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Real Estate Investments - Properties Sold (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023 USD ($)	Jun. 30, 2022 USD ($)	Jun. 30, 2023 USD ($) item property	Jun. 30, 2022 USD ($) item property	Dec. 31, 2022 USD ($)
Disposals and other
Carrying value	$ 1,024,120		$ 1,024,120		$ 1,019,218
Net Gain	302	$ 38,094	$ 15,675	$ 38,196
Virginia
Disposals and other
Lease termination fee payable		1,181		$ 1,181
Properties sold
Disposals and other
Number of properties sold | property			5	4
Number of beds or units in property sold | item			404	427
Sales price			$ 39,100	$ 73,860
Carrying value	21,723	35,227	21,723	35,227
Net Gain	302	38,094	$ 15,675	38,196
Net Gain				$ 144
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
Carrying value		17,832		17,832
Net Gain				$ 25,867
Properties sold | ALF | Florida
Disposals and other
Number of properties sold | property			1
Number of beds or units in property sold | item			70
Sales price	4,850		$ 4,850
Carrying value	4,082		4,082
Net Gain			$ 65
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
Carrying value		15,549		15,549
Net Gain				$ 1,336
Properties sold | ALF | Kentucky
Disposals and other
Number of properties sold | property			1
Number of beds or units in property sold | item			60
Sales price			$ 11,000
Carrying value	10,710		10,710
Net Gain			$ 57
Properties sold | ALF | New Jersey
Disposals and other
Number of properties sold | property			1
Number of beds or units in property sold | item			39
Sales price			$ 2,000
Carrying value	1,552		1,552
Net Gain			$ 266
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
Carrying value		$ 1,846		1,846
Net Gain				$ 10,849
Properties sold | SNF | New Mexico
Disposals and other
Number of properties sold | property			2
Number of beds or units in property sold | item			235
Sales price			$ 21,250
Carrying value	$ 5,379		5,379
Net Gain			$ 15,287

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.

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The amount of lease termination fee payable.

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- Definition

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

+ References

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The number of real estate properties sold by the entity.

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- Definition

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

+ References

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- Definition

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
-Topic 230
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 28
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482740/230-10-45-28

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 360
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482130/360-10-45-5

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 360
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482099/360-10-50-3

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- Definition

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.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 944
-SubTopic 210
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03(a)(1)(d))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479440/944-210-S99-1

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