CareTrust REIT (CTRE) 10-K 9 Feb 23 2022 FY Annual report Financial data

Cover

Cover - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2022	Feb. 08, 2023	Jun. 30, 2022
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2022
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	NYSE
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			$ 1.8
Entity Common Stock, Shares Outstanding		99,511,924
Documents Incorporated by Reference	Portions of the definitive Proxy Statement for the registrant’s 2023 Annual Meeting of Stockholders, which will be filed with the Securities and Exchange Commission within 120 days after the end of fiscal year 2022, are incorporated by reference into Part III of this Report.
Entity Central Index Key	0001590717
Document Fiscal Year Focus	2022
Document Fiscal Period Focus	FY
Amendment Flag	false

Audit Information

Audit Information	12 Months Ended
	Dec. 31, 2022
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, 2022	Dec. 31, 2021
Assets:
Real estate investments, net	$ 1,421,410	$ 1,589,971
Other real estate related investments, at fair value (including accrued interest of $1,320 as of December 31, 2022 and $155 as of December 31, 2021)	156,368	15,155
Assets held for sale, net	12,291	4,835
Cash and cash equivalents	13,178	19,895
Accounts and other receivables	416	2,418
Prepaid expenses and other assets, net	11,690	7,512
Deferred financing costs, net	5,428	1,062
Total assets	1,620,781	1,640,848
Liabilities and Equity:
Senior unsecured notes payable, net	395,150	394,262
Senior unsecured term loan, net	199,348	199,136
Unsecured revolving credit facility	125,000	80,000
Accounts payable, accrued liabilities and deferred rent liabilities	24,360	25,408
Dividends payable	27,550	26,285
Total liabilities	771,408	725,091
Commitments and contingencies (Note 11)
Equity:
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of December 31, 2022 and 2021	0	0
Common stock, $0.01 par value; 500,000,000 shares authorized, 99,010,112 and 96,296,673 shares issued and outstanding as of December 31, 2022 and 2021, respectively	990	963
Additional paid-in capital	1,245,337	1,196,839
Cumulative distributions in excess of earnings	(396,954)	(282,045)
Total equity	849,373	915,757
Total liabilities and equity	$ 1,620,781	$ 1,640,848

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Statement of Financial Position [Abstract]
Other real estate related investments, accrued interest	$ 1,320	$ 155
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)	99,010,112	96,296,673
Common stock, outstanding (shares)	99,010,112	96,296,673

Consolidated Statements Of Oper

Consolidated Statements Of Operations - USD ($) shares in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Revenues:
Rental income	$ 187,506,000	$ 190,195,000	$ 173,612,000
Independent living facilities	0	0	2,077,000
Interest and other income	8,626,000	2,156,000	2,643,000
Total revenues	196,132,000	192,351,000	178,332,000
Expenses:
Depreciation and amortization	50,316,000	55,340,000	52,760,000
Interest expense	30,008,000	23,677,000	23,661,000
Property taxes	4,333,000	3,574,000	2,836,000
Independent living facilities			1,869,000
Impairment of real estate investments	79,062,000	0	0
Provision for loan losses, net	3,844,000	0	0
Property operating expenses	5,039,000
General and administrative	20,165,000	26,874,000	16,302,000
Total expenses	192,767,000	109,465,000	97,428,000
Other loss:
Loss on extinguishment of debt	0	(10,827,000)	0
Loss on sale of real estate, net	(3,769,000)	(77,000)	(37,000)
Unrealized loss on other real estate related investments	(7,102,000)	0	0
Total other loss	(10,871,000)	(10,904,000)	(37,000)
Net (loss) income	$ (7,506,000)	$ 71,982,000	$ 80,867,000
(Loss) earnings per common share:
Basic (usd per share)	$ (0.08)	$ 0.74	$ 0.85
Diluted (usd per share)	$ (0.08)	$ 0.74	$ 0.85
Weighted-average number of common shares:
Basic (shares)	96,703	96,017	95,200
Diluted (shares)	96,703	96,092	95,207
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 (shares) at Dec. 31, 2019		95,103,270
Beginning balance at Dec. 31, 2019	$ 927,591	$ 951	$ 1,162,990	$ (236,350)
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 (shares)		112,527
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,995)	$ 1	(1,996)
Amortization of stock-based compensation	3,812		3,812
Common dividends	(95,729)			(95,729)
Net (loss) income	80,867			80,867
Ending balance (shares) at Dec. 31, 2020		95,215,797
Ending balance at Dec. 31, 2020	914,142	$ 952	1,164,402	(251,212)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net (shares)		990,000
Issuance of common stock, net	22,946	$ 10	22,936
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		90,876
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,330)	$ 1	(1,331)
Amortization of stock-based compensation	10,832		10,832
Common dividends	(102,815)			(102,815)
Net (loss) income	$ 71,982			71,982
Ending balance (shares) at Dec. 31, 2021	96,296,673	96,296,673
Ending balance at Dec. 31, 2021	$ 915,757	$ 963	1,196,839	(282,045)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net (shares)		2,405,000
Issuance of common stock, net	47,236	$ 24	47,212
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		308,439
Vesting of restricted common stock, net of shares withheld for employee taxes	(4,469)	$ 3	(4,472)
Amortization of stock-based compensation	5,758		5,758
Common dividends	(107,403)			(107,403)
Net (loss) income	$ (7,506)			(7,506)
Ending balance (shares) at Dec. 31, 2022	99,010,112	99,010,112
Ending balance at Dec. 31, 2022	$ 849,373	$ 990	$ 1,245,337	$ (396,954)

Consolidated Statements of Eq_2

Consolidated Statements of Equity (Parenthetical) - $ / shares	3 Months Ended												12 Months Ended
	Dec. 31, 2022	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	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, 2022	Dec. 31, 2021	Dec. 31, 2020
Statement of Stockholders' Equity [Abstract]
Common dividend (usd per share)	$ 0.275	$ 0.275	$ 0.275	$ 0.275	$ 0.265	$ 0.265	$ 0.265	$ 0.265	$ 0.25	$ 0.25	$ 0.25	$ 0.25	$ 1.10	$ 1.06	$ 1

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($)	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Cash flows from operating activities:
Net (loss) income	$ (7,506,000)	$ 71,982,000	$ 80,867,000
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization (including below-market ground leases)	50,378,000	55,394,000	52,819,000
Amortization of deferred financing costs	2,095,000	2,052,000	1,950,000
Loss on extinguishment of debt	0	10,827,000	0
Unrealized loss on other real estate related investments	7,102,000	0	0
Amortization of stock-based compensation	5,758,000	10,832,000	3,790,000
Straight-line rental income	(17,000)	(32,000)	(77,000)
Adjustment for collectibility of rental income	1,417,000	0	0
Noncash interest income	(1,165,000)	(155,000)	0
Loss on sale of real estate, net	3,769,000	77,000	37,000
Interest income distribution from other real estate investment	0	0	1,346,000
Impairment of real estate investments	79,062,000	0	0
Provision for loan losses, net	3,844,000	0	0
Change in operating assets and liabilities:
Accounts and other receivables	604,000	(562,000)	825,000
Prepaid expenses and other assets, net	123,000	399,000	387,000
Accounts payable, accrued liabilities and deferred rent liabilities	(1,049,000)	6,057,000	3,791,000
Net cash provided by operating activities	144,415,000	156,871,000	145,735,000
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	(21,915,000)	(192,718,000)	(89,650,000)
Purchases of equipment, furniture and fixtures and improvements to real estate	(7,292,000)	(6,013,000)	(8,297,000)
Investment in real estate related investments and other loans receivable	(149,650,000)	(1,253,000)	(30,498,000)
Principal payments received on other loans receivable	6,308,000	393,000	80,928,000
Repayment of other real estate investment	0	0	2,327,000
Escrow deposits for potential acquisitions of real estate	0	0	(3,000,000)
Net proceeds from sales of real estate	45,149,000	6,958,000	6,608,000
Net cash used in investing activities	(127,400,000)	(192,633,000)	(41,582,000)
Cash flows from financing activities:
Proceeds from (costs paid for) the issuance of common stock, net	47,236,000	22,946,000	(404,000)
Proceeds from the issuance of senior unsecured notes payable	0	400,000,000	0
Borrowings under unsecured revolving credit facility	160,000,000	220,000,000	65,000,000
Payments on senior unsecured notes payable	0	(300,000,000)	0
Payments on unsecured revolving credit facility	(115,000,000)	(190,000,000)	(75,000,000)
Payments on debt extinguishment and deferred financing costs	(5,361,000)	(14,095,000)	0
Net-settle adjustment on restricted stock	(4,469,000)	(1,331,000)	(1,996,000)
Dividends paid on common stock	(106,138,000)	(100,782,000)	(93,161,000)
Net cash (used in) provided by financing activities	(23,732,000)	36,738,000	(105,561,000)
Net (decrease) increase in cash and cash equivalents	(6,717,000)	976,000	(1,408,000)
Cash and cash equivalents as of the beginning of period	19,895,000	18,919,000	20,327,000
Cash and cash equivalents as of the end of period	13,178,000	19,895,000	18,919,000
Supplemental disclosures of cash flow information:
Interest paid	25,912,000	22,838,000	21,691,000
Supplemental schedule of noncash investing and financing activities:
Increase in dividends payable	1,265,000	2,033,000	2,568,000
Right-of-use asset obtained in exchange for new operating lease obligation	0	0	599,000
Transfer of pre-acquisition costs to acquired assets	7,000	358,000	168,000
Sale of real estate settled with notes receivable	$ 12,000,000	$ 0	$ 32,400,000

Organization

Organization	12 Months Ended
	Dec. 31, 2022
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, 2022, the Company owned and leased to independent operators, 216 skilled nursing facilities (“SNFs”), multi-service campuses, assisted living facilities (“ALFs”) and independent living facilities (“ILFs”) consisting of 22,831 operational beds and units located in 28 states with the highest concentration of properties by rental income located in California, Texas, Louisiana, Idaho and Arizona. As of December 31, 2022, the Company also had other real estate related investments consisting of three real estate secured loans receivable and two mezzanine loans receivable with a carrying value of $156.4 million. COVID-19— The COVID-19 pandemic has had and may continue to have an adverse impact on the economy generally and the Company’s business, results of operations and financial condition. 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 resurgences of COVID-19 or outbreaks of other highly infectious diseases. 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, 2022
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 statements of operations. Otherwise, tenant recoveries for taxes and insurance are classified as additional rental revenues recognized by the lessor on a gross basis in its statements of operations. 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 statements of operations. For the year ended December 31, 2022, the Company did not record any recovery adjustments and wrote-off $1.4 million of rental income. 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. 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. Impairment of Long-Lived Assets —At each reporting period, the Company evaluates its real estate investments held for use 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, historical and projected 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. The Company classifies its real estate investments as held for sale when the applicable criteria have been met, which includes 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. If circumstances arise that previously were considered unlikely and, as a result, the Company decides not to sell a real estate investment previously classified as held for sale or otherwise no longer meets the held for sale criteria, the respective assets are reclassified as real estate investments held for use. A real estate investment that is reclassified is measured and recorded individually at the lower of (a) its carrying amount before the real estate investment was classified as held for sale, adjusted for any depreciation expense that would have been recognized had the real estate investment been continuously classified as held for use, or (b) the fair value at the date of the decision not to sell or change in circumstances that led to the real estate investment no longer meeting the criteria of held for sale. 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. For the year ended December 31, 2022, the Company recorded an impairment charge of $79.1 million. See Note 4, Impairment of Real Estate Investments, Asset Held For Sale, Net and Asset Sales , for additional information. Other Real Estate Related Investments —Included in other real estate related investments on the Company’s consolidated balance sheets at December 31, 2022, are three real estate secured loans receivable and two mezzanine loans receivable. Included in other real estate related investments on the Company’s consolidated balance sheets at December 31, 2021, is one mezzanine loan receivable. The Company elected the fair value option for all other real estate related investments. 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 statements of operations. 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 statements of operations. 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, 2022, the Company determined that the remaining contractual obligations under two other loans receivable were not collectible and recorded a $4.6 million expected credit loss, net of a loan loss recovery of $0.8 million related to a loan previously written-off. Expected credit losses and recoveries are recorded in provision for loan losses, net in the consolidated statements of operations. 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 cash equivalents 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 consolidated balance sheets. For the unsecured revolving credit facility, deferred financing costs are included in assets on the Company’s consolidated balance sheets. Amortization of deferred financing costs is classified as interest expense in the consolidated statements of operations. Accumulated amortization of deferred financing costs was $2.5 million and $8.0 million at December 31, 2022 and 2021, 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 statements of operations. During the year ended December 31, 2021, the Company recorded a loss on extinguishment of debt of $10.8 million. See Note 7, Debt, for further detail. Stock-Based Compensation —The Company accounts for share-based payment awards in accordance with ASC 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 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 (loss) income reflects stock-based compensation expense of $5.8 million, $10.8 million and $3.8 million for the years ended December 31, 2022, 2021 and 2020, 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 12, 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 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 Pronouncements — 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

Real Estate Investments, Net

Real Estate Investments, Net	12 Months Ended
	Dec. 31, 2022
Real Estate [Abstract]
Real Estate Investments, Net	REAL ESTATE INVESTMENTS, NET The following table summarizes the Company’s investment in owned properties held for use at December 31, 2022 and 2021 (dollars in thousands): December 31, 2022 December 31, 2021 Land $ 238,738 $ 251,787 Buildings and improvements 1,483,133 1,622,019 Integral equipment, furniture and fixtures 97,199 104,722 Identified intangible assets 2,832 1,257 Real estate investments 1,821,902 1,979,785 Accumulated depreciation and amortization (400,492) (389,814) Real estate investments, net $ 1,421,410 $ 1,589,971 As of December 31, 2022, 94 of the Company’s 216 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 on October 1, 2019, June 1, 2021, August 1, 2021, March 1, 2022 and April 1, 2022. 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, 2022, annualized contractual rental income from the Ensign Master Leases was $62.3 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, 2022, annualized contractual rental income from the four additional Ensign facilities was $3.9 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, 2022, 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, 2022, annualized contractual rental income from the PMG Master Lease was $30.2 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, 2022, 103 of the Company’s 216 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. During the second and third quarters of 2022, the Company entered into triple-net lease agreements for two of the Company’s 216 facilities which are being repurposed to behavioral health facilities with rent commencing 12 to 18 months following lease commencement. Two of the Company’s 216 facilities are non-operational and are leased under a short term lease with an expected remaining term of less than one year as of December 31, 2022. As of December 31, 2022, five facilities were held for sale. See Note 4, Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales for additional information. As of December 31, 2022, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, was as follows (dollars in thousands): Year Amount 2023 $ 190,704 2024 190,463 2025 190,621 2026 190,727 2027 187,719 Thereafter 984,665 $ 1,934,899 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 (1) Option Type (2) Current Cash Rent (3) SNF 11 November 2030 1/1/2023 (4) B 5,092 SNF 1 March 2029 4/1/2022 (5) A / B (6) 805 SNF / Campus 2 October 2032 1/1/2023 (4) A 1,097 SNF 4 November 2034 12/1/2024 (5) A 3,891 (1) The Company has not received notice of exercise for the option periods that are currently open. (2) Option type includes: A - Fixed base price. B - Fixed capitalization rate on lease revenue. (3) Based on annualized cash revenue for contracts in place at December 31, 2022. (4) Option window is open for six months. (5) Option window is open until the expiration of the lease term. (6) 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, 2022 2021 2020 Rental Income Contractual rent due (1) $ 188,906 $ 190,100 $ 171,309 Straight-line rent 17 32 77 Adjustment for collectibility (2) (1,417) — — Recoveries (3) — — 1,047 Lease termination revenue (4) — 63 1,179 Total $ 187,506 $ 190,195 $ 173,612 (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, 2022, 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 existing and former operators. As such, the Company reversed $0.7 million of operating expense reimbursements, $0.2 million of contractual rent and $0.5 million of straight-line rent during the year ended December 31, 2022. If lease payments are subsequently deemed probable of collection, the Company will reestablish the receivable which will result in an increase in rental income for such recoveries. (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. (4) 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, 2022, 2021 and 2020 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent Number of Properties Number of Beds/Units (2) December 31, 2022 Skilled nursing $ 8,918 $ 815 1 135 Multi-service campuses 13,003 1,235 1 130 Total $ 21,921 $ 2,050 2 265 December 31, 2021 Skilled nursing $ 57,973 $ 4,499 (3) 4 509 Multi-service campuses 125,708 8,604 (4) 4 640 Assisted living 12,395 — (5) 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 (1) Purchase price includes capitalized acquisition costs. (2) The number of beds/units includes operating beds at acquisition date. (3) Initial annual cash rent represents initial cash rent for the first twelve months excluding any impact of straight-line rent. (4) 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. (5) Initial annual cash rent is zero until transfer of operations upon receipt of licensing approval. Lease Amendments Noble Partial Lease Termination and New Landmark Leases. In June and August of 2022, one ALF in Florida and one ALF in Maryland were removed from a master lease with affiliates of Noble Senior Services (“Noble”) and the Company amended the applicable Noble master lease to reflect the removal of the two ALFs. Annual cash rent under the applicable Noble master lease decreased by approximately $1.1 million. In connection with the partial lease termination, the Company entered into a lease with Landmark Recovery of Maryland, LLC and Landmark Recovery of Florida, LLC ( collectively “Landmark”) to repurpose the facilities to behavioral health treatment centers. Rent under the leases will commence 12 - 18 months following commencement of the lease term or, if earlier, upon Landmark obtaining all licensure, permits, and other required regulatory authorizations with respect to operating the facility. The leases will expire on the 20th anniversary of the rent commencement date and both contain one 10-year renewal option and CPI-based rent escalators. Pennant Partial Lease Termination and Amended Ensign Master Leases. On April 1, 2022, operations at two ALFs in California and Washington operated by affiliates of The Pennant Group, Inc. (“Pennant”) were transferred to affiliates of The Ensign Group, Inc. (“Ensign”). In connection with the transfers, the Company amended the Pennant master lease to reflect the removal of the two ALFs and amended two existing Ensign Master Leases to include the two ALFs. The applicable Ensign Master Leases, as amended, had a remaining term at the date of amendment of approximately five years and 16 years, respectively, both with three five-year renewal options and CPI-based rent escalators. Annual cash rent under each of the two applicable Ensign Master Leases, as amended, increased by approximately $0.4 million and annual cash rent under the Pennant master lease, as amended, decreased by $0.8 million. On March 1, 2022, operations at one ALF in Arizona operated by affiliates of Pennant were transferred to affiliates of Ensign. In connection with the transfer, the Company amended the Pennant master lease to reflect the removal of the ALF and amended an existing Ensign Master Lease to include the one ALF. The applicable Ensign Master Lease, as amended, had a remaining term at the date of amendment of approximately 11 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the applicable Ensign Master Lease, as amended, increased by approximately $0.3 million and annual cash rent under the Pennant master lease, as amended, decreased by the same amount. Amended Eduro Master Lease. On February 1, 2022, the Company acquired one SNF. In conjunction with the acquisition, the Company amended its existing triple-net master lease with affiliates of Eduro Healthcare, LLC (“Eduro”) to include the one SNF and extended the initial lease term. The Eduro master lease, as amended, had a remaining term at the date of amendment of approximately 12 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the Eduro master lease, as amended, increased by approximately $0.8 million. Amended WLC Master Lease. On March 1, 2022, the Company acquired one multi-service campus. In conjunction with the acquisition, the Company amended its existing triple-net master lease with affiliates of WLC Management Firm, LLC (“WLC”) to include the one multi-service campus. The WLC master lease, as amended, had a remaining term at the date of amendment of approximately 12 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the WLC master lease, as amended, increased by approximately $1.2 million. 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 Ensign Master Lease to include the two skilled nursing facilities. The Ensign Master Lease, as amended, had a remaining term at the date of amendment 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, had a remaining term at the date of amendment 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, had a remaining term at the date of amendment 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.

Impairment of Real Estate Inves

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales	12 Months Ended
	Dec. 31, 2022
Discontinued Operations and Disposal Groups [Abstract]
Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales	IMPAIRMENT OF REAL ESTATE INVESTMENTS, ASSETS HELD FOR SALE, NET AND ASSET SALES In connection with the Company’s ongoing review and monitoring of its investment portfolio and the performance of its tenants, during the first quarter of 2022, the Company determined to pursue the sale of 27 properties and the repurposing of three properties representing an aggregate of approximately 10% of contractual cash rent as of March 31, 2022. As of March 31, 2022, the Company determined that these 27 properties met the criteria to be classified as assets held for sale. During the year ended December 31, 2022, the Company recognized an aggregate impairment charge of $79.1 million, of which $45.0 million related to 12 facilities that have been sold, $18.0 million related to 10 facilities that were classified as held for sale in the first quarter of 2022 and reclassified to held for use in the third and fourth quarters of 2022, $14.4 million related to five facilities that were held for sale as of December 31, 2022, and $1.7 million related to one facility that was held for use during the year. For properties classified as held for sale, the impairment charges were recognized to write down the properties to the lower of their carrying value or their aggregate fair value, less estimated costs to sell. For properties classified as held for use, the impairment charges were recognized to write down the properties to their fair value. Following the asset sales and held for sale reclassifications discussed below, five properties continued to meet the criteria to be classified as held for sale as of December 31, 2022. As of December 31, 2022, the real estate comprising the remaining five properties classified as held for sale had an aggregate carrying value of $12.3 million. The fair value of the assets held for sale was based on estimated sales prices, which are considered to be Level 3 measurements within the fair value hierarchy. Estimated sales prices were determined using a market approach (comparable sales model), which relies on certain assumptions by management, including: (i) comparable market transactions, (ii) estimated prices per unit, and (iii) binding agreements for sales and non-binding offers to purchase from unrelated third-parties. There are inherent uncertainties in making these assumptions. For the Company’s impairment calculations, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit ranging from $20,000 to $85,000, with a weighted average price per unit of $55,000. Asset Sales and Held for Sale Reclassifications During the first quarter of 2022, the Company determined that one ALF that was classified as held for sale at December 31, 2021 no longer met the held for sale criteria. The Company reclassified this ALF’s carrying value of $4.8 million out of assets held for sale and recorded catch-up depreciation of approximately $0.1 million during the year ended December 31, 2022. During the first quarter of 2022, the Company closed on the sale of one SNF, operated by affiliates of Cascadia Healthcare, LLC (“Cascadia”), consisting of 83 beds located in Washington with a carrying value of $0.8 million, for net sales proceeds of $1.0 million. During the year ended December 31, 2022, the Company recorded a gain of $0.2 million in connection with the sale. There was no rent reduction under the Cascadia master lease in connection with the sale. During the third quarter of 2022, the Company determined that one ALF, with a carrying value of $4.9 million, that was classified as held for sale at June 30, 2022 no longer met the held for sale criteria. The Company reclassified this ALF out of assets held for sale at its fair value at the date of the decision not to sell of approximately $4.9 million, or a weighted average price per unit of $125,000. During the third quarter of 2022, the Company closed on the sale of six SNFs and one multi-service campus, operated by affiliates of Trio Healthcare Holdings, LLC (“Trio”), consisting of 708 beds located in Ohio for net proceeds of $32.8 million. In connection with the sale, the Company provided affiliates of the purchaser of the properties with a $7.0 million term loan that bears interest at 8.5% and has a maturity date of September 30, 2025. The Company also provided a $5.0 million bridge loan to four individuals that bore interest at 8.5% and was subsequently repaid during the fourth quarter of 2022. Prior to their sale, the seven properties were classified as held for sale, with a carrying value of $46.9 million. During the year ended December 31, 2022, the Company recorded a loss of $2.1 million in connection with the sale. During the fourth quarter of 2022, the Company closed on the sale of five ALFs, operated by affiliates of Noble VA Holdings, LLC (“Noble”), consisting of 301 beds located in Virginia for net proceeds of $11.0 million. Prior to their sale, the five properties had been classified as held for sale at September 30, 2022, with a carrying value of $12.7 million. During the year ended December 31, 2022, the Company recorded a loss of $1.7 million in connection with the sale. During the fourth quarter of 2022, the Company determined that nine ALFs, with a carrying value of $50.8 million, that were classified as held for sale at September 30, 2022, no longer met the held for sale criteria. The Company reclassified the nine ALFs out of assets held for sale at their fair value at the date of the decision not to sell of approximately $47.8 million. The fair value of assets reclassified as real estate investments held for use was based on an income approach using current market conditions and considers matters such as the forecasted operating cash flows, lease coverage ratios, capitalization rates, and, where applicable, terms of recent lease agreements or the results of negotiations with prospective tenants, which are considered to be Level 3 measurements within the fair value hierarchy. There are inherent uncertainties in making these assumptions. For the Company’s impairment calculations, the Company’s fair value estimates primarily relied on an income approach. When utilizing an income approach, assumptions include, but are not limited to, terminal capitalization rates ranging from 7.5% to 8.75% and discount rates ranging from 8.5% to 9.75%. Impairment of Assets Held For Use During the second quarter of 2022, the Company recognized an impairment charge of $1.7 million related to one SNF. The Company wrote down its carrying value of $2.8 million to its estimated fair value of $1.1 million, which is included in real estate investments, net on the Company’s consolidated balance sheets. The fair value of the asset was based on comparable market transactions. For the Company’s impairment calculation, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit of $20,000.

