsecured	$ 0	$ 298,000
Bank term loans - unsecured	400,000
Convertible senior notes - unsecured (net of discount of $5,862)	0	60,000
Unamortized Debt Issuance Expense	6,234	4,069
Debt, Long-term and Short-term, Combined Amount	1,242,883	1,499,285
Bank Term Loans [Member]
Debt Instrument [Line Items]
Bank term loans - unsecured	375,000	650,000
Private Placement [Member]
Debt Instrument [Line Items]
Bank term loans - unsecured	400,000	400,000
Debt Instrument, Name, HUD Mortgages [Member]
Debt Instrument [Line Items]
Debt Instrument, Unamortized Discount	(1,200)
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Debt Instrument [Line Items]
Fannie Mae term loans - secured (including discount of $1,573)	77,038	$ 95,354
Senior Notes Dues 2031 [Member]
Debt Instrument [Line Items]
Bank term loans - unsecured	397,079
Debt Instrument, Unamortized Discount	$ (2,921)

Debt Debt (Schedule of Long Ter

Debt Debt (Schedule of Long Term Debt Maturities) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Unsecured Debt	$ 400,000
Long-term Debt, Maturities, Repayments of Principal in Next Rolling Twelve Months	75,389
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Two	475,408
Long-term Debt, Maturities, Repayments of Principal in Year Three	75,425
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Four	125,816
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Five	0
Long-term Debt, Maturities, Repayments of Principal in Rolling after Year Five	497,079
Long-term Debt, Gross	1,249,117
Less: unamortized loan costs	6,234	$ 4,069
Debt	1,242,883	1,499,285
Private Placement [Member]
Debt Instrument [Line Items]
Unsecured Debt	400,000	$ 400,000
January 2023 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 125,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
November 2023 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
September 2024 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 75,000
Debt Instrument, Interest Rate, Stated Percentage	3.93%
November 2025 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%
January 2027 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 100,000
Debt Instrument, Interest Rate, Stated Percentage	4.51%

Debt Debt (Schedule of Unsecure

Debt Debt (Schedule of Unsecured Term Loans) (Details) $ in Thousands	Dec. 31, 2021USD ($)
Debt Instrument [Line Items]
Unsecured Debt	$ 400,000
January 2023 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 125,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
November 2023 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
September 2024 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 75,000
Debt Instrument, Interest Rate, Stated Percentage	3.93%
November 2025 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%
January 2027 [Member]
Debt Instrument [Line Items]
Unsecured Debt	$ 100,000
Debt Instrument, Interest Rate, Stated Percentage	4.51%

Debt Debt (Schedule of Interest

Debt Debt (Schedule of Interest Expense) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Schedule of Interest Expense [Abstract]
Interest expense	$ 40,866	$ 43,458	$ 53,923
Derivative Instruments, Loss Reclassified from Accumulated OCI into Income, Effective Portion	(7,286)		(791)
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion		6,330
Capitalized interest	(40)	(254)	(399)
Amortization of debt issuance costs and bond discount	2,698	3,348	3,566
Total interest expense	$ 50,810	$ 52,882	$ 56,299

Debt (Narrative) (Details)

