CareTrust REIT (CTRE) 10-K 16 Feb 22 2021 FY Annual report Financial data

Cover

Cover - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2021	Feb. 15, 2022	Jun. 30, 2021
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2021
Current Fiscal Year End Date	--12-31
Document Transition Report	false
Entity File Number	001-36181
Entity Registrant Name	CareTrust REIT, Inc.
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	46-3999490
Entity Address, Address Line One	905 Calle Amanecer
Entity Address, Address Line Two	Suite 300
Entity Address, City or Town	San Clemente
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92673
City Area Code	949
Local Phone Number	542-3130
Title of 12(b) Security	Common Stock, par value $0.01 per share
Trading Symbol	CTRE
Security Exchange Name	NASDAQ
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
ICFR Auditor Attestation Flag	true
Entity Shell Company	false
Entity Public Float			$ 2.2
Entity Common Stock, Shares Outstanding		97,049,319
Documents Incorporated by Reference	Portions of the definitive Proxy Statement for the registrant’s 2022 Annual Meeting of Stockholders, which will be filed with the Securities and Exchange Commission within 120 days after the end of fiscal year 2021, are incorporated by reference into Part III of this Report.
Entity Central Index Key	0001590717
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	FY
Amendment Flag	false

Audit Information

Audit Information	12 Months Ended
	Dec. 31, 2021
Audit Information [Abstract]
Auditor Name	DELOITTE & TOUCHE LLP
Auditor Location	Costa Mesa, California
Auditor Firm ID	34

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Assets:
Real estate investments, net	$ 1,589,971	$ 1,448,099
Other real estate investments	15,155	15,000
Assets held for sale, net	4,835	7,226
Cash and cash equivalents	19,895	18,919
Accounts and other receivables	2,418	1,823
Prepaid expenses and other assets, net	7,512	10,450
Deferred financing costs, net	1,062	2,042
Total assets	1,640,848	1,503,559
Liabilities and Equity:
Senior unsecured notes payable, net	394,262	296,669
Senior unsecured term loan, net	199,136	198,925
Unsecured revolving credit facility	80,000	50,000
Accounts payable, accrued liabilities and deferred rent liabilities	25,408	19,572
Dividends payable	26,285	24,251
Total liabilities	725,091	589,417
Commitments and contingencies (Note 10)
Equity:
Preferred stock, $0.01 par value; 100,000,000 shares authorized, 0 shares issued and outstanding as of December 31, 2021 and December 31, 2020	0	0
Common stock, $0.01 par value; 500,000,000 shares authorized, 96,296,673 and 95,215,797 shares issued and outstanding as of December 31, 2021 and December 31, 2020, respectively	963	952
Additional paid-in capital	1,196,839	1,164,402
Cumulative distributions in excess of earnings	(282,045)	(251,212)
Total equity	915,757	914,142
Total liabilities and equity	$ 1,640,848	$ 1,503,559

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Preferred stock, par value (usd per share)	$ 0.01	$ 0.01
Preferred stock, authorized (shares)	100,000,000	100,000,000
Preferred stock, issued (shares)	0	0
Preferred stock, outstanding (shares)	0	0
Common stock, par value (usd per share)	$ 0.01	$ 0.01
Common stock, authorized (shares)	500,000,000	500,000,000
Common stock, issued (shares)	96,296,673	95,215,797
Common stock, outstanding (shares)	96,296,673	95,215,797

Consolidated Income Statements

Consolidated Income Statements - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Revenues:
Rental income	$ 190,195,000	$ 173,612,000	$ 155,667,000
Independent living facilities	0	2,077,000	3,389,000
Interest and other income	2,156,000	2,643,000	4,345,000
Total revenues	192,351,000	178,332,000	163,401,000
Expenses:
Depreciation and amortization	55,340,000	52,760,000	51,822,000
Interest expense	23,677,000	23,661,000	28,125,000
Property taxes	3,574,000	2,836,000	3,048,000
Independent living facilities	0	1,869,000	2,898,000
Impairment of real estate investments	0	0	16,692,000
Provision for loan losses	0	0	1,076,000
General and administrative	26,874,000	16,302,000	15,158,000
Total expenses	109,465,000	97,428,000	118,819,000
Other (loss) income:
Loss on extinguishment of debt	(10,827,000)	0	0
(Loss) gain on sale of real estate	(77,000)	(37,000)	1,777,000
Total other (loss) income	(10,904,000)	(37,000)	1,777,000
Net income	$ 71,982,000	$ 80,867,000	$ 46,359,000
Earnings per common share:
Basic (usd per share)	$ 0.74	$ 0.85	$ 0.49
Diluted (usd per share)	$ 0.74	$ 0.85	$ 0.49
Weighted-average number of common shares:
Basic (shares)	96,017,000	95,200,000	93,088,000
Diluted (shares)	96,092,000	95,207,000	93,098,000
Independent living facilities, revenue services	Health Care, Resident Service [Member]	Health Care, Resident Service [Member]	Health Care, Resident Service [Member]
Independent living facilities, cost of services	Health Care, Resident Service [Member]	Health Care, Resident Service [Member]	Health Care, Resident Service [Member]

Consolidated Statements of Equi

Consolidated Statements of Equity - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Cumulative Distributions in Excess of Earnings
Beginning balance at Dec. 31, 2018	$ 768,247	$ 859	$ 965,578	$ (198,190)
Beginning balance (shares) at Dec. 31, 2018		85,867,044
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	195,924	$ 91	195,833
Issuance of common stock, net (shares)		9,100,250
Vesting of restricted common stock, net of shares withheld for employee taxes	(2,524)	$ 1	(2,525)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		135,976
Amortization of stock-based compensation	4,104		4,104
Common dividends ($1.06, $1.00 and $0.90 per share for the years ended 2021, 2020 and 2019, respectively)	(84,519)			(84,519)
Net income	46,359			46,359
Ending balance at Dec. 31, 2019	927,591	$ 951	1,162,990	(236,350)
Ending balance (shares) at Dec. 31, 2019		95,103,270
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	(404)		(404)
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,995)	$ 1	(1,996)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		112,527
Amortization of stock-based compensation	3,812		3,812
Common dividends ($1.06, $1.00 and $0.90 per share for the years ended 2021, 2020 and 2019, respectively)	(95,729)			(95,729)
Net income	80,867			80,867
Ending balance at Dec. 31, 2020	914,142	$ 952	1,164,402	(251,212)
Ending balance (shares) at Dec. 31, 2020		95,215,797
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	22,946	$ 10	22,936
Issuance of common stock, net (shares)		990,000
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,330)	$ 1	(1,331)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		90,876
Amortization of stock-based compensation	10,832		10,832
Common dividends ($1.06, $1.00 and $0.90 per share for the years ended 2021, 2020 and 2019, respectively)	(102,815)			(102,815)
Net income	71,982			71,982
Ending balance at Dec. 31, 2021	$ 915,757	$ 963	$ 1,196,839	$ (282,045)
Ending balance (shares) at Dec. 31, 2021		96,296,673

Consolidated Statements of Eq_2

Consolidated Statements of Equity (Parenthetical) - $ / shares	3 Months Ended												12 Months Ended
	Dec. 31, 2021	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Dec. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement of Stockholders' Equity [Abstract]
Common dividend (usd per share)	$ 0.265	$ 0.265	$ 0.265	$ 0.265	$ 0.25	$ 0.25	$ 0.25	$ 0.25	$ 0.225	$ 0.225	$ 0.225	$ 0.225	$ 1.06	$ 1	$ 0.90

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Cash flows from operating activities:
Net income	$ 71,982,000	$ 80,867,000	$ 46,359,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization (including below-market ground leases)	55,394,000	52,819,000	51,866,000
Amortization of deferred financing costs	2,052,000	1,950,000	2,003,000
Loss on extinguishment of debt	10,827,000	0	0
Amortization of stock-based compensation	10,832,000	3,790,000	4,104,000
Straight-line rental income	(32,000)	(77,000)	(1,385,000)
Adjustment for collectibility of rental income	0	0	11,774,000
Noncash interest income	(155,000)	0	(797,000)
Loss (gain) on sale of real estate	77,000	37,000	(1,777,000)
Interest income distribution from other real estate investment	0	1,346,000	463,000
Impairment of real estate investments	0	0	16,692,000
Provision for loan losses	0	0	1,076,000
Change in operating assets and liabilities:
Accounts and other receivables	(562,000)	825,000	(6,283,000)
Prepaid expenses and other assets, net	399,000	387,000	(495,000)
Accounts payable, accrued liabilities and deferred rent liabilities	6,057,000	3,791,000	2,695,000
Net cash provided by operating activities	156,871,000	145,735,000	126,295,000
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	(192,718,000)	(89,650,000)	(321,458,000)
Purchases of equipment, furniture and fixtures and improvements to real estate	(6,013,000)	(8,297,000)	(6,289,000)
Investment in real estate mortgage and other loans receivable	(1,253,000)	(30,498,000)	(18,246,000)
Principal payments received on real estate mortgage and other loans receivable	393,000	80,928,000	24,283,000
Repayment of other real estate investment	0	2,327,000	2,204,000
Escrow deposits for potential acquisitions of real estate	0	(3,000,000)	0
Net proceeds from sales of real estate	6,958,000	6,608,000	3,499,000
Net cash used in investing activities	(192,633,000)	(41,582,000)	(316,007,000)
Cash flows from financing activities:
Proceeds from (costs paid for) the issuance of common stock, net	22,946,000		195,924,000
Proceeds from (costs paid for) the issuance of common stock, net		(404,000)
Proceeds from the issuance of senior unsecured notes payable	400,000,000	0	0
Proceeds from the issuance of senior unsecured term loan	0	0	200,000,000
Borrowings under unsecured revolving credit facility	220,000,000	65,000,000	243,000,000
Payments on senior unsecured notes payable	(300,000,000)	0	0
Payments on senior unsecured term loan	0	0	(100,000,000)
Payments on unsecured revolving credit facility	(190,000,000)	(75,000,000)	(278,000,000)
Payments on debt extinguishment and deferred financing costs	(14,095,000)	0	(4,534,000)
Net-settle adjustment on restricted stock	(1,331,000)	(1,996,000)	(2,524,000)
Dividends paid on common stock	(100,782,000)	(93,161,000)	(80,619,000)
Net cash provided by (used in) financing activities	36,738,000	(105,561,000)	173,247,000
Net increase (decrease) in cash and cash equivalents	976,000	(1,408,000)	(16,465,000)
Cash and cash equivalents as of the beginning of period	18,919,000	20,327,000	36,792,000
Cash and cash equivalents as of the end of period	19,895,000	18,919,000	20,327,000
Supplemental disclosures of cash flow information:
Interest paid	22,838,000	21,691,000	26,005,000
Supplemental schedule of noncash investing and financing activities:
Increase in dividends payable	2,033,000	2,568,000	3,900,000
Right-of-use asset obtained in exchange for new operating lease obligation	0	599,000	1,010,000
Transfer of pre-acquisition costs to acquired assets	358,000	168,000	242,000
Sale of real estate settled with notes receivable	$ 0	$ 32,400,000	$ 27,500,000

Organization

Organization	12 Months Ended
	Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	ORGANIZATION Description of Business— CareTrust REIT, Inc.’s (“CareTrust REIT” or the “Company”) primary business consists of acquiring, financing, developing and owning real property to be leased to third-party tenants in the healthcare sector. As of December 31, 2021, the Company owned and leased to independent operators, 227 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of 23,650 operational beds and units located in 29 states with the highest concentration of properties by rental income located in California, Texas, Louisiana, Idaho and Arizona. As of December 31, 2021, the Company also had other real estate investments consisting of one mezzanine loan receivable with a carrying value of $15.2 million. COVID-19— The COVID-19 pandemic led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to reduce its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business limitations and closures (subject to exceptions for essential operations and businesses), quarantines and shelter-in-place orders. Although most of these governmental restrictions have since been lifted or scaled back, resurgences of COVID-19 and the emergence of new variants thereof have resulted in the reimposition of certain restrictions and requirements, including restrictions imposed on unvaccinated individuals and employee vaccine mandates, and may lead to other restrictions and requirements being reimplemented in response to efforts to reduce the spread of COVID-19. Given the dynamic nature of these circumstances and the related adverse impact these restrictions have had, and may continue to have, on the economy generally, the Company’s business, results of operations and financial condition may be adversely impacted by the COVID-19 pandemic. The duration and extent of the COVID-19 pandemic’s effect on the Company’s operational and financial performance, and the operational and financial performance of the Company’s tenants, will depend on future developments, which are highly uncertain and cannot be predicted at this time, including the rate of public acceptance and usage of vaccines and the effectiveness of vaccines in limiting the spread of COVID-19 and its variants, resurgences of COVID-19 and, in particular, new and more contagious and/or vaccine resistant variants, actions taken to contain the spread of COVID-19 and how quickly and to what extent normal economic and operating conditions can resume. The adverse impact of the COVID-19 pandemic on the Company’s business, results of operations and financial condition could be material.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation —The accompanying consolidated financial statements of the Company reflect, for all periods presented, the historical financial position, results of operations and cash flows of the Company and its wholly-owned subsidiaries prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). All intercompany transactions and account balances within the Company have been eliminated. Lessor Accounting —The Company recognizes lease revenue in accordance with Accounting Standards Codification (“ASC”) 842, Leases . The Company’s lease agreements typically contain annual escalators based on the percentage change in the Consumer Price Index which are accounted for as variable lease payments in the period in which the change occurs. For lease agreements that contain fixed rent escalators, the Company generally recognizes lease revenue on a straight-line basis of accounting. The Company generates revenues primarily by leasing healthcare-related properties to healthcare operators in triple-net lease arrangements, under which the tenant is solely responsible for the costs related to the property. Tenant reimbursements related to property taxes and insurance paid by the lessee directly to a third party on behalf of a lessor are required to be excluded from variable payments and from recognition in the lessor’s income statements. Otherwise, tenant recoveries for taxes and insurance are classified as additional rental revenues recognized by the lessor on a gross basis in its income statements. The Company’s assessment of collectibility of its tenant receivables includes a binary assessment of whether or not substantially all of the amounts due under a tenant’s lease agreement are probable of collection. The Company considers the operator’s performance and anticipated trends, payment history, and the existence and creditworthiness of guarantees, among other factors, in making this determination. For such leases that are deemed probable of collection, revenue continues to be recorded on a straight-line basis over the lease term, if applicable. For such leases that are deemed not probable of collection, revenue is recorded as the lesser of (i) the amount which would be recognized on a straight-line basis or (ii) cash that has been received from the tenant, with any tenant and deferred rent receivable balances charged as a direct write-off against rental income in the period of the change in the collectibility determination. Such write-offs and recoveries are recorded as decreases or increases through rental income on the Company’s consolidated income statements. For the year ended December 31, 2021, the Company did not record any recovery adjustments or write-off adjustments to rental income. For the year ended December 31, 2020, the Company recorded recovery adjustments of $1.0 million and did not recognize any write-off adjustments to rental income. For the year ended December 31, 2019, the Company recorded $11.8 million of write-off adjustments to rental income related to rental income recognized in prior periods. See Note 3, Real Estate Investments, Net for further detail. Estimates and Assumptions —The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Management believes that the assumptions and estimates used in preparation of the underlying consolidated financial statements are reasonable. Actual results, however, could differ from those estimates and assumptions. Real Estate Acquisition Valuation — In accordance with ASC 805, Business Combinations , the Company’s acquisitions of real estate investments generally do not meet the definition of a business, and are treated as asset acquisitions. The assets acquired and liabilities assumed are measured at their acquisition date relative fair values. Acquisition costs are capitalized as incurred. The Company allocates the acquisition costs to the tangible assets, identifiable intangible assets/liabilities and assumed liabilities on a relative fair value basis. The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant. As part of the Company’s real estate acquisitions, the Company may commit to provide contingent payments to a seller or lessee (e.g., an earn-out payable upon the applicable property achieving certain financial metrics). Typically, when the contingent payments are funded, cash rent is increased by the amount funded multiplied by a rate stipulated in the agreement. Generally, if the contingent payment is an earn-out provided to the seller, the payment is capitalized to the property’s basis when earn-out becomes probable and estimable. If the contingent payment is an earn-out provided to the lessee, the payment is recorded as a lease incentive and is amortized as a yield adjustment over the life of the lease. Impairment of Long-Lived Assets —At each reporting period, the Company evaluates its real estate investments to be held and used for potential impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. The judgment regarding the existence of impairment indicators, used to determine if an impairment assessment is necessary, is based on factors such as, but not limited to, market conditions, operator performance and legal structure. If indicators of impairment are present, the Company evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities. The most significant inputs to the undiscounted cash flows include, but are not limited to, facility level financial results, a lease coverage ratio, the intended hold period by the Company, and a terminal capitalization rate. The analysis is also significantly impacted by determining the lowest level of cash flows, which generally would be at the master lease level of cash flows. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets. The impairment is measured as the excess of carrying value over fair value. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. For the year ended December 31, 2019, the Company recorded an impairment expense of $16.7 million. See Note 3, Real Estate Investments, Net , for additional information. The Company classifies its real estate investments as held for sale when the applicable criteria have been met, which entails a formal plan to sell the properties that is expected to be completed within one year, among other criteria. Upon designation as held for sale, the Company writes down the excess of the carrying value over the estimated fair value less costs to sell, resulting in an impairment of the real estate investments, if necessary, and ceases depreciation. In the event of impairment, the fair value of the real estate investment is based on current market conditions and considers matters such as the forecasted operating cash flows, lease coverage ratios, capitalization rates, comparable sales data, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. The Company’s ability to accurately estimate future cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While the Company believes its assumptions are reasonable, changes in these assumptions may have a material impact on financial results. Other Real Estate Investments —Included in other real estate investments on the Company’s consolidated balance sheets at December 31, 2021 and 2020, is one mezzanine loan receivable for which the Company elected the fair value option. Instruments for which the fair value option has been elected are measured at fair value on a recurring basis with changes in fair value recognized in other income (loss) on the consolidated income statements. Fair value was estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value, market interest rates and other credit enhancements. Interest income is recognized as earned within interest and other income in the consolidated income statements. Prepaid expenses and other assets —Prepaid expenses and other assets consist of prepaid expenses, deposits, pre-acquisition costs and other loans receivable . During the year ended December 31, 2019, the Company determined that the remaining contractual obligations under one other loan receivable were not collectible and recorded a $1.1 million provision for loan losses in the Company’s consolidated income statements. The Company’s other loans receivable are reflected at amortized cost, net of an allowance for credit loss, on the accompanying consolidated balance sheets. The amortized cost of a loan receivable is the outstanding unpaid principal balance, net of unamortized discounts, costs and fees directly associated with the origination of the loan. Income Taxes —The Company has elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986, as amended (the “Code”). The Company believes it has been organized and has operated, and the Company intends to continue to operate, in a manner to qualify for taxation as a REIT under the Code. To qualify as a REIT, the Company must meet certain organizational and operational requirements, including a requirement to distribute to its stockholders at least 90% of the Company’s annual REIT taxable income (computed without regard to the dividends paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, the Company generally will not be subject to federal income tax to the extent it distributes as qualifying dividends all of its REIT taxable income to its stockholders. If the Company fails to qualify as a REIT in any taxable year, it will be subject to federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost unless the Internal Revenue Service grants the Company relief under certain statutory provisions. Real Estate Depreciation and Amortization —Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Expenditures for tenant improvements are capitalized and amortized over the shorter of the tenant’s lease term or expected useful life. The Company anticipates the estimated useful lives of its assets by class to be generally as follows: Building 25-40 years Building improvements 10-25 years Tenant improvements Shorter of lease term or expected useful life Integral equipment, furniture and fixtures 5 years Identified intangible assets Shorter of lease term or expected useful life Cash and Cash Equivalents —Cash and cash equivalents consist of bank term deposits and money market funds with original maturities of three months or less at time of purchase and therefore approximate fair value. The fair value of these investments is determined based on “Level 1” inputs, which consist of unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets. The Company places its cash and short-term investments with high credit quality financial institutions. The Company’s cash and cash equivalents balance periodically exceeds federally insurable limits. The Company monitors the cash balances in its operating accounts and adjusts the cash balances as appropriate; however, these cash balances could be impacted if the underlying financial institutions fail or are subject to other adverse conditions in the financial markets. To date, the Company has experienced no loss or lack of access to cash in its operating accounts. Deferred Financing Costs —External costs incurred from placement of the Company’s debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings, which approximates the effective interest method. For senior unsecured notes payable and the senior unsecured term loan, deferred financing costs are netted against the outstanding debt amounts on the balance sheet. For the unsecured revolving credit facility, deferred financing costs are included in assets on the Company’s balance sheet. Amortization of deferred financing costs is classified as interest expense in the consolidated income statements. Accumulated amortization of deferred financing costs was $8.0 million and $9.0 million at December 31, 2021 and 2020, respectively. When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made. Gains and losses from the extinguishment of debt are presented within other income (loss) in the Company’s consolidated income statements. During the year ended December 31, 2021, the Company recorded a loss on extinguishment of debt of $10.8 million. See Note 6, Debt, for further detail. Stock-Based Compensation —The Company accounts for share-based payment awards in accordance with ASC Topic 718, Compensation – Stock Compensation (“ASC 718”). ASC 718 requires all entities to apply a fair value-based measurement method in accounting for share-based payment transactions with directors, officers and employees. The Company measures and recognizes compensation expense for all share-based payment awards made to directors, officers and employees based on the grant date fair value, amortized over the requisite service period of the awar d. Compensation expense for awards with performance-based vesting conditions is recognized based upon the probability that the performance target will be met. Compensation expense for awards with market-based vesting conditions is recognized based upon the estimated number of awards to be earned after considering the Company’s expectation of future performance and is recognized provided that the requisite service is rendered, regardless of when, if ever, the market condition is satisfied. Forfeitures of stock-based awards are recognized as they occur. Net income reflects stock-based compensation expense of $10.8 million, $3.8 million and $4.1 million for the years ended December 31, 2021, 2020 and 2019, respectively. Concentration of Credit Risk —The Company is subject to concentrations of credit risk consisting primarily of operating leases on its owned properties. See Note 11, Concentration of Risk , for a discussion of major operator concentration. Segment Disclosures —The Company is subject to disclosures about segments of an enterprise and related information in accordance with ASC Topic 280, Segment Reporting . The Company has one reportable segment consisting of investments in healthcare-related real estate assets. Earnings Per Share —The Company calculates earnings per share (“EPS”) in accordance with ASC 260, Earnings Per Share . Basic EPS is computed by dividing net income applicable to common stock by the weighted-average number of common shares outstanding during the period. Diluted EPS reflects the additional dilution for all potentially-dilutive securities. Beds, Units, Occupancy and Other Measures —Beds, units, occupancy and other non-financial measures used to describe real estate investments included in these Notes to the consolidated financial statements are presented on an unaudited basis and are not subject to audit by the independent registered public accounting firm in accordance with the standards of the Public Company Accounting Oversight Board. Recent Accounting Pronouncemen ts — In March 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2020-04 , Reference Rate Reform (Topic 848) - Facilitation of the Effects of Reference Rate Reform on Financial Reporting (“ASU 2020-04”), that provides optional relief to applying reference rate reform to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate (“LIBOR”). For U.S. Dollar LIBOR, the overnight, one-month, three-month, six-month and one-year LIBOR rates will be discontinued in June 2023, while other U.S. Dollar LIBOR rates were discontinued at the end of 2021. The amendments in this update are effective immediately and may be applied through December 31, 202 2. The Company does not expect the adoption of the standard to have a material impact on the Company’s consolidated financial statements.

