CareTrust REIT (CTRE) 10-K 8 Feb 24 2023 FY Annual report Financial data

Cover

Cover - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2023	Feb. 07, 2024	Jun. 30, 2023
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2023
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
Document Financial Statement Error Correction [Flag]	false
Entity Shell Company	false
Entity Public Float			$ 2
Entity Common Stock, Shares Outstanding		130,503,392
Documents Incorporated by Reference	Portions of the definitive Proxy Statement for the registrant’s 2024 Annual Meeting of Stockholders, which will be filed with the Securities and Exchange Commission within 120 days after the end of fiscal year 2023, are incorporated by reference into Part III of this Report.
Entity Central Index Key	0001590717
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	FY
Amendment Flag	false

Audit Information

Audit Information	12 Months Ended
	Dec. 31, 2023
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, 2023	Dec. 31, 2022
Assets:
Real estate investments, net	$ 1,567,119	$ 1,421,410
Other real estate related investments (including accrued interest of $1,727 and $1,320 as of December 31, 2023 and 2022, respectively)	180,368	156,368
Assets held for sale, net	15,011	12,291
Cash and cash equivalents	294,448	13,178
Accounts and other receivables	395	416
Prepaid expenses and other assets, net	23,337	11,690
Deferred financing costs, net	4,160	5,428
Total assets	2,084,838	1,620,781
Liabilities and Equity:
Senior unsecured notes payable, net	396,039	395,150
Senior unsecured term loan, net	199,559	199,348
Unsecured revolving credit facility	0	125,000
Accounts payable, accrued liabilities and deferred rent liabilities	33,992	24,360
Dividends payable	36,531	27,550
Total liabilities	666,121	771,408
Commitments and contingencies (Note 12)
Equity:
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of December 31, 2023 and 2022	0	0
Common stock, $0.01 par value; 500,000,000 shares authorized, 129,992,796 and 99,010,112 shares issued and outstanding as of December 31, 2023 and 2022, respectively	1,300	990
Additional paid-in capital	1,883,147	1,245,337
Cumulative distributions in excess of earnings	(467,628)	(396,954)
Total stockholders' equity	1,416,819	849,373
Noncontrolling interests	1,898	0
Total equity	1,418,717	849,373
Total liabilities and equity	$ 2,084,838	$ 1,620,781

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Statement of Financial Position [Abstract]
Other real estate related investments, accrued interest	$ 1,727	$ 1,320
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)	129,992,796	99,010,112
Common stock, outstanding (shares)	129,992,796	99,010,112

Consolidated Statements Of Oper

Consolidated Statements Of Operations - USD ($) shares in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Revenues:
Rental income	$ 198,599,000	$ 187,506,000	$ 190,195,000
Interest and other income	19,171,000	8,626,000	2,156,000
Total revenues	217,770,000	196,132,000	192,351,000
Expenses:
Depreciation and amortization	51,199,000	50,316,000	55,340,000
Interest expense	40,883,000	30,008,000	23,677,000
Property taxes	6,170,000	4,333,000	3,574,000
Impairment of real estate investments	36,301,000	79,062,000	0
Provision for loan losses, net	0	3,844,000	0
Property operating expenses	3,423,000	5,039,000	0
General and administrative	21,805,000	20,165,000	26,874,000
Total expenses	159,781,000	192,767,000	109,465,000
Other loss:
Loss on extinguishment of debt	0	0	(10,827,000)
Gain (loss) on sale of real estate, net	2,218,000	(3,769,000)	(77,000)
Unrealized loss on other real estate related investments, net	(6,485,000)	(7,102,000)	0
Total other loss	(4,267,000)	(10,871,000)	(10,904,000)
Net income (loss)	53,722,000	(7,506,000)	71,982,000
Net loss attributable to noncontrolling interests	(13,000)	0	0
Net income (loss) attributable to CareTrust REIT, Inc.	$ 53,735,000	$ (7,506,000)	$ 71,982,000
Earnings (loss) per common share attributable to CareTrust REIT, Inc:
Basic (usd per share)	$ 0.50	$ (0.08)	$ 0.74
Diluted (usd per share)	$ 0.50	$ (0.08)	$ 0.74
Weighted-average number of common shares:
Basic (shares)	105,956	96,703	96,017
Diluted (shares)	106,152	96,703	96,092

Consolidated Statements of Equi

Consolidated Statements of Equity - USD ($) $ in Thousands	Total	Total Stockholders’ Equity	Common Stock	Additional Paid-in Capital	Cumulative Distributions in Excess of Earnings	Noncontrolling Interest
Beginning balance (shares) at Dec. 31, 2020			95,215,797
Beginning balance at Dec. 31, 2020	$ 914,142	$ 914,142	$ 952	$ 1,164,402	$ (251,212)	$ 0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net (shares)			990,000
Issuance of common stock, net	22,946	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)	(1,330)	$ 1	(1,331)
Amortization of stock-based compensation	10,832	10,832		10,832
Common dividends	(102,815)	(102,815)			(102,815)
Net income (loss)	71,982	71,982			71,982
Ending balance (shares) at Dec. 31, 2021			96,296,673
Ending balance at Dec. 31, 2021	915,757	915,757	$ 963	1,196,839	(282,045)	0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net (shares)			2,405,000
Issuance of common stock, net	47,236	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)	(4,469)	$ 3	(4,472)
Amortization of stock-based compensation	5,758	5,758		5,758
Common dividends	(107,403)	(107,403)			(107,403)
Net income (loss)	$ (7,506)	(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	849,373	$ 990	1,245,337	(396,954)	0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net (shares)			30,868,714
Issuance of common stock, net	634,446	634,446	$ 309	634,137
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)			113,970
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,479)	(1,479)	$ 1	(1,480)
Amortization of stock-based compensation	5,153	5,153		5,153
Common dividends	(124,409)	(124,409)			(124,409)
Distributions to noncontrolling interests	(41)					(41)
Contributions from noncontrolling interests	1,952					1,952
Net income (loss)	$ 53,722	53,735			53,735	(13)
Ending balance (shares) at Dec. 31, 2023	129,992,796		129,992,796
Ending balance at Dec. 31, 2023	$ 1,418,717	$ 1,416,819	$ 1,300	$ 1,883,147	$ (467,628)	$ 1,898

Consolidated Statements of Eq_2

Consolidated Statements of Equity (Parenthetical) - $ / shares	3 Months Ended												12 Months Ended
	Dec. 31, 2023	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	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, 2023	Dec. 31, 2022	Dec. 31, 2021
Statement of Stockholders' Equity [Abstract]
Common dividend (usd per share)	$ 0.28	$ 0.28	$ 0.28	$ 0.28	$ 0.275	$ 0.275	$ 0.275	$ 0.275	$ 0.265	$ 0.265	$ 0.265	$ 0.265	$ 1.12	$ 1.10	$ 1.06

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Cash flows from operating activities:
Net income (loss)	$ 53,722	$ (7,506)	$ 71,982
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization (including below-market ground leases)	51,257	50,378	55,394
Amortization of deferred financing costs	2,436	2,095	2,052
Loss on extinguishment of debt	0	0	10,827
Unrealized losses on other real estate related investments, net	6,485	7,102	0
Amortization of stock-based compensation	5,153	5,758	10,832
Straight-line rental income	29	(17)	(32)
Amortization of below market rent	(384)	0	0
Adjustment for collectibility of rental income	0	1,417	0
Noncash interest income	(407)	(1,165)	(155)
(Gain) loss on sale of real estate, net	(2,218)	3,769	77
Impairment of real estate investments	36,301	79,062	0
Provision for loan losses, net	0	3,844	0
Change in operating assets and liabilities:
Accounts and other receivables	(9)	604	(562)
Prepaid expenses and other assets, net	(21)	123	399
Accounts payable, accrued liabilities and deferred rent liabilities	2,423	(1,049)	6,057
Net cash provided by operating activities	154,767	144,415	156,871
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	(233,776)	(21,915)	(192,718)
Purchases of equipment, furniture and fixtures and improvements to real estate	(10,976)	(7,292)	(6,013)
Preferred equity investments	(1,782)	0	0
Investment in real estate related investments and other loans receivable	(60,319)	(149,650)	(1,253)
Principal payments received on real estate related investments and other loans receivable	26,525	6,308	393
Escrow deposits for potential acquisitions of real estate	(3,800)	0	0
Net proceeds from sales of real estate	16,313	45,149	6,958
Net cash used in investing activities	(267,815)	(127,400)	(192,633)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	634,446	47,236	22,946
Proceeds from the issuance of senior unsecured notes payable	0	0	400,000
Borrowings under unsecured revolving credit facility	185,000	160,000	220,000
Payments on senior unsecured notes payable	0	0	(300,000)
Payments on unsecured revolving credit facility	(310,000)	(115,000)	(190,000)
Payments on debt extinguishment and deferred financing costs	(68)	(5,361)	(14,095)
Net-settle adjustment on restricted stock	(1,479)	(4,469)	(1,331)
Dividends paid on common stock	(115,492)	(106,138)	(100,782)
Contributions from noncontrolling interests	1,952	0	0
Distributions to noncontrolling interests	(41)	0	0
Net cash provided by (used in) financing activities	394,318	(23,732)	36,738
Net increase (decrease) in cash and cash equivalents	281,270	(6,717)	976
Cash and cash equivalents as of the beginning of period	13,178	19,895	18,919
Cash and cash equivalents as of the end of period	294,448	13,178	19,895
Supplemental disclosures of cash flow information:
Interest paid	40,028	25,912	22,838
Supplemental schedule of noncash investing and financing activities:
Increase in dividends payable	8,982	1,265	2,033
Right-of-use asset obtained in exchange for new operating lease obligation	369	0	0
Transfer of pre-acquisition costs to acquired assets	0	7	358
Sale of real estate settled with notes receivable	$ 2,000	$ 12,000	$ 0

Organization

Organization	12 Months Ended
	Dec. 31, 2023
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, 2023, the Company owned directly or through a joint venture and leased to independent operators, 226 skilled nursing facilities (“SNFs”), multi-service campuses, assisted living facilities (“ALFs”) and independent living facilities (“ILFs”) consisting of 23,928 operational beds and units located in 28 states with the highest concentration of properties by rental income located in California and Texas. As of December 31, 2023, the Company also had other real estate related investments consisting of one preferred equity investment, eight real estate secured loans receivable and one mezzanine loan receivable with a carrying value of $180.4 million.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2023
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 prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). Consolidation —The accompanying consolidated financial statements include the accounts of CareTrust REIT, its wholly-owned subsidiaries, and variable interest entities (“VIEs”) over which the Company exercises control. All intercompany transactions and account balances within the Company have been eliminated, and net earnings are reduced by the portion of net earnings attributable to noncontrolling interests. Variable Interest Entities —The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE. The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control. A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. The Company’s consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity. For any investment in a joint venture that is not considered to be VIE, the Company would evaluate the type of ownership rights held by limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed. See Note 11, Variable Interest Entities , for additional information. Noncontrolling Interests —The Company presents the portion of any equity that the Company does not own in entities that the Company controls (and thus consolidates) as noncontrolling interests and classifies those interests as a component of consolidated equity, separate from stockholders' equity, on the Company’s consolidated balance sheets. For consolidated joint ventures, the Company allocates net income or loss utilizing the hypothetical liquidation at book value method, in which the Company allocates income or loss based on the change in each unitholders’ claim on the net assets of the joint venture partners at period end after adjusting for any distributions or contributions made during such period. The Company includes net income (loss) attributable to the noncontrolling interests in net income (loss) in the consolidated statements of operations. 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 years ended December 31, 2023 and 2021, the Company did not record any recovery adjustments or write-off adjustments to rental income. For the year ended December 31, 2022, the Company did not record any recovery adjustments and wrote-off $1.4 million of 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. The Company recognizes acquired “above or below market” leases at their fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The fair value is based on the present value of the difference between (i) the contractual amounts due pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, generally measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with renewal options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the specific characteristics of each property and the acquired tenant lease(s). Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. In estimating carrying costs, the Company includes estimates of lost rents at market rates during the hypothetical expected lease-up periods, which are dependent on local market conditions and expected trends. In estimating costs to execute similar leases, the Company considers leasing commissions, legal, and other related costs. As of December 31, 2023, the Company had gross below market lease liabilities of $7.3 million, accumulated amortization of $0.4 million and a weighted average remaining amortization period of 3 years. 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 years ended December 31, 2023 and 2022, the Company recorded an impairment charge of $36.3 million and $79.1 million, respectively. 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, 2023, are one preferred equity investment, eight real estate secured loans receivable and one mezzanine loan receivable. The Company elected the fair value option for all secured and mezzanine loans receivable. 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. The preferred equity investment is accounted for at unpaid principal balance, plus accrued return, net of reserves. The Company recognizes return income on a monthly basis based on the outstanding investment including any accrued and unpaid return, to the extent there is outside contributed equity or cumulative earnings from operations. As the preferred member of the joint venture, the Company is not entitled to share in the joint venture’s earnings or losses. Rather, the Company is entitled to receive a preferred return, which is deferred if the cash flow of the joint venture is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return is added to the balance of the preferred equity investment up to the estimated economic outcome assuming a hypothetical liquidation of the book value of the joint venture. Any unpaid accrued preferred return, whether recorded or unrecorded by the Company, will be repaid upon redemption or as available cash flow is distributed from the joint venture. 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. The Company did not record an expected credit loss or recovery during the year ended December 31, 2023. 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 $4.8 million and $2.5 million at December 31, 2023 and 2022, 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 award. 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 income (loss) reflects stock-based compensation expense of $5.2 million, $5.8 million and $10.8 million for the years ended December 31, 2023, 2022 and 2021, 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 13, 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 —On November 27, 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. The guidance is effective for fiscal years beginning after December 15, 2023 and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is still evaluating its adoption timeline and the impact on its disclosures.