Debt (Narrative) (Details) numberOfBedOrUnitInTheProperty in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2019shares	Dec. 31, 2021USD ($)numberOfLoanshares	Dec. 31, 2020USD ($)shares	Dec. 31, 2019USD ($)shares	Jan. 22, 2022USD ($)	Dec. 31, 2021numberOfProperty	Dec. 31, 2021numberOfBedOrUnitInTheProperty	Dec. 31, 2021	Nov. 02, 2020USD ($)
Debt Instrument [Line Items]
Debt Leverage Limit, Coupon Change, Trigger		50.00%
Unsecured Debt		$ 400,000,000
Convertible Debt		0	$ 60,000,000
Credit Facility, Current Revolving Borrowing Capacity		550,000,000
Repayments of Convertible Debt		(67,100,000)		$ (60,300,000)
Payments for Repurchase of Redeemable Convertible Preferred Stock		$ 73,100,000
Stock Issued During Period, Shares, New Issues | shares		661,951	535,990
Convertible Debt, Fair Value Disclosures		$ 51,000,000
Loss on extinguishment of debt		$ (1,912,000)	$ (3,924,000)	$ (823,000)
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities | shares		10,453	0	210,224
Derivative, Fair Value, Net			$ (7,100,000)
Debt Instrument, Variable Rate Basis, Minimum			1400.00%					1000.00%
Long-term Line of Credit		$ 0	$ 298,000,000
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage		0.25%
Number of Real Estate Properties | numberOfProperty						198
Proceeds from Issuance of Senior Long-term Debt		$ 396,784,000	0	$ 0
Long-term Debt, Gross		1,249,117,000
Payment for Debt Extinguishment or Debt Prepayment Cost		1,462,000	1,619,000	$ 0
Debt Instrument, Convertible, Liquidation Preference, Value		6,100,000
Asset Held For Sale [Member]
Debt Instrument [Line Items]
Number of Real Estate Properties | numberOfProperty						10
Subsequent Event [Member] | Letter of Credit
Debt Instrument [Line Items]
Line of Credit Facility, Maximum Borrowing Capacity					$ 345,000,000
Number of Banks					3
$250M Term Loan [Member]
Debt Instrument [Line Items]
Term Loans, Outstanding Balance		75,000,000
$300M Term Loan [Member]
Debt Instrument [Line Items]
Term Loans, Outstanding Balance		300,000,000
Bank Term Loans [Member]
Debt Instrument [Line Items]
Unsecured Debt		$ 375,000,000	$ 650,000,000
Debt Instrument, Basis Spread on Variable Rate		1.27%
Debt Instrument, Name, Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Debt Instrument, Basis Spread on Variable Rate		1.20%
Unused balance of the unsecured revolving credit facility		$ 550,000,000
Debt Instrument, Name, HUD Mortgages [Member]
Debt Instrument [Line Items]
Debt Instrument, Increase, Accrued Interest		200,000
Long-term Debt, Gross									$ 42,600,000
Payment for Debt Extinguishment or Debt Prepayment Cost		1,600,000
Debt Instrument, Unamortized Discount		1,200,000
Deferred Finance Costs, Own-share Lending Arrangement, Issuance Costs, Gross		$ 1,100,000
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Debt Instrument [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | numberOfLoan		2
Debt Instrument, Term		10 years
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages		$ 78,100,000
Debt Instrument, Interest Rate, Stated Percentage								3.79%
Number of Real Estate Properties | numberOfProperty						12
Net Book Value of Real Estate Pledged Toward Mortgage		110,500,000
Debt Instrument, Increase, Accrued Interest		100,000
Payment for Debt Extinguishment or Debt Prepayment Cost		1,500,000
Early Repayment of Senior Debt		17,900,000
Debt Instrument, Name, Fannie Mae Term Loans [Member] | Asset Held For Sale [Member]
Debt Instrument [Line Items]
Number of Real Estate Properties | numberOfProperty						1
FNMA Berkadia Note [Member]
Debt Instrument [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages		$ 16,900,000
Debt Instrument, Interest Rate, Stated Percentage								4.60%
$100M Term Loan [Member]
Debt Instrument [Line Items]
Debt Instrument, Basis Spread on Variable Rate		1.85%
Debt Instrument, Variable Rate Basis, Minimum								0.50%
Term Loans, Outstanding Balance		$ 100,000,000
Payment for Debt Extinguishment or Debt Prepayment Cost		1,900,000
At Inception [Member]
Debt Instrument [Line Items]
Convertible Debt		120,000,000
Debt Instrument, Name, Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Adjustments to Additional Paid in Capital, Convertible Debt with Conversion Feature		12,800,000
Debt Instrument, Interest Rate, Stated Percentage								3.25%
Debt Instrument, Increase, Accrued Interest		1,000,000
Principal Amount [Member]
Debt Instrument [Line Items]
Convertible Debt		60,000,000
Senior Notes Dues 2031 [Member]
Debt Instrument [Line Items]
Unsecured Debt		397,079,000
Debt Instrument, Unamortized Discount		2,921,000
Senior Notes Dues 2031 [Member] | Senior Notes [Member]
Debt Instrument [Line Items]
Debt Instrument, Interest Rate, Stated Percentage								3.00%
Debt Instrument, Face Amount		400,000,000
Proceeds from Issuance of Senior Long-term Debt		392,300,000
Percentage Of Issue Price On Face Value								0.99196%
Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Debt Instrument, Maturity, Renewal Fee							0.6	10
Bickford Senior Living [Member]
Debt Instrument [Line Items]
Number of Real Estate Properties | numberOfProperty						38
Bickford Senior Living [Member] | Asset Held For Sale [Member]
Debt Instrument [Line Items]
Number of Real Estate Properties | numberOfProperty						4
Bickford Senior Living [Member] | Debt Instrument, Name, Fannie Mae Term Loans [Member]
Debt Instrument [Line Items]
Number of Real Estate Properties								11
November 2025 [Member]
Debt Instrument [Line Items]
Unsecured Debt		50,000,000
Debt Instrument, Interest Rate, Stated Percentage								4.33%
January 2023 [Member]
Debt Instrument [Line Items]
Unsecured Debt		125,000,000
Debt Instrument, Interest Rate, Stated Percentage								3.99%
Cash Paid [Member]
Debt Instrument [Line Items]
Repayments of Convertible Debt		$ (22,100,000)
Common Stock [Member]
Debt Instrument [Line Items]
Stock Issued During Period, Shares, New Issues | shares				1,209,522
Convertible Debt [Member] | Common Stock [Member]
Debt Instrument [Line Items]
Stock Issued During Period, Shares, New Issues | shares	626,397	626,397
Interest Rate Swap(s), Date Entered, March & June 2019 [Member] | Bank Term Loans [Member]
Debt Instrument [Line Items]
Derivative, Notional Amount		$ 400,000,000
Interest Rate Swaps, Maturity Date, After June 2020 [Member]
Debt Instrument [Line Items]
Derivative, Notional Amount		400,000,000
Interest rate swaps, Matured June 2020 [Member]
Debt Instrument [Line Items]
Derivative, Notional Amount		$ 210,000,000

Commitments, Contingencies an_3

Commitments, Contingencies and Uncertainties (Schedule of Loan Commitments) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 274,700,000
Loans and Leases Receivable, Net Amount	(299,952,000)	$ (292,427,000)
Notes Receivable Funding Commitment	75,279,000
LCS Sagewood [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Net Amount	(180,000,000)
Bickford Senior Living [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Net Amount	(40,599,000)
Senior Living Communities [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Net Amount	(42,266,000)
Montecito Medical Real Estate
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	50,000,000
Loans and Leases Receivable, Net Amount	(12,300,000)
Note A [Member] | LCS Sagewood [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	118,800,000
Loans and Leases Receivable, Net Amount	(110,794,000)
Notes Receivable Funding Commitment	8,006,000
Note A [Member] | Senior Living Communities [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	12,000,000
Note B [Member] | Senior Living Communities [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	2,000,000
Development Commitment [Member] | Bickford Senior Living [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	42,900,000
Loans and Leases Receivable, Net Amount	(36,655,000)
Notes Receivable Funding Commitment	6,245,000
Development Commitment [Member] | 41 Management Sussex
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	22,200,000
Loans and Leases Receivable, Net Amount	(17,708,000)
Notes Receivable Funding Commitment	4,492,000
Revolving Credit Facility [Member] | Senior Living Communities [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	20,000,000
Loans and Leases Receivable, Net Amount	(9,566,000)
Notes Receivable Funding Commitment	10,434,000
Working Capital [Member] | 41 Management [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	10,800,000
Loans and Leases Receivable, Net Amount	(9,071,000)
Notes Receivable Funding Commitment	1,729,000
Working Capital [Member] | Timber Ridge OpCo [Member]
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	0
Notes Receivable Funding Commitment	5,000,000
Working Capital [Member] | Watermark Retirement
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	(3,307,000)
Notes Receivable Funding Commitment	1,693,000
Working Capital [Member] | Montecito Medical Real Estate
Net Investment Income [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	50,000,000
Loans and Leases Receivable, Net Amount	(12,320,000)
Notes Receivable Funding Commitment	37,680,000
Notes Receivable, Amount Funded
Net Investment Income [Line Items]
Loans and Leases Receivable, Net Amount	$ (199,421,000)