Other Real Estate Related and O

Other Real Estate Related and Other Investments	12 Months Ended
	Dec. 31, 2022
Investments, All Other Investments [Abstract]
Other Real Estate Related and Other Investments	OTHER REAL ESTATE RELATED AND OTHER INVESTMENTS As of December 31, 2022 and 2021 , the Company’s other real estate related investments, at fair value, consisted of the following (dollar amounts in thousands): As of December 31, 2022 Investment Facility Count and Type Principal Balance as of December 31, 2022 Book Value as of December 31, 2022 Book Value as of December 31, 2021 Weighted Average Contractual Interest Rate Maturity Date Senior mortgage secured loan receivable 18 SNF/Campus $ 75,000 $ 72,543 $ — 8.4 % (1) 6/30/2027 Mortgage secured loan receivable 5 SNF 22,250 21,345 — 10.2 % (2) 8/1/2025 Mortgage secured loan receivable 4 SNF 24,900 23,796 — 9.0 % (2) 9/8/2025 Mezzanine loan receivable 9 SNF 15,000 14,672 15,155 12.0 % 11/30/2025 Mezzanine loan receivable 18 SNF/Campus 25,000 24,012 — 11.0 % 6/30/2032 Total $ 162,150 $ 156,368 $ 15,155 (1) Rate is net of subservicing fee. (2) Term secured overnight financing rate (“SOFR”) used as of December 31, 2022 was 4.33%. Rates are net of subservicing fees. The following table summarizes the Company’s other real estate related investments activity for the year ended December 31, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2022 2021 Origination of other real estate related investments $ 147,150 $ — Accrued interest, net 1,165 155 Unrealized loss on other real estate related investments (7,102) — Net increase in other real estate related investments, at fair value $ 141,213 $ 155 In September 2022, the Company extended a $24.9 million term loan as part of a larger, multi-tranche real estate secured term loan facility to a skilled nursing real estate owner. The secured term loan was structured with an “A” and a “B” tranche (with the payments on the “B” tranche being subordinate to the “A” tranche pursuant to the terms of a written agreement between the lenders). The Company’s $24.9 million secured term loan constituted the entirety of the “B” tranche with its payments subordinated accordingly. The secured term loan is primarily secured by four skilled nursing faciliti es operated by an operator in the Southeast. The “B” tranche secured term loan is set to mature on September 8, 2025, with two one-year extension options and ma y (subject to certain restrictions) be prepaid in whole or in part before the maturity date for an exit fee ranging from 1% to 3% of the loan plus unpaid interest payments; provided, however, that no exit fee is payable in connection with portions of the loan being refinanced pursuant to a loan (or loans) provided by or insured by the United States Department of Housing and Urban Development, Federal Housing Administration, or a similar governmental authority. The “B” tranche secured term loan provides for an earnout advance of $4.7 million if certain conditions are met. The "B" tranche secured term loan bears interest at a rate based on term SOFR, calculated as a fraction, with the numerator being the difference between (i) the monthly payment of interest of term SOFR plus a 4.50% spread and (ii) the amount of such monthly payment of interest of term SOFR plus a 2.85% spread, and with the denominator being the average daily balance of the outstanding principal amount during the applicable month, with such fraction expressed as a percentage and annualized, with a term SOFR floor of 1.0% and less a subservicing fee of 100% over 9.00%. The “B” tranche secured term loan requires monthly interest payments. The Company elected the fair value option for the “B” tranche secured term loan. In August 2022, the Company extended a $22.3 million term loan as part of a larger, multi-tranche real estate secured term loan facility to a skilled nursing real estate owner. The secured term loan was structured with an “A” and a “B” tranche (with the payments on the “B” tranche being subordinate to the “A” tranche pursuant to the terms of a written agreement between the lenders). The Company’s $22.3 million secured term loan constituted the entirety of the “B” tranche with its payments subordinated accordingly. The secured term loan is primarily secured by five skilled nursing facilities, four of which are operated by an existing o perator and one of which is operate d by a large, regional skilled nursing operator. The “B” tranche secured term loan is set to mature on August 1, 2025, with two one-year extension options and may (subject to certain restrictions) be prepaid in whole or in part before the maturity date for an ex it fee ranging from 2% to 3% of the loan plus unpaid interest payments; provided, however, that no exit fee is payable in connection with portions of the loan being refinanced pursuant to a loan (or loans) provided by or insured by the United States Department of Housing and Urban Development, Federal Housing Administration, or a similar governmental authority. The "B" tranche secured term loan bears interest at a rate based on term secured overnight financing rate, calculated as a fraction, with the numerator being the difference between (i) the monthly payment of interest of term SOFR plus a 4.25% spread and (ii) the amount of such monthly payment of interest of term SOFR plus a 2.75% spread, and with the denominator being the average daily balance of the outstanding principal amount during the applicable month, with such fraction expressed as a percentage and annualized, with a term SOFR floor of 1.0% and less a subservicing fee of 50% over 8.25%. The “B” tranche secured term loan requires monthly interest payments. The Company elected the fair value option for the “B” tranche secured term loan. In June 2022, the Company extended a $75.0 million term loan to a skilled nursing real estate owner as part of a larger, multi-tranche, senior secured term loan facility. The senior secured term loan was structured with an “A” tranche, a “B” tranche, and a “C” tranche (with the “C” tranche being the most subordinate). The Company’s $75.0 million term loan constituted the entirety of the “C” tranche with its payments subordinated accordingly. The senior secured term loan facility is secured by an 18-facility skilled nursing portfolio in the Mid-Atlantic region, operated by a large, regional skilled nursing operator. In connection with the senior secured term loan facility and the borrower’s acquisition of the skilled nursing portfolio, the Company also extended to the borrower group a $25.0 million mezzanine loan. The “C” tranche of the senior secured term loan bears interest at 8.5%, less a servicing fee equal to the positive difference, if any, between the lesser of the contractual interest payment and actual payment of interest made by the borrower and a hypothetical interest payment at a rate of 8.25%, resulting in an effective interest rate of 8.375%. The “C” tranche senior secured term loan is set to mature on June 30, 2027 and may (subject to certain restrictions) be prepaid in whole or in part before the maturity date for an exit fee ranging from 1% to 3% of the loan plus unpaid interest payments through the end of the month of prepayment; provided, however, that no exit fee is payable in connection with portions of the loan being refinanced pursuant to a loan (or loans) provided by or insured by the United States Department of Housing and Urban Development, Federal Housing Administration, or a similar governmental authority. The mezzanine loan bears interest at 11% and is secured by a pledge of membership interests in an up-tier affiliate of the borrower group. The mezzanine loan is set to mature on June 30, 2032, and may (subject to certain restrictions) be prepaid in whole or in part before the maturity date, commencing on June 30, 2029, for an exit fee ranging from 1% to 3% of the loan plus unpaid interest payments through the date of prepayment. The “C” tranche senior secured term loan and mezzanine loan both require monthly interest payments. The Company elected the fair value option for both the “C” tranche term loan and the mezzanine loan. The fair value option is elected on an instrument by instrument basis and must be applied to an entire instrument and is irrevocable once elected. The Company’s primary purpose in electing the fair value option for these instruments was to align with management’s view of the underlying economics of the loans and the manner in which they are managed. As of December 31, 2022 and 2021, the Company’s other loans receivable, included in prepaid expenses and other assets, net on the Company’s consolidated balance sheets, consisted of the following (dollars in thousands): As of December 31, 2022 Investment Principal Balance as of December 31, 2022 Book Value as of December 31, 2022 Book Value as of December 31, 2021 Weighted Average Contractual Interest Rate Maturity Date Other loans receivable $ 9,596 $ 9,600 $ 3,161 8.5 % 9/1/2023 - 9/30/2025 Expected credit loss — (2,094) — Total $ 9,596 $ 7,506 $ 3,161 The following table summarizes the Company’s other loans receivable activity for the year ended December 31, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2022 2021 Origination of loans receivable $ 14,500 $ 1,253 Principal payments (6,307) (393) Accrued interest, net (4) (6) Provision for loan losses, net (3,844) — Net increase in other loans receivable $ 4,345 $ 854 Expected credit losses and recoveries are recorded in provision for loan losses, net in the consolidated statements of operations. During the year ended December 31, 2022, the Company recorded a $4.6 million expected credit loss related to two other loans receivable that were placed on non-accrual status, net of a loan loss recovery of $0.8 million related to a loan previously written-off. During the year ended December 31, 2022, the Company fully reserved and wrote-off $2.5 million, related to one other loan receivable, in connection with the sale of six SNFs and one multi-service campus. As of December 31, 2021, the Company had no expected credit loss and did not consider any loan receivable investments to be impaired. The following table summarizes the interest and other income recognized from the Company’s loans receivable and other investments during the years ended December 31, 2022, 2021 and 2020 ( dollar amounts in thousands): For Year Ended December 31, Investment 2022 2021 2020 Mortgage secured loans receivable $ 4,853 $ — $ 2,044 Mezzanine loans receivable 3,489 1,825 305 Preferred equity investments (1) — — 24 Other 284 331 270 Total $ 8,626 $ 2,156 $ 2,643 (1) As of December 31, 2022 and 2021, the Company had no preferred equity investments.

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2022
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, 2022 and 2021, 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, 2022 Assets: Mortgage secured loans receivable $ — $ — $ 117,684 $ 117,684 Mezzanine loans receivable — — 38,684 38,684 Total $ — $ — $ 156,368 $ 156,368 Level 1 Level 2 Level 3 Balance as of December 31, 2021 Assets: Mezzanine loan receivable $ — $ — $ 15,155 $ 15,155 The following table details the Company’s assets measured at fair value on a recurring basis using Level 3 inputs (dollars in thousands): Investments in Real Estate Secured Loans Investments in Mezzanine Loans Balance at December 31, 2021 $ — $ 15,155 Loan originations 122,150 25,000 Accrued interest, net 928 237 Unrealized loss on other real estate related investments (5,394) (1,708) Balance as of December 31, 2022 $ 117,684 $ 38,684 Real estate secured and mezzanine loans receiv able: The fair value of the secured and mezzanine loans receivables were 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 each instrument as Level 3 due to the significant unobservable inputs used in determining market interest rates for investments with similar terms. During the year ended December 31, 2022, the Company recorded an unrealized loss of $7.1 million on the Company’s secured and mezzanine loans receivable due to rising interest rates. Future changes in market interest rates or collateral value could materially impact the estimated discounted cash flows that are used to determine the fair value of the secured and mezzanine loans receivable. As of December 31, 2022 and 2021, the Company did not have any loans that were 90 days or more past due. The following table shows the quantitative information about unobservable inputs related to the Level 3 fair value measurements comprising the investments in secured and mezzanine loans receivables as of December 31, 2022 : Type Book Value as of December 31, 2022 Valuation Technique Unobservable Inputs Range Mortgage secured loans receivable $ 117,684 Discounted cash flow Discount Rate 9% - 13% Mezzanine loans receivable 38,684 Discounted cash flow Discount Rate 12% - 14% For the year ended December 31, 2022, 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, 2022, the Company recorded an impairment charge of $79.1 million. For the years ended December 31, 2021 and 2020, there were no real estate assets deemed to be impaired. See Note 4, Impairments of Real Estate Investments, Assets Held for Sale, Net and Asset Sales, 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 amount and fair value of the Notes (as defined in Note 7, Debt , below) as of December 31, 2022 and 2021 using Level 2 inputs (dollars in thousands): December 31, 2022 December 31, 2021 Face Carrying Fair Face Carrying Fair Financial liabilities: Senior unsecured notes payable $ 400,000 $ 395,150 $ 345,036 $ 400,000 $ 394,262 $ 410,500 Cash and cash equivalents, accounts and other receivables, accounts payable, and accrued liabilities: The carrying values for these instruments approximate their fair values due to the short-term nature of these instruments. Senior unsecured notes payable : The fair value of the Notes was 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, 2022
Debt Disclosure [Abstract]
Debt	DEBT The following table summarizes the balance of the Company’s indebtedness as of December 31, 2022 and 2021 (in thousands): December 31, 2022 December 31, 2021 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount Senior unsecured notes payable $ 400,000 $ (4,850) $ 395,150 $ 400,000 $ (5,738) $ 394,262 Senior unsecured term loan 200,000 (652) 199,348 200,000 (864) 199,136 Unsecured revolving credit facility 125,000 — 125,000 80,000 — 80,000 $ 725,000 $ (5,502) $ 719,498 $ 680,000 $ (6,602) $ 673,398 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, 2022, 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 statements of operations, 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 December 16, 2022, 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 a second amended and restated credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender (the “Second Amended Credit Agreement”). The Second Amended Credit Agreement, which amends and restates the Company’s amended and restated credit and guaranty agreement, dated as of February 8, 2019 (as amended, the “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) the continuation of the unsecured term loan credit facility which was previously extended under the Prior Credit Agreement (the “Term Loan” and together with the Revolving Facility, the “Second Amended Credit Facility”) in an aggregate principal amount of $200.0 million. Future borrowings under the Second 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 Adjusted Term SOFR or Adjusted Daily Simple SOFR (each as defined in the Second Amended Credit Agreement) 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 Adjusted Term SOFR or Adjusted Daily Simple SOFR 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, 2022, the Operating Partnership had $200.0 million of borrowings outstanding under the Term Loan and $125.0 million outstanding under the Revolving Facility. The Revolving Facility has a maturity date of February 9, 2027, 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 Second Amended Credit Facility is guaranteed, jointly and severally, by the Company and its wholly owned subsidiaries that are party to the Second Amended Credit Agreement (other than the Operating Partnership). The Second 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 Second 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 Second Amended Credit Agreement also contains certain customary events of default, including the failure to make timely payments under the Second 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, 2022, the Company was in compliance with all applicable financial covenants under the Second Amended Credit Agreement. Schedule of Debt Maturities As of December 31, 2022, the Company’s debt maturities were (dollars in thousands): Year Amount 2023 $ — 2024 — 2025 — 2026 200,000 2027 125,000 Thereafter 400,000 $ 725,000

Equity

Equity	12 Months Ended
	Dec. 31, 2022
Equity [Abstract]
Equity	EQUITY Common Stock 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”), which expires in March 2023. 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 for the years ended December 31, 2022 and 2021 (in thousands, except per share amounts): For the Year Ended December 31, 2022 2021 Number of shares 2,405 990 Average sales price per share $ 20.00 $ 23.74 Gross proceeds (1) $ 48,100 $ 23,505 (1) Total gross proceeds is before $0.6 million and $0.3 million of commissions paid to the sales agents during the year ended December 31, 2022 and 2021, respectively, under the ATM Program. As of December 31, 2022, the Company had $428.4 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, 2022, 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 2022, 2021 and 2020 (dollars in thousands, except per share amounts): For the Three Months Ended 2022 March 31, June 30, September 30, December 31, Dividends declared per share $ 0.275 $ 0.275 $ 0.275 $ 0.275 Dividends payment date April 15, 2022 July 15, 2022 October 14, 2022 January 13, 2023 Dividends payable as of record date [1] $ 26,691 $ 26,683 $ 26,683 $ 27,386 Dividends record date March 31, 2022 June 30, 2022 September 30, 2022 December 30, 2022 2021 Dividends declared per share $ 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 [1] $ 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 per share $ 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 [1] $ 23,931 $ 23,931 $ 23,934 $ 23,933 Dividends record date March 31, 2020 June 30, 2020 September 30, 2020 December 31, 2020 (1) Dividends payable includes dividends on performance stock awards that will be paid if and when the shares subject to such awards vest.

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2022
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 year period for the RSAs granted in 2022 and 2021 and a four year period for the RSAs granted in 2020. RSAs granted to non-employee members of the Board of Directors (“Board Awards”) vest in full on the earlier to occur of the Company’s next Annual Meeting of Stockholders or one year. Performance stock awards (“PSA”) granted are subject to both time and performance based conditions and vest over a one one The following table summarizes the status of the restricted stock award and performance award activity for the year ended December 31, 2022: Shares Weighted Average Share Price Unvested balance at December 31, 2021 891,333 $ 20.91 Granted: RSAs 159,663 19.56 Board Awards 25,992 16.93 Vested (501,479) 20.60 Forfeited (1,900) 21.50 Unvested balance at December 31, 2022 573,609 $ 20.63 As of December 31, 2022, the weighted-average remaining vesting period of such awards was 1.9 years . The following table summarizes the Company’s RSA, PSA and Board Award grants during the year ended December 31, 2022 (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, 2022 (1) RSAs 159,663 $ 19.56 $ 3,123 263,568 $ 5,020 PSAs — — — 217,645 4,134 Board Awards 25,992 16.93 440 20,266 346 (1) The Compensation Committee granted annual awards for 2023 in December 2022. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2021 and 2020 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2021 (1) RSAs 394,863 $ 21.92 $ 8,654 PSAs 108,414 22.48 2,437 Board Awards 20,266 24.18 490 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 (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 fair value of the TSR Units 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 performa nce period. Expected volatility is based on historical volatility for the most recent 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, 2022 and 2021 : For the Year Ended December 31, 2022 For the Year Ended December 31, 2021 Risk-free interest rate 3.91 % 0.60 % Expected stock price volatility 52.90 % 52.42 % Expected service period 3.04 years 2.93 years Expected dividend yield (assuming full reinvestment) — % — % Fair value per share at date of grant $ 26.53 $ 29.10 The total fair value of the TSR Units granted during the year ended December 31, 2022 and 2021 was $2.5 million and $5.3 million, respectively. The following table summarizes the stock-based compensation expense recognized (dollars in thousands): For Year Ended December 31, 2022 2021 2020 Stock-based compensation expense $ 5,758 $ 10,832 $ 3,790 As of December 31, 2022, there wa s $11.6 million o

(Loss) Earnings Per Common Shar

(Loss) Earnings Per Common Share	12 Months Ended
	Dec. 31, 2022
Earnings Per Share [Abstract]
(Loss) Earnings Per Common Share	(LOSS) EARNINGS PER COMMON SHARE The following table presents the calculation of basic and diluted (loss) earnings per common share (“EPS”) for the Company’s common stock for the years ended December 31, 2022, 2021 and 2020, 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, 2022, 2021 and 2020 (amounts in thousands, except per share amounts): Year Ended December 31, 2022 2021 2020 Numerator: Net (loss) income $ (7,506) $ 71,982 $ 80,867 Less: Net income allocated to participating securities (440) (507) (298) Numerator for basic and diluted earnings available to common stockholders $ (7,946) $ 71,475 $ 80,569 Denominator: Weighted-average basic common shares outstanding 96,703 96,017 95,200 Dilutive performance stock awards — 75 7 Weighted-average diluted common shares outstanding 96,703 96,092 95,207 (Loss) earnings per common share, basic $ (0.08) $ 0.74 $ 0.85 (Loss) earnings per common share, diluted $ (0.08) $ 0.74 $ 0.85 Antidilutive unvested restricted stock awards, total shareholder units and performance awards excluded from the computation 744 591 296

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2022
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, 2022, the Company had committed to fund expansions, construction and capital improvements at certain triple-net leased facilities totaling $15.7 million, of which $2.7 million is subject to rent increase at the time of funding.

Concentration of Risk

Concentration of Risk	12 Months Ended
	Dec. 31, 2022
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, 2022, 2021 and 2020. The following table sets forth information regarding the Company’s major operators as of December 31, 2022, 2021 and 2020: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) Operator (2) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2022 Ensign 83 8 7 8,741 997 661 35 % PMG 13 2 — 1,742 402 — 16 % 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 % (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, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) State SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2022 CA 27 8 5 3,048 1,359 437 26 % TX 38 3 3 4,849 536 242 22 % December 31, 2021 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 and adjustments for collectibility.

