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Real Estate Investments - Lease (Details) | 1 Months Ended | 12 Months Ended
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Jan. 31, 2023 item lease Center | Dec. 31, 2022 USD ($) property Center lease item | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Real estate investments |  |  |  |
Lease renewal term | 5 years | 5 years |  |
Number of operating lease renewals | lease |  | 2 |  |
Skilled nursing center purchased | Center |  | 3 |  |
Write-off of straight-line rent and lease incentives balances |  | $ 256,000 | $ 758,000 | $ 23,214,000
Gross Investment |  | 58,972,000 |  |
Carrying value |  | $ 1,019,218,000 | 1,033,951,000 |
Lease term |  | 10 years |  |
Income and Expenses, Lessor [Abstract] |  |  |  |
Base cash rental income |  | $ 115,230,000 | 107,692,000 | 132,789,000
Variable cash rental income |  | 15,516,000 | 14,332,000 | 15,167,000
Straight-line rent |  | (1,369,000) | 467,000 | 1,778,000
Adjustment for collectability of lease incentives and rental income |  | (256,000) | (758,000) | (23,214,000)
Amortization of lease incentives |  | (877,000) | (608,000) | (426,000)
Total Rental Income |  | $ 128,244,000 | $ 121,125,000 | $ 126,094,000
Number of units | item |  | 217 |  |
Number of Re leased properties | property |  | 18 |  |
Percentage of reduction in rent and interest escalations |  | 50.00% | 50.00% |
Subsequent Event |  |  |  |
Real estate investments |  |  |  |
Lease renewal term | 5 years |  |  |
Number of operating lease renewals | lease | 2 |  |  |
Lease term | 10 years |  |  |
Florida | Brookdale Senior Living | Subsequent Event |  |  |  |
Income and Expenses, Lessor [Abstract] |  |  |  |
Number of units | item | 216 |  |  |
Purchase Option in Lease Arrangements |  |  |  |
Real estate investments |  |  |  |
Gross Investment |  | $ 202,013,000 |  |
Carrying value |  | 185,066,000 |  |
ALF |  |  |  |
Income and Expenses, Lessor [Abstract] |  |  |  |
Lease termination fee received |  | $ 1,181,000 |  |
Number of units | item |  | 74 |  |
ALF | Purchase Option in Lease Arrangements | Nebraska |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 3 |  |
Gross Investment |  | $ 7,633,000 |  |
Carrying value |  | $ 2,948,000 |  |
MC | Purchase Option in Lease Arrangements | Florida |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 1 |  |
Gross Investment |  | $ 15,201,000 |  |
Carrying value |  | $ 12,500,000 |  |
ALF & MC | Purchase Option in Lease Arrangements | California |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 2 |  |
Gross Investment |  | $ 38,895,000 |  |
Carrying value |  | $ 33,719,000 |  |
ALF & MC | Purchase Option in Lease Arrangements | South Carolina |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 1 |  |
Gross Investment |  | $ 11,680,000 |  |
Carrying value |  | $ 9,052,000 |  |
SNF |  |  |  |
Real estate investments |  |  |  |
Lease renewal term |  | 5 years |  |
Number of operating lease renewals | lease |  | 2 |  |
Skilled nursing center purchased | item |  | 3 |  |
Number of properties acquired | property |  | 4 |  |
Lease term |  | 10 years |  |
SNF | Brookdale Senior Living | Subsequent Event |  |  |  |
Real estate investments |  |  |  |
Skilled nursing center purchased | Center | 2 |  |  |
Additional term of lessor's operating lease renewal | 5 years |  |  |
SNF | Florida | Brookdale Senior Living | Subsequent Event |  |  |  |
Income and Expenses, Lessor [Abstract] |  |  |  |
Number of units | item | 216 |  |  |
SNF | Texas |  |  |  |
Real estate investments |  |  |  |
Lease term |  | 10 years |  |
SNF | Purchase Option in Lease Arrangements | Florida |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 3 |  |
Gross Investment |  | $ 76,767,000 |  |
Carrying value |  | $ 75,999,000 |  |
Number of properties acquired | item |  | 3 |  |
SNF | Purchase Option in Lease Arrangements | Texas |  |  |  |
Real estate investments |  |  |  |
Number of properties | property |  | 4 |  |
Gross Investment |  | $ 51,837,000 |  |
Carrying value |  | $ 50,848,000 |  |
Number of properties acquired | item |  | 4 |  |
Lease term |  | 10 years |  |

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