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Real Estate Investments - Owned Properties (Details) $ in Thousands | 6 Months Ended
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Jun. 30, 2020 USD ($) property item state $ / item | Jun. 30, 2019 item
Real Estate [Line Items] |  |
Number of beds/units under development |  | 204
Real Estate Investment |  |
Real Estate [Line Items] |  |
Gross Investment | $ | $ 1,445,691 |
Percentage of Investment | 100.00% |
Number of properties | property | 158 |
Number of states | state | 27 |
Number of operators | 29 |
Operating leases |  |
Number of ways to compute annual rent increases | 4 |
Real Estate Investment | Minimum |  |
Operating leases |  |
Initial lease term | 10 years |
Specified annual increase over the prior year's rent (as a percent) | 2.00% |
Real Estate Investment | Maximum |  |
Operating leases |  |
Initial lease term | 15 years |
Specified annual increase over the prior year's rent (as a percent) | 2.50% |
Real Estate Investment | SNF Beds |  |
Real Estate [Line Items] |  |
Number of beds/units | 6,401 |
Real Estate Investment | ALF Units |  |
Real Estate [Line Items] |  |
Number of beds/units | 6,376 |
ALF | Real Estate Investment |  |
Real Estate [Line Items] |  |
Gross Investment | $ | $ 880,343 |
Percentage of Investment | 60.90% |
Number of properties | property | 107 |
Investment per Bed/Unit | $ / item | 142.82 |
ALF | Real Estate Investment | ALF Units |  |
Real Estate [Line Items] |  |
Number of beds/units | 6,164 |
SNF | Real Estate Investment |  |
Real Estate [Line Items] |  |
Gross Investment | $ | $ 543,825 |
Percentage of Investment | 37.60% |
Number of properties | property | 50 |
Investment per Bed/Unit | $ / item | 83.73 |
SNF | Real Estate Investment | SNF Beds |  |
Real Estate [Line Items] |  |
Number of beds/units | 6,283 |
SNF | Real Estate Investment | ALF Units |  |
Real Estate [Line Items] |  |
Number of beds/units | 212 |
Properties under Development | Real Estate Investment |  |
Real Estate [Line Items] |  |
Gross Investment | $ | $ 10,163 |
Percentage of Investment | 0.70% |
Properties under Development | Real Estate Investment | Combination ALF and MC community | Oregon | Developments |  |
Real Estate [Line Items] |  |
Number of beds/units under development | 90 |
Other | Real Estate Investment |  |
Real Estate [Line Items] |  |
Gross Investment | $ | $ 11,360 |
Percentage of Investment | 0.80% |
Number of properties | property | 1 |
Number of parcels of land | 3 |
Other | Real Estate Investment | SNF Beds |  |
Real Estate [Line Items] |  |
Number of beds/units | 118 |
Hospital | Real Estate Investment |  |
Real Estate [Line Items] |  |
Number of properties | property | 1 |

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