Real Estate Investments, Net

Real Estate Investments, Net	12 Months Ended
	Dec. 31, 2023
Real Estate [Abstract]
Real Estate Investments, Net	REAL ESTATE INVESTMENTS, NET The following table summarizes the Company’s investment in owned properties, and properties held in consolidated joint ventures, held for use at December 31, 2023 and 2022 (dollars in thousands): December 31, 2023 December 31, 2022 Land $ 279,276 $ 238,738 Buildings and improvements 1,620,014 1,483,133 Integral equipment, furniture and fixtures 100,504 97,199 Identified intangible assets 5,283 2,832 Real estate investments 2,005,077 1,821,902 Accumulated depreciation and amortization (437,958) (400,492) Real estate investments, net $ 1,567,119 $ 1,421,410 As of December 31, 2023, 94 of the Company’s 226 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. 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, 2023, annualized contractual rental income from the Ensign Master Leases was $63.8 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, 2023, annualized contractual rental income from the four additional Ensign facilities was $4.0 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 and Terminations” for further detail on Ensign lease amendments. Ensign provides a guaranty for properties leased to The Pennant Group, Inc. (“Pennant”) under the Pennant Master Lease (defined below), which represent $7.3 million of total annualized contractual rental income as of December 31, 2023. As of December 31, 2023, 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, 2023, annualized contractual rental income from the PMG Master Lease was $31.2 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, 2023, 108 of the Company’s 226 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 226 facilities which are being repurposed to behavioral health facilities. Two of the Company’s 226 facilities are non-operational and are leased under a long term lease with rent commencing 12 months following lease commencement. In addition, as of December 31, 2023, the master lease for one of the Company’s 226 facilities was terminated and the facility is non-operational while undergoing renovations. See below under “Lease Amendments and Terminations” for further detail. As of December 31, 2023, 14 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, 2023, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, assets held for sale and assets being repurposed, was as follows (dollars in thousands): Year Amount 2024 $ 200,650 2025 201,648 2026 200,530 2027 197,378 2028 195,140 Thereafter 970,806 $ 1,966,152 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 (1) Properties Lease Expiration Option Period Open Date (2) Option Type (3) Current Cash Rent (4) SNF 1 March 2029 4/1/2022 (5) A / B (7) $ 832 SNF / Campus 1 (8) October 2032 1/1/2024 (6) A 947 SNF 4 November 2034 12/1/2024 (5) A 3,988 (1) Excludes a purchase option on an 11 building SNF portfolio classified as held for sale as of December 31, 2023 and representing $5.1 million of current cash rent. Tenant is currently not eligible to elect the option. (2) The Company has not received notice of exercise for the option periods that are currently open. (3) Option type includes: A - Fixed base price. B - Fixed capitalization rate on lease revenue. (4) Based on annualized cash revenue for contracts in place as of December 31, 2023. (5) Option window is open until the expiration of the lease term. (6) Option window is open for six months from the option period open date. (7) Purchase option reflects two option types. (8) Excludes one property classified as held for sale as of December 31, 2023 and subsequently sold in the first quarter of 2024. Rental Income The following table summarizes components of the Company’s rental income (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Rental Income Contractual rent due (1) $ 198,244 $ 188,906 $ 190,100 Straight-line rent (29) 17 32 Amortization of below-market lease intangible 384 — — Adjustment for collectibility (2) — (1,417) — Lease termination revenue (3) — — 63 Total $ 198,599 $ 187,506 $ 190,195 (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. Tenant operating expense reimbursements for the years ended December 31, 2023, 2022 and 2021 were $5.5 million, $2.8 million, and $3.6 million, respectively. (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) In connection with the agreement to terminate its lease agreements with Metron Integrated Health Systems (“Metron”) and to sell the facilities to a third-party, the Company received certain lease termination payments from Metron. Recent Real Estate Acquisitions The following table summarizes the Company’s acquisitions for the years ended December 31, 2023, 2022 and 2021 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent (2) Number of Properties Number of Beds/Units (3) December 31, 2023 Skilled nursing (4) (5) $ 169,181 $ 13,764 10 1,256 Multi-service campuses (5) 25,276 1,916 1 168 Assisted living 39,318 3,495 4 241 Total $ 233,775 $ 19,175 15 1,665 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 4 509 Multi-service campuses 125,708 8,604 (6) 4 640 Assisted living 12,395 — (7) 2 98 Total $ 196,076 $ 13,103 10 1,247 (1) Purchase price includes capitalized acquisition costs. (2) Initial annual cash rent represents initial cash rent for the first twelve months excluding the impact of straight-line rent or rent abatement in the first one to three months, if applicable. (3) The number of beds/units includes operating beds at acquisition date. (4) Includes three SNFs held through joint ventures. See Note 11, Variable Interest Entities , for additional information. One SNF is currently leased under a short-term lease and a new long-term lease has been entered into with one of the Company’s existing operators and it is expected that this lease will become effective once regulatory approval is obtained. Initial annual cash rent does not consider a rent deferral of $420,000 in the first year upon commencement of the long-term lease to be repaid in 15 installments beginning in year 2. The two other SNFs held through a joint venture are under separate leases with an initial annual rent of $2.0 million. The leases provide for a rent reset in which the joint venture may propose rent, capped at 10% of gross revenues, effective January 1, 2027. If the proposed rent reset is not accepted, the joint venture has the option to replace the current tenant. (5) One acquisition including three SNFs and one multi-service campus provides for annual fixed increases from $6.8 million in year one to $7.6 million in year two and $8.9 million in year three. (6) 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. (7) Initial annual cash rent is zero until transfer of operations upon receipt of licensing approval. Lease Amendments and Terminations New Embassy Lease and Hillstone Lease Amendment and Termination. Effective January 1, 2024, the Company entered into a new triple-net master lease with Embassy Healthcare Holdings, Inc. (“Embassy”) with respect to one multi-service campus, formerly leased to an affiliate of Hillstone Healthcare, Inc. (“Hillstone”). The Embassy lease had an initial term at the date of the lease of approximately 10 years with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the lease is approximately $0.6 million and the master lease provides Embassy with a partial rent abatement until required authorizations with respect to the ALF portion of the facility are obtained and occupancy levels reach a certain percentage. On March 24, 2023, the Company amended its master lease with affiliates of Hillstone. In connection with the lease amendment, the Company agreed to defer rent of approximately $0.7 million for 12 months from December 2022 through November 2023 to be repaid as a percentage of adjusted gross revenues of one underlying facility, as defined in the amended lease, beginning January 1, 2025, until deferred rent has been paid in full. On December 31, 2023, the Company terminated its master lease with Hillstone. Annual cash rent under the Hillstone master lease prior to lease termination was approximately $1.3 million. Hillstone paid a lease termination fee of approximately $0.8 million to cover unpaid contractual rent. Noble NJ Lease Termination and New Ridgeline NJ Lease. On October 24, 2023, the Company entered into a new master lease (the “Ridgeline NJ Lease”) with affiliates of Ridgeline Properties, LLC (“Ridgeline”) to lease two ALFs in New Jersey which were non-operational and under a short-term lease (the “Noble NJ Lease”) which was terminated in connection with the Ridgeline NJ Lease. The Ridgeline NJ Lease had an initial term at the date of the lease of approximately 10 years from the facility opening date, which is expected to occur in the second quarter of 2024 upon final regulatory approval and final licensing of both facilities, with two five-year renewal options and CPI-based escalators. Annual cash rent under the Ridgeline NJ Lease is approximately $1.0 million beginning on the first day of the second lease year. Premier Termination and Amended Ridgeline Lease. Effective September 1, 2023, six ALFs in Michigan and North Carolina were removed from the master lease with affiliates of Premier Senior Living, LLC (“Premier”) and the Company terminated the Premier master lease. Annual cash rent under the Premier master lease prior to lease termination was approximately $2.7 million. In connection with the lease termination, the Company amended its existing triple-net master lease with affiliates of Ridgeline with respect to the six ALFs. The Ridgeline lease had a remaining term at the date of the lease amendment of approximately 15 years with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.7 million. The amended lease provides for $0.2 million in rent abatement and a $0.2 million rent deferral to be repaid beginning in December 2024. Amended Pennant Lease. On July 6, 2023, the Company amended its master lease with affiliates of Pennant (the “Pennant Master Lease”). In connection with the lease amendment, the Company extended the initial lease term. The Pennant Master Lease, as amended, had a remaining term at the date of amendment of approximately 15 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended Pennant Master Lease remained unchanged. Amended Momentum Lease . On April 1, 2023, the Company acquired one SNF. In connection with the acquisition, the Company amended its existing triple-net master lease with affiliates of Momentum Skilled Services (“Momentum”) to include the one SNF and extended the initial lease term. The Momentum master lease, as amended, had a remaining term at the date of amendment of approximately 15 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $1.0 million. Noble VA Lease Termination and New Pennant Lease. Effective March 16, 2023, two ALFs in Wisconsin were removed from a master lease with affiliates of Noble VA Holdings (“Noble VA”) and the Company terminated the applicable Noble VA master lease. Annual cash rent under the applicable Noble VA master lease prior to lease termination was approximately $2.3 million. In connection with the lease termination, the Company entered into a new lease (the “New Pennant Lease”) with Pennant with respect to the two ALFs. The New Pennant Lease had an initial term at the date of the lease of approximately 15 years with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the new lease was approximately $0.8 million and the master lease provides Pennant with three months deferred rent to be repaid before the expiration or termination of the lease. 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 Pennant were transferred to 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 were leased back to Noble under a short-term lease agreement while the Company pursued 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 were transferred to affiliates of 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 “Noble VA Lease Termination and New Pennant Lease” and “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, 2023
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 Impairment of Real Estate Investments Held for Sale During the year ended December 31, 2023, the Company recognized aggregate impairment charges of $36.3 million, of which $26.8 million related to properties held for sale, $8.0 million related to properties held for investment, and $1.5 million related to properties that were sold. During the year ended December 31, 2022, the Company recognized aggregate impairment charges of $79.1 million, of which $14.4 million related to properties held for sale, $19.7 million related to properties held for investment, and $45.0 million related to properties that were sold. These charges are reported in impairment of real estate investments in the consolidated statements of operations. During the year ended December 31, 2021, the Company did not recognize any impairment charges. As of December 31, 2023, there were 14 facilities classified as held for sale, all of which have been marked down to fair value less estimated costs to sell. The fair values of the assets held for sale were 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 on assets held for sale during the twelve months ended December 31, 2023, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit ranging from $8,000 to $85,000, with a weighted average price per unit of $20,000. For the Company’s impairment calculations on assets held for sale during the twelve months ended December 31, 2022, 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. Impairment of Real Estate Investments Held for Investment During the year ended December 31, 2023, the Company recognized an impairment charge of $8.0 million related to one SNF. The Company wrote down its carrying value of $8.7 million to its estimated fair value of $0.7 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 and considered Level 3 measurements within the fair value hierarchy. For the Company’s impairment calculation, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit of $7,000. During the year ended December 31, 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 condensed consolidated balance sheets. The fair value of the asset was based on comparable market transactions and considered Level 3 measurements within the fair value hierarchy. 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. 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 year ended December 31, 2022, the Company recognized approximately $1.4 million in impairment charges related to this one ALF. 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. During the year ended December 31, 2022, the Company recognized approximately $16.6 million in impairment charges related to these nine ALFs. 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%. Asset Sales and Held for Sale Reclassifications The following table summarizes the Company’s dispositions for the years ended December 31, 2023, 2022 and 2021 (dollars in thousands): Twelve Months Ended December 31, 2023 2022 (1) 2021 (1) Number of facilities 5 13 1 Net sales proceeds (2) $ 18,313 $ 57,149 $ 7,178 Net carrying value 16,095 60,918 7,255 Net gain (loss) on sale $ 2,218 $ (3,769) $ (77) (1) Net sales proceeds, net carrying value and net gain (loss) on sale also reflect a land parcel that was sold in each of the years ended December 31, 2022 and 2021, which is not included in the number of facilities. (2) Net sales proceeds includes $2 million of seller financing in connection with the sale of one ALF in June 2023. Net sales proceeds includes $12 million of seller financing in connection with the sale of six SNFs and one multi-service campus in September 2022. The following table summarizes the Company’s assets held for sale activity for the year ended December 31, 2023 (dollars in thousands): Net Carrying Value Number of Facilities December 31, 2022 $ 12,291 5 Additions to assets held for sale 47,114 14 Assets sold (16,095) (5) Impairment of real estate held for sale (28,299) — December 31, 2023 $ 15,011 14

Other Real Estate Related and O

Other Real Estate Related and Other Investments	12 Months Ended
	Dec. 31, 2023
Investments, All Other Investments [Abstract]
Other Real Estate Related and Other Investments	OTHER REAL ESTATE RELATED AND OTHER INVESTMENTS As of December 31, 2023 and 2022 , the Company’s other real estate related investments, at fair value, consisted of the following (dollar amounts in thousands): As of December 31, 2023 Investment Facility Count and Type Principal Balance as of December 31, 2023 Fair Value as of December 31, 2023 Fair Value as of December 31, 2022 Weighted Average Contractual Interest Rate Maturity Date Mortgage secured loans receivable 30 SNF, 3 ALF, 2 Campus & ILF $ 165,197 $ 156,769 $ 117,684 8.9 % (1), (2) 5/31/2024 - 6/29/2033 Mezzanine loans receivable 18 SNF/Campus 25,000 21,799 38,684 11.0 % 6/30/2032 Total $ 190,197 $ 178,568 $ 156,368 (1) Rates are net of subservicing fee, if applicable. (2) Two mortgage secured loans receivable use term secured overnight financing rate (“SOFR”). Term SOFR used as of December 31, 2023 was 5.35%. Rates are net of subservicing fees. The following table summarizes the Company’s other real estate related investments activity for the years ended December 31, 2023, 2022, and 2021 (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Origination of other real estate related investments $ 53,834 $ 147,150 $ — Accrued interest, net 388 1,165 155 Unrealized loss on other real estate related investments, net (6,485) (7,102) — Prepayments of other real estate related investments (25,537) — — Net increase in other real estate related investments, at fair value $ 22,200 $ 141,213 $ 155 2023 Other Real Estate Related Investment Transactions On December 15, 2023, a partial payment of $10.5 million was made on one $22.3 million mortgage loan receivable. See below under “2022 Other Real Estate Related Investment Transactions” for further detail. On March 30, 2023, one $15.0 million mezzanine loan was prepaid in full. The $15.0 million mezzanine loan was originated in 2020 for nine skilled nursing facilities secured by membership interests in the borrower, with an annual interest rate of 12%. On November 29, 2023, the Company extended a $6.3 million mortgage loan to an assisted living real estate owner. The mortgage loan is secured by one ALF and bears interest at a rate of 9.9%. The mortgage loan is set to mature on June 1, 2026, with two six-month extension options and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee of 2% of the loan plus unpaid interest payments; provided, however, that no exit fee is payable in connection with the loan being refinanced pursuant to a loan (or loans) provided by Fannie Mae, Freddie Mac, Federal Housing Administration, or a similar governmental authority. The Company elected the fair value option for the mortgage loan. On September 29, 2023, the Company extended a $3.6 million mortgage 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 $3.6 million secured mortgage loan constituted the entirety of the “B” tranche with its payments subordinated accordingly and bears interest at a rate of 12.0%. The mortgage loan is secured by three SNFs. The mortgage loan is set to mature on September 29, 2026, with two six-month extension options and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee ranging from 0% to 2% of any proposed financing in connection with the loan being refinanced by the U.S. Department of Housing and Urban Development (“HUD”). The Company elected the fair value option for the mortgage loan. On July 17, 2023, the Company extended a $15.7 million mortgage loan to a skilled nursing real estate owner. The mortgage loan is secured by two SNFs and bears interest at a rate of 9.0%. The mortgage loan is set to mature on August 1, 2028, with one five-year extension option and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee ranging from 2% to 3% of the loan plus unpaid interest payments; provided, however, that no exit fee is payable in connection with the loan being refinanced pursuant to a loan (or loans) provided by Fannie Mae, Freddie Mac, Federal Housing Administration, or a similar governmental authority. The Company elected the fair value option for the mortgage loan. On June 29, 2023, the Company extended a $26.0 million mortgage loan to a skilled nursing real estate owner. The mortgage loan is secured by one SNF campus and one ILF and bears interest at a rate of 9.0%. The mortgage loan is set to mature on June 29, 2033 and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee ranging from 0% to 3% of the loan plus unpaid interest payments. The Company elected the fair value option for the mortgage loan. On June 1, 2023, the Company closed on the sale of one ALF. In connection with the sale, the Company provided affiliates of the purchaser of the properties with a $2.0 million mortgage loan which bears interest at a rate of 9.0%. The mortgage loan is secured by the ALF and is set to mature on May 31, 2024. The mortgage loan has a one-year extension option and may be prepaid in whole before the maturity date. The Company elected the fair value option for the mortgage loan. 2022 Other Real Estate Related Investment Transactions 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 facilities 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 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; 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 operator and one of which is operated 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 exit 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 HUD, 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 December 2023, in accordance with the terms and conditions set forth in the loan agreement, the borrower elected to cause one of the skilled nursing facilities to be released from the loan, and in connection with the same, the borrower partially prepaid the loan in the amount of $10.5 million. 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 HUD, 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. Preferred Equity Investment In December 2023, the Company completed a $1.8 million preferred equity investment in E3 Acquisition, LLC, which owns the borrowers under the $3.6 million mortgage loan noted above under “ 2023 Other Real Estate Related Investment Transactions.” The preferred equity investment yields a return of 15% calculated on the outstanding carrying value of the investment. The preferred equity investment is expected to be repaid with proceeds from the refinancing of the Company’s $3.6 million mortgage loan with HUD, provided, however, that if the repayment occurs sooner than 15 months from the investment date, the Company will receive the amount had the preferred equity investment remained outstanding for the full 15 months. Other Loans Receivables As of December 31, 2023 and 2022, 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, 2023 Investment Principal Balance as of December 31, 2023 Book Value as of December 31, 2023 Book Value as of December 31, 2022 Weighted Average Contractual Interest Rate Maturity Date Other loans receivable $ 17,094 $ 17,156 $ 9,600 8.8 % 6/30/2024 - 5/31/2026 Expected credit loss — (2,094) (2,094) Total $ 17,094 $ 15,062 $ 7,506 The following table summarizes the Company’s other loans receivable activity for the years ended December 31, 2023, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Origination of loans receivable $ 8,486 $ 14,500 $ 1,253 Principal payments (988) (6,307) (393) Accrued interest, net 58 (4) (6) Provision for loan losses, net — (3,844) — Net increase in other loans receivable $ 7,556 $ 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 have been placed on non-accrual status, including an unfunded loan commitment of $0.4 million, 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. During the years ended December 31, 2023 and 2021, the Company had no additional 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, 2023, 2022 and 2021 ( dollar amounts in thousands): For the Year Ended December 31, Investment 2023 2022 2021 Mortgage secured loans receivable $ 13,329 $ 4,853 $ — Mezzanine loans receivable 3,683 3,489 1,825 Preferred equity investments 18 — — Other loans receivable 847 284 331 Other 1,294 — — Total $ 19,171 $ 8,626 $ 2,156

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2023
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 measured at fair value on a recurring basis as of December 31, 2023 and 2022, 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, 2023 Assets: Mortgage secured loans receivable $ — $ — $ 156,769 $ 156,769 Mezzanine loan receivable — — 21,799 21,799 Total $ — $ — $ 178,568 $ 178,568 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 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, 2022 $ 117,684 $ 38,684 Loan originations 53,834 — Accrued interest, net 543 (155) Unrealized losses on other real estate related investments, net (4,755) (1,730) Repayments (10,537) (15,000) Balance as of December 31, 2023 $ 156,769 $ 21,799 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, 2023, the Company recorded an unrealized loss of $8.1 million on the Company’s secured and mezzanine loans receivable due to rising interest rates and a $0.3 million loss due to a loan origination fee paid, partially offset by unrealized gains of $0.7 million due to a decrease in projected forward interest rates and a reversal of a previously recognized unrealized loss of $1.2 million related to the repayment of one mezzanine loan receivable and partial repayment of one mortgage loan receivable. 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, 2023 and 2022, 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, 2023 : Type Book Value as of December 31, 2023 Valuation Technique Unobservable Inputs Range Mortgage secured loans receivable $ 156,769 Discounted cash flow Discount Rate 10% - 15% Mezzanine loan receivable 21,799 Discounted cash flow Discount Rate 12% - 15% For the year ended December 31, 2023, 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 years ended December 31, 2023 and 2022, the Company recorded impairment charges of $36.3 million and $79.1 million, respectively. For the year ended December 31, 2021, 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 value, carrying amount and fair value of the Notes (as defined in Note 7, Debt , below) as of December 31, 2023 and 2022 using Level 2 inputs is as follows (dollars in thousands): December 31, 2023 December 31, 2022 Level Face Carrying Fair Face Carrying Fair Financial assets: Preferred equity investment 3 $ 1,782 $ 1,801 $ 1,801 $ — $ — $ — Financial liabilities: Senior unsecured notes payable 2 $ 400,000 $ 396,039 $ 362,500 $ 400,000 $ 395,150 $ 345,036 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. Preferred equity investments: The fair value of the preferred equity investment 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. The Company utilized discount rates ranging from 14% to 16% with a weighted average of 15% in its fair value calculation. As such, the Company classifies these instruments as Level 3. 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 and spreads for similar debt arrangements.