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2022
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 Asset Sale

Schedule III - Real Estate Asse

Schedule III - Real Estate Assets and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2022
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 Costs Capitalized Since Acquisition Gross Carrying Value Description Facility Location Encum. Land Building Improvs. 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 $ (1,479) 2013 2000 Meadowbrook Health Associates LLC Sabino Canyon Tucson, AZ — 425 3,716 1,940 425 5,656 6,081 (3,505) 2012 2000 Terrace Holdings AZ LLC Desert Terrace Phoenix, AZ — 113 504 971 113 1,475 1,588 (1,026) 2004 2002 Rillito Holdings LLC Catalina Tucson, AZ — 471 2,041 3,055 471 5,096 5,567 (3,562) 2013 2003 Valley Health Holdings LLC North Mountain Phoenix, AZ — 629 5,154 1,519 629 6,673 7,302 (4,357) 2009 2004 Cedar Avenue Holdings LLC Upland Upland, CA — 2,812 3,919 1,994 2,812 5,913 8,725 (3,865) 2011 2005 Granada Investments LLC Camarillo Camarillo, CA — 3,526 2,827 1,522 3,526 4,349 7,875 (2,965) 2010 2005 Plaza Health Holdings LLC Park Manor Walla Walla, WA — 450 5,566 1,055 450 6,621 7,071 (4,407) 2009 2006 Mountainview Communitycare LLC Park View Gardens Santa Rosa, CA — 931 2,612 653 931 3,265 4,196 (2,317) 1963 2006 CM Health Holdings LLC Carmel Mountain San Diego, CA — 3,028 3,119 2,071 3,028 5,190 8,218 (3,381) 2012 2006 Polk Health Holdings LLC Timberwood Livingston, TX — 60 4,391 1,167 60 5,558 5,618 (3,522) 2009 2006 Snohomish Health Holdings LLC Emerald Hills Lynnwood, WA — 741 1,663 1,998 741 3,661 4,402 (2,854) 2009 2006 Cherry Health Holdings LLC Pacific Care Hoquiam, WA — 171 1,828 2,038 171 3,866 4,037 (2,951) 2010 2006 Golfview Holdings LLC Cambridge SNF Richmond, TX — 1,105 3,110 1,067 1,105 4,177 5,282 (2,554) 2007 2006 Tenth East Holdings LLC Arlington Hills Salt Lake City, UT — 332 2,426 2,507 332 4,933 5,265 (3,618) 2013 2006 Trinity Mill Holdings LLC Carrollton Carrollton, TX — 664 2,294 902 664 3,196 3,860 (2,551) 2007 2006 Cottonwood Health Holdings LLC Holladay Salt Lake City, UT — 965 2,070 958 965 3,028 3,993 (2,578) 2008 2007 Verde Villa Holdings LLC Lake Village Lewisville, TX — 600 1,890 470 600 2,360 2,960 (1,645) 2011 2007 Mesquite Health Holdings LLC Willow Bend Mesquite, TX — 470 1,715 8,632 441 10,376 10,817 (8,270) 2012 2007 Arrow Tree Health Holdings LLC Arbor Glen Glendora, CA — 2,165 1,105 324 2,165 1,429 3,594 (1,149) 1965 2007 Fort Street Health Holdings LLC Draper Draper, UT — 443 2,394 759 443 3,153 3,596 (1,839) 2008 2007 Trousdale Health Holdings LLC Brookfield Downey, CA — 1,415 1,841 1,861 1,415 3,702 5,117 (2,393) 2013 2007 Ensign Bellflower LLC Rose Villa Bellflower, CA — 937 1,168 357 937 1,525 2,462 (1,039) 2009 2007 RB Heights Health Holdings LLC Osborn Scottsdale, AZ — 2,007 2,793 1,762 2,007 4,555 6,562 (2,885) 2009 2008 San Corrine Health Holdings LLC Salado Creek San Antonio, TX — 310 2,090 719 310 2,809 3,119 (1,587) 2005 2008 Temple Health Holdings LLC Wellington Temple, TX — 529 2,207 1,163 529 3,370 3,899 (2,058) 2008 2008 Anson Health Holdings LLC Northern Oaks Abilene, TX — 369 3,220 1,725 369 4,945 5,314 (2,925) 2012 2008 Willits Health Holdings LLC Northbrook Willits, CA — 490 1,231 500 490 1,731 2,221 (1,018) 2011 2008 Lufkin Health Holdings LLC Southland Lufkin, TX — 467 4,644 782 467 5,426 5,893 (1,926) 1988 2009 Lowell Health Holdings LLC Littleton Littleton, CO — 217 856 1,735 217 2,591 2,808 (1,694) 2012 2009 Jefferson Ralston Holdings LLC Arvada Arvada, CO — 280 1,230 834 280 2,064 2,344 (1,082) 2012 2009 Lafayette Health Holdings LLC Julia Temple Englewood, CO — 1,607 4,222 6,195 1,607 10,417 12,024 (6,030) 2012 2009 Hillendahl Health Holdings LLC Golden Acres Dallas, TX — 2,133 11,977 1,421 2,133 13,398 15,531 (6,543) 1984 2009 Price Health Holdings LLC Pinnacle Price, UT — 193 2,209 849 193 3,058 3,251 (1,316) 2012 2009 Silver Lake Health Holdings LLC Provo Provo, UT — 2,051 8,362 2,011 2,051 10,373 12,424 (3,766) 2011 2009 Jordan Health Properties LLC Copper Ridge West Jordan, UT — 2,671 4,244 1,507 2,671 5,751 8,422 (2,186) 2013 2009 Regal Road Health Holdings LLC Sunview Youngstown, AZ — 767 4,648 155 193 5,377 5,570 (2,423) 2012 2009 Paredes Health Holdings LLC Alta Vista Brownsville, TX — 373 1,354 190 373 1,544 1,917 (548) 1969 2009 Expressway Health Holdings LLC Veranda Harlingen, TX — 90 675 430 90 1,105 1,195 (548) 2011 2009 Rio Grande Health Holdings LLC Grand Terrace McAllen, TX — 642 1,085 870 642 1,955 2,597 (1,139) 2012 2009 Fifth East Holdings LLC Paramount Salt Lake City, UT — 345 2,464 1,065 345 3,529 3,874 (1,600) 2011 2009 Emmett Healthcare Holdings LLC River's Edge Emmet, ID — 591 2,383 69 591 2,452 3,043 (948) 1972 2010 Burley Healthcare Holdings LLC Parke View Burley, ID — 250 4,004 424 250 4,428 4,678 (1,855) 2011 2010 Josey Ranch Healthcare Holdings LLC Heritage Gardens Carrollton, TX — 1,382 2,293 478 1,382 2,771 4,153 (1,117) 1996 2010 Everglades Health Holdings LLC Victoria Ventura Ventura, CA — 1,847 5,377 682 1,847 6,059 7,906 (1,916) 1990 2011 Irving Health Holdings LLC Beatrice Manor Beatrice, NE — 60 2,931 245 60 3,176 3,236 (1,277) 2011 2011 Falls City Health Holdings LLC Careage Estates of Falls City Falls City, NE — 170 2,141 82 170 2,223 2,393 (822) 1972 2011 Gillette Park Health Holdings LLC Careage of Cherokee Cherokee, IA — 163 1,491 12 163 1,503 1,666 (697) 1967 2011 Gazebo Park Health Holdings LLC Careage of Clarion Clarion, IA — 80 2,541 97 80 2,638 2,718 (1,264) 1978 2011 Oleson Park Health Holdings LLC Careage of Ft. Dodge Ft. Dodge, IA — 90 2,341 759 90 3,100 3,190 (1,862) 2012 2011 Arapahoe Health Holdings LLC Oceanview Texas City, TX — 158 4,810 759 128 5,599 5,727 (2,459) 2012 2011 Dixie Health Holdings LLC Hurricane Hurricane, UT — 487 1,978 98 487 2,076 2,563 (639) 1978 2011 Memorial Health Holdings LLC Pocatello Pocatello, ID — 537 2,138 698 537 2,836 3,373 (1,292) 2007 2011 Bogardus Health Holdings LLC Whittier East Whittier, CA — 1,425 5,307 1,079 1,425 6,386 7,811 (2,674) 2011 2011 South Dora Health Holdings LLC Ukiah Ukiah, CA — 297 2,087 1,621 297 3,708 4,005 (2,261) 2013 2011 Silverada Health Holdings LLC Rosewood Reno, NV — 1,012 3,282 103 1,012 3,385 4,397 (981) 1970 2011 Orem Health Holdings LLC Orem Orem, UT — 1,689 3,896 3,235 1,689 7,131 8,820 (3,509) 2011 2011 Wisteria Health Holdings Wisteria Abilene, TX 746 9,903 290 746 10,193 10,939 (2,641) Renee Avenue Health Holdings LLC Monte Vista Pocatello, ID — 180 2,481 966 180 3,447 3,627 (1,516) 2013 2012 Stillhouse Health Holdings LLC Stillhouse Paris, TX — 129 7,139 6 129 7,145 7,274 (1,331) 2009 2012 Fig Street Health Holdings LLC Palomar Vista Escondido, CA — 329 2,653 1,094 329 3,747 4,076 (1,820) 2007 2012 Lowell Lake Health Holdings LLC Owyhee Owyhee, ID — 49 1,554 29 49 1,583 1,632 (387) 1990 2012 Queensway Health Holdings LLC Atlantic Memorial Long Beach, CA — 999 4,237 2,331 999 6,568 7,567 (3,106) 2008 2012 Long Beach Health Associates LLC Shoreline Long Beach, CA — 1,285 2,343 2,172 1,285 4,515 5,800 (2,258) 2013 2012 Kings Court Health Holdings LLC Richland Hills Ft. Worth, TX — 193 2,311 318 193 2,629 2,822 (789) 1965 2012 51st Avenue Health Holdings LLC Legacy Amarillo, TX — 340 3,925 32 340 3,957 4,297 (1,124) 1970 2013 Ives Health Holdings LLC San Marcos San Marcos, TX — 371 2,951 274 371 3,225 3,596 (882) 1972 2013 Guadalupe Health Holdings LLC The Courtyard (Victoria East) Victoria, TX — 80 2,391 15 80 2,406 2,486 (532) 2013 2013 49th Street Health Holdings LLC Omaha Omaha, NE — 129 2,418 24 129 2,442 2,571 (793) 1960 2013 Willows Health Holdings LLC Cascade Vista Redmond, WA — 1,388 2,982 202 1,388 3,184 4,572 (1,134) 1970 2013 Tulalip Bay Health Holdings LLC Mountain View Marysville, WA — 1,722 2,642 (980) 742 2,642 3,384 (837) 1966 2013 Sky Holdings AZ LLC Bella Vita Health and Rehabilitation Center Glendale, AZ — 228 1,124 1,380 228 2,504 2,731 (1,927) 2004 2002 Lemon River Holdings LLC Plymouth Tower Riverside, CA — 152 357 1,493 152 1,850 2,002 (1,403) 2012 2009 CTR Partnership, L.P. Bethany Rehabilitation Center Lakewood, CO — 1,668 15,375 56 1,668 15,431 17,099 (3,058) 1989 2015 CTR Partnership, L.P. Mira Vista Care Center Mount Vernon, WA — 1,601 7,425 — 1,601 7,425 9,026 (1,439) 1989 2015 CTR Partnership, L.P. Shoreline Health and Rehabilitation Center Shoreline, WA — 1,462 5,034 — 1,462 5,034 6,496 (954) 1987 2015 CTR Partnership, L.P. Shamrock Nursing and Rehabilitation Center Dublin, GA — 251 7,855 — 251 7,855 8,106 (1,473) 2010 2015 CTR Partnership, L.P. Premier Estates of Cincinnati-Riverview Cincinnati, OH — 833 18,086 792 833 18,878 19,711 (3,408) 1992 2015 CTR Partnership, L.P. West Cove Care & Rehabilitation Center Toledo, OH — 93 10,365 88 93 10,453 10,546 (1,879) 2007 2015 CTR Partnership, L.P. Casa de Paz Sioux City, IA — 119 7,727 — 119 7,727 7,846 (1,336) 1974 2016 CTR Partnership, L.P. Denison Care Center Denison, IA — 96 2,784 — 96 2,784 2,880 (481) 2015 2016 CTR Partnership, L.P. Garden View Care Center Shenandoah, IA — 105 3,179 — 105 3,179 3,284 (550) 2013 2016 CTR Partnership, L.P. Grandview Health Care Center Dayton, IA — 39 1,167 — 39 1,167 1,206 (202) 2014 2016 CTR Partnership, L.P. Grundy Care Center Grundy Center, IA — 65 1,935 — 65 1,935 2,000 (335) 2011 2016 CTR Partnership, L.P. Iowa City Rehab and Health Care Center Iowa City, IA — 522 5,690 — 522 5,690 6,212 (984) 2014 2016 CTR Partnership, L.P. Lenox Care Center Lenox, IA — 31 1,915 — 31 1,915 1,946 (331) 2012 2016 CTR Partnership, L.P. Osage Osage, IA — 126 2,255 — 126 2,255 2,381 (390) 2014 2016 CTR Partnership, L.P. Pleasant Acres Care Center Hull, IA — 189 2,544 — 189 2,544 2,733 (440) 2014 2016 CTR Partnership, L.P. Cedar Falls Health Care Center Cedar Falls, IA — 324 4,366 — 324 4,366 4,690 (737) 2015 2016 CTR Partnership, L.P. Premier Estates of Highlands Norwood, OH — 364 2,199 623 143 943 1,086 (22) 2012 2016 CTR Partnership, L.P. Shaw Mountain at Cascadia Boise, ID — 1,801 6,572 395 1,801 6,967 8,768 (1,316) 1989 2016 CTR Partnership, L.P. The Oaks Petaluma, CA — 3,646 2,873 110 3,646 2,983 6,629 (519) 2015 2016 CTR Partnership, L.P. Arbor Nursing Center Lodi, CA — 768 10,712 — 768 10,712 11,480 (1,718) 1982 2016 CTR Partnership, L.P. Broadmoor Medical Lodge Rockwall, TX — 1,232 22,152 — 1,232 22,152 23,384 (3,370) 1984 2016 CTR Partnership, L.P. Decatur Medical Lodge Decatur, TX — 990 24,909 — 990 24,909 25,899 (3,788) 2013 2016 CTR Partnership, L.P. Royse City Medical Lodge Royse City, TX — 606 14,660 — 606 14,660 15,266 (2,230) 2009 2016 CTR Partnership, L.P. Saline Care Nursing & Rehabilitation Center Harrisburg, IL — 1,022 5,713 — 1,022 5,713 6,735 (833) 2009 2017 CTR Partnership, L.P. Carrier Mills Nursing & Rehabilitation Center Carrier Mills, IL — 775 8,377 — 775 8,377 9,152 (1,222) 1968 2017 CTR Partnership, L.P. StoneBridge Nursing & Rehabilitation Center Benton, IL — 439 3,475 — 439 3,475 3,914 (507) 2014 2017 CTR Partnership, L.P. DuQuoin Nursing & Rehabilitation Center DuQuoin, IL — 511 3,662 — 511 3,662 4,173 (534) 2014 2017 CTR Partnership, L.P. Pinckneyville Nursing & Rehabilitation Center Pinckneyville, IL — 406 3,411 — 406 3,411 3,817 (497) 2014 2017 CTR Partnership, L.P. Wellspring Health and Rehabilitation of Cascadia Nampa, ID — 775 5,044 121 775 5,165 5,940 (715) 2011 2017 CTR Partnership, L.P. The Rio at Fox Hollow Brownsville, TX — 1,178 12,059 — 1,178 12,059 13,237 (1,683) 2016 2017 CTR Partnership, L.P. The Rio at Cabezon Albuquerque, NM — 2,055 9,749 — 2,055 9,749 11,804 (1,361) 2016 2017 CTR Partnership, L.P. Eldorado Rehab & Healthcare Eldorado, IL — 940 2,093 — 940 2,093 3,033 (288) 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 (305) 2012 2017 CTR Partnership, L.P. Mountain Valley Kellogg, ID — 916 7,874 — 916 7,874 8,790 (1,050) 1971 2017 CTR Partnership, L.P. Caldwell Care Caldwell, ID — 906 7,020 516 906 7,536 8,442 (936) 1947 2017 CTR Partnership, L.P. Canyon West Caldwell, ID — 312 10,410 461 312 10,871 11,183 (1,388) 1969 2017 CTR Partnership, L.P. Lewiston Health and Rehabilitation Lewiston, ID — 625 12,087 200 625 12,287 12,912 (1,586) 1964 2017 CTR Partnership, L.P. The Orchards Nampa, ID — 785 8,923 116 785 9,039 9,824 (1,171) 1958 2017 CTR Partnership, L.P. Weiser Care Weiser, ID — 80 4,419 30 80 4,449 4,529 (580) 1964 2017 CTR Partnership, L.P. Aspen Park Moscow, ID — 698 5,092 274 698 5,366 6,064 (729) 1965 2017 CTR Partnership, L.P. Ridgmar Medical Lodge Fort Worth, TX — 681 6,587 1,256 681 7,843 8,524 (1,198) 2006 2017 CTR Partnership, L.P. Mansfield Medical Lodge Mansfield, TX — 607 4,801 1,073 607 5,874 6,481 (889) 2006 2017 CTR Partnership, L.P. Grapevine Medical Lodge Grapevine, TX — 1,602 4,536 891 1,602 5,427 7,029 (832) 2006 2017 CTR Partnership, L.P. The Oaks at Lakewood Tacoma, WA — 1,001 1,779 — 1,001 1,779 2,780 (233) 1989 2017 CTR Partnership, L.P. The Oaks at Timberline Vancouver, WA — 446 869 — 446 869 1,315 (114) 1972 2017 CTR Partnership, L.P. Providence Waterman Nursing Center San Bernardino, CA — 3,831 19,791 — 3,831 19,791 23,622 (2,598) 1967 2017 CTR Partnership, L.P. Providence Orange Tree Riverside, CA — 2,897 14,700 345 2,897 15,045 17,942 (1,975) 1969 2017 CTR Partnership, L.P. Providence Ontario Ontario, CA — 4,204 21,880 — 4,204 21,880 26,084 (2,872) 1980 2017 CTR Partnership, L.P. Greenville Nursing & Rehabilitation Center Greenville, IL — 188 3,972 — 188 3,972 4,160 (603) 1973 2017 CTR Partnership, L.P. Copper Ridge Health and Rehabilitation Center Butte, MT — 220 4,974 39 220 5,013 5,233 (675) 2010 2018 CTR Partnership, L.P. Prairie Heights Healthcare Center Aberdeen, SD — 1,372 7,491 — 1,372 7,491 8,863 (925) 1965 2018 CTR Partnership, L.P. The Meadows on University Fargo, ND — 989 3,275 — 989 3,275 4,264 (378) 1966 2018 CTR Partnership, L.P. The Suites - Parker Parker, CO — 1,178 17,857 — 1,178 17,857 19,035 (1,865) 2012 2018 CTR Partnership, L.P. Huntington Park Nursing Center Huntington Park, CA — 3,131 8,876 299 3,131 9,175 12,306 (976) 1955 2019 CTR Partnership, L.P. Shoreline Care Center Oxnard, CA — 1,699 9,004 — 1,699 9,004 10,703 (905) 1962 2019 CTR Partnership, L.P. Downey Care Center Downey, CA — 2,502 6,141 — 2,502 6,141 8,643 (619) 1967 2019 CTR Partnership, L.P. Courtyard Healthcare Center Davis, CA — 2,351 9,256 — 2,351 9,256 11,607 (949) 1969 2019 Gulf Coast Buyer 1 LLC Alpine Skilled Nursing and Rehabilitation Ruston, LA — 2,688 23,825 — 2,688 23,825 26,513 (2,357) 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 (2,127) 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 (2,045) 2013 2019 Gulf Coast Buyer 1 LLC The Guest House Skilled Nursing and Rehabilitation Shreveport, LA — 3,437 20,889 2,845 3,437 23,734 27,171 (2,160) 2006 2019 Gulf Coast Buyer 1 LLC Pilgrim Manor Skilled Nursing and Rehabilitation Bossier City, LA — 2,979 24,617 2,100 2,979 26,717 29,696 (2,407) 2008 2019 Gulf Coast Buyer 1 LLC Shreveport Manor Skilled Nursing and Rehabilitation Shreveport, LA — 676 10,238 361 676 10,599 11,275 (1,058) 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 (963) 2013 2019 Gulf Coast Buyer 1 LLC Legacy West Rehabilitation and Healthcare Corsicana, TX — 120 6,682 436 120 7,118 7,238 (782) 2002 2019 Gulf Coast Buyer 1 LLC Legacy at Jacksonville Jacksonville, TX — 173 7,481 127 173 7,608 7,781 (806) 2006 2019 Gulf Coast Buyer 1 LLC Pecan Tree Rehabilitation and Healthcare Gainesville, TX — 219 10,097 255 219 10,352 10,571 (1,064) 1990 2019 Lakewest SNF Realty, LLC Lakewest Rehabilitation and Skilled Care Dallas, TX — — 6,905 — — 6,905 6,905 (708) 2011 2019 CTR Partnership, L.P. Cascadia of Nampa Nampa, ID — 880 14,117 — 880 14,117 14,997 (1,344) 2017 2019 CTR Partnership, L.P. Valley Skilled Nursing Modesto, CA — 798 7,671 — 798 7,671 8,469 (647) 2016 2019 CTR Partnership, L.P. Cascadia of Boise Boise, ID — 1,597 15,692 — 1,597 15,692 17,289 (1,235) 2018 2020 CTR Partnership, L.P. Cooney Healthcare and Rehabilitation Helena, MT — 867 7,431 20 867 7,451 8,318 (458) 1984 2020 CTR Partnership, L.P. Elkhorn Healthcare and Rehabilitation Clancy, MT — 183 7,380 430 183 7,810 7,993 (465) 1960 2020 CTR Partnership, L.P. Beacon Harbor Healthcare and Rehabilitation Rockwall, TX — 1,295 17,069 — 1,295 17,069 18,364 (989) 1996 2020 CTR Partnership, L.P. Pleasant Manor Healthcare and Rehabilitation Waxahachie, TX — 629 7,433 — 629 7,433 8,062 (434) 1972 2020 CTR Partnership, L.P. Rowlett Health and Rehabilitation Center Rowlett, TX — 1,036 10,516 — 1,036 10,516 11,552 (606) 1990 2020 160 North Patterson Avenue, LLC Buena Vista Care Center Goleta, CA — 7,987 7,237 — 7,987 7,237 15,224 (351) 1967 2021 CTR Partnership, L.P. El Centro Post-Acute Care El Centro, CA — 1,283 8,133 135 1,283 8,268 9,551 (367) 1962 2021 CTR Partnership, L.P. Sedona Trace Health and Wellness Austin, TX — 3,282 12,763 — 3,282 12,763 16,045 (507) 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 (461) 2017 2021 CTR Partnership, L.P. Ennis Care Center Ennis,TX — 568 8,055 — 568 8,055 8,623 (201) 1982 2022 — 157,842 947,010 97,380 156,008 1,044,124 1,200,131 (246,446) Multi-Service Campus Properties: Ensign Southland LLC Southland Care Norwalk, CA — 966 5,082 2,213 966 7,295 8,261 (5,864) 2011 1999 Mission CCRC LLC St. Joseph's Villa Salt Lake City, UT — 1,962 11,035 464 1,962 11,499 13,461 (3,932) 1994 2011 Wayne Health Holdings LLC Careage of Wayne Wayne, NE — 130 3,061 122 130 3,183 3,313 (1,202) 1978 2011 4th Street Holdings LLC West Bend Care Center West Bend, IA — 180 3,352 — 180 3,352 3,532 (1,199) 2006 2011 Big Sioux River Health Holdings LLC Hillcrest Health Hawarden, IA — 110 3,522 75 110 3,597 3,707 (1,211) 1974 2011 Prairie Health Holdings LLC Colonial Manor of Randolph Randolph, NE — 130 1,571 22 130 1,593 1,723 (918) 2011 2011 Salmon River Health Holdings LLC Discovery Care Center Salmon, ID — 168 2,496 — 168 2,496 2,664 (650) 2012 2012 CTR Partnership, L.P. Liberty Nursing Center of Willard Willard, OH — 144 11,097 50 144 11,147 11,291 (2,042) 1985 2015 CTR Partnership, L.P. Premier Estates of Middletown/Premier Retirement Estates of Middletown Middletown, OH — 990 7,484 380 990 7,864 8,854 (1,451) 1985 2015 CTR Partnership, L.P. Premier Estates of Norwood Towers/Premier Retirement Estates of Norwood Towers Norwood, OH — 1,316 10,071 1,021 1,316 11,092 12,408 (1,875) 1991 2016 CTR Partnership, L.P. Turlock Nursing and Rehabilitation Center Turlock, CA — 1,258 16,526 — 1,258 16,526 17,784 (2,651) 1986 2016 CTR Partnership, L.P. Bridgeport Medical Lodge Bridgeport, TX — 980 27,917 — 980 27,917 28,897 (4,246) 2014 2016 CTR Partnership, L.P. The Villas at Saratoga Saratoga, CA — 8,709 9,736 1,397 8,709 11,133 19,842 (1,399) 2004 2018 CTR Partnership, L.P. Madison Park Healthcare Huntington, WV — 601 6,385 — 601 6,385 6,986 (691) 1924 2018 CTR Partnership, L.P. Oakview Heights Nursing & Rehabilitation Center Mt. Carmel, IL — 298 8,393 — 298 8,393 8,691 (930) 2004 2019 Gulf Coast Buyer 1 LLC Spring Lake Skilled Nursing and Rehabilitation Shreveport, LA — 3,217 21,195 2,729 3,217 23,924 27,141 (2,490) 2008 2019 Gulf Coast Buyer 1 LLC The Village at Heritage Oaks Corsicana, TX — 143 11,429 482 143 11,911 12,054 (1,266) 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 (1,075) 1990 2019 CTR Partnership, L.P. Crestwood Health and Rehabilitation Center Wills Point, TX — 143 6,075 — 143 6,075 6,218 (368) 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 (1,205) 1999 2021 Northshore Healthcare Holdings LLC Camarillo Senior Living Camarillo, CA — 7,516 30,552 — 7,516 30,552 38,068 (1,441) 2000 2021 Northshore Healthcare Holdings LLC Bayshire Carlsbad Carlsbad, CA — 7,398 19,714 — 7,398 19,714 27,112 (944) 1999 2021 Northshore Healthcare Holdings LLC Bayshire Rancho Mirage Rancho Mirage, CA — 4,024 16,790 — 4,024 16,790 20,814 (820) 2000 2021 CTR Partnership, L.P. Imboden Creek Living Center Decatur, IL — 131 12,499 81 131 12,580 12,711 (289) 2003 2022 — 55,670 281,386 10,524 55,670 291,910 347,580 (40,159) Assisted and Independent Living Properties: Avenue N Holdings LLC Cambridge ALF Rosenburg, TX — 124 2,301 392 124 2,693 2,817 (1,533) 2007 2006 Moenium Holdings LLC Grand Court Mesa, AZ — 1,893 5,268 1,210 1,893 6,478 8,371 (3,888) 1986 2007 Lafayette Health Holdings LLC Chateau Des Mons Englewood, CO — 420 1,160 189 420 1,349 1,769 (508) 2011 2009 Expo Park Health Holdings LLC Canterbury Gardens Aurora, CO — 570 1,692 248 570 1,940 2,510 (1,022) 1986 2010 Wisteria Health Holdings LLC Wisteria IND Abilene, TX — 244 3,241 81 244 3,322 3,566 (1,860) 2008 2011 Everglades Health Holdings LLC Lexington Ventura, CA — 1,542 4,012 113 1,542 4,125 5,667 (1,059) 1990 2011 Flamingo Health Holdings LLC Desert Springs ALF Las Vegas, NV — 908 4,767 281 908 5,048 5,956 (3,022) 1986 2011 18th Place Health Holdings LLC Rose Court Phoenix, AZ — 1,011 2,053 490 1,011 2,543 3,554 (1,142) 1974 2011 Boardwalk Health Holdings LLC Park Place Reno, NV — 367 1,633 52 367 1,685 2,052 (625) 1993 2012 Willows Health Holdings LLC Cascade Plaza Redmond, WA — 2,835 3,784 395 2,835 4,179 7,014 (1,500) 2013 2013 Lockwood Health Holdings LLC Santa Maria Santa Maria, CA — 1,792 2,253 585 1,792 2,838 4,630 (1,560) 1967 2013 Saratoga Health Holdings LLC Lake Ridge Orem, UT — 444 2,265 176 444 2,441 2,885 (576) 1995 2013 Sky Holdings AZ LLC Desert Sky Assisted Living Glendale, AZ — 61 304 372 61 676 738 (520) 2004 2002 Lemon River Holdings LLC The Grove Assisted Living Riverside, CA — 342 802 3,360 342 4,162 4,504 (3,156) 2012 2009 Mission CCRC LLC St. Joseph's Villa IND Salt Lake City, UT — 411 2,312 258 411 2,570 2,981 (1,778) 1994 2011 CTR Partnership, L.P. Prelude Cottages of Woodbury Woodbury, MN — 430 6,714 76 430 6,790 7,220 (1,352) 2011 2014 CTR Partnership, L.P. Lamplight Inn of West Allis West Allis, WI — 97 6,102 106 77 4,181 4,258 — 2013 2016 CTR Partnership, L.P. Fort Myers Assisted Living Fort Myers, FL — 1,489 3,531 1,006 1,489 4,537 6,026 (712) 1980 2016 CTR Partnership, L.P. Croatan Village New Bern, NC — 312 6,919 — 301 5,663 5,964 — 2010 2016 CTR Partnership, L.P. Countryside Village Pikeville, NC — 131 4,157 — 125 3,402 3,527 — 2011 2016 CTR Partnership, L.P. The Pines of Clarkston Village of Clarkston, MI — 603 9,326 — 522 5,329 5,851 — 2010 2016 CTR Partnership, L.P. The Pines of Goodrich Goodrich, MI — 241 4,112 459 207 3,862 4,069 — 2014 2016 CTR Partnership, L.P. The Pines of Burton Burton, MI — 492 9,199 — 426 7,751 8,177 — 2014 2016 CTR Partnership, L.P. The Pines of Lapeer Lapeer, MI — 302 5,773 — 261 4,066 4,327 — 2008 2016 CTR Partnership, L.P. Arbor Place Lodi, CA — 392 3,605 — 392 3,605 3,997 (578) 1984 2016 CTR Partnership, L.P. Applewood of Brookfield Brookfield, WI — 493 14,002 39 241 6,026 6,267 — 2013 2017 CTR Partnership, L.P. Applewood of New Berlin New Berlin, WI — 356 10,812 — 190 5,033 5,223 — 2016 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 (775) 2016 2017 CTR Partnership, L.P. Vista Del Lago Escondido, CA — 4,362 7,997 — 4,362 7,997 12,359 (698) 2015 2019 CTR Partnership, L.P. Inn at Barton Creek Bountiful, UT — 2,480 4,804 15 2,480 4,819 7,299 (380) 1999 2020 CTR Partnership, L.P. Bridgeton Essentia Neighborhood Bridgeton, NJ — 245 5,795 — 190 4,510 4,700 (33) 2021 2021 CTR Partnership, L.P. Rio Grande Essentia Neighborhood Rio Grande, NJ — 224 5,652 — 224 5,652 5,876 (169) 2021 2021 — 27,224 155,677 10,345 26,492 139,044 165,537 (29,108) — $ 241,304 $ 1,392,128 $ 118,249 $ 238,738 $ 1,483,133 $ 1,721,871 $ (315,914) (1) The aggregate cost of real estate for federal income tax purposes was $1.7 billion . Year Ended December 31, Real estate: 2022 2021 2020 Balance at the beginning of the period $ 1,873,806 $ 1,683,205 $ 1,605,081 Acquisitions 21,252 190,133 84,630 Improvements 5,896 4,521 7,223 Impairment (29,803) — — Sales and/or transfers to assets held for sale, net (149,280) (4,053) (13,729) Balance at the end of the period $ 1,721,871 $ 1,873,806 $ 1,683,205 Accumulated depreciation: Balance at the beginning of the period $ (304,785) $ (259,803) $ (220,359) Depreciation expense (42,131) (45,498) (41,914) Impairment 10,232 — — Sales and/or transfers to assets held for sale, net 20,770 516 2,470 Balance at the end of the period $ (315,914) $ (304,785) $ (259,803)

