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Real Estate Investments - Owned Properties (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2020
USD ($)
property
item
state
$ / item
Jun. 30, 2019
item
Real Estate [Line Items]    
Number of beds/units under development   204
Real Estate Investment    
Real Estate [Line Items]    
Gross Investment | $ $ 1,445,691  
Percentage of Investment 100.00%  
Number of properties | property 158  
Number of states | state 27  
Number of operators 29  
Operating leases    
Number of ways to compute annual rent increases 4  
Real Estate Investment | Minimum    
Operating leases    
Initial lease term 10 years  
Specified annual increase over the prior year's rent (as a percent) 2.00%  
Real Estate Investment | Maximum    
Operating leases    
Initial lease term 15 years  
Specified annual increase over the prior year's rent (as a percent) 2.50%  
Real Estate Investment | SNF Beds    
Real Estate [Line Items]    
Number of beds/units 6,401  
Real Estate Investment | ALF Units    
Real Estate [Line Items]    
Number of beds/units 6,376  
ALF | Real Estate Investment    
Real Estate [Line Items]    
Gross Investment | $ $ 880,343  
Percentage of Investment 60.90%  
Number of properties | property 107  
Investment per Bed/Unit | $ / item 142.82  
ALF | Real Estate Investment | ALF Units    
Real Estate [Line Items]    
Number of beds/units 6,164  
SNF | Real Estate Investment    
Real Estate [Line Items]    
Gross Investment | $ $ 543,825  
Percentage of Investment 37.60%  
Number of properties | property 50  
Investment per Bed/Unit | $ / item 83.73  
SNF | Real Estate Investment | SNF Beds    
Real Estate [Line Items]    
Number of beds/units 6,283  
SNF | Real Estate Investment | ALF Units    
Real Estate [Line Items]    
Number of beds/units 212  
Properties under Development | Real Estate Investment    
Real Estate [Line Items]    
Gross Investment | $ $ 10,163  
Percentage of Investment 0.70%  
Properties under Development | Real Estate Investment | Combination ALF and MC community | Oregon | Developments    
Real Estate [Line Items]    
Number of beds/units under development 90  
Other | Real Estate Investment    
Real Estate [Line Items]    
Gross Investment | $ $ 11,360  
Percentage of Investment 0.80%  
Number of properties | property 1  
Number of parcels of land 3  
Other | Real Estate Investment | SNF Beds    
Real Estate [Line Items]    
Number of beds/units 118  
Hospital | Real Estate Investment    
Real Estate [Line Items]    
Number of properties | property 1