Real Estate Investments, Net

Real Estate Investments, Net	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
Real Estate Investments, Net	REAL ESTATE INVESTMENTS, NET The following table summarizes the Company’s investment in owned properties at December 31, 2021 and 2020 (dollars in thousands): December 31, 2021 December 31, 2020 Land $ 251,787 $ 205,356 Buildings and improvements 1,622,019 1,477,849 Integral equipment, furniture and fixtures 104,722 97,836 Identified intangible assets 1,257 2,352 Real estate investments 1,979,785 1,783,393 Accumulated depreciation and amortization (389,814) (335,294) Real estate investments, net $ 1,589,971 $ 1,448,099 As of December 31, 2021, 91 of the Company’s 227 facilities were leased to subsidiaries of The Ensign Group, Inc. (“Ensign”) on a triple-net basis under multiple long-term leases (each, an “Ensign Master Lease” and, collectively, the “Ensign Master Leases”) which commenced on June 1, 2014 and were subsequently modified (see “Pennant Spin” below for further information). The obligations under the Ensign Master Leases are guaranteed by Ensign. A default by any subsidiary of Ensign with regard to any facility leased pursuant to an Ensign Master Lease will result in a default under all of the Ensign Master Leases. As of December 31, 2021, annualized contractual rental income from the Ensign Master leases was $59.7 million and is escalated annually, in June, by an amount equal to the product of (1) the lesser of the percentage change in the Consumer Price Index (“CPI”) (but not less than zero) or 2.5%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of Ensign that are tenants under the Ensign Master Leases are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs). During the year ended December 31, 2020, the Company acquired four additional facilities leased to subsidiaries of Ensign on a triple-net basis under two separate master lease agreements, each of which contains a purchase option. As of December 31, 2021, annualized contractual rental income from the four additional Ensign facilities was $3.8 million and is escalated annually, in December, by an amount equal to the product of (1) the lesser of the percentage change in the CPI (but not less than zero) or 2.5%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of Ensign that are tenants under the four additional facilities are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs). The obligations under the lease agreements for the four additional facilities are guaranteed by Ensign but do not contain cross-default provisions with the Ensign Master Leases. See below under “Lease Amendments” for further detail on Ensign lease amendments. As of December 31, 2021, 15 of the Company’s facilities were leased to subsidiaries of Priority Management Group (“PMG”) on a triple-net basis under one long-term lease (the “PMG Master Lease”). The PMG Master Lease commenced on December 1, 2016, and provides an initial term of fifteen years, with two five-year renewal options. As of December 31, 2021, annualized contractual rental income from the PMG Master Lease was $28.9 million and is escalated annually by an amount equal to the product of (1) the lesser of the percentage change in the CPI (but not less than zero) or 3.0%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of PMG that are tenants under the PMG Master Lease are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs). As of December 31, 2021, 115 of the Company’s 227 facilities were leased to various other operators under triple-net leases. All of these leases contain annual escalators based on the percentage change in the CPI (but not less than zero), some of which are subject to a cap, or fixed rent escalators. Two of the Company’s 227 facilities are leased under a short-term lease with an expected term of less than one year as of December 31, 2021, as the Company is currently identifying a long-term operator for these properties. As of December 31, 2021, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, was (dollars in thousands): Year Amount 2022 $ 192,897 2023 192,693 2024 191,347 2025 191,319 2026 191,424 Thereafter 1,138,179 $ 2,097,859 Tenant Purchase Options Certain of the Company’s operators hold purchase options allowing them to acquire properties they currently lease from the Company. A summary of these purchase options is presented below (dollars in thousands): Asset Type Properties Lease Expiration Next Option Open Date Option Type (1) Current Cash Rent (2) ALF 7 October 2034 1/1/2022 (3) A $ 3,383 SNF 11 November 2030 1/1/2022 (3) C 4,944 SNF 1 March 2029 4/1/2022 B / C (4) 779 SNF / Campus 2 October 2032 1/1/2023 B 1,028 SNF 4 November 2034 12/1/2024 B 3,796 ALF 2 October 2034 1/1/2026 A 1,598 (1) Option type includes: A - Fixed base price plus a specified share on any appreciation. B - Fixed base price. C - Fixed capitalization rate on lease revenue. (2) Based on annualized cash revenue for contracts in place at December 31, 2021. (3) Option window is open for six months. (4) Purchase option reflects two option types. Rental Income The following table summarizes components of the Company’s rental income (dollars in thousands): For the Year Ended December 31, 2021 2020 2019 Rental Income Contractual rent due (1) $ 190,100 $ 171,309 $ 166,056 Straight-line rent 32 77 1,385 Adjustment for collectibility (2) — — (11,774) Recovery of previously reversed rent (3) — 1,047 — Lease termination revenue (3) 63 1,179 — Total $ 190,195 $ 173,612 $ 155,667 (1) Includes initial cash rent and tenant operating expense reimbursements, as adjusted for applicable rental escalators and rent increases due to capital expenditures funded by the Company. For tenants on a cash basis, this represents the lesser of the amount that would be recognized on a straight-line basis or cash that has been received. (2) During the year ended December 31, 2019, and in accordance with ASC 842, the Company evaluated the collectibility of lease payments through maturity and determined that it was not probable that the Company would collect substantially all of the contractual obligations from five operators through maturity. As such, the Company reversed $7.8 million of contractual rent, $3.5 million of straight-line rent and $0.5 million of property tax reimbursements during the year ended December 31, 2019. (3) During the year ended December 31, 2020, the Company recovered $1.0 million in rental income related to affiliates of Metron Integrated Health Systems (“Metron”) that was previously written off. In addition, in connection with the agreement to terminate its lease agreements with Metron and to sell the facilities to a third-party, the Company received certain lease termination payments from Metron. During the years ended December 31, 2021 and 2020, the Company recognized approximately $0.1 million and $1.2 million in lease termination revenue, respectively. Recent Real Estate Acquisitions The following table summarizes the Company’s acquisitions for the years ended December 31, 2021, 2020 and 2019 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent (2) Number of Properties Number of Beds/Units (3) December 31, 2021 Skilled nursing $ 57,973 $ 4,499 (4) 4 509 Multi-service campuses 125,708 8,604 (5) 4 640 Assisted living 12,395 — (6) 2 98 Total $ 196,076 $ 13,103 10 1,247 December 31, 2020 Skilled nursing $ 75,545 $ 6,453 6 715 Multi-service campuses 6,876 555 1 184 Assisted living 7,396 590 1 62 Total $ 89,817 $ 7,598 8 961 December 31, 2019 Skilled nursing $ 254,760 $ 22,909 17 2,099 Multi-service campuses 59,344 5,203 4 762 Assisted living 12,596 1,031 1 96 Total $ 326,700 $ 29,143 22 2,957 (1) Purchase price includes capitalized acquisition costs. (2) Initial annual cash rent excludes ground lease income. (3) The number of beds/units includes operating beds at acquisition date. (4) Initial annual cash rent represents initial cash rent for the first twelve months excluding any impact of straight-line rent. (5) Initial annual cash rent represents the first twelve months of rent upon commencement of the Company’s long-term net leases, which occurred during the three months ended June 30, 2021, upon the tenant’s receipt of licensing approval and increases to $9.4 million in the second year with CPI-based annual escalators thereafter. (6) Initial annual cash rent is zero until transfer of operations upon receipt of licensing approval. Lease Amendments Amended Noble Master Leases and New Noble NJ Master Lease. During the three months ended September 30, 2021, the Company did not collect a portion of rent from affiliates of Noble Senior Services and Noble VA Holdings, LLC (collectively, “Noble”). On September 23, 2021, the Company amended its two existing triple-net master leases with Noble. The lease amendment granted a deferral for a total of $1.8 million of unpaid base rent, which represented approximately 4% of the Company’s total contractual base rent for the three months ended September 30, 2021. In connection with its agreement to the rent deferral, the Company also entered into a purchase agreement with Noble to acquire two assisted living facilities owned by Noble. The lease amendment required the deferred rent, as well as all contractual rent for the fourth quarter of 2021, to be paid in full upon the closing of the purchase of the two facilities. The Company closed on the acquisition of the two facilities in December 2021 and the deferred rent, as well as all contractual rent for the fourth quarter of 2021, was paid in full. The two facilities are currently leased back to Noble under a short-term lease agreement while the Company pursues other tenants for the long-term. Amended Ensign Master Lease . On August 1, 2021, the Company acquired two skilled nursing facilities. The facilities were leased to affiliates of Ensign. In conjunction with the acquisition of the two facilities, the Company amended and extended the initial term of an existing triple-net master lease with Ensign to include the two skilled nursing facilities. The Ensign lease, as amended, has a remaining initial term of approximately 17 years, with three five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.2 million, with GAAP rent increasing by $2.5 million due to a $5.0 million prepayment of rent made at closing, which is being amortized on a straight-line basis over the remaining lease term. Five Oaks Lease Termination and Amended Ensign Master Lease. On June 1, 2021, operating affiliates of Ensign acquired certain operations and assets of Five Oaks Healthcare, LLC (“Five Oaks”) under an agreement with Five Oaks. The agreement granted Ensign the right to occupy and operate four of the Company’s skilled nursing facilities in Washington that were previously being operated by Five Oaks. In conjunction with consenting to the transfer, the Company terminated the existing Five Oaks master lease, and amended and extended the term of an existing triple-net master lease with Ensign to include the four skilled nursing facilities. The Ensign lease, as amended, has a remaining term of approximately 15 years, with three five-year renewal options and CPI-based rent escalators. Annual cash rent under the terminated Five Oaks master lease was approximately $2.6 million, and annual cash rent under the amended Ensign lease increased by the same amount. Premier Partial Lease Termination and Amended Noble VA Master Lease . On March 10, 2021 and July 1, 2021, two assisted living facilities in Wisconsin operated by affiliates of Premier Senior Living, LLC (“Premier”) were transferred to affiliates of Noble VA Holdings, LLC (“Noble VA”). In connection with the transfer, the Company partially terminated the Premier master lease and amended the existing triple-net master lease with Noble VA to include the two assisted living facilities. The Noble VA master lease, as amended, has a remaining term of approximately 13 years, with two five-year renewal options and CPI-based rent escalators. Initial annual cash rent under the amended Noble VA master lease increased by approximately $1.3 million on March 10, 2021 and approximately $1.0 million on July 1, 2021 and annual cash rent under the partially terminated Premier master lease decreased by approximately the same amount. See above under “Amended Noble Master Leases and New Noble NJ Master Lease” for additional information regarding the Company’s leases with Noble. Twenty/20 Lease Termination and New Noble VA Master Lease . On December 1, 2020, five assisted living facilities in Virginia operated by Twenty/20 Management, Inc. (“Twenty/20”) were transferred to affiliates of Noble VA. In connection with the transfer, the Company entered into a new triple-net master lease with Noble VA. The lease had an initial term of approximately 14 years as of December 1, 2020, with two five-year renewal options and CPI-based rent escalators. Initial annual cash rent under the new lease is approximately $3.2 million . See above under “Amended Noble Master Leases and New Noble NJ Master Lease” for additional information regarding the Company’s leases with Noble. Pennant Spin . On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of The Pennant Group, Inc. (“Pennant”). As a result of the Pennant Spin, as of October 1, 2019, the Company amended the Ensign Master Leases to lease 85 facilities to subsidiaries of Ensign, which had a total of 8,908 operational beds, and entered into a new triple-net master lease with subsidiaries of Pennant (the “Pennant Master Lease”) to lease 11 facilities, which had a total of 1,151 operational beds. The contractual initial annual cash rent under the Pennant Master Lease was approximately $7.8 million. The Pennant Master Lease carried an initial term of 15 years, with two five-year renewal options and CPI-based rent escalators. The contractual annual cash rent under the amended Ensign Master Leases was reduced by approximately $7.8 million. Ensign continues to guarantee obligations under the Ensign Master Leases and the Pennant Master Lease. If Pennant achieves a specified portfolio coverage and continuously maintains it for a specified period, Ensign’s obligations under the guaranty with respect to the Pennant Master Lease would be released. Trillium Lease Termination and New Master Lease. On July 15, 2019, the Company terminated its existing master lease (the “Original Trillium Lease”) with affiliates of Trillium Healthcare Group, LLC (“Trillium”), which covered ten properties in Iowa, seven properties in Ohio and one property in Georgia. On August 16, 2019, the Company entered into a new master lease (the “New Trillium Lease”) with Trillium’s Iowa and Georgia affiliates covering the ten properties in Iowa and the one property in Georgia. The Company recorded an adjustment to reduce rental income recognized under the Original Trillium Lease for unpaid contractual rent, straight-line rent and property tax reimbursements by approximately $3.8 million in the three months ended September 30, 2019. On September 1, 2019, four of the seven skilled nursing properties in Ohio operated by Trillium under the Original Trillium Lease were transferred to affiliates of Providence Group, Inc. (“Providence”). In connection with the transfer, the Company amended its triple-net master lease with Providence. The amended lease had a remaining initial term of approximately 13 years as of September 1, 2019, and includes two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.1 million. Trio Lease Amendment. On November 4, 2019, the Company amended its existing master lease with affiliates of Trio Healthcare, Inc. (“Trio”), which covered seven facilities based in Dayton, Ohio. The amended lease had a remaining initial term of approximately 13 years as of November 4, 2019, with two five-year renewal options and CPI-based rent escalators. The annual base rent due under the amended lease with Trio was approximately $4.7 million and provides for payment of percentage rent if Trio achieves certain increases in portfolio revenue. Impairment of Real Estate Investments, Asset Sales and Assets Held for Sale On September 1, 2019, the Company sold three of the seven skilled nursing properties in Ohio operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. During the three months ended September 30, 2019 and prior to the disposition, the Company recorded an impairment expense of approximately $7.8 million. In connection with the sale, the Company provided affiliates of CommuniCare Family of Companies (“CommuniCare”), the purchaser of the three Ohio properties, with a mortgage loan secured by the three Ohio properties for approximately $26.5 million. See Note 4, Other Real Estate Investments, for additional information. On February 14, 2020, the Company sold six skilled nursing properties in Michigan operated by affiliates of Metron for a purchase price of $36.0 million. During the three months ended September 30, 2019 and prior to the disposition, the Company recorded an impairment expense of approximately $8.8 million related to these properties. In connection with the sale for $36.0 million, the Company received $3.5 million in cash and provided subsidiaries of Cascade Capital Group, LLC (“Cascade”), the purchaser of the properties, with a short-term mortgage loan secured by these properties for $32.4 million. The mortgage loan bore interest at 7.5% and initially had a maturity date of March 31, 2020. In connection with the sale, the Company recognized a loss of approximately $0.1 million during the three months ended March 31, 2020. In April 2020, the mortgage loan was settled in connection with a new mortgage loan transaction between the Company and a third-party institutional lender as co-lenders, pursuant to which the Company received $18.9 million in cash and a new mortgage loan for $13.9 million. In July 2020, the Company received prepayment in full, including accrued interest, for the new $13.9 million mortgage loan. See Note 4, Other Real Estate Investments, for further detail on the mortgage loan. On February 1, 2021, the Company closed on the sale of one skilled nursing facility consisting of 90 beds located in Washington with a carrying value of $7.2 million, for net sales proceeds of $7.0 million. The Company recorded a loss of $0.2 million in connection with the sale. The facility was classified as held for sale as of December 31, 2020. On November 1, 2020, the Company sold its one remaining owned and operated independent living facility consisting of 168 units located in Texas with an aggregate carrying value of $4.2 million for net sales proceeds of $4.2 million. In connection with the sale, the Company recognized a gain of $20,000. On December 23, 2019, the Company sold one of its owned and operated independent living facilities consisting of 38 units located in Texas with an aggregate carrying value of $1.7 million for net proceeds of $3.3 million. In connection with the sale, the Company recognized a gain of $1.6 million.

Other Real Estate Investments

Other Real Estate Investments	12 Months Ended
	Dec. 31, 2021
Investments, All Other Investments [Abstract]
Other Real Estate Investments	OTHER REAL ESTATE INVESTMENTS As of December 31, 2021 and 2020, the Company’s loans receivable and other investments consisted of the following (dollar amounts in thousands): As of December 31, 2021 Investment Financial Statement Line Item Principal Balance as of December 31, 2021 Book Value as of December 31, 2021 Book Value as of December 31, 2020 Weighted Average Contractual Interest Rate Maturity Date Mezzanine loan receivable Other real estate investments $ 15,000 $ 15,155 $ 15,000 12.0 % 11/30/2025 Other loans receivable Prepaid expenses and other assets, net 3,154 3,161 2,308 8.0 % 9/1/2023 - 12/31/2023 Total $ 18,154 $ 18,316 $ 17,308 2020 Loans Receivable Transactions —In November 2020, the Company provided Next VA Star Realty Holdings, LLC a mezzanine loan for nine skilled nursing facilities secured by membership interests in affiliates of Next VA Star Realty Holdings, LLC for approximately $15.0 million, at an annual interest rate of 12%. The loan requires monthly interest payments, is set to mature on November 30, 2025, and may (subject to certain restrictions) be prepaid before the maturity date if paid in full and for an exit fee ranging from 1% to 3% of the loan plus unpaid interest payments equal to 24 months (less the amount of monthly interest payments made by the borrower through the date of prepayment). The following table summarizes the interest and other income recognized during the years ended December 31, 2021, 2020 and 2019 ( dollar amounts in thousands): For Year Ended December 31, Investment 2021 2020 2019 Mezzanine loan receivable $ 1,825 $ 305 $ — Mortgage loans receivable (1) — 2,044 2,838 Preferred equity investments (1) — 24 1,343 Other 331 270 164 Total $ 2,156 $ 2,643 $ 4,345 (1) As of December 31, 2021 and 2020, the Company had no mortgage loans receivable or preferred equity investments. As of December 31, 2021 and 2020, the Company had no loan loss reserve and did not consider any loans receivable investments to be impaired.

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2021
Fair Value Disclosures [Abstract]
Fair Value Measurements	FAIR VALUE MEASUREMENTS The Company determines fair value based on quoted prices when available or through the use of alternative approaches, such as discounting the expected cash flows using market interest rates commensurate with the credit quality and duration of the investment. GAAP guidance defines three levels of inputs that may be used to measure fair value: Level 1 – Quoted prices in active markets for identical assets and liabilities that the reporting entity has the ability to access at the measurement date. Level 2 – Inputs other than quoted prices included within Level 1 that are observable for the asset or liability or can be corroborated with observable market data for substantially the entire contractual term of the asset or liability. Level 3 – Unobservable inputs reflect the entity’s own assumptions about the assumptions that market participants would use in the pricing of the asset or liability and are consequently not based on market activity, but rather through particular valuation techniques. The determination of where an asset or liability falls in the hierarchy requires significant judgment and considers factors specific to the asset or liability. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. The Company evaluates its hierarchy disclosures each quarter and, depending on various factors, it is possible that an asset or liability may be classified differently from quarter to quarter. Changes in the type of inputs may result in a reclassification for certain assets. The Company does not expect that changes in classifications between levels will be frequent. Items Measured at Fair Value on a Recurring Basis The following table presents information about the Company’s assets and liabilities measured at fair value on a recurring basis as of December 31, 2021 and 2020, aggregated by the level in the fair value hierarchy within which those instruments fall (dollars in thousands): Level 1 Level 2 Level 3 Balance as of December 31, 2021 Assets: Mezzanine loan receivable $ — $ — $ 15,155 $ 15,155 Level 1 Level 2 Level 3 Balance as of December 31, 2020 Assets: Mezzanine loan receivable $ — $ — $ 15,000 $ 15,000 Mezzanine loan receiv able: The fair value of the mezzanine loan receivable was estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value, market interest rates and other credit enhancements. As such, the Company classifies the instrument as Level 3 due to the significant unobservable inputs used in determining market interest rates for investments with similar terms. Future changes in market interest rates could materially impact the estimated discounted cash flows. As of December 31, 2021 and 2020, the Company did not have any loans that were 90 days or more past due. For the year ended December 31, 2021, there were no classification changes in assets and liabilities with Level 3 inputs in the fair value hierarchy. Items Measured at Fair Value on a Non-Recurring Basis Real Estate Investments: The Company performs quarterly impairment review procedures, primarily through continuous monitoring of events and changes in circumstances that could indicate the carrying value of its real estate assets may not be recoverable. The Company estimates fair values using Level 3 inputs and uses a combined income and market approach. Specifically, the fair value of the real estate investment is based on current market conditions and considers matters such as the forecasted operating cash flows, lease coverage ratios, capitalization rates, comparable sales data, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. For the year ended December 31, 2021 and 2020, there were no real estate assets deemed to be impaired. For the year ended December 31, 2019, the Company recorded an impairment expense of $16.7 million. See Note 3, Real Estate Investments, Net, for additional information. Items Disclosed at Fair Value Considerable judgment is necessary to estimate the fair value disclosure of financial instruments. The estimates of fair value presented herein are not necessarily indicative of the amounts that could be realized upon disposition of the financial instruments. A summary of the face values, carrying amounts and fair values of the Company’s financial instruments as of December 31, 2021 and 2020 using Level 2 inputs for the Notes and the 2025 Notes (each as defined in Note 6, Debt, below) is as follows (dollars in thousands): December 31, 2021 December 31, 2020 Face Carrying Fair Face Carrying Fair Financial liabilities: 2028 Senior unsecured notes payable $ 400,000 $ 394,262 $ 410,500 $ — $ — $ — 2025 Senior unsecured notes payable — — — 300,000 296,669 311,430 Cash and cash equivalents, accounts and other receivables, other loans receivable, accounts payable, and accrued liabilities: These balances approximate their fair values due to the short-term nature of these instruments. Senior unsecured notes payable : The fair value of the Notes and the 2025 Notes ( as defined in Note 6, Debt, below) were determined using third-party quotes derived from orderly trades. Unsecured revolving credit facility and senior unsecured term loan: The fair values approximate their carrying values as the interest rates are variable and approximate prevailing market interest rates for similar debt arrangements.

Debt

Debt	12 Months Ended
	Dec. 31, 2021
Debt Disclosure [Abstract]
Debt	DEBT The following table summarizes the balance of the Company’s indebtedness as of December 31, 2021 and 2020 (in thousands): December 31, 2021 December 31, 2020 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount 2028 Senior unsecured notes payable $ 400,000 $ (5,738) $ 394,262 $ — $ — $ — 2025 Senior unsecured notes payable — — — 300,000 (3,331) 296,669 Senior unsecured term loan 200,000 (864) 199,136 200,000 (1,075) 198,925 Unsecured revolving credit facility 80,000 — 80,000 50,000 — 50,000 $ 680,000 $ (6,602) $ 673,398 $ 550,000 $ (4,406) $ 545,594 Senior Unsecured Notes Payable 2028 Senior Notes. On June 17, 2021, the Company’s wholly owned subsidiary, CTR Partnership, L.P. (the “Operating Partnership”), and its wholly owned subsidiary, CareTrust Capital Corp. (together with the Operating Partnership, the “Issuers”) completed a private offering of $400.0 million aggregate principal amount of 3.875% Senior Notes due 2028 (the “Notes”) to persons reasonably believed to be qualified institutional buyers pursuant to Rule 144A and to non-U.S. persons outside the United States in reliance on Regulation S under the Securities Act of 1933, as amended. The Notes were issued at par, resulting in gross proceeds of $400.0 million and net proceeds of approximately $393.8 million after deducting underwriting fees and other offering expenses. The Notes mature on June 30, 2028. The Notes accrue interest at a rate of 3.875% per annum payable semiannually in arrears on June 30 and December 30 of each year, commencing on December 30, 2021. The Issuers may redeem some or all of the Notes at any time prior to March 30, 2028 at a price equal to 100% of the principal amount of the Notes redeemed plus accrued and unpaid interest on the Notes, if any, to, but not including, the redemption date, plus a “make-whole” premium. At any time on or after March 30, 2028, the Issuers may redeem some or all of the Notes at a redemption price equal to 100% of the principal amount of the Notes redeemed plus accrued interest on the Notes, if any, to, but not including, the redemption date. In addition, at any time on or prior to June 30, 2024, up to 40% of the aggregate principal amount of the Notes may be redeemed with the net proceeds of certain equity offerings at a redemption price of 103.875% of the aggregate principal amount of Notes to be redeemed plus accrued and unpaid interest on the Notes, if any, to, but not including, the redemption date. If certain changes of control of the Company occur, the Issuers will be required to make an offer to holders of the Notes to repurchase their Notes at a price of 101% of their principal amount plus accrued and unpaid interest, if any, to, but not including, the repurchase date. The obligations under the Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by the Company and all of CareTrust’s existing and future subsidiaries (other than the Issuers) that guarantee obligations under the Amended Credit Facility (as defined below); provided, however, that such guarantees are subject to automatic release under certain customary circumstances. The indenture governing the Notes contains customary covenants such as limiting the ability of the Company and its restricted subsidiaries to: incur or guarantee additional indebtedness; incur or guarantee secured indebtedness; pay dividends or distributions on, or redeem or repurchase, capital stock; make certain investments or other restricted payments; sell assets; enter into transactions with affiliates; merge or consolidate or sell all or substantially all of their assets; and create restrictions on the ability of the Issuers and their restricted subsidiaries to pay dividends or other amounts to the Issuers. The indenture governing the Notes also requires the Company and its restricted subsidiaries to maintain a specified ratio of unencumbered assets to unsecured indebtedness. These covenants are subject to a number of important and significant limitations, qualifications and exceptions. The indenture governing the Notes also contains customary events of default. As of December 31, 2021, the Company was in compliance with all applicable financial covenants under the indenture governing the Notes. 2025 Senior Notes. On May 10, 2017, the Issuers completed an underwritten public offering of $300.0 million aggregate principal amount of 5.25% Senior Notes due 2025 (the “2025 Notes”). The 2025 Notes were issued at par, resulting in gross proceeds of $300.0 million and net proceeds of approximately $294.0 million after deducting underwriting fees and other offering expenses. The 2025 Notes were scheduled to mature on June 1, 2025 and bore interest at a rate of 5.25% per year. Interest on the 2025 Notes was payable on June 1 and December 1 of each year. On July 1, 2021 (the “Redemption Date”), the Issuers redeemed all $300.0 million aggregate principal amount of the 2025 Notes at a redemption price equal to 102.625% of the principal amount of the 2025 Notes, plus accrued and unpaid interest thereon up to, but not including, the Redemption Date. During the year ended December 31 2021, the Company recorded a loss on extinguishment of debt of $10.8 million in the consolidated income statements, including a prepayment penalty of $7.9 million and a $2.9 million write-off of deferred financing costs associated with the redemption of the 2025 Notes. Unsecured Revolving Credit Facility and Term Loan On February 8, 2019, the Operating Partnership, as the borrower, the Company, as guarantor, CareTrust GP, LLC, and certain of the Operating Partnership’s wholly owned subsidiaries entered into an amended and restated credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the “Amended Credit Agreement”). The Amended Credit Agreement, which amended and restated the Company’s prior credit agreement, provides for: (i) an unsecured revolving credit facility (the “Revolving Facility”) with revolving commitments in an aggregate principal amount of $600.0 million, including a letter of credit subfacility for 10% of the then available revolving commitments and a swingline loan subfacility for 10% of the then available revolving commitments and (ii) an unsecured term loan credit facility (the “Term Loan” and, together with the Revolving Facility, the “Amended Credit Facility”) in an aggregate principal amount of $200.0 million. Borrowing availability under the Revolving Facility is subject to no default or event of default under the Amended Credit Agreement having occurred at the time of borrowing. The proceeds of the Term Loan were used, in part, to repay in full all outstanding borrowings under the Company’s prior credit agreement. Future borrowings under the Amended Credit Facility will be used for working capital purposes, for capital expenditures, to fund acquisitions and for general corporate purposes. The interest rates applicable to loans under the Revolving Facility are, at the Operating Partnership’s option, equal to either a base rate plus a margin ranging from 0.10% to 0.55% per annum or LIBOR plus a margin ranging from 1.10% to 1.55% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt). The interest rates applicable to loans under the Term Loan are, at the Operating Partnership’s option, equal to either a base rate plus a margin ranging from 0.50% to 1.20% per annum or LIBOR plus a margin ranging from 1.50% to 2.20% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt). In addition, the Operating Partnership will pay a facility fee on the revolving commitments under the Revolving Facility ranging from 0.15% to 0.35% per annum, based on the debt to asset value ratio of the Company and its consolidated subsidiaries (unless the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt and the Operating Partnership elects to decrease the applicable margin as described above, in which case the Operating Partnership will pay a facility fee on the revolving commitments ranging from 0.125% to 0.30% per annum based on the credit ratings of the Company’s senior long-term unsecured debt). As of December 31, 2021, the Operating Partnership had $200.0 million of borrowings outstanding under the Term Loan and $80.0 million outstanding under the Revolving Facility. The Revolving Facility has a maturity date of February 8, 2023, and includes, at the sole discretion of the Operating Partnership, two, six-month extension options. The Term Loan has a maturity date of February 8, 2026. The Amended Credit Facility is guaranteed, jointly and severally, by the Company and its wholly owned subsidiaries that are party to the Amended Credit Agreement (other than the Operating Partnership). The Amended Credit Agreement contains customary covenants that, among other things, restrict, subject to certain exceptions, the ability of the Company and its subsidiaries to grant liens on their assets, incur indebtedness, sell assets, make investments, engage in acquisitions, mergers or consolidations, amend organizational documents and pay certain dividends and other restricted payments. The Amended Credit Agreement requires the Company to comply with financial maintenance covenants to be tested quarterly, consisting of a maximum debt to asset value ratio, a minimum fixed charge coverage ratio, a minimum tangible net worth, a maximum cash distributions to operating income ratio, a maximum secured debt to asset value ratio, a maximum secured recourse debt to asset value ratio, a maximum unsecured debt to unencumbered properties asset value ratio, a minimum unsecured interest coverage ratio and a minimum rent coverage ratio. The Amended Credit Agreement also contains certain customary events of default, including the failure to make timely payments under the Amended Credit Facility or other material indebtedness, the failure to satisfy certain covenants (including the financial maintenance covenants), the occurrence of change of control and specified events of bankruptcy and insolvency. As of December 31, 2021, the Company was in compliance with all applicable financial covenants under the Amended Credit Agreement. Schedule of Debt Maturities As of December 31, 2021, the Company’s debt maturities were (dollars in thousands): Year Amount 2022 $ — 2023 80,000 2024 — 2025 — 2026 200,000 Thereafter 400,000 $ 680,000

Equity

Equity	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Equity	EQUITY Common Stock Public Offering of Common Stock —On April 15, 2019, the Company completed an underwritten public offering of 6,641,250 shares of its common stock, par value $0.01 per share, at an initial price to the public of $23.35, including 866,250 shares of common stock sold pursuant to the full exercise of an option to purchase additional shares of common stock granted to the underwriters, resulting in approximately $149.0 million in net proceeds, after deducting the underwriting discount and offering expenses. The Company used the proceeds from the offering to repay a portion of the outstanding borrowings on its Revolving Facility, which had been used to fund a portion of the purchase price of acquisitions in the second quarter of 2019. At-The-Market Offering —On March 10, 2020, the Company entered into a new equity distribution agreement to issue and sell, from time to time, up to $500.0 million in aggregate offering price of its common stock through an “at-the-market” equity offering program (the “ATM Program”). In connection with the entry into the equity distribution agreement and the commencement of the ATM Program, the Company’s “at-the-market” equity offering program pursuant to the Company’s prior equity distribution agreement, dated as of March 4, 2019, was terminated. There was no ATM Program activity (or activity under any predecessor at-the-market equity offering programs) for the year ended December 31, 2020. The following table summarizes ATM Program activity and predecessor at-the-market equity offering program activity for the years ended December 31, 2021 and 2019 (in thousands, except per share amounts): For the Year Ended December 31, 2021 2019 Number of shares 990 2,459 Average sales price per share $ 23.74 $ 19.48 Gross proceeds (1) $ 23,505 $ 47,893 (1) Total gross proceeds is before $0.3 million and $0.6 million of commissions paid to the sales agents during the year ended December 31, 2021 and December 31, 2019 under the ATM Program and a predecessor at-the-market equity offering program. As of December 31, 2021, the Company had $476.5 million available for future issuances under the ATM Program. Share Repurchase Program — On March 20, 2020, the Company’s Board of Directors authorized a share repurchase program up to $150.0 million of outstanding shares of the Company’s common stock (the “Repurchase Program”). Repurchases under the Repurchase Program, which expires on March 31, 2023, may be made through open market purchases, privately negotiated transactions, structured or derivative transactions, including accelerated share repurchase transactions, or other methods of acquiring shares, in each case subject to market conditions and at such times as shall be permitted by applicable securities laws and determined by management. Repurchases under the Repurchase Program may also be made pursuant to a plan adopted under Rule 10b5-1 promulgated under the Exchange Act. The Company expects to finance any share repurchases under the Repurchase Program using available cash and may also use short-term borrowings under the Revolving Facility. The Company did not repurchase any shares of common stock under the Repurchase Program during the years ended December 31, 2021, and 2020. The Repurchase Program may be modified, discontinued or suspended at any time. Dividends on Common Stock — The following table summarizes the cash dividends per share of common stock declared by the Company’s Board of Directors for 2021, 2020 and 2019 (dollars in thousands, except per share amounts): For the Three Months Ended 2021 March 31, June 30, September 30, December 31, Dividends declared $ 0.265 $ 0.265 $ 0.265 $ 0.265 Dividends payment date April 15, 2021 July 15, 2021 October 15, 2021 January 14, 2022 Dividends payable as of record date $ 25,633 $ 25,714 $ 25,714 $ 25,755 Dividends record date March 31, 2021 June 30, 2021 September 30, 2021 December 31, 2021 2020 Dividends declared $ 0.25 $ 0.25 $ 0.25 $ 0.25 Dividends payment date April 15, 2020 July 15, 2020 October 15, 2020 January 15, 2021 Dividends payable as of record date $ 23,931 $ 23,931 $ 23,934 $ 23,933 Dividends record date March 31, 2020 June 30, 2020 September 30, 2020 December 31, 2020 2019 Dividends declared $ 0.225 $ 0.225 $ 0.225 $ 0.225 Dividends payment date April 15, 2019 July 15, 2019 October 15, 2019 January 15, 2020 Dividends payable as of record date $ 20,011 $ 21,508 $ 21,500 $ 21,500 Dividends record date March 29, 2019 June 28, 2019 September 30, 2019 December 31, 2019

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2021
Share-based Payment Arrangement [Abstract]
Stock-Based Compensation	STOCK-BASED COMPENSATION All stock-based awards are subject to the terms of the CareTrust REIT, Inc. and CTR Partnership, L.P. Incentive Award Plan (the “Plan”). The Plan provides for the granting of stock-based compensation, including stock options, restricted stock, performance awards, restricted stock units, relative total stockholder return-based stock awards and other incentive awards to officers, employees and directors in connection with their employment with or services provided to the Company. Under the Plan, 5,000,000 shares have been authorized for awards. Under the Plan, restricted stock awards (“RSAs”) vest in equal annual installments beginning on the first anniversary of the grant date over a three four one three one four The following table summarizes the status of the restricted stock award and performance award activity for the year ended December 31, 2021: Shares Weighted Average Share Price Unvested balance at December 31, 2020 517,686 $ 18.71 Granted: RSAs 394,863 21.92 PSAs 108,414 22.48 Board Awards 20,266 24.18 Vested (147,646) 17.43 Forfeited (2,250) 22.38 Unvested balance at December 31, 2021 891,333 $ 20.91 As of December 31, 2021, the weighted-average remaining vesting period of such awards was 2.0 years. The following table summarizes the Company’s RSA, PSA and Board Award grants during the year ended December 31, 2021 (dollars in thousands, except per share amounts): Grants Vested Shares Weighted Average Share Price Grant Date Fair Value Shares Vest Date Fair Value During year ended December 31, 2021 (1) RSAs 394,863 $ 21.92 $ 8,654 89,921 $ 2,105 PSAs 108,414 22.48 2,437 30,114 707 Board Awards 20,266 24.18 490 27,611 668 (1) In 2021, the Compensation Committee changed the structure of the grants that resulted in two long-term equity incentive awards being granted to the Company’s named executive officers in 2021. The Compensation Committee also granted annual awards for 2022 in December 2021. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2020 and 2019 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2020 RSAs 134,790 19.68 2,653 PSAs 107,790 19.06 2,054 Board Awards 27,611 16.48 455 During year ended December 31, 2019 RSAs 91,440 22.00 2,012 PSAs 71,440 22.00 1,572 Board Awards 17,749 24.23 430 The fair value of the TSR Awards is estimated on the date of the grant using a Monte Carlo valuation model. The risk-free rate is based on the U.S. Treasury yield curve in effect at the grant date for the expected performance period. Expected volatility is based on historical volatility for the most recent 2.93 year weighted average period ending on the grant date for the Company and the selected TSR peer group, and is calculated on a daily basis. The following table reflects the weighted-average key assumptions used in this valuation for awards granted during the year ended December 31, 2021 : Risk-free interest rate 0.60 % Expected stock price volatility 52.42 % Expected service period 2.93 years Expected dividend yield (assuming full reinvestment) — % Fair value per share at date of grant $ 29.10 The total fair value of the TSR Awards granted during the year ended December 31, 2021 was $5.3 million. The following table summarizes the stock-based compensation expense recognized (dollars in thousands): For Year Ended December 31, 2021 2020 2019 Stock-based compensation expense $ 10,832 $ 3,790 $ 4,104 The Company recorded a cumulative out of period adjustment in the fourth quarter of 2021 related to stock compensatio n of $3.5 million, of which $2.6 million related to the quarters of 2021 and $0.9 million related to earlier periods. The adjustment was not material to the previously issued financial sta tements. As of December 31, 2021, there wa s $11.5 million o

Earnings Per Common Share

Earnings Per Common Share	12 Months Ended
	Dec. 31, 2021
Earnings Per Share [Abstract]
Earnings Per Common Share	EARNINGS PER COMMON SHARE The following table presents the calculation of basic and diluted EPS for the Company’s common stock for the years ended December 31, 2021, 2020 and 2019, and reconciles the weighted-average common shares outstanding used in the calculation of basic EPS to the weighted-average common shares outstanding used in the calculation of diluted EPS for the years ended December 31, 2021, 2020 and 2019 (amounts in thousands, except per share amounts): Year Ended December 31, 2021 2020 2019 Numerator: Net income $ 71,982 $ 80,867 $ 46,359 Less: Net income allocated to participating securities (507) (298) (296) Numerator for basic and diluted earnings available to common stockholders $ 71,475 $ 80,569 $ 46,063 Denominator: Weighted-average basic common shares outstanding 96,017 95,200 93,088 Dilutive performance stock awards 75 7 10 Weighted-average diluted common shares outstanding 96,092 95,207 93,098 Earnings per common share, basic $ 0.74 $ 0.85 $ 0.49 Earnings per common share, diluted $ 0.74 $ 0.85 $ 0.49 Antidilutive unvested restricted stock awards and performance awards excluded from the computation 591 296 292

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	COMMITMENTS AND CONTINGENCIES The Company and its subsidiaries are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, which are not individually or in the aggregate anticipated to have a material adverse effect on the Company’s results of operations, financial condition or cash flows. Claims and lawsuits may include matters involving general or professional liability asserted against the Company’s tenants, which are the responsibility of the Company’s tenants and for which the Company is entitled to be indemnified by its tenants under the insurance and indemnification provisions in the applicable leases.Capital expenditures for each property leased under the Company’s triple-net leases are generally the responsibility of the tenant, except that, for the facilities leased to subsidiaries of Ensign, under the Ensign Master Leases, and Pennant, the tenant will have an option to require the Company to finance certain capital expenditures up to an aggregate of 20% of its initial investment in such property, subject to a corresponding rent increase at the time of funding. For the Company’s other triple-net master leases, the tenants also have the option to request capital expenditure funding that would generally be subject to a corresponding rent increase at the time of funding, which are subject to tenant compliance with the conditions to the Company’s approval and funding of their requests. As of December 31, 2021, the Company had committed to fund expansions, construction and capital improvements at certain triple-net leased facilities totaling $7.3 million, of which $6.3 million is subject to rent increase at the time of funding.

