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Equity - Noncontrolling Interest (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2020
Noncontrolling interest
Gross Consolidated Assets	$ 1,514,209		$ 1,459,486
Non-controlling interests	8,483		8,404
Partnership
Noncontrolling interest
Gross Consolidated Assets			83,429
Non-controlling interests			8,404
2018 Acquisitions
Noncontrolling interest
Purchase Price		$ 40,295
2018 Acquisitions | ALF
Noncontrolling interest
Purchase Price		$ 39,600
2019 Acquisitions
Noncontrolling interest
Purchase Price	57,951
2019 Acquisitions | SNF
Noncontrolling interest
Purchase Price	19,500
2019 Acquisitions | ALF
Noncontrolling interest
Purchase Price	$ 35,719
Virginia | 2019 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets			16,895
Non-controlling interests			919
Oregon | 2018 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets			18,447
Non-controlling interests			1,081
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets			14,400
Non-controlling interests			2,858
Wisconsin | 2017 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets			22,007
Non-controlling interests			2,305
South Carolina | 2017 Acquisitions | Partnership | ALF
Noncontrolling interest
Gross Consolidated Assets			11,680
Non-controlling interests			$ 1,241

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