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Real Estate Investments - Property Sales (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2021 USD ($) property	Mar. 31, 2020 USD ($) property item	Dec. 31, 2020 USD ($)
Disposals and other
Carrying value	$ 1,090,927		$ 1,102,358
Net (Loss) gain	(773)	$ 43,854
Net gain	$ 88
Properties sold
Disposals and other
Number of properties sold | property	1	21
Number of beds or units in property sold | item		2,411
Sales price	$ 2,000	$ 74,800
Carrying value	2,625	29,084
Net (Loss) gain	$ (773)	43,854
Holdback amount		$ 838
Properties sold | SNF | Arizona
Disposals and other
Number of properties sold | property		1
Number of beds or units in property sold | item		194
Sales price		$ 12,550
Carrying value		2,229
Net (Loss) gain		$ 10,293
Properties sold | SNF | Colorado
Disposals and other
Number of properties sold | property		3
Number of beds or units in property sold | item		275
Sales price		$ 15,000
Carrying value		4,271
Net (Loss) gain		$ 10,365
Properties sold | SNF | Iowa
Disposals and other
Number of properties sold | property		7
Number of beds or units in property sold | item		544
Sales price		$ 14,500
Carrying value		4,886
Net (Loss) gain		8,914
Holdback amount			$ 150
Realizable holdback amount		$ 471
Properties sold | SNF | Kansas
Disposals and other
Number of properties sold | property		3
Number of beds or units in property sold | item		250
Sales price		$ 9,750
Carrying value		7,438
Net (Loss) gain		$ 1,994
Properties sold | SNF | Texas
Disposals and other
Number of properties sold | property		7
Number of beds or units in property sold | item		1,148
Sales price		$ 23,000
Carrying value		10,260
Net (Loss) gain		$ 12,288
Properties sold | ALF | Florida
Disposals and other
Number of properties sold | property	1
Sales price	$ 2,000
Carrying value	2,625
Net (Loss) gain	$ (861)

X

- Definition

The amount of contingent consideration on sale of real estate properties.

+ References

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- Definition

The amount of gain (loss) on prior period sale of properties of which holdback payments and other accounting adjustments are received during the period.

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- Definition

The number of beds or units in a real estate property sold by the entity.

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The number of real estate properties sold by the entity.

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Sales price of real estate or properties that were intended to be sold or held for capital appreciation or rental income.

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The difference between the carrying value and the sale price of real estate or properties that were intended to be sold or held for capital appreciation or rental income. This element refers to the gain (loss) included in earnings and not to the cash proceeds of the sale. This element is a noncash adjustment to net income when calculating net cash generated by operating activities using the indirect method.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 50
-Paragraph 3
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=109226691&loc=d3e2941-110230

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Publisher FASB
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-Section 45
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-URI http://asc.fasb.org/extlink&oid=109226348&loc=d3e2443-110228

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Amount of real estate investment property, net of accumulated depreciation, which may include the following: (1) land available-for-sale; (2) land available-for-development; (3) investments in building and building improvements; (4) tenant allowances; (5) developments in-process; (6) rental properties; and (7) other real estate investments.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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