Concentration of Risk

Concentration of Risk	12 Months Ended
	Dec. 31, 2021
Risks and Uncertainties [Abstract]
Concentration of Risk	CONCENTRATION OF RISKConcentrations of credit risk arise when one or more tenants, operators, or obligors related to the Company’s investments are engaged in similar business activities or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to the Company, to be similarly affected by changes in economic conditions. Major operator concentration – The Company has operators from which it derived 10% or more of its rental revenue for the years ended December 31, 2021, 2020 and 2019. The following table sets forth information regarding the Company’s major operators as of December 31, 2021, 2020 and 2019: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) Operator (2) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2021 Ensign 83 8 4 8,756 997 395 32 % PMG 13 2 — 1,742 402 — 15 % December 31, 2020 Ensign 77 8 4 8,129 1,027 390 32 % PMG 13 2 — 1,742 403 — 16 % December 31, 2019 Ensign 75 6 4 7,945 573 390 38 % PMG 13 2 — 1,742 403 — 15 % (1) The Company’s rental income, exclusive of operating expense reimburseme nts. (2) See Note 3, Real Estate Investments, Net , for further information regarding Ensign and PMG. Ensign is subject to the registration and reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Ensign’s financial statements, as filed with the SEC, can be found at http://www.sec.gov. The Company has not verified this information through an independent investigation or otherwise. Major geographic concentration – The following table provides information regarding the Company’s concentrations with respect to certain states, from which the Company derived 10% or more of its rental revenue for the year ended December 31, 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) State SNF Campus ALF/ILF SNF Campus ALF/ILF CA 27 8 5 3,048 1,359 449 25 % TX 37 3 3 4,694 536 242 20 % (1) The Company’s rental income, exclusive of operating expense reimburseme nts.

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2021
Subsequent Events [Abstract]
Subsequent Events	SUBSEQUENT EVENTS The Company evaluates subsequent events in accordance with ASC 855, Subsequent Events . The Company evaluates subsequent events up until the date the consolidated financial statements are issued. Recent Acquisition and Amended Lease Agreement In February 2022, the Company acquired one skilled nursing facility for approximately $8.9 million, which includes estimated capitalized acquisition costs. The facilities were leased to affiliates of Eduro Healthcare, LLC (“Eduro”). In conjunction with the acquisition of the facility, the Company amended its existing triple-net master lease with Eduro to include the skilled nursing facility and extended the initial term of the lease. The Eduro lease, as amended, has a remaining initial term of approximately 12 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $0.8 million. The acquisition was funded using cash on hand.

Schedule III - Real Estate Asse

Schedule III - Real Estate Assets and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2021
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]
Schedule III - Real Estate Assets and Accumulated Depreciation	Initial Cost to Company Gross Carrying Value Description Facility Location Encum. Land Building Costs Land Building Total (1) Accum. Depr. Const./Ren. Date Acq. Skilled Nursing Properties: Ensign Highland LLC Highland Manor Phoenix, AZ $ — $ 257 $ 976 $ 926 $ 257 $ 1,902 $ 2,159 $ (1,397) 2013 2000 Meadowbrook Health Associates LLC Sabino Canyon Tucson, AZ — 425 3,716 1,940 425 5,656 6,081 (3,308) 2012 2000 Terrace Holdings AZ LLC Desert Terrace Phoenix, AZ — 113 504 971 113 1,475 1,588 (945) 2004 2002 Rillito Holdings LLC Catalina Tucson, AZ — 471 2,041 3,055 471 5,096 5,567 (3,296) 2013 2003 Valley Health Holdings LLC North Mountain Phoenix, AZ — 629 5,154 1,519 629 6,673 7,302 (4,079) 2009 2004 Cedar Avenue Holdings LLC Upland Upland, CA — 2,812 3,919 1,994 2,812 5,913 8,725 (3,672) 2011 2005 Granada Investments LLC Camarillo Camarillo, CA — 3,526 2,827 1,522 3,526 4,349 7,875 (2,780) 2010 2005 Plaza Health Holdings LLC Park Manor Walla Walla, WA — 450 5,566 1,055 450 6,621 7,071 (4,143) 2009 2006 Mountainview Communitycare LLC Park View Gardens Santa Rosa, CA — 931 2,612 653 931 3,265 4,196 (2,199) 1963 2006 CM Health Holdings LLC Carmel Mountain San Diego, CA — 3,028 3,119 2,071 3,028 5,190 8,218 (3,184) 2012 2006 Polk Health Holdings LLC Timberwood Livingston, TX — 60 4,391 1,167 60 5,558 5,618 (3,320) 2009 2006 Snohomish Health Holdings LLC Emerald Hills Lynnwood, WA — 741 1,663 1,998 741 3,661 4,402 (2,714) 2009 2006 Cherry Health Holdings LLC Pacific Care Hoquiam, WA — 171 1,828 2,038 171 3,866 4,037 (2,738) 2010 2006 Golfview Holdings LLC Cambridge SNF Richmond, TX — 1,105 3,110 1,067 1,105 4,177 5,282 (2,402) 2007 2006 Tenth East Holdings LLC Arlington Hills Salt Lake City, UT — 332 2,426 2,507 332 4,933 5,265 (3,337) 2013 2006 Trinity Mill Holdings LLC Carrollton Carrollton, TX — 664 2,294 902 664 3,196 3,860 (2,416) 2007 2006 Cottonwood Health Holdings LLC Holladay Salt Lake City, UT — 965 2,070 958 965 3,028 3,993 (2,428) 2008 2007 Verde Villa Holdings LLC Lake Village Lewisville, TX — 600 1,890 470 600 2,360 2,960 (1,544) 2011 2007 Mesquite Health Holdings LLC Willow Bend Mesquite, TX — 470 1,715 8,632 441 10,376 10,817 (7,709) 2012 2007 Arrow Tree Health Holdings LLC Arbor Glen Glendora, CA — 2,165 1,105 324 2,165 1,429 3,594 (1,080) 1965 2007 Fort Street Health Holdings LLC Draper Draper, UT — 443 2,394 759 443 3,153 3,596 (1,722) 2008 2007 Trousdale Health Holdings LLC Brookfield Downey, CA — 1,415 1,841 1,861 1,415 3,702 5,117 (2,225) 2013 2007 Ensign Bellflower LLC Rose Villa Bellflower, CA — 937 1,168 357 937 1,525 2,462 (982) 2009 2007 RB Heights Health Holdings LLC Osborn Scottsdale, AZ — 2,007 2,793 1,762 2,007 4,555 6,562 (2,714) 2009 2008 San Corrine Health Holdings LLC Salado Creek San Antonio, TX — 310 2,090 719 310 2,809 3,119 (1,523) 2005 2008 Temple Health Holdings LLC Wellington Temple, TX — 529 2,207 1,163 529 3,370 3,899 (1,932) 2008 2008 Anson Health Holdings LLC Northern Oaks Abilene, TX — 369 3,220 1,725 369 4,945 5,314 (2,736) 2012 2008 Willits Health Holdings LLC Northbrook Willits, CA — 490 1,231 500 490 1,731 2,221 (957) 2011 2008 Lufkin Health Holdings LLC Southland Lufkin, TX — 467 4,644 782 467 5,426 5,893 (1,782) 1988 2009 Lowell Health Holdings LLC Littleton Littleton, CO — 217 856 1,735 217 2,591 2,808 (1,564) 2012 2009 Jefferson Ralston Holdings LLC Arvada Arvada, CO — 280 1,230 834 280 2,064 2,344 (1,003) 2012 2009 Lafayette Health Holdings LLC Julia Temple Englewood, CO — 1,607 4,222 6,195 1,607 10,417 12,024 (5,530) 2012 2009 Hillendahl Health Holdings LLC Golden Acres Dallas, TX — 2,133 11,977 1,421 2,133 13,398 15,531 (6,037) 1984 2009 Price Health Holdings LLC Pinnacle Price, UT — 193 2,209 849 193 3,058 3,251 (1,209) 2012 2009 Silver Lake Health Holdings LLC Provo Provo, UT — 2,051 8,362 2,011 2,051 10,373 12,424 (3,492) 2011 2009 Jordan Health Properties LLC Copper Ridge West Jordan, UT — 2,671 4,244 1,507 2,671 5,751 8,422 (2,003) 2013 2009 Regal Road Health Holdings LLC Sunview Youngstown, AZ — 767 4,648 729 767 5,377 6,144 (2,250) 2012 2009 Paredes Health Holdings LLC Alta Vista Brownsville, TX — 373 1,354 190 373 1,544 1,917 (507) 1969 2009 Expressway Health Holdings LLC Veranda Harlingen, TX — 90 675 430 90 1,105 1,195 (503) 2011 2009 Rio Grande Health Holdings LLC Grand Terrace McAllen, TX — 642 1,085 870 642 1,955 2,597 (1,040) 2012 2009 Fifth East Holdings LLC Paramount Salt Lake City, UT — 345 2,464 1,065 345 3,529 3,874 (1,480) 2011 2009 Emmett Healthcare Holdings LLC River's Edge Emmet, ID — 591 2,383 69 591 2,452 3,043 (875) 1972 2010 Burley Healthcare Holdings LLC Parke View Burley, ID — 250 4,004 424 250 4,428 4,678 (1,723) 2011 2010 Josey Ranch Healthcare Holdings LLC Heritage Gardens Carrollton, TX — 1,382 2,293 478 1,382 2,771 4,153 (1,026) 1996 2010 Everglades Health Holdings LLC Victoria Ventura Ventura, CA — 1,847 5,377 682 1,847 6,059 7,906 (1,793) 1990 2011 Irving Health Holdings LLC Beatrice Manor Beatrice, NE — 60 2,931 245 60 3,176 3,236 (1,174) 2011 2011 Falls City Health Holdings LLC Careage Estates of Falls City Falls City, NE — 170 2,141 82 170 2,223 2,393 (749) 1972 2011 Gillette Park Health Holdings LLC Careage of Cherokee Cherokee, IA — 163 1,491 12 163 1,503 1,666 (636) 1967 2011 Gazebo Park Health Holdings LLC Careage of Clarion Clarion, IA — 80 2,541 97 80 2,638 2,718 (1,162) 1978 2011 Oleson Park Health Holdings LLC Careage of Ft. Dodge Ft. Dodge, IA — 90 2,341 759 90 3,100 3,190 (1,696) 2012 2011 Arapahoe Health Holdings LLC Oceanview Texas City, TX — 158 4,810 759 128 5,599 5,727 (2,248) 2012 2011 Dixie Health Holdings LLC Hurricane Hurricane, UT — 487 1,978 98 487 2,076 2,563 (582) 1978 2011 Memorial Health Holdings LLC Pocatello Pocatello, ID — 537 2,138 698 537 2,836 3,373 (1,185) 2007 2011 Bogardus Health Holdings LLC Whittier East Whittier, CA — 1,425 5,307 1,079 1,425 6,386 7,811 (2,468) 2011 2011 South Dora Health Holdings LLC Ukiah Ukiah, CA — 297 2,087 1,621 297 3,708 4,005 (2,181) 2013 2011 Silverada Health Holdings LLC Rosewood Reno, NV — 1,012 3,282 103 1,012 3,385 4,397 (892) 1970 2011 Orem Health Holdings LLC Orem Orem, UT — 1,689 3,896 3,235 1,689 7,131 8,820 (3,225) 2011 2011 Wisteria Health Holdings LLC Wisteria Abilene, TX — 746 9,903 290 746 10,193 10,939 (2,456) 2008 2011 Renee Avenue Health Holdings LLC Monte Vista Pocatello, ID — 180 2,481 966 180 3,447 3,627 (1,368) 2013 2012 Stillhouse Health Holdings LLC Stillhouse Paris, TX — 129 7,139 6 129 7,145 7,274 (1,205) 2009 2012 Fig Street Health Holdings LLC Palomar Vista Escondido, CA — 329 2,653 1,094 329 3,747 4,076 (1,723) 2007 2012 Lowell Lake Health Holdings LLC Owyhee Owyhee, ID — 49 1,554 29 49 1,583 1,632 (350) 1990 2012 Queensway Health Holdings LLC Atlantic Memorial Long Beach, CA — 999 4,237 2,331 999 6,568 7,567 (2,999) 2008 2012 Long Beach Health Associates LLC Shoreline Long Beach, CA — 1,285 2,343 2,172 1,285 4,515 5,800 (2,101) 2013 2012 Kings Court Health Holdings LLC Richland Hills Ft. Worth, TX — 193 2,311 318 193 2,629 2,822 (712) 1965 2012 51st Avenue Health Holdings LLC Legacy Amarillo, TX — 340 3,925 32 340 3,957 4,297 (1,009) 1970 2013 Ives Health Holdings LLC San Marcos San Marcos, TX — 371 2,951 274 371 3,225 3,596 (789) 1972 2013 Guadalupe Health Holdings LLC The Courtyard (Victoria East) Victoria, TX — 80 2,391 15 80 2,406 2,486 (477) 2013 2013 49th Street Health Holdings LLC Omaha Omaha, NE — 129 2,418 24 129 2,442 2,571 (711) 1960 2013 Willows Health Holdings LLC Cascade Vista Redmond, WA — 1,388 2,982 202 1,388 3,184 4,572 (1,021) 1970 2013 Tulalip Bay Health Holdings LLC Mountain View Marysville, WA — 1,722 2,642 (980) 742 2,642 3,384 (748) 1966 2013 Sky Holdings AZ LLC Bella Vita Health and Rehabilitation Center Glendale, AZ — 228 1,124 1,380 228 2,504 2,731 (1,830) 2004 2002 Lemon River Holdings LLC Plymouth Tower Riverside, CA — 152 357 1,493 152 1,850 2,002 (1,285) 2012 2009 CTR Partnership, L.P. Bethany Rehabilitation Center Lakewood, CO — 1,668 15,375 56 1,668 15,431 17,099 (2,671) 1989 2015 CTR Partnership, L.P. Mira Vista Care Center Mount Vernon, WA — 1,601 7,425 — 1,601 7,425 9,026 (1,253) 1989 2015 CTR Partnership, L.P. Shoreline Health and Rehabilitation Center Shoreline, WA — 1,462 5,034 — 1,462 5,034 6,496 (829) 1987 2015 CTR Partnership, L.P. Shamrock Nursing and Rehabilitation Center Dublin, GA — 251 7,855 — 251 7,855 8,106 (1,276) 2010 2015 CTR Partnership, L.P. BeaverCreek Health and Rehab Beavercreek, OH — 892 17,159 13 892 17,172 18,064 (2,684) 2014 2015 CTR Partnership, L.P. Premier Estates of Cincinnati-Riverview Cincinnati, OH — 833 18,086 474 833 18,560 19,393 (2,884) 1992 2015 CTR Partnership, L.P. Englewood Health and Rehab Englewood, OH — 1,014 18,541 88 1,014 18,629 19,643 (2,937) 1962 2015 CTR Partnership, L.P. Portsmouth Health and Rehab Portsmouth, OH — 282 9,726 428 282 10,154 10,436 (1,679) 2008 2015 CTR Partnership, L.P. West Cove Care & Rehabilitation Center Toledo, OH — 93 10,365 — 93 10,365 10,458 (1,619) 2007 2015 CTR Partnership, L.P. BellBrook Health and Rehab Bellbrook, OH — 214 2,573 231 214 2,804 3,018 (466) 2003 2015 CTR Partnership, L.P. Xenia Health and Rehab Xenia, OH — 205 3,564 23 205 3,587 3,792 (562) 1981 2015 CTR Partnership, L.P. Jamestown Place Health and Rehab Jamestown, OH — 266 4,725 268 266 4,993 5,259 (834) 1967 2015 CTR Partnership, L.P. Casa de Paz Sioux City, IA — 119 7,727 — 119 7,727 7,846 (1,143) 1974 2016 CTR Partnership, L.P. Denison Care Center Denison, IA — 96 2,784 — 96 2,784 2,880 (412) 2015 2016 CTR Partnership, L.P. Garden View Care Center Shenandoah, IA — 105 3,179 — 105 3,179 3,284 (470) 2013 2016 CTR Partnership, L.P. Grandview Health Care Center Dayton, IA — 39 1,167 — 39 1,167 1,206 (173) 2014 2016 CTR Partnership, L.P. Grundy Care Center Grundy Center, IA — 65 1,935 — 65 1,935 2,000 (286) 2011 2016 CTR Partnership, L.P. Iowa City Rehab and Health Care Center Iowa City, IA — 522 5,690 — 522 5,690 6,212 (842) 2014 2016 CTR Partnership, L.P. Lenox Care Center Lenox, IA — 31 1,915 — 31 1,915 1,946 (283) 2012 2016 CTR Partnership, L.P. Osage Osage, IA — 126 2,255 — 126 2,255 2,381 (334) 2014 2016 CTR Partnership, L.P. Pleasant Acres Care Center Hull, IA — 189 2,544 — 189 2,544 2,733 (376) 2014 2016 CTR Partnership, L.P. Cedar Falls Health Care Center Cedar Falls, IA — 324 4,366 — 324 4,366 4,690 (628) 2015 2016 CTR Partnership, L.P. Premier Estates of Highlands Norwood, OH — 364 2,199 439 364 2,638 3,002 (369) 2012 2016 CTR Partnership, L.P. Shaw Mountain at Cascadia Boise, ID — 1,801 6,572 395 1,801 6,967 8,768 (1,112) 1989 2016 CTR Partnership, L.P. The Oaks Petaluma, CA — 3,646 2,873 110 3,646 2,983 6,629 (436) 2015 2016 CTR Partnership, L.P. Arbor Nursing Center Lodi, CA — 768 10,712 — 768 10,712 11,480 (1,451) 1982 2016 CTR Partnership, L.P. Broadmoor Medical Lodge Rockwall, TX — 1,232 22,152 — 1,232 22,152 23,384 (2,816) 1984 2016 CTR Partnership, L.P. Decatur Medical Lodge Decatur, TX — 990 24,909 — 990 24,909 25,899 (3,166) 2013 2016 CTR Partnership, L.P. Royse City Medical Lodge Royse City, TX — 606 14,660 — 606 14,660 15,266 (1,863) 2009 2016 CTR Partnership, L.P. Saline Care Nursing & Rehabilitation Center Harrisburg, IL — 1,022 5,713 — 1,022 5,713 6,735 (690) 2009 2017 CTR Partnership, L.P. Carrier Mills Nursing & Rehabilitation Center Carrier Mills, IL — 775 8,377 — 775 8,377 9,152 (1,012) 1968 2017 CTR Partnership, L.P. StoneBridge Nursing & Rehabilitation Center Benton, IL — 439 3,475 — 439 3,475 3,914 (420) 2014 2017 CTR Partnership, L.P. DuQuoin Nursing & Rehabilitation Center DuQuoin, IL — 511 3,662 — 511 3,662 4,173 (442) 2014 2017 CTR Partnership, L.P. Pinckneyville Nursing & Rehabilitation Center Pinckneyville, IL — 406 3,411 — 406 3,411 3,817 (412) 2014 2017 CTR Partnership, L.P. Wellspring Health and Rehabilitation of Cascadia Nampa, ID — 774 5,044 111 774 5,155 5,929 (588) 2011 2017 CTR Partnership, L.P. The Rio at Fox Hollow Brownsville, TX — 1,178 12,059 — 1,178 12,059 13,237 (1,382) 2016 2017 CTR Partnership, L.P. The Rio at Cabezon Albuquerque, NM — 2,055 9,749 — 2,055 9,749 11,804 (1,117) 2016 2017 CTR Partnership, L.P. Eldorado Rehab & Healthcare Eldorado, IL — 940 2,093 — 940 2,093 3,033 (235) 1993 2017 CTR Partnership, L.P. Secora Health and Rehabilitation of Cascadia Portland, OR — 1,481 2,216 110 1,481 2,326 3,807 (249) 2012 2017 CTR Partnership, L.P. Mountain Valley Kellogg, ID — 916 7,874 — 916 7,874 8,790 (853) 1971 2017 CTR Partnership, L.P. Caldwell Care Caldwell, ID — 906 7,020 516 906 7,536 8,442 (761) 1947 2017 CTR Partnership, L.P. Canyon West Caldwell, ID — 312 10,410 431 312 10,841 11,153 (1,128) 1969 2017 CTR Partnership, L.P. Lewiston Health and Rehabilitation Lewiston, ID — 625 12,087 152 625 12,239 12,864 (1,284) 1964 2017 CTR Partnership, L.P. The Orchards Nampa, ID — 785 8,923 47 785 8,970 9,755 (948) 1958 2017 CTR Partnership, L.P. Weiser Care Weiser, ID — 80 4,419 30 80 4,449 4,529 (470) 1964 2017 CTR Partnership, L.P. Aspen Park Moscow, ID — 698 5,092 274 698 5,366 6,064 (584) 1965 2017 CTR Partnership, L.P. Ridgmar Medical Lodge Fort Worth, TX — 681 6,587 1,256 681 7,843 8,524 (950) 2006 2017 CTR Partnership, L.P. Mansfield Medical Lodge Mansfield, TX — 607 4,801 1,073 607 5,874 6,481 (701) 2006 2017 CTR Partnership, L.P. Grapevine Medical Lodge Grapevine, TX — 1,602 4,536 891 1,602 5,427 7,029 (659) 2006 2017 CTR Partnership, L.P. Brookfield Health and Rehab Battle Ground, WA — 320 500 — 320 500 820 (54) 2012 2017 CTR Partnership, L.P. The Oaks at Lakewood Tacoma, WA — 1,000 1,779 — 1,000 1,779 2,779 (189) 1989 2017 CTR Partnership, L.P. The Oaks at Timberline Vancouver, WA — 445 869 — 445 869 1,314 (92) 1972 2017 CTR Partnership, L.P. Providence Waterman Nursing Center San Bernardino, CA — 3,831 19,791 — 3,831 19,791 23,622 (2,103) 1967 2017 CTR Partnership, L.P. Providence Orange Tree Riverside, CA — 2,897 14,700 345 2,897 15,045 17,942 (1,585) 1969 2017 CTR Partnership, L.P. Providence Ontario Ontario, CA — 4,204 21,880 — 4,204 21,880 26,084 (2,325) 1980 2017 CTR Partnership, L.P. Greenville Nursing & Rehabilitation Center Greenville, IL — 188 3,972 — 188 3,972 4,160 (484) 1973 2017 CTR Partnership, L.P. Copper Ridge Health and Rehabilitation Center Butte, MT — 220 4,974 22 220 4,996 5,216 (536) 2010 2018 CTR Partnership, L.P. Prairie Heights Healthcare Center Aberdeen, SD — 1,372 7,491 — 1,372 7,491 8,863 (718) 1965 2018 CTR Partnership, L.P. The Meadows on University Fargo, ND — 989 3,275 — 989 3,275 4,264 (287) 1966 2018 CTR Partnership, L.P. The Suites - Parker Parker, CO — 1,178 17,857 — 1,178 17,857 19,035 (1,408) 2012 2018 CTR Partnership, L.P. Huntington Park Nursing Center Huntington Park, CA — 3,131 8,876 299 3,131 9,175 12,306 (720) 1955 2019 CTR Partnership, L.P. Shoreline Care Center Oxnard, CA — 1,699 9,004 — 1,699 9,004 10,703 (674) 1962 2019 CTR Partnership, L.P. Downey Care Center Downey, CA — 2,502 6,141 — 2,502 6,141 8,643 (461) 1967 2019 CTR Partnership, L.P. Courtyard Healthcare Center Davis, CA — 2,351 9,256 — 2,351 9,256 11,607 (706) 1969 2019 Gulf Coast Buyer 1 LLC Alpine Skilled Nursing and Rehabilitation Ruston, LA — 2,688 23,825 — 2,688 23,825 26,513 (1,728) 2014 2019 Gulf Coast Buyer 1 LLC The Bradford Skilled Nursing and Rehabilitation Shreveport, LA — 3,758 21,325 17 3,758 21,342 25,100 (1,559) 1980 2019 Gulf Coast Buyer 1 LLC Colonial Oaks Skilled Nursing and Rehabilitation Bossier City, LA — 1,635 21,180 — 1,635 21,180 22,815 (1,500) 2013 2019 Gulf Coast Buyer 1 LLC The Guest House Skilled Nursing and Rehabilitation Shreveport, LA — 3,437 20,889 1,226 3,437 22,115 25,552 (1,550) 2006 2019 Gulf Coast Buyer 1 LLC Pilgrim Manor Skilled Nursing and Rehabilitation Bossier City, LA — 2,979 24,617 — 2,979 24,617 27,596 (1,765) 2008 2019 Gulf Coast Buyer 1 LLC Shreveport Manor Skilled Nursing and Rehabilitation Shreveport, LA — 676 10,238 361 676 10,599 11,275 (769) 2008 2019 Gulf Coast Buyer 1 LLC Booker T. Washington Skilled Nursing and Rehabilitation Shreveport, LA — 2,452 9,148 113 2,452 9,261 11,713 (705) 2013 2019 Gulf Coast Buyer 1 LLC Legacy West Rehabilitation and Healthcare Corsicana, TX — 120 6,682 436 120 7,118 7,238 (560) 2002 2019 Gulf Coast Buyer 1 LLC Legacy at Jacksonville Jacksonville, TX — 173 7,481 127 173 7,608 7,781 (588) 2006 2019 Gulf Coast Buyer 1 LLC Pecan Tree Rehabilitation and Healthcare Gainesville, TX — 219 10,097 255 219 10,352 10,571 (772) 1990 2019 Lakewest SNF Realty, LLC Lakewest Rehabilitation and Skilled Care Dallas, TX — — 6,905 — — 6,905 6,905 (515) 2011 2019 CTR Partnership, L.P. Cascadia of Nampa Nampa, ID — 880 14,117 — 880 14,117 14,997 (969) 2017 2019 CTR Partnership, L.P. Valley Skilled Nursing Modesto, CA — 798 7,671 — 798 7,671 8,469 (448) 2016 2019 CTR Partnership, L.P. Cascadia of Boise Boise, ID — 1,597 15,692 — 1,597 15,692 17,289 (824) 2018 2020 CTR Partnership, L.P. Cooney Healthcare and Rehabilitation Helena, MT — 867 7,431 — 867 7,431 8,298 (262) 1984 2020 CTR Partnership, L.P. Elkhorn Healthcare and Rehabilitation Clancy, MT — 183 7,380 174 183 7,554 7,737 (264) 1960 2020 CTR Partnership, L.P. Beacon Harbor Healthcare and Rehabilitation Rockwall, TX — 1,295 17,069 — 1,295 17,069 18,364 (533) 1996 2020 CTR Partnership, L.P. Pleasant Manor Healthcare and Rehabilitation Waxahachie, TX — 629 7,433 — 629 7,433 8,062 (234) 1972 2020 CTR Partnership, L.P. Rowlett Health and Rehabilitation Center Rowlett, TX — 1,036 10,516 — 1,036 10,516 11,552 (326) 1990 2020 160 North Patterson Avenue, LLC Buena Vista Care Center Goleta, CA — 7,987 7,237 — 7,987 7,237 15,224 (160) 1967 2021 CTR Partnership, L.P. El Centro Post-Acute Care El Centro, CA — 1,283 8,133 76 1,283 8,209 9,492 (143) 1962 2021 CTR Partnership, L.P. Sedona Trace Health and Wellness Austin, TX — 3,282 12,763 — 3,282 12,763 16,045 (149) 2017 2021 CTR Partnership, L.P. Cedar Pointe Health and Wellness Suites Cedar Park, TX — 3,325 11,738 — 3,325 11,738 15,063 (135) 2017 2021 — 161,032 1,003,798 94,187 159,993 1,099,024 1,259,016 (225,820) Multi-Service Campus Properties: Ensign Southland LLC Southland Care Norwalk, CA — 966 5,082 2,213 966 7,295 8,261 (5,588) 2011 1999 Mission CCRC LLC St. Joseph's Villa Salt Lake City, UT — 1,962 11,035 464 1,962 11,499 13,461 (3,634) 1994 2011 Wayne Health Holdings LLC Careage of Wayne Wayne, NE — 130 3,061 122 130 3,183 3,313 (1,100) 1978 2011 4th Street Holdings LLC West Bend Care Center West Bend, IA — 180 3,352 — 180 3,352 3,532 (1,095) 2006 2011 Big Sioux River Health Holdings LLC Hillcrest Health Hawarden, IA — 110 3,522 75 110 3,597 3,707 (1,104) 1974 2011 Prairie Health Holdings LLC Colonial Manor of Randolph Randolph, NE — 130 1,571 22 130 1,593 1,723 (838) 2011 2011 Salmon River Health Holdings LLC Discovery Care Center Salmon, ID — 168 2,496 — 168 2,496 2,664 (588) 2012 2012 CTR Partnership, L.P. Centerville Senior Independent Living Dayton, OH — 3,912 22,458 117 3,781 22,706 26,487 (3,605) 2007 2015 CTR Partnership, L.P. Liberty Nursing Center of Willard Willard, OH — 143 11,097 50 143 11,147 11,290 (1,760) 1985 2015 CTR Partnership, L.P. Premier Estates of Middletown/Premier Retirement Estates of Middletown Middletown, OH — 990 7,484 371 990 7,855 8,845 (1,229) 1985 2015 CTR Partnership, L.P. Premier Estates of Norwood Towers/Premier Retirement Estates of Norwood Towers Norwood, OH — 1,316 10,071 799 1,316 10,870 12,186 (1,538) 1991 2016 CTR Partnership, L.P. Turlock Nursing and Rehabilitation Center Turlock, CA — 1,258 16,526 — 1,258 16,526 17,784 (2,238) 1986 2016 CTR Partnership, L.P. Bridgeport Medical Lodge Bridgeport, TX — 980 27,917 — 980 27,917 28,897 (3,548) 2014 2016 CTR Partnership, L.P. The Villas at Saratoga Saratoga, CA — 8,709 9,736 1,396 8,709 11,132 19,841 (1,008) 2004 2018 CTR Partnership, L.P. Madison Park Healthcare Huntington, WV — 601 6,385 — 601 6,385 6,986 (525) 1924 2018 CTR Partnership, L.P. Oakview Heights Nursing & Rehabilitation Center Mt. Carmel, IL — 298 8,393 — 298 8,393 8,691 (692) 2004 2019 Gulf Coast Buyer 1 LLC Spring Lake Skilled Nursing and Rehabilitation Shreveport, LA — 3,217 21,195 2,730 3,217 23,925 27,142 (1,666) 2008 2019 Gulf Coast Buyer 1 LLC The Village at Heritage Oaks Corsicana, TX — 143 11,429 482 143 11,911 12,054 (913) 2007 2019 CTR Partnership, L.P. City Creek Post-Acute and Assisted Living Sacramento, CA — 3,980 10,106 1,488 3,980 11,594 15,574 (655) 1990 2019 CTR Partnership, L.P. Crestwood Health and Rehabilitation Center Wills Point, TX — 143 6,075 — 143 6,075 6,218 (198) 1980 2020 Northshore Healthcare Holdings LLC San Juan Capistrano Senior Living San Juan Capistrano, CA — 11,176 25,298 — 11,176 25,298 36,474 (548) 1999 2021 Northshore Healthcare Holdings LLC Camarillo Senior Living Camarillo, CA — 7,516 30,552 — 7,516 30,552 38,068 (655) 2000 2021 Northshore Healthcare Holdings LLC Bayshire Carlsbad Carlsbad, CA — 7,398 19,714 — 7,398 19,714 27,112 (429) 1999 2021 Northshore Healthcare Holdings LLC Bayshire Rancho Mirage Rancho Mirage, CA — 4,024 16,790 — 4,024 16,790 20,814 (373) 2000 2021 — 59,450 291,345 10,329 59,319 301,805 361,124 (35,527) Assisted and Independent Living Properties: Avenue N Holdings LLC Cambridge ALF Rosenburg, TX — 124 2,301 392 124 2,693 2,817 (1,453) 2007 2006 Moenium Holdings LLC Grand Court Mesa, AZ — 1,893 5,268 1,210 1,893 6,478 8,371 (3,672) 1986 2007 Lafayette Health Holdings LLC Chateau Des Mons Englewood, CO — 420 1,160 189 420 1,349 1,769 (471) 2011 2009 Expo Park Health Holdings LLC Canterbury Gardens Aurora, CO — 570 1,692 248 570 1,940 2,510 (942) 1986 2010 Wisteria Health Holdings LLC Wisteria IND Abilene, TX — 244 3,241 81 244 3,322 3,566 (1,675) 2008 2011 Everglades Health Holdings LLC Lexington Ventura, CA — 1,542 4,012 113 1,542 4,125 5,667 (977) 1990 2011 Flamingo Health Holdings LLC Desert Springs ALF Las Vegas, NV — 908 4,767 281 908 5,048 5,956 (2,770) 1986 2011 18th Place Health Holdings LLC Rose Court Phoenix, AZ — 1,011 2,053 490 1,011 2,543 3,554 (1,042) 1974 2011 Boardwalk Health Holdings LLC Park Place Reno, NV — 367 1,633 51 367 1,684 2,051 (568) 1993 2012 Willows Health Holdings LLC Cascade Plaza Redmond, WA — 2,835 3,784 395 2,835 4,179 7,014 (1,350) 2013 2013 Lockwood Health Holdings LLC Santa Maria Santa Maria, CA — 1,792 2,253 585 1,792 2,838 4,630 (1,410) 1967 2013 Saratoga Health Holdings LLC Lake Ridge Orem, UT — 444 2,265 176 444 2,441 2,885 (520) 1995 2013 Sky Holdings AZ LLC Desert Sky Assisted Living Glendale, AZ — 61 304 372 61 676 738 (494) 2004 2002 Lemon River Holdings LLC The Grove Assisted Living Riverside, CA — 342 802 3,360 342 4,162 4,504 (2,892) 2012 2009 Mission CCRC LLC St. Joseph's Villa IND Salt Lake City, UT — 411 2,312 258 411 2,570 2,981 (1,616) 1994 2011 CTR Partnership, L.P. Prelude Cottages of Woodbury Woodbury, MN — 430 6,714 76 430 6,790 7,220 (1,179) 2011 2014 CTR Partnership, L.P. English Meadows Senior Living Community Christiansburg, VA — 250 6,114 175 250 6,289 6,539 (1,076) 2011 2014 CTR Partnership, L.P. Bristol Court Assisted Living Saint Petersburg, FL — 645 7,322 408 645 7,730 8,375 (1,198) 2010 2015 CTR Partnership, L.P. Asbury Place Assisted Living Pensacola, FL — 212 4,992 222 212 5,214 5,426 (802) 1997 2015 CTR Partnership, L.P. New Haven Assisted Living of San Angelo San Angelo, TX — 284 4,478 — 284 4,478 4,762 (662) 2012 2016 CTR Partnership, L.P. Lamplight Inn of Fort Wayne Fort Wayne, IN — 452 8,703 304 452 9,007 9,459 (1,269) 2015 2016 CTR Partnership, L.P. Lamplight Inn of West Allis West Allis, WI — 97 6,102 106 97 6,208 6,305 (890) 2013 2016 CTR Partnership, L.P. Fort Myers Assisted Living Fort Myers, FL — 1,489 3,531 786 1,489 4,317 5,806 (556) 1980 2016 CTR Partnership, L.P. English Meadows Elks Home Campus Bedford, VA — 451 9,023 287 451 9,310 9,761 (1,360) 2014 2016 CTR Partnership, L.P. Croatan Village New Bern, NC — 312 6,919 — 312 6,919 7,231 (980) 2010 2016 CTR Partnership, L.P. Countryside Village Pikeville, NC — 131 4,157 — 131 4,157 4,288 (589) 2011 2016 CTR Partnership, L.P. The Pines of Clarkston Village of Clarkston, MI — 603 9,326 — 603 9,326 9,929 (1,302) 2010 2016 CTR Partnership, L.P. The Pines of Goodrich Goodrich, MI — 241 4,112 130 241 4,242 4,483 (574) 2014 2016 CTR Partnership, L.P. The Pines of Burton Burton, MI — 492 9,199 — 492 9,199 9,691 (1,284) 2014 2016 CTR Partnership, L.P. The Pines of Lapeer Lapeer, MI — 302 5,773 — 302 5,773 6,075 (806) 2008 2016 CTR Partnership, L.P. Arbor Place Lodi, CA — 392 3,605 — 392 3,605 3,997 (488) 1984 2016 CTR Partnership, L.P. Applewood of Brookfield Brookfield, WI — 493 14,002 — 493 14,002 14,495 (1,721) 2013 2017 CTR Partnership, L.P. Applewood of New Berlin New Berlin, WI — 356 10,812 13 356 10,825 11,181 (1,329) 2016 2017 CTR Partnership, L.P. Tangerine Cove of Brooksville Brooksville, FL — 995 927 493 995 1,420 2,415 (151) 1984 2017 CTR Partnership, L.P. Memory Care Cottages in White Bear Lake White Bear Lake, MN — 1,611 5,633 — 1,611 5,633 7,244 (634) 2016 2017 CTR Partnership, L.P. Culpeper Culpepper, VA — 318 3,897 197 318 4,094 4,412 (492) 1997 2017 CTR Partnership, L.P. Louisa Louisa, VA — 407 4,660 240 407 4,900 5,307 (599) 2002 2017 CTR Partnership, L.P. Warrenton Warrenton, VA — 1,238 7,247 194 1,238 7,441 8,679 (880) 1999 2017 CTR Partnership, L.P. Vista Del Lago Escondido, CA — 4,362 7,997 — 4,362 7,997 12,359 (489) 2015 2019 CTR Partnership, L.P. Inn at Barton Creek Bountiful, UT — 2,479 4,804 15 2,479 4,819 7,298 (249) 1999 2020 CTR Partnership, L.P. Bridgeton Essentia Neighborhood Bridgeton, NJ — 245 5,795 — 245 5,795 6,040 (14) 2021 2021 CTR Partnership, L.P. Rio Grande Essentia Neighborhood Rio Grande, NJ — 224 5,652 — 224 5,652 5,876 (13) 2021 2021 — 32,475 209,343 11,847 32,475 221,190 253,666 (43,438) — $ 252,957 $ 1,504,486 $ 116,363 $ 251,787 $ 1,622,019 $ 1,873,806 $ (304,785) (1) The aggregate cost of real estate for federal income tax purposes was $1.9 billion . Year Ended December 31, Real estate: 2021 2020 2019 Balance at the beginning of the period $ 1,683,205 $ 1,605,081 $ 1,368,157 Acquisitions 190,133 84,630 318,070 Improvements 4,521 7,223 3,103 Impairment — — (21,465) Sales of real estate (4,053) (13,729) (62,784) Balance at the end of the period $ 1,873,806 $ 1,683,205 $ 1,605,081 Accumulated depreciation: Balance at the beginning of the period $ (259,803) $ (220,359) $ (185,926) Depreciation expense (45,498) (41,914) (40,373) Impairment — — 5,220 Sales of real estate 516 2,470 720 Balance at the end of the period $ (304,785) $ (259,803) $ (220,359)