Debt

Debt	12 Months Ended
	Dec. 31, 2023
Debt Disclosure [Abstract]
Debt	DEBT The following table summarizes the balance of the Company’s indebtedness as of December 31, 2023 and 2022 (dollars in thousands): December 31, 2023 December 31, 2022 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount Senior unsecured notes payable $ 400,000 $ (3,961) $ 396,039 $ 400,000 $ (4,850) $ 395,150 Senior unsecured term loan 200,000 (441) 199,559 200,000 (652) 199,348 Unsecured revolving credit facility (1) — — — 125,000 — 125,000 $ 600,000 $ (4,402) $ 595,598 $ 725,000 $ (5,502) $ 719,498 (1) Deferred financing fees are included in deferred financing costs, net on the balance sheet, and not reflected as a reduction to the unsecured revolving credit facility. 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, 2023, 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 ( as amended from time to time, 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. On October 10, 2023, the Operating Partnership, the Company, CareTrust GP, LLC, certain of the Operating Partnership’s wholly owned subsidiaries and KeyBank National Association entered into the First Amendment to the Second Amended Credit Agreement (the “First Amendment”). The First Amendment restates the definition of Consolidated Total Asset Value to include net proceeds from at-the-market forward commitments executed but not yet closed as of the relevant date as if such proceeds had actually been received. 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, 2023, the Operating Partnership had $200.0 million of borrowings outstanding under the Term Loan and no borrowings 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, 2023, the Company was in compliance with all applicable financial covenants under the Second Amended Credit Agreement. Schedule of Debt Maturities As of December 31, 2023, the Company’s debt maturities were (dollars in thousands): Year Amount 2024 $ — 2025 — 2026 200,000 2027 — 2028 400,000 Thereafter — $ 600,000

Equity

Equity	12 Months Ended
	Dec. 31, 2023
Equity [Abstract]
Equity	EQUITY Common Stock At-The-Market Offering —On February 24, 2023, the Company entered into an 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 “Previous ATM Program”). On September 15, 2023, the Company terminated the Previous ATM Program and 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 “New ATM Program” and together with the Previous ATM Program, the “ATM Program”). In addition to the issuance and sale of shares of its common stock, the Company may also enter into one or more forward sales agreements (each, an “ATM forward contract”) with sales agents for the sale of the Company’s shares of common stock under the ATM Program. The Company expects to fully physically settle forward equity sales by delivery of shares of common stock to the forward purchaser and receive cash proceeds upon one or more settlement dates, which are typically a one-year term, at the Company’s discretion, prior to the final settlement date, at which time the Company expects to receive aggregate net cash proceeds at settlement equal to the number of shares sold on a forward basis multiplied by the relevant forward price per share. The weighted average forward sale price that the Company expects to receive upon physical settlement will be subject to adjustment for (i) a floating interest rate factor equal to a specified daily rate less a spread, (ii) the forward purchaser’s stock borrowing costs and (iii) scheduled dividends through the settlement. There were no outstanding ATM forward contracts that had not settled as of December 31, 2023. The following tables summarize ATM Program activity (or activity under any predecessor at-the-market equity offering programs) for the years ended December 31, 2023, 2022 and 2021 (in thousands, except per share amounts): For the Year Ended December 31, 2023 2022 2021 Number of shares 30,869 2,405 990 Average sales price per share $ 20.86 $ 20.00 $ 23.74 Gross proceeds (1) $ 643,802 $ 48,100 $ 23,505 (1) Total gross proceeds is before $8.3 million, $0.6 million, and $0.3 million of commissions paid to the sales agents and forward adjustments during the years ended December 31, 2023, 2022 and 2021, respectively, under the ATM Program. In addition, total gross proceeds is before other costs related to the ATM Program. As of December 31, 2023, the Company had $274.1 million available for future issuances under the ATM Program. 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 2023, 2022 and 2021 (dollars in thousands, except per share amounts): For the Three Months Ended 2023 March 31, June 30, September 30, December 31, Dividends declared per share $ 0.28 $ 0.28 $ 0.28 $ 0.28 Dividends payment date April 14, 2023 July 14, 2023 October 13, 2023 January 12, 2024 Dividends payable as of record date [1] $ 27,846 $ 27,853 $ 32,403 $ 36,531 Dividends record date March 31, 2023 June 30, 2023 September 29, 2023 December 29, 2023 2022 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 (1) Dividends payable includes dividends on performance stock awards that will be paid if and when the shares subject to such awards vest if deemed probable of meeting their performance condition.

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2023
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 over a three year period for the RSAs granted after 2020 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 (“PSAs”) 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, 2023: Shares Weighted Average Share Price Unvested balance at December 31, 2022 573,609 $ 20.63 Granted: RSAs 166,122 22.41 Board Awards 24,768 19.38 Vested (185,767) 20.94 Forfeited (68,136) 20.85 Unvested balance at December 31, 2023 510,596 $ 21.01 As of December 31, 2023, the weighted-average remaining vesting period of such awards was 1.7 years . The following table summarizes the Company’s RSAs and Board Awards grants during the year ended December 31, 2023 (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, 2023 (1) RSAs 166,122 $ 22.41 $ 3,722 138,438 $ 2,855 PSAs — — — 21,337 438 Board Awards 24,768 19.38 480 25,992 504 (1) The Compensation Committee granted annual awards for 2024 in December 2023. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2022 and 2021 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2022 (1) RSAs 159,663 $ 19.56 $ 3,123 Board Awards 25,992 16.93 440 During year ended December 31, 2021 (2) RSAs 394,863 $ 21.92 $ 8,654 PSAs 108,414 22.48 2,437 Board Awards 20,266 24.18 490 (1) The Compensation Committee granted annual awards for 2023 in December 2022. (2) 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 years ended December 31, 2023, 2022 and 2021 : For the Year Ended December 31, 2023 For the Year Ended December 31, 2022 For the Year Ended December 31, 2021 Risk-free interest rate 4.08 % 3.91 % 0.60 % Expected stock price volatility 26.44 % 52.90 % 52.42 % Expected service period 3.04 years 3.04 years 2.93 years Expected dividend yield (assuming full reinvestment) — % — % — % Fair value per share at date of grant $ 27.41 $ 26.53 $ 29.10 The total fair value of the TSR Units granted during the years ended December 31, 2023, 2022 and 2021 was $2.9 million, $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, 2023 2022 2021 Stock-based compensation expense $ 5,153 $ 5,758 $ 10,832 As of December 31, 2023, there wa s $10.4 million o

Earnings (Loss) per common shar

Earnings (Loss) per common share	12 Months Ended
	Dec. 31, 2023
Earnings Per Share [Abstract]
Earnings (Loss) Per Common Share	EARNINGS (LOSS) PER COMMON SHARE The following table presents the calculation of basic and diluted earnings (loss) per common share attributable to CareTrust REIT, Inc. (“EPS”) for the Company’s common stock for the years ended December 31, 2023, 2022 and 2021, 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, 2023, 2022 and 2021 (amounts in thousands, except per share amounts): Year Ended December 31, 2023 2022 2021 Numerator: Net income (loss) attributable to CareTrust REIT, Inc. $ 53,735 $ (7,506) $ 71,982 Less: Net income allocated to participating securities (400) (440) (507) Numerator for basic and diluted earnings available to common stockholders $ 53,335 $ (7,946) $ 71,475 Denominator: Weighted-average basic common shares outstanding 105,956 96,703 96,017 Dilutive potential common shares - performance stock awards 164 — 75 Dilutive potential common shares - forward equity agreements 32 — — Weighted-average diluted common shares outstanding 106,152 96,703 96,092 Earnings (loss) per common share attributable to CareTrust REIT, Inc., basic $ 0.50 $ (0.08) $ 0.74 Earnings (loss) per common share attributable to CareTrust REIT, Inc., diluted $ 0.50 $ (0.08) $ 0.74 Antidilutive unvested restricted stock awards, total shareholder units, performance awards, and forward equity shares excluded from the computation 475 744 591

Variable Interest Entities

Variable Interest Entities	12 Months Ended
	Dec. 31, 2023
Noncontrolling Interest [Abstract]
Variable Interest Entities	VARIABLE INTEREST ENTITIES Noncontrolling Interests —The Company has entered into ventures with unrelated third parties to own real estate and has concluded that such ventures are VIEs. As the Company exercises power over and receives economic benefits from the VIEs, the Company is considered the primary beneficiary and consolidates the VIEs. In August 2023, the Company entered into a joint venture (“JV”), pursuant to which the Company contributed $2.4 million into the JV, that was used to satisfy a deposit on a potential real estate acquisition. In September 2023, the Company entered into a JV, pursuant to which the Company contributed $25.5 million into the JV that purchased one SNF located in California for $26.1 million. The JV partner contributed the remaining $0.6 million of equity. In October 2023, the Company entered into a JV, pursuant to which the Company contributed $34.3 million into the JV that purchased two SNFs located in California for $35.1 million. The JV partner contributed the remaining $0.8 million of equity. Pursuant to the Company’s JVs, the Company typically contributes 97.5% of the JVs total investment amount and the Company receives 100% of the preferred equity interest in the JV in exchange for 95% of that total investment and a 50% common equity interest in the JV in exchange for the remaining 2.5% of that investment. The JV partner contributes the remaining 2.5% of the JVs total investment amount in exchange for a 50% common ownership interest in the JV. Total assets and total liabilities on the Company’s consolidated balance sheets include VIE assets and liabilities as follows (in thousands): December 31, 2023 Assets: Real estate investments, net $ 68,106 Prepaid and other assets 2,800 Total assets 70,906 Liabilities: Accounts payable, accrued liabilities and deferred rent liabilities 7,239 Total liabilities $ 7,239

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2023
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. In the normal course of business, the Company enters into various commitments, typically consisting of funding of capital expenditures and short-term working capital loans to existing tenants while they await licensure and certification or are conducting turnaround work in one or more of the Company’s properties. Capital expenditures for each property leased under the Company’s triple-net leases are generally the responsibility of the tenant, except for the facilities leased under certain master lease agreements, with certain subsidiaries of Ensign and Pennant, under which the tenant will have an option to require the Company to finance certain capital expenditures up to an aggregate of 20% of the Company’s 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. The Company has also provided select tenants with strategic capital for facility upkeep and modernization. The Company’s Tenant Code of Conduct and Corporate Responsibility policy (the “Tenant ESG Program”) provides eligible triple-net tenants of the Company with monetary inducements to make sustainable improvements to the Company’s properties. Incentive options include a wide variety of opportunities for tenants to upgrade everything from energy and environmental systems to water-saving landscaping and more. The Company’s board of directors has authorized annual allocations of up to $500,000 to fund the Tenant ESG Program. The table below summarizes the Company’s existing, known commitments and contingencies as of December 31, 2023 (in thousands): Remaining Commitment Capital expenditures (1) $ 9,206 Mortgage loans (2) 4,700 $ 13,906 (1) As of December 31, 2023, the Company had committed to fund expansions, construction, capital improvements and ESG incentives at certain triple-net leased facilities totaling $9.2 million, of which $2.4 million is subject to rent increase at the time of funding. (2) One mortgage loan includes an earnout advance upon satisfaction of certain conditions.

Concentration of Risk

Concentration of Risk	12 Months Ended
	Dec. 31, 2023
Risks and Uncertainties [Abstract]
Concentration of Risk	CONCENTRATION OF RISK Concentrations 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 revenue for the years ended December 31, 2023, 2022 and 2021. The following table sets forth information regarding the Company’s major operators as of December 31, 2023, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue Operator (1) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2023 (2) Ensign 83 8 7 8,738 997 661 32 % PMG 13 2 — 1,742 402 — 14 % December 31, 2022 (3) Ensign 83 8 7 8,741 997 661 35 % PMG 13 2 — 1,742 402 — 16 % December 31, 2021 (3) Ensign 83 8 4 8,756 997 395 32 % PMG 13 2 — 1,742 402 — 15 % (1) 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. (2) The Company’s rental income and interest income on other real estate related investments, exclusive of operating expense reimbursements and adjustments for collectibility. (3) The Company’s rental income, exclusive of operating expense reimbursements and adjustments for collectibility. 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 revenue for the year ended December 31, 2023, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue State SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2023 (1) CA 40 9 8 4,615 1,527 656 28 % TX 40 3 2 5,123 536 212 21 % December 31, 2022 (2) CA 27 8 5 3,048 1,359 437 26 % TX 38 3 3 4,849 536 242 22 % December 31, 2021 (2) CA 27 8 5 3,048 1,359 449 25 % TX 37 3 3 4,694 536 242 20 % (1) Based on the Company’s rental income and interest income on other real estate related investments, exclusive of operating expense reimbursements and adjustments for collectibility. (2) Based on the Company’s rental income, exclusive of operating expense reimbursements and adjustments for collectibility.

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2023
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 Acquisitions and Investments On January 3, 2024, the Company contributed $10.7 million into a JV that purchased one ALF located in California for $11.0 million. In exchange, the Company holds 100% of the preferred equity interests in the JV and 50% of the common equity interest in the JV. The JV partner contributed the remaining $0.3 million of the total investment in exchange for 50% of the common equity interest in the JV. The new lease has an initial term of approximately 10 years, with four five-year renewal options and 2% fixed rent escalators beginning in year 3. Annual cash rent under the lease is approximately $1.0 million. On January 25, 2024, the Company extended a $9.8 million mezzanine loan to a skilled nursing real estate owner in connection with a portfolio of ten SNFs located in Missouri. The mezzanine loan is secured by a pledge of membership interests in an affiliate of the borrower. The loan bears interest at term SOFR plus 8.75%, with a term SOFR floor of 6%, payable monthly and net of a 0.75% subservicing fee. Commencing on February 1, 2026, monthly principal payments shall be due. The mezzanine loan is set to mature on July 25, 2027, with two six-month extension options and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee ranging from 1% to 2% of the loan plus unpaid interest payments equal to 24 months (less the amount of monthly interest payments made by the borrower through the date of prepayment). On February 1, 2024, the Company extended a $7.4 million mezzanine loan to a skilled nursing real estate owner for one SNF located in California. The mezzanine loan is secured by a pledge of membership interests in an affiliate of the borrower. The loan bears interest at 11.5%, payable monthly. The mezzanine loan is set to mature on January 31, 2029 and may (subject to certain limited exceptions) not be prepaid prior to the date that is 18 months following the loan closing. On February 2, 2024, the Company extended a $35.0 million mezzanine loan to a skilled nursing real estate owner in connection with 15 SNFs located in Virginia. The mezzanine loan is secured by a pledge of membership interests in an affiliate of the borrower. The loan bears interest at term SOFR plus 8.75%, with a term SOFR floor of 6%, payable monthly and net of a 0.75% subservicing fee. Commencing on February 2, 2026, monthly principal payments shall be due. The mezzanine loan is set to mature on August 1, 2027, with two six-month extension options and may (subject to certain restrictions) be prepaid in whole before the maturity date for an exit fee ranging from 1% to 2% of the loan plus unpaid interest payments equal to 18 months (less the amount of monthly interest payments made by the borrower through the date of prepayment). New Lease Agreement Effective January 1, 2024, in connection with the December 31, 2023 Hillstone lease termination, one multi-service campus was removed from the Hillstone master lease. In connection with the lease termination, the Company entered into a new lease with Embassy Healthcare Holdings, Inc. (“Embassy”) with respect to the one multi-service campus. The Embassy lease had an initial term at the date of the lease of approximately 10 years with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the lease is approximately $0.6 million and the master lease provides Embassy with a partial rent abatement until required authorizations with respect to the ALF portion of the facility are obtained and occupancy levels reach a certain percentage. Asset Sales