Commitments, Contingencies an_4

Commitments, Contingencies and Uncertainties (Off Balance Sheet Credit Loss Liability Roll Forward Schedule) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Fair Value, Off-balance Sheet Risks, Disclosure Information [Line Items]
Off-Balance Sheet, Credit Loss, Liability	$ 955	$ 270
Off-Balance Sheet, Credit Loss, Liability, Credit Loss Expense (Reversal)	$ 685

Commitments, Contingencies an_5

Commitments, Contingencies and Uncertainties (Schedule of Rent Concessions) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)
Lease Abatement [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	$ 2,250
Lease Abatement [Member] | Lease Abatement for 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	2,150
Lease Abatement [Member] | Bickford Senior Living [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	2,100
Lease Abatement [Member] | Bickford Senior Living [Member] | Lease Abatement for 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	2,100
Lease Abatement [Member] | Other Than Bickford and Holiday
Lessor, Lease, Description [Line Items]
Operating lease, lease income	150
Lease Abatement [Member] | Other Than Bickford and Holiday | Lease Abatement for 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	50
Lease Payment Deferral [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	31,371
Lease Payment Deferral [Member] | Lease Payment Deferral 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	4,982
Lease Payment Deferral [Member] | Lease Payment Deferral 2021 [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	26,389
Lease Payment Deferral [Member] | Collection of Rent Deferred
Lessor, Lease, Description [Line Items]
Operating lease, lease income	82
Lease Payment Deferral [Member] | Lease abatement for 2021
Lessor, Lease, Description [Line Items]
Operating lease, lease income	100
Lease Payment Deferral [Member] | Bickford Senior Living [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	22,000
Lease Payment Deferral [Member] | Bickford Senior Living [Member] | Lease Payment Deferral 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	3,750
Lease Payment Deferral [Member] | Bickford Senior Living [Member] | Lease Payment Deferral 2021 [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	18,250
Lease Payment Deferral [Member] | Other Than Bickford and Holiday
Lessor, Lease, Description [Line Items]
Operating lease, lease income	7,571
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Lease Payment Deferral 2020
Lessor, Lease, Description [Line Items]
Operating lease, lease income	1,232
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Lease Payment Deferral 2021 [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	6,339
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Collection of Rent Deferred
Lessor, Lease, Description [Line Items]
Operating lease, lease income	82
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Lease abatement for 2021
Lessor, Lease, Description [Line Items]
Operating lease, lease income	100
Lease Payment Deferral [Member] | Holiday Acquisition Holdings [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	1,800
Lease Payment Deferral [Member] | Holiday Acquisition Holdings [Member] | Lease Payment Deferral 2021 [Member]
Lessor, Lease, Description [Line Items]
Operating lease, lease income	$ 1,800

Commitments, Contingencies an_6

Commitments, Contingencies and Uncertainties (Schedule of Development Commitments) (Details)	Dec. 31, 2021USD ($)
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	$ 31,345,000
Development in Process	(23,480,000)
Remaining Unfunded Development Commitment	7,865,000
Village Concepts [Member] | Capital Improvement Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	7,515,000
Development in Process	(7,425,000)
Remaining Unfunded Development Commitment	90,000
Senior Living Communities [Member] | Capital Improvement Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	9,930,000
Development in Process	(9,930,000)
Remaining Unfunded Development Commitment	0
Discovery Senior Living [Member] | Capital Improvement Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	900,000
Development in Process	(900,000)
Remaining Unfunded Development Commitment	0
Watermark Retirement | Capital Improvement Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	6,500,000
Development in Process	(4,436,000)
Remaining Unfunded Development Commitment	2,064,000
Remaining Tenants Not in Tenant Concentration | Development Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	2,850,000
Development in Process	(576,000)
Remaining Unfunded Development Commitment	2,274,000
Navion Senior Solutions [Member] | Capital Improvement Commitment [Member]
Net Investment Income [Line Items]
Maximum Commitment For All Active Development Projects	3,650,000
Development in Process	(213,000)
Remaining Unfunded Development Commitment	$ 3,437,000

Commitments, Contingencies an_7

Commitments, Contingencies and Uncertainties (Schedule of Contingencies) (Details)	Dec. 31, 2021USD ($)
Loss Contingencies [Line Items]
Contingent Funding Commitment	$ 33,850,000
Contingent Funding Commitment, Amount Funded	(1,500,000)
Contingent Funding Commitment, Remaining Unfunded Amount	32,350,000
Timber Ridge OpCo [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	10,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	10,000,000
Comfort Care Senior Living [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	6,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	6,000,000
Wingate Healthcare [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	5,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	5,000,000
Navion Senior Solutions [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	4,850,000
Contingent Funding Commitment, Amount Funded	(1,500,000)
Contingent Funding Commitment, Remaining Unfunded Amount	3,350,000
Discovery Senior Living [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	4,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	4,000,000
Ignite Medical Resorts [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	2,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	2,000,000
Sante Partners | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	2,000,000
Contingent Funding Commitment, Remaining Unfunded Amount	$ 2,000,000

