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Real Estate Investments - Properties Sales (Details) | 12 Months Ended
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Dec. 31, 2022 USD ($) property item | Dec. 31, 2021 USD ($) item property | Dec. 31, 2020 USD ($) item property
Disposals and other |  |  |
Carrying value | $ 1,019,218,000 | $ 1,033,951,000 |
Net Gain (loss) | 37,830,000 | $ 7,462,000 | $ 44,117,000
Gain from property insurance proceeds |  |  | $ 373,000
Number of beds damaged | item |  |  | 114
Kentucky |  |  |
Disposals and other |  |  |
Impairment loss from investments in unconsolidated joint ventures | 1,286,000 |  |
ALF | Virginia |  |  |
Disposals and other |  |  |
Lease termination fee payable | 1,181,000 |  |
ALF | Kentucky |  |  |
Disposals and other |  |  |
Impairment loss from investments in unconsolidated joint ventures | $ 1,286,000 |  |
Properties sold |  |  |
Disposals and other |  |  |
Number of properties sold | property | 5 | 6 | 21
Number of beds or units in property sold | item | 427 | 426 | 2,411
Sales price | $ 74,345,000 | $ 45,600,000 | $ 74,800,000
Carrying value | 35,924,000 | 36,513,000 | 29,084,000
Net Gain (loss) | 37,830,000 | 7,462,000 | 44,117,000
Net Gain (loss) | $ 214,000 | $ 363,000 | $ 129,000
Properties sold | ALF | California |  |  |
Disposals and other |  |  |
Number of properties sold | property | 2 |  |
Number of beds or units in property sold | item | 232 |  |
Sales price | $ 43,715,000 |  |
Carrying value | 17,832,000 |  |
Net Gain (loss) | $ 25,867,000 |  |
Properties sold | ALF | Florida |  |  |
Disposals and other |  |  |
Number of properties sold | property |  | 1 |
Sales price |  | $ 2,000,000 |
Carrying value |  | 2,626,000 |
Net Gain (loss) |  | $ (858,000) |
Properties sold | ALF | Nebraska |  |  |
Disposals and other |  |  |
Number of properties sold | property |  | 1 |
Number of beds or units in property sold | item |  | 40 |
Sales price |  | $ 900,000 |
Carrying value |  | 1,079,000 |
Net Gain (loss) |  | $ (200,000) |
Properties sold | ALF | Wisconsin |  |  |
Disposals and other |  |  |
Number of properties sold | property |  | 3 |
Number of beds or units in property sold | item |  | 263 |
Sales price |  | $ 35,000,000 |
Carrying value |  | 28,295,000 |
Net Gain (loss) |  | $ 5,595,000 |
Properties sold | ALF | Virginia |  |  |
Disposals and other |  |  |
Number of properties sold | property | 1 |  |
Number of beds or units in property sold | item | 74 |  |
Sales price | $ 16,895,000 |  |
Carrying value | 15,549,000 |  |
Net Gain (loss) | $ 1,344,000 |  |
Properties sold | SNF | California |  |  |
Disposals and other |  |  |
Number of properties sold | property | 1 |  |
Number of beds or units in property sold | item | 121 |  |
Sales price | $ 13,250,000 |  |
Carrying value | 1,846,000 |  |
Net Gain (loss) | $ 10,846,000 |  |
Properties sold | SNF | Washington |  |  |
Disposals and other |  |  |
Number of properties sold | property |  | 1 |
Number of beds or units in property sold | item |  | 123 |
Sales price |  | $ 7,700,000 |
Carrying value |  | 4,513,000 |
Net Gain (loss) |  | $ 2,562,000 |
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 |  |  | $ 12,550,000
Carrying value |  |  | 2,229,000
Net Gain (loss) |  |  | $ 10,293,000
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 |  |  | $ 15,000,000
Carrying value |  |  | 4,271,000
Net Gain (loss) |  |  | $ 10,364,000
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 |  |  | $ 14,500,000
Carrying value |  |  | 4,886,000
Net Gain (loss) |  |  | $ 9,051,000
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 |  |  | $ 9,750,000
Carrying value |  |  | 7,438,000
Net Gain (loss) |  |  | $ 1,993,000
Properties sold | SNF | Texas |  |  |
Disposals and other |  |  |
Number of properties sold | property | 1 |  | 7
Number of beds or units in property sold | item |  |  | 1,148
Sales price | $ 485,000 |  | $ 23,000,000
Carrying value | 697,000 |  | 10,260,000
Net Gain (loss) | $ (441,000) |  | $ 12,287,000

X
- 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. + References No definition available. + Details
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