Schedule III - Real Estate Asse

Schedule III - Real Estate Assets and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2023
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 $ (1,549) 2013 2000 Meadowbrook Health Associates LLC Sabino Canyon Tucson, AZ — 425 3,716 1,940 425 5,656 6,081 (3,700) 2012 2000 Terrace Holdings AZ LLC Desert Terrace Phoenix, AZ — 113 504 971 113 1,475 1,588 (1,103) 2004 2002 Rillito Holdings LLC Catalina Tucson, AZ — 471 2,041 3,055 471 5,096 5,567 (3,826) 2013 2003 Valley Health Holdings LLC North Mountain Phoenix, AZ — 629 5,154 1,519 629 6,673 7,302 (4,630) 2009 2004 Cedar Avenue Holdings LLC Upland Upland, CA — 2,812 3,919 1,994 2,812 5,913 8,725 (4,054) 2011 2005 Granada Investments LLC Camarillo Camarillo, CA — 3,526 2,827 1,522 3,526 4,349 7,875 (3,150) 2010 2005 Plaza Health Holdings LLC Park Manor Walla Walla, WA — 450 5,566 1,055 450 6,621 7,071 (4,660) 2009 2006 Mountainview Communitycare LLC Park View Gardens Santa Rosa, CA — 931 2,612 653 931 3,265 4,196 (2,434) 1963 2006 CM Health Holdings LLC Carmel Mountain San Diego, CA — 3,028 3,119 2,071 3,028 5,190 8,218 (3,571) 2012 2006 Polk Health Holdings LLC Timberwood Livingston, TX — 60 4,391 1,167 60 5,558 5,618 (3,722) 2009 2006 Snohomish Health Holdings LLC Emerald Hills Lynnwood, WA — 741 1,663 1,998 741 3,661 4,402 (2,986) 2009 2006 Cherry Health Holdings LLC Pacific Care Hoquiam, WA — 171 1,828 2,038 171 3,866 4,037 (3,163) 2010 2006 Golfview Holdings LLC Cambridge SNF Richmond, TX — 1,105 3,110 1,067 1,105 4,177 5,282 (2,704) 2007 2006 Tenth East Holdings LLC Arlington Hills Salt Lake City, UT — 332 2,426 2,507 332 4,933 5,265 (3,872) 2013 2006 Trinity Mill Holdings LLC Carrollton Carrollton, TX — 664 2,294 902 664 3,196 3,860 (2,670) 2007 2006 Cottonwood Health Holdings LLC Holladay Salt Lake City, UT — 965 2,070 958 965 3,028 3,993 (2,706) 2008 2007 Verde Villa Holdings LLC Lake Village Lewisville, TX — 600 1,890 470 600 2,360 2,960 (1,745) 2011 2007 Mesquite Health Holdings LLC Willow Bend Mesquite, TX — 470 1,715 8,632 441 10,376 10,817 (8,813) 2012 2007 Arrow Tree Health Holdings LLC Arbor Glen Glendora, CA — 2,165 1,105 324 2,165 1,429 3,594 (1,214) 1965 2007 Fort Street Health Holdings LLC Draper Draper, UT — 443 2,394 759 443 3,153 3,596 (1,945) 2008 2007 Trousdale Health Holdings LLC Brookfield Downey, CA — 1,415 1,841 1,861 1,415 3,702 5,117 (2,554) 2013 2007 Ensign Bellflower LLC Rose Villa Bellflower, CA — 937 1,168 357 937 1,525 2,462 (1,096) 2009 2007 RB Heights Health Holdings LLC Osborn Scottsdale, AZ — 2,007 2,793 1,762 2,007 4,555 6,562 (3,036) 2009 2008 San Corrine Health Holdings LLC Salado Creek San Antonio, TX — 310 2,090 719 310 2,809 3,119 (1,648) 2005 2008 Temple Health Holdings LLC Wellington Temple, TX — 529 2,207 1,163 529 3,370 3,899 (2,181) 2008 2008 Anson Health Holdings LLC Northern Oaks Abilene, TX — 369 3,220 1,725 369 4,945 5,314 (3,108) 2012 2008 Willits Health Holdings LLC Northbrook Willits, CA — 490 1,231 500 490 1,731 2,221 (1,078) 2011 2008 Lufkin Health Holdings LLC Southland Lufkin, TX — 467 4,644 782 467 5,426 5,893 (2,063) 1988 2009 Lowell Health Holdings LLC Littleton Littleton, CO — 217 856 1,735 217 2,591 2,808 (1,815) 2012 2009 Jefferson Ralston Holdings LLC Arvada Arvada, CO — 280 1,230 834 280 2,064 2,344 (1,159) 2012 2009 Lafayette Health Holdings LLC Julia Temple Englewood, CO — 1,607 4,222 6,195 1,607 10,417 12,024 (6,529) 2012 2009 Hillendahl Health Holdings LLC Golden Acres Dallas, TX — 2,133 11,977 1,421 2,133 13,398 15,531 (7,046) 1984 2009 Price Health Holdings LLC Pinnacle Price, UT — 193 2,209 849 193 3,058 3,251 (1,418) 2012 2009 Silver Lake Health Holdings LLC Provo Provo, UT — 2,051 8,362 2,011 2,051 10,373 12,424 (4,037) 2011 2009 Jordan Health Properties LLC Copper Ridge West Jordan, UT — 2,671 4,244 1,507 2,671 5,751 8,422 (2,353) 2013 2009 Regal Road Health Holdings LLC Sunview Youngstown, AZ — 767 4,648 155 193 5,377 5,570 (2,587) 2012 2009 Paredes Health Holdings LLC Alta Vista Brownsville, TX — 373 1,354 190 373 1,544 1,917 (589) 1969 2009 Expressway Health Holdings LLC Veranda Harlingen, TX — 90 675 430 90 1,105 1,195 (594) 2011 2009 Rio Grande Health Holdings LLC Grand Terrace McAllen, TX — 642 1,085 870 642 1,955 2,597 (1,214) 2012 2009 Fifth East Holdings LLC Paramount Salt Lake City, UT — 345 2,464 1,065 345 3,529 3,874 (1,720) 2011 2009 Emmett Healthcare Holdings LLC River's Edge Emmet, ID — 591 2,383 69 591 2,452 3,043 (1,018) 1972 2010 Burley Healthcare Holdings LLC Parke View Burley, ID — 250 4,004 424 250 4,428 4,678 (1,986) 2011 2010 Josey Ranch Healthcare Holdings LLC Heritage Gardens Carrollton, TX — 1,382 2,293 478 1,382 2,771 4,153 (1,206) 1996 2010 Everglades Health Holdings LLC Victoria Ventura Ventura, CA — 1,847 5,377 682 1,847 6,059 7,906 (2,033) 1990 2011 Irving Health Holdings LLC Beatrice Manor Beatrice, NE — 60 2,931 245 60 3,176 3,236 (1,374) 2011 2011 Falls City Health Holdings LLC Careage Estates of Falls City Falls City, NE — 170 2,141 82 170 2,223 2,393 (895) 1972 2011 Gillette Park Health Holdings LLC Careage of Cherokee Cherokee, IA — 163 1,491 12 163 1,503 1,666 (757) 1967 2011 Gazebo Park Health Holdings LLC Careage of Clarion Clarion, IA — 80 2,541 97 80 2,638 2,718 (1,366) 1978 2011 Oleson Park Health Holdings LLC Careage of Ft. Dodge Ft. Dodge, IA — 90 2,341 759 90 3,100 3,190 (2,025) 2012 2011 Arapahoe Health Holdings LLC Oceanview Texas City, TX — 158 4,810 759 128 5,599 5,727 (2,659) 2012 2011 Dixie Health Holdings LLC Hurricane Hurricane, UT — 487 1,978 98 487 2,076 2,563 (696) 1978 2011 Memorial Health Holdings LLC Pocatello Pocatello, ID — 537 2,138 698 537 2,836 3,373 (1,398) 2007 2011 Bogardus Health Holdings LLC Whittier East Whittier, CA — 1,425 5,307 1,079 1,425 6,386 7,811 (2,879) 2011 2011 South Dora Health Holdings LLC Ukiah Ukiah, CA — 297 2,087 1,621 297 3,708 4,005 (2,334) 2013 2011 Silverada Health Holdings LLC Rosewood Reno, NV — 1,012 3,282 103 1,012 3,385 4,397 (1,070) 1970 2011 Orem Health Holdings LLC Orem Orem, UT — 1,689 3,896 3,235 1,689 7,131 8,820 (3,791) 2011 2011 Wisteria Health Holdings Wisteria Abilene, TX — 746 9,903 290 746 10,193 10,939 (2,826) 2008 2011 Renee Avenue Health Holdings LLC Monte Vista Pocatello, ID — 180 2,481 966 180 3,447 3,627 (1,664) 2013 2012 Stillhouse Health Holdings LLC Stillhouse Paris, TX — 129 7,139 6 129 7,145 7,274 (1,456) 2009 2012 Fig Street Health Holdings LLC Palomar Vista Escondido, CA — 329 2,653 1,094 329 3,747 4,076 (1,914) 2007 2012 Lowell Lake Health Holdings LLC Owyhee Owyhee, ID — 49 1,554 29 49 1,583 1,632 (423) 1990 2012 Queensway Health Holdings LLC Atlantic Memorial Long Beach, CA — 999 4,237 2,331 999 6,568 7,567 (3,211) 2008 2012 Long Beach Health Associates LLC Shoreline Long Beach, CA — 1,285 2,343 2,172 1,285 4,515 5,800 (2,415) 2013 2012 Kings Court Health Holdings LLC Richland Hills Ft. Worth, TX — 193 2,311 318 193 2,629 2,822 (866) 1965 2012 51st Avenue Health Holdings LLC Legacy Amarillo, TX — 340 3,925 32 340 3,957 4,297 (1,238) 1970 2013 Ives Health Holdings LLC San Marcos San Marcos, TX — 371 2,951 274 371 3,225 3,596 (974) 1972 2013 Guadalupe Health Holdings LLC The Courtyard (Victoria East) Victoria, TX — 80 2,391 15 80 2,406 2,486 (587) 2013 2013 49th Street Health Holdings LLC Omaha Omaha, NE — 129 2,418 24 129 2,442 2,571 (875) 1960 2013 Willows Health Holdings LLC Cascade Vista Redmond, WA — 1,388 2,982 202 1,388 3,184 4,572 (1,244) 1970 2013 Tulalip Bay Health Holdings LLC Mountain View Marysville, WA — 1,722 2,642 (980) 742 2,642 3,384 (925) 1966 2013 Sky Holdings AZ LLC Bella Vita Health and Rehabilitation Center Glendale, AZ — 228 1,124 1,380 228 2,504 2,732 (2,021) 2004 2002 Lemon River Holdings LLC Plymouth Tower Riverside, CA — 152 357 1,493 152 1,850 2,002 (1,510) 2012 2009 CTR Partnership, L.P. Bethany Rehabilitation Center Lakewood, CO — 1,668 15,375 61 1,668 15,436 17,104 (3,445) 1989 2015 CTR Partnership, L.P. Mira Vista Care Center Mount Vernon, WA — 1,601 7,425 — 1,601 7,425 9,026 (1,624) 1989 2015 CTR Partnership, L.P. Shoreline Health and Rehabilitation Center Shoreline, WA — 1,462 5,034 — 1,462 5,034 6,496 (1,080) 1987 2015 CTR Partnership, L.P. Premier Estates of Cincinnati-Riverview Cincinnati, OH — 833 18,086 792 833 18,878 19,711 (3,936) 1992 2015 CTR Partnership, L.P. West Cove Care & Rehabilitation Center Toledo, OH — 93 10,365 811 6 1,185 1,191 — 2007 2015 CTR Partnership, L.P. Shaw Mountain at Cascadia Boise, ID — 1,801 6,572 395 1,801 6,967 8,768 (1,520) 1989 2016 CTR Partnership, L.P. Arbor Nursing Center Lodi, CA — 768 10,712 — 768 10,712 11,480 (1,986) 1982 2016 CTR Partnership, L.P. Broadmoor Medical Lodge Rockwall, TX — 1,232 22,152 — 1,232 22,152 23,384 (3,924) 1984 2016 CTR Partnership, L.P. Decatur Medical Lodge Decatur, TX — 990 24,909 — 990 24,909 25,899 (4,411) 2013 2016 CTR Partnership, L.P. Royse City Medical Lodge Royse City, TX — 606 14,660 — 606 14,660 15,266 (2,596) 2009 2016 CTR Partnership, L.P. Saline Care Nursing & Rehabilitation Center Harrisburg, IL — 1,022 5,713 — 1,022 5,713 6,735 (976) 2009 2017 CTR Partnership, L.P. Carrier Mills Nursing & Rehabilitation Center Carrier Mills, IL — 775 8,377 — 775 8,377 9,152 (1,431) 1968 2017 CTR Partnership, L.P. StoneBridge Nursing & Rehabilitation Center Benton, IL — 439 3,475 — 439 3,475 3,914 (594) 2014 2017 CTR Partnership, L.P. DuQuoin Nursing & Rehabilitation Center DuQuoin, IL — 511 3,662 — 511 3,662 4,173 (626) 2014 2017 CTR Partnership, L.P. Pinckneyville Nursing & Rehabilitation Center Pinckneyville, IL — 406 3,411 — 406 3,411 3,817 (583) 2014 2017 CTR Partnership, L.P. Wellspring Health and Rehabilitation of Cascadia Nampa, ID — 775 5,044 336 775 5,380 6,155 (869) 2011 2017 CTR Partnership, L.P. The Rio at Fox Hollow Brownsville, TX — 1,178 12,059 — 1,178 12,059 13,237 (1,985) 2016 2017 CTR Partnership, L.P. The Rio at Cabezon Albuquerque, NM — 2,055 9,749 — 2,055 9,749 11,804 (1,605) 2016 2017 CTR Partnership, L.P. Eldorado Rehab & Healthcare Eldorado, IL — 940 2,093 — 940 2,093 3,033 (340) 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 (369) 2012 2017 CTR Partnership, L.P. Mountain Valley Kellogg, ID — 916 7,874 — 916 7,874 8,790 (1,247) 1971 2017 CTR Partnership, L.P. Caldwell Care Caldwell, ID — 906 7,020 516 906 7,536 8,442 (1,155) 1947 2017 CTR Partnership, L.P. Canyon West Caldwell, ID — 312 10,410 461 312 10,871 11,183 (1,687) 1969 2017 CTR Partnership, L.P. Lewiston Health and Rehabilitation Lewiston, ID — 625 12,087 215 625 12,302 12,927 (1,907) 1964 2017 CTR Partnership, L.P. The Orchards Nampa, ID — 785 8,923 272 785 9,195 9,980 (1,417) 1958 2017 CTR Partnership, L.P. Weiser Care Weiser, ID — 80 4,419 389 80 4,808 4,888 (723) 1964 2017 CTR Partnership, L.P. Aspen Park Moscow, ID — 698 5,092 274 698 5,366 6,064 (875) 1965 2017 CTR Partnership, L.P. Ridgmar Medical Lodge Fort Worth, TX — 681 6,587 1,256 681 7,843 8,524 (1,447) 2006 2017 CTR Partnership, L.P. Mansfield Medical Lodge Mansfield, TX — 607 4,801 1,073 607 5,874 6,481 (1,077) 2006 2017 CTR Partnership, L.P. Grapevine Medical Lodge Grapevine, TX — 1,602 4,536 891 1,602 5,427 7,029 (1,004) 2006 2017 CTR Partnership, L.P. The Oaks at Lakewood Tacoma, WA — 1,001 1,779 — 1,001 1,779 2,780 (278) 1989 2017 CTR Partnership, L.P. The Oaks at Timberline Vancouver, WA — 446 869 — 446 869 1,315 (136) 1972 2017 CTR Partnership, L.P. Providence Waterman Nursing Center San Bernardino, CA — 3,831 19,791 — 3,831 19,791 23,622 (3,092) 1967 2017 CTR Partnership, L.P. Providence Orange Tree Riverside, CA — 2,897 14,700 345 2,897 15,045 17,942 (2,366) 1969 2017 CTR Partnership, L.P. Providence Ontario Ontario, CA — 4,204 21,880 — 4,204 21,880 26,084 (3,419) 1980 2017 CTR Partnership, L.P. Greenville Nursing & Rehabilitation Center Greenville, IL — 188 3,972 — 188 3,972 4,160 (721) 1973 2017 CTR Partnership, L.P. Copper Ridge Health and Rehabilitation Center Butte, MT — 220 4,974 39 220 5,013 5,233 (814) 2010 2018 CTR Partnership, L.P. Prairie Heights Healthcare Center Aberdeen, SD — 1,372 7,491 — 1,372 7,491 8,863 (1,133) 1965 2018 CTR Partnership, L.P. The Meadows on University Fargo, ND — 989 3,275 — 989 3,275 4,264 (468) 1966 2018 CTR Partnership, L.P. The Suites - Parker Parker, CO — 1,178 17,857 — 1,178 17,857 19,035 (2,322) 2012 2018 CTR Partnership, L.P. Huntington Park Nursing Center Huntington Park, CA — 3,131 8,876 299 3,131 9,175 12,306 (1,232) 1955 2019 CTR Partnership, L.P. Shoreline Care Center Oxnard, CA — 1,699 9,004 — 1,699 9,004 10,703 (1,136) 1962 2019 CTR Partnership, L.P. Downey Care Center Downey, CA — 2,502 6,141 — 2,502 6,141 8,643 (776) 1967 2019 CTR Partnership, L.P. Courtyard Healthcare Center Davis, CA — 2,351 9,256 — 2,351 9,256 11,607 (1,191) 1969 2019 Gulf Coast Buyer 1 LLC Alpine Skilled Nursing and Rehabilitation Ruston, LA — 2,688 23,825 — 2,688 23,825 26,513 (2,985) 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 (2,694) 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 (2,591) 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 (2,992) 2006 2019 Gulf Coast Buyer 1 LLC Pilgrim Manor Skilled Nursing and Rehabilitation Bossier City, LA — 2,979 24,617 1,978 2,979 26,595 29,574 (3,082) 2008 2019 Gulf Coast Buyer 1 LLC Shreveport Manor Skilled Nursing and Rehabilitation Shreveport, LA — 676 10,238 602 676 10,840 11,516 (1,350) 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 (1,221) 2013 2019 Gulf Coast Buyer 1 LLC Legacy West Rehabilitation and Healthcare Corsicana, TX — 120 6,682 436 120 7,118 7,238 (1,004) 2002 2019 Gulf Coast Buyer 1 LLC Legacy at Jacksonville Jacksonville, TX — 173 7,481 127 173 7,608 7,781 (1,025) 2006 2019 Gulf Coast Buyer 1 LLC Pecan Tree Rehabilitation and Healthcare Gainesville, TX — 219 10,097 255 219 10,352 10,571 (1,356) 1990 2019 Lakewest SNF Realty, LLC Lakewest Rehabilitation and Skilled Care Dallas, TX — — 6,905 — — 6,905 6,905 (901) 2011 2019 CTR Partnership, L.P. Cascadia of Nampa Nampa, ID — 880 14,117 — 880 14,117 14,997 (1,719) 2017 2019 CTR Partnership, L.P. Valley Skilled Nursing Modesto, CA — 798 7,671 — 798 7,671 8,469 (845) 2016 2019 CTR Partnership, L.P. Cascadia of Boise Boise, ID — 1,597 15,692 — 1,597 15,692 17,289 (1,647) 2018 2020 CTR Partnership, L.P. Cooney Healthcare and Rehabilitation Helena, MT — 867 7,431 20 867 7,451 8,318 (656) 1984 2020 CTR Partnership, L.P. Elkhorn Healthcare and Rehabilitation Clancy, MT — 183 7,380 504 183 7,884 8,067 (700) 1960 2020 CTR Partnership, L.P. Beacon Harbor Healthcare and Rehabilitation Rockwall, TX — 1,295 17,069 — 1,295 17,069 18,364 (1,446) 1996 2020 CTR Partnership, L.P. Pleasant Manor Healthcare and Rehabilitation Waxahachie, TX — 629 7,433 — 629 7,433 8,062 (635) 1972 2020 CTR Partnership, L.P. Rowlett Health and Rehabilitation Center Rowlett, TX — 1,036 10,516 — 1,036 10,516 11,552 (886) 1990 2020 160 North Patterson Avenue, LLC Buena Vista Care Center Goleta, CA — 7,987 7,237 — 7,987 7,237 15,224 (543) 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 (594) 1962 2021 CTR Partnership, L.P. Sedona Trace Health and Wellness Austin, TX — 3,282 12,763 — 3,282 12,763 16,045 (865) 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 (786) 2017 2021 CTR Partnership, L.P. Ennis Care Center Ennis,TX — 568 8,055 — 568 8,055 8,623 (421) 1982 2022 CTR Partnership, L.P. Park Bend Rehabilitation and Healthcare Center Burleson, TX — 1,877 6,616 717 1,877 7,333 9,210 (148) 1988 2023 CTR Partnership, L.P. Prairie Ridge Health and Rehabiliation Overland Park , KS — 1,301 5,025 — 1,301 5,025 6,326 (104) 1987 2023 CTR Partnership, L.P. Spalding Post Acute Griffin , GA — 680 11,044 — 680 11,044 11,724 (209) 2022 2023 CTR Partnership, L.P. Casa Azul Skilled Nursing and Rehabilitation Katy , TX — 3,413 10,451 — 3,413 10,451 13,864 (165) 2005 2023 8665 La Mesa Boulevard, LLC Community Convalescent Hospital of La Mesa La Mesa , CA — 5,346 21,528 — 5,346 21,528 26,874 (321) 1968 2023 7039 Alonda Boulevard, LLC Paramount Meadows Nursing Center Paramount , CA — 3,640 15,380 — 3,640 15,380 19,020 (230) 1969 2023 10625 Leffingwell Road, LLC Norwalk Meadows Nursing Center Norwalk , CA — 4,932 14,229 — 4,932 14,229 19,161 (216) 1964 2023 247 E. Bobier Drive, LLC La Fuente Post Acute Vista , CA — 4,882 20,793 — 4,882 20,793 25,675 (187) 1990 2023 Capitola 1935 Realty LLC Pacific Coast Manor Capitola , CA — 5,231 16,321 — 5,231 16,321 21,552 (70) 1964 2023 Morgan Hills Realty LLC Pacific Hills Manor Morgan Hill , CA — 3,239 14,418 — 3,239 14,418 17,657 (64) 2014 2023 — 187,074 1,044,381 99,030 185,374 1,135,033 1,320,407 (267,859) Multi-Service Campus Properties: Ensign Southland LLC Southland Care Norwalk, CA — 966 5,082 2,213 966 7,295 8,261 (6,116) 2011 1999 Mission CCRC LLC St. Joseph's Villa Salt Lake City, UT — 1,962 11,035 464 1,962 11,499 13,461 (4,221) 1994 2011 Wayne Health Holdings LLC Careage of Wayne Wayne, NE — 130 3,061 122 130 3,183 3,313 (1,302) 1978 2011 4th Street Holdings LLC West Bend Care Center West Bend, IA — 180 3,352 — 180 3,352 3,532 (1,304) 2006 2011 Big Sioux River Health Holdings LLC Hillcrest Health Hawarden, IA — 110 3,522 75 110 3,597 3,707 (1,317) 1974 2011 Prairie Health Holdings LLC Colonial Manor of Randolph Randolph, NE — 130 1,571 22 130 1,593 1,723 (998) 2011 2011 Salmon River Health Holdings LLC Discovery Care Center Salmon, ID — 168 2,496 — 168 2,496 2,664 (712) 2012 2012 CTR Partnership, L.P. Liberty Nursing Center of Willard Willard, OH — 144 11,097 50 144 11,147 11,291 (2,324) 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 (1,676) 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 (2,216) 1991 2016 CTR Partnership, L.P. Turlock Nursing and Rehabilitation Center Turlock, CA — 1,258 16,526 — 1,258 16,526 17,784 (3,064) 1986 2016 CTR Partnership, L.P. Bridgeport Medical Lodge Bridgeport, TX — 980 27,917 — 980 27,917 28,897 (4,944) 2014 2016 CTR Partnership, L.P. The Villas at Saratoga Saratoga, CA — 8,709 9,736 1,397 8,709 11,133 19,842 (1,789) 2004 2018 CTR Partnership, L.P. Madison Park Healthcare Huntington, WV — 601 6,385 — 601 6,385 6,986 (856) 1924 2018 CTR Partnership, L.P. Oakview Heights Nursing & Rehabilitation Center Mt. Carmel, IL — 298 8,393 — 298 8,393 8,691 (1,167) 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 (3,313) 2008 2019 Gulf Coast Buyer 1 LLC The Village at Heritage Oaks Corsicana, TX — 143 11,429 482 143 11,911 12,054 (1,619) 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 (1,494) 1990 2019 CTR Partnership, L.P. Crestwood Health and Rehabilitation Center Wills Point, TX — 143 6,075 — 143 6,075 6,218 (538) 1980 2020 Northshore Healthcare Holdings LLC San Juan Capistrano Senior Living San Juan Capistrano, CA — 11,176 25,298 350 11,176 25,648 36,824 (1,923) 1999 2021 Northshore Healthcare Holdings LLC Camarillo Senior Living Camarillo, CA — 7,516 30,552 — 7,516 30,552 38,068 (2,227) 2000 2021 Northshore Healthcare Holdings LLC Bayshire Carlsbad Carlsbad, CA — 7,398 19,714 — 7,398 19,714 27,112 (1,459) 1999 2021 Northshore Healthcare Holdings LLC Bayshire Rancho Mirage Rancho Mirage, CA — 4,024 16,790 — 4,024 16,790 20,814 (1,267) 2000 2021 CTR Partnership, L.P. Imboden Creek Living Center Decatur, IL — 131 12,499 91 131 12,590 12,721 (644) 2003 2022 4075 54th Street, LLC Jacob Healthcare Center San Diego , CA — 4,949 20,227 — 4,949 20,227 25,176 (308) 1994 2023 — 60,619 301,613 10,884 60,619 312,497 373,116 (48,798) Assisted and Independent Living Properties: Avenue N Holdings LLC Cambridge ALF Rosenburg, TX — 124 2,301 392 124 2,693 2,817 (1,613) 2007 2006 Moenium Holdings LLC Grand Court Mesa, AZ — 1,893 5,268 1,210 1,893 6,478 8,371 (4,100) 1986 2007 Lafayette Health Holdings LLC Chateau Des Mons Englewood, CO — 420 1,160 189 420 1,349 1,769 (546) 2011 2009 Expo Park Health Holdings LLC Canterbury Gardens Aurora, CO — 570 1,692 248 570 1,940 2,510 (1,102) 1986 2010 Wisteria Health Holdings LLC Wisteria IND Abilene, TX — 244 3,241 81 244 3,322 3,566 (2,045) 2008 2011 Everglades Health Holdings LLC Lexington Ventura, CA — 1,542 4,012 113 1,542 4,125 5,667 (1,141) 1990 2011 Flamingo Health Holdings LLC Desert Springs ALF Las Vegas, NV — 908 4,767 281 908 5,048 5,956 (3,267) 1986 2011 18th Place Health Holdings LLC Rose Court Phoenix, AZ — 1,011 2,053 490 1,011 2,543 3,554 (1,238) 1974 2011 Boardwalk Health Holdings LLC Park Place Reno, NV — 367 1,633 52 367 1,685 2,052 (679) 1993 2012 Willows Health Holdings LLC Cascade Plaza Redmond, WA — 2,835 3,784 395 2,835 4,179 7,014 (1,648) 2013 2013 Lockwood Health Holdings LLC Santa Maria Santa Maria, CA — 1,792 2,253 585 1,792 2,838 4,630 (1,707) 1967 2013 Saratoga Health Holdings LLC Lake Ridge Orem, UT — 444 2,265 176 444 2,441 2,885 (630) 1995 2013 Sky Holdings AZ LLC Desert Sky Assisted Living Glendale, AZ — 61 304 372 61 676 737 (546) 2004 2002 Lemon River Holdings LLC The Grove Assisted Living Riverside, CA — 342 802 3,360 342 4,162 4,504 (3,397) 2012 2009 Mission CCRC LLC St. Joseph's Villa IND Salt Lake City, UT — 411 2,312 258 411 2,570 2,981 (1,947) 1994 2011 CTR Partnership, L.P. Prelude Cottages of Woodbury Woodbury, MN — 430 6,714 289 430 7,003 7,433 (1,539) 2011 2014 CTR Partnership, L.P. Fort Myers Assisted Living Fort Myers, FL — 1,489 3,531 5,864 1,489 9,395 10,884 (869) 2023 2016 CTR Partnership, L.P. Croatan Village New Bern, NC — 312 6,919 155 299 5,820 6,119 (172) 2010 2016 CTR Partnership, L.P. Countryside Village Pikeville, NC — 131 4,157 — 125 3,404 3,529 (102) 2011 2016 CTR Partnership, L.P. The Pines of Clarkston Village of Clarkston, MI — 603 9,326 6 523 5,334 5,857 (160) 2010 2016 CTR Partnership, L.P. The Pines of Goodrich Goodrich, MI — 241 4,112 923 207 4,327 4,534 (122) 2014 2016 CTR Partnership, L.P. The Pines of Burton Burton, MI — 492 9,199 93 426 7,843 8,269 (237) 2014 2016 CTR Partnership, L.P. The Pines of Lapeer Lapeer, MI — 302 5,773 — 261 4,066 4,327 (122) 2008 2016 CTR Partnership, L.P. Arbor Place Lodi, CA — 392 3,605 — 392 3,605 3,997 (668) 1984 2016 CTR Partnership, L.P. Applewood of Brookfield Brookfield, WI — 493 14,002 44 242 6,030 6,272 (178) 2013 2017 CTR Partnership, L.P. Applewood of New Berlin New Berlin, WI — 356 10,812 50 189 5,083 5,272 (148) 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 (915) 2016 2017 CTR Partnership, L.P. Vista Del Lago Escondido, CA — 4,362 7,997 — 4,362 7,997 12,359 (908) 2015 2019 CTR Partnership, L.P. Inn at Barton Creek Bountiful, UT — 2,480 4,804 15 2,480 4,819 7,299 (510) 1999 2020 CTR Partnership, L.P. Bridgeton Essentia Neighborhood Bridgeton, NJ — 245 5,795 — 190 4,509 4,699 (166) 2021 2021 CTR Partnership, L.P. Rio Grande Essentia Neighborhood Rio Grande, NJ — 224 5,652 — 224 5,652 5,876 (325) 2021 2021 CTR Partnership, L.P. Chapters Living of Northwest Chicago Bartlett , IL — 1,964 5,650 — 1,964 5,650 7,614 (106) 2017 2023 CTR Partnership, L.P. Chapters Living of Elmhurst Elmhurst , IL — 2,852 7,348 — 2,852 7,348 10,200 (135) 2017 2023 CTR Partnership, L.P. The Ridge at Lansing Lansing , MI — 888 9,871 — 888 9,871 10,759 (163) 2018 2023 CTR Partnership, L.P. The Ridge at Beavercreek Beavercreek , OH — 1,165 8,616 — 1,165 8,616 9,781 (140) 2018 2023 — 33,996 181,060 16,374 33,283 172,484 205,767 (34,075) — $ 281,689 $ 1,527,054 $ 126,288 $ 279,276 $ 1,620,014 $ 1,899,290 $ (350,732) (1) The aggregate cost of real estate for federal income tax purposes was $1.9 billion . Year Ended December 31, Real estate: 2023 2022 2021 Balance at the beginning of the period $ 1,721,871 $ 1,873,806 $ 1,683,205 Acquisitions 233,876 21,252 190,133 Improvements 8,878 5,896 4,521 Impairment (10,078) (29,803) — Sales and/or transfers to assets held for sale, net (55,257) (149,280) (4,053) Balance at the end of the period $ 1,899,290 $ 1,721,871 $ 1,873,806 Accumulated depreciation: Balance at the beginning of the period $ (315,914) $ (304,785) $ (259,803) Depreciation expense (45,275) (42,131) (45,498) Impairment 2,076 10,232 — Sales and/or transfers to assets held for sale, net 8,381 20,770 516 Balance at the end of the period $ (350,732) $ (315,914) $ (304,785)