Commitments, Contingencies an_8

Commitments, Contingencies and Uncertainties (Narratives) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)numberOfBedOrUnitInThePropertynumberOfProperty	Dec. 31, 2020USD ($)numberOfBedOrUnitInTheProperty	Dec. 31, 2019USD ($)numberOfProperty
Loss Contingencies [Line Items]
Maximum Commitment For All Active Development Projects	$ 31,345
Development in Process	$ 23,480
Number of Real Estate Properties | numberOfProperty	198
Real Estate Investment Property, at Cost	$ 2,894,548	$ 3,265,070
Straight Line Rent	14,603	20,411	$ 22,084
Litigation Settlement, Amount Awarded from Other Party	400
Other Noncash Income	2,614	3,839	2,204
Proceeds from disposition of real estate properties	238,864	39,631	0
Other Income	$ 300
Bickford Senior Living [Member]
Loss Contingencies [Line Items]
Number of Real Estate Properties | numberOfProperty	38
Straight Line Rent	$ 1,700	$ 2,800	$ 4,500
Proceeds from disposition of real estate properties	39,924
Proceeds from Sale of Real Estate	39,900
Bickford Senior Living [Member] | Assessed not probable to occur
Loss Contingencies [Line Items]
Asset disposition, contingent consideration, note receivable	$ 4,500
Bickford Senior Living [Member] | Assessed not probable to occur | Notes Receivable [Member]
Loss Contingencies [Line Items]
Note Receivable Interest Rate	10.00%
Loan Term	5 years
Bickford Senior Living [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Loss Contingencies [Line Items]
Number of Real Estate Properties | numberOfProperty	6		2
Proceeds from disposition of real estate properties	$ 52,100
Proceeds from Sale of Real Estate	52,900
Repayments of Secured Debt	$ 800
Note Receivable Interest Rate	10.00%	7.00%
Loan Term	15 years
Discovery PropCo [Member] | Capital Addition Purchase Commitments [Member]
Loss Contingencies [Line Items]
Maximum Commitment For All Active Development Projects	$ 2,000
Development in Process	$ 1,000
Non-Performing Lease [Member]
Loss Contingencies [Line Items]
Number of Real Estate Properties | numberOfBedOrUnitInTheProperty		9
Number of Operators/Tenants | numberOfBedOrUnitInTheProperty	5
Holiday Acquisition Holdings [Member]
Loss Contingencies [Line Items]
Number of Real Estate Properties | numberOfProperty	16
Straight Line Rent	$ (5,300)	$ (6,500)	$ 6,600
Proceeds from disposition of real estate properties	114,133
Proceeds from Sale of Real Estate	115,000
Contractual rent due but not paid	$ 11,400
Holiday Acquisition Holdings [Member] | Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Loss Contingencies [Line Items]
Number of Real Estate Properties | numberOfProperty	8
Lease Payment Deferral [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (31,371)
Lease Payment Deferral [Member] | Lease Payment Deferral 2021 [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (26,389)
Lease Payment Deferral [Member] | Rent Deferred First Quarter of 2022
Loss Contingencies [Line Items]
Number of Operators/Tenants | numberOfProperty	3
Lease Payment Deferral [Member] | Bickford Senior Living [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (22,000)
Lease Payment Deferral [Member] | Bickford Senior Living [Member] | Lease Payment Deferral 2021 [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(18,250)
Lease Payment Deferral [Member] | Bickford Senior Living [Member] | Rent Deferred First Quarter of 2022
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(4,000)
Lease Payment Deferral [Member] | Other Than Bickford and Holiday
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(7,571)
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Lease Payment Deferral 2021 [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(6,339)
Lease Payment Deferral [Member] | Other Than Bickford and Holiday | Rent Deferred First Quarter of 2022
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(500)
Lease Payment Deferral [Member] | Holiday Acquisition Holdings [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(1,800)
Lease Payment Deferral [Member] | Holiday Acquisition Holdings [Member] | Lease Payment Deferral 2021 [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(1,800)
Lease Abatement [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(2,250)
Lease Abatement [Member] | Bickford Senior Living [Member]
Loss Contingencies [Line Items]
Operating Lease, Lease Income	(2,100)
Lease Abatement [Member] | Other Than Bickford and Holiday
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (150)
Initial Interest Rate [Member]
Loss Contingencies [Line Items]
Deferred Lease Payments, Accrual Interest Rate	8.00%
Decreased by Rent Reset
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (1,600)
Lease Modification
Loss Contingencies [Line Items]
Number of Operators/Tenants | numberOfProperty	2
Number of Master Leases | numberOfProperty	3
Lease Modification Term	2 years
Lease Modification over next two years
Loss Contingencies [Line Items]
Operating Lease, Lease Income	$ (4,200)

Equity and Dividends (Details)

Equity and Dividends (Details) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Declared February 19, 2020 [Member]
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular		$ 1.1025
Declared June 15, 2020
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular		1.1025
Declared September 14, 2020
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular		1.1025
Declared December 15, 2020
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular		$ 1.1025
Declared March 12, 2021
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular	$ 1.1025
Declared June 3, 2021
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular	0.90
Declared August 6, 2021
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular	0.90
Declared November 5, 2021
Capital Unit [Line Items]
Common Stock, Dividends, Per Share, Declared, Regular	$ 0.90

Equity and Dividends (Narrative

Equity and Dividends (Narrative) (Details) - USD ($) $ / shares in Units, $ in Thousands	Feb. 16, 2022	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Common stock, shares authorized (in shares)		100,000,000	100,000,000
At-The Market Shelf Registration, Equity Offering Sales Agreement, Aggregate Sales Price		$ 500,000
Stock Issued During Period, Shares, New Issues		661,951	535,990
Shares Issued, Price Per Share		$ 73.62
Proceeds from equity offering, net		$ 47,904	$ 34,649	$ 95,774
Declared June 3, 2021
Common Stock, Dividends, Per Share, Declared, Regular		$ 0.90
Declared February 16, 2022 | Subsequent Event [Member]
Common Stock, Dividends, Per Share, Declared, Regular	$ 0.90

Share-Based Compensation (Sched

Share-Based Compensation (Schedule of Share-Based Payments) (Details)) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Payment Arrangement [Abstract]
Share-based compensation	$ 8,415	$ 3,061	$ 3,646

Share-Based Compensation Share-

Share-Based Compensation Share-Based Compensation (Schedule of Stock Option Valuation Assumptions) (Details)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Schedule of Stock Option Valuation Assumptions [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate	6.70%	5.10%	5.50%
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate	48.10%	17.10%	18.20%
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term	2 years 10 months 24 days	2 years 10 months 24 days	2 years 8 months 12 days
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate	0.33%	1.30%	2.39%