Schedule IV - Mortgage Loans on

Schedule IV - Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2022
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 (1) Carrying Amount of Loans Subject to Delinquent Principal or Interest Mortgage Secured Loans: West Virginia (18 SNF facilities) 8.4 % 2027 (3) $ 482,000 (4) $ 75,000 $ 72,543 N/A California (5 SNF facilities) 10.2 % (2) 2025 (3) 53,400 (5) 22,250 21,345 N/A Georgia (4 SNF facilities) 9.0 % (2) 2025 (3) 72,700 (5) 24,900 23,796 N/A Mezzanine Loans: West Virginia (18 SNF facilities) 11.0 % 2032 (3) 557,000 (4) 25,000 24,012 N/A Virginia (9 SNF facilities) 12.0 % 2025 (3) 114,309 (6) 15,000 14,672 N/A $ 1,279,409 $ 162,150 $ 156,368 (1) The aggregate cost for federal income tax purposes was $162.2 million as of December 31, 2022. (2) Interest rates are variable and represent the rate in effect as of December 31, 2022. (3) Interest is due monthly, and principal is due at the maturity date. (4) The secured term loan was structured with an “A” tranche, a “B” tranche, and a “C” tranche, with the “C” tranche being the most subordinate. The Company’s loan constituted the entirety of the “C” tranche. The Company also extended a mezzanine loan to the borrower group. Accordingly, the amounts of the prior liens at December 31, 2022 are estimated. (5) The secured term loan was structured with an “A” and a “B” tranche, with the “B” tranche being subordinate to the “A” tranche pursuant to the terms of a written agreement between the lenders. The Company’s loan constituted the entirety of the “B” tranche. Accordingly, the amounts of the prior liens at December 31, 2022 are estimated. (6) The first mortgage loans on these properties are not held by the Company. Accordingly, the amounts of the prior liens at December 31, 2022 are estimated. Changes in mortgage secured and mezzanine loans are summarized as follows (in thousands): Year Ended December 31, 2022 2021 2020 Balance at beginning of period $ 15,155 $ 15,000 $ 29,500 Additions during period: New mortgage and mezzanine loans 147,150 — 61,258 Interest income added to principal 1,165 155 — Deductions during period: Paydowns/Repayments — — (75,758) Unrealized loss (7,102) Balance at end of period $ 156,368 $ 15,155 $ 15,000

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2022
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 statements of operations. Otherwise, tenant recoveries for taxes and insurance are classified as additional rental revenues recognized by the lessor on a gross basis in its statements of operations. 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 statements of operations. For the year ended December 31, 2022, the Company did not record any recovery adjustments and wrote-off $1.4 million of rental income. 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. 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.
Impairment of Long-Lived Assets	Impairment of Long-Lived Assets —At each reporting period, the Company evaluates its real estate investments held for use 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, historical and projected 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. The Company classifies its real estate investments as held for sale when the applicable criteria have been met, which includes 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. If circumstances arise that previously were considered unlikely and, as a result, the Company decides not to sell a real estate investment previously classified as held for sale or otherwise no longer meets the held for sale criteria, the respective assets are reclassified as real estate investments held for use. A real estate investment that is reclassified is measured and recorded individually at the lower of (a) its carrying amount before the real estate investment was classified as held for sale, adjusted for any depreciation expense that would have been recognized had the real estate investment been continuously classified as held for use, or (b) the fair value at the date of the decision not to sell or change in circumstances that led to the real estate investment no longer meeting the criteria of held for sale. 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 Related Investments	Other Real Estate Related Investments —Included in other real estate related investments on the Company’s consolidated balance sheets at December 31, 2022, are three real estate secured loans receivable and two mezzanine loans receivable. Included in other real estate related investments on the Company’s consolidated balance sheets at December 31, 2021, is one mezzanine loan receivable. The Company elected the fair value option for all other real estate related investments. 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 statements of operations. Fair value was estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value, market
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, 2022, the Company determined that the remaining contractual obligations under two other loans receivable were not collectible and recorded a $4.6 million expected credit loss, net of a loan loss recovery of $0.8 million related to a loan previously written-off. Expected credit losses and recoveries are recorded in provision for loan losses, net in the consolidated statements of operations. 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 cash equivalents 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 consolidated balance sheets. For the unsecured revolving credit facility, deferred financing costs are included in assets on the Company’s consolidated balance sheets. Amortization of deferred financing costs is
Stock-Based Compensation	Stock-Based Compensation —The Company accounts for share-based payment awards in accordance with ASC 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
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 12, 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 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 Pronouncements — 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
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, 2022
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, 2022
Real Estate [Abstract]
Summary of Investment in Owned Properties Held for Use	The following table summarizes the Company’s investment in owned properties held for use at December 31, 2022 and 2021 (dollars in thousands): December 31, 2022 December 31, 2021 Land $ 238,738 $ 251,787 Buildings and improvements 1,483,133 1,622,019 Integral equipment, furniture and fixtures 97,199 104,722 Identified intangible assets 2,832 1,257 Real estate investments 1,821,902 1,979,785 Accumulated depreciation and amortization (400,492) (389,814) Real estate investments, net $ 1,421,410 $ 1,589,971
Schedule of Total Future Contractual Minimum Rental Income	As of December 31, 2022, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, was as follows (dollars in thousands): Year Amount 2023 $ 190,704 2024 190,463 2025 190,621 2026 190,727 2027 187,719 Thereafter 984,665 $ 1,934,899
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 (1) Option Type (2) Current Cash Rent (3) SNF 11 November 2030 1/1/2023 (4) B 5,092 SNF 1 March 2029 4/1/2022 (5) A / B (6) 805 SNF / Campus 2 October 2032 1/1/2023 (4) A 1,097 SNF 4 November 2034 12/1/2024 (5) A 3,891 (1) The Company has not received notice of exercise for the option periods that are currently open. (2) Option type includes: A - Fixed base price. B - Fixed capitalization rate on lease revenue. (3) Based on annualized cash revenue for contracts in place at December 31, 2022. (4) Option window is open for six months. (5) Option window is open until the expiration of the lease term. (6) 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, 2022 2021 2020 Rental Income Contractual rent due (1) $ 188,906 $ 190,100 $ 171,309 Straight-line rent 17 32 77 Adjustment for collectibility (2) (1,417) — — Recoveries (3) — — 1,047 Lease termination revenue (4) — 63 1,179 Total $ 187,506 $ 190,195 $ 173,612 (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, 2022, 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 existing and former operators. As such, the Company reversed $0.7 million of operating expense reimbursements, $0.2 million of contractual rent and $0.5 million of straight-line rent during the year ended December 31, 2022. If lease payments are subsequently deemed probable of collection, the Company will reestablish the receivable which will result in an increase in rental income for such recoveries. (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. (4) 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, 2022, 2021 and 2020 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent Number of Properties Number of Beds/Units (2) December 31, 2022 Skilled nursing $ 8,918 $ 815 1 135 Multi-service campuses 13,003 1,235 1 130 Total $ 21,921 $ 2,050 2 265 December 31, 2021 Skilled nursing $ 57,973 $ 4,499 (3) 4 509 Multi-service campuses 125,708 8,604 (4) 4 640 Assisted living 12,395 — (5) 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 (1) Purchase price includes capitalized acquisition costs. (2) The number of beds/units includes operating beds at acquisition date. (3) Initial annual cash rent represents initial cash rent for the first twelve months excluding any impact of straight-line rent. (4) 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 Related and_2

Other Real Estate Related and Other Investments (Tables)	12 Months Ended
	Dec. 31, 2022
Investments, All Other Investments [Abstract]
Schedule of Other Real Estate Related Investments, at Fair Value	As of December 31, 2022 and 2021 , the Company’s other real estate related investments, at fair value, consisted of the following (dollar amounts in thousands): As of December 31, 2022 Investment Facility Count and Type Principal Balance as of December 31, 2022 Book Value as of December 31, 2022 Book Value as of December 31, 2021 Weighted Average Contractual Interest Rate Maturity Date Senior mortgage secured loan receivable 18 SNF/Campus $ 75,000 $ 72,543 $ — 8.4 % (1) 6/30/2027 Mortgage secured loan receivable 5 SNF 22,250 21,345 — 10.2 % (2) 8/1/2025 Mortgage secured loan receivable 4 SNF 24,900 23,796 — 9.0 % (2) 9/8/2025 Mezzanine loan receivable 9 SNF 15,000 14,672 15,155 12.0 % 11/30/2025 Mezzanine loan receivable 18 SNF/Campus 25,000 24,012 — 11.0 % 6/30/2032 Total $ 162,150 $ 156,368 $ 15,155 (1) Rate is net of subservicing fee. (2) Term secured overnight financing rate (“SOFR”) used as of December 31, 2022 was 4.33%. Rates are net of subservicing fees.
Schedule of Other Real Estate Related Investment Activity	The following table summarizes the Company’s other real estate related investments activity for the year ended December 31, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2022 2021 Origination of other real estate related investments $ 147,150 $ — Accrued interest, net 1,165 155 Unrealized loss on other real estate related investments (7,102) — Net increase in other real estate related investments, at fair value $ 141,213 $ 155 As of December 31, 2022 and 2021, the Company’s other loans receivable, included in prepaid expenses and other assets, net on the Company’s consolidated balance sheets, consisted of the following (dollars in thousands): As of December 31, 2022 Investment Principal Balance as of December 31, 2022 Book Value as of December 31, 2022 Book Value as of December 31, 2021 Weighted Average Contractual Interest Rate Maturity Date Other loans receivable $ 9,596 $ 9,600 $ 3,161 8.5 % 9/1/2023 - 9/30/2025 Expected credit loss — (2,094) — Total $ 9,596 $ 7,506 $ 3,161
Schedule of Loan Receivable Activity	The following table summarizes the Company’s other loans receivable activity for the year ended December 31, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2022 2021 Origination of loans receivable $ 14,500 $ 1,253 Principal payments (6,307) (393) Accrued interest, net (4) (6) Provision for loan losses, net (3,844) — Net increase in other loans receivable $ 4,345 $ 854
Schedule of Interest and Other Income	The following table summarizes the interest and other income recognized from the Company’s loans receivable and other investments during the years ended December 31, 2022, 2021 and 2020 ( dollar amounts in thousands): For Year Ended December 31, Investment 2022 2021 2020 Mortgage secured loans receivable $ 4,853 $ — $ 2,044 Mezzanine loans receivable 3,489 1,825 305 Preferred equity investments (1) — — 24 Other 284 331 270 Total $ 8,626 $ 2,156 $ 2,643

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2022
Fair Value Disclosures [Abstract]
Schedule of 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, 2022 and 2021, 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, 2022 Assets: Mortgage secured loans receivable $ — $ — $ 117,684 $ 117,684 Mezzanine loans receivable — — 38,684 38,684 Total $ — $ — $ 156,368 $ 156,368 Level 1 Level 2 Level 3 Balance as of December 31, 2021 Assets: Mezzanine loan receivable $ — $ — $ 15,155 $ 15,155
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation	The following table details the Company’s assets measured at fair value on a recurring basis using Level 3 inputs (dollars in thousands): Investments in Real Estate Secured Loans Investments in Mezzanine Loans Balance at December 31, 2021 $ — $ 15,155 Loan originations 122,150 25,000 Accrued interest, net 928 237 Unrealized loss on other real estate related investments (5,394) (1,708) Balance as of December 31, 2022 $ 117,684 $ 38,684
Schedule of Quantitative Information About Unobservable Inputs Related to Level 3 Fair Value Measurements	The following table shows the quantitative information about unobservable inputs related to the Level 3 fair value measurements comprising the investments in secured and mezzanine loans receivables as of December 31, 2022 : Type Book Value as of December 31, 2022 Valuation Technique Unobservable Inputs Range Mortgage secured loans receivable $ 117,684 Discounted cash flow Discount Rate 9% - 13% Mezzanine loans receivable 38,684 Discounted cash flow Discount Rate 12% - 14%
Summary of Face Value, Carrying Amount and Fair Value of Financial Instruments	A summary of the face values, carrying amount and fair value of the Notes (as defined in Note 7, Debt , below) as of December 31, 2022 and 2021 using Level 2 inputs (dollars in thousands): December 31, 2022 December 31, 2021 Face Carrying Fair Face Carrying Fair Financial liabilities: Senior unsecured notes payable $ 400,000 $ 395,150 $ 345,036 $ 400,000 $ 394,262 $ 410,500

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2022
Debt Disclosure [Abstract]
Schedule of Debt Instruments	The following table summarizes the balance of the Company’s indebtedness as of December 31, 2022 and 2021 (in thousands): December 31, 2022 December 31, 2021 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount Senior unsecured notes payable $ 400,000 $ (4,850) $ 395,150 $ 400,000 $ (5,738) $ 394,262 Senior unsecured term loan 200,000 (652) 199,348 200,000 (864) 199,136 Unsecured revolving credit facility 125,000 — 125,000 80,000 — 80,000 $ 725,000 $ (5,502) $ 719,498 $ 680,000 $ (6,602) $ 673,398
Schedule of Debt Maturities	As of December 31, 2022, the Company’s debt maturities were (dollars in thousands): Year Amount 2023 $ — 2024 — 2025 — 2026 200,000 2027 125,000 Thereafter 400,000 $ 725,000