Schedule IV - Mortgage Loans on

Schedule IV - Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2023
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 $ 68,913 N/A California (4 SNF facilities) 10.7 % (2) 2025 (3) 28,112 (5) 11,713 11,501 N/A Georgia (4 SNF facilities) 9.0 % (2) 2025 (3) 72,700 (5) 24,900 22,962 N/A Florida (2 SNF facilities) 9.0 % 2028 (3) — 15,727 15,399 N/A California (3 SNF facilities) 12.0 % 2026 (3) 30,294 (6) 3,564 3,439 N/A Indiana (1 ALF facility) 9.0 % 2024 (3) — 2,000 2,016 N/A California (2 SNF Campus & ILF facility) 9.0 % 2033 (3) — 25,993 26,194 N/A California (1 ALF facility) 9.9 % 2026 (3) — 6,300 6,345 N/A Mezzanine Loans: West Virginia (18 SNF facilities) 11.0 % 2032 (3) 557,000 (4) 25,000 21,799 N/A $ 1,170,106 $ 190,197 $ 178,568 (1) The aggregate cost for federal income tax purposes was $190.2 million as of December 31, 2023. (2) Interest rates are variable and represent the rate in effect as of December 31, 2023. (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, 2023 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, 2023 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, 2023 are estimated. Changes in mortgage secured and mezzanine loans are summarized as follows (in thousands): Year Ended December 31, 2023 2022 2021 Balance at beginning of period $ 156,368 $ 15,155 $ 15,000 Additions during period: New mortgage and mezzanine loans 53,834 147,150 — Interest income added to principal 388 1,165 155 Deductions during period: Paydowns/Repayments (25,537) — — Unrealized losses, net (6,485) (7,102) — Balance at end of period $ 178,568 $ 156,368 $ 15,155

Pay vs Performance Disclosure

Pay vs Performance Disclosure - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Pay vs Performance Disclosure
Net income (loss)	$ 53,735	$ (7,506)	$ 71,982