Share-Based Compensation (Sch_2

Share-Based Compensation (Schedule Of Stock Option Activity) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, January 1	1,033,838	1,004,014	920,346
Options outstanding, December 31	1,652,505	1,033,838	1,004,014
Options exercisable, December 31	1,169,991
Weighted Average Exercise Price, Options outstanding, January 1	$ 83.54	$ 74.35	$ 69.24
Weighted Average Exercise Price, Options outstanding, December 31	78.10	$ 83.54	$ 74.35
Weighted Average Exercise Price, Options exercisable, December 31	$ 79.12
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 4 months 13 days
Weighted Average Remaining Contractual Life (Years), Options exercisable, December 31	3 years 29 days
Aggregate Intrinsic Value, Options outstanding, December 31	$ 0
2012 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted	12,500	319,669	685,334
Options exercised	(20,000)	(512,509)	(501,664)
Options forfeited		(16,669)	(100,002)
Weighted Average Exercise Price, Options granted	$ 69.20	$ 90.79	$ 79.08
Weighted Average Exercise Price, Options exercised	$ 60.52	72.98	71.52
Weighted Average Exercise Price, Options forfeited		$ 81.37	$ 73.89
Two Thousand Nineteen Stock Option Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted	639,500	272,331
Options forfeited		(32,998)
Weighted Average Exercise Price, Options granted	$ 69.20	$ 89.76
Share-based Compensation Arrangement by Share-based Payment Award, Options, Expirations in Period	(13,333)
Weighted Average Exercise Price, Options forfeited	$ 90.79	$ 90.79
Grant Date 2-22-2017
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	55,331
Weighted Average Exercise Price, Options outstanding, December 31	$ 74.78
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	1 month 20 days
Grant Date 2-20-2018 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	88,170
Weighted Average Exercise Price, Options outstanding, December 31	$ 64.33
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	1 year 1 month 20 days
Grant Date 2-21-2019 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	313,504
Weighted Average Exercise Price, Options outstanding, December 31	$ 79.96
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	2 years 1 month 20 days
Grant Date 2-21-2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	536,000
Weighted Average Exercise Price, Options outstanding, December 31	$ 90.79
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 1 month 24 days
Grant Date 5-1-2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	7,500
Weighted Average Exercise Price, Options outstanding, December 31	$ 53.76
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 3 months 29 days
Grant date 2-25-2021
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding, December 31	652,000
Weighted Average Exercise Price, Options outstanding, December 31	$ 69.20
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	4 years 1 month 24 days

Share-Based Compensation (Sch_3

Share-Based Compensation (Schedule of Non-Vested Share Activity) (Details) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Non-vested stock options, January 1	431,844
Non-vested stock options, December 31	482,514	431,844
Weighted Average Grant Date Fair Value, Non-vested stock options, January 1	$ 5.79
Weighted Average Grant Date Fair Value Per Share, Options granted	14.54	$ 5.57	$ 6.30
Weighted Average Grant Date Fair Value, Non-vested stock options, December 31	$ 7.51	$ 5.79
2012 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted	12,500	319,669	685,334
Options vested	(212,838)
Weighted Average Grant Date Fair Value Per Share, Options granted	$ 14.54
Weighted Average Grant Date Fair Value Per Share, Options vested	5.18
Two Thousand Nineteen Stock Option Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted	639,500	272,331
Options vested	(388,492)
Weighted Average Grant Date Fair Value Per Share, Options granted	$ 14.54
Weighted Average Grant Date Fair Value Per Share, Options vested	6.98

Share-Based Compensation (Narra

Share-Based Compensation (Narrative) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation expense	$ 8,415,000	$ 3,061,000	$ 3,646,000
Weighted Average Fair Value Per Share, Options granted	$ 14.54	$ 5.57	$ 6.30
Weighted Average Remaining Contractual Life (Years), Options outstanding	3 years 4 months 13 days
Number of Shares Authorized, Available to Issue and Outstanding	3,769,841
Unrecognized compensation cost	$ 1,800,000
Aggregate Intrinsic Value, Options exercised	200,000	$ 8,100,000	$ 5,700,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value	$ 0
Aggregate Intrinsic Value Per Share Options Exercised	$ 9.27	$ 15.84	$ 11.28
2012 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted Average Fair Value Per Share, Options granted	$ 14.54
Two Thousand Nineteen Stock Option Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares available for grants	2,117,336
Stock Option Plan, Award Vesting Period	5 years
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period	10 years
Weighted Average Fair Value Per Share, Options granted	$ 14.54
Employee Retirement [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested Options Forfeited, Number of Shares	83,334
Expected To Be Recognized During 2021 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation cost	$ 1,600,000
Expected To Be Recognized During 2022 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation cost	$ 200,000

Earnings Per Common Share (Summ

Earnings Per Common Share (Summary Of Calculation Of Basic And Diluted Earnings Per Share) (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Earnings Per Share [Abstract]
Net income attributable to common stockholders	$ 111,804	$ 185,126	$ 160,456
BASIC:
Weighted Average Number of Shares Outstanding, Basic	45,714,221	44,696,285	43,417,828
Net income per common share attributable to common stockholders	$ 2.45	$ 4.14	$ 3.70
DILUTED:
Weighted average common shares outstanding, diluted	45,714,221	44,696,285	43,417,828
Stock options, diluted	4,823	1,719	75,196
Convertible subordinated debentures	10,453	0	210,224
Average dilutive common shares outstanding	45,729,497	44,698,004	43,703,248
Net income per common share attributable to common stockholders	$ 2.44	$ 4.14	$ 3.67
Incremental shares excluded since anti-dilutive:
Stock options with an exercise price in excess of the market price for our common shares	383,716	390,596	4,678
Common Stock, Dividends, Per Share, Declared	$ 3.8025	$ 4.41	$ 4.20

Fair Value Of Financial Instr_3

Fair Value Of Financial Instruments (Assets Measured At Fair Value On A Recurring Basis) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Fair Value, Inputs, Level 2 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash Flow Hedge Derivative Instrument Liabilities at Fair Value	$ 0	$ 7,149

Fair Value Of Financial Instr_4

Fair Value Of Financial Instruments (Fair Value Measurements, Nonrecurring) (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	$ 299,952	$ 292,427
Reported Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Variable Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	373,682	945,078
Reported Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Fixed Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	869,201	554,207
Reported Value Measurement [Member] | Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	299,952	292,427
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Variable Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	375,000	948,000
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Fixed Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	858,124	575,292
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	$ 314,821	$ 321,021

