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Real Estate Investments, Net - Investment in Owned Properties Held for Use (Details) - USD ($)
$ in Thousands
Dec. 31, 2022
Dec. 31, 2021
Real Estate [Abstract]    
Land $ 238,738 $ 251,787
Buildings and improvements 1,483,133 1,622,019
Integral equipment, furniture and fixtures 97,199 104,722
Identified intangible assets 2,832 1,257
Real estate investments 1,821,902 1,979,785
Accumulated depreciation and amortization (400,492) (389,814)
Real estate investments, net $ 1,421,410 $ 1,589,971