Insider Trading Arrangements

Insider Trading Arrangements	3 Months Ended
	Dec. 31, 2023
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2023
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 prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). Consolidation —The accompanying consolidated financial statements include the accounts of CareTrust REIT, its wholly-owned subsidiaries, and variable interest entities (“VIEs”) over which the Company exercises control. All intercompany transactions and account balances within the Company have been eliminated, and net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.
Variable Interest Entities	Variable Interest Entities —The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE. The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control. A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. The Company’s consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity. For any investment in a joint venture that is not considered to be VIE, the Company would evaluate the type of ownership rights held by limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed. See Note 11, Variable Interest Entities , for additional information.
Noncontrolling Interests	Noncontrolling Interests
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 years ended December 31, 2023 and 2021, the Company did not record any recovery adjustments or write-off adjustments to rental income. For the year ended December 31, 2022, the Company did not record any recovery adjustments and wrote-off $1.4 million of 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. The Company recognizes acquired “above or below market” leases at their fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The fair value is based on the present value of the difference between (i) the contractual amounts due pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, generally measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with renewal options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the
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, 2023, are one preferred equity investment, eight real estate secured loans receivable and one mezzanine loan receivable. The Company elected the fair value option for all secured and mezzanine loans receivable. 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. The preferred equity investment is accounted for at unpaid principal balance, plus accrued return, net of reserves. The Company recognizes return income on a monthly basis based on the outstanding investment including any accrued and unpaid return, to the extent there is outside contributed equity or cumulative earnings from operations. As the preferred member of the joint venture, the Company is not entitled to share in the joint venture’s earnings or losses. Rather, the Company is entitled to receive a preferred return, which is deferred if the cash flow of the joint venture is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return is added to the balance of the preferred equity investment up to the estimated economic outcome assuming a hypothetical liquidation of the book value of the joint venture. Any unpaid accrued preferred return, whether recorded or unrecorded by the Company, will be repaid upon redemption or as available cash flow is distributed from the joint venture.
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. The Company did not record an expected credit loss or recovery during the year ended December 31, 2023. 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
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. 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	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 $4.8 million and $2.5 million at December 31, 2023 and 2022, respectively.
Stock-Based Compensation	Stock-Based Compensation —The Company accounts for share-based payment awards in accordance with ASC 718, Compensation – Stock Compensation
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 13, 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
Recent Accounting Pronouncements	Recent Accounting Pronouncements —On November 27, 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. The guidance is effective for fiscal years beginning after December 15, 2023 and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is still evaluating its adoption timeline and the impact on its disclosures.
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, 2023
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, 2023
Real Estate [Abstract]
Summary of Investment in Owned Properties Held for Use	The following table summarizes the Company’s investment in owned properties, and properties held in consolidated joint ventures, held for use at December 31, 2023 and 2022 (dollars in thousands): December 31, 2023 December 31, 2022 Land $ 279,276 $ 238,738 Buildings and improvements 1,620,014 1,483,133 Integral equipment, furniture and fixtures 100,504 97,199 Identified intangible assets 5,283 2,832 Real estate investments 2,005,077 1,821,902 Accumulated depreciation and amortization (437,958) (400,492) Real estate investments, net $ 1,567,119 $ 1,421,410
Schedule of Total Future Contractual Minimum Rental Income	As of December 31, 2023, the Company’s total future contractual minimum rental income for all of its tenants, excluding operating expense reimbursements, assets held for sale and assets being repurposed, was as follows (dollars in thousands): Year Amount 2024 $ 200,650 2025 201,648 2026 200,530 2027 197,378 2028 195,140 Thereafter 970,806 $ 1,966,152
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 (1) Properties Lease Expiration Option Period Open Date (2) Option Type (3) Current Cash Rent (4) SNF 1 March 2029 4/1/2022 (5) A / B (7) $ 832 SNF / Campus 1 (8) October 2032 1/1/2024 (6) A 947 SNF 4 November 2034 12/1/2024 (5) A 3,988 (1) Excludes a purchase option on an 11 building SNF portfolio classified as held for sale as of December 31, 2023 and representing $5.1 million of current cash rent. Tenant is currently not eligible to elect the option. (2) The Company has not received notice of exercise for the option periods that are currently open. (3) Option type includes: A - Fixed base price. B - Fixed capitalization rate on lease revenue. (4) Based on annualized cash revenue for contracts in place as of December 31, 2023. (5) Option window is open until the expiration of the lease term. (6) Option window is open for six months from the option period open date. (7) Purchase option reflects two option types. (8) Excludes one property classified as held for sale as of December 31, 2023 and subsequently sold in the first quarter of 2024.
Schedule of Rental Income	The following table summarizes components of the Company’s rental income (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Rental Income Contractual rent due (1) $ 198,244 $ 188,906 $ 190,100 Straight-line rent (29) 17 32 Amortization of below-market lease intangible 384 — — Adjustment for collectibility (2) — (1,417) — Lease termination revenue (3) — — 63 Total $ 198,599 $ 187,506 $ 190,195 (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. Tenant operating expense reimbursements for the years ended December 31, 2023, 2022 and 2021 were $5.5 million, $2.8 million, and $3.6 million, respectively. (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)
Schedule of Real Estate Acquisitions	The following table summarizes the Company’s acquisitions for the years ended December 31, 2023, 2022 and 2021 (dollar amounts in thousands): Type of Property Purchase Price (1) Initial Annual Cash Rent (2) Number of Properties Number of Beds/Units (3) December 31, 2023 Skilled nursing (4) (5) $ 169,181 $ 13,764 10 1,256 Multi-service campuses (5) 25,276 1,916 1 168 Assisted living 39,318 3,495 4 241 Total $ 233,775 $ 19,175 15 1,665 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 4 509 Multi-service campuses 125,708 8,604 (6) 4 640 Assisted living 12,395 — (7) 2 98 Total $ 196,076 $ 13,103 10 1,247 (1) Purchase price includes capitalized acquisition costs. (2) Initial annual cash rent represents initial cash rent for the first twelve months excluding the impact of straight-line rent or rent abatement in the first one to three months, if applicable. (3) The number of beds/units includes operating beds at acquisition date. (4) Includes three SNFs held through joint ventures. See Note 11, Variable Interest Entities , for additional information. One SNF is currently leased under a short-term lease and a new long-term lease has been entered into with one of the Company’s existing operators and it is expected that this lease will become effective once regulatory approval is obtained. Initial annual cash rent does not consider a rent deferral of $420,000 in the first year upon commencement of the long-term lease to be repaid in 15 installments beginning in year 2. The two other SNFs held through a joint venture are under separate leases with an initial annual rent of $2.0 million. The leases provide for a rent reset in which the joint venture may propose rent, capped at 10% of gross revenues, effective January 1, 2027. If the proposed rent reset is not accepted, the joint venture has the option to replace the current tenant. (5) One acquisition including three SNFs and one multi-service campus provides for annual fixed increases from $6.8 million in year one to $7.6 million in year two and $8.9 million in year three. (6) 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. (7)

Impairment of Real Estate Inv_2

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales - (Tables)	12 Months Ended
	Dec. 31, 2023
Discontinued Operations and Disposal Groups [Abstract]
Schedule of Asset Sales and Held for Sale Reclassifications	The following table summarizes the Company’s dispositions for the years ended December 31, 2023, 2022 and 2021 (dollars in thousands): Twelve Months Ended December 31, 2023 2022 (1) 2021 (1) Number of facilities 5 13 1 Net sales proceeds (2) $ 18,313 $ 57,149 $ 7,178 Net carrying value 16,095 60,918 7,255 Net gain (loss) on sale $ 2,218 $ (3,769) $ (77) (1) Net sales proceeds, net carrying value and net gain (loss) on sale also reflect a land parcel that was sold in each of the years ended December 31, 2022 and 2021, which is not included in the number of facilities. (2) Net sales proceeds includes $2 million of seller financing in connection with the sale of one ALF in June 2023. Net sales proceeds includes $12 million of seller financing in connection with the sale of six SNFs and one multi-service campus in September 2022. The following table summarizes the Company’s assets held for sale activity for the year ended December 31, 2023 (dollars in thousands): Net Carrying Value Number of Facilities December 31, 2022 $ 12,291 5 Additions to assets held for sale 47,114 14 Assets sold (16,095) (5) Impairment of real estate held for sale (28,299) — December 31, 2023 $ 15,011 14

Other Real Estate Related and_2

Other Real Estate Related and Other Investments (Tables)	12 Months Ended
	Dec. 31, 2023
Investments, All Other Investments [Abstract]
Schedule of Other Real Estate Related Investments, at Fair Value	As of December 31, 2023 and 2022 , the Company’s other real estate related investments, at fair value, consisted of the following (dollar amounts in thousands): As of December 31, 2023 Investment Facility Count and Type Principal Balance as of December 31, 2023 Fair Value as of December 31, 2023 Fair Value as of December 31, 2022 Weighted Average Contractual Interest Rate Maturity Date Mortgage secured loans receivable 30 SNF, 3 ALF, 2 Campus & ILF $ 165,197 $ 156,769 $ 117,684 8.9 % (1), (2) 5/31/2024 - 6/29/2033 Mezzanine loans receivable 18 SNF/Campus 25,000 21,799 38,684 11.0 % 6/30/2032 Total $ 190,197 $ 178,568 $ 156,368 (1) Rates are net of subservicing fee, if applicable. (2) Two mortgage secured loans receivable use term secured overnight financing rate (“SOFR”). Term SOFR used as of December 31, 2023 was 5.35%. 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 years ended December 31, 2023, 2022, and 2021 (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Origination of other real estate related investments $ 53,834 $ 147,150 $ — Accrued interest, net 388 1,165 155 Unrealized loss on other real estate related investments, net (6,485) (7,102) — Prepayments of other real estate related investments (25,537) — — Net increase in other real estate related investments, at fair value $ 22,200 $ 141,213 $ 155 As of December 31, 2023 and 2022, 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, 2023 Investment Principal Balance as of December 31, 2023 Book Value as of December 31, 2023 Book Value as of December 31, 2022 Weighted Average Contractual Interest Rate Maturity Date Other loans receivable $ 17,094 $ 17,156 $ 9,600 8.8 % 6/30/2024 - 5/31/2026 Expected credit loss — (2,094) (2,094) Total $ 17,094 $ 15,062 $ 7,506
Schedule of Loan Receivable Activity	The following table summarizes the Company’s other loans receivable activity for the years ended December 31, 2023, 2022 and 2021 (dollars in thousands): For the Year Ended December 31, 2023 2022 2021 Origination of loans receivable $ 8,486 $ 14,500 $ 1,253 Principal payments (988) (6,307) (393) Accrued interest, net 58 (4) (6) Provision for loan losses, net — (3,844) — Net increase in other loans receivable $ 7,556 $ 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, 2023, 2022 and 2021 ( dollar amounts in thousands): For the Year Ended December 31, Investment 2023 2022 2021 Mortgage secured loans receivable $ 13,329 $ 4,853 $ — Mezzanine loans receivable 3,683 3,489 1,825 Preferred equity investments 18 — — Other loans receivable 847 284 331 Other 1,294 — — Total $ 19,171 $ 8,626 $ 2,156

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2023
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 measured at fair value on a recurring basis as of December 31, 2023 and 2022, 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, 2023 Assets: Mortgage secured loans receivable $ — $ — $ 156,769 $ 156,769 Mezzanine loan receivable — — 21,799 21,799 Total $ — $ — $ 178,568 $ 178,568 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
Schedule of 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, 2022 $ 117,684 $ 38,684 Loan originations 53,834 — Accrued interest, net 543 (155) Unrealized losses on other real estate related investments, net (4,755) (1,730) Repayments (10,537) (15,000) Balance as of December 31, 2023 $ 156,769 $ 21,799
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, 2023 : Type Book Value as of December 31, 2023 Valuation Technique Unobservable Inputs Range Mortgage secured loans receivable $ 156,769 Discounted cash flow Discount Rate 10% - 15% Mezzanine loan receivable 21,799 Discounted cash flow Discount Rate 12% - 15%
Schedule of Face Value, Carrying Amount and Fair Value of Financial Instruments	A summary of the face value, carrying amount and fair value of the Notes (as defined in Note 7, Debt , below) as of December 31, 2023 and 2022 using Level 2 inputs is as follows (dollars in thousands): December 31, 2023 December 31, 2022 Level Face Carrying Fair Face Carrying Fair Financial assets: Preferred equity investment 3 $ 1,782 $ 1,801 $ 1,801 $ — $ — $ — Financial liabilities: Senior unsecured notes payable 2 $ 400,000 $ 396,039 $ 362,500 $ 400,000 $ 395,150 $ 345,036

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2023
Debt Disclosure [Abstract]
Schedule of Debt Instruments	The following table summarizes the balance of the Company’s indebtedness as of December 31, 2023 and 2022 (dollars in thousands): December 31, 2023 December 31, 2022 Principal Deferred Carrying Principal Deferred Carrying Amount Loan Fees Amount Amount Loan Fees Amount Senior unsecured notes payable $ 400,000 $ (3,961) $ 396,039 $ 400,000 $ (4,850) $ 395,150 Senior unsecured term loan 200,000 (441) 199,559 200,000 (652) 199,348 Unsecured revolving credit facility (1) — — — 125,000 — 125,000 $ 600,000 $ (4,402) $ 595,598 $ 725,000 $ (5,502) $ 719,498 (1) Deferred financing fees are included in deferred financing costs, net on the balance sheet, and not reflected as a reduction to the unsecured revolving credit facility.
Schedule of Debt Maturities	As of December 31, 2023, the Company’s debt maturities were (dollars in thousands): Year Amount 2024 $ — 2025 — 2026 200,000 2027 — 2028 400,000 Thereafter — $ 600,000

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2023
Equity [Abstract]
Summary of the at-the-Market Equity Offering Program	The following tables summarize ATM Program activity (or activity under any predecessor at-the-market equity offering programs) for the years ended December 31, 2023, 2022 and 2021 (in thousands, except per share amounts): For the Year Ended December 31, 2023 2022 2021 Number of shares 30,869 2,405 990 Average sales price per share $ 20.86 $ 20.00 $ 23.74 Gross proceeds (1) $ 643,802 $ 48,100 $ 23,505 (1) Total gross proceeds is before $8.3 million, $0.6 million, and $0.3 million of commissions paid to the sales agents and forward adjustments during the years ended December 31, 2023, 2022 and 2021, respectively, under the ATM Program. In addition, total gross proceeds is before other costs related to the ATM Program.
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 2023, 2022 and 2021 (dollars in thousands, except per share amounts): For the Three Months Ended 2023 March 31, June 30, September 30, December 31, Dividends declared per share $ 0.28 $ 0.28 $ 0.28 $ 0.28 Dividends payment date April 14, 2023 July 14, 2023 October 13, 2023 January 12, 2024 Dividends payable as of record date [1] $ 27,846 $ 27,853 $ 32,403 $ 36,531 Dividends record date March 31, 2023 June 30, 2023 September 29, 2023 December 29, 2023 2022 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 (1) Dividends payable includes dividends on performance stock awards that will be paid if and when the shares subject to such awards vest if deemed probable of meeting their performance condition.

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]
Schedule 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, 2023: Shares Weighted Average Share Price Unvested balance at December 31, 2022 573,609 $ 20.63 Granted: RSAs 166,122 22.41 Board Awards 24,768 19.38 Vested (185,767) 20.94 Forfeited (68,136) 20.85 Unvested balance at December 31, 2023 510,596 $ 21.01
Schedule of Award Grants	The following table summarizes the Company’s RSAs and Board Awards grants during the year ended December 31, 2023 (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, 2023 (1) RSAs 166,122 $ 22.41 $ 3,722 138,438 $ 2,855 PSAs — — — 21,337 438 Board Awards 24,768 19.38 480 25,992 504 (1) The Compensation Committee granted annual awards for 2024 in December 2023. The following table summarizes the Company’s RSA, PSA and Board Award grants during the years ended December 31, 2022 and 2021 (dollars in thousands, except per share amounts): Grants Shares Weighted Average Share Price Grant Date Fair Value During year ended December 31, 2022 (1) RSAs 159,663 $ 19.56 $ 3,123 Board Awards 25,992 16.93 440 During year ended December 31, 2021 (2) RSAs 394,863 $ 21.92 $ 8,654 PSAs 108,414 22.48 2,437 Board Awards 20,266 24.18 490 (1) The Compensation Committee granted annual awards for 2023 in December 2022. (2) 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 years ended December 31, 2023, 2022 and 2021 : For the Year Ended December 31, 2023 For the Year Ended December 31, 2022 For the Year Ended December 31, 2021 Risk-free interest rate 4.08 % 3.91 % 0.60 % Expected stock price volatility 26.44 % 52.90 % 52.42 % Expected service period 3.04 years 3.04 years 2.93 years Expected dividend yield (assuming full reinvestment) — % — % — % Fair value per share at date of grant $ 27.41 $ 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, 2023 2022 2021 Stock-based compensation expense $ 5,153 $ 5,758 $ 10,832

Earnings (Loss) Per Common Sh_2

Earnings (Loss) Per Common Share (Tables)	12 Months Ended
	Dec. 31, 2023
Earnings Per Share [Abstract]
Schedule of 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 earnings (loss) per common share attributable to CareTrust REIT, Inc. (“EPS”) for the Company’s common stock for the years ended December 31, 2023, 2022 and 2021, 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, 2023, 2022 and 2021 (amounts in thousands, except per share amounts): Year Ended December 31, 2023 2022 2021 Numerator: Net income (loss) attributable to CareTrust REIT, Inc. $ 53,735 $ (7,506) $ 71,982 Less: Net income allocated to participating securities (400) (440) (507) Numerator for basic and diluted earnings available to common stockholders $ 53,335 $ (7,946) $ 71,475 Denominator: Weighted-average basic common shares outstanding 105,956 96,703 96,017 Dilutive potential common shares - performance stock awards 164 — 75 Dilutive potential common shares - forward equity agreements 32 — — Weighted-average diluted common shares outstanding 106,152 96,703 96,092 Earnings (loss) per common share attributable to CareTrust REIT, Inc., basic $ 0.50 $ (0.08) $ 0.74 Earnings (loss) per common share attributable to CareTrust REIT, Inc., diluted $ 0.50 $ (0.08) $ 0.74 Antidilutive unvested restricted stock awards, total shareholder units, performance awards, and forward equity shares excluded from the computation 475 744 591

Variable Interest Entities (Tab

Variable Interest Entities (Tables)	12 Months Ended
	Dec. 31, 2023
Noncontrolling Interest [Abstract]
Schedule of Variable Interest Entities	Total assets and total liabilities on the Company’s consolidated balance sheets include VIE assets and liabilities as follows (in thousands): December 31, 2023 Assets: Real estate investments, net $ 68,106 Prepaid and other assets 2,800 Total assets 70,906 Liabilities: Accounts payable, accrued liabilities and deferred rent liabilities 7,239 Total liabilities $ 7,239

Commitment and Contingencies (T

Commitment and Contingencies (Tables)	12 Months Ended
	Dec. 31, 2023
Commitments and Contingencies Disclosure [Abstract]
Schedule of Commitments and Contingencies	The table below summarizes the Company’s existing, known commitments and contingencies as of December 31, 2023 (in thousands): Remaining Commitment Capital expenditures (1) $ 9,206 Mortgage loans (2) 4,700 $ 13,906 (1) As of December 31, 2023, the Company had committed to fund expansions, construction, capital improvements and ESG incentives at certain triple-net leased facilities totaling $9.2 million, of which $2.4 million is subject to rent increase at the time of funding. (2) One mortgage loan includes an earnout advance upon satisfaction of certain conditions.

