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Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($)
$ in Thousands
Sep. 30, 2021
Dec. 31, 2020
Real Estate [Abstract]    
Land $ 251,347 $ 205,356
Buildings and improvements 1,609,834 1,477,849
Integral equipment, furniture and fixtures 103,739 97,836
Identified intangible assets 1,257 2,352
Real estate investments 1,966,177 1,783,393
Accumulated depreciation and amortization (375,759) (335,294)
Real estate investments, net $ 1,590,418 $ 1,448,099