Schedule IV - Mortgage Loans on

Schedule IV - Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]
Schedule IV - Mortgage Loans on Real Estate	Description Contractual Interest Rate Maturity Date Periodic Payment Terms Prior Liens Principal Balance Book Value (2) Carrying Amount of Loans Subject to Delinquent Principal or Interest Mezzanine Loan: Virginia (9 SNF facilities) 12.0 % 2025 (1) $ 112,278 (3) $ 15,000 $ 15,155 N/A $ 112,278 $ 15,000 $ 15,155 (1) Interest is due monthly, and principal is due at the maturity date. (2) The aggregate cost of investments in real estate mortgage loans for federal income tax purposes was $15.0 million. (3) The first mortgage loans on these properties are not held by the Company. Accordingly, the amounts of the prior liens at December 31, 2021 are estimated. Changes in mortgage loans are summarized as follows (in thousands): Year Ended December 31, 2021 2020 2019 Balance at beginning of period $ 15,000 $ 29,500 $ 12,375 Additions during period: New mortgage loans — 61,258 40,889 Interest income added to principal 155 — — Deductions during period: Paydowns/Repayments — (75,758) (23,764) Balance at end of period $ 15,155 $ 15,000 $ 29,500

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation —The accompanying consolidated financial statements of the Company reflect, for all periods presented, the historical financial position, results of operations and cash flows of the Company and its wholly-owned subsidiaries prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). All intercompany transactions and account balances within the Company have been eliminated.
Lessor Accounting	Lessor Accounting —The Company recognizes lease revenue in accordance with Accounting Standards Codification (“ASC”) 842, Leases . The Company’s lease agreements typically contain annual escalators based on the percentage change in the Consumer Price Index which are accounted for as variable lease payments in the period in which the change occurs. For lease agreements that contain fixed rent escalators, the Company generally recognizes lease revenue on a straight-line basis of accounting. The Company generates revenues primarily by leasing healthcare-related properties to healthcare operators in triple-net lease arrangements, under which the tenant is solely responsible for the costs related to the property. Tenant reimbursements related to property taxes and insurance paid by the lessee directly to a third party on behalf of a lessor are required to be excluded from variable payments and from recognition in the lessor’s income statements. Otherwise, tenant recoveries for taxes and insurance are classified as additional rental revenues recognized by the lessor on a gross basis in its income statements. The Company’s assessment of collectibility of its tenant receivables includes a binary assessment of whether or not substantially all of the amounts due under a tenant’s lease agreement are probable of collection. The Company considers the operator’s performance and anticipated trends, payment history, and the existence and creditworthiness of guarantees, among other factors, in making this determination. For such leases that are deemed probable of collection, revenue continues to be recorded on a straight-line basis over the lease term, if applicable. For such leases that are deemed not probable of collection, revenue is recorded as the lesser of (i) the amount which would be recognized on a straight-line basis or (ii) cash that has been received from the tenant, with any tenant and deferred rent receivable balances charged as a direct write-off against rental income in the period of the change in the collectibility determination. Such write-offs and recoveries are recorded as decreases or increases through rental income on the Company’s consolidated income statements. For the year ended December 31, 2021, the Company did not record any recovery adjustments or write-off adjustments to rental income. For the year ended December 31, 2020, the Company recorded recovery adjustments of $1.0 million and did not recognize any write-off adjustments to rental income. For the year ended December 31, 2019, the Company recorded $11.8 million of write-off adjustments to rental income related to rental income recognized in prior periods. See Note 3, Real Estate Investments, Net for further detail.
Estimates and Assumptions	Estimates and Assumptions —The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Management believes that the assumptions and estimates used in preparation of the underlying consolidated financial statements are reasonable. Actual results, however, could differ from those estimates and assumptions.
Real Estate Acquisition Valuation	Real Estate Acquisition Valuation — In accordance with ASC 805, Business Combinations , the Company’s acquisitions of real estate investments generally do not meet the definition of a business, and are treated as asset acquisitions. The assets acquired and liabilities assumed are measured at their acquisition date relative fair values. Acquisition costs are capitalized as incurred. The Company allocates the acquisition costs to the tangible assets, identifiable intangible assets/liabilities and assumed liabilities on a relative fair value basis. The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant. As part of the Company’s real estate acquisitions, the Company may commit to provide contingent payments to a seller or lessee (e.g., an earn-out payable upon the applicable property achieving certain financial metrics). Typically, when the contingent payments are funded, cash rent is increased by the amount funded multiplied by a rate stipulated in the agreement. Generally, if the contingent payment is an earn-out provided to the seller, the payment is capitalized to the property’s basis when earn-out becomes probable and estimable. If the contingent payment is an earn-out provided to the lessee, the payment is recorded as a lease incentive and is amortized as a yield adjustment over the life of the lease.
Impairment of Long-Lived Assets	Impairment of Long-Lived Assets —At each reporting period, the Company evaluates its real estate investments to be held and used for potential impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. The judgment regarding the existence of impairment indicators, used to determine if an impairment assessment is necessary, is based on factors such as, but not limited to, market conditions, operator performance and legal structure. If indicators of impairment are present, the Company evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities. The most significant inputs to the undiscounted cash flows include, but are not limited to, facility level financial results, a lease coverage ratio, the intended hold period by the Company, and a terminal capitalization rate. The analysis is also significantly impacted by determining the lowest level of cash flows, which generally would be at the master lease level of cash flows. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets. The impairment is measured as the excess of carrying value over fair value. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. For the year ended December 31, 2019, the Company recorded an impairment expense of $16.7 million. See Note 3, Real Estate Investments, Net , for additional information. The Company classifies its real estate investments as held for sale when the applicable criteria have been met, which entails a formal plan to sell the properties that is expected to be completed within one year, among other criteria. Upon designation as held for sale, the Company writes down the excess of the carrying value over the estimated fair value less costs to sell, resulting in an impairment of the real estate investments, if necessary, and ceases depreciation. In the event of impairment, the fair value of the real estate investment is based on current market conditions and considers matters such as the forecasted operating cash flows, lease coverage ratios, capitalization rates, comparable sales data, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. The Company’s ability to accurately estimate future cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While the Company believes its assumptions are reasonable, changes in these assumptions may have a material impact on financial results.
Other Real Estate Investments	Other Real Estate Investments —Included in other real estate investments on the Company’s consolidated balance sheets at December 31, 2021 and 2020, is one mezzanine loan receivable for which the Company elected the fair value option. Instruments for which the fair value option has been elected are measured at fair value on a recurring basis with changes in fair value recognized in other income (loss) on the consolidated income statements. Fair value was estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value, market interest rates and other credit enhancements. Interest income is recognized as earned within interest and other income in the consolidated income statements.
Prepaid expenses and other assets	Prepaid expenses and other assets —Prepaid expenses and other assets consist of prepaid expenses, deposits, pre-acquisition costs and other loans receivable . During the year ended December 31, 2019, the Company determined that the remaining contractual obligations under one other loan receivable were not collectible and recorded a $1.1 million provision for loan losses in the Company’s consolidated income statements. The Company’s other loans receivable are reflected at amortized cost, net of an allowance for credit loss, on the accompanying consolidated balance sheets. The amortized cost of a loan receivable is the outstanding unpaid principal balance, net of unamortized discounts, costs and fees directly associated with the origination of the loan.
Income Taxes	Income Taxes—The Company has elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986, as amended (the “Code”). The Company believes it has been organized and has operated, and the Company intends to continue to operate, in a manner to qualify for taxation as a REIT under the Code. To qualify as a REIT, the Company must meet certain organizational and operational requirements, including a requirement to distribute to its stockholders at least 90% of the Company’s annual REIT taxable income (computed without regard to the dividends paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, the Company generally will not be subject to federal income tax to the extent it distributes as qualifying dividends all of its REIT taxable income to its stockholders. If the Company fails to qualify as a REIT in any taxable year, it will be subject to federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost unless the Internal Revenue Service grants the Company relief under certain statutory provisions.
Real Estate Depreciation and Amortization	Real Estate Depreciation and Amortization —Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Expenditures for tenant improvements are capitalized and amortized over the shorter of the tenant’s lease term or expected useful life. The Company anticipates the estimated useful lives of its assets by class to be generally as follows: Building 25-40 years Building improvements 10-25 years Tenant improvements Shorter of lease term or expected useful life Integral equipment, furniture and fixtures 5 years Identified intangible assets Shorter of lease term or expected useful life
Cash and Cash Equivalents	Cash and Cash Equivalents —Cash and cash equivalents consist of bank term deposits and money market funds with original maturities of three months or less at time of purchase and therefore approximate fair value. The fair value of these investments is determined based on “Level 1” inputs, which consist of unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets. The Company places its cash and short-term investments with high credit quality financial institutions.
Deferred Financing Costs	Deferred Financing Costs —External costs incurred from placement of the Company’s debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings, which approximates the effective interest method. For senior unsecured notes payable and the senior unsecured term loan, deferred financing costs are netted against the outstanding debt amounts on the balance sheet. For the unsecured revolving credit facility, deferred financing costs are included in assets on the Company’s balance sheet. Amortization of deferred financing costs is classified as interest expense in the consolidated income statements. Accumulated amortization of deferred financing costs was $8.0 million and $9.0 million at December 31, 2021 and 2020, respectively. When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made. Gains and losses from the extinguishment of debt are presented within other income (loss) in the Company’s consolidated income statements. During the year ended December 31, 2021, the Company recorded a loss on extinguishment of debt of $10.8 million. See Note 6, Debt, for further detail.
Stock-Based Compensation	Stock-Based Compensation —The Company accounts for share-based payment awards in accordance with ASC Topic 718, Compensation – Stock Compensation (“ASC 718”). ASC 718 requires all entities to apply a fair value-based measurement method in accounting for share-based payment transactions with directors, officers and employees. The Company measures and recognizes compensation expense for all share-based payment awards made to directors, officers and employees based on the grant date fair value, amortized over the requisite service period of the awar d. Compensation expense for awards with performance-based vesting conditions is recognized based upon the probability that the performance target will be met. Compensation expense for awards with market-based vesting conditions is recognized based upon the estimated number of awards to be earned after considering the Company’s expectation of future performance
Concentration of Credit Risk	Concentration of Credit Risk —The Company is subject to concentrations of credit risk consisting primarily of operating leases on its owned properties. See Note 11, Concentration of Risk , for a discussion of major operator concentration.
Segment Disclosures	Segment Disclosures —The Company is subject to disclosures about segments of an enterprise and related information in accordance with ASC Topic 280, Segment Reporting . The Company has one reportable segment consisting of investments in healthcare-related real estate assets.
Earnings Per Share	Earnings Per Share —The Company calculates earnings per share (“EPS”) in accordance with ASC 260, Earnings Per Share
Beds, Units, Occupancy and Other Measures	Beds, Units, Occupancy and Other Measures—Beds, units, occupancy and other non-financial measures used to describe real estate investments included in these Notes to the consolidated financial statements are presented on an unaudited basis and are not subject to audit by the independent registered public accounting firm in accordance with the standards of the Public Company Accounting Oversight Board.
Recent Accounting Pronouncements	Recent Accounting Pronouncemen ts — In March 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2020-04 , Reference Rate Reform (Topic 848) - Facilitation of the Effects of Reference Rate Reform on Financial Reporting (“ASU 2020-04”), that provides optional relief to applying reference rate reform to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate (“LIBOR”). For U.S. Dollar LIBOR, the overnight, one-month, three-month, six-month and one-year LIBOR rates will be discontinued in June 2023, while other U.S. Dollar LIBOR rates were discontinued at the end of 2021. The amendments in this update are effective immediately and may be applied through December 31, 202 2. The Company does not expect the adoption of the standard to have a material impact on the Company’s consolidated financial statements.
Fair Value Measurements	The Company determines fair value based on quoted prices when available or through the use of alternative approaches, such as discounting the expected cash flows using market interest rates commensurate with the credit quality and duration of the investment. GAAP guidance defines three levels of inputs that may be used to measure fair value: Level 1 – Quoted prices in active markets for identical assets and liabilities that the reporting entity has the ability to access at the measurement date. Level 2 – Inputs other than quoted prices included within Level 1 that are observable for the asset or liability or can be corroborated with observable market data for substantially the entire contractual term of the asset or liability. Level 3 – Unobservable inputs reflect the entity’s own assumptions about the assumptions that market participants would use in the pricing of the asset or liability and are consequently not based on market activity, but rather through particular valuation techniques. The determination of where an asset or liability falls in the hierarchy requires significant judgment and considers factors specific to the asset or liability. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. The Company evaluates its hierarchy disclosures each quarter and, depending on various factors, it is possible that an asset or liability may be classified differently from quarter to quarter. Changes in the type of inputs may result in a reclassification for certain assets. The Company does not expect that changes in classifications between levels will be frequent.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Summary of Estimated Useful Lives of Assets	The Company anticipates the estimated useful lives of its assets by class to be generally as follows: Building 25-40 years Building improvements 10-25 years Tenant improvements Shorter of lease term or expected useful life Integral equipment, furniture and fixtures 5 years Identified intangible assets Shorter of lease term or expected useful life

Real Estate Investments, Net (T

Real Estate Investments, Net (Tables)	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
Summary of Investment in Owned Properties	The following table summarizes the Company’s investment in owned properties at December 31, 2021 and 2020 (dollars in thousands): December 31, 2021 December 31, 2020 Land $ 251,787 $ 205,356 Buildings and improvements 1,622,019 1,477,849 Integral equipment, furniture and fixtures 104,722 97,836 Identified intangible assets 1,257 2,352 Real estate investments 1,979,785 1,783,393 Accumulated depreciation and amortization (389,814) (335,294) Real estate investments, net $ 1,589,971 $ 1,448,099
Schedule of Total Future Contractual Minimum Rental Income	As of December 31, 2021, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, was (dollars in thousands): Year Amount 2022 $ 192,897 2023 192,693 2024 191,347 2025 191,319 2026 191,424 Thereafter 1,138,179 $ 2,097,859
Schedule of Tenant Purchase Options	Certain of the Company’s operators hold purchase options allowing them to acquire properties they currently lease from the Company. A summary of these purchase options is presented below (dollars in thousands): Asset Type Properties Lease Expiration Next Option Open Date Option Type (1) Current Cash Rent (2) ALF 7 October 2034 1/1/2022 (3) A $ 3,383 SNF 11 November 2030 1/1/2022 (3) C 4,944 SNF 1 March 2029 4/1/2022 B / C (4) 779 SNF / Campus 2 October 2032 1/1/2023 B 1,028 SNF 4 November 2034 12/1/2024 B 3,796 ALF 2 October 2034 1/1/2026 A 1,598 (1) Option type includes: A - Fixed base price plus a specified share on any appreciation. B - Fixed base price. C - Fixed capitalization rate on lease revenue. (2) Based on annualized cash revenue for contracts in place at December 31, 2021. (3) Option window is open for six months. (4) Purchase option reflects two option types.
Schedule of Rental Income	The following table summarizes components of the Company’s rental income (dollars in thousands): For the Year Ended December 31, 2021 2020 2019 Rental Income Contractual rent due (1) $ 190,100 $ 171,309 $ 166,056 Straight-line rent 32 77 1,385 Adjustment for collectibility (2) — — (11,774) Recovery of previously reversed rent (3) — 1,047 — Lease termination revenue (3) 63 1,179 — Total $ 190,195 $ 173,612 $ 155,667 (1) Includes initial cash rent and tenant operating expense reimbursements, as adjusted for applicable rental escalators and rent increases due to capital expenditures funded by the Company. For tenants on a cash basis, this represents the lesser of the amount that would be recognized on a straight-line basis or cash that has been received. (2) During the year ended December 31, 2019, and in accordance with ASC 842, the Company evaluated the collectibility of lease payments through maturity and determined that it was not probable that the Company would collect substantially all of the contractual obligations from five operators through maturity. As such, the Company reversed $7.8 million of contractual rent, $3.5 million of straight-line rent and $0.5 million of property tax reimbursements during the year ended December 31, 2019. (3) During the year ended December 31, 2020, the Company recovered $1.0 million in rental income related to affiliates of Metron Integrated Health Systems (“Metron”) that was previously written off. In addition, in connection with the agreement to terminate its lease agreements with Metron and to sell the facilities to a third-party, the Company received certain lease termination payments from Metron. During the years ended December 31, 2021 and 2020, the Company recognized approximately $0.1 million and $1.2 million in lease termination revenue, respectively.
Schedule of Real Estate Acquisitions	The following table summarizes the Company’s acquisitions for the years ended December 31, 2021, 2020 and 2019 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent (2) Number of Properties Number of Beds/Units (3) December 31, 2021 Skilled nursing $ 57,973 $ 4,499 (4) 4 509 Multi-service campuses 125,708 8,604 (5) 4 640 Assisted living 12,395 — (6) 2 98 Total $ 196,076 $ 13,103 10 1,247 December 31, 2020 Skilled nursing $ 75,545 $ 6,453 6 715 Multi-service campuses 6,876 555 1 184 Assisted living 7,396 590 1 62 Total $ 89,817 $ 7,598 8 961 December 31, 2019 Skilled nursing $ 254,760 $ 22,909 17 2,099 Multi-service campuses 59,344 5,203 4 762 Assisted living 12,596 1,031 1 96 Total $ 326,700 $ 29,143 22 2,957 (1) Purchase price includes capitalized acquisition costs. (2) Initial annual cash rent excludes ground lease income. (3) The number of beds/units includes operating beds at acquisition date. (4) Initial annual cash rent represents initial cash rent for the first twelve months excluding any impact of straight-line rent. (5) Initial annual cash rent represents the first twelve months of rent upon commencement of the Company’s long-term net leases, which occurred during the three months ended June 30, 2021, upon the tenant’s receipt of licensing approval and increases to $9.4 million in the second year with CPI-based annual escalators thereafter.

Other Real Estate Investments (

Other Real Estate Investments (Tables)	12 Months Ended
	Dec. 31, 2021
Investments, All Other Investments [Abstract]
Schedule of Loans Receivable and Other Investments	As of December 31, 2021 and 2020, the Company’s loans receivable and other investments consisted of the following (dollar amounts in thousands): As of December 31, 2021 Investment Financial Statement Line Item Principal Balance as of December 31, 2021 Book Value as of December 31, 2021 Book Value as of December 31, 2020 Weighted Average Contractual Interest Rate Maturity Date Mezzanine loan receivable Other real estate investments $ 15,000 $ 15,155 $ 15,000 12.0 % 11/30/2025 Other loans receivable Prepaid expenses and other assets, net 3,154 3,161 2,308 8.0 % 9/1/2023 - 12/31/2023 Total $ 18,154 $ 18,316 $ 17,308
Schedule of Interest and Other Income	The following table summarizes the interest and other income recognized during the years ended December 31, 2021, 2020 and 2019 ( dollar amounts in thousands): For Year Ended December 31, Investment 2021 2020 2019 Mezzanine loan receivable $ 1,825 $ 305 $ — Mortgage loans receivable (1) — 2,044 2,838 Preferred equity investments (1) — 24 1,343 Other 331 270 164 Total $ 2,156 $ 2,643 $ 4,345 (1) As of December 31, 2021 and 2020, the Company had no mortgage loans receivable or preferred equity investments.