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2022
Equity [Abstract]
Summary of the at-the-Market Equity Offering Program	The following table summarizes ATM Program activity for the years ended December 31, 2022 and 2021 (in thousands, except per share amounts): For the Year Ended December 31, 2022 2021 Number of shares 2,405 990 Average sales price per share $ 20.00 $ 23.74 Gross proceeds (1) $ 48,100 $ 23,505
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 2022, 2021 and 2020 (dollars in thousands, except per share amounts): For the Three Months Ended 2022 March 31, June 30, September 30, December 31, Dividends declared per share $ 0.275 $ 0.275 $ 0.275 $ 0.275 Dividends payment date April 15, 2022 July 15, 2022 October 14, 2022 January 13, 2023 Dividends payable as of record date [1] $ 26,691 $ 26,683 $ 26,683 $ 27,386 Dividends record date March 31, 2022 June 30, 2022 September 30, 2022 December 30, 2022 2021 Dividends declared per share $ 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 [1] $ 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 per share $ 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 [1] $ 23,931 $ 23,931 $ 23,934 $ 23,933 Dividends record date March 31, 2020 June 30, 2020 September 30, 2020 December 31, 2020

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2022
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, 2022: Shares Weighted Average Share Price Unvested balance at December 31, 2021 891,333 $ 20.91 Granted: RSAs 159,663 19.56 Board Awards 25,992 16.93 Vested (501,479) 20.60 Forfeited (1,900) 21.50 Unvested balance at December 31, 2022 573,609 $ 20.63
Summary of Award Grants	The following table summarizes the Company’s RSA, PSA and Board Award grants during the year ended December 31, 2022 (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, 2022 (1) RSAs 159,663 $ 19.56 $ 3,123 263,568 $ 5,020 PSAs — — — 217,645 4,134 Board Awards 25,992 16.93 440 20,266 346 (1) The Compensation Committee granted annual awards for 2023 in December 2022. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2021 and 2020 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2021 (1) RSAs 394,863 $ 21.92 $ 8,654 PSAs 108,414 22.48 2,437 Board Awards 20,266 24.18 490 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 (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.
Schedule of Key Valuation Assumptions Used in Valuation	The fair value of the TSR Units 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 performa nce period. Expected volatility is based on historical volatility for the most recent 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, 2022 and 2021 : For the Year Ended December 31, 2022 For the Year Ended December 31, 2021 Risk-free interest rate 3.91 % 0.60 % Expected stock price volatility 52.90 % 52.42 % Expected service period 3.04 years 2.93 years Expected dividend yield (assuming full reinvestment) — % — % Fair value per share at date of grant $ 26.53 $ 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, 2022 2021 2020 Stock-based compensation expense $ 5,758 $ 10,832 $ 3,790

(Loss) Earnings Per Common Sh_2

(Loss) Earnings Per Common Share (Tables)	12 Months Ended
	Dec. 31, 2022
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 (loss) earnings per common share (“EPS”) for the Company’s common stock for the years ended December 31, 2022, 2021 and 2020, 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, 2022, 2021 and 2020 (amounts in thousands, except per share amounts): Year Ended December 31, 2022 2021 2020 Numerator: Net (loss) income $ (7,506) $ 71,982 $ 80,867 Less: Net income allocated to participating securities (440) (507) (298) Numerator for basic and diluted earnings available to common stockholders $ (7,946) $ 71,475 $ 80,569 Denominator: Weighted-average basic common shares outstanding 96,703 96,017 95,200 Dilutive performance stock awards — 75 7 Weighted-average diluted common shares outstanding 96,703 96,092 95,207 (Loss) earnings per common share, basic $ (0.08) $ 0.74 $ 0.85 (Loss) earnings per common share, diluted $ (0.08) $ 0.74 $ 0.85 Antidilutive unvested restricted stock awards, total shareholder units and performance awards excluded from the computation 744 591 296

Concentration of Risk (Tables)

Concentration of Risk (Tables)	12 Months Ended
	Dec. 31, 2022
Risks and Uncertainties [Abstract]
Schedule 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, 2022, 2021 and 2020. The following table sets forth information regarding the Company’s major operators as of December 31, 2022, 2021 and 2020: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) Operator (2) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2022 Ensign 83 8 7 8,741 997 661 35 % PMG 13 2 — 1,742 402 — 16 % 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 % (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, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue (1) State SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2022 CA 27 8 5 3,048 1,359 437 26 % TX 38 3 3 4,849 536 242 22 % December 31, 2021 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 and adjustments for collectibility.

Organization (Details)

Organization (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) bed loan	Dec. 31, 2021 USD ($) loan	Dec. 31, 2022 facility	Dec. 31, 2022 state
Real Estate Properties [Line Items]
Number of facilities			216	5
Number of states with properties | state				28
Aggregate carrying value | $	$ 156,368	$ 15,155
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Number of loans	3
Mezzanine loans receivable
Real Estate Properties [Line Items]
Number of loans	2	1
Skilled Nursing, Assisted Living and Independent Living Facilities
Real Estate Properties [Line Items]
Number of facilities | facility			216
Number of operational beds and units in facilities | bed	22,831

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Narrative (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2022 USD ($)	Dec. 31, 2022 USD ($) segment loan	Dec. 31, 2021 USD ($) loan	Dec. 31, 2020 USD ($)
Accounting Policies [Line Items]
Recovery of previously reserved rent		$ 0	$ 0	$ 1,047,000
Adjustment for collectibility of rental income		1,417,000	0	0
Impairment of real estate investments	$ 18,000,000	79,062,000	0	0
Provision for loan losses, net		3,844,000	0	0
Accumulated amortization of deferred financing costs		2,500,000	8,000,000
Loss on extinguishment of debt		0	10,827,000	0
Stock-based compensation expense		$ 5,758,000	$ 10,832,000	$ 3,790,000
Number of reportable segments | segment		1
Mortgage secured loans receivable
Accounting Policies [Line Items]
Number of loans | loan		3
Mezzanine loans receivable
Accounting Policies [Line Items]
Number of loans | loan		2	1
Other Loans Receivable
Accounting Policies [Line Items]
Number of loans | loan		2
Bridge loan
Accounting Policies [Line Items]
Provision for loan losses, net		$ 4,600,000
Allowance for credit loss, writeoff, after recovery		$ 800,000

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Estimated Useful Lives of Assets (Details)	12 Months Ended
	Dec. 31, 2022
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 Held for Use (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Real Estate [Abstract]
Land	$ 238,738	$ 251,787
Buildings and improvements	1,483,133	1,622,019
Integral equipment, furniture and fixtures	97,199	104,722
Identified intangible assets	2,832	1,257
Real estate investments	1,821,902	1,979,785
Accumulated depreciation and amortization	(400,492)	(389,814)
Real estate investments, net	$ 1,421,410	$ 1,589,971

Real Estate Investments, Net _2

Real Estate Investments, Net - Narrative (Details) $ in Millions	12 Months Ended
	Dec. 31, 2022 property facility	Dec. 31, 2021 property	Dec. 31, 2020 facility property	Dec. 31, 2022 facility	Dec. 31, 2022 USD ($)	Dec. 31, 2022	Dec. 31, 2022 renewal_optionsss	Dec. 31, 2022 state	Jun. 30, 2022 facility	Mar. 31, 2022 facility
Real Estate [Line Items]
Number of facilities				216				5
Number of facilities acquired | property	2	10	8
Held for Sale
Real Estate [Line Items]
Number of facilities										27
Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Number of facilities				216
Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities | Held for Sale
Real Estate [Line Items]
Number of facilities				5
Short-term Lease | Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Number of facilities				2					2
Minimum | Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Term of rent commencement	12 months
Maximum | Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Term of rent commencement	18 months
Ensign | Minimum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)						0%
Ensign | Maximum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)						2.50%
Ensign | Ensign Master Leases
Real Estate [Line Items]
Annualized contractual rental income | $					$ 62.3
Ensign | Other Ensign Leases
Real Estate [Line Items]
Annualized contractual rental income | $					3.9
Number of facilities acquired	4		4
PMG
Real Estate [Line Items]
Number of facilities				15
Annualized contractual rental income | $					$ 30.2
Initial lease term (in years)	15 years
Number of renewal options | renewal_optionsss							2
Lease renewal term (in years)	5 years
PMG | Minimum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)						0%
PMG | Maximum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)						3%
Various Other Operators | Triple-Net Leases
Real Estate [Line Items]
Number of facilities				94
Various Other Operators | Triple-Net Leases | Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Number of facilities				103

Real Estate Investments, Net _3

Real Estate Investments, Net - Future Contractual Minimum Rental Income (Details) $ in Thousands	Dec. 31, 2022 USD ($)
Future Contractual Minimum Rental Income
2023	$ 190,704
2024	190,463
2025	190,621
2026	190,727
2027	187,719
Thereafter	984,665
Total	$ 1,934,899

Real Estate Investments, Net _4

Real Estate Investments, Net - Tenant Purchase Options (Details) $ in Thousands	Dec. 31, 2022 USD ($) property
SNF | Lease Expiration November 2030, Next Option 2023
Lessor, Lease, Description [Line Items]
Properties | property	11
Current cash rent | $	$ 5,092
SNF | Lease Expiration March 2029, Next Option 2022
Lessor, Lease, Description [Line Items]
Properties | property	1
Current cash rent | $	$ 805
SNF | Lease Expiration November 2034, Next Option 2024
Lessor, Lease, Description [Line Items]
Properties | property	4
Current cash rent | $	$ 3,891
SNF / Campus | Lease Expiration October 2032, Next Option 2023
Lessor, Lease, Description [Line Items]
Properties | property	2
Current cash rent | $	$ 1,097

Real Estate Investments, Net _5

Real Estate Investments, Net - Rental Income (Details)	12 Months Ended
	Dec. 31, 2022 USD ($) operator	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Lessor, Lease, Description [Line Items]
Contractual rent due	$ 188,906,000	$ 190,100,000	$ 171,309,000
Straight-line rent	17,000	32,000	77,000
Adjustment for collectibility	(1,417,000)	0	0
Recovery of previously reserved rent	0	0	1,047,000
Lease termination revenue	0	63,000	1,179,000
Total	$ 187,506,000	190,195,000	173,612,000
Number of operators for which collectability not probable | operator	5
Metron
Lessor, Lease, Description [Line Items]
Lease termination revenue		$ 100,000	$ 1,200,000
Lease Income, Operating Expense Reimbursements
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed	$ 700,000
Contractual Rent
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed	200,000
Straight-line Rent
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed	$ 500,000

Real Estate Investments, Net _6

Real Estate Investments, Net - Recent Real Estate Acquisitions (Details) $ in Thousands		3 Months Ended	12 Months Ended
	Mar. 01, 2022 facility	Jun. 30, 2021 USD ($)	Dec. 31, 2022 USD ($) bed property	Dec. 31, 2021 USD ($) bed property	Dec. 31, 2020 USD ($) property bed
Business Acquisition [Line Items]
Purchase price			$ 21,921	$ 196,076	$ 89,817
Initial Annual Cash Rent			$ 2,050	$ 13,103	$ 7,598
Number of Properties | property			2	10	8
Number of beds/units | bed			265	1,247	961
Skilled nursing
Business Acquisition [Line Items]
Purchase price			$ 8,918	$ 57,973	$ 75,545
Initial Annual Cash Rent			$ 815	$ 4,499	$ 6,453
Number of Properties | property			1	4	6
Number of beds/units | bed			135	509	715
Multi-service campuses
Business Acquisition [Line Items]
Purchase price			$ 13,003	$ 125,708	$ 6,876
Initial Annual Cash Rent		$ 9,400	$ 1,235	$ 8,604	$ 555
Number of Properties	1		1	4	1
Number of beds/units | bed			130	640	184
Assisted living
Business Acquisition [Line Items]
Purchase price				$ 12,395	$ 7,396
Initial Annual Cash Rent				$ 0	$ 590
Number of Properties | property				2	1
Number of beds/units | bed				98	62

Real Estate Investments, Net _7

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

1 Months Ended

3 Months Ended

12 Months Ended

Mar. 01, 2022 USD ($) facility renewal_option

Feb. 01, 2022 USD ($) renewal_option facility

Sep. 23, 2021 USD ($) facility

Aug. 01, 2021 USD ($) facility renewal_option

Jul. 01, 2021 USD ($) renewal_option facility

Jun. 01, 2021 USD ($) facility renewal_option

Mar. 10, 2021 USD ($) facility

Dec. 01, 2020 USD ($) renewal_option facility

Aug. 31, 2022 USD ($) renewal_optionsss facility

Sep. 30, 2021

Jun. 30, 2021 USD ($)

Dec. 31, 2022 USD ($) property

Dec. 31, 2021 USD ($) property

Dec. 31, 2020 USD ($) property

Jun. 30, 2022 facility

Apr. 01, 2022 USD ($) facility renewal_option

Real Estate [Line Items]

Number of Properties | property

2

10

8

Initial Annual Cash Rent

$ 2,050

$ 13,103

$ 7,598

Landmark Maryland

Real Estate [Line Items]

Annual cash rent decrease under amended lease

$ 1,100

Number of renewal options | renewal_optionsss

1

Lease renewal term (in years)

10 years

Landmark Maryland | Minimum

Real Estate [Line Items]

Lessor, operating lease, term of lease commencement

12 months

Landmark Maryland | Maximum

Real Estate [Line Items]

Lessor, operating lease, term of lease commencement

18 months

Ensign Amended Triple-net Master Lease Combined

Real Estate [Line Items]

Number of renewal options | renewal_option

3

Lease renewal term (in years)

5 years

Ensign Amended Triple-net Master Lease

Real Estate [Line Items]

Annual cash rent decrease under amended lease

$ 800

Number of renewal options | renewal_option

2

3

Lease renewal term (in years)

5 years

5 years

Lease term (in years)

11 years

15 years

5 years

Annual cash rent increase under amended lease

$ 300

$ 400

Initial Annual Cash Rent

$ 2,600

Ensign Amended Triple-Net Master Lease 2

Real Estate [Line Items]

Lease term (in years)

16 years

Eduro Amended Triple-Net Master Lease

Real Estate [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Lease term (in years)

12 years

Annual cash rent increase under amended lease

$ 800

WLC Management Firm Amended Triple-Net Master Lease

Real Estate [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Lease term (in years)

12 years

Annual cash rent increase under amended lease

$ 1,200

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]

Number of renewal options | renewal_option

3

Lease renewal term (in years)

5 years

Lease term (in years)

17 years

Annual cash rent increase under amended lease

$ 2,200

GAAP rent increase

$ 2,500

Noble VA Master Lease, Amended

Real Estate [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Lease term (in years)

13 years

Initial Annual Cash Rent

$ 1,000

$ 1,300

Noble Triple-net Master Lease

Real Estate [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Lease term (in years)

14 years

Initial Annual Cash Rent

$ 3,200

Assisted living

Real Estate [Line Items]

Number of properties, terminated operations | facility

2

2

Number of Properties | property

2

1

Initial Annual Cash Rent

$ 0

$ 590

Assisted living | Florida

Real Estate [Line Items]

Number of properties, terminated operations | facility

1

1

Assisted living | Maryland

Real Estate [Line Items]

Number of properties, terminated operations | facility

1

1

Assisted living | Ensign

Real Estate [Line Items]

Number of properties transferred | facility

1

2

Number of properties removed | facility

2

Number of properties included | facility

2

Assisted living | Noble

Real Estate [Line Items]

Number of properties | facility

2

Assisted living | Noble VA

Real Estate [Line Items]

Number of properties transferred | facility

2

2

5

Triple-Net Leases | Ensign

Real Estate [Line Items]

Number of properties amended | facility

2

Skilled Nursing Facility

Real Estate [Line Items]

Number of Properties | facility

1

2

Rent prepayment

$ 5,000

Skilled Nursing Facility | Ensign

Real Estate [Line Items]

Number of skilled nursing facilities | facility

4

Multi-service campuses

Real Estate [Line Items]

Number of Properties

1

1

4

1

Initial Annual Cash Rent

$ 9,400

$ 1,235

$ 8,604

$ 555

Impairment of Real Estate Inv_2

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales (Details)	3 Months Ended				12 Months Ended
	Dec. 31, 2022 USD ($) bed	Sep. 30, 2022 USD ($) facility individual bed	Jun. 30, 2022 USD ($) facility	Mar. 31, 2022 USD ($) facility bed	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)	Dec. 31, 2022 facility	Dec. 31, 2022	Dec. 31, 2022 state
Real Estate [Line Items]
Number of properties								216		5
Number of properties to be repurposed | facility				3
Contractual cash rent attributable to properties held for sale and repurposed (percent)				10%
Impairment of real estate investments				$ 18,000,000	$ 79,062,000	$ 0	$ 0
Assets held for sale, net	$ 12,291,000				12,291,000	4,835,000
Real estate investment property, at cost	1,821,902,000				1,821,902,000	1,979,785,000
Proceeds from sale					45,149,000	6,958,000	6,608,000
Gain (loss) on sale of real estate					(3,769,000)	(77,000)	$ (37,000)
Number of individuals | individual		4
Real estate investments, net	1,421,410,000				1,421,410,000	$ 1,589,971,000
Term Loan | Term Loan with 3 Years Maturity Term
Real Estate [Line Items]
Debt instrument face amount		$ 7,000,000
Interest rate (percent)		8.50%
Term Loan | Term Loan Maturity Date of November 29, 2022
Real Estate [Line Items]
Debt instrument face amount		$ 5,000,000
Interest rate (percent)		8.50%
Assisted Living Facility
Real Estate [Line Items]
Amount transferred out of assets held-for-sale	47,800,000	$ 4,900,000			4,800,000
Catch-up depreciation					100,000
Real estate investment property, at cost	50,800,000				50,800,000
Valuation, Market Approach | Level 3 | Assisted Living Facility
Real Estate [Line Items]
Prices per unit input		$ 125,000
Valuation, Market Approach | Level 3 | Skilled Nursing Facility
Real Estate [Line Items]
Prices per unit input			$ 20,000
Valuation, Market Approach | Level 3 | Minimum
Real Estate [Line Items]
Prices per unit input	20,000				20,000
Valuation, Market Approach | Level 3 | Maximum
Real Estate [Line Items]
Prices per unit input	85,000				85,000
Valuation, Market Approach | Level 3 | Weighted Average
Real Estate [Line Items]
Prices per unit input	$ 55,000				55,000
Valuation Technique, Terminal Capitalization Rate | Level 3 | Minimum | Assisted Living Facility
Real Estate [Line Items]
Assets held-for-sale, measurement input									0.075
Valuation Technique, Terminal Capitalization Rate | Level 3 | Maximum | Assisted Living Facility
Real Estate [Line Items]
Assets held-for-sale, measurement input									0.0875
Discounted cash flow | Level 3 | Minimum | Assisted Living Facility
Real Estate [Line Items]
Assets held-for-sale, measurement input									0.085
Discounted cash flow | Level 3 | Maximum | Assisted Living Facility
Real Estate [Line Items]
Assets held-for-sale, measurement input									0.0975
Disposed of by Sale
Real Estate [Line Items]
Impairment expense to reduce carrying value to fair value less costs to sell					45,000,000
Number of properties impaired | facility								12
Disposed of by Sale | Assisted Living Facility
Real Estate [Line Items]
Number of properties | facility		5						5
Number of operational beds | bed	301
Real estate investment property, at cost		$ 12,700,000
Proceeds from sale	$ 11,000,000
Gain (loss) on sale of real estate					(1,700,000)
Disposed of by Sale | Skilled Nursing Facility
Real Estate [Line Items]
Number of properties | facility				1
Number of operational beds | bed				83
Real estate investment property, at cost				$ 800,000
Proceeds from sale				$ 1,000,000
Gain (loss) on sale of real estate					200,000
Disposed of by Sale | Trio Healthcare Holdings, LLC
Real Estate [Line Items]
Number of properties | facility			7
Number of operational beds | bed		708
Real estate investment property, at cost			$ 46,900,000
Proceeds from sale		$ 32,800,000
Gain (loss) on sale of real estate					(2,100,000)
Held for Sale
Real Estate [Line Items]
Number of properties | facility				27
Impairment expense to reduce carrying value to fair value less costs to sell	$ 14,400,000
Number of properties impaired | facility				10				5
Held for Sale | Assisted Living Facility
Real Estate [Line Items]
Number of properties | facility		1		1				9
Held for Sale | Skilled Nursing Facility
Real Estate [Line Items]
Number of properties | facility			1
Impairment expense to reduce carrying value to fair value less costs to sell			$ 1,700,000
Real estate investment property, at cost			2,800,000
Real estate investments, net			$ 1,100,000
Held for Sale | Trio Healthcare Holdings, LLC | Skilled Nursing Properties
Real Estate [Line Items]
Number of properties | facility		6						6
Held for Sale | Trio Healthcare Holdings, LLC | Multi-service campuses
Real Estate [Line Items]
Number of properties | facility								1
Held for Use
Real Estate [Line Items]
Impairment of real estate investments					$ 1,700,000
Number of properties impaired | facility								1

Other Real Estate Related and_3

Other Real Estate Related and Other Investments - Other Real Estate Related Investments, At Fair Value (Details)	12 Months Ended
	Dec. 31, 2022 USD ($) facility	Dec. 31, 2021 USD ($) facility
Real Estate Properties [Line Items]
Principal amount	$ 162,150,000
Book value	156,368,000	$ 15,155,000
Expected credit loss		0
Senior mortgage secured loan receivable
Real Estate Properties [Line Items]
Principal amount	75,000,000
Book value	$ 72,543,000	$ 0
Weighted Average Contractual Interest Rate	8.40%
Senior mortgage secured loan receivable | Skilled Nursing and Campus Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	18	18
Mortgage secured loan receivable
Real Estate Properties [Line Items]
Principal amount	$ 22,250,000
Book value	$ 21,345,000	$ 0
Weighted Average Contractual Interest Rate	10.20%
Mortgage secured loan receivable | SOFR
Real Estate Properties [Line Items]
Basis spread on variable rate (percent)	4.33%
Mortgage secured loan receivable | Skilled Nursing Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	5	5
Mortgage secured loan receivable
Real Estate Properties [Line Items]
Principal amount	$ 24,900,000
Book value	$ 23,796,000	$ 0
Weighted Average Contractual Interest Rate	9%
Mortgage secured loan receivable | Skilled Nursing Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	4	4
Mezzanine loans receivable
Real Estate Properties [Line Items]
Principal amount	$ 15,000,000
Book value	$ 14,672,000	$ 15,155,000
Weighted Average Contractual Interest Rate	12%
Mezzanine loans receivable | Skilled Nursing Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	9	9
Mezzanine loan receivable
Real Estate Properties [Line Items]
Principal amount	$ 25,000,000
Book value	$ 24,012,000	$ 0
Weighted Average Contractual Interest Rate	11%
Mezzanine loan receivable | Skilled Nursing and Campus Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	18	18
Other
Real Estate Properties [Line Items]
Principal amount	$ 9,596,000
Book value	$ 9,600,000	$ 3,161,000
Weighted Average Contractual Interest Rate	8.50%
Expected credit loss	$ (2,094,000)
Principal Balance	9,596,000
Book Value	$ 7,506,000	$ 3,161,000