Concentration of Risk (Tables)

Concentration of Risk (Tables)	12 Months Ended
	Dec. 31, 2023
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 revenue for the years ended December 31, 2023, 2022 and 2021. The following table sets forth information regarding the Company’s major operators as of December 31, 2023, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue Operator (1) SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2023 (2) Ensign 83 8 7 8,738 997 661 32 % PMG 13 2 — 1,742 402 — 14 % December 31, 2022 (3) Ensign 83 8 7 8,741 997 661 35 % PMG 13 2 — 1,742 402 — 16 % December 31, 2021 (3) Ensign 83 8 4 8,756 997 395 32 % PMG 13 2 — 1,742 402 — 15 % (1) 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. (2) The Company’s rental income and interest income on other real estate related investments, exclusive of operating expense reimbursements and adjustments for collectibility. (3) The Company’s rental income, exclusive of operating expense reimbursements and adjustments for collectibility. 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 revenue for the year ended December 31, 2023, 2022 and 2021: Number of Facilities Number of Beds/Units Percentage of Total Revenue State SNF Campus ALF/ILF SNF Campus ALF/ILF December 31, 2023 (1) CA 40 9 8 4,615 1,527 656 28 % TX 40 3 2 5,123 536 212 21 % December 31, 2022 (2) CA 27 8 5 3,048 1,359 437 26 % TX 38 3 3 4,849 536 242 22 % December 31, 2021 (2) CA 27 8 5 3,048 1,359 449 25 % TX 37 3 3 4,694 536 242 20 % (1) Based on the Company’s rental income and interest income on other real estate related investments, exclusive of operating expense reimbursements and adjustments for collectibility. (2) Based on the Company’s rental income, exclusive of operating expense reimbursements and adjustments for collectibility.

Organization (Details)

Organization (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) loan facility state bed investment	Jun. 01, 2023 facility	Dec. 31, 2022 USD ($)
Real Estate Properties [Line Items]
Number of facilities | facility	226	1
Number of states with properties | state	28
Number of preferred equity investment | investment	1
Aggregate carrying value | $	$ 180,368		$ 156,368
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Number of loans | loan	8
Mezzanine loan receivable
Real Estate Properties [Line Items]
Number of loans | loan	1
Skilled Nursing, Assisted Living and Independent Living Facilities
Real Estate Properties [Line Items]
Number of facilities | facility	226
Number of operational beds and units in facilities | bed	23,928

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Narrative (Details)	12 Months Ended
	Dec. 31, 2023 USD ($) investment loan segment	Dec. 31, 2022 USD ($) loan	Dec. 31, 2021 USD ($)
Accounting Policies [Line Items]
Recovery of previously reserved rent	$ 0	$ 0
Adjustment for collectibility of rental income	0	1,417,000	$ 0
Below market lease, gross	7,300,000
Below market lease, accumulated amortization	$ 400,000
Below market lease, weighted average remaining amortization period	3 years
Impairment of real estate investments	$ 36,301,000	79,062,000	0
Number of preferred equity investment | investment	1
Provision for loan losses, net	$ 0	3,844,000	0
Accumulated amortization of deferred financing costs	4,800,000	2,500,000
Loss on extinguishment of debt	0	0	10,827,000
Stock-based compensation expense	$ 5,153,000	$ 5,758,000	$ 10,832,000
Number of reportable segments | segment	1
Mortgage secured loans receivable
Accounting Policies [Line Items]
Number of loans | loan	8
Mezzanine loan receivable
Accounting Policies [Line Items]
Number of loans | loan	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)	Dec. 31, 2023
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, 2023	Dec. 31, 2022
Real Estate [Abstract]
Land	$ 279,276	$ 238,738
Buildings and improvements	1,620,014	1,483,133
Integral equipment, furniture and fixtures	100,504	97,199
Identified intangible assets	5,283	2,832
Real estate investments	2,005,077	1,821,902
Accumulated depreciation and amortization	(437,958)	(400,492)
Real estate investments, net	$ 1,567,119	$ 1,421,410

Real Estate Investments, Net _2

Real Estate Investments, Net - Narrative (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($) facility renewal_option property	Dec. 31, 2022 property	Dec. 31, 2021 property	Dec. 31, 2020 facility	Jun. 01, 2023 facility	Sep. 30, 2022 facility	Jun. 30, 2022 facility
Real Estate [Line Items]
Number of facilities	226				1
Number of facilities acquired | property	15	2	10
Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Number of facilities	226
Number of non-operational properties	2
Number of properties, terminated operations	1
Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities | Held for Sale
Real Estate [Line Items]
Number of facilities	14
Short-term Lease | Skilled Nursing, Multi Service Campuses, Assisted Living, and Independent Living Facilities
Real Estate [Line Items]
Number of facilities						2	2
Various Other Operators
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	108
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 | $	$ 63.8
Ensign | Pennant Master Lease
Real Estate [Line Items]
Annualized contractual rental income | $	7.3
Ensign | Other Ensign Leases
Real Estate [Line Items]
Annualized contractual rental income | $	$ 4
Number of facilities acquired	4			4
PMG
Real Estate [Line Items]
Number of facilities	15
Annualized contractual rental income | $	$ 31.2
Initial lease term (in years)	15 years
Number of renewal options | renewal_option	2
Lease renewal term (in years)	5 years
PMG | Minimum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	0%
PMG | Maximum
Real Estate [Line Items]
Annualized contractual rental income escalation rate (percent)	3%

Real Estate Investments, Net _3

Real Estate Investments, Net - Future Contractual Minimum Rental Income (Details) $ in Thousands	Dec. 31, 2023 USD ($)
Future Contractual Minimum Rental Income
2024	$ 200,650
2025	201,648
2026	200,530
2027	197,378
2028	195,140
Thereafter	970,806
Total	$ 1,966,152

Real Estate Investments, Net _4

Real Estate Investments, Net - Tenant Purchase Options (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility property
Lessor, Lease, Description [Line Items]
Period of option window	6 months
Disposal Group, Held-for-Sale, Not Discontinued Operations
Lessor, Lease, Description [Line Items]
Properties | facility	1
SNF | Lease Expiration March 2029, Next Option 2022
Lessor, Lease, Description [Line Items]
Properties | property	1
Current cash rent	$ 832
SNF | Lease Expiration November 2034, Next Option 2024
Lessor, Lease, Description [Line Items]
Properties | property	4
Current cash rent	$ 3,988
SNF | Properties With Purchase Option Current Cash Rent Member
Lessor, Lease, Description [Line Items]
Properties | facility	11
Current cash rent	$ 5,100
SNF / Campus | Lease Expiration October 2032, Next Option 2023
Lessor, Lease, Description [Line Items]
Properties | property	1
Current cash rent	$ 947

Real Estate Investments, Net _5

Real Estate Investments, Net - Rental Income (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($) operator	Dec. 31, 2021 USD ($)
Lessor, Lease, Description [Line Items]
Contractual rent due	$ 198,244	$ 188,906	$ 190,100
Straight-line rent	(29)	17	32
Amortization of below-market lease intangible	384	0	0
Adjustment for collectibility	0	(1,417)	0
Lease termination revenue	0	0	63
Total	198,599	187,506	190,195
Operating leases, tenant operating expense reimbursement	$ 5,500	$ 2,800	$ 3,600
Number of operators for which collectability not probable | operator		5
Lease Income, Operating Expense Reimbursements
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed		$ 700
Contractual Rent
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed		200
Straight-line Rent
Lessor, Lease, Description [Line Items]
Operating lease, lease income, adjustments for collectability, reversed		$ 500

Real Estate Investments, Net _6

Real Estate Investments, Net - Recent Real Estate Acquisitions (Details) $ in Thousands	3 Months Ended	12 Months Ended
	Jun. 30, 2021 USD ($)	Dec. 31, 2023 USD ($) facility property bed installment	Dec. 31, 2022 USD ($) property bed	Dec. 31, 2021 USD ($) bed property	Jun. 01, 2023 facility
Business Acquisition [Line Items]
Purchase Price		$ 233,775	$ 21,921	$ 196,076
Initial Annual Cash Rent		$ 19,175	$ 2,050	$ 13,103
Number of Properties | property		15	2	10
Number of Beds/Units | bed		1,665	265	1,247
Number of facilities | facility		226			1
Number of Installments | installment		15
Acquisition One Year
Business Acquisition [Line Items]
Annual fixed increases		$ 6,800
Acquisition Two Year
Business Acquisition [Line Items]
Annual fixed increases		7,600
Acquisition Three Year
Business Acquisition [Line Items]
Annual fixed increases		8,900
Skilled nursing
Business Acquisition [Line Items]
Purchase Price		169,181	$ 8,918	$ 57,973
Initial Annual Cash Rent		$ 13,764	$ 815	$ 4,499
Number of Properties | property		10	1	4
Number of Beds/Units | bed		1,256	135	509
Number of facilities | facility		3
Skilled nursing | Joint Venture Member
Business Acquisition [Line Items]
Deferred rent		$ 420
Number of facilities | facility		2
Annual cash rent		$ 2,000
Operating leases,gross revenue percentage		10%
Multi-service campuses
Business Acquisition [Line Items]
Purchase Price		$ 25,276	$ 13,003	$ 125,708
Initial Annual Cash Rent	$ 9,400	$ 1,916	$ 1,235	$ 8,604
Number of Properties | property		1	1	4
Number of Beds/Units | bed		168	130	640
Number of facilities | facility		1
Assisted living
Business Acquisition [Line Items]
Purchase Price		$ 39,318		$ 12,395
Initial Annual Cash Rent		$ 3,495		$ 0
Number of Properties | property		4		2
Number of Beds/Units | bed		241		98

Real Estate Investments, Net _7

Real Estate Investments, Net - Lease Amendments and Terminations Narrative (Details) $ in Millions

1 Months Ended

Jan. 03, 2024 USD ($) facility

Dec. 31, 2023 USD ($) facility

Sep. 01, 2023 USD ($) renewal_option facility

Apr. 01, 2023 USD ($) facility renewal_option

Mar. 24, 2023 USD ($)

Mar. 16, 2023 USD ($) facility renewal_option

Oct. 31, 2023 facility

Sep. 30, 2023 facility

Sep. 30, 2022 facility

Feb. 08, 2024 facility

Jan. 01, 2024 USD ($) facility renewal_option

Oct. 24, 2023 USD ($) renewal_option facility

Jul. 06, 2023 renewal_option

Jun. 01, 2023 facility

Mar. 15, 2023 USD ($)

Aug. 31, 2022 facility

Jun. 30, 2022 facility

Dec. 31, 2020 facility

Real Estate [Line Items]

Number of facilities

226

1

Subsequent Event

Real Estate [Line Items]

Annual cash rent | $

$ 1

New Embassy Lease Agreement | Subsequent Event

Real Estate [Line Items]

Lease term (in years)

10 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent | $

$ 0.6

Number of facilities

1

Hillstone Lease Amendment and Termination

Real Estate [Line Items]

Deferred rent | $

$ 0.7

Period of deferral

12 months

Annual cash rent under amended lease | $

$ 1.3

Payment for termination fee | $

$ 0.8

Noble NJ Lease Termination and New Ridgeline NJ Lease

Real Estate [Line Items]

Lease term (in years)

10 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent | $

$ 1

Number of facilities

2

Premier Termination and Amended Ridgeline Lease

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent under amended lease | $

$ 2.7

Rent abatement | $

0.2

Lease amendment deferral | $

$ 0.2

Amended Pennant Lease

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Amended Momentum Lease

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent increase under amended lease | $

$ 1

Noble VA Lease Termination and New Pennant Lease

Real Estate [Line Items]

Lease term (in years)

15 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent under amended lease | $

$ 0.8

$ 2.3

Period of deferred rent to be repaid

3 months

Assisted living

Real Estate [Line Items]

Number of properties, terminated operations

2

2

Assisted living | Subsequent Event

Real Estate [Line Items]

Number of facilities

1

Number of facilities acquired

1

Assisted living | Premier Termination and Amended Ridgeline Lease

Real Estate [Line Items]

Number of properties, terminated operations

6

Number of properties included or entered into lease

6

Assisted living | Noble VA Lease Termination and New Pennant Lease

Real Estate [Line Items]

Number of properties, terminated operations

2

Number of properties included or entered into lease

2

Skilled Nursing Facility

Real Estate [Line Items]

Number of facilities

9

Number of facilities acquired

2

1

4

Skilled Nursing Facility | Subsequent Event

Real Estate [Line Items]

Number of facilities

1

Skilled Nursing Facility | Amended Momentum Lease

Real Estate [Line Items]

Number of properties included or entered into lease

1

Number of facilities acquired

1

Real Estate Investments, Net _8

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 ($) renewal_option facility

Jul. 01, 2021 USD ($) renewal_option facility

Jun. 01, 2021 USD ($) renewal_option facility

Mar. 10, 2021 USD ($) facility

Aug. 31, 2022 USD ($) anniversary facility renewal_option

Sep. 30, 2021

Dec. 31, 2023 USD ($) property

Dec. 31, 2022 USD ($) property

Dec. 31, 2021 USD ($) property

Jun. 30, 2022 facility

Apr. 01, 2022 USD ($) renewal_option facility

Real Estate [Line Items]

Number of properties | property

15

2

10

Initial annual cash rent | $

$ 19,175

$ 2,050

$ 13,103

Landmark Maryland

Real Estate [Line Items]

Annual cash rent decrease under amended lease | $

$ 1,100

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

Noble Master Leases, Amended

Real Estate [Line Items]

Anniversary expiration period | anniversary

20

Number of renewal options | renewal_option

1

Number of amended leases | facility

2

Lease amendment deferral | $

$ 1,800

Lease amendment deferral, percentage of contractual base

0.04

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

Number of properties | facility

1

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

Assisted Living

Real Estate [Line Items]

Number of properties, terminated operations | facility

2

2

Number of properties | property

4

2

Initial annual cash rent | $

$ 3,495

$ 0

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

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

Impairment of Real Estate Inv_3

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales (Details)	3 Months Ended	9 Months Ended	12 Months Ended
	Dec. 31, 2022 USD ($) facility	Sep. 30, 2022 USD ($) facility	Dec. 31, 2023 USD ($) facility	Dec. 31, 2022 USD ($) facility	Dec. 31, 2021 USD ($)	Jun. 01, 2023 facility
Real Estate [Line Items]
Impairment of real estate investments			$ 36,301,000	$ 79,062,000	$ 0
Number of facilities | facility			226			1
Real estate investment property, at cost	$ 1,821,902,000		$ 2,005,077,000	1,821,902,000
Real estate investments, net	1,421,410,000		1,567,119,000	1,421,410,000
Skilled Nursing Facility
Real Estate [Line Items]
Impairment of real estate investments		$ 1,700,000	$ 8,000,000
Number of facilities | facility		1	1
Real estate investment property, at cost		$ 2,800,000	$ 8,700,000
Real estate investments, net		1,100,000	$ 700,000
Level 3 | Facilities Held For Sale
Real Estate [Line Items]
Number of facilities | facility			14
Level 3 | Skilled Nursing Facility
Real Estate [Line Items]
Prices per unit input		$ 20,000	$ 7,000
Valuation, Market Approach | Level 3 | Minimum
Real Estate [Line Items]
Prices per unit input	20,000		8,000	20,000
Valuation, Market Approach | Level 3 | Maximum
Real Estate [Line Items]
Prices per unit input	85,000		85,000	85,000
Valuation, Market Approach | Level 3 | Weighted Average
Real Estate [Line Items]
Prices per unit input	$ 55,000		20,000	55,000
Held for Sale
Real Estate [Line Items]
Impairment of real estate investments			26,800,000	14,400,000
Held For Investment
Real Estate [Line Items]
Impairment of real estate investments			8,000,000	19,700,000
Held For Investment | Assisted living
Real Estate [Line Items]
Impairment of real estate investments				$ 1,400,000
Number of facilities | facility	9	1		9
Real estate investment property, at cost	$ 50,800,000			$ 50,800,000
Amount transferred out of assets held-for-sale	$ 47,800,000	$ 4,900,000
Held For Investment | Nine Assisted Living Facility
Real Estate [Line Items]
Impairment of real estate investments				$ 16,600,000
Held For Investment | Valuation, Market Approach | Level 3 | Assisted living
Real Estate [Line Items]
Prices per unit input		$ 125,000
Held For Investment | Valuation Technique, Terminal Capitalization Rate | Level 3 | Minimum | Assisted living
Real Estate [Line Items]
Assets held-for-sale, measurement input	0.075			0.075
Held For Investment | Valuation Technique, Terminal Capitalization Rate | Level 3 | Maximum | Assisted living
Real Estate [Line Items]
Assets held-for-sale, measurement input	0.0875			0.0875
Held For Investment | Discounted cash flow | Level 3 | Minimum | Assisted living
Real Estate [Line Items]
Assets held-for-sale, measurement input	0.085			0.085
Held For Investment | Discounted cash flow | Level 3 | Maximum | Assisted living
Real Estate [Line Items]
Assets held-for-sale, measurement input	0.0975			0.0975
Disposed of by Sale
Real Estate [Line Items]
Impairment of real estate investments			$ 1,500,000	$ 45,000,000