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2021
Fair Value Disclosures [Abstract]
Schedule of Assets and Liabilities Measured at Fair Value on a Recurring Basis	The following table presents information about the Company’s assets and liabilities measured at fair value on a recurring basis as of December 31, 2021 and 2020, aggregated by the level in the fair value hierarchy within which those instruments fall (dollars in thousands): Level 1 Level 2 Level 3 Balance as of December 31, 2021 Assets: Mezzanine loan receivable $ — $ — $ 15,155 $ 15,155 Level 1 Level 2 Level 3 Balance as of December 31, 2020 Assets: Mezzanine loan receivable $ — $ — $ 15,000 $ 15,000
Summary of Fair Value and Carrying Value of Financial Instruments	A summary of the face values, carrying amounts and fair values of the Company’s financial instruments as of December 31, 2021 and 2020 using Level 2 inputs for the Notes and the 2025 Notes (each as defined in Note 6, Debt, below) is as follows (dollars in thousands): December 31, 2021 December 31, 2020 Face Carrying Fair Face Carrying Fair Financial liabilities: 2028 Senior unsecured notes payable $ 400,000 $ 394,262 $ 410,500 $ — $ — $ — 2025 Senior unsecured notes payable — — — 300,000 296,669 311,430

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2021
Debt Disclosure [Abstract]
Schedule of Debt Instruments	The following table summarizes the balance of the Company’s indebtedness as of December 31, 2021 and 2020 (in thousands): December 31, 2021 December 31, 2020 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount 2028 Senior unsecured notes payable $ 400,000 $ (5,738) $ 394,262 $ — $ — $ — 2025 Senior unsecured notes payable — — — 300,000 (3,331) 296,669 Senior unsecured term loan 200,000 (864) 199,136 200,000 (1,075) 198,925 Unsecured revolving credit facility 80,000 — 80,000 50,000 — 50,000 $ 680,000 $ (6,602) $ 673,398 $ 550,000 $ (4,406) $ 545,594
Schedule of Debt Maturities	As of December 31, 2021, the Company’s debt maturities were (dollars in thousands): Year Amount 2022 $ — 2023 80,000 2024 — 2025 — 2026 200,000 Thereafter 400,000 $ 680,000

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Summary of the At-The-Market Equity Offering Program	The following table summarizes ATM Program activity and predecessor at-the-market equity offering program activity for the years ended December 31, 2021 and 2019 (in thousands, except per share amounts): For the Year Ended December 31, 2021 2019 Number of shares 990 2,459 Average sales price per share $ 23.74 $ 19.48 Gross proceeds (1) $ 23,505 $ 47,893
Summary of Dividends on Common Stock	The following table summarizes the cash dividends per share of common stock declared by the Company’s Board of Directors for 2021, 2020 and 2019 (dollars in thousands, except per share amounts): For the Three Months Ended 2021 March 31, June 30, September 30, December 31, Dividends declared $ 0.265 $ 0.265 $ 0.265 $ 0.265 Dividends payment date April 15, 2021 July 15, 2021 October 15, 2021 January 14, 2022 Dividends payable as of record date $ 25,633 $ 25,714 $ 25,714 $ 25,755 Dividends record date March 31, 2021 June 30, 2021 September 30, 2021 December 31, 2021 2020 Dividends declared $ 0.25 $ 0.25 $ 0.25 $ 0.25 Dividends payment date April 15, 2020 July 15, 2020 October 15, 2020 January 15, 2021 Dividends payable as of record date $ 23,931 $ 23,931 $ 23,934 $ 23,933 Dividends record date March 31, 2020 June 30, 2020 September 30, 2020 December 31, 2020 2019 Dividends declared $ 0.225 $ 0.225 $ 0.225 $ 0.225 Dividends payment date April 15, 2019 July 15, 2019 October 15, 2019 January 15, 2020 Dividends payable as of record date $ 20,011 $ 21,508 $ 21,500 $ 21,500 Dividends record date March 29, 2019 June 28, 2019 September 30, 2019 December 31, 2019

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2021
Share-based Payment Arrangement [Abstract]
Summary of Restricted Stock Award and Performance Award Activity	The following table summarizes the status of the restricted stock award and performance award activity for the year ended December 31, 2021: Shares Weighted Average Share Price Unvested balance at December 31, 2020 517,686 $ 18.71 Granted: RSAs 394,863 21.92 PSAs 108,414 22.48 Board Awards 20,266 24.18 Vested (147,646) 17.43 Forfeited (2,250) 22.38 Unvested balance at December 31, 2021 891,333 $ 20.91
Summary of Award Grants	The following table summarizes the Company’s RSA, PSA and Board Award grants during the year ended December 31, 2021 (dollars in thousands, except per share amounts): Grants Vested Shares Weighted Average Share Price Grant Date Fair Value Shares Vest Date Fair Value During year ended December 31, 2021 (1) RSAs 394,863 $ 21.92 $ 8,654 89,921 $ 2,105 PSAs 108,414 22.48 2,437 30,114 707 Board Awards 20,266 24.18 490 27,611 668 (1) In 2021, the Compensation Committee changed the structure of the grants that resulted in two long-term equity incentive awards being granted to the Company’s named executive officers in 2021. The Compensation Committee also granted annual awards for 2022 in December 2021. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2020 and 2019 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2020 RSAs 134,790 19.68 2,653 PSAs 107,790 19.06 2,054 Board Awards 27,611 16.48 455 During year ended December 31, 2019 RSAs 91,440 22.00 2,012 PSAs 71,440 22.00 1,572 Board Awards 17,749 24.23 430
Schedule of Key Valuation Assumptions Used in Valuation	The fair value of the TSR Awards is estimated on the date of the grant using a Monte Carlo valuation model. The risk-free rate is based on the U.S. Treasury yield curve in effect at the grant date for the expected performance period. Expected volatility is based on historical volatility for the most recent 2.93 year weighted average period ending on the grant date for the Company and the selected TSR peer group, and is calculated on a daily basis. The following table reflects the weighted-average key assumptions used in this valuation for awards granted during the year ended December 31, 2021 : Risk-free interest rate 0.60 % Expected stock price volatility 52.42 % Expected service period 2.93 years Expected dividend yield (assuming full reinvestment) — % Fair value per share at date of grant $ 29.10
Schedule of Stock-Based Compensation Expense	The following table summarizes the stock-based compensation expense recognized (dollars in thousands): For Year Ended December 31, 2021 2020 2019 Stock-based compensation expense $ 10,832 $ 3,790 $ 4,104

Earnings Per Common Share (Tabl

Earnings Per Common Share (Tables)	12 Months Ended
	Dec. 31, 2021
Earnings Per Share [Abstract]
Reconciliation of Weighted-Average Common Shares Outstanding Used in Calculation of Basic EPS to Diluted EPS	The following table presents the calculation of basic and diluted EPS for the Company’s common stock for the years ended December 31, 2021, 2020 and 2019, and reconciles the weighted-average common shares outstanding used in the calculation of basic EPS to the weighted-average common shares outstanding used in the calculation of diluted EPS for the years ended December 31, 2021, 2020 and 2019 (amounts in thousands, except per share amounts): Year Ended December 31, 2021 2020 2019 Numerator: Net income $ 71,982 $ 80,867 $ 46,359 Less: Net income allocated to participating securities (507) (298) (296) Numerator for basic and diluted earnings available to common stockholders $ 71,475 $ 80,569 $ 46,063 Denominator: Weighted-average basic common shares outstanding 96,017 95,200 93,088 Dilutive performance stock awards 75 7 10 Weighted-average diluted common shares outstanding 96,092 95,207 93,098 Earnings per common share, basic $ 0.74 $ 0.85 $ 0.49 Earnings per common share, diluted $ 0.74 $ 0.85 $ 0.49 Antidilutive unvested restricted stock awards and performance awards excluded from the computation 591 296 292

Concentration of Risk (Tables)

Concentration of Risk (Tables)	12 Months Ended
	Dec. 31, 2021
Risks and Uncertainties [Abstract]
Schedules of Concentration of Risk	Major operator concentration – The Company has operators from which it derived 10% or more of its rental revenue for the years ended December 31, 2021, 2020 and 2019. The following table sets forth information regarding the Company’s major operators as of December 31, 2021, 2020 and 2019: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) Operator (2) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2021 Ensign 83 8 4 8,756 997 395 32 % PMG 13 2 — 1,742 402 — 15 % December 31, 2020 Ensign 77 8 4 8,129 1,027 390 32 % PMG 13 2 — 1,742 403 — 16 % December 31, 2019 Ensign 75 6 4 7,945 573 390 38 % PMG 13 2 — 1,742 403 — 15 % (1) The Company’s rental income, exclusive of operating expense reimburseme nts. (2) See Note 3, Real Estate Investments, Net , for further information regarding Ensign and PMG. Ensign is subject to the registration and reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Ensign’s financial statements, as filed with the SEC, can be found at http://www.sec.gov. The Company has not verified this information through an independent investigation or otherwise. Major geographic concentration – The following table provides information regarding the Company’s concentrations with respect to certain states, from which the Company derived 10% or more of its rental revenue for the year ended December 31, 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) State SNF Campus ALF/ILF SNF Campus ALF/ILF CA 27 8 5 3,048 1,359 449 25 % TX 37 3 3 4,694 536 242 20 % (1) The Company’s rental income, exclusive of operating expense reimburseme nts.

Organization (Details)

Organization (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)facilitystatebed	Dec. 31, 2020USD ($)
Real Estate Properties [Line Items]
Number of facilities	227
Number of states with properties | state	29
Other real estate investments | $	$ 15,155	$ 15,000
Skilled nursing, assisted living and independent living facilities
Real Estate Properties [Line Items]
Number of facilities	227
Number of operational beds and units in facilities | bed	23,650

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Narrative (Details)	12 Months Ended
	Dec. 31, 2021USD ($)segment	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)
Accounting Policies [Abstract]
Recovery of previously reserved rent	$ 0	$ 1,047,000	$ 0
Adjustment for collectibility of rental income	0	0	11,774,000
Impairment of real estate investments	0	0	16,692,000
Accumulated amortization of deferred financing costs	8,000,000	9,000,000
Loss on extinguishment of debt	(10,827,000)	0	0
Stock-based compensation expense	$ 10,832,000	3,790,000	4,104,000
Number of reportable segments | segment	1
Accounting Policies [Line Items]
Provision for loan losses	$ 0	$ 0	1,076,000
Bridge loan
Accounting Policies [Line Items]
Provision for loan losses			$ 1,100,000

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Estimated Useful Lives of Assets (Details)	12 Months Ended
	Dec. 31, 2021
Building | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	25 years
Building | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	40 years
Building improvements | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	10 years
Building improvements | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	25 years
Integral equipment, furniture and fixtures
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	5 years

Real Estate Investments, Net -

Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Real Estate [Abstract]
Land	$ 251,787	$ 205,356
Buildings and improvements	1,622,019	1,477,849
Integral equipment, furniture and fixtures	104,722	97,836
Identified intangible assets	1,257	2,352
Real estate investments	1,979,785	1,783,393
Accumulated depreciation and amortization	(389,814)	(335,294)
Real estate investments, net	$ 1,589,971	$ 1,448,099

Real Estate Investments, Net _2

Real Estate Investments, Net - Narrative (Details) $ in Millions	12 Months Ended
	Dec. 31, 2021USD ($)facilityrenewal_optionproperty	Dec. 31, 2020facilityproperty	Dec. 31, 2019property	Oct. 01, 2019facility
Real Estate [Line Items]
Number of facilities	227
Number of facilities acquired | property	10	8	22
Short-term lease
Real Estate [Line Items]
Number of facilities	2
Ensign | Minimum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	0.00%
Ensign | Maximum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	2.50%
Ensign | Ensign master leases
Real Estate [Line Items]
Number of facilities	91			85
Annualized contractual rental income | $	$ 59.7
Ensign | Other Ensign leases
Real Estate [Line Items]
Annualized contractual rental income | $	$ 3.8
Number of facilities acquired		4
PMG
Real Estate [Line Items]
Number of facilities	15
Annualized contractual rental income | $	$ 28.9
Initial lease term (in years)	15 years
Number of renewal options | renewal_option	2
Lease renewal term (in years)	5 years
PMG | Minimum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	0.00%
PMG | Maximum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	3.00%
Various other operators
Real Estate [Line Items]
Number of facilities	115

Real Estate Investments, Net _3

Real Estate Investments, Net - Future Contractual Minimum Rental Income (Details) $ in Thousands	Dec. 31, 2021USD ($)
Future Contractual Minimum Rental Income
2022	$ 192,897
2023	192,693
2024	191,347
2025	191,319
2026	191,424
Thereafter	1,138,179
Total	$ 2,097,859

Real Estate Investments, Net _4

Real Estate Investments, Net - Tenant Purchase Options (Details) $ in Thousands	Dec. 31, 2021USD ($)property
ALF | Lease Expiration October 2034, Next option 2022
Lessor, Lease, Description [Line Items]
Properties | property	7
Current Cash Rent | $	$ 3,383
ALF | Lease Expiration October 2034, Next option 2026
Lessor, Lease, Description [Line Items]
Properties | property	2
Current Cash Rent | $	$ 1,598
SNF | Lease Expiration November 2030, Next option 2022
Lessor, Lease, Description [Line Items]
Properties | property	11
Current Cash Rent | $	$ 4,944
SNF | Lease Expiration March 2029, Next option 2022
Lessor, Lease, Description [Line Items]
Properties | property	1
Current Cash Rent | $	$ 779
SNF | Lease Expiration November 2034, Next option 2024
Lessor, Lease, Description [Line Items]
Properties | property	4
Current Cash Rent | $	$ 3,796
SNF / Campus | Lease Expiration October 2032, Next option 2023
Lessor, Lease, Description [Line Items]
Properties | property	2
Current Cash Rent | $	$ 1,028

Real Estate Investments, Net _5

Real Estate Investments, Net - Rental Income (Details)	12 Months Ended
	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)operator
Lessor, Lease, Description [Line Items]
Contractual rent due	$ 190,100,000	$ 171,309,000	$ 166,056,000
Straight-line rent	32,000	77,000	1,385,000
Adjustment for collectibility	0	0	(11,774,000)
Recovery of previously reserved rent	0	1,047,000	0
Lease termination revenue	63,000	1,179,000	0
Total	190,195,000	173,612,000	$ 155,667,000
Number of operators for which collectability not probable | operator			5
Contractual rent
Lessor, Lease, Description [Line Items]
Adjustment for collectibility			$ (7,800,000)
Straight-line rent
Lessor, Lease, Description [Line Items]
Adjustment for collectibility			(3,500,000)
Property taxes
Lessor, Lease, Description [Line Items]
Adjustment for collectibility			$ (500,000)
Metron
Lessor, Lease, Description [Line Items]
Recovery of previously reserved rent		1,000,000
Lease termination revenue	$ 100,000	$ 1,200,000

Real Estate Investments, Net _6

Real Estate Investments, Net - Recent Real Estate Acquisitions (Details) $ in Thousands	12 Months Ended
	Jun. 30, 2023USD ($)	Dec. 31, 2021USD ($)propertyunit	Dec. 31, 2020USD ($)unitproperty	Dec. 31, 2019USD ($)unitproperty
Business Acquisition [Line Items]
Purchase Price		$ 196,076	$ 89,817	$ 326,700
Initial Annual Cash Rent		$ 13,103	$ 7,598	$ 29,143
Number of properties | property		10	8	22
Number of Beds/Units | unit		1,247	961	2,957
Skilled nursing
Business Acquisition [Line Items]
Purchase Price		$ 57,973	$ 75,545	$ 254,760
Initial Annual Cash Rent		$ 4,499	$ 6,453	$ 22,909
Number of properties | property		4	6	17
Number of Beds/Units | unit		509	715	2,099
Multi-service campuses
Business Acquisition [Line Items]
Purchase Price		$ 125,708	$ 6,876	$ 59,344
Initial Annual Cash Rent		$ 8,604	$ 555	$ 5,203
Number of properties | property		4	1	4
Number of Beds/Units | unit		640	184	762
Multi-service campuses | Forecast
Business Acquisition [Line Items]
Initial Annual Cash Rent	$ 9,400
Assisted living
Business Acquisition [Line Items]
Purchase Price		$ 12,395	$ 7,396	$ 12,596
Initial Annual Cash Rent		$ 0	$ 590	$ 1,031
Number of properties | property		2	1	1
Number of Beds/Units | unit		98	62	96

Real Estate Investments, Net _7

Real Estate Investments, Net - Lease Amendments (Details) $ in Thousands

Sep. 23, 2021USD ($)facility

Aug. 01, 2021USD ($)extension_optionfacility

Jul. 01, 2021USD ($)facilityextension_option

Jun. 01, 2021USD ($)facilityextension_option

Mar. 10, 2021USD ($)

Dec. 01, 2020USD ($)extension_optionfacility

Oct. 01, 2019USD ($)facilityextension_optionbed

Sep. 30, 2021

Sep. 30, 2019USD ($)

Dec. 31, 2021USD ($)propertyfacility

Dec. 31, 2020USD ($)property

Dec. 31, 2019USD ($)property

Nov. 04, 2019USD ($)facilityextension_option

Sep. 01, 2019USD ($)propertyextension_option

Aug. 16, 2019property

Jul. 15, 2019property

Real Estate [Line Items]

Number of properties | property

10

8

22

Initial annual cash rent

$ 13,103

$ 7,598

$ 29,143

Number of facilities | facility

227

Accounts and other receivables

Real Estate [Line Items]

Write-off of accounts and straight-line rent receivable

$ 3,800

Noble master leases, amended

Real Estate [Line Items]

Number of amended leases | facility

2

Lease amendment deferral

$ 1,800

Lease amendment deferral, percentage of contractual base

0.04

Ensign master lease, amended

Real Estate [Line Items]

Lease term (in years)

17 years

Number of renewal options | extension_option

3

Lease renewal term (in years)

5 years

Annual cash rent increase under amended lease

$ 2,200

GAAP rent increase

$ 2,500

Ensign amended triple-net master lease

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | extension_option

3

Lease renewal term (in years)

5 years

Initial annual cash rent

$ 2,600

Noble VA master lease, amended

Real Estate [Line Items]

Lease term (in years)

13 years

Number of renewal options | extension_option

2

Lease renewal term (in years)

5 years

Initial annual cash rent

$ 1,000

$ 1,300

Noble triple-net master lease

Real Estate [Line Items]

Lease term (in years)

14 years

Number of renewal options | extension_option

2

Lease renewal term (in years)

5 years

Initial annual cash rent

$ 3,200

Skilled nursing facility

Real Estate [Line Items]

Number of properties | facility

2

Rent prepayment

$ 5,000

Assisted living

Real Estate [Line Items]

Number of properties | property

2

1

1

Initial annual cash rent

$ 0

$ 590

$ 1,031

Skilled nursing properties

Real Estate [Line Items]

Number of properties | property

4

6

17

Initial annual cash rent

$ 4,499

$ 6,453

$ 22,909

Noble | Assisted living

Real Estate [Line Items]

Number of properties | facility

2

Ensign | Ensign master leases

Real Estate [Line Items]

Number of facilities | facility

85

91

Number of beds in leased facilities | bed

8,908

Reduction to contractual annual cash rent as result of spin

$ 7,800

Ensign | Skilled nursing facility

Real Estate [Line Items]

Number of skilled nursing facilities | facility

4

Noble VA | Assisted living

Real Estate [Line Items]

Number of properties transferred | facility

2

5

Pennant

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | extension_option

2

Lease renewal term (in years)

5 years

Initial annual cash rent

$ 7,800

Number of facilities | facility

11

Number of beds in leased facilities | bed

1,151

Trillium | Iowa

Real Estate [Line Items]

Properties in terminated master lease | property

10

Properties covered in new master lease | property

10

Trillium | Ohio

Real Estate [Line Items]

Properties in terminated master lease | property

7

7

Trillium | Georgia

Real Estate [Line Items]

Properties in terminated master lease | property

1

Properties covered in new master lease | property

1

Trillium | Skilled nursing properties | Ohio

Real Estate [Line Items]

Properties in terminated master lease | property

7

Providence | Triple-net master lease

Real Estate [Line Items]

Lease term (in years)

13 years

Number of renewal options | extension_option

2

Lease renewal term (in years)

5 years

Annual cash rent increase under amended lease

$ 2,100

Providence | Skilled nursing properties | Ohio

Real Estate [Line Items]

Number of properties transferred | property

4

Trio | Trio master lease, amended

Real Estate [Line Items]

Lease term (in years)

13 years

Number of renewal options | extension_option

2

Lease renewal term (in years)

5 years

Annual cash rent increase under amended lease

$ 4,700

Number of facilities | facility

7

Real Estate Investments, Net _8

Real Estate Investments, Net - Impairment of Real Estate Investments, Asset Sales and Assets Held for Sale (Details) $ in Thousands	Feb. 01, 2021USD ($)	Nov. 01, 2020USD ($)unitfacility	Feb. 14, 2020USD ($)facility	Dec. 23, 2019USD ($)unitfacility	Jul. 31, 2020USD ($)	Apr. 30, 2020USD ($)	Mar. 31, 2020USD ($)	Sep. 30, 2019USD ($)	Dec. 31, 2021USD ($)facility	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)	Sep. 01, 2019USD ($)property	Jul. 15, 2019property
Real Estate [Line Items]
Loan receivable									$ 18,316	$ 17,308
Assets held for sale, net									4,835	7,226
Proceeds from sale									6,958	6,608	$ 3,499
Gain (loss) on sale of real estate									77	37	$ (1,777)
Real estate investments, net									$ 1,589,971	$ 1,448,099
Number of facilities | facility									227
Trillium | Ohio
Real Estate [Line Items]
Properties in terminated master lease | property												7	7
Mortgage loans receivable | CommuniCare
Real Estate [Line Items]
Facilities utilized to secure mortgage loan | property												3
Loan receivable												$ 26,500
Mortgage loans receivable | Cascade Capital Group, LLC
Real Estate [Line Items]
Loan receivable			$ 32,400
Loan receivable interest rate (percent)			7.50%
Proceeds from settlement of loan					$ 13,900	$ 18,900
Loan receivable						$ 13,900
Disposed of by sale
Real Estate [Line Items]
Number of properties sold | facility			6
Disposed of by sale | Trillium skilled nursing facilities
Real Estate [Line Items]
Number of properties sold | property												3
Contract purchase price												$ 28,000
Impairment expense to reduce carrying value to fair value less costs to sell								$ 7,800
Disposed of by sale | Metron skilled nursing facilities
Real Estate [Line Items]
Contract purchase price			$ 36,000
Impairment expense to reduce carrying value to fair value less costs to sell								$ 8,800
Proceeds from sale			$ 3,500
Gain (loss) on sale of real estate							$ 100
Disposed of by sale | Five Oaks Healthcare LLC
Real Estate [Line Items]
Proceeds from sale	$ 7,000
Gain (loss) on sale of real estate	200
Real estate investments, net	$ 7,200
Disposed of by sale | Owned and operated living facilities
Real Estate [Line Items]
Number of properties sold | facility		1		1
Proceeds from sale		$ 4,200		$ 3,300
Gain (loss) on sale of real estate		(20)		(1,600)
Real estate investments, net		$ 4,200		$ 1,700
Number of units available in living facilities | unit		168		38
Held for sale
Real Estate [Line Items]
Number of facilities | facility									1

Other Real Estate Investments -

Other Real Estate Investments - Loans Receivable and Other Investments (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Real Estate Properties [Line Items]
Principal Amount	$ 18,154
Book Value	18,316	$ 17,308
Mezzanine loan receivable
Real Estate Properties [Line Items]
Principal Amount	15,000
Book Value	$ 15,155	15,000
Weighted Average Contractual Interest Rate	12.00%
Other
Real Estate Properties [Line Items]
Principal Amount	$ 3,154
Book Value	$ 3,161	$ 2,308
Weighted Average Contractual Interest Rate	8.00%

Other Real Estate Investments_2

Other Real Estate Investments - Loans Receivable Narrative (Details) $ in Thousands	1 Months Ended
	Nov. 30, 2020USD ($)facility	Dec. 31, 2021USD ($)
Real Estate Properties [Line Items]
Loan principal		$ 18,154
Next VA Star Realty Holdings LLC | Mezzanine loan receivable
Real Estate Properties [Line Items]
Number of facilities in agreement secured by membership interests | facility	9
Loan principal	$ 15,000
Loan receivable interest rate (percent)	12.00%
Period of unpaid interest payments due upon prepayment	24 months
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Minimum
Real Estate Properties [Line Items]
Loans receivable exit fee (percent)	1.00%
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Maximum
Real Estate Properties [Line Items]
Loans receivable exit fee (percent)	3.00%

Other Real Estate Investments_3

Other Real Estate Investments - Interest and Other Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real Estate Properties [Line Items]
Interest and other income	$ 2,156	$ 2,643	$ 4,345
Mezzanine loan receivable
Real Estate Properties [Line Items]
Interest and other income	1,825	305	0
Mortgage loans receivable
Real Estate Properties [Line Items]
Interest and other income	0	2,044	2,838
Preferred equity investments
Real Estate Properties [Line Items]
Interest and other income	0	24	1,343
Other
Real Estate Properties [Line Items]
Interest and other income	$ 331	$ 270	$ 164

Fair Value Measurements - Asset

Fair Value Measurements - Assets and Liabilities at Fair Value on Recurring Basis (Details) - Recurring - Mezzanine loan receivable - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Assets:
Mezzanine loan receivable	$ 15,155	$ 15,000
Level 1
Assets:
Mezzanine loan receivable	0	0
Level 2
Assets:
Mezzanine loan receivable	0	0
Level 3
Assets:
Mezzanine loan receivable	$ 15,155	$ 15,000

Fair Value Measurements - Narra

Fair Value Measurements - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Fair Value Disclosures [Abstract]
Impairment of real estate investments	$ 0	$ 0	$ 16,692,000

Fair Value Measurements - Fair

Fair Value Measurements - Fair Value and Carrying Value of Financial Instruments (Details) - Notes payable - USD ($) $ in Thousands	Dec. 31, 2021	Jun. 17, 2021	Dec. 31, 2020	May 10, 2017
2028 Senior unsecured notes payable
Financial liabilities:
Senior unsecured notes payable, face value	$ 400,000	$ 400,000	$ 0
2025 Senior unsecured notes payable
Financial liabilities:
Senior unsecured notes payable, face value	0		300,000	$ 300,000
Carrying Amount | 2028 Senior unsecured notes payable | Level 2
Financial liabilities:
Senior unsecured notes payable, fair value	394,262		0
Carrying Amount | 2025 Senior unsecured notes payable | Level 2
Financial liabilities:
Senior unsecured notes payable, fair value	0		296,669
Fair Value | 2028 Senior unsecured notes payable | Level 2
Financial liabilities:
Senior unsecured notes payable, fair value	410,500		0
Fair Value | 2025 Senior unsecured notes payable | Level 2
Financial liabilities:
Senior unsecured notes payable, fair value	$ 0		$ 311,430

Debt - Schedule of Debt (Detail

Debt - Schedule of Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Principal Amount	$ 680,000	$ 550,000
Deferred Loan Fees	(6,602)	(4,406)
Carrying Amount	673,398	545,594
Unsecured revolving credit facility
Debt Instrument [Line Items]
Principal Amount	80,000	50,000
Deferred Loan Fees	0	0
Carrying Amount	80,000	50,000
Notes payable | 2028 Senior unsecured notes payable
Debt Instrument [Line Items]
Principal Amount	400,000	0
Deferred Loan Fees	(5,738)	0
Carrying Amount	394,262	0
Notes payable | 2025 Senior unsecured notes payable
Debt Instrument [Line Items]
Principal Amount	0	300,000
Deferred Loan Fees	0	(3,331)
Carrying Amount	0	296,669
Term loan | Senior unsecured term loan
Debt Instrument [Line Items]
Principal Amount	200,000	200,000
Deferred Loan Fees	(864)	(1,075)
Carrying Amount	$ 199,136	$ 198,925

Debt - Senior Unsecured Notes P

Debt - Senior Unsecured Notes Payable Narrative (Details) - USD ($) $ in Thousands	Jul. 01, 2021	Jun. 17, 2021	May 10, 2017	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Gross proceeds from issuance				$ 0	$ 0	$ 200,000
Loss on extinguishment of debt				10,827	0	$ 0
Notes payable | 3.875% Senior Notes due 2028
Debt Instrument [Line Items]
Debt instrument face amount		$ 400,000		400,000	0
Interest rate (percent)		3.875%
Gross proceeds from issuance		$ 400,000
Net proceeds from issuance		$ 393,800
Redemption price, percentage upon change of control (percent)		101.00%
Notes payable | 3.875% Senior Notes due 2028 | Period prior to March 30 2028
Debt Instrument [Line Items]
Redemption price of notes (percent)		100.00%
Notes payable | 3.875% Senior Notes due 2028 | Period after March 30 2028
Debt Instrument [Line Items]
Redemption price of notes (percent)		100.00%
Notes payable | 3.875% Senior Notes due 2028 | Period prior to June 30 2024
Debt Instrument [Line Items]
Redemption price of notes (percent)		103.875%
Percentage of principal amount (percent)		40.00%
Notes payable | 5.25% Senior Notes due 2025
Debt Instrument [Line Items]
Debt instrument face amount			$ 300,000	0	$ 300,000
Interest rate (percent)			5.25%
Gross proceeds from issuance			$ 300,000
Net proceeds from issuance			$ 294,000
Redemption price of notes (percent)	102.625%
Aggregate principal redeemed	$ 300,000
Loss on extinguishment of debt				10,800
Prepayment penalty				7,900
Write-off of deferred financing costs				$ 2,900

Debt - Unsecured Revolving Cred

Debt - Unsecured Revolving Credit Facility and Term Loan Narrative (Details)	Feb. 08, 2019USD ($)extension_option	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)
Line of Credit Facility [Line Items]
Borrowings outstanding		$ 680,000,000	$ 550,000,000
Borrowings outstanding		80,000,000	50,000,000
Revolving credit facility
Line of Credit Facility [Line Items]
Credit facility borrowing capacity	$ 600,000,000
Borrowings outstanding		80,000,000	50,000,000
Borrowings outstanding		80,000,000
Number of extension options | extension_option	2
Extension option term (in months)	6 months
Revolving credit facility | Minimum
Line of Credit Facility [Line Items]
Facility fee on revolving commitment fees (percent)	0.15%
Facility fee on revolving commitment fee based on investment grade ratings (percent)	0.125%
Revolving credit facility | Minimum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.10%
Revolving credit facility | Minimum | LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.10%
Revolving credit facility | Maximum
Line of Credit Facility [Line Items]
Facility fee on revolving commitment fees (percent)	0.35%
Facility fee on revolving commitment fee based on investment grade ratings (percent)	0.30%
Revolving credit facility | Maximum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.55%
Revolving credit facility | Maximum | LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.55%
Letter of credit
Line of Credit Facility [Line Items]
Subfacility capacity as percentage of available revolving commitments (percent)	10.00%
Swingline loan
Line of Credit Facility [Line Items]
Subfacility capacity as percentage of available revolving commitments (percent)	10.00%
Term loan | Senior unsecured term loan
Line of Credit Facility [Line Items]
Debt instrument face amount	$ 200,000,000
Borrowings outstanding		$ 200,000,000	$ 200,000,000
Term loan | Senior unsecured term loan | Minimum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.50%
Term loan | Senior unsecured term loan | Minimum | LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.50%
Term loan | Senior unsecured term loan | Maximum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.20%
Term loan | Senior unsecured term loan | Maximum | LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	2.20%