Other Real Estate Related and_4

Other Real Estate Related and Other Investments - Other Real Estate Related Investment Activity (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Financing Receivable, Allowance for Credit Loss [Line Items]
Origination of other real estate related investments	$ 162,150
Other Real Estate Related Investments
Financing Receivable, Allowance for Credit Loss [Line Items]
Origination of other real estate related investments	147,150	$ 0
Accrued interest, net	1,165	155
Unrealized loss on other real estate related investments	(7,102)	0
Net increase in other real estate related investments, at fair value	$ 141,213	$ 155

Other Real Estate Related and_5

Other Real Estate Related and Other Investments - Narrative (Details)	1 Months Ended			12 Months Ended
	Sep. 30, 2022 USD ($) facility extension_option	Aug. 31, 2022 USD ($) facility extension_option operator	Jun. 30, 2022 USD ($) facility	Dec. 31, 2022 USD ($) loan	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)	Dec. 31, 2022 facility	Dec. 31, 2022 state	Mar. 31, 2022 facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount				$ 162,150,000
Number operated by existing operator | operator		4
Number operated by large, regional operator | operator		1
Expected credit loss				3,844,000	$ 0	$ 0
Number of facilities							216	5
Expected credit loss					$ 0
Held for Sale
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility									27
Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities acquired | facility	4
Skilled Nursing Facility | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities acquired | facility			18
Skilled Nursing Properties | Held for Sale | Trio Healthcare Holdings, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility	6						6
Multi-service campuses | Held for Sale | Trio Healthcare Holdings, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility							1
Mortgage secured loans receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount	$ 24,900,000	$ 22,300,000
Number of extension option | extension_option	2	2
Extension option, term (year)	1 year	1 year
Earnout advance	$ 4,700,000
Subservicing fee percentage	100%	50%
Mortgage secured loans receivable | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount			$ 75,000,000
Loan receivable interest rate			8.50%
Servicing fee threshold			8.25%
Effective rate			8.375%
Mortgage secured loans receivable | SOFR
Financing Receivable, Allowance for Credit Loss [Line Items]
Monthly payment interest rate	4.50%	4.25%
Mortgage secured loans receivable | SOFR Floor
Financing Receivable, Allowance for Credit Loss [Line Items]
Floor rate	1%	1%
Mortgage secured loans receivable | Minimum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee	1%	2%
Subservicing fee percentage	9%	8.25%
Mortgage secured loans receivable | Minimum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			1%
Mortgage secured loans receivable | Maximum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee	3%	3%
Mortgage secured loans receivable | Maximum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			3%
Mortgage secured loans receivable | Weighted Average | SOFR
Financing Receivable, Allowance for Credit Loss [Line Items]
Monthly payment interest rate	2.85%	2.75%
B Tranche Mortgage Loan
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities acquired by borrower | facility		5
Mezzanine loans receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount				15,000,000
Mezzanine loans receivable | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount			$ 25,000,000
Loan receivable interest rate			11%
Mezzanine loans receivable | Minimum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			1%
Mezzanine loans receivable | Maximum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			3%
Other
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount				9,596,000
Expected credit loss				$ 4,600,000
Number of loans receivable with provision | loan				2
Write-off				$ 800,000
Expected credit loss				$ 2,094,000
Other | Skilled Nursing Properties
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of loans receivable with provision | loan				1
Write-off				$ 2,500,000

Other Real Estate Related and_6

Other Real Estate Related and Other Investments - Loan Activity (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Investments, All Other Investments [Abstract]
Origination of loans receivable	$ 14,500	$ 1,253
Principal payments	(6,307)	(393)
Accrued interest, net	(4)	(6)
Provision for loan losses, net	(3,844)	0
Net increase in other loans receivable	$ 4,345	$ 854

Other Real Estate Related and_7

Other Real Estate Related and Other Investments - Interest and Other Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Real Estate Properties [Line Items]
Interest and other income	$ 8,626	$ 2,156	$ 2,643
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Interest and other income	4,853	0	2,044
Mezzanine loans receivable
Real Estate Properties [Line Items]
Interest and other income	3,489	1,825	305
Preferred equity investments
Real Estate Properties [Line Items]
Interest and other income	0	0	24
Other
Real Estate Properties [Line Items]
Interest and other income	$ 284	$ 331	$ 270

Fair Value Measurements - Items

Fair Value Measurements - Items Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	$ 156,368
Recurring | Mortgage secured loans receivable
Assets:
Loans receivable	117,684
Recurring | Mezzanine loans receivable
Assets:
Loans receivable	38,684	$ 15,155
Recurring | Level 1 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	0
Recurring | Level 1 | Mortgage secured loans receivable
Assets:
Loans receivable	0
Recurring | Level 1 | Mezzanine loans receivable
Assets:
Loans receivable	0	0
Recurring | Level 2 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	0
Recurring | Level 2 | Mortgage secured loans receivable
Assets:
Loans receivable	0
Recurring | Level 2 | Mezzanine loans receivable
Assets:
Loans receivable	0	0
Recurring | Level 3 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	156,368
Recurring | Level 3 | Mortgage secured loans receivable
Assets:
Loans receivable	117,684
Recurring | Level 3 | Mezzanine loans receivable
Assets:
Loans receivable	$ 38,684	$ 15,155

Fair Value Measurements - Asset

Fair Value Measurements - Assets at Fair Value Measured Using Level 3 (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Unrealized loss on other real estate related investments	$ 7,102	$ 0	$ 0
Investments in Real Estate Secured Loans
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance at December 31, 2021	0
Loan originations	122,150
Accrued interest, net	928
Unrealized loss on other real estate related investments	(5,394)
Balance as of December 31, 2022	117,684	0
Investments in Mezzanine Loans
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance at December 31, 2021	15,155
Loan originations	25,000
Accrued interest, net	237
Unrealized loss on other real estate related investments	(1,708)
Balance as of December 31, 2022	$ 38,684	$ 15,155

Fair Value Measurements - Narra

Fair Value Measurements - Narrative (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2022	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Financing Receivable, Past Due [Line Items]
Unrealized loss on other real estate related investments		$ (7,102,000)	$ 0	$ 0
Impairment of real estate investments	$ 18,000,000	79,062,000	$ 0	$ 0
Secured And Mezzanine Loans Receivable
Financing Receivable, Past Due [Line Items]
Unrealized loss on other real estate related investments		$ (7,100,000)

Fair Value Measurements - Quant

Fair Value Measurements - Quantitative Information About Unobservable Inputs Related To Level 3 Fair Value Measurements (Details) - Level 3 - Discount Rate - Discounted cash flow $ in Thousands	Dec. 31, 2022 USD ($)
Mortgage secured loans receivable
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, book value	$ 117,684
Mortgage secured loans receivable | Minimum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.09
Mortgage secured loans receivable | Maximum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.13
Mezzanine loans receivable
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, book value	$ 38,684
Mezzanine loans receivable | Minimum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.12
Mezzanine loans receivable | Maximum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.14

Fair Value Measurements - Face

Fair Value Measurements - Face Value, Carrying Amount and Fair Value of Financial Instruments (Details) - Level 2 - Senior unsecured notes payable - Senior unsecured notes payable - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Financial liabilities:
Face Value	$ 400,000	$ 400,000
Carrying Amount
Financial liabilities:
Notes payable, fair value disclosure	395,150	394,262
Fair Value
Financial liabilities:
Notes payable, fair value disclosure	$ 345,036	$ 410,500

Debt - Schedule of Debt (Detail

Debt - Schedule of Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Debt Instrument [Line Items]
Principal Amount	$ 725,000	$ 680,000
Deferred Loan Fees	(5,502)	(6,602)
Carrying Amount	719,498	673,398
Unsecured revolving credit facility
Debt Instrument [Line Items]
Principal Amount	125,000	80,000
Deferred Loan Fees	0	0
Carrying Amount	125,000	80,000
Notes payable | Senior unsecured notes payable
Debt Instrument [Line Items]
Principal Amount	400,000	400,000
Deferred Loan Fees	(4,850)	(5,738)
Carrying Amount	395,150	394,262
Term Loan | Senior unsecured term loan
Debt Instrument [Line Items]
Principal Amount	200,000	200,000
Deferred Loan Fees	(652)	(864)
Carrying Amount	$ 199,348	$ 199,136

Debt - Senior Unsecured Notes P

Debt - Senior Unsecured Notes Payable Narrative (Details) - USD ($) $ in Thousands				12 Months Ended
	Jul. 01, 2021	Jun. 17, 2021	May 10, 2017	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Loss on extinguishment of debt				$ 0	$ 10,827	$ 0
Notes payable | Senior unsecured notes payable
Debt Instrument [Line Items]
Debt instrument face amount		$ 400,000
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%
Notes payable | Senior unsecured notes payable | Period prior to March 30 2028
Debt Instrument [Line Items]
Redemption price of notes (percent)		100%
Notes payable | Senior unsecured notes payable | Period after March 30 2028
Debt Instrument [Line Items]
Redemption price of notes (percent)		100%
Notes payable | Senior unsecured notes payable | Period prior to June 30 2024
Debt Instrument [Line Items]
Redemption price of notes (percent)		103.875%
Percentage of principal amount (percent)		40%
Notes payable | 2025 Senior Notes
Debt Instrument [Line Items]
Debt instrument face amount			$ 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) $ in Thousands	Dec. 16, 2022 USD ($) extension_option	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Line of Credit Facility [Line Items]
Borrowings outstanding		$ 725,000	$ 680,000
Borrowings outstanding		125,000	80,000
Unsecured revolving credit facility
Line of Credit Facility [Line Items]
Credit facility borrowing capacity	$ 600,000
Borrowings outstanding		125,000	80,000
Borrowings outstanding		125,000
Number of extension options | extension_option	2
Extension option term (in months)	6 months
Unsecured 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%
Unsecured revolving credit facility | Minimum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.10%
Unsecured revolving credit facility | Minimum | SOFR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.10%
Unsecured 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%
Unsecured revolving credit facility | Maximum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.55%
Unsecured revolving credit facility | Maximum | SOFR
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%
Swingline Loan
Line of Credit Facility [Line Items]
Subfacility capacity as percentage of available revolving commitments (percent)	10%
Term Loan | Senior unsecured term loan
Line of Credit Facility [Line Items]
Debt instrument face amount	$ 200,000
Borrowings outstanding		$ 200,000	$ 200,000
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 | SOFR
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 | SOFR
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, 2022	Dec. 31, 2021
Debt, Fiscal Year Maturity [Abstract]
2023	$ 0
2024	0
2025	0
2026	200,000
2027	125,000
Thereafter	400,000
Total debt	$ 725,000	$ 680,000

Equity - Narrative (Details)

Equity - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020	Mar. 20, 2020	Mar. 10, 2020
Class of Stock [Line Items]
Share repurchase program authorization				$ 150,000,000
Shares repurchased (shares)	0	0	0
ATM Program
Class of Stock [Line Items]
Issuance of common stock, net (shares)	2,405,000	990,000	0
Remaining offering amount available	$ 428,400,000
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, 2022	Dec. 31, 2021	Dec. 31, 2020
Class of Stock [Line Items]
Gross proceeds	$ 47,236	$ 22,946	$ (404)
ATM Program
Class of Stock [Line Items]
Number of shares (shares)	2,405,000	990,000	0
Average sales price per share (usd per share)	$ 20	$ 23.74
Gross proceeds	$ 48,100	$ 23,505
Commissions paid on stock issuance	$ 600	$ 300

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, 2022

Sep. 30, 2022

Jun. 30, 2022

Mar. 31, 2022

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, 2022

Dec. 31, 2021

Dec. 31, 2020

Dividends on common stock

Dividends declared per share (usd per share)

$ 0.275

$ 0.275

$ 0.275

$ 0.275

$ 0.265

$ 0.265

$ 0.265

$ 0.265

$ 0.25

$ 0.25

$ 0.25

$ 0.25

$ 1.10

$ 1.06

$ 1

Dividends payment date

Jan. 13, 2023

Oct. 14, 2022

Jul. 15, 2022

Apr. 15, 2022

Jan. 14, 2022

Oct. 15, 2021

Jul. 15, 2021

Apr. 15, 2021

Jan. 15, 2021

Oct. 15, 2020

Jul. 15, 2020

Apr. 15, 2020

Dividends payable as of record date

$ 27,386

$ 26,683

$ 26,683

$ 26,691

$ 25,755

$ 25,714

$ 25,714

$ 25,633

$ 23,933

$ 23,934

$ 23,931

$ 23,931

$ 27,386

$ 25,755

$ 23,933

Dividends record date

Dec. 30, 2022

Sep. 30, 2022

Jun. 30, 2022

Mar. 31, 2022

Dec. 31, 2021

Sep. 30, 2021

Jun. 30, 2021

Mar. 31, 2021

Dec. 31, 2020

Sep. 30, 2020

Jun. 30, 2020

Mar. 31, 2020

Stock-Based Compensation - Narr

Stock-Based Compensation - Narrative (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized for awards (shares)	5,000,000
Unamortized stock-based compensation expense	$ 11.6
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	3 years	3 years	4 years
PSAs | Minimum | Vesting Period Range One
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		1 year
PSAs | Minimum | Vesting Period Range Two
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)			1 year
PSAs | Maximum | Vesting Period Range One
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)		3 years
PSAs | Maximum | Vesting Period Range Two
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)			4 years
TSR Units
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	3 years	3 years
Total fair value of awards granted	$ 2.5	$ 5.3
TSR Units | 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%
TSR Units | 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%
RSAs and PSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted-average remaining vesting period (in years)	1 year 10 months 24 days

Stock-Based Compensation - Rest

Stock-Based Compensation - Restricted Stock and Performance Awards Activity (Details) - $ / shares	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Shares
Unvested, beginning balance (shares)	891,333
Vested (shares)	(501,479)
Forfeited (shares)	(1,900)
Unvested, ending balance (shares)	573,609	891,333
Weighted Average Share Price
Unvested, beginning balance (usd per share)	$ 20.91
Vested (usd per share)	20.60
Forfeited (usd per share)	21.50
Unvested, ending balance (usd per share)	$ 20.63	$ 20.91
RSAs
Shares
Granted (shares)	159,663	394,863	134,790
Vested (shares)	(263,568)
Weighted Average Share Price
Granted (usd per share)	$ 19.56	$ 21.92	$ 19.68
Board Awards
Shares
Granted (shares)	25,992
Weighted Average Share Price
Granted (usd per share)	$ 16.93

Stock-Based Compensation - Gran

Stock-Based Compensation - Grants During the Period (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vested (shares)	501,479
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	159,663	394,863	134,790
Granted (usd per share)	$ 19.56	$ 21.92	$ 19.68
Grant Date Fair Value	$ 3,123	$ 8,654	$ 2,653
Vested (shares)	263,568
Vest Date Fair Value	$ 5,020
PSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	0	108,414	107,790
Granted (usd per share)	$ 0	$ 22.48	$ 19.06
Grant Date Fair Value	$ 0	$ 2,437	$ 2,054
Vested (shares)	217,645
Vest Date Fair Value	$ 4,134
Board Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	25,992
Granted (usd per share)	$ 16.93
Board Awards | Director
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	25,992	20,266	27,611
Granted (usd per share)	$ 16.93	$ 24.18	$ 16.48
Grant Date Fair Value	$ 440	$ 490	$ 455
Vested (shares)	20,266
Vest Date Fair Value	$ 346

Stock-Based Compensation - Key

Stock-Based Compensation - Key Assumptions Used in Valuation (Details) - TSR Units - $ / shares	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Key Assumptions Used in Valuation
Risk-free interest rate	3.91%	0.60%
Expected stock price volatility	52.90%	52.42%
Expected service period	3 years 14 days	2 years 11 months 4 days
Expected dividend yield (assuming full reinvestment)	0%	0%
Fair value per share at date of grant (usd per share)	$ 26.53	$ 29.10

Stock-Based Compensation - Stoc

Stock-Based Compensation - Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Share-Based Payment Arrangement [Abstract]
Stock-based compensation expense	$ 5,758	$ 10,832	$ 3,790

(Loss) Earnings Per Common Sh_3

(Loss) Earnings Per Common Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Numerator:
Net (loss) income	$ (7,506)	$ 71,982	$ 80,867
Less: Net income allocated to participating securities	(440)	(507)	(298)
Numerator for basic earnings available to common stockholders	(7,946)	71,475	80,569
Numerator for diluted earnings available to common stockholders	$ (7,946)	$ 71,475	$ 80,569
Denominator:
Weighted-average basic common shares outstanding (shares)	96,703	96,017	95,200
Dilutive performance stock awards (shares)	0	75	7
Weighted-average diluted common shares outstanding (shares)	96,703	96,092	95,207
(Loss) earnings per common share, basic (usd per share)	$ (0.08)	$ 0.74	$ 0.85
(Loss) earnings per common share, diluted (usd per share)	$ (0.08)	$ 0.74	$ 0.85
Antidilutive unvested restricted stock awards, total shareholder units and performance awards excluded from the computation (shares)	744	591	296

Commitments and Contingencies (

Commitments and Contingencies (Details) $ in Millions	Dec. 31, 2022 USD ($)
Certain Capital Improvements at Triple-net Leased Facilities
Accounting Policies [Line Items]
Funding commitment	$ 15.7
Portion of funding commitment subject to rent increase at time of funding	$ 2.7
Ensign and Pennant
Accounting Policies [Line Items]
Aggregate required financing of capital expenditures as percentage of initial investment in property (percent)	20%

Concentration of Risk (Details)

Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2022 facility bed	Dec. 31, 2021 bed facility	Dec. 31, 2020 facility bed
CA | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	27	27
Number of Beds/Units | bed	3,048	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8
Number of Beds/Units | bed	1,359	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	5	5
Number of Beds/Units | bed	437	449
CA | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	26%	25%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	38	37
Number of Beds/Units | bed	4,849	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	3	3
Number of Beds/Units | bed	536	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	3	3
Number of Beds/Units | bed	242	242
TX | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	22%	20%
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	83	83	77
Number of Beds/Units | bed	8,741	8,756	8,129
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8	8
Number of Beds/Units | bed	997	997	1,027
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	7	4	4
Number of Beds/Units | bed	661	395	390
Ensign | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	35%	32%	32%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	13	13	13
Number of Beds/Units | bed	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	2	2	2
Number of Beds/Units | bed	402	402	403
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	0	0	0
Number of Beds/Units | bed	0	0	0
PMG | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	16%	15%	16%

Subsequent Events (Details)

Subsequent Events (Details) $ in Thousands	Jan. 13, 2023 USD ($) facility bed	Dec. 31, 2022 facility	Dec. 31, 2022 USD ($)	Dec. 31, 2022 state	Sep. 30, 2022 USD ($) facility	Dec. 31, 2021 USD ($)
Subsequent Event [Line Items]
Number of facilities		216		5
Real estate investment property, at cost			$ 1,821,902			$ 1,979,785
Assisted Living Facility
Subsequent Event [Line Items]
Real estate investment property, at cost			$ 50,800
Disposed of by Sale | Assisted Living Facility
Subsequent Event [Line Items]
Number of facilities | facility		5			5
Real estate investment property, at cost					$ 12,700
Subsequent event | Disposed of by Sale | Assisted Living Facility
Subsequent Event [Line Items]
Number of facilities | facility	1
Number of beds | bed	105
Real estate investment property, at cost	$ 3,300

