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Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Real Estate [Abstract]    
Land $ 166,948 $ 151,879
Buildings and improvements 1,201,209 1,114,605
Integral equipment, furniture and fixtures 87,623 80,729
Identified intangible assets 2,382 2,382
Real estate investments 1,458,162 1,349,595
Accumulated depreciation and amortization (241,925) (197,334)
Real estate investments, net $ 1,216,237 $ 1,152,261