Debt - Schedule of Debt Maturit

Debt - Schedule of Debt Maturities (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt, Fiscal Year Maturity [Abstract]
2022	$ 0
2023	80,000
2024	0
2025	0
2026	200,000
Thereafter	400,000
Total debt	$ 680,000	$ 550,000

Equity - Narrative (Details)

Equity - Narrative (Details) - USD ($)	Apr. 15, 2019	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Mar. 20, 2020	Mar. 10, 2020
Class of Stock [Line Items]
Common stock, par value (usd per share)		$ 0.01	$ 0.01
Gross proceeds		$ 22,946,000		$ 195,924,000
Share repurchase program authorization					$ 150,000,000
Shares repurchased (shares)		0	0
Underwritten public offering
Class of Stock [Line Items]
Issuance of common stock, net (shares)	6,641,250
Common stock, par value (usd per share)	$ 0.01
Share price to the public (usd per share)	$ 23.35
Gross proceeds	$ 149,000,000
Underwriter option
Class of Stock [Line Items]
Issuance of common stock, net (shares)	866,250
ATM Program
Class of Stock [Line Items]
Issuance of common stock, net (shares)			0
Remaining offering amount available		$ 476,500,000
Maximum | ATM Program
Class of Stock [Line Items]
Authorized aggregate offering price of common stock						$ 500,000,000

Equity - At-The-Market Offering

Equity - At-The-Market Offering (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
ATM Program Activity
Gross proceeds	$ 22,946		$ 195,924
Commissions paid on stock issuance		$ 404
Prior ATM Program
ATM Program Activity
Number of shares	990,000		2,459,000
Average sales price per share (usd per share)	$ 23.74		$ 19.48
Gross proceeds	$ 23,505		$ 47,893
Commissions paid on stock issuance	$ 300		$ 600

Equity - Dividends on Common St

Equity - Dividends on Common Stock (Details) - USD ($) $ / shares in Units, $ in Thousands

3 Months Ended

12 Months Ended

Dec. 31, 2021

Sep. 30, 2021

Jun. 30, 2021

Mar. 31, 2021

Dec. 31, 2020

Sep. 30, 2020

Jun. 30, 2020

Mar. 31, 2020

Dec. 31, 2019

Sep. 30, 2019

Jun. 30, 2019

Mar. 31, 2019

Dec. 31, 2021

Dec. 31, 2020

Dec. 31, 2019

Equity [Abstract]

Dividends declared (usd per share)

$ 0.265

$ 0.265

$ 0.265

$ 0.265

$ 0.25

$ 0.25

$ 0.25

$ 0.25

$ 0.225

$ 0.225

$ 0.225

$ 0.225

$ 1.06

$ 1

$ 0.90

Dividends payment date

Jan. 14, 2022

Oct. 15, 2021

Jul. 15, 2021

Apr. 15, 2021

Jan. 15, 2021

Oct. 15, 2020

Jul. 15, 2020

Apr. 15, 2020

Jan. 15, 2020

Oct. 15, 2019

Jul. 15, 2019

Apr. 15, 2019

Dividends payable as of record date

$ 25,755

$ 25,714

$ 25,714

$ 25,633

$ 23,933

$ 23,934

$ 23,931

$ 23,931

$ 21,500

$ 21,500

$ 21,508

$ 20,011

$ 25,755

$ 23,933

$ 21,500

Dividends record date

Dec. 31, 2021

Sep. 30, 2021

Jun. 30, 2021

Mar. 31, 2021

Dec. 31, 2020

Sep. 30, 2020

Jun. 30, 2020

Mar. 31, 2020

Dec. 31, 2019

Sep. 30, 2019

Jun. 28, 2019

Mar. 29, 2019

Stock-Based Compensation - Narr

Stock-Based Compensation - Narrative (Details) - USD ($) $ in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized for awards	5,000,000	5,000,000
Cumulative out of period adjustment related to stock compensation	$ 3.5
Cumulative adjustment related to quarters of 2021	2.6
Cumulative adjustment related to prior periods	0.9
Unamortized stock-based compensation expense	$ 11.5	$ 11.5
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		3 years	4 years	4 years
PSAs | Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		1 year	1 year	1 year
PSAs | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		3 years	4 years	4 years
TSR Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		3 years
Total fair value of awards granted		$ 5.3
TSR Awards | Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Performance awards ultimately vesting based on TRS, as percentage of initial grant		0.00%
TSR Awards | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Performance awards ultimately vesting based on TRS, as percentage of initial grant		200.00%
RSAs and PSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted-average remaining vesting period (in years)		2 years

Stock-Based Compensation - Rest

Stock-Based Compensation - Restricted Stock and Performance Awards Activity (Details) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
RSAs and PSAs
Shares
Unvested, beginning balance (shares)	517,686
Vested (shares)	(147,646)
Forfeited (shares)	(2,250)
Unvested, ending balance (shares)	891,333	517,686
Weighted Average Share Price
Unvested, beginning balance (usd per share)	$ 18.71
Vested (usd per share)	17.43
Forfeited (usd per share)	22.38
Unvested, ending balance (usd per share)	$ 20.91	$ 18.71
RSAs
Shares
Granted (shares)	394,863	134,790	91,440
Vested (shares)	(89,921)
Weighted Average Share Price
Granted (usd per share)	$ 21.92	$ 19.68	$ 22
RSAs | Board Awards
Shares
Granted (shares)	20,266	27,611	17,749
Vested (shares)	(27,611)
Weighted Average Share Price
Granted (usd per share)	$ 24.18	$ 16.48	$ 24.23
PSAs
Shares
Granted (shares)	108,414	107,790	71,440
Vested (shares)	(30,114)
Weighted Average Share Price
Granted (usd per share)	$ 22.48	$ 19.06	$ 22

Stock-Based Compensation - Gran

Stock-Based Compensation - Grants During the Period (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	394,863	134,790	91,440
Granted (usd per share)	$ 21.92	$ 19.68	$ 22
Grant Date Fair Value	$ 8,654	$ 2,653	$ 2,012
Vested (shares)	89,921
Vest Date Fair Value	$ 2,105
RSAs | Board Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	20,266	27,611	17,749
Granted (usd per share)	$ 24.18	$ 16.48	$ 24.23
Grant Date Fair Value	$ 490	$ 455	$ 430
Vested (shares)	27,611
Vest Date Fair Value	$ 668
PSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	108,414	107,790	71,440
Granted (usd per share)	$ 22.48	$ 19.06	$ 22
Grant Date Fair Value	$ 2,437	$ 2,054	$ 1,572
Vested (shares)	30,114
Vest Date Fair Value	$ 707

Stock-Based Compensation - Key

Stock-Based Compensation - Key Assumptions Used in Valuation (Details) - TSR Awards	12 Months Ended
	Dec. 31, 2021$ / shares
Key Assumptions Used in Valuation
Risk-free interest rate	0.60%
Expected stock price volatility	52.42%
Expected service period	2 years 11 months 4 days
Expected dividend yield (assuming full reinvestment)	0.00%
Fair value per share at date of grant (usd per share)	$ 29.10

Stock-Based Compensation - Stoc

Stock-Based Compensation - Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Share-based Payment Arrangement [Abstract]
Stock-based compensation expense	$ 10,832	$ 3,790	$ 4,104

Earnings Per Common Share (Deta

Earnings Per Common Share (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Numerator:
Net income	$ 71,982	$ 80,867	$ 46,359
Less: Net income allocated to participating securities	(507)	(298)	(296)
Numerator for basic earnings available to common stockholders	71,475	80,569	46,063
Numerator for diluted earnings available to common stockholders	$ 71,475	$ 80,569	$ 46,063
Denominator:
Weighted-average basic common shares outstanding (shares)	96,017,000	95,200,000	93,088,000
Dilutive performance stock awards (shares)	75,000	7,000	10,000
Weighted-average diluted common shares outstanding (shares)	96,092,000	95,207,000	93,098,000
Earnings per common share, basic (usd per share)	$ 0.74	$ 0.85	$ 0.49
Earnings per common share, diluted (usd per share)	$ 0.74	$ 0.85	$ 0.49
Antidilutive unvested restricted stock awards and performance awards excluded from the computation	591,000	296,000	292,000

Commitments and Contingencies (

Commitments and Contingencies (Details) $ in Millions	Dec. 31, 2021USD ($)
Ensign and Pennant
Other Commitments [Line Items]
Aggregate required financing of capital expenditures as percentage of initial investment in property (percent)	20.00%
Expansion, construction and capital improvements at triple-net leased facilities
Other Commitments [Line Items]
Funding commitment	$ 7.3
Portion of funding commitments subject to rent increase at time of funding	$ 6.3

Concentration of Risk (Details)

Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2021facilitybeds	Dec. 31, 2020facilitybeds	Dec. 31, 2019bedsfacility
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	83	77	75
Number of Beds/Units | beds	8,756	8,129	7,945
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8	6
Number of Beds/Units | beds	997	1,027	573
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	4	4	4
Number of Beds/Units | beds	395	390	390
Ensign | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	32.00%	32.00%	38.00%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	13	13	13
Number of Beds/Units | beds	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	2	2	2
Number of Beds/Units | beds	402	403	403
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	0	0	0
Number of Beds/Units | beds	0	0	0
PMG | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	15.00%	16.00%	15.00%
CA | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	27
Number of Beds/Units | beds	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8
Number of Beds/Units | beds	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	5
Number of Beds/Units | beds	449
CA | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	25.00%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	37
Number of Beds/Units | beds	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	3
Number of Beds/Units | beds	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	3
Number of Beds/Units | beds	242
TX | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	20.00%

Subsequent Events (Details)

Subsequent Events (Details) $ in Thousands	Aug. 01, 2021facility	Feb. 16, 2022USD ($)facilityextension_options	Dec. 31, 2021USD ($)property	Dec. 31, 2020USD ($)property	Dec. 31, 2019USD ($)property
Subsequent Event [Line Items]
Number of properties | property			10	8	22
Aggregate purchase price			$ 196,076	$ 89,817	$ 326,700
Skilled nursing facility
Subsequent Event [Line Items]
Number of properties | facility	2
Subsequent event | Skilled nursing facility
Subsequent Event [Line Items]
Number of properties | facility		1
Aggregate purchase price		$ 8,900
Subsequent event | Eduro lease
Subsequent Event [Line Items]
Lease term (in years)		12 years
Number of renewal options | extension_options		2
Lease renewal term (in years)		5 years
Annual cash rent increase under amended lease		$ 800

