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Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($)
$ in Thousands
Sep. 30, 2020
Dec. 31, 2019
Real Estate [Abstract]    
Land $ 209,280 $ 204,154
Buildings and improvements 1,441,949 1,400,927
Integral equipment, furniture and fixtures 95,392 93,005
Identified intangible assets 1,650 1,650
Real estate investments 1,748,271 1,699,736
Accumulated depreciation and amortization (325,033) (285,536)
Real estate investments, net $ 1,423,238 $ 1,414,200