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, 2022	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	241,304
Buildings and improvements	1,392,128
Cost Capitalized Since Acquisition
Improvements	118,249
Gross Carrying Value
Land	238,738
Buildings and improvements	1,483,133
Total	1,721,871	$ 1,873,806	$ 1,683,205	$ 1,605,081
Accumulated depreciation	(315,914)	$ (304,785)	$ (259,803)	$ (220,359)
Aggregate cost of real estate for federal income tax purposes	1,700,000
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
Land	157,842
Buildings and improvements	947,010
Cost Capitalized Since Acquisition
Improvements	97,380
Gross Carrying Value
Land	156,008
Buildings and improvements	1,044,124
Total	1,200,131
Accumulated depreciation	(246,446)
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
Land	257
Buildings and improvements	976
Cost Capitalized Since Acquisition
Improvements	926
Gross Carrying Value
Land	257
Buildings and improvements	1,902
Total	2,159
Accumulated depreciation	$ (1,479)
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
Land	425
Buildings and improvements	3,716
Cost Capitalized Since Acquisition
Improvements	1,940
Gross Carrying Value
Land	425
Buildings and improvements	5,656
Total	6,081
Accumulated depreciation	$ (3,505)
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
Land	113
Buildings and improvements	504
Cost Capitalized Since Acquisition
Improvements	971
Gross Carrying Value
Land	113
Buildings and improvements	1,475
Total	1,588
Accumulated depreciation	$ (1,026)
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
Land	471
Buildings and improvements	2,041
Cost Capitalized Since Acquisition
Improvements	3,055
Gross Carrying Value
Land	471
Buildings and improvements	5,096
Total	5,567
Accumulated depreciation	$ (3,562)
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
Land	629
Buildings and improvements	5,154
Cost Capitalized Since Acquisition
Improvements	1,519
Gross Carrying Value
Land	629
Buildings and improvements	6,673
Total	7,302
Accumulated depreciation	$ (4,357)
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
Land	2,812
Buildings and improvements	3,919
Cost Capitalized Since Acquisition
Improvements	1,994
Gross Carrying Value
Land	2,812
Buildings and improvements	5,913
Total	8,725
Accumulated depreciation	$ (3,865)
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
Land	3,526
Buildings and improvements	2,827
Cost Capitalized Since Acquisition
Improvements	1,522
Gross Carrying Value
Land	3,526
Buildings and improvements	4,349
Total	7,875
Accumulated depreciation	$ (2,965)
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
Land	450
Buildings and improvements	5,566
Cost Capitalized Since Acquisition
Improvements	1,055
Gross Carrying Value
Land	450
Buildings and improvements	6,621
Total	7,071
Accumulated depreciation	$ (4,407)
Construction/Renovation date	2009
Acquisition date	2006
Skilled Nursing Properties | Mountainview Communitycare LLC
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	931
Buildings and improvements	2,612
Cost Capitalized Since Acquisition
Improvements	653
Gross Carrying Value
Land	931
Buildings and improvements	3,265
Total	4,196
Accumulated depreciation	$ (2,317)
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
Land	3,028
Buildings and improvements	3,119
Cost Capitalized Since Acquisition
Improvements	2,071
Gross Carrying Value
Land	3,028
Buildings and improvements	5,190
Total	8,218
Accumulated depreciation	$ (3,381)
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
Land	60
Buildings and improvements	4,391
Cost Capitalized Since Acquisition
Improvements	1,167
Gross Carrying Value
Land	60
Buildings and improvements	5,558
Total	5,618
Accumulated depreciation	$ (3,522)
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
Land	741
Buildings and improvements	1,663
Cost Capitalized Since Acquisition
Improvements	1,998
Gross Carrying Value
Land	741
Buildings and improvements	3,661
Total	4,402
Accumulated depreciation	$ (2,854)
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
Land	171
Buildings and improvements	1,828
Cost Capitalized Since Acquisition
Improvements	2,038
Gross Carrying Value
Land	171
Buildings and improvements	3,866
Total	4,037
Accumulated depreciation	$ (2,951)
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
Land	1,105
Buildings and improvements	3,110
Cost Capitalized Since Acquisition
Improvements	1,067
Gross Carrying Value
Land	1,105
Buildings and improvements	4,177
Total	5,282
Accumulated depreciation	$ (2,554)
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
Land	332
Buildings and improvements	2,426
Cost Capitalized Since Acquisition
Improvements	2,507
Gross Carrying Value
Land	332
Buildings and improvements	4,933
Total	5,265
Accumulated depreciation	$ (3,618)
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
Land	664
Buildings and improvements	2,294
Cost Capitalized Since Acquisition
Improvements	902
Gross Carrying Value
Land	664
Buildings and improvements	3,196
Total	3,860
Accumulated depreciation	$ (2,551)
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
Land	965
Buildings and improvements	2,070
Cost Capitalized Since Acquisition
Improvements	958
Gross Carrying Value
Land	965
Buildings and improvements	3,028
Total	3,993
Accumulated depreciation	$ (2,578)
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
Land	600
Buildings and improvements	1,890
Cost Capitalized Since Acquisition
Improvements	470
Gross Carrying Value
Land	600
Buildings and improvements	2,360
Total	2,960
Accumulated depreciation	$ (1,645)
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
Land	470
Buildings and improvements	1,715
Cost Capitalized Since Acquisition
Improvements	8,632
Gross Carrying Value
Land	441
Buildings and improvements	10,376
Total	10,817
Accumulated depreciation	$ (8,270)
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
Land	2,165
Buildings and improvements	1,105
Cost Capitalized Since Acquisition
Improvements	324
Gross Carrying Value
Land	2,165
Buildings and improvements	1,429
Total	3,594
Accumulated depreciation	$ (1,149)
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
Land	443
Buildings and improvements	2,394
Cost Capitalized Since Acquisition
Improvements	759
Gross Carrying Value
Land	443
Buildings and improvements	3,153
Total	3,596
Accumulated depreciation	$ (1,839)
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
Land	1,415
Buildings and improvements	1,841
Cost Capitalized Since Acquisition
Improvements	1,861
Gross Carrying Value
Land	1,415
Buildings and improvements	3,702
Total	5,117
Accumulated depreciation	$ (2,393)
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
Land	937
Buildings and improvements	1,168
Cost Capitalized Since Acquisition
Improvements	357
Gross Carrying Value
Land	937
Buildings and improvements	1,525
Total	2,462
Accumulated depreciation	$ (1,039)
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
Land	2,007
Buildings and improvements	2,793
Cost Capitalized Since Acquisition
Improvements	1,762
Gross Carrying Value
Land	2,007
Buildings and improvements	4,555
Total	6,562
Accumulated depreciation	$ (2,885)
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
Land	310
Buildings and improvements	2,090
Cost Capitalized Since Acquisition
Improvements	719
Gross Carrying Value
Land	310
Buildings and improvements	2,809
Total	3,119
Accumulated depreciation	$ (1,587)
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
Land	529
Buildings and improvements	2,207
Cost Capitalized Since Acquisition
Improvements	1,163
Gross Carrying Value
Land	529
Buildings and improvements	3,370
Total	3,899
Accumulated depreciation	$ (2,058)
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
Land	369
Buildings and improvements	3,220
Cost Capitalized Since Acquisition
Improvements	1,725
Gross Carrying Value
Land	369
Buildings and improvements	4,945
Total	5,314
Accumulated depreciation	$ (2,925)
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
Land	490
Buildings and improvements	1,231
Cost Capitalized Since Acquisition
Improvements	500
Gross Carrying Value
Land	490
Buildings and improvements	1,731
Total	2,221
Accumulated depreciation	$ (1,018)
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
Land	467
Buildings and improvements	4,644
Cost Capitalized Since Acquisition
Improvements	782
Gross Carrying Value
Land	467
Buildings and improvements	5,426
Total	5,893
Accumulated depreciation	$ (1,926)
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
Land	217
Buildings and improvements	856
Cost Capitalized Since Acquisition
Improvements	1,735
Gross Carrying Value
Land	217
Buildings and improvements	2,591
Total	2,808
Accumulated depreciation	$ (1,694)
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
Land	280
Buildings and improvements	1,230
Cost Capitalized Since Acquisition
Improvements	834
Gross Carrying Value
Land	280
Buildings and improvements	2,064
Total	2,344
Accumulated depreciation	$ (1,082)
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
Land	1,607
Buildings and improvements	4,222
Cost Capitalized Since Acquisition
Improvements	6,195
Gross Carrying Value
Land	1,607
Buildings and improvements	10,417
Total	12,024
Accumulated depreciation	$ (6,030)
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
Land	2,133
Buildings and improvements	11,977
Cost Capitalized Since Acquisition
Improvements	1,421
Gross Carrying Value
Land	2,133
Buildings and improvements	13,398
Total	15,531
Accumulated depreciation	$ (6,543)
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
Land	193
Buildings and improvements	2,209
Cost Capitalized Since Acquisition
Improvements	849
Gross Carrying Value
Land	193
Buildings and improvements	3,058
Total	3,251
Accumulated depreciation	$ (1,316)
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
Land	2,051
Buildings and improvements	8,362
Cost Capitalized Since Acquisition
Improvements	2,011
Gross Carrying Value
Land	2,051
Buildings and improvements	10,373
Total	12,424
Accumulated depreciation	$ (3,766)
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
Land	2,671
Buildings and improvements	4,244
Cost Capitalized Since Acquisition
Improvements	1,507
Gross Carrying Value
Land	2,671
Buildings and improvements	5,751
Total	8,422
Accumulated depreciation	$ (2,186)
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
Land	767
Buildings and improvements	4,648
Cost Capitalized Since Acquisition
Improvements	155
Gross Carrying Value
Land	193
Buildings and improvements	5,377
Total	5,570
Accumulated depreciation	$ (2,423)
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
Land	373
Buildings and improvements	1,354
Cost Capitalized Since Acquisition
Improvements	190
Gross Carrying Value
Land	373
Buildings and improvements	1,544
Total	1,917
Accumulated depreciation	$ (548)
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
Land	90
Buildings and improvements	675
Cost Capitalized Since Acquisition
Improvements	430
Gross Carrying Value
Land	90
Buildings and improvements	1,105
Total	1,195
Accumulated depreciation	$ (548)
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
Land	642
Buildings and improvements	1,085
Cost Capitalized Since Acquisition
Improvements	870
Gross Carrying Value
Land	642
Buildings and improvements	1,955
Total	2,597
Accumulated depreciation	$ (1,139)
Construction/Renovation date	2012
Acquisition date	2009
Skilled Nursing Properties | Fifth 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
Land	345
Buildings and improvements	2,464
Cost Capitalized Since Acquisition
Improvements	1,065
Gross Carrying Value
Land	345
Buildings and improvements	3,529
Total	3,874
Accumulated depreciation	$ (1,600)
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
Land	591
Buildings and improvements	2,383
Cost Capitalized Since Acquisition
Improvements	69
Gross Carrying Value
Land	591
Buildings and improvements	2,452
Total	3,043
Accumulated depreciation	$ (948)
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
Land	250
Buildings and improvements	4,004
Cost Capitalized Since Acquisition
Improvements	424
Gross Carrying Value
Land	250
Buildings and improvements	4,428
Total	4,678
Accumulated depreciation	$ (1,855)
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
Land	1,382
Buildings and improvements	2,293
Cost Capitalized Since Acquisition
Improvements	478
Gross Carrying Value
Land	1,382
Buildings and improvements	2,771
Total	4,153
Accumulated depreciation	$ (1,117)
Construction/Renovation date	1996
Acquisition date	2010
Skilled Nursing Properties | Everglades 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
Land	1,847
Buildings and improvements	5,377
Cost Capitalized Since Acquisition
Improvements	682
Gross Carrying Value
Land	1,847
Buildings and improvements	6,059
Total	7,906
Accumulated depreciation	$ (1,916)
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
Land	60
Buildings and improvements	2,931
Cost Capitalized Since Acquisition
Improvements	245
Gross Carrying Value
Land	60
Buildings and improvements	3,176
Total	3,236
Accumulated depreciation	$ (1,277)
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
Land	170
Buildings and improvements	2,141
Cost Capitalized Since Acquisition
Improvements	82
Gross Carrying Value
Land	170
Buildings and improvements	2,223
Total	2,393
Accumulated depreciation	$ (822)
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
Land	163
Buildings and improvements	1,491
Cost Capitalized Since Acquisition
Improvements	12
Gross Carrying Value
Land	163
Buildings and improvements	1,503
Total	1,666
Accumulated depreciation	$ (697)
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
Land	80
Buildings and improvements	2,541
Cost Capitalized Since Acquisition
Improvements	97
Gross Carrying Value
Land	80
Buildings and improvements	2,638
Total	2,718
Accumulated depreciation	$ (1,264)
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
Land	90
Buildings and improvements	2,341
Cost Capitalized Since Acquisition
Improvements	759
Gross Carrying Value
Land	90
Buildings and improvements	3,100
Total	3,190
Accumulated depreciation	$ (1,862)
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
Land	158
Buildings and improvements	4,810
Cost Capitalized Since Acquisition
Improvements	759
Gross Carrying Value
Land	128
Buildings and improvements	5,599
Total	5,727
Accumulated depreciation	$ (2,459)
Construction/Renovation date	2012
Acquisition date	2011
Skilled Nursing Properties | Dixie 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
Land	487
Buildings and improvements	1,978
Cost Capitalized Since Acquisition
Improvements	98
Gross Carrying Value
Land	487
Buildings and improvements	2,076
Total	2,563
Accumulated depreciation	$ (639)
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
Land	537
Buildings and improvements	2,138
Cost Capitalized Since Acquisition
Improvements	698
Gross Carrying Value
Land	537
Buildings and improvements	2,836
Total	3,373
Accumulated depreciation	$ (1,292)
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
Land	1,425
Buildings and improvements	5,307
Cost Capitalized Since Acquisition
Improvements	1,079
Gross Carrying Value
Land	1,425
Buildings and improvements	6,386
Total	7,811
Accumulated depreciation	$ (2,674)
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
Land	297
Buildings and improvements	2,087
Cost Capitalized Since Acquisition
Improvements	1,621
Gross Carrying Value
Land	297
Buildings and improvements	3,708
Total	4,005
Accumulated depreciation	$ (2,261)
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
Land	1,012
Buildings and improvements	3,282
Cost Capitalized Since Acquisition
Improvements	103
Gross Carrying Value
Land	1,012
Buildings and improvements	3,385
Total	4,397
Accumulated depreciation	$ (981)
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
Land	1,689
Buildings and improvements	3,896
Cost Capitalized Since Acquisition
Improvements	3,235
Gross Carrying Value
Land	1,689
Buildings and improvements	7,131
Total	8,820
Accumulated depreciation	$ (3,509)
Construction/Renovation date	2011
Acquisition date	2011
Skilled Nursing Properties | Wisteria Health Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances
Initial Cost to Company
Land	746
Buildings and improvements	9,903
Cost Capitalized Since Acquisition
Improvements	290
Gross Carrying Value
Land	746
Buildings and improvements	10,193
Total	10,939
Accumulated depreciation	$ (2,641)
Construction/Renovation date
Acquisition date
Skilled Nursing Properties | Renee 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
Land	180
Buildings and improvements	2,481
Cost Capitalized Since Acquisition
Improvements	966
Gross Carrying Value
Land	180
Buildings and improvements	3,447
Total	3,627
Accumulated depreciation	$ (1,516)
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
Land	129
Buildings and improvements	7,139
Cost Capitalized Since Acquisition
Improvements	6
Gross Carrying Value
Land	129
Buildings and improvements	7,145
Total	7,274
Accumulated depreciation	$ (1,331)
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
Land	329
Buildings and improvements	2,653
Cost Capitalized Since Acquisition
Improvements	1,094
Gross Carrying Value
Land	329
Buildings and improvements	3,747
Total	4,076
Accumulated depreciation	$ (1,820)
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
Land	49
Buildings and improvements	1,554
Cost Capitalized Since Acquisition
Improvements	29
Gross Carrying Value
Land	49
Buildings and improvements	1,583
Total	1,632
Accumulated depreciation	$ (387)
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
Land	999
Buildings and improvements	4,237
Cost Capitalized Since Acquisition
Improvements	2,331
Gross Carrying Value
Land	999
Buildings and improvements	6,568
Total	7,567
Accumulated depreciation	$ (3,106)
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
Land	1,285
Buildings and improvements	2,343
Cost Capitalized Since Acquisition
Improvements	2,172
Gross Carrying Value
Land	1,285
Buildings and improvements	4,515
Total	5,800
Accumulated depreciation	$ (2,258)
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
Land	193
Buildings and improvements	2,311
Cost Capitalized Since Acquisition
Improvements	318
Gross Carrying Value
Land	193
Buildings and improvements	2,629
Total	2,822
Accumulated depreciation	$ (789)
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
Land	340
Buildings and improvements	3,925
Cost Capitalized Since Acquisition
Improvements	32
Gross Carrying Value
Land	340
Buildings and improvements	3,957
Total	4,297
Accumulated depreciation	$ (1,124)
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
Land	371
Buildings and improvements	2,951
Cost Capitalized Since Acquisition
Improvements	274
Gross Carrying Value
Land	371
Buildings and improvements	3,225
Total	3,596
Accumulated depreciation	$ (882)
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
Land	80
Buildings and improvements	2,391
Cost Capitalized Since Acquisition
Improvements	15
Gross Carrying Value
Land	80
Buildings and improvements	2,406
Total	2,486
Accumulated depreciation	$ (532)
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
Land	129
Buildings and improvements	2,418
Cost Capitalized Since Acquisition
Improvements	24
Gross Carrying Value
Land	129
Buildings and improvements	2,442
Total	2,571
Accumulated depreciation	$ (793)
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
Land	1,388
Buildings and improvements	2,982
Cost Capitalized Since Acquisition
Improvements	202
Gross Carrying Value
Land	1,388
Buildings and improvements	3,184
Total	4,572
Accumulated depreciation	$ (1,134)
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
Land	1,722
Buildings and improvements	2,642
Cost Capitalized Since Acquisition
Improvements	(980)
Gross Carrying Value
Land	742
Buildings and improvements	2,642
Total	3,384
Accumulated depreciation	$ (837)
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
Land	228
Buildings and improvements	1,124
Cost Capitalized Since Acquisition
Improvements	1,380
Gross Carrying Value
Land	228
Buildings and improvements	2,504
Total	2,731
Accumulated depreciation	$ (1,927)
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
Land	152
Buildings and improvements	357
Cost Capitalized Since Acquisition
Improvements	1,493
Gross Carrying Value
Land	152
Buildings and improvements	1,850
Total	2,002
Accumulated depreciation	$ (1,403)
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
Land	1,668
Buildings and improvements	15,375
Cost Capitalized Since Acquisition
Improvements	56
Gross Carrying Value
Land	1,668
Buildings and improvements	15,431
Total	17,099
Accumulated depreciation	$ (3,058)
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
Land	1,601
Buildings and improvements	7,425
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,601
Buildings and improvements	7,425
Total	9,026
Accumulated depreciation	$ (1,439)
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
Land	1,462
Buildings and improvements	5,034
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,462
Buildings and improvements	5,034
Total	6,496
Accumulated depreciation	$ (954)
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
Land	251
Buildings and improvements	7,855
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	251
Buildings and improvements	7,855
Total	8,106
Accumulated depreciation	$ (1,473)
Construction/Renovation date	2010
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
Land	833
Buildings and improvements	18,086
Cost Capitalized Since Acquisition
Improvements	792
Gross Carrying Value
Land	833
Buildings and improvements	18,878
Total	19,711
Accumulated depreciation	$ (3,408)
Construction/Renovation date	1992
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
Land	93
Buildings and improvements	10,365
Cost Capitalized Since Acquisition
Improvements	88
Gross Carrying Value
Land	93
Buildings and improvements	10,453
Total	10,546
Accumulated depreciation	$ (1,879)
Construction/Renovation date	2007
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
Land	119
Buildings and improvements	7,727
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	119
Buildings and improvements	7,727
Total	7,846
Accumulated depreciation	$ (1,336)
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
Land	96
Buildings and improvements	2,784
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	96
Buildings and improvements	2,784
Total	2,880
Accumulated depreciation	$ (481)
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
Land	105
Buildings and improvements	3,179
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	105
Buildings and improvements	3,179
Total	3,284
Accumulated depreciation	$ (550)
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
Land	39
Buildings and improvements	1,167
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	39
Buildings and improvements	1,167
Total	1,206
Accumulated depreciation	$ (202)
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
Land	65
Buildings and improvements	1,935
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	65
Buildings and improvements	1,935
Total	2,000
Accumulated depreciation	$ (335)
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
Land	522
Buildings and improvements	5,690
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	522
Buildings and improvements	5,690
Total	6,212
Accumulated depreciation	$ (984)
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
Land	31
Buildings and improvements	1,915
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	31
Buildings and improvements	1,915
Total	1,946
Accumulated depreciation	$ (331)
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
Land	126
Buildings and improvements	2,255
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	126
Buildings and improvements	2,255
Total	2,381
Accumulated depreciation	$ (390)
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
Land	189
Buildings and improvements	2,544
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	189
Buildings and improvements	2,544
Total	2,733
Accumulated depreciation	$ (440)
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
Land	324
Buildings and improvements	4,366
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	324
Buildings and improvements	4,366
Total	4,690
Accumulated depreciation	$ (737)
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
Land	364
Buildings and improvements	2,199
Cost Capitalized Since Acquisition
Improvements	623
Gross Carrying Value
Land	143
Buildings and improvements	943
Total	1,086
Accumulated depreciation	$ (22)
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
Land	1,801
Buildings and improvements	6,572
Cost Capitalized Since Acquisition
Improvements	395
Gross Carrying Value
Land	1,801
Buildings and improvements	6,967
Total	8,768
Accumulated depreciation	$ (1,316)
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
Land	3,646
Buildings and improvements	2,873
Cost Capitalized Since Acquisition
Improvements	110
Gross Carrying Value
Land	3,646
Buildings and improvements	2,983
Total	6,629
Accumulated depreciation	$ (519)
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
Land	768
Buildings and improvements	10,712
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	768
Buildings and improvements	10,712
Total	11,480
Accumulated depreciation	$ (1,718)
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
Land	1,232
Buildings and improvements	22,152
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,232
Buildings and improvements	22,152
Total	23,384
Accumulated depreciation	$ (3,370)
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
Land	990
Buildings and improvements	24,909
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	990
Buildings and improvements	24,909
Total	25,899
Accumulated depreciation	$ (3,788)
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
Land	606
Buildings and improvements	14,660
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	606
Buildings and improvements	14,660
Total	15,266
Accumulated depreciation	$ (2,230)
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
Land	1,022
Buildings and improvements	5,713
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,022
Buildings and improvements	5,713
Total	6,735
Accumulated depreciation	$ (833)
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
Land	775
Buildings and improvements	8,377
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	775
Buildings and improvements	8,377
Total	9,152
Accumulated depreciation	$ (1,222)
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
Land	439
Buildings and improvements	3,475
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	439
Buildings and improvements	3,475
Total	3,914
Accumulated depreciation	$ (507)
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
Land	511
Buildings and improvements	3,662
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	511
Buildings and improvements	3,662
Total	4,173
Accumulated depreciation	$ (534)
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
Land	406
Buildings and improvements	3,411
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	406
Buildings and improvements	3,411
Total	3,817
Accumulated depreciation	$ (497)
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
Land	775
Buildings and improvements	5,044
Cost Capitalized Since Acquisition
Improvements	121
Gross Carrying Value
Land	775
Buildings and improvements	5,165
Total	5,940
Accumulated depreciation	$ (715)
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
Land	1,178
Buildings and improvements	12,059
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,178
Buildings and improvements	12,059
Total	13,237
Accumulated depreciation	$ (1,683)
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
Land	2,055
Buildings and improvements	9,749
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	2,055
Buildings and improvements	9,749
Total	11,804
Accumulated depreciation	$ (1,361)
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
Land	940
Buildings and improvements	2,093
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	940
Buildings and improvements	2,093
Total	3,033
Accumulated depreciation	$ (288)
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
Land	1,481
Buildings and improvements	2,216
Cost Capitalized Since Acquisition
Improvements	110
Gross Carrying Value
Land	1,481
Buildings and improvements	2,326
Total	3,807
Accumulated depreciation	$ (305)
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
Land	916
Buildings and improvements	7,874
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	916
Buildings and improvements	7,874
Total	8,790
Accumulated depreciation	$ (1,050)
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
Land	906
Buildings and improvements	7,020
Cost Capitalized Since Acquisition
Improvements	516
Gross Carrying Value
Land	906
Buildings and improvements	7,536
Total	8,442
Accumulated depreciation	$ (936)
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
Land	312
Buildings and improvements	10,410
Cost Capitalized Since Acquisition
Improvements	461
Gross Carrying Value
Land	312
Buildings and improvements	10,871
Total	11,183
Accumulated depreciation	$ (1,388)
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
Land	625
Buildings and improvements	12,087
Cost Capitalized Since Acquisition
Improvements	200
Gross Carrying Value
Land	625
Buildings and improvements	12,287
Total	12,912
Accumulated depreciation	$ (1,586)
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
Land	785
Buildings and improvements	8,923
Cost Capitalized Since Acquisition
Improvements	116
Gross Carrying Value
Land	785
Buildings and improvements	9,039
Total	9,824
Accumulated depreciation	$ (1,171)
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
Land	80
Buildings and improvements	4,419
Cost Capitalized Since Acquisition
Improvements	30
Gross Carrying Value
Land	80
Buildings and improvements	4,449
Total	4,529
Accumulated depreciation	$ (580)
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
Land	698
Buildings and improvements	5,092
Cost Capitalized Since Acquisition
Improvements	274
Gross Carrying Value
Land	698
Buildings and improvements	5,366
Total	6,064
Accumulated depreciation	$ (729)
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
Land	681
Buildings and improvements	6,587
Cost Capitalized Since Acquisition
Improvements	1,256
Gross Carrying Value
Land	681
Buildings and improvements	7,843
Total	8,524
Accumulated depreciation	$ (1,198)
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
Land	607
Buildings and improvements	4,801
Cost Capitalized Since Acquisition
Improvements	1,073
Gross Carrying Value
Land	607
Buildings and improvements	5,874
Total	6,481
Accumulated depreciation	$ (889)
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
Land	1,602
Buildings and improvements	4,536
Cost Capitalized Since Acquisition
Improvements	891
Gross Carrying Value
Land	1,602
Buildings and improvements	5,427
Total	7,029
Accumulated depreciation	$ (832)
Construction/Renovation date	2006
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
Land	1,001
Buildings and improvements	1,779
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,001
Buildings and improvements	1,779
Total	2,780
Accumulated depreciation	$ (233)
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
Land	446
Buildings and improvements	869
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	446
Buildings and improvements	869
Total	1,315
Accumulated depreciation	$ (114)
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
Land	3,831
Buildings and improvements	19,791
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,831
Buildings and improvements	19,791
Total	23,622
Accumulated depreciation	$ (2,598)
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
Land	2,897
Buildings and improvements	14,700
Cost Capitalized Since Acquisition
Improvements	345
Gross Carrying Value
Land	2,897
Buildings and improvements	15,045
Total	17,942
Accumulated depreciation	$ (1,975)
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
Land	4,204
Buildings and improvements	21,880
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,204
Buildings and improvements	21,880
Total	26,084
Accumulated depreciation	$ (2,872)
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
Land	188
Buildings and improvements	3,972
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	188
Buildings and improvements	3,972
Total	4,160
Accumulated depreciation	$ (603)
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
Land	220
Buildings and improvements	4,974
Cost Capitalized Since Acquisition
Improvements	39
Gross Carrying Value
Land	220
Buildings and improvements	5,013
Total	5,233
Accumulated depreciation	$ (675)
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
Land	1,372
Buildings and improvements	7,491
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,372
Buildings and improvements	7,491
Total	8,863
Accumulated depreciation	$ (925)
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
Land	989
Buildings and improvements	3,275
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	989
Buildings and improvements	3,275
Total	4,264
Accumulated depreciation	$ (378)
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
Land	1,178
Buildings and improvements	17,857
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,178
Buildings and improvements	17,857
Total	19,035
Accumulated depreciation	$ (1,865)
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
Land	3,131
Buildings and improvements	8,876
Cost Capitalized Since Acquisition
Improvements	299
Gross Carrying Value
Land	3,131
Buildings and improvements	9,175
Total	12,306
Accumulated depreciation	$ (976)
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
Land	1,699
Buildings and improvements	9,004
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,699
Buildings and improvements	9,004
Total	10,703
Accumulated depreciation	$ (905)
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
Land	2,502
Buildings and improvements	6,141
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	2,502
Buildings and improvements	6,141
Total	8,643
Accumulated depreciation	$ (619)
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
Land	2,351
Buildings and improvements	9,256
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	2,351
Buildings and improvements	9,256
Total	11,607
Accumulated depreciation	$ (949)
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
Land	880
Buildings and improvements	14,117
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	880
Buildings and improvements	14,117
Total	14,997
Accumulated depreciation	$ (1,344)
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
Land	798
Buildings and improvements	7,671
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	798
Buildings and improvements	7,671
Total	8,469
Accumulated depreciation	$ (647)
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
Land	1,597
Buildings and improvements	15,692
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,597
Buildings and improvements	15,692
Total	17,289
Accumulated depreciation	$ (1,235)
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
Land	867
Buildings and improvements	7,431
Cost Capitalized Since Acquisition
Improvements	20
Gross Carrying Value
Land	867
Buildings and improvements	7,451
Total	8,318
Accumulated depreciation	$ (458)
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
Land	183
Buildings and improvements	7,380
Cost Capitalized Since Acquisition
Improvements	430
Gross Carrying Value
Land	183
Buildings and improvements	7,810
Total	7,993
Accumulated depreciation	$ (465)
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
Land	1,295
Buildings and improvements	17,069
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,295
Buildings and improvements	17,069
Total	18,364
Accumulated depreciation	$ (989)
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
Land	629
Buildings and improvements	7,433
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	629
Buildings and improvements	7,433
Total	8,062
Accumulated depreciation	$ (434)
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
Land	1,036
Buildings and improvements	10,516
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,036
Buildings and improvements	10,516
Total	11,552
Accumulated depreciation	$ (606)
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
Land	1,283
Buildings and improvements	8,133
Cost Capitalized Since Acquisition
Improvements	135
Gross Carrying Value
Land	1,283
Buildings and improvements	8,268
Total	9,551
Accumulated depreciation	$ (367)
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
Land	3,282
Buildings and improvements	12,763
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,282
Buildings and improvements	12,763
Total	16,045
Accumulated depreciation	$ (507)
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
Land	3,325
Buildings and improvements	11,738
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,325
Buildings and improvements	11,738
Total	15,063
Accumulated depreciation	$ (461)
Construction/Renovation date	2017
Acquisition date	2021
Skilled Nursing Properties | CTR Partnership, L.P. | Ennis Care Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	568
Buildings and improvements	8,055
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	568
Buildings and improvements	8,055
Total	8,623
Accumulated depreciation	$ (201)
Construction/Renovation date	1982
Acquisition date	2022
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
Land	2,688
Buildings and improvements	23,825
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	2,688
Buildings and improvements	23,825
Total	26,513
Accumulated depreciation	$ (2,357)
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
Land	3,758
Buildings and improvements	21,325
Cost Capitalized Since Acquisition
Improvements	17
Gross Carrying Value
Land	3,758
Buildings and improvements	21,342
Total	25,100
Accumulated depreciation	$ (2,127)
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
Land	1,635
Buildings and improvements	21,180
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,635
Buildings and improvements	21,180
Total	22,815
Accumulated depreciation	$ (2,045)
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
Land	3,437
Buildings and improvements	20,889
Cost Capitalized Since Acquisition
Improvements	2,845
Gross Carrying Value
Land	3,437
Buildings and improvements	23,734
Total	27,171
Accumulated depreciation	$ (2,160)
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
Land	2,979
Buildings and improvements	24,617
Cost Capitalized Since Acquisition
Improvements	2,100
Gross Carrying Value
Land	2,979
Buildings and improvements	26,717
Total	29,696
Accumulated depreciation	$ (2,407)
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
Land	676
Buildings and improvements	10,238
Cost Capitalized Since Acquisition
Improvements	361
Gross Carrying Value
Land	676
Buildings and improvements	10,599
Total	11,275
Accumulated depreciation	$ (1,058)
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
Land	2,452
Buildings and improvements	9,148
Cost Capitalized Since Acquisition
Improvements	113
Gross Carrying Value
Land	2,452
Buildings and improvements	9,261
Total	11,713
Accumulated depreciation	$ (963)
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
Land	120
Buildings and improvements	6,682
Cost Capitalized Since Acquisition
Improvements	436
Gross Carrying Value
Land	120
Buildings and improvements	7,118
Total	7,238
Accumulated depreciation	$ (782)
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
Land	173
Buildings and improvements	7,481
Cost Capitalized Since Acquisition
Improvements	127
Gross Carrying Value
Land	173
Buildings and improvements	7,608
Total	7,781
Accumulated depreciation	$ (806)
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
Land	219
Buildings and improvements	10,097
Cost Capitalized Since Acquisition
Improvements	255
Gross Carrying Value
Land	219
Buildings and improvements	10,352
Total	10,571
Accumulated depreciation	$ (1,064)
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
Land	0
Buildings and improvements	6,905
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	0
Buildings and improvements	6,905
Total	6,905
Accumulated depreciation	$ (708)
Construction/Renovation date	2011
Acquisition date	2019
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
Land	7,987
Buildings and improvements	7,237
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	7,987
Buildings and improvements	7,237
Total	15,224
Accumulated depreciation	$ (351)
Construction/Renovation date	1967
Acquisition date	2021
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
Land	55,670
Buildings and improvements	281,386
Cost Capitalized Since Acquisition
Improvements	10,524
Gross Carrying Value
Land	55,670
Buildings and improvements	291,910
Total	347,580
Accumulated depreciation	(40,159)
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
Land	144
Buildings and improvements	11,097
Cost Capitalized Since Acquisition
Improvements	50
Gross Carrying Value
Land	144
Buildings and improvements	11,147
Total	11,291
Accumulated depreciation	$ (2,042)
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
Land	990
Buildings and improvements	7,484
Cost Capitalized Since Acquisition
Improvements	380
Gross Carrying Value
Land	990
Buildings and improvements	7,864
Total	8,854
Accumulated depreciation	$ (1,451)
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
Land	1,316
Buildings and improvements	10,071
Cost Capitalized Since Acquisition
Improvements	1,021
Gross Carrying Value
Land	1,316
Buildings and improvements	11,092
Total	12,408
Accumulated depreciation	$ (1,875)
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
Land	1,258
Buildings and improvements	16,526
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,258
Buildings and improvements	16,526
Total	17,784
Accumulated depreciation	$ (2,651)
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
Land	980
Buildings and improvements	27,917
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	980
Buildings and improvements	27,917
Total	28,897
Accumulated depreciation	$ (4,246)
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
Land	8,709
Buildings and improvements	9,736
Cost Capitalized Since Acquisition
Improvements	1,397
Gross Carrying Value
Land	8,709
Buildings and improvements	11,133
Total	19,842
Accumulated depreciation	$ (1,399)
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
Land	601
Buildings and improvements	6,385
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	601
Buildings and improvements	6,385
Total	6,986
Accumulated depreciation	$ (691)
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
Land	298
Buildings and improvements	8,393
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	298
Buildings and improvements	8,393
Total	8,691
Accumulated depreciation	$ (930)
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
Land	3,980
Buildings and improvements	10,106
Cost Capitalized Since Acquisition
Improvements	1,488
Gross Carrying Value
Land	3,980
Buildings and improvements	11,594
Total	15,574
Accumulated depreciation	$ (1,075)
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
Land	143
Buildings and improvements	6,075
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	143
Buildings and improvements	6,075
Total	6,218
Accumulated depreciation	$ (368)
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
Land	3,217
Buildings and improvements	21,195
Cost Capitalized Since Acquisition
Improvements	2,729
Gross Carrying Value
Land	3,217
Buildings and improvements	23,924
Total	27,141
Accumulated depreciation	$ (2,490)
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
Land	143
Buildings and improvements	11,429
Cost Capitalized Since Acquisition
Improvements	482
Gross Carrying Value
Land	143
Buildings and improvements	11,911
Total	12,054
Accumulated depreciation	$ (1,266)
Construction/Renovation date	2007
Acquisition date	2019
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
Land	966
Buildings and improvements	5,082
Cost Capitalized Since Acquisition
Improvements	2,213
Gross Carrying Value
Land	966
Buildings and improvements	7,295
Total	8,261
Accumulated depreciation	$ (5,864)
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
Land	1,962
Buildings and improvements	11,035
Cost Capitalized Since Acquisition
Improvements	464
Gross Carrying Value
Land	1,962
Buildings and improvements	11,499
Total	13,461
Accumulated depreciation	$ (3,932)
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
Land	130
Buildings and improvements	3,061
Cost Capitalized Since Acquisition
Improvements	122
Gross Carrying Value
Land	130
Buildings and improvements	3,183
Total	3,313
Accumulated depreciation	$ (1,202)
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
Land	180
Buildings and improvements	3,352
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	180
Buildings and improvements	3,352
Total	3,532
Accumulated depreciation	$ (1,199)
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
Land	110
Buildings and improvements	3,522
Cost Capitalized Since Acquisition
Improvements	75
Gross Carrying Value
Land	110
Buildings and improvements	3,597
Total	3,707
Accumulated depreciation	$ (1,211)
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
Land	130
Buildings and improvements	1,571
Cost Capitalized Since Acquisition
Improvements	22
Gross Carrying Value
Land	130
Buildings and improvements	1,593
Total	1,723
Accumulated depreciation	$ (918)
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
Land	168
Buildings and improvements	2,496
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	168
Buildings and improvements	2,496
Total	2,664
Accumulated depreciation	$ (650)
Construction/Renovation date	2012
Acquisition date	2012
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
Land	11,176
Buildings and improvements	25,298
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	11,176
Buildings and improvements	25,298
Total	36,474
Accumulated depreciation	$ (1,205)
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
Land	7,516
Buildings and improvements	30,552
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	7,516
Buildings and improvements	30,552
Total	38,068
Accumulated depreciation	$ (1,441)
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
Land	7,398
Buildings and improvements	19,714
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	7,398
Buildings and improvements	19,714
Total	27,112
Accumulated depreciation	$ (944)
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
Land	4,024
Buildings and improvements	16,790
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,024
Buildings and improvements	16,790
Total	20,814
Accumulated depreciation	$ (820)
Construction/Renovation date	2000
Acquisition date	2021
Multi-Service Campus Properties | Northshore Healthcare Holdings LLC | Imboden Creek Living Center
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	131
Buildings and improvements	12,499
Cost Capitalized Since Acquisition
Improvements	81
Gross Carrying Value
Land	131
Buildings and improvements	12,580
Total	12,711
Accumulated depreciation	$ (289)
Construction/Renovation date	2003
Acquisition date	2022
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
Land	27,224
Buildings and improvements	155,677
Cost Capitalized Since Acquisition
Improvements	10,345
Gross Carrying Value
Land	26,492
Buildings and improvements	139,044
Total	165,537
Accumulated depreciation	(29,108)
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
Land	420
Buildings and improvements	1,160
Cost Capitalized Since Acquisition
Improvements	189
Gross Carrying Value
Land	420
Buildings and improvements	1,349
Total	1,769
Accumulated depreciation	$ (508)
Construction/Renovation date	2011
Acquisition date	2009
Assisted and Independent Living Properties | Everglades 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
Land	1,542
Buildings and improvements	4,012
Cost Capitalized Since Acquisition
Improvements	113
Gross Carrying Value
Land	1,542
Buildings and improvements	4,125
Total	5,667
Accumulated depreciation	$ (1,059)
Construction/Renovation date	1990
Acquisition date	2011
Assisted and Independent Living Properties | Wisteria Health Holdings
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	244
Buildings and improvements	3,241
Cost Capitalized Since Acquisition
Improvements	81
Gross Carrying Value
Land	244
Buildings and improvements	3,322
Total	3,566
Accumulated depreciation	$ (1,860)
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
Land	2,835
Buildings and improvements	3,784
Cost Capitalized Since Acquisition
Improvements	395
Gross Carrying Value
Land	2,835
Buildings and improvements	4,179
Total	7,014
Accumulated depreciation	$ (1,500)
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
Land	61
Buildings and improvements	304
Cost Capitalized Since Acquisition
Improvements	372
Gross Carrying Value
Land	61
Buildings and improvements	676
Total	738
Accumulated depreciation	$ (520)
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
Land	342
Buildings and improvements	802
Cost Capitalized Since Acquisition
Improvements	3,360
Gross Carrying Value
Land	342
Buildings and improvements	4,162
Total	4,504
Accumulated depreciation	$ (3,156)
Construction/Renovation date	2012
Acquisition date	2009
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
Land	430
Buildings and improvements	6,714
Cost Capitalized Since Acquisition
Improvements	76
Gross Carrying Value
Land	430
Buildings and improvements	6,790
Total	7,220
Accumulated depreciation	$ (1,352)
Construction/Renovation date	2011
Acquisition date	2014
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
Land	97
Buildings and improvements	6,102
Cost Capitalized Since Acquisition
Improvements	106
Gross Carrying Value
Land	77
Buildings and improvements	4,181
Total	4,258
Accumulated depreciation	$ 0
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
Land	1,489
Buildings and improvements	3,531
Cost Capitalized Since Acquisition
Improvements	1,006
Gross Carrying Value
Land	1,489
Buildings and improvements	4,537
Total	6,026
Accumulated depreciation	$ (712)
Construction/Renovation date	1980
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
Land	312
Buildings and improvements	6,919
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	301
Buildings and improvements	5,663
Total	5,964
Accumulated depreciation	$ 0
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
Land	131
Buildings and improvements	4,157
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	125
Buildings and improvements	3,402
Total	3,527
Accumulated depreciation	$ 0
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
Land	603
Buildings and improvements	9,326
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	522
Buildings and improvements	5,329
Total	5,851
Accumulated depreciation	$ 0
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
Land	241
Buildings and improvements	4,112
Cost Capitalized Since Acquisition
Improvements	459
Gross Carrying Value
Land	207
Buildings and improvements	3,862
Total	4,069
Accumulated depreciation	$ 0
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
Land	492
Buildings and improvements	9,199
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	426
Buildings and improvements	7,751
Total	8,177
Accumulated depreciation	$ 0
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
Land	302
Buildings and improvements	5,773
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	261
Buildings and improvements	4,066
Total	4,327
Accumulated depreciation	$ 0
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
Land	392
Buildings and improvements	3,605
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	392
Buildings and improvements	3,605
Total	3,997
Accumulated depreciation	$ (578)
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
Land	493
Buildings and improvements	14,002
Cost Capitalized Since Acquisition
Improvements	39
Gross Carrying Value
Land	241
Buildings and improvements	6,026
Total	6,267
Accumulated depreciation	$ 0
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
Land	356
Buildings and improvements	10,812
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	190
Buildings and improvements	5,033
Total	5,223
Accumulated depreciation	$ 0
Construction/Renovation date	2016
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
Land	1,611
Buildings and improvements	5,633
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,611
Buildings and improvements	5,633
Total	7,244
Accumulated depreciation	$ (775)
Construction/Renovation date	2016
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
Land	4,362
Buildings and improvements	7,997
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,362
Buildings and improvements	7,997
Total	12,359
Accumulated depreciation	$ (698)
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
Land	2,480
Buildings and improvements	4,804
Cost Capitalized Since Acquisition
Improvements	15
Gross Carrying Value
Land	2,480
Buildings and improvements	4,819
Total	7,299
Accumulated depreciation	$ (380)
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
Land	245
Buildings and improvements	5,795
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	190
Buildings and improvements	4,510
Total	4,700
Accumulated depreciation	$ (33)
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
Land	224
Buildings and improvements	5,652
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	224
Buildings and improvements	5,652
Total	5,876
Accumulated depreciation	$ (169)
Construction/Renovation date	2021
Acquisition date	2021
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
Land	411
Buildings and improvements	2,312
Cost Capitalized Since Acquisition
Improvements	258
Gross Carrying Value
Land	411
Buildings and improvements	2,570
Total	2,981
Accumulated depreciation	$ (1,778)
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
Land	124
Buildings and improvements	2,301
Cost Capitalized Since Acquisition
Improvements	392
Gross Carrying Value
Land	124
Buildings and improvements	2,693
Total	2,817
Accumulated depreciation	$ (1,533)
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
Land	1,893
Buildings and improvements	5,268
Cost Capitalized Since Acquisition
Improvements	1,210
Gross Carrying Value
Land	1,893
Buildings and improvements	6,478
Total	8,371
Accumulated depreciation	$ (3,888)
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
Land	570
Buildings and improvements	1,692
Cost Capitalized Since Acquisition
Improvements	248
Gross Carrying Value
Land	570
Buildings and improvements	1,940
Total	2,510
Accumulated depreciation	$ (1,022)
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
Land	908
Buildings and improvements	4,767
Cost Capitalized Since Acquisition
Improvements	281
Gross Carrying Value
Land	908
Buildings and improvements	5,048
Total	5,956
Accumulated depreciation	$ (3,022)
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
Land	1,011
Buildings and improvements	2,053
Cost Capitalized Since Acquisition
Improvements	490
Gross Carrying Value
Land	1,011
Buildings and improvements	2,543
Total	3,554
Accumulated depreciation	$ (1,142)
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
Land	367
Buildings and improvements	1,633
Cost Capitalized Since Acquisition
Improvements	52
Gross Carrying Value
Land	367
Buildings and improvements	1,685
Total	2,052
Accumulated depreciation	$ (625)
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
Land	1,792
Buildings and improvements	2,253
Cost Capitalized Since Acquisition
Improvements	585
Gross Carrying Value
Land	1,792
Buildings and improvements	2,838
Total	4,630
Accumulated depreciation	$ (1,560)
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
Land	444
Buildings and improvements	2,265
Cost Capitalized Since Acquisition
Improvements	176
Gross Carrying Value
Land	444
Buildings and improvements	2,441
Total	2,885
Accumulated depreciation	$ (576)
Construction/Renovation date	1995
Acquisition date	2013