Schedule III - Real Estate As_2

Schedule III - Real Estate Assets and Accumulated Depreciation - By Property (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	252,957
Initial Cost to Company, Buildings and Improvements	1,504,486
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	116,363
Gross Carrying Value
Gross Carrying Value, Land	251,787
Gross Carrying Value, Buildings and Improvements	1,622,019
Gross Carrying Value, Total	1,873,806	$ 1,683,205	$ 1,605,081	$ 1,368,157
Accumulated Depreciation	(304,785)	$ (259,803)	$ (220,359)	$ (185,926)
Aggregate cost of real estate for federal income tax purposes	1,900,000
Skilled nursing properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	161,032
Initial Cost to Company, Buildings and Improvements	1,003,798
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	94,187
Gross Carrying Value
Gross Carrying Value, Land	159,993
Gross Carrying Value, Buildings and Improvements	1,099,024
Gross Carrying Value, Total	1,259,016
Accumulated Depreciation	(225,820)
Skilled nursing properties | Ensign Highland LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	257
Initial Cost to Company, Buildings and Improvements	976
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	926
Gross Carrying Value
Gross Carrying Value, Land	257
Gross Carrying Value, Buildings and Improvements	1,902
Gross Carrying Value, Total	2,159
Accumulated Depreciation	$ (1,397)
Construction/Renovation Date	2013
Acquisition Date	2000
Skilled nursing properties | Meadowbrook Health Associates LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	425
Initial Cost to Company, Buildings and Improvements	3,716
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,940
Gross Carrying Value
Gross Carrying Value, Land	425
Gross Carrying Value, Buildings and Improvements	5,656
Gross Carrying Value, Total	6,081
Accumulated Depreciation	$ (3,308)
Construction/Renovation Date	2012
Acquisition Date	2000
Skilled nursing properties | Terrace Holdings AZ LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	113
Initial Cost to Company, Buildings and Improvements	504
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	971
Gross Carrying Value
Gross Carrying Value, Land	113
Gross Carrying Value, Buildings and Improvements	1,475
Gross Carrying Value, Total	1,588
Accumulated Depreciation	$ (945)
Construction/Renovation Date	2004
Acquisition Date	2002
Skilled nursing properties | Rillito Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	471
Initial Cost to Company, Buildings and Improvements	2,041
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,055
Gross Carrying Value
Gross Carrying Value, Land	471
Gross Carrying Value, Buildings and Improvements	5,096
Gross Carrying Value, Total	5,567
Accumulated Depreciation	$ (3,296)
Construction/Renovation Date	2013
Acquisition Date	2003
Skilled nursing properties | Valley Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	629
Initial Cost to Company, Buildings and Improvements	5,154
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,519
Gross Carrying Value
Gross Carrying Value, Land	629
Gross Carrying Value, Buildings and Improvements	6,673
Gross Carrying Value, Total	7,302
Accumulated Depreciation	$ (4,079)
Construction/Renovation Date	2009
Acquisition Date	2004
Skilled nursing properties | Cedar Avenue Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,812
Initial Cost to Company, Buildings and Improvements	3,919
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,994
Gross Carrying Value
Gross Carrying Value, Land	2,812
Gross Carrying Value, Buildings and Improvements	5,913
Gross Carrying Value, Total	8,725
Accumulated Depreciation	$ (3,672)
Construction/Renovation Date	2011
Acquisition Date	2005
Skilled nursing properties | Granada Investments LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,526
Initial Cost to Company, Buildings and Improvements	2,827
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,522
Gross Carrying Value
Gross Carrying Value, Land	3,526
Gross Carrying Value, Buildings and Improvements	4,349
Gross Carrying Value, Total	7,875
Accumulated Depreciation	$ (2,780)
Construction/Renovation Date	2010
Acquisition Date	2005
Skilled nursing properties | Plaza Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	450
Initial Cost to Company, Buildings and Improvements	5,566
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,055
Gross Carrying Value
Gross Carrying Value, Land	450
Gross Carrying Value, Buildings and Improvements	6,621
Gross Carrying Value, Total	7,071
Accumulated Depreciation	$ (4,143)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled nursing properties | Mountainview Community Care LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	931
Initial Cost to Company, Buildings and Improvements	2,612
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	653
Gross Carrying Value
Gross Carrying Value, Land	931
Gross Carrying Value, Buildings and Improvements	3,265
Gross Carrying Value, Total	4,196
Accumulated Depreciation	$ (2,199)
Construction/Renovation Date	1963
Acquisition Date	2006
Skilled nursing properties | CM Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,028
Initial Cost to Company, Buildings and Improvements	3,119
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,071
Gross Carrying Value
Gross Carrying Value, Land	3,028
Gross Carrying Value, Buildings and Improvements	5,190
Gross Carrying Value, Total	8,218
Accumulated Depreciation	$ (3,184)
Construction/Renovation Date	2012
Acquisition Date	2006
Skilled nursing properties | Polk Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	60
Initial Cost to Company, Buildings and Improvements	4,391
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,167
Gross Carrying Value
Gross Carrying Value, Land	60
Gross Carrying Value, Buildings and Improvements	5,558
Gross Carrying Value, Total	5,618
Accumulated Depreciation	$ (3,320)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled nursing properties | Snohomish Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	741
Initial Cost to Company, Buildings and Improvements	1,663
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,998
Gross Carrying Value
Gross Carrying Value, Land	741
Gross Carrying Value, Buildings and Improvements	3,661
Gross Carrying Value, Total	4,402
Accumulated Depreciation	$ (2,714)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled nursing properties | Cherry Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	171
Initial Cost to Company, Buildings and Improvements	1,828
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,038
Gross Carrying Value
Gross Carrying Value, Land	171
Gross Carrying Value, Buildings and Improvements	3,866
Gross Carrying Value, Total	4,037
Accumulated Depreciation	$ (2,738)
Construction/Renovation Date	2010
Acquisition Date	2006
Skilled nursing properties | Golfview Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,105
Initial Cost to Company, Buildings and Improvements	3,110
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,067
Gross Carrying Value
Gross Carrying Value, Land	1,105
Gross Carrying Value, Buildings and Improvements	4,177
Gross Carrying Value, Total	5,282
Accumulated Depreciation	$ (2,402)
Construction/Renovation Date	2007
Acquisition Date	2006
Skilled nursing properties | Tenth East Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	332
Initial Cost to Company, Buildings and Improvements	2,426
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,507
Gross Carrying Value
Gross Carrying Value, Land	332
Gross Carrying Value, Buildings and Improvements	4,933
Gross Carrying Value, Total	5,265
Accumulated Depreciation	$ (3,337)
Construction/Renovation Date	2013
Acquisition Date	2006
Skilled nursing properties | Trinity Mill Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	664
Initial Cost to Company, Buildings and Improvements	2,294
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	902
Gross Carrying Value
Gross Carrying Value, Land	664
Gross Carrying Value, Buildings and Improvements	3,196
Gross Carrying Value, Total	3,860
Accumulated Depreciation	$ (2,416)
Construction/Renovation Date	2007
Acquisition Date	2006
Skilled nursing properties | Cottonwood Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	965
Initial Cost to Company, Buildings and Improvements	2,070
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	958
Gross Carrying Value
Gross Carrying Value, Land	965
Gross Carrying Value, Buildings and Improvements	3,028
Gross Carrying Value, Total	3,993
Accumulated Depreciation	$ (2,428)
Construction/Renovation Date	2008
Acquisition Date	2007
Skilled nursing properties | Verde Villa Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	600
Initial Cost to Company, Buildings and Improvements	1,890
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	470
Gross Carrying Value
Gross Carrying Value, Land	600
Gross Carrying Value, Buildings and Improvements	2,360
Gross Carrying Value, Total	2,960
Accumulated Depreciation	$ (1,544)
Construction/Renovation Date	2011
Acquisition Date	2007
Skilled nursing properties | Mesquite Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	470
Initial Cost to Company, Buildings and Improvements	1,715
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	8,632
Gross Carrying Value
Gross Carrying Value, Land	441
Gross Carrying Value, Buildings and Improvements	10,376
Gross Carrying Value, Total	10,817
Accumulated Depreciation	$ (7,709)
Construction/Renovation Date	2012
Acquisition Date	2007
Skilled nursing properties | Arrow Tree Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,165
Initial Cost to Company, Buildings and Improvements	1,105
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	324
Gross Carrying Value
Gross Carrying Value, Land	2,165
Gross Carrying Value, Buildings and Improvements	1,429
Gross Carrying Value, Total	3,594
Accumulated Depreciation	$ (1,080)
Construction/Renovation Date	1965
Acquisition Date	2007
Skilled nursing properties | Fort Street Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	443
Initial Cost to Company, Buildings and Improvements	2,394
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	443
Gross Carrying Value, Buildings and Improvements	3,153
Gross Carrying Value, Total	3,596
Accumulated Depreciation	$ (1,722)
Construction/Renovation Date	2008
Acquisition Date	2007
Skilled nursing properties | Trousdale Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,415
Initial Cost to Company, Buildings and Improvements	1,841
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,861
Gross Carrying Value
Gross Carrying Value, Land	1,415
Gross Carrying Value, Buildings and Improvements	3,702
Gross Carrying Value, Total	5,117
Accumulated Depreciation	$ (2,225)
Construction/Renovation Date	2013
Acquisition Date	2007
Skilled nursing properties | Ensign Bellflower LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	937
Initial Cost to Company, Buildings and Improvements	1,168
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	357
Gross Carrying Value
Gross Carrying Value, Land	937
Gross Carrying Value, Buildings and Improvements	1,525
Gross Carrying Value, Total	2,462
Accumulated Depreciation	$ (982)
Construction/Renovation Date	2009
Acquisition Date	2007
Skilled nursing properties | RB Heights Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,007
Initial Cost to Company, Buildings and Improvements	2,793
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,762
Gross Carrying Value
Gross Carrying Value, Land	2,007
Gross Carrying Value, Buildings and Improvements	4,555
Gross Carrying Value, Total	6,562
Accumulated Depreciation	$ (2,714)
Construction/Renovation Date	2009
Acquisition Date	2008
Skilled nursing properties | San Corrine Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	310
Initial Cost to Company, Buildings and Improvements	2,090
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	719
Gross Carrying Value
Gross Carrying Value, Land	310
Gross Carrying Value, Buildings and Improvements	2,809
Gross Carrying Value, Total	3,119
Accumulated Depreciation	$ (1,523)
Construction/Renovation Date	2005
Acquisition Date	2008
Skilled nursing properties | Temple Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	529
Initial Cost to Company, Buildings and Improvements	2,207
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,163
Gross Carrying Value
Gross Carrying Value, Land	529
Gross Carrying Value, Buildings and Improvements	3,370
Gross Carrying Value, Total	3,899
Accumulated Depreciation	$ (1,932)
Construction/Renovation Date	2008
Acquisition Date	2008
Skilled nursing properties | Anson Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	369
Initial Cost to Company, Buildings and Improvements	3,220
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,725
Gross Carrying Value
Gross Carrying Value, Land	369
Gross Carrying Value, Buildings and Improvements	4,945
Gross Carrying Value, Total	5,314
Accumulated Depreciation	$ (2,736)
Construction/Renovation Date	2012
Acquisition Date	2008
Skilled nursing properties | Willits Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	490
Initial Cost to Company, Buildings and Improvements	1,231
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	500
Gross Carrying Value
Gross Carrying Value, Land	490
Gross Carrying Value, Buildings and Improvements	1,731
Gross Carrying Value, Total	2,221
Accumulated Depreciation	$ (957)
Construction/Renovation Date	2011
Acquisition Date	2008
Skilled nursing properties | Lufkin Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	467
Initial Cost to Company, Buildings and Improvements	4,644
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	782
Gross Carrying Value
Gross Carrying Value, Land	467
Gross Carrying Value, Buildings and Improvements	5,426
Gross Carrying Value, Total	5,893
Accumulated Depreciation	$ (1,782)
Construction/Renovation Date	1988
Acquisition Date	2009
Skilled nursing properties | Lowell Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	217
Initial Cost to Company, Buildings and Improvements	856
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,735
Gross Carrying Value
Gross Carrying Value, Land	217
Gross Carrying Value, Buildings and Improvements	2,591
Gross Carrying Value, Total	2,808
Accumulated Depreciation	$ (1,564)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Jefferson Ralston Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	280
Initial Cost to Company, Buildings and Improvements	1,230
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	834
Gross Carrying Value
Gross Carrying Value, Land	280
Gross Carrying Value, Buildings and Improvements	2,064
Gross Carrying Value, Total	2,344
Accumulated Depreciation	$ (1,003)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Lafayette Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,607
Initial Cost to Company, Buildings and Improvements	4,222
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	6,195
Gross Carrying Value
Gross Carrying Value, Land	1,607
Gross Carrying Value, Buildings and Improvements	10,417
Gross Carrying Value, Total	12,024
Accumulated Depreciation	$ (5,530)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Hillendahl Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,133
Initial Cost to Company, Buildings and Improvements	11,977
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,421
Gross Carrying Value
Gross Carrying Value, Land	2,133
Gross Carrying Value, Buildings and Improvements	13,398
Gross Carrying Value, Total	15,531
Accumulated Depreciation	$ (6,037)
Construction/Renovation Date	1984
Acquisition Date	2009
Skilled nursing properties | Price Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	193
Initial Cost to Company, Buildings and Improvements	2,209
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	849
Gross Carrying Value
Gross Carrying Value, Land	193
Gross Carrying Value, Buildings and Improvements	3,058
Gross Carrying Value, Total	3,251
Accumulated Depreciation	$ (1,209)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Silver Lake Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,051
Initial Cost to Company, Buildings and Improvements	8,362
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,011
Gross Carrying Value
Gross Carrying Value, Land	2,051
Gross Carrying Value, Buildings and Improvements	10,373
Gross Carrying Value, Total	12,424
Accumulated Depreciation	$ (3,492)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled nursing properties | Jordan Health Properties LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,671
Initial Cost to Company, Buildings and Improvements	4,244
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,507
Gross Carrying Value
Gross Carrying Value, Land	2,671
Gross Carrying Value, Buildings and Improvements	5,751
Gross Carrying Value, Total	8,422
Accumulated Depreciation	$ (2,003)
Construction/Renovation Date	2013
Acquisition Date	2009
Skilled nursing properties | Regal Road Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	767
Initial Cost to Company, Buildings and Improvements	4,648
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	729
Gross Carrying Value
Gross Carrying Value, Land	767
Gross Carrying Value, Buildings and Improvements	5,377
Gross Carrying Value, Total	6,144
Accumulated Depreciation	$ (2,250)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Paredes Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	373
Initial Cost to Company, Buildings and Improvements	1,354
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	190
Gross Carrying Value
Gross Carrying Value, Land	373
Gross Carrying Value, Buildings and Improvements	1,544
Gross Carrying Value, Total	1,917
Accumulated Depreciation	$ (507)
Construction/Renovation Date	1969
Acquisition Date	2009
Skilled nursing properties | Expressway Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	90
Initial Cost to Company, Buildings and Improvements	675
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	430
Gross Carrying Value
Gross Carrying Value, Land	90
Gross Carrying Value, Buildings and Improvements	1,105
Gross Carrying Value, Total	1,195
Accumulated Depreciation	$ (503)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled nursing properties | Rio Grande Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	642
Initial Cost to Company, Buildings and Improvements	1,085
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	870
Gross Carrying Value
Gross Carrying Value, Land	642
Gross Carrying Value, Buildings and Improvements	1,955
Gross Carrying Value, Total	2,597
Accumulated Depreciation	$ (1,040)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | Fifth East Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	345
Initial Cost to Company, Buildings and Improvements	2,464
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,065
Gross Carrying Value
Gross Carrying Value, Land	345
Gross Carrying Value, Buildings and Improvements	3,529
Gross Carrying Value, Total	3,874
Accumulated Depreciation	$ (1,480)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled nursing properties | Emmett Healthcare Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	591
Initial Cost to Company, Buildings and Improvements	2,383
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	69
Gross Carrying Value
Gross Carrying Value, Land	591
Gross Carrying Value, Buildings and Improvements	2,452
Gross Carrying Value, Total	3,043
Accumulated Depreciation	$ (875)
Construction/Renovation Date	1972
Acquisition Date	2010
Skilled nursing properties | Burley Healthcare Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	250
Initial Cost to Company, Buildings and Improvements	4,004
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	424
Gross Carrying Value
Gross Carrying Value, Land	250
Gross Carrying Value, Buildings and Improvements	4,428
Gross Carrying Value, Total	4,678
Accumulated Depreciation	$ (1,723)
Construction/Renovation Date	2011
Acquisition Date	2010
Skilled nursing properties | Josey Ranch Healthcare Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,382
Initial Cost to Company, Buildings and Improvements	2,293
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	478
Gross Carrying Value
Gross Carrying Value, Land	1,382
Gross Carrying Value, Buildings and Improvements	2,771
Gross Carrying Value, Total	4,153
Accumulated Depreciation	$ (1,026)
Construction/Renovation Date	1996
Acquisition Date	2010
Skilled nursing properties | Everglades Health Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,847
Initial Cost to Company, Buildings and Improvements	5,377
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	682
Gross Carrying Value
Gross Carrying Value, Land	1,847
Gross Carrying Value, Buildings and Improvements	6,059
Gross Carrying Value, Total	7,906
Accumulated Depreciation	$ (1,793)
Construction/Renovation Date	1990
Acquisition Date	2011
Skilled nursing properties | Irving Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	60
Initial Cost to Company, Buildings and Improvements	2,931
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	245
Gross Carrying Value
Gross Carrying Value, Land	60
Gross Carrying Value, Buildings and Improvements	3,176
Gross Carrying Value, Total	3,236
Accumulated Depreciation	$ (1,174)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled nursing properties | Falls City Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	170
Initial Cost to Company, Buildings and Improvements	2,141
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	82
Gross Carrying Value
Gross Carrying Value, Land	170
Gross Carrying Value, Buildings and Improvements	2,223
Gross Carrying Value, Total	2,393
Accumulated Depreciation	$ (749)
Construction/Renovation Date	1972
Acquisition Date	2011
Skilled nursing properties | Gillette Park Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	163
Initial Cost to Company, Buildings and Improvements	1,491
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	12
Gross Carrying Value
Gross Carrying Value, Land	163
Gross Carrying Value, Buildings and Improvements	1,503
Gross Carrying Value, Total	1,666
Accumulated Depreciation	$ (636)
Construction/Renovation Date	1967
Acquisition Date	2011
Skilled nursing properties | Gazebo Park Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	2,541
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	97
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	2,638
Gross Carrying Value, Total	2,718
Accumulated Depreciation	$ (1,162)
Construction/Renovation Date	1978
Acquisition Date	2011
Skilled nursing properties | Oleson Park Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	90
Initial Cost to Company, Buildings and Improvements	2,341
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	90
Gross Carrying Value, Buildings and Improvements	3,100
Gross Carrying Value, Total	3,190
Accumulated Depreciation	$ (1,696)
Construction/Renovation Date	2012
Acquisition Date	2011
Skilled nursing properties | Arapahoe Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	158
Initial Cost to Company, Buildings and Improvements	4,810
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	128
Gross Carrying Value, Buildings and Improvements	5,599
Gross Carrying Value, Total	5,727
Accumulated Depreciation	$ (2,248)
Construction/Renovation Date	2012
Acquisition Date	2011
Skilled nursing properties | Dixie Health Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	487
Initial Cost to Company, Buildings and Improvements	1,978
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	98
Gross Carrying Value
Gross Carrying Value, Land	487
Gross Carrying Value, Buildings and Improvements	2,076
Gross Carrying Value, Total	2,563
Accumulated Depreciation	$ (582)
Construction/Renovation Date	1978
Acquisition Date	2011
Skilled nursing properties | Memorial Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	537
Initial Cost to Company, Buildings and Improvements	2,138
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	698
Gross Carrying Value
Gross Carrying Value, Land	537
Gross Carrying Value, Buildings and Improvements	2,836
Gross Carrying Value, Total	3,373
Accumulated Depreciation	$ (1,185)
Construction/Renovation Date	2007
Acquisition Date	2011
Skilled nursing properties | Bogardus Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,425
Initial Cost to Company, Buildings and Improvements	5,307
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,079
Gross Carrying Value
Gross Carrying Value, Land	1,425
Gross Carrying Value, Buildings and Improvements	6,386
Gross Carrying Value, Total	7,811
Accumulated Depreciation	$ (2,468)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled nursing properties | South Dora Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	297
Initial Cost to Company, Buildings and Improvements	2,087
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,621
Gross Carrying Value
Gross Carrying Value, Land	297
Gross Carrying Value, Buildings and Improvements	3,708
Gross Carrying Value, Total	4,005
Accumulated Depreciation	$ (2,181)
Construction/Renovation Date	2013
Acquisition Date	2011
Skilled nursing properties | Silverada Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,012
Initial Cost to Company, Buildings and Improvements	3,282
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	103
Gross Carrying Value
Gross Carrying Value, Land	1,012
Gross Carrying Value, Buildings and Improvements	3,385
Gross Carrying Value, Total	4,397
Accumulated Depreciation	$ (892)
Construction/Renovation Date	1970
Acquisition Date	2011
Skilled nursing properties | Orem Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,689
Initial Cost to Company, Buildings and Improvements	3,896
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,235
Gross Carrying Value
Gross Carrying Value, Land	1,689
Gross Carrying Value, Buildings and Improvements	7,131
Gross Carrying Value, Total	8,820
Accumulated Depreciation	$ (3,225)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled nursing properties | Wisteria Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	746
Initial Cost to Company, Buildings and Improvements	9,903
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	290
Gross Carrying Value
Gross Carrying Value, Land	746
Gross Carrying Value, Buildings and Improvements	10,193
Gross Carrying Value, Total	10,939
Accumulated Depreciation	$ (2,456)
Construction/Renovation Date	2008
Acquisition Date	2011
Skilled nursing properties | Renne Avenue Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	180
Initial Cost to Company, Buildings and Improvements	2,481
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	966
Gross Carrying Value
Gross Carrying Value, Land	180
Gross Carrying Value, Buildings and Improvements	3,447
Gross Carrying Value, Total	3,627
Accumulated Depreciation	$ (1,368)
Construction/Renovation Date	2013
Acquisition Date	2012
Skilled nursing properties | Stillhouse Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	129
Initial Cost to Company, Buildings and Improvements	7,139
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	6
Gross Carrying Value
Gross Carrying Value, Land	129
Gross Carrying Value, Buildings and Improvements	7,145
Gross Carrying Value, Total	7,274
Accumulated Depreciation	$ (1,205)
Construction/Renovation Date	2009
Acquisition Date	2012
Skilled nursing properties | Fig Street Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	329
Initial Cost to Company, Buildings and Improvements	2,653
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,094
Gross Carrying Value
Gross Carrying Value, Land	329
Gross Carrying Value, Buildings and Improvements	3,747
Gross Carrying Value, Total	4,076
Accumulated Depreciation	$ (1,723)
Construction/Renovation Date	2007
Acquisition Date	2012
Skilled nursing properties | Lowell Lake Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	49
Initial Cost to Company, Buildings and Improvements	1,554
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	29
Gross Carrying Value
Gross Carrying Value, Land	49
Gross Carrying Value, Buildings and Improvements	1,583
Gross Carrying Value, Total	1,632
Accumulated Depreciation	$ (350)
Construction/Renovation Date	1990
Acquisition Date	2012
Skilled nursing properties | Queensway Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	999
Initial Cost to Company, Buildings and Improvements	4,237
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,331
Gross Carrying Value
Gross Carrying Value, Land	999
Gross Carrying Value, Buildings and Improvements	6,568
Gross Carrying Value, Total	7,567
Accumulated Depreciation	$ (2,999)
Construction/Renovation Date	2008
Acquisition Date	2012
Skilled nursing properties | Long Beach Health Associates LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,285
Initial Cost to Company, Buildings and Improvements	2,343
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,172
Gross Carrying Value
Gross Carrying Value, Land	1,285
Gross Carrying Value, Buildings and Improvements	4,515
Gross Carrying Value, Total	5,800
Accumulated Depreciation	$ (2,101)
Construction/Renovation Date	2013
Acquisition Date	2012
Skilled nursing properties | Kings Court Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	193
Initial Cost to Company, Buildings and Improvements	2,311
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	318
Gross Carrying Value
Gross Carrying Value, Land	193
Gross Carrying Value, Buildings and Improvements	2,629
Gross Carrying Value, Total	2,822
Accumulated Depreciation	$ (712)
Construction/Renovation Date	1965
Acquisition Date	2012
Skilled nursing properties | 51st Avenue Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	340
Initial Cost to Company, Buildings and Improvements	3,925
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	32
Gross Carrying Value
Gross Carrying Value, Land	340
Gross Carrying Value, Buildings and Improvements	3,957
Gross Carrying Value, Total	4,297
Accumulated Depreciation	$ (1,009)
Construction/Renovation Date	1970
Acquisition Date	2013
Skilled nursing properties | Ives Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	371
Initial Cost to Company, Buildings and Improvements	2,951
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	274
Gross Carrying Value
Gross Carrying Value, Land	371
Gross Carrying Value, Buildings and Improvements	3,225
Gross Carrying Value, Total	3,596
Accumulated Depreciation	$ (789)
Construction/Renovation Date	1972
Acquisition Date	2013
Skilled nursing properties | Guadalupe Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	2,391
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	15
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	2,406
Gross Carrying Value, Total	2,486
Accumulated Depreciation	$ (477)
Construction/Renovation Date	2013
Acquisition Date	2013
Skilled nursing properties | 49th Street Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	129
Initial Cost to Company, Buildings and Improvements	2,418
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	24
Gross Carrying Value
Gross Carrying Value, Land	129
Gross Carrying Value, Buildings and Improvements	2,442
Gross Carrying Value, Total	2,571
Accumulated Depreciation	$ (711)
Construction/Renovation Date	1960
Acquisition Date	2013
Skilled nursing properties | Willows Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,388
Initial Cost to Company, Buildings and Improvements	2,982
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	202
Gross Carrying Value
Gross Carrying Value, Land	1,388
Gross Carrying Value, Buildings and Improvements	3,184
Gross Carrying Value, Total	4,572
Accumulated Depreciation	$ (1,021)
Construction/Renovation Date	1970
Acquisition Date	2013
Skilled nursing properties | Tulalip Bay Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,722
Initial Cost to Company, Buildings and Improvements	2,642
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	(980)
Gross Carrying Value
Gross Carrying Value, Land	742
Gross Carrying Value, Buildings and Improvements	2,642
Gross Carrying Value, Total	3,384
Accumulated Depreciation	$ (748)
Construction/Renovation Date	1966
Acquisition Date	2013
Skilled nursing properties | Sky Holdings AZ LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	228
Initial Cost to Company, Buildings and Improvements	1,124
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,380
Gross Carrying Value
Gross Carrying Value, Land	228
Gross Carrying Value, Buildings and Improvements	2,504
Gross Carrying Value, Total	2,731
Accumulated Depreciation	$ (1,830)
Construction/Renovation Date	2004
Acquisition Date	2002
Skilled nursing properties | Lemon River Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	152
Initial Cost to Company, Buildings and Improvements	357
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,493
Gross Carrying Value
Gross Carrying Value, Land	152
Gross Carrying Value, Buildings and Improvements	1,850
Gross Carrying Value, Total	2,002
Accumulated Depreciation	$ (1,285)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled nursing properties | CTR Partnership, L.P. | Bethany Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,668
Initial Cost to Company, Buildings and Improvements	15,375
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	56
Gross Carrying Value
Gross Carrying Value, Land	1,668
Gross Carrying Value, Buildings and Improvements	15,431
Gross Carrying Value, Total	17,099
Accumulated Depreciation	$ (2,671)
Construction/Renovation Date	1989
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Mira Vista Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,601
Initial Cost to Company, Buildings and Improvements	7,425
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,601
Gross Carrying Value, Buildings and Improvements	7,425
Gross Carrying Value, Total	9,026
Accumulated Depreciation	$ (1,253)
Construction/Renovation Date	1989
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Shoreline Health and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,462
Initial Cost to Company, Buildings and Improvements	5,034
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,462
Gross Carrying Value, Buildings and Improvements	5,034
Gross Carrying Value, Total	6,496
Accumulated Depreciation	$ (829)
Construction/Renovation Date	1987
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Shamrock Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	251
Initial Cost to Company, Buildings and Improvements	7,855
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	251
Gross Carrying Value, Buildings and Improvements	7,855
Gross Carrying Value, Total	8,106
Accumulated Depreciation	$ (1,276)
Construction/Renovation Date	2010
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | BeaverCreek Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	892
Initial Cost to Company, Buildings and Improvements	17,159
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	13
Gross Carrying Value
Gross Carrying Value, Land	892
Gross Carrying Value, Buildings and Improvements	17,172
Gross Carrying Value, Total	18,064
Accumulated Depreciation	$ (2,684)
Construction/Renovation Date	2014
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Premier Estates of Cincinnati-Riverview
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	833
Initial Cost to Company, Buildings and Improvements	18,086
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	474
Gross Carrying Value
Gross Carrying Value, Land	833
Gross Carrying Value, Buildings and Improvements	18,560
Gross Carrying Value, Total	19,393
Accumulated Depreciation	$ (2,884)
Construction/Renovation Date	1992
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Englewood Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,014
Initial Cost to Company, Buildings and Improvements	18,541
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	88
Gross Carrying Value
Gross Carrying Value, Land	1,014
Gross Carrying Value, Buildings and Improvements	18,629
Gross Carrying Value, Total	19,643
Accumulated Depreciation	$ (2,937)
Construction/Renovation Date	1962
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Portsmouth Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	282
Initial Cost to Company, Buildings and Improvements	9,726
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	428
Gross Carrying Value
Gross Carrying Value, Land	282
Gross Carrying Value, Buildings and Improvements	10,154
Gross Carrying Value, Total	10,436
Accumulated Depreciation	$ (1,679)
Construction/Renovation Date	2008
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | West Cove Care & Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	93
Initial Cost to Company, Buildings and Improvements	10,365
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	93
Gross Carrying Value, Buildings and Improvements	10,365
Gross Carrying Value, Total	10,458
Accumulated Depreciation	$ (1,619)
Construction/Renovation Date	2007
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | BellBrook Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	214
Initial Cost to Company, Buildings and Improvements	2,573
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	231
Gross Carrying Value
Gross Carrying Value, Land	214
Gross Carrying Value, Buildings and Improvements	2,804
Gross Carrying Value, Total	3,018
Accumulated Depreciation	$ (466)
Construction/Renovation Date	2003
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Xenia Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	205
Initial Cost to Company, Buildings and Improvements	3,564
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	23
Gross Carrying Value
Gross Carrying Value, Land	205
Gross Carrying Value, Buildings and Improvements	3,587
Gross Carrying Value, Total	3,792
Accumulated Depreciation	$ (562)
Construction/Renovation Date	1981
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Jamestown Place Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	266
Initial Cost to Company, Buildings and Improvements	4,725
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	268
Gross Carrying Value
Gross Carrying Value, Land	266
Gross Carrying Value, Buildings and Improvements	4,993
Gross Carrying Value, Total	5,259
Accumulated Depreciation	$ (834)
Construction/Renovation Date	1967
Acquisition Date	2015
Skilled nursing properties | CTR Partnership, L.P. | Casa de Paz
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	119
Initial Cost to Company, Buildings and Improvements	7,727
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	119
Gross Carrying Value, Buildings and Improvements	7,727
Gross Carrying Value, Total	7,846
Accumulated Depreciation	$ (1,143)
Construction/Renovation Date	1974
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Denison Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	96
Initial Cost to Company, Buildings and Improvements	2,784
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	96
Gross Carrying Value, Buildings and Improvements	2,784
Gross Carrying Value, Total	2,880
Accumulated Depreciation	$ (412)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Garden View Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	105
Initial Cost to Company, Buildings and Improvements	3,179
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	105
Gross Carrying Value, Buildings and Improvements	3,179
Gross Carrying Value, Total	3,284
Accumulated Depreciation	$ (470)
Construction/Renovation Date	2013
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Grandview Health Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	39
Initial Cost to Company, Buildings and Improvements	1,167
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	39
Gross Carrying Value, Buildings and Improvements	1,167
Gross Carrying Value, Total	1,206
Accumulated Depreciation	$ (173)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Grundy Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	65
Initial Cost to Company, Buildings and Improvements	1,935
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	65
Gross Carrying Value, Buildings and Improvements	1,935
Gross Carrying Value, Total	2,000
Accumulated Depreciation	$ (286)
Construction/Renovation Date	2011
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Iowa City Rehab and Health Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	522
Initial Cost to Company, Buildings and Improvements	5,690
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	522
Gross Carrying Value, Buildings and Improvements	5,690
Gross Carrying Value, Total	6,212
Accumulated Depreciation	$ (842)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Lenox Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	31
Initial Cost to Company, Buildings and Improvements	1,915
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	31
Gross Carrying Value, Buildings and Improvements	1,915
Gross Carrying Value, Total	1,946
Accumulated Depreciation	$ (283)
Construction/Renovation Date	2012
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Osage
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	126
Initial Cost to Company, Buildings and Improvements	2,255
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	126
Gross Carrying Value, Buildings and Improvements	2,255
Gross Carrying Value, Total	2,381
Accumulated Depreciation	$ (334)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Pleasant Acres Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	189
Initial Cost to Company, Buildings and Improvements	2,544
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	189
Gross Carrying Value, Buildings and Improvements	2,544
Gross Carrying Value, Total	2,733
Accumulated Depreciation	$ (376)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Cedar Falls Health Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	324
Initial Cost to Company, Buildings and Improvements	4,366
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	324
Gross Carrying Value, Buildings and Improvements	4,366
Gross Carrying Value, Total	4,690
Accumulated Depreciation	$ (628)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Premier Estates of Highlands
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	364
Initial Cost to Company, Buildings and Improvements	2,199
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	439
Gross Carrying Value
Gross Carrying Value, Land	364
Gross Carrying Value, Buildings and Improvements	2,638
Gross Carrying Value, Total	3,002
Accumulated Depreciation	$ (369)
Construction/Renovation Date	2012
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Shaw Mountain at Cascadia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,801
Initial Cost to Company, Buildings and Improvements	6,572
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	395
Gross Carrying Value
Gross Carrying Value, Land	1,801
Gross Carrying Value, Buildings and Improvements	6,967
Gross Carrying Value, Total	8,768
Accumulated Depreciation	$ (1,112)
Construction/Renovation Date	1989
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | The Oaks
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,646
Initial Cost to Company, Buildings and Improvements	2,873
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	110
Gross Carrying Value
Gross Carrying Value, Land	3,646
Gross Carrying Value, Buildings and Improvements	2,983
Gross Carrying Value, Total	6,629
Accumulated Depreciation	$ (436)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Arbor Nursing Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	768
Initial Cost to Company, Buildings and Improvements	10,712
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	768
Gross Carrying Value, Buildings and Improvements	10,712
Gross Carrying Value, Total	11,480
Accumulated Depreciation	$ (1,451)
Construction/Renovation Date	1982
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Broadmoor Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,232
Initial Cost to Company, Buildings and Improvements	22,152
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,232
Gross Carrying Value, Buildings and Improvements	22,152
Gross Carrying Value, Total	23,384
Accumulated Depreciation	$ (2,816)
Construction/Renovation Date	1984
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Decatur Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	990
Initial Cost to Company, Buildings and Improvements	24,909
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	990
Gross Carrying Value, Buildings and Improvements	24,909
Gross Carrying Value, Total	25,899
Accumulated Depreciation	$ (3,166)
Construction/Renovation Date	2013
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Royse City Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	606
Initial Cost to Company, Buildings and Improvements	14,660
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	606
Gross Carrying Value, Buildings and Improvements	14,660
Gross Carrying Value, Total	15,266
Accumulated Depreciation	$ (1,863)
Construction/Renovation Date	2009
Acquisition Date	2016
Skilled nursing properties | CTR Partnership, L.P. | Saline Care Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,022
Initial Cost to Company, Buildings and Improvements	5,713
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,022
Gross Carrying Value, Buildings and Improvements	5,713
Gross Carrying Value, Total	6,735
Accumulated Depreciation	$ (690)
Construction/Renovation Date	2009
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Carrier Mills Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	775
Initial Cost to Company, Buildings and Improvements	8,377
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	775
Gross Carrying Value, Buildings and Improvements	8,377
Gross Carrying Value, Total	9,152
Accumulated Depreciation	$ (1,012)
Construction/Renovation Date	1968
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | StoneBridge Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	439
Initial Cost to Company, Buildings and Improvements	3,475
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	439
Gross Carrying Value, Buildings and Improvements	3,475
Gross Carrying Value, Total	3,914
Accumulated Depreciation	$ (420)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | DuQuoin Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	511
Initial Cost to Company, Buildings and Improvements	3,662
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	511
Gross Carrying Value, Buildings and Improvements	3,662
Gross Carrying Value, Total	4,173
Accumulated Depreciation	$ (442)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Pinckneyville Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	406
Initial Cost to Company, Buildings and Improvements	3,411
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	406
Gross Carrying Value, Buildings and Improvements	3,411
Gross Carrying Value, Total	3,817
Accumulated Depreciation	$ (412)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Wellspring Health and Rehabilitation Of Cascadia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	774
Initial Cost to Company, Buildings and Improvements	5,044
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	111
Gross Carrying Value
Gross Carrying Value, Land	774
Gross Carrying Value, Buildings and Improvements	5,155
Gross Carrying Value, Total	5,929
Accumulated Depreciation	$ (588)
Construction/Renovation Date	2011
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | The Rio at Fox Hollow
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,178
Initial Cost to Company, Buildings and Improvements	12,059
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,178
Gross Carrying Value, Buildings and Improvements	12,059
Gross Carrying Value, Total	13,237
Accumulated Depreciation	$ (1,382)
Construction/Renovation Date	2016
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | The Rio at Cabezon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,055
Initial Cost to Company, Buildings and Improvements	9,749
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,055
Gross Carrying Value, Buildings and Improvements	9,749
Gross Carrying Value, Total	11,804
Accumulated Depreciation	$ (1,117)
Construction/Renovation Date	2016
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Eldorado Rehab & Healthcare
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	940
Initial Cost to Company, Buildings and Improvements	2,093
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	940
Gross Carrying Value, Buildings and Improvements	2,093
Gross Carrying Value, Total	3,033
Accumulated Depreciation	$ (235)
Construction/Renovation Date	1993
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Secora Health and Rehabilitation of Cascadia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,481
Initial Cost to Company, Buildings and Improvements	2,216
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	110
Gross Carrying Value
Gross Carrying Value, Land	1,481
Gross Carrying Value, Buildings and Improvements	2,326
Gross Carrying Value, Total	3,807
Accumulated Depreciation	$ (249)
Construction/Renovation Date	2012
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Mountain Valley
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	916
Initial Cost to Company, Buildings and Improvements	7,874
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	916
Gross Carrying Value, Buildings and Improvements	7,874
Gross Carrying Value, Total	8,790
Accumulated Depreciation	$ (853)
Construction/Renovation Date	1971
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Caldwell Care
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	906
Initial Cost to Company, Buildings and Improvements	7,020
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	516
Gross Carrying Value
Gross Carrying Value, Land	906
Gross Carrying Value, Buildings and Improvements	7,536
Gross Carrying Value, Total	8,442
Accumulated Depreciation	$ (761)
Construction/Renovation Date	1947
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Canyon West
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	312
Initial Cost to Company, Buildings and Improvements	10,410
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	431
Gross Carrying Value
Gross Carrying Value, Land	312
Gross Carrying Value, Buildings and Improvements	10,841
Gross Carrying Value, Total	11,153
Accumulated Depreciation	$ (1,128)
Construction/Renovation Date	1969
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Lewiston Health and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	625
Initial Cost to Company, Buildings and Improvements	12,087
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	152
Gross Carrying Value
Gross Carrying Value, Land	625
Gross Carrying Value, Buildings and Improvements	12,239
Gross Carrying Value, Total	12,864
Accumulated Depreciation	$ (1,284)
Construction/Renovation Date	1964
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | The Orchards
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	785
Initial Cost to Company, Buildings and Improvements	8,923
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	47
Gross Carrying Value
Gross Carrying Value, Land	785
Gross Carrying Value, Buildings and Improvements	8,970
Gross Carrying Value, Total	9,755
Accumulated Depreciation	$ (948)
Construction/Renovation Date	1958
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Weiser Care
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	4,419
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	30
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	4,449
Gross Carrying Value, Total	4,529
Accumulated Depreciation	$ (470)
Construction/Renovation Date	1964
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Aspen Park
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	698
Initial Cost to Company, Buildings and Improvements	5,092
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	274
Gross Carrying Value
Gross Carrying Value, Land	698
Gross Carrying Value, Buildings and Improvements	5,366
Gross Carrying Value, Total	6,064
Accumulated Depreciation	$ (584)
Construction/Renovation Date	1965
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Ridgmar Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	681
Initial Cost to Company, Buildings and Improvements	6,587
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,256
Gross Carrying Value
Gross Carrying Value, Land	681
Gross Carrying Value, Buildings and Improvements	7,843
Gross Carrying Value, Total	8,524
Accumulated Depreciation	$ (950)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Mansfield Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	607
Initial Cost to Company, Buildings and Improvements	4,801
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,073
Gross Carrying Value
Gross Carrying Value, Land	607
Gross Carrying Value, Buildings and Improvements	5,874
Gross Carrying Value, Total	6,481
Accumulated Depreciation	$ (701)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Grapevine Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,602
Initial Cost to Company, Buildings and Improvements	4,536
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	891
Gross Carrying Value
Gross Carrying Value, Land	1,602
Gross Carrying Value, Buildings and Improvements	5,427
Gross Carrying Value, Total	7,029
Accumulated Depreciation	$ (659)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Brookfield Health and Rehab
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	320
Initial Cost to Company, Buildings and Improvements	500
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	320
Gross Carrying Value, Buildings and Improvements	500
Gross Carrying Value, Total	820
Accumulated Depreciation	$ (54)
Construction/Renovation Date	2012
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | The Oaks at Lakewood
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,000
Initial Cost to Company, Buildings and Improvements	1,779
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,000
Gross Carrying Value, Buildings and Improvements	1,779
Gross Carrying Value, Total	2,779
Accumulated Depreciation	$ (189)
Construction/Renovation Date	1989
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | The Oaks at Timberline
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	445
Initial Cost to Company, Buildings and Improvements	869
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	445
Gross Carrying Value, Buildings and Improvements	869
Gross Carrying Value, Total	1,314
Accumulated Depreciation	$ (92)
Construction/Renovation Date	1972
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Providence Waterman Nursing Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,831
Initial Cost to Company, Buildings and Improvements	19,791
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	3,831
Gross Carrying Value, Buildings and Improvements	19,791
Gross Carrying Value, Total	23,622
Accumulated Depreciation	$ (2,103)
Construction/Renovation Date	1967
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Providence Orange Tree
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,897
Initial Cost to Company, Buildings and Improvements	14,700
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	345
Gross Carrying Value
Gross Carrying Value, Land	2,897
Gross Carrying Value, Buildings and Improvements	15,045
Gross Carrying Value, Total	17,942
Accumulated Depreciation	$ (1,585)
Construction/Renovation Date	1969
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Providence Ontario
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	4,204
Initial Cost to Company, Buildings and Improvements	21,880
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	4,204
Gross Carrying Value, Buildings and Improvements	21,880
Gross Carrying Value, Total	26,084
Accumulated Depreciation	$ (2,325)
Construction/Renovation Date	1980
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Greenville Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	188
Initial Cost to Company, Buildings and Improvements	3,972
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	188
Gross Carrying Value, Buildings and Improvements	3,972
Gross Carrying Value, Total	4,160
Accumulated Depreciation	$ (484)
Construction/Renovation Date	1973
Acquisition Date	2017
Skilled nursing properties | CTR Partnership, L.P. | Copper Ridge Health and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	220
Initial Cost to Company, Buildings and Improvements	4,974
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	22
Gross Carrying Value
Gross Carrying Value, Land	220
Gross Carrying Value, Buildings and Improvements	4,996
Gross Carrying Value, Total	5,216
Accumulated Depreciation	$ (536)
Construction/Renovation Date	2010
Acquisition Date	2018
Skilled nursing properties | CTR Partnership, L.P. | Prairie Heights Healthcare Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,372
Initial Cost to Company, Buildings and Improvements	7,491
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,372
Gross Carrying Value, Buildings and Improvements	7,491
Gross Carrying Value, Total	8,863
Accumulated Depreciation	$ (718)
Construction/Renovation Date	1965
Acquisition Date	2018
Skilled nursing properties | CTR Partnership, L.P. | The Meadows on University
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	989
Initial Cost to Company, Buildings and Improvements	3,275
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	989
Gross Carrying Value, Buildings and Improvements	3,275
Gross Carrying Value, Total	4,264
Accumulated Depreciation	$ (287)
Construction/Renovation Date	1966
Acquisition Date	2018
Skilled nursing properties | CTR Partnership, L.P. | The Suites - Parker
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,178
Initial Cost to Company, Buildings and Improvements	17,857
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,178
Gross Carrying Value, Buildings and Improvements	17,857
Gross Carrying Value, Total	19,035
Accumulated Depreciation	$ (1,408)
Construction/Renovation Date	2012
Acquisition Date	2018
Skilled nursing properties | CTR Partnership, L.P. | Huntington Park Nursing Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,131
Initial Cost to Company, Buildings and Improvements	8,876
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	299
Gross Carrying Value
Gross Carrying Value, Land	3,131
Gross Carrying Value, Buildings and Improvements	9,175
Gross Carrying Value, Total	12,306
Accumulated Depreciation	$ (720)
Construction/Renovation Date	1955
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Shoreline Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,699
Initial Cost to Company, Buildings and Improvements	9,004
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,699
Gross Carrying Value, Buildings and Improvements	9,004
Gross Carrying Value, Total	10,703
Accumulated Depreciation	$ (674)
Construction/Renovation Date	1962
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Downey Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,502
Initial Cost to Company, Buildings and Improvements	6,141
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,502
Gross Carrying Value, Buildings and Improvements	6,141
Gross Carrying Value, Total	8,643
Accumulated Depreciation	$ (461)
Construction/Renovation Date	1967
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Courtyard Healthcare Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,351
Initial Cost to Company, Buildings and Improvements	9,256
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,351
Gross Carrying Value, Buildings and Improvements	9,256
Gross Carrying Value, Total	11,607
Accumulated Depreciation	$ (706)
Construction/Renovation Date	1969
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Cascadia of Nampa
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	880
Initial Cost to Company, Buildings and Improvements	14,117
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	880
Gross Carrying Value, Buildings and Improvements	14,117
Gross Carrying Value, Total	14,997
Accumulated Depreciation	$ (969)
Construction/Renovation Date	2017
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Valley Skilled Nursing
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	798
Initial Cost to Company, Buildings and Improvements	7,671
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	798
Gross Carrying Value, Buildings and Improvements	7,671
Gross Carrying Value, Total	8,469
Accumulated Depreciation	$ (448)
Construction/Renovation Date	2016
Acquisition Date	2019
Skilled nursing properties | CTR Partnership, L.P. | Cascadia of Boise
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,597
Initial Cost to Company, Buildings and Improvements	15,692
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,597
Gross Carrying Value, Buildings and Improvements	15,692
Gross Carrying Value, Total	17,289
Accumulated Depreciation	$ (824)
Construction/Renovation Date	2018
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | Cooney Healthcare and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	867
Initial Cost to Company, Buildings and Improvements	7,431
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	867
Gross Carrying Value, Buildings and Improvements	7,431
Gross Carrying Value, Total	8,298
Accumulated Depreciation	$ (262)
Construction/Renovation Date	1984
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | Elkhorn Healthcare and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	183
Initial Cost to Company, Buildings and Improvements	7,380
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	174
Gross Carrying Value
Gross Carrying Value, Land	183
Gross Carrying Value, Buildings and Improvements	7,554
Gross Carrying Value, Total	7,737
Accumulated Depreciation	$ (264)
Construction/Renovation Date	1960
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | Beacon Harbor Healthcare and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,295
Initial Cost to Company, Buildings and Improvements	17,069
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,295
Gross Carrying Value, Buildings and Improvements	17,069
Gross Carrying Value, Total	18,364
Accumulated Depreciation	$ (533)
Construction/Renovation Date	1996
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | Pleasant Manor Healthcare and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	629
Initial Cost to Company, Buildings and Improvements	7,433
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	629
Gross Carrying Value, Buildings and Improvements	7,433
Gross Carrying Value, Total	8,062
Accumulated Depreciation	$ (234)
Construction/Renovation Date	1972
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | Rowlett Health and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,036
Initial Cost to Company, Buildings and Improvements	10,516
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,036
Gross Carrying Value, Buildings and Improvements	10,516
Gross Carrying Value, Total	11,552
Accumulated Depreciation	$ (326)
Construction/Renovation Date	1990
Acquisition Date	2020
Skilled nursing properties | CTR Partnership, L.P. | El Centro Post-Acute Care
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,283
Initial Cost to Company, Buildings and Improvements	8,133
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	76
Gross Carrying Value
Gross Carrying Value, Land	1,283
Gross Carrying Value, Buildings and Improvements	8,209
Gross Carrying Value, Total	9,492
Accumulated Depreciation	$ (143)
Construction/Renovation Date	1962
Acquisition Date	2021
Skilled nursing properties | CTR Partnership, L.P. | Sedona Trace Health and Wellness
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,282
Initial Cost to Company, Buildings and Improvements	12,763
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	3,282
Gross Carrying Value, Buildings and Improvements	12,763
Gross Carrying Value, Total	16,045
Accumulated Depreciation	$ (149)
Construction/Renovation Date	2017
Acquisition Date	2021
Skilled nursing properties | CTR Partnership, L.P. | Cedar Pointe Health and Wellness Suites
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,325
Initial Cost to Company, Buildings and Improvements	11,738
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	3,325
Gross Carrying Value, Buildings and Improvements	11,738
Gross Carrying Value, Total	15,063
Accumulated Depreciation	$ (135)
Construction/Renovation Date	2017
Acquisition Date	2021
Skilled nursing properties | 160 North Patterson Avenue, LLC | Buena Vista Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	7,987
Initial Cost to Company, Buildings and Improvements	7,237
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	7,987
Gross Carrying Value, Buildings and Improvements	7,237
Gross Carrying Value, Total	15,224
Accumulated Depreciation	$ (160)
Construction/Renovation Date	1967
Acquisition Date	2021
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Alpine Skilled Nursing and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,688
Initial Cost to Company, Buildings and Improvements	23,825
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,688
Gross Carrying Value, Buildings and Improvements	23,825
Gross Carrying Value, Total	26,513
Accumulated Depreciation	$ (1,728)
Construction/Renovation Date	2014
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | The Bradford Skilled Nursing and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,758
Initial Cost to Company, Buildings and Improvements	21,325
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	17
Gross Carrying Value
Gross Carrying Value, Land	3,758
Gross Carrying Value, Buildings and Improvements	21,342
Gross Carrying Value, Total	25,100
Accumulated Depreciation	$ (1,559)
Construction/Renovation Date	1980
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Colonial Oaks Skilled Nursing And Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,635
Initial Cost to Company, Buildings and Improvements	21,180
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,635
Gross Carrying Value, Buildings and Improvements	21,180
Gross Carrying Value, Total	22,815
Accumulated Depreciation	$ (1,500)
Construction/Renovation Date	2013
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | The Guest House Skilled Nursing And Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,437
Initial Cost to Company, Buildings and Improvements	20,889
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,226
Gross Carrying Value
Gross Carrying Value, Land	3,437
Gross Carrying Value, Buildings and Improvements	22,115
Gross Carrying Value, Total	25,552
Accumulated Depreciation	$ (1,550)
Construction/Renovation Date	2006
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Pilgrim Manor Skilled Nursing And Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,979
Initial Cost to Company, Buildings and Improvements	24,617
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,979
Gross Carrying Value, Buildings and Improvements	24,617
Gross Carrying Value, Total	27,596
Accumulated Depreciation	$ (1,765)
Construction/Renovation Date	2008
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Shreveport Manor Skilled Nursing and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	676
Initial Cost to Company, Buildings and Improvements	10,238
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	361
Gross Carrying Value
Gross Carrying Value, Land	676
Gross Carrying Value, Buildings and Improvements	10,599
Gross Carrying Value, Total	11,275
Accumulated Depreciation	$ (769)
Construction/Renovation Date	2008
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Booker T Washington Skilled Nursing and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,452
Initial Cost to Company, Buildings and Improvements	9,148
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	113
Gross Carrying Value
Gross Carrying Value, Land	2,452
Gross Carrying Value, Buildings and Improvements	9,261
Gross Carrying Value, Total	11,713
Accumulated Depreciation	$ (705)
Construction/Renovation Date	2013
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Legacy West Rehabilitation and Healthcare
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	120
Initial Cost to Company, Buildings and Improvements	6,682
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	436
Gross Carrying Value
Gross Carrying Value, Land	120
Gross Carrying Value, Buildings and Improvements	7,118
Gross Carrying Value, Total	7,238
Accumulated Depreciation	$ (560)
Construction/Renovation Date	2002
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Legacy at Jacksonville
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	173
Initial Cost to Company, Buildings and Improvements	7,481
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	127
Gross Carrying Value
Gross Carrying Value, Land	173
Gross Carrying Value, Buildings and Improvements	7,608
Gross Carrying Value, Total	7,781
Accumulated Depreciation	$ (588)
Construction/Renovation Date	2006
Acquisition Date	2019
Skilled nursing properties | Gulf Coast Buyer 1 LLC | Pecan Tree Rehabilitation and Healthcare
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	219
Initial Cost to Company, Buildings and Improvements	10,097
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	255
Gross Carrying Value
Gross Carrying Value, Land	219
Gross Carrying Value, Buildings and Improvements	10,352
Gross Carrying Value, Total	10,571
Accumulated Depreciation	$ (772)
Construction/Renovation Date	1990
Acquisition Date	2019
Skilled nursing properties | Lakewest SNF Realty LLC | Lakewest Rehabilitation and Skilled Care
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	0
Initial Cost to Company, Buildings and Improvements	6,905
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	0
Gross Carrying Value, Buildings and Improvements	6,905
Gross Carrying Value, Total	6,905
Accumulated Depreciation	$ (515)
Construction/Renovation Date	2011
Acquisition Date	2019
Multi-Service Campus Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	59,450
Initial Cost to Company, Buildings and Improvements	291,345
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	10,329
Gross Carrying Value
Gross Carrying Value, Land	59,319
Gross Carrying Value, Buildings and Improvements	301,805
Gross Carrying Value, Total	361,124
Accumulated Depreciation	(35,527)
Multi-Service Campus Properties | Ensign Southland LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	966
Initial Cost to Company, Buildings and Improvements	5,082
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,213
Gross Carrying Value
Gross Carrying Value, Land	966
Gross Carrying Value, Buildings and Improvements	7,295
Gross Carrying Value, Total	8,261
Accumulated Depreciation	$ (5,588)
Construction/Renovation Date	2011
Acquisition Date	1999
Multi-Service Campus Properties | Mission CCRC LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,962
Initial Cost to Company, Buildings and Improvements	11,035
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	464
Gross Carrying Value
Gross Carrying Value, Land	1,962
Gross Carrying Value, Buildings and Improvements	11,499
Gross Carrying Value, Total	13,461
Accumulated Depreciation	$ (3,634)
Construction/Renovation Date	1994
Acquisition Date	2011
Multi-Service Campus Properties | Wayne Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	130
Initial Cost to Company, Buildings and Improvements	3,061
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	122
Gross Carrying Value
Gross Carrying Value, Land	130
Gross Carrying Value, Buildings and Improvements	3,183
Gross Carrying Value, Total	3,313
Accumulated Depreciation	$ (1,100)
Construction/Renovation Date	1978
Acquisition Date	2011
Multi-Service Campus Properties | 4th Street Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	180
Initial Cost to Company, Buildings and Improvements	3,352
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	180
Gross Carrying Value, Buildings and Improvements	3,352
Gross Carrying Value, Total	3,532
Accumulated Depreciation	$ (1,095)
Construction/Renovation Date	2006
Acquisition Date	2011
Multi-Service Campus Properties | Big Sioux River Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	110
Initial Cost to Company, Buildings and Improvements	3,522
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	75
Gross Carrying Value
Gross Carrying Value, Land	110
Gross Carrying Value, Buildings and Improvements	3,597
Gross Carrying Value, Total	3,707
Accumulated Depreciation	$ (1,104)
Construction/Renovation Date	1974
Acquisition Date	2011
Multi-Service Campus Properties | Prairie Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	130
Initial Cost to Company, Buildings and Improvements	1,571
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	22
Gross Carrying Value
Gross Carrying Value, Land	130
Gross Carrying Value, Buildings and Improvements	1,593
Gross Carrying Value, Total	1,723
Accumulated Depreciation	$ (838)
Construction/Renovation Date	2011
Acquisition Date	2011
Multi-Service Campus Properties | Salmon River Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	168
Initial Cost to Company, Buildings and Improvements	2,496
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	168
Gross Carrying Value, Buildings and Improvements	2,496
Gross Carrying Value, Total	2,664
Accumulated Depreciation	$ (588)
Construction/Renovation Date	2012
Acquisition Date	2012
Multi-Service Campus Properties | CTR Partnership, L.P. | Centerville Senior Independent Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,912
Initial Cost to Company, Buildings and Improvements	22,458
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	117
Gross Carrying Value
Gross Carrying Value, Land	3,781
Gross Carrying Value, Buildings and Improvements	22,706
Gross Carrying Value, Total	26,487
Accumulated Depreciation	$ (3,605)
Construction/Renovation Date	2007
Acquisition Date	2015
Multi-Service Campus Properties | CTR Partnership, L.P. | Liberty Nursing Center of Willard
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	143
Initial Cost to Company, Buildings and Improvements	11,097
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	50
Gross Carrying Value
Gross Carrying Value, Land	143
Gross Carrying Value, Buildings and Improvements	11,147
Gross Carrying Value, Total	11,290
Accumulated Depreciation	$ (1,760)
Construction/Renovation Date	1985
Acquisition Date	2015
Multi-Service Campus Properties | CTR Partnership, L.P. | Premier Estates of Middletown/Premier Retirement Estates of Middletown
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	990
Initial Cost to Company, Buildings and Improvements	7,484
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	371
Gross Carrying Value
Gross Carrying Value, Land	990
Gross Carrying Value, Buildings and Improvements	7,855
Gross Carrying Value, Total	8,845
Accumulated Depreciation	$ (1,229)
Construction/Renovation Date	1985
Acquisition Date	2015
Multi-Service Campus Properties | CTR Partnership, L.P. | Premier Estates of Norwood Towers/Premier Retirement Estates of Norwood Towers
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,316
Initial Cost to Company, Buildings and Improvements	10,071
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	799
Gross Carrying Value
Gross Carrying Value, Land	1,316
Gross Carrying Value, Buildings and Improvements	10,870
Gross Carrying Value, Total	12,186
Accumulated Depreciation	$ (1,538)
Construction/Renovation Date	1991
Acquisition Date	2016
Multi-Service Campus Properties | CTR Partnership, L.P. | Turlock Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,258
Initial Cost to Company, Buildings and Improvements	16,526
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,258
Gross Carrying Value, Buildings and Improvements	16,526
Gross Carrying Value, Total	17,784
Accumulated Depreciation	$ (2,238)
Construction/Renovation Date	1986
Acquisition Date	2016
Multi-Service Campus Properties | CTR Partnership, L.P. | Bridgeport Medical Lodge
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	980
Initial Cost to Company, Buildings and Improvements	27,917
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	980
Gross Carrying Value, Buildings and Improvements	27,917
Gross Carrying Value, Total	28,897
Accumulated Depreciation	$ (3,548)
Construction/Renovation Date	2014
Acquisition Date	2016
Multi-Service Campus Properties | CTR Partnership, L.P. | The Villas at Saratoga
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	8,709
Initial Cost to Company, Buildings and Improvements	9,736
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,396
Gross Carrying Value
Gross Carrying Value, Land	8,709
Gross Carrying Value, Buildings and Improvements	11,132
Gross Carrying Value, Total	19,841
Accumulated Depreciation	$ (1,008)
Construction/Renovation Date	2004
Acquisition Date	2018
Multi-Service Campus Properties | CTR Partnership, L.P. | Madison Park Healthcare
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	601
Initial Cost to Company, Buildings and Improvements	6,385
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	601
Gross Carrying Value, Buildings and Improvements	6,385
Gross Carrying Value, Total	6,986
Accumulated Depreciation	$ (525)
Construction/Renovation Date	1924
Acquisition Date	2018
Multi-Service Campus Properties | CTR Partnership, L.P. | Oakview Heights Nursing and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	298
Initial Cost to Company, Buildings and Improvements	8,393
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	298
Gross Carrying Value, Buildings and Improvements	8,393
Gross Carrying Value, Total	8,691
Accumulated Depreciation	$ (692)
Construction/Renovation Date	2004
Acquisition Date	2019
Multi-Service Campus Properties | CTR Partnership, L.P. | City Creek Post-Acute and Assisted Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,980
Initial Cost to Company, Buildings and Improvements	10,106
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,488
Gross Carrying Value
Gross Carrying Value, Land	3,980
Gross Carrying Value, Buildings and Improvements	11,594
Gross Carrying Value, Total	15,574
Accumulated Depreciation	$ (655)
Construction/Renovation Date	1990
Acquisition Date	2019
Multi-Service Campus Properties | CTR Partnership, L.P. | Crestwood Health and Rehabilitation Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	143
Initial Cost to Company, Buildings and Improvements	6,075
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	143
Gross Carrying Value, Buildings and Improvements	6,075
Gross Carrying Value, Total	6,218
Accumulated Depreciation	$ (198)
Construction/Renovation Date	1980
Acquisition Date	2020
Multi-Service Campus Properties | Gulf Coast Buyer 1 LLC | Spring Lake Skilled Nursing and Rehabilitation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,217
Initial Cost to Company, Buildings and Improvements	21,195
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,730
Gross Carrying Value
Gross Carrying Value, Land	3,217
Gross Carrying Value, Buildings and Improvements	23,925
Gross Carrying Value, Total	27,142
Accumulated Depreciation	$ (1,666)
Construction/Renovation Date	2008
Acquisition Date	2019
Multi-Service Campus Properties | Gulf Coast Buyer 1 LLC | The Village at Heritage Oaks
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	143
Initial Cost to Company, Buildings and Improvements	11,429
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	482
Gross Carrying Value
Gross Carrying Value, Land	143
Gross Carrying Value, Buildings and Improvements	11,911
Gross Carrying Value, Total	12,054
Accumulated Depreciation	$ (913)
Construction/Renovation Date	2007
Acquisition Date	2019
Multi-Service Campus Properties | Northshore Healthcare Holdings LLC | San Juan Capistrano Senior Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	11,176
Initial Cost to Company, Buildings and Improvements	25,298
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	11,176
Gross Carrying Value, Buildings and Improvements	25,298
Gross Carrying Value, Total	36,474
Accumulated Depreciation	$ (548)
Construction/Renovation Date	1999
Acquisition Date	2021
Multi-Service Campus Properties | Northshore Healthcare Holdings LLC | Camarillo Senior Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	7,516
Initial Cost to Company, Buildings and Improvements	30,552
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	7,516
Gross Carrying Value, Buildings and Improvements	30,552
Gross Carrying Value, Total	38,068
Accumulated Depreciation	$ (655)
Construction/Renovation Date	2000
Acquisition Date	2021
Multi-Service Campus Properties | Northshore Healthcare Holdings LLC | Bayshire Carlsbad
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	7,398
Initial Cost to Company, Buildings and Improvements	19,714
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	7,398
Gross Carrying Value, Buildings and Improvements	19,714
Gross Carrying Value, Total	27,112
Accumulated Depreciation	$ (429)
Construction/Renovation Date	1999
Acquisition Date	2021
Multi-Service Campus Properties | Northshore Healthcare Holdings LLC | Bayshire Rancho Mirage
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	4,024
Initial Cost to Company, Buildings and Improvements	16,790
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	4,024
Gross Carrying Value, Buildings and Improvements	16,790
Gross Carrying Value, Total	20,814
Accumulated Depreciation	$ (373)
Construction/Renovation Date	2000
Acquisition Date	2021
Assisted and Independent Living Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	32,475
Initial Cost to Company, Buildings and Improvements	209,343
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	11,847
Gross Carrying Value
Gross Carrying Value, Land	32,475
Gross Carrying Value, Buildings and Improvements	221,190
Gross Carrying Value, Total	253,666
Accumulated Depreciation	(43,438)
Assisted and Independent Living Properties | Lafayette Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	420
Initial Cost to Company, Buildings and Improvements	1,160
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	189
Gross Carrying Value
Gross Carrying Value, Land	420
Gross Carrying Value, Buildings and Improvements	1,349
Gross Carrying Value, Total	1,769
Accumulated Depreciation	$ (471)
Construction/Renovation Date	2011
Acquisition Date	2009
Assisted and Independent Living Properties | Everglades Health Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,542
Initial Cost to Company, Buildings and Improvements	4,012
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	113
Gross Carrying Value
Gross Carrying Value, Land	1,542
Gross Carrying Value, Buildings and Improvements	4,125
Gross Carrying Value, Total	5,667
Accumulated Depreciation	$ (977)
Construction/Renovation Date	1990
Acquisition Date	2011
Assisted and Independent Living Properties | Wisteria Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	244
Initial Cost to Company, Buildings and Improvements	3,241
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	81
Gross Carrying Value
Gross Carrying Value, Land	244
Gross Carrying Value, Buildings and Improvements	3,322
Gross Carrying Value, Total	3,566
Accumulated Depreciation	$ (1,675)
Construction/Renovation Date	2008
Acquisition Date	2011
Assisted and Independent Living Properties | Willows Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,835
Initial Cost to Company, Buildings and Improvements	3,784
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	395
Gross Carrying Value
Gross Carrying Value, Land	2,835
Gross Carrying Value, Buildings and Improvements	4,179
Gross Carrying Value, Total	7,014
Accumulated Depreciation	$ (1,350)
Construction/Renovation Date	2013
Acquisition Date	2013
Assisted and Independent Living Properties | Sky Holdings AZ LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	61
Initial Cost to Company, Buildings and Improvements	304
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	372
Gross Carrying Value
Gross Carrying Value, Land	61
Gross Carrying Value, Buildings and Improvements	676
Gross Carrying Value, Total	738
Accumulated Depreciation	$ (494)
Construction/Renovation Date	2004
Acquisition Date	2002
Assisted and Independent Living Properties | Lemon River Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	342
Initial Cost to Company, Buildings and Improvements	802
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,360
Gross Carrying Value
Gross Carrying Value, Land	342
Gross Carrying Value, Buildings and Improvements	4,162
Gross Carrying Value, Total	4,504
Accumulated Depreciation	$ (2,892)
Construction/Renovation Date	2012
Acquisition Date	2009
Assisted and Independent Living Properties | Mission CCRC LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	411
Initial Cost to Company, Buildings and Improvements	2,312
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	258
Gross Carrying Value
Gross Carrying Value, Land	411
Gross Carrying Value, Buildings and Improvements	2,570
Gross Carrying Value, Total	2,981
Accumulated Depreciation	$ (1,616)
Construction/Renovation Date	1994
Acquisition Date	2011
Assisted and Independent Living Properties | Avenue N Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	124
Initial Cost to Company, Buildings and Improvements	2,301
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	392
Gross Carrying Value
Gross Carrying Value, Land	124
Gross Carrying Value, Buildings and Improvements	2,693
Gross Carrying Value, Total	2,817
Accumulated Depreciation	$ (1,453)
Construction/Renovation Date	2007
Acquisition Date	2006
Assisted and Independent Living Properties | Moenium Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,893
Initial Cost to Company, Buildings and Improvements	5,268
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,210
Gross Carrying Value
Gross Carrying Value, Land	1,893
Gross Carrying Value, Buildings and Improvements	6,478
Gross Carrying Value, Total	8,371
Accumulated Depreciation	$ (3,672)
Construction/Renovation Date	1986
Acquisition Date	2007
Assisted and Independent Living Properties | Expo Park Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	570
Initial Cost to Company, Buildings and Improvements	1,692
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	248
Gross Carrying Value
Gross Carrying Value, Land	570
Gross Carrying Value, Buildings and Improvements	1,940
Gross Carrying Value, Total	2,510
Accumulated Depreciation	$ (942)
Construction/Renovation Date	1986
Acquisition Date	2010
Assisted and Independent Living Properties | Flamingo Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	908
Initial Cost to Company, Buildings and Improvements	4,767
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	281
Gross Carrying Value
Gross Carrying Value, Land	908
Gross Carrying Value, Buildings and Improvements	5,048
Gross Carrying Value, Total	5,956
Accumulated Depreciation	$ (2,770)
Construction/Renovation Date	1986
Acquisition Date	2011
Assisted and Independent Living Properties | 18th Place Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,011
Initial Cost to Company, Buildings and Improvements	2,053
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	490
Gross Carrying Value
Gross Carrying Value, Land	1,011
Gross Carrying Value, Buildings and Improvements	2,543
Gross Carrying Value, Total	3,554
Accumulated Depreciation	$ (1,042)
Construction/Renovation Date	1974
Acquisition Date	2011
Assisted and Independent Living Properties | Boardwalk Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	367
Initial Cost to Company, Buildings and Improvements	1,633
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	51
Gross Carrying Value
Gross Carrying Value, Land	367
Gross Carrying Value, Buildings and Improvements	1,684
Gross Carrying Value, Total	2,051
Accumulated Depreciation	$ (568)
Construction/Renovation Date	1993
Acquisition Date	2012
Assisted and Independent Living Properties | Lockwood Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,792
Initial Cost to Company, Buildings and Improvements	2,253
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	585
Gross Carrying Value
Gross Carrying Value, Land	1,792
Gross Carrying Value, Buildings and Improvements	2,838
Gross Carrying Value, Total	4,630
Accumulated Depreciation	$ (1,410)
Construction/Renovation Date	1967
Acquisition Date	2013
Assisted and Independent Living Properties | Saratoga Health Holdings LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	444
Initial Cost to Company, Buildings and Improvements	2,265
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	176
Gross Carrying Value
Gross Carrying Value, Land	444
Gross Carrying Value, Buildings and Improvements	2,441
Gross Carrying Value, Total	2,885
Accumulated Depreciation	$ (520)
Construction/Renovation Date	1995
Acquisition Date	2013
Assisted and Independent Living Properties | CTR Partnership, L.P. | Prelude Cottages of Woodbury
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	430
Initial Cost to Company, Buildings and Improvements	6,714
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	76
Gross Carrying Value
Gross Carrying Value, Land	430
Gross Carrying Value, Buildings and Improvements	6,790
Gross Carrying Value, Total	7,220
Accumulated Depreciation	$ (1,179)
Construction/Renovation Date	2011
Acquisition Date	2014
Assisted and Independent Living Properties | CTR Partnership, L.P. | English Meadows Senior Living Community
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	250
Initial Cost to Company, Buildings and Improvements	6,114
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	175
Gross Carrying Value
Gross Carrying Value, Land	250
Gross Carrying Value, Buildings and Improvements	6,289
Gross Carrying Value, Total	6,539
Accumulated Depreciation	$ (1,076)
Construction/Renovation Date	2011
Acquisition Date	2014
Assisted and Independent Living Properties | CTR Partnership, L.P. | Bristol Court Assisted Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	645
Initial Cost to Company, Buildings and Improvements	7,322
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	408
Gross Carrying Value
Gross Carrying Value, Land	645
Gross Carrying Value, Buildings and Improvements	7,730
Gross Carrying Value, Total	8,375
Accumulated Depreciation	$ (1,198)
Construction/Renovation Date	2010
Acquisition Date	2015
Assisted and Independent Living Properties | CTR Partnership, L.P. | Asbury Place Assisted Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	212
Initial Cost to Company, Buildings and Improvements	4,992
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	222
Gross Carrying Value
Gross Carrying Value, Land	212
Gross Carrying Value, Buildings and Improvements	5,214
Gross Carrying Value, Total	5,426
Accumulated Depreciation	$ (802)
Construction/Renovation Date	1997
Acquisition Date	2015
Assisted and Independent Living Properties | CTR Partnership, L.P. | New Haven Assisted Living of San Angelo
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	284
Initial Cost to Company, Buildings and Improvements	4,478
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	284
Gross Carrying Value, Buildings and Improvements	4,478
Gross Carrying Value, Total	4,762
Accumulated Depreciation	$ (662)
Construction/Renovation Date	2012
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Lamplight Inn of Fort Wayne
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	452
Initial Cost to Company, Buildings and Improvements	8,703
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	304
Gross Carrying Value
Gross Carrying Value, Land	452
Gross Carrying Value, Buildings and Improvements	9,007
Gross Carrying Value, Total	9,459
Accumulated Depreciation	$ (1,269)
Construction/Renovation Date	2015
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Lamplight Inn of West Allis
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	97
Initial Cost to Company, Buildings and Improvements	6,102
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	106
Gross Carrying Value
Gross Carrying Value, Land	97
Gross Carrying Value, Buildings and Improvements	6,208
Gross Carrying Value, Total	6,305
Accumulated Depreciation	$ (890)
Construction/Renovation Date	2013
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Fort Myers Assisted Living
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,489
Initial Cost to Company, Buildings and Improvements	3,531
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	786
Gross Carrying Value
Gross Carrying Value, Land	1,489
Gross Carrying Value, Buildings and Improvements	4,317
Gross Carrying Value, Total	5,806
Accumulated Depreciation	$ (556)
Construction/Renovation Date	1980
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | English Meadows Elks Home Campus
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	451
Initial Cost to Company, Buildings and Improvements	9,023
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	287
Gross Carrying Value
Gross Carrying Value, Land	451
Gross Carrying Value, Buildings and Improvements	9,310
Gross Carrying Value, Total	9,761
Accumulated Depreciation	$ (1,360)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Croatan Village
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	312
Initial Cost to Company, Buildings and Improvements	6,919
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	312
Gross Carrying Value, Buildings and Improvements	6,919
Gross Carrying Value, Total	7,231
Accumulated Depreciation	$ (980)
Construction/Renovation Date	2010
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Countryside Village
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	131
Initial Cost to Company, Buildings and Improvements	4,157
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	131
Gross Carrying Value, Buildings and Improvements	4,157
Gross Carrying Value, Total	4,288
Accumulated Depreciation	$ (589)
Construction/Renovation Date	2011
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Pines of Clarkston
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	603
Initial Cost to Company, Buildings and Improvements	9,326
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	603
Gross Carrying Value, Buildings and Improvements	9,326
Gross Carrying Value, Total	9,929
Accumulated Depreciation	$ (1,302)
Construction/Renovation Date	2010
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Pines of Goodrich
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	241
Initial Cost to Company, Buildings and Improvements	4,112
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	130
Gross Carrying Value
Gross Carrying Value, Land	241
Gross Carrying Value, Buildings and Improvements	4,242
Gross Carrying Value, Total	4,483
Accumulated Depreciation	$ (574)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Pines of Burton
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	492
Initial Cost to Company, Buildings and Improvements	9,199
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	492
Gross Carrying Value, Buildings and Improvements	9,199
Gross Carrying Value, Total	9,691
Accumulated Depreciation	$ (1,284)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Pines of Lapeer
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	302
Initial Cost to Company, Buildings and Improvements	5,773
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	302
Gross Carrying Value, Buildings and Improvements	5,773
Gross Carrying Value, Total	6,075
Accumulated Depreciation	$ (806)
Construction/Renovation Date	2008
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Arbor Place
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	392
Initial Cost to Company, Buildings and Improvements	3,605
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	392
Gross Carrying Value, Buildings and Improvements	3,605
Gross Carrying Value, Total	3,997
Accumulated Depreciation	$ (488)
Construction/Renovation Date	1984
Acquisition Date	2016
Assisted and Independent Living Properties | CTR Partnership, L.P. | Applewood of Brookfield
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	493
Initial Cost to Company, Buildings and Improvements	14,002
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	493
Gross Carrying Value, Buildings and Improvements	14,002
Gross Carrying Value, Total	14,495
Accumulated Depreciation	$ (1,721)
Construction/Renovation Date	2013
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Applewood of New Berlin
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	356
Initial Cost to Company, Buildings and Improvements	10,812
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	13
Gross Carrying Value
Gross Carrying Value, Land	356
Gross Carrying Value, Buildings and Improvements	10,825
Gross Carrying Value, Total	11,181
Accumulated Depreciation	$ (1,329)
Construction/Renovation Date	2016
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Tangerine Cove Of Brooksville
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	995
Initial Cost to Company, Buildings and Improvements	927
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	493
Gross Carrying Value
Gross Carrying Value, Land	995
Gross Carrying Value, Buildings and Improvements	1,420
Gross Carrying Value, Total	2,415
Accumulated Depreciation	$ (151)
Construction/Renovation Date	1984
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Memory Care Cottages in White Bear Lake
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,611
Initial Cost to Company, Buildings and Improvements	5,633
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,611
Gross Carrying Value, Buildings and Improvements	5,633
Gross Carrying Value, Total	7,244
Accumulated Depreciation	$ (634)
Construction/Renovation Date	2016
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Culpeper
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	318
Initial Cost to Company, Buildings and Improvements	3,897
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	197
Gross Carrying Value
Gross Carrying Value, Land	318
Gross Carrying Value, Buildings and Improvements	4,094
Gross Carrying Value, Total	4,412
Accumulated Depreciation	$ (492)
Construction/Renovation Date	1997
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Louisa
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	407
Initial Cost to Company, Buildings and Improvements	4,660
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	240
Gross Carrying Value
Gross Carrying Value, Land	407
Gross Carrying Value, Buildings and Improvements	4,900
Gross Carrying Value, Total	5,307
Accumulated Depreciation	$ (599)
Construction/Renovation Date	2002
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Warrenton
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,238
Initial Cost to Company, Buildings and Improvements	7,247
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	194
Gross Carrying Value
Gross Carrying Value, Land	1,238
Gross Carrying Value, Buildings and Improvements	7,441
Gross Carrying Value, Total	8,679
Accumulated Depreciation	$ (880)
Construction/Renovation Date	1999
Acquisition Date	2017
Assisted and Independent Living Properties | CTR Partnership, L.P. | Vista Del Lago
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	4,362
Initial Cost to Company, Buildings and Improvements	7,997
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	4,362
Gross Carrying Value, Buildings and Improvements	7,997
Gross Carrying Value, Total	12,359
Accumulated Depreciation	$ (489)
Construction/Renovation Date	2015
Acquisition Date	2019
Assisted and Independent Living Properties | CTR Partnership, L.P. | Inn at Barton Creek
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,479
Initial Cost to Company, Buildings and Improvements	4,804
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	15
Gross Carrying Value
Gross Carrying Value, Land	2,479
Gross Carrying Value, Buildings and Improvements	4,819
Gross Carrying Value, Total	7,298
Accumulated Depreciation	$ (249)
Construction/Renovation Date	1999
Acquisition Date	2020
Assisted and Independent Living Properties | CTR Partnership, L.P. | Bridgeton Essentia Neighborhood
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	245
Initial Cost to Company, Buildings and Improvements	5,795
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	245
Gross Carrying Value, Buildings and Improvements	5,795
Gross Carrying Value, Total	6,040
Accumulated Depreciation	$ (14)
Construction/Renovation Date	2021
Acquisition Date	2021
Assisted and Independent Living Properties | CTR Partnership, L.P. | Rio Grande Essentia Neighborhood
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	224
Initial Cost to Company, Buildings and Improvements	5,652
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	224
Gross Carrying Value, Buildings and Improvements	5,652
Gross Carrying Value, Total	5,876
Accumulated Depreciation	$ (13)
Construction/Renovation Date	2021
Acquisition Date	2021