Income Taxes (Schedule of Divid

Income Taxes (Schedule of Dividends Paid, Per Share) (Details) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Income Tax Examination [Line Items]
Common Stock, Dividends, Per Share, Cash Paid	$ 3.8025	$ 4.41	$ 4.20
Ordinary Income [Member]
Income Tax Examination [Line Items]
Common Stock, Dividends, Per Share, Cash Paid	2.87799	3.50400	4.20000
Capital Gain [Member]
Income Tax Examination [Line Items]
Common Stock, Dividends, Per Share, Cash Paid	0.43890	0.10999	0
Return of Capital [Member]
Income Tax Examination [Line Items]
Common Stock, Dividends, Per Share, Cash Paid	$ 0.48562	$ 0.79603	$ 0

Income Taxes (Narrative) (Detai

Income Taxes (Narrative) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Income Taxes [Line Items]
Gains (Losses) on Sales of Investment Real Estate	$ 32,498	$ 21,316	$ 0
Deferred Tax Assets, Gross	600	$ 900
Income Taxes Paid	100
Texas Franchise Tax [Member]
Income Taxes [Line Items]
Income Tax Expense (Benefit)	$ 100

Schedule III - Real Estate an_2

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 77,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	186,658,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,655,217,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	52,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	186,658,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,707,890,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,894,548,000	$ 3,265,070,000	$ 3,074,846,000	$ 2,818,365,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 576,668,000	597,638,000	$ 514,453,000	$ 451,483,000
Property, Plant and Equipment, Useful Life	40 years
Entity Incorporate, Date of Incorporation, Year	1991
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Federal Income Tax Basis	$ 2,395,000,000
Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	37,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	550,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,402,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	37,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	557,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	595,414,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	209,401,000
Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	60,139,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	50,375,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	740,164,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,526,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	50,375,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	747,690,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	798,065,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	129,386,000
Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	16,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	20,136,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	411,363,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	9,239,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	20,136,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	420,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	440,738,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	85,510,000
Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	17,912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	242,212,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	12,986,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	17,912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	255,198,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	273,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	39,709,000
Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	57,774,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	671,709,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	14,938,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	57,774,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	686,647,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	744,421,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	111,685,000
Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	38,780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	40,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	608,000
Total Continuing Operations Properties [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	77,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	185,367,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,654,540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	52,091,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	185,367,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,706,631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,891,998,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	576,299,000
Corporate Office [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,291,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	582,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,291,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,550,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	369,000
Anniston, AL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,666,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Moulton, AL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	25,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	25,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Avondale, AZ [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,678,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,678,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,131,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,335,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 13, 1996
Brooksville, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,217,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,166,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,217,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,166,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,383,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,816,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Crystal River, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,029,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Dade City, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,042,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,042,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,647,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,396,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Hudson, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,392,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,392,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,682,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	12,357,000
Merritt Island, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	701,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	701,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
New Port Richey, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	228,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,023,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	228,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,023,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,251,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 901,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Plant City, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	405,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	405,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,182,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,458,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Stuart, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	787,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,048,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	787,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,048,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,835,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Trenton, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,163,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Glasgow, KY [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,064,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Greenfield, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,711,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 953,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Holyoke, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	944,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	944,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 218,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Quincy, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,160,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 152,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Taunton, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,806,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Desloge, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	178,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,804,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	178,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,804,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,982,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,804,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Joplin, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,034,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,034,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,209,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,185,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Kennett, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,928,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,928,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,108,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,784,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Maryland Heights, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	150,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	150,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,658,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
St. Charles, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,932,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
St. Charles, MO [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,181,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,181,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,525,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,668,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Manchester, NH [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,867,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,334,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Voorhees, NJ [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	23,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	24,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,059,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Gahanna, OH [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,839,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,993,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Broken Arrow, OK [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,137,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Tulsa, OK [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 16,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	32,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	501,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	33,121,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	35,101,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,813,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 1, 2017
Albany, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,415,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,415,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,441,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Creswell, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,946,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,946,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,416,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,993,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Myrtle Beach, SC [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,229,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,229,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,539,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,617,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Myrtle Beach, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	3,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	82,140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	542,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	3,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	82,682,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	86,592,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 16,365,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Greenville, SC [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	560,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	560,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,107,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,642,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Greenville, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	5,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	90,760,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	5,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	90,760,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	96,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 17,537,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Epsom, NH [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,821,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 503,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Anderson, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,643,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,643,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,951,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,483,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Greenwood, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,457,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,457,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,245,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Laurens, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	42,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,426,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	42,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,426,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,468,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,112,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Orangeburg, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,014,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,294,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 25, 2008
Athens, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	38,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	38,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,501,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,364,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Chattanooga, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,309,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,309,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,452,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,295,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Chattanooga, TN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	9,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,567,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	9,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,567,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,576,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,401,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Dickson, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	90,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,541,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	90,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,541,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,214,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Franklin, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	47,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,130,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	47,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,130,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,177,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,130,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Hendersonville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	363,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,837,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	363,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,837,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,281,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Johnson City, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	85,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	85,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,003,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Johnson City, TN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	55,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	55,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,132,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,211,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Lewisburg, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	46,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	46,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,040,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
McMinnville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	73,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,618,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	73,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,618,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,691,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,186,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Milan, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	41,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	41,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,867,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,691,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Pulaski, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	53,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,921,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	53,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,921,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,461,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Lawrenburg, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	98,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	98,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,998,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,429,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Dunlap, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,111,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Smithville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,816,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,816,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 18, 1991
Somerville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	26,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	26,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	703,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 1991
Sparta, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	80,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	80,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,682,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,525,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 20, 1991
Austin, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	606,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,895,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	606,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,895,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,501,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,675,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Canton, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,387,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 18, 2013
Corinth, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,935,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,935,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,010,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,056,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 18, 2013
Ennis, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	986,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,025,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	986,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,025,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,011,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,894,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2011
Euless, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,870,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,323,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Fort Worth, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,772,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 10, 2018
Garland, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,761,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 10, 2018
Gladewater, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Greenville, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,948,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,948,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,748,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,202,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2011
Houston, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,808,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	42,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,808,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	42,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	45,319,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	13,456,000
Katy, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,893,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,893,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	14,503,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,376,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Kyle, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,279,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,279,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,375,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,766,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 11, 2012
Marble Falls, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,469,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,497,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
McAllen, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,434,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,548,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
New Braunfels, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,666,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,666,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,245,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 24, 2017
San Antonio, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	40,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	40,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	42,424,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	9,479,000
Waxahachie, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 17, 2018
Bristol, VA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,687,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,459,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Milwaukee, WI [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,903,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,402,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,305,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	24,305,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,298,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 7, 2018
Rainbow City, AL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,647,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2013
Sacramento, CA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,395,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2014
Pueblo West, CO [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	169,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,431,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	169,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,431,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,600,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 539,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 23, 2019
Bartow, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	225,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	225,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,417,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Lakeland, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	307,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	307,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,424,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 968,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Maitland, FL [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,317,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,161,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	491,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,317,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,652,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,969,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 6,740,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 6, 1996
St. Cloud, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,417,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Greensboro, GA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	672,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	672,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,152,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,425,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 15, 2011
Ames, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,193,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,128,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Burlington, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,901,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,374,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,374,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,028,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Cedar Falls, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	30,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,730,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,990,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Ft. Dodge, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 4,008,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,708,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Iowa City, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	297,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,725,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	297,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,758,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 30, 2010