Schedule III - Real Estate As_3

Schedule III - Real Estate Assets and Accumulated Depreciation - Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Real estate:
Balance at the beginning of the period	$ 1,873,806	$ 1,683,205	$ 1,605,081
Acquisitions	21,252	190,133	84,630
Improvements	5,896	4,521	7,223
Impairment	(29,803)	0	0
Sales and/or transfers to assets held for sale, net	(149,280)	(4,053)	(13,729)
Balance at the end of the period	1,721,871	1,873,806	1,683,205
Accumulated depreciation:
Balance at the beginning of the period	(304,785)	(259,803)	(220,359)
Depreciation expense	(42,131)	(45,498)	(41,914)
Impairment	10,232	0	0
Sales and/or transfers to assets held for sale, net	20,770	516	2,470
Balance at the end of the period	$ (315,914)	$ (304,785)	$ (259,803)

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans on Real Estate - Mortgage Loan (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) facility	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)	Dec. 31, 2019 USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Prior Liens	$ 1,279,409
Principal Balance	162,150
Book value	156,368	$ 15,155	$ 15,000	$ 29,500
Aggregate cost of investments in real estate mortgage loans for federal income tax purposes	$ 162,200
Skilled Nursing Facility | Mortgage Secured Loans | West Virginia (18 SNF facilities)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	18
Contractual Interest Rate	8.40%
Prior Liens	$ 482,000
Principal Balance	75,000
Book value	$ 72,543
Skilled Nursing Facility | Mortgage Secured Loans | California (5 SNF facilities)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	5
Contractual Interest Rate	10.20%
Prior Liens	$ 53,400
Principal Balance	22,250
Book value	$ 21,345
Skilled Nursing Facility | Mortgage Secured Loans | Georgia (4 SNF facilities)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	4
Contractual Interest Rate	9%
Prior Liens	$ 72,700
Principal Balance	24,900
Book value	$ 23,796
Skilled Nursing Facility | Mezzanine Loans | West Virginia (18 SNF facilities)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	18
Contractual Interest Rate	11%
Prior Liens	$ 557,000
Principal Balance	25,000
Book value	$ 24,012
Skilled Nursing Facility | Mezzanine Loans | Virginia (9 SNF facilities)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	9
Contractual Interest Rate	12%
Prior Liens	$ 114,309
Principal Balance	15,000
Book value	$ 14,672

Schedule IV - Mortgage Loans _3

Schedule IV - Mortgage Loans on Real Estate - Mortgage Secured and Mezzanine Loans Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loans, beginning of period	$ 15,155	$ 15,000	$ 29,500
Additions during period:
New mortgage and mezzanine loans	147,150	0	61,258
Interest income added to principal	1,165	155	0
Deductions during period:
Paydowns/Repayments	0	0	(75,758)
Unrealized loss	(7,102)
Mortgage loans, end of period	$ 156,368	$ 15,155	$ 15,000