Schedule III - Real Estate As_3

Schedule III - Real Estate Assets and Accumulated Depreciation - Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real estate:
Balance at the beginning of the period	$ 1,683,205	$ 1,605,081	$ 1,368,157
Acquisitions	190,133	84,630	318,070
Improvements	4,521	7,223	3,103
Impairment	0	0	(21,465)
Sales of real estate	(4,053)	(13,729)	(62,784)
Balance at the end of the period	1,873,806	1,683,205	1,605,081
Accumulated depreciation:
Balance at the beginning of the period	(259,803)	(220,359)	(185,926)
Depreciation expense	(45,498)	(41,914)	(40,373)
Impairment	0	0	5,220
Sales of real estate	516	2,470	720
Balance at the end of the period	$ (304,785)	$ (259,803)	$ (220,359)

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans on Real Estate - Mortgage Loan (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Prior Liens	$ 112,278
Principal Balance	15,000
Book Value	15,155	$ 15,000	$ 29,500	$ 12,375
Aggregate cost of investments in real estate mortgage loans for federal income tax purposes	$ 15,000
Skilled nursing facility | Next Healthcare Inc - Virginia
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Contractual Interest Rate	12.00%
Prior Liens	$ 112,278
Principal Balance	15,000
Book Value	$ 15,155

Schedule IV - Mortgage Loan on

Schedule IV - Mortgage Loan on Real Estate - Mortgage Loan Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loans, beginning of period	$ 15,000	$ 29,500	$ 12,375
Additions during period:
New mortgage loans	0	61,258	40,889
Interest income added to principal	155	0	0
Deductions during period:
Paydowns/Repayments	0	(75,758)	(23,764)
Mortgage loans, end of period	$ 15,155	$ 15,000	$ 29,500