Marshalltown, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 5,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	240,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	240,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,448,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,495,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Muscatine, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,802,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,802,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,942,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 485,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Urbandale, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 8,113,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,292,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,292,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,832,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,079,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Caldwell, ID [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,063,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Weiser, ID [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 20,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	20,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 571,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Aurora, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,195,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,195,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,908,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,931,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 9, 2017
Bolingbrook, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,967,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,958,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Bourbonnais, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 7,974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,594,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,594,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,764,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,885,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Crystal Lake, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	30,043,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	30,213,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	31,273,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	4,282,000
Gurnee, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,244,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,856,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,244,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,856,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 959,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 10, 2019
Moline, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,896,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,880,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,371,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Oswego, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,957,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	212,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	21,169,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,559,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,137,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Quincy, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 6,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,763,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,927,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Rockford, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 6,412,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,575,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,575,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,965,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,014,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
South Barrington, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances		$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,833,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Crawfordsville, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,134,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,134,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,434,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 766,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
St. Charles, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	820,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,188,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	252,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	820,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,356,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Tinley Park, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,622,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,622,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,976,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,043,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 23, 2016
Carmel, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,518,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,987,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 12, 2014
Crown Point, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,336,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,689,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,263,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,063,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 30, 2013
Greenwood, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	791,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	227,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	791,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,247,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 7, 2013
Valparaiso, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,414,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,099,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,414,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,099,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,513,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,189,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Bastrop, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,781,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 765,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Bossier City, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,844,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Minden, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,698,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,698,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,978,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 526,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
West Monroe, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,397,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,684,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Baltimore, MD [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,078,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	534,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,612,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,472,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,992,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2013
Battle Creek, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,093,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	197,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Bridgeport, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,069,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 764,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 20, 2018
Brighton, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,090,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,090,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,028,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 22, 2019
Lansing, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,684,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,858,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,878,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,402,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Saginaw, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,779,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,779,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,069,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 863,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 19, 2018
Shelby Township, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,230,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,230,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 828,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2019
Champlin, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,460,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,460,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,443,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Hugo, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,945,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	132,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,224,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Maplewood, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,544,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,544,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,244,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,111,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
North Branch, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	595,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	30,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	595,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,015,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,015,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Mahtomedi, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	515,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,825,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	515,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,825,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,340,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 27, 2019
Charlotte, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,663,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	2,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	19,663,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,313,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2015
Durham, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,903,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,903,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,763,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 794,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 15, 2017
Hendersonville, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	3,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	3,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,882,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Lincoln, NE [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 8,418,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,904,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,904,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,541,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Omaha, NE [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,455,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,437,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,288,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	3,020,000
Columbus, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,002,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,002,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,102,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Lancaster, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 31, 2015
Middletown, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,548,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,548,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,488,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,239,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2014
Worthington, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,476,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,345,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,345,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,577,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Milwaukie, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,283,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	64,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,347,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,717,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,026,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 30, 2014
Ontario, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 429,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,128,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	429,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,128,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,557,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,443,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Portland, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,542,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,542,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,972,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,428,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2015
Erie, PA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,206,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	3,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,209,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,239,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,557,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Conway, SC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,027,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,179,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,027,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,179,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,206,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 866,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Fredericksburg, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,615,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,271,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,615,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,271,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,886,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,615,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 20, 2016
Midlothian, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,646,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,635,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,646,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,635,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,281,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,550,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2016
Suffolk, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,022,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,022,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,342,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 25, 2016
Beaver Dam, WI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,749,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	157,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	14,116,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,146,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Rogers, AR [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	25,282,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	25,282,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	26,752,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,476,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Fort Smith, AR [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	590,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,447,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	590,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,447,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,037,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,864,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Pinole, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,086,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
West Covina, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,339,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Vero Beach, FL [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	550,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	37,450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,293,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	550,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	38,743,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	39,293,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,122,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2019
Fresno, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,319,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,468,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Roseville, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,343,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,343,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	31,973,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 6,720,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Modesto, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,843,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,853,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Athens, GA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 6,846,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Columbus, GA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,639,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,639,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,209,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Savannah, GA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	24,382,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	930,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	25,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,122,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,448,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2015
Vancouver, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	19,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	19,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,213,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,211,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Chehalis, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,445,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,155,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,135,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,791,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 15, 2016
Loma Linda, CA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,126,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,149,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 28, 2012
North Branford, CT [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	7,724,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	64,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	7,724,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	64,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	72,154,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 9,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 3, 2016
Michigan City, IN [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,641,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,676,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Portage, IN [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	661,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	21,959,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	661,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	21,959,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	22,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Needham, MA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	5,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	45,157,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,451,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	5,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	46,608,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	52,108,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,244,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 15, 2019
Salisbury, MD [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,876,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	44,084,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	471,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,876,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	44,555,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	46,431,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,422,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Roscommon, MI [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	44,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	44,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,049,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,177,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2015
Mt. Airy, NC [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	150,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,990,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,590,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
McMinnville, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,573,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2016
McMinnville, OR [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,922,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2016
Silverdale, WA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	2,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,027,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 6,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 16, 2012
Bridgeport, CT [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	4,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,494,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	4,596,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	4,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	28,090,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,661,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Southbury, CT [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	10,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	5,327,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	10,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,379,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 8, 2016
Fernandina Beach, FL [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	63,420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,522,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	64,942,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	66,372,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 12,656,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
St. Simons Island, GA [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	8,770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,070,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	963,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	8,770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	39,033,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	47,803,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,847,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Winston-Salem, NC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	8,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	73,920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	507,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	8,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	74,427,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	83,127,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 14,578,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Pawleys Island, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	460,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	39,080,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	40,560,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 8,050,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Spartanburg, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	49,190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,021,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	50,211,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	51,111,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 9,949,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Murfreesboro, TN [Member] | Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	38,780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	40,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 608,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 28, 2021
Issaquah, WA [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	4,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	130,522,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	4,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	130,522,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	134,892,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 31, 2020
Bellevue, WI | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	504,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,796,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	504,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,796,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 458,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 30, 2020
Attica, IN | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,891,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,891,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 397,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 1, 2020
Linton, IN | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	60,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,015,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	60,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,015,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 304,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 1, 2020
Shelby, MI | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,588,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,588,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 788,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 27, 2020
Okemos, MI | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 340,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,082,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	340,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,082,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,422,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 19, 2009
Manchester, TN | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	534,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	534,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 118,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 3, 2021
Columbus, IN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	348,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,124,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	348,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,124,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,472,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 458,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 31, 2019
Forest Grove, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,848,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,848,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,388,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,674,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Subsequent Property Additions Purchased From NHC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	$ 33,909,000

