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Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($)
$ in Thousands
Dec. 31, 2019
Dec. 31, 2018
Real Estate [Abstract]    
Land $ 204,154 $ 166,948
Buildings and improvements 1,400,927 1,201,209
Integral equipment, furniture and fixtures 93,005 87,623
Identified intangible assets 1,650 2,382
Real estate investments 1,699,736 1,458,162
Accumulated depreciation and amortization (285,536) (241,925)
Real estate investments, net $ 1,414,200 $ 1,216,237