Schedule III - Real Estate an_3

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Summary) (Details) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule III, Real Estate, Gross, January 1	$ 3,265,070	$ 3,074,846	$ 2,818,365
Payments to Acquire Property, Plant, and Equipment	50,346	116,724	237,186
Change In Accounts Payable, Real Property Additions	(388)	(784)	1,829
Additions Through Contingent Liabilities	0	348	292
Additions Through Assumption Of Debt		10,778	0
Change in Straight-line Rent Receivable, Investments in Real Estate	0	0	38,000
Settlement Of Mortgage Note By Real Estate Acquisition	0	63,220	14,000
Additions Through Settlement Of Mortgage Note	0	63,220	14,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Cost of Investment in Real Estate Sold	(276,429)	(62)	0
Inventory, Real Estate, Held-for-sale	(137,651)	0	(34,826)
Impairment of Real Estate	(6,400)
SEC Schedule III, Real Estate, Gross, December 31	2,894,548	3,265,070	3,074,846
SEC Schedule III, Real Estate Accumulated Depreciation, January 1	597,638	514,453	451,483
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Depreciation Expense	80,798	83,150	76,816
Finance Lease, Right-of-Use Asset, Amortization	36	0	60
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Investment in Real Estate Sold	(70,063)	(35)	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Other Deduction	(31,741)	0	(13,906)
SEC Schedule III, Real Estate Accumulated Depreciation, December 31	576,668	597,638	514,453
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	77,038
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	186,658
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Other Addition	0	$ 0	$ 0
Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule III, Real Estate, Gross, December 31	798,065
SEC Schedule III, Real Estate Accumulated Depreciation, December 31	129,386
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	60,139
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	50,375
Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule III, Real Estate, Gross, December 31	273,110
SEC Schedule III, Real Estate Accumulated Depreciation, December 31	39,709
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	17,912
Bellevue, WI | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule III, Real Estate, Gross, December 31	12,300
SEC Schedule III, Real Estate Accumulated Depreciation, December 31	458
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	$ 504

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 230,927,000	$ 259,491,000	$ 294,120,000	$ 202,877,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Principal Amount of Delinquent Loans	0
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Federal Income Tax Basis	248,173,000
Financing Receivable, Unamortized Loan Commitment, Origination Fee, and Premium (Discount)	$ 698,000
Construction Loans [Member] | Phoenix, AZ [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	7.25%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2028
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 118,800,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 110,232,000
Construction Loans [Member] | Canton, MI [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 14,700,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 14,700,000
Construction Loans [Member] | Chesapeake, VA
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2025
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 14,200,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 7,955,000
Construction Loans [Member] | Virginia Beach, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 14,000,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 14,000,000
Construction Loans [Member] | Green Bay, WI [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.50%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2024
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 6,045,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 9,018,000
Construction Loans [Member] | Sussex, WI
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.50%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2024
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 22,200
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 17,624,000
Skilled Nursing Facility [Member] | First Mortgage [Member] | Lexington, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2032
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	$21,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 3,089,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,522,000
Skilled Nursing Facility [Member] | First Mortgage [Member] | Brookneal, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2031
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	$21,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 2,780,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,467,000
Skilled Nursing Facility [Member] | First Mortgage [Member] | Laurel Fork, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2030
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	$20,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 2,672,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,342,000
Assisted Living Facility [Member] | First Mortgage [Member] | Oviedo, FL [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.25%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 10,000,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 10,000,000
Assisted Living Facility [Member] | First Mortgage [Member] | Indianapolis, IN [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	7.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2022
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 6,423,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 6,423,000
Assisted Living Facility [Member] | First Mortgage [Member] | Wabash/Lafayette, IN
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	7.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2025
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 4,000,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 3,944,000
Entrance-Fee Communities [Member] | First Mortgage [Member] | Columbia, SC [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	7.30%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2024
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 32,700,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 32,700,000

Schedule IV - Mortgage Loans _3

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Roll-Forward) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Schedule IV - Mortgage Loans on Real Estate [Abstract]
Mortgage Loans on Real Estate, January 1	$ 259,491	$ 294,120	$ 202,877
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, New Mortgage Loan	33,160	55,059	105,345
Amortization of Deferred Charges	741	806	440
Mortgage Loans On Real Estate Total Additions	33,901	55,865	105,785
Note Receivable, Commitment Fees, Received	0	222	108
Settlement of mortgage note by real estate acquisition	0	63,220	14,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Collections of Principal	62,465	27,052	434
Mortgage Loans On Real Estate, Total Deductions	62,465	90,494	14,542
Mortgage Loans on Real Estate, December 31	230,927	259,491	294,120
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	$ 2,894,548	$ 3,265,070	$ 3,074,846	$ 2,818,365