Impairment of Real Estate Inv_4

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales - Schedule of Company's Dispositions (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility	Dec. 31, 2022 USD ($) facility	Dec. 31, 2021 USD ($) facility	Jun. 30, 2023 USD ($) facility	Jun. 01, 2023 facility	Sep. 30, 2022 USD ($) facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Net (loss) gain on sale | $	$ 2,218	$ (3,769)	$ (77)
Principal amount | $	$ 190,197
Number of facilities	226				1
Skilled Nursing Properties
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities	3
Multi-service campuses
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities	1
Disposed of by Sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities	5	13	1
Net sales proceeds | $	$ 18,313	$ 57,149	$ 7,178
Net carrying value | $	16,095	60,918	7,255
Net (loss) gain on sale | $	$ 2,218	$ (3,769)	$ (77)
Disposed of by Sale | Assisted Living Facilities
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities				1
Disposed of by Sale | Skilled Nursing Properties
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities						6
Disposed of by Sale | Multi-service campuses
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities						1
Disposal Group, Held-for-Sale, Not Discontinued Operations
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of facilities	14	5
Disposal Group, Held-for-Sale, Not Discontinued Operations | Assisted Living Facilities
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Principal amount | $				$ 2,000
Disposal Group, Held-for-Sale, Not Discontinued Operations | Skilled Nursing Properties
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Principal amount | $						$ 12,000

Impairment of Real Estate Inv_5

Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales - Company's Assets Held for Sale Activity (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility
Increase Decrease in Assets Held for Sale [Roll Forward]
Beginning balance, at cost	$ 1,821,902
Ending balance, at cost	$ 2,005,077
Number of facilities at end | facility	226
Disposal Group, Held-for-Sale, Not Discontinued Operations
Increase Decrease in Assets Held for Sale [Roll Forward]
Beginning balance, at cost	$ 12,291
Additions to assets held for sale	47,114
Assets sold	(16,095)
Impairment of real estate held for sale	(28,299)
Ending balance, at cost	$ 15,011
Number of facilities at beginning | facility	5
Number of facilities, Additions to assets held for sale | facility	14
Number of facilities, Assets sold | facility	(5)
Number of facilities, Impairment of real estate held for sale | facility	0
Number of facilities at end | facility	14

Other Real Estate Related and_3

Other Real Estate Related and Other Investments - Other Real Estate Related Investments, At Fair Value (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility	Dec. 31, 2022 USD ($) facility
Real Estate Properties [Line Items]
Principal amount	$ 190,197
Book value	178,568	$ 156,368
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Principal amount	165,197
Book value	$ 156,769	$ 117,684
Weighted Average Contractual Interest Rate	8.90%
Mortgage secured loans receivable | SOFR
Real Estate Properties [Line Items]
Basis spread on variable rate (percent)	5.35%
Mortgage secured loans receivable | Skilled Nursing Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	30	30
Mortgage secured loans receivable | Assisted Living Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	3	3
Mortgage secured loans receivable | Campus and Independent Living Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	2	2
Mezzanine loans receivable
Real Estate Properties [Line Items]
Principal amount	$ 25,000
Book value	$ 21,799	$ 38,684
Weighted Average Contractual Interest Rate	11%
Mezzanine loans receivable | Skilled Nursing and Campus Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	18	18
Other loans receivable
Real Estate Properties [Line Items]
Principal amount	$ 17,094
Book value	$ 17,156	$ 9,600
Weighted Average Contractual Interest Rate	8.80%
Expected credit loss	$ (2,094)	(2,094)
Principal Balance	17,094
Book Value	$ 15,062	$ 7,506

Other Real Estate Related and_4

Other Real Estate Related and Other Investments - Narrative (Details)

1 Months Ended

12 Months Ended

Dec. 15, 2023 loan

Nov. 29, 2023 USD ($) facility extension_option

Sep. 29, 2023 USD ($) extension_option facility

Jul. 17, 2023 USD ($) extension_option facility

Jun. 01, 2023 USD ($) facility

Mar. 30, 2023 USD ($) loan

Dec. 31, 2023 USD ($) facility Rate

Oct. 31, 2023 facility

Sep. 30, 2023 facility

Sep. 30, 2022 USD ($) extension_option facility

Aug. 31, 2022 USD ($) facility extension_option

Jun. 30, 2022 USD ($) facility

Dec. 31, 2023 USD ($) facility

Dec. 31, 2022 USD ($) loan facility

Dec. 31, 2021 USD ($)

Jun. 29, 2023 USD ($) facility

Jan. 25, 2023

Dec. 31, 2020 facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 190,197,000

$ 190,197,000

Number of facilities | facility

1

226

226

Interest rate

12%

Number of facilities operated by existing operator | facility

4

Number of facilities operated by large regional operator | facility

1

Expected credit loss

$ 0

$ 3,844,000

$ 0

Next WV Realty, LLC

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities acquired | facility

18

Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities | facility

9

Number of facilities acquired | facility

2

1

4

Skilled Nursing Facility | Held for Sale | Trio Healthcare Holdings, LLC

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities | facility

6

Multi-service campuses

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities | facility

1

1

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]

Payments for loans receivable

$ 10,500,000

Principal amount

$ 24,900,000

$ 22,300,000

Number of loans | loan

1

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]

Loans receivable, basis spread on variable rate

4.50%

4.25%

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]

Loans receivable, basis spread on variable rate

2.85%

2.75%

Mezzanine Loan Receivable

Financing Receivable, Allowance for Credit Loss [Line Items]

Payments for loans receivable

$ 15,000,000

Number of loans | loan

1

Mezzanine Loan Receivable | Next WV Realty, LLC

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 25,000,000

Loan receivable interest rate

11%

Mortgage Secured Loan Receivable, September 29, 2026 Maturity

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 6,300,000

Interest rate

9.90%

12%

Extension option, term (year)

6 months

6 months

Early termination fee

2%

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | E3 Acquisition, LLC

Financing Receivable, Allowance for Credit Loss [Line Items]

Preferred equity investment

$ 1,800,000

Preferred rate | Rate

15%

Repayment period

15 months

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Assisted Living Facilities

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities | facility

1

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities | facility

3

Number of extension option | extension_option

2

2

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Minimum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

0%

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Maximum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

2%

Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Multi-Tranche Facilities

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 3,600,000

$ 3,600,000

$ 3,600,000

Mortgage Secured Loan Receivable August 1, 2028 Maturity | SOFR

Financing Receivable, Allowance for Credit Loss [Line Items]

Interest rate

8.75%

Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 15,700,000

Number of facilities | facility

2

Interest rate

9%

Number of extension option | extension_option

1

Extension option, term (year)

5 years

Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Minimum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

2%

1%

Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Maximum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

3%

2%

Mortgage secured loans receivable | Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 26,000,000

Number of facilities | facility

1

Interest rate

9%

Mortgage secured loans receivable | Skilled Nursing Facility | Minimum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

0%

Mortgage secured loans receivable | Skilled Nursing Facility | Maximum

Financing Receivable, Allowance for Credit Loss [Line Items]

Early termination fee

3%

Mortgage secured loans receivable | Independent Living Facilities

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]

Extension option, term (year)

1 year

Mortgage secured loans receivable | Assisted Living Facilities

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 2,000,000

Interest rate

9%

B Tranche Mortgage Loan | Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of facilities acquired by borrower | facility

5

Other loans receivable

Financing Receivable, Allowance for Credit Loss [Line Items]

Principal amount

$ 17,094,000

17,094,000

Expected credit loss

$ 0

$ 4,600,000

$ 0

Number of loans receivable with provision | loan

2

Unfunded loan commitment

$ 400,000

Write-off

800,000

Other loans receivable | Skilled Nursing Facility

Financing Receivable, Allowance for Credit Loss [Line Items]

Write-off

$ 2,500,000

Other loans receivable | Multi-service campuses

Financing Receivable, Allowance for Credit Loss [Line Items]

Number of loans receivable with provision | loan

1

Other Real Estate Related and_5

Other Real Estate Related and Other Investments - Other Real Estate Related Investment Activity (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Financing Receivable, Allowance for Credit Loss [Line Items]
Origination of other real estate related investments	$ 190,197
Other Real Estate Related Investments
Financing Receivable, Allowance for Credit Loss [Line Items]
Origination of other real estate related investments	53,834	$ 147,150	$ 0
Accrued interest, net	388	1,165	155
Unrealized loss on other real estate related investments, net	(6,485)	(7,102)	0
Prepayments of other real estate related investments	(25,537)	0	0
Net increase in other loans receivable	$ 22,200	$ 141,213	$ 155

Other Real Estate Related and_6

Other Real Estate Related and Other Investments - Loan Activity (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Investments, All Other Investments [Abstract]
Origination of loans receivable	$ 8,486	$ 14,500	$ 1,253
Principal payments	(988)	(6,307)	(393)
Accrued interest, net	58	(4)	(6)
Provision for loan losses, net	0	(3,844)	0
Net increase in other loans receivable	$ 7,556	$ 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, 2023	Dec. 31, 2022	Dec. 31, 2021
Real Estate Properties [Line Items]
Interest and other income	$ 19,171	$ 8,626	$ 2,156
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Interest and other income	13,329	4,853	0
Mezzanine loan receivable
Real Estate Properties [Line Items]
Interest and other income	3,683	3,489	1,825
Preferred equity investments
Real Estate Properties [Line Items]
Interest and other income	18	0	0
Other loans receivable
Real Estate Properties [Line Items]
Interest and other income	847	284	331
Other
Real Estate Properties [Line Items]
Interest and other income	$ 1,294	$ 0	$ 0

Fair Value Measurements - Items

Fair Value Measurements - Items Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	$ 178,568	$ 156,368
Recurring | Mortgage secured loans receivable
Assets:
Loans receivable	156,769	117,684
Recurring | Mezzanine loan receivable
Assets:
Loans receivable	21,799	38,684
Recurring | Level 1 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	0	0
Recurring | Level 1 | Mortgage secured loans receivable
Assets:
Loans receivable	0	0
Recurring | Level 1 | Mezzanine loan receivable
Assets:
Loans receivable	0	0
Recurring | Level 2 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	0	0
Recurring | Level 2 | Mortgage secured loans receivable
Assets:
Loans receivable	0	0
Recurring | Level 2 | Mezzanine loan receivable
Assets:
Loans receivable	0	0
Recurring | Level 3 | Secured And Mezzanine Loans Receivable
Assets:
Loans receivable	178,568	156,368
Recurring | Level 3 | Mortgage secured loans receivable
Assets:
Loans receivable	156,769	117,684
Recurring | Level 3 | Mezzanine loan receivable
Assets:
Loans receivable	$ 21,799	$ 38,684

Fair Value Measurements - Asset

Fair Value Measurements - Assets at Fair Value Measured Using Level 3 (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Unrealized losses on other real estate related investments, net	$ 6,485	$ 7,102	$ 0
Investments in Real Estate Secured Loans
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance at December 31, 2022	117,684
Loan originations	53,834
Accrued interest, net	543
Unrealized losses on other real estate related investments, net	(4,755)
Repayments	(10,537)
Balance as of December 31, 2023	156,769	117,684
Investments in Mezzanine Loans
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance at December 31, 2022	38,684
Loan originations	0
Accrued interest, net	(155)
Unrealized losses on other real estate related investments, net	(1,730)
Repayments	(15,000)
Balance as of December 31, 2023	$ 21,799	$ 38,684

Fair Value Measurements - Narra

Fair Value Measurements - Narrative (Details)	12 Months Ended
	Dec. 31, 2023 USD ($) loan	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Financing Receivable, Past Due [Line Items]
Unrealized losses on other real estate related investments, net	$ 6,485,000	$ 7,102,000	$ 0
Impairment of real estate investments	$ 36,301,000	79,062,000	$ 0
Level 3 | Maximum
Financing Receivable, Past Due [Line Items]
Measurement input	0.16
Level 3 | Minimum
Financing Receivable, Past Due [Line Items]
Measurement input	0.14
Level 3 | Weighted Average
Financing Receivable, Past Due [Line Items]
Measurement input	0.15
Secured And Mezzanine Loans Receivable
Financing Receivable, Past Due [Line Items]
Unrealized losses on other real estate related investments, net	$ 8,100,000
Unrealized loss on origination fee paid	300,000
Unrealized gain (loss) on decrease in projected forward interest rates	(700,000)
Partial offset gain (loss)	$ (1,200,000)	$ (7,100,000)
Mezzanine Loans
Financing Receivable, Past Due [Line Items]
Number of loans | loan	1
Mortgage loans receivable
Financing Receivable, Past Due [Line Items]
Number of loans | loan	1

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, 2023 USD ($)
Mortgage secured loans receivable
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, book value	$ 156,769
Mortgage secured loans receivable | Minimum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.10
Mortgage secured loans receivable | Maximum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.15
Mezzanine loan receivable
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, book value	$ 21,799
Mezzanine loan receivable | Minimum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.12
Mezzanine loan receivable | Maximum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Loans receivable, measurement input	0.15

Fair Value Measurements - Face

Fair Value Measurements - Face Value, Carrying Amount and Fair Value of Financial Instruments (Details) - Senior unsecured notes payable - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Level 3 | Preferred equity investment
Financial liabilities:
Face Value	$ 1,782	$ 0
Level 2 | Senior unsecured notes payable
Financial liabilities:
Face Value	400,000	400,000
Carrying Amount | Level 3 | Preferred equity investment
Financial liabilities:
Preferred equity investment, fair value disclosure	1,801	0
Carrying Amount | Level 2 | Senior unsecured notes payable
Financial liabilities:
Notes payable, fair value disclosure	396,039	395,150
Fair Value | Level 3 | Preferred equity investment
Financial liabilities:
Preferred equity investment, fair value disclosure	1,801	0
Fair Value | Level 2 | Senior unsecured notes payable
Financial liabilities:
Notes payable, fair value disclosure	$ 362,500	$ 345,036

Debt - Schedule of Debt (Detail

Debt - Schedule of Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Debt Instrument [Line Items]
Principal Amount	$ 600,000	$ 725,000
Deferred Loan Fees	(4,402)	(5,502)
Carrying Amount	595,598	719,498
Unsecured revolving credit facility(1)
Debt Instrument [Line Items]
Principal Amount	0	125,000
Deferred Loan Fees	0	0
Carrying Amount	0	125,000
Notes payable | Senior unsecured notes payable
Debt Instrument [Line Items]
Principal Amount	400,000	400,000
Deferred Loan Fees	(3,961)	(4,850)
Carrying Amount	396,039	395,150
Term Loan | Senior unsecured term loan
Debt Instrument [Line Items]
Principal Amount	200,000	200,000
Deferred Loan Fees	(441)	(652)
Carrying Amount	$ 199,559	$ 199,348

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, 2023	Dec. 31, 2022	Dec. 31, 2021
Debt Instrument [Line Items]
Loss on extinguishment of debt				$ 0	$ 0	$ 10,827
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)	Dec. 16, 2022 USD ($) extension_option	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Line of Credit Facility [Line Items]
Borrowings outstanding		$ 600,000,000	$ 725,000,000
Borrowings outstanding		0	125,000,000
Unsecured Revolving Credit Facility
Line of Credit Facility [Line Items]
Credit facility borrowing capacity	$ 600,000,000
Borrowings outstanding		0	125,000,000
Borrowings outstanding		0
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	$ 200,000,000
Borrowings outstanding		$ 200,000,000	$ 200,000,000
Term Loan | Senior Unsecured Term Loan | Minimum | Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.50%
Term Loan | Senior Unsecured Term Loan | Minimum | 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, 2023	Dec. 31, 2022
Debt, Fiscal Year Maturity [Abstract]
2024	$ 0
2025	0
2026	200,000
2027	0
2028	400,000
Thereafter	0
Total debt	$ 600,000	$ 725,000

Equity - Narrative (Details)

Equity - Narrative (Details) - ATM Program - USD ($)	Dec. 31, 2023	Sep. 15, 2023	Feb. 24, 2023
Class of Stock [Line Items]
Authorized aggregate offering price of common stock		$ 500,000,000	$ 500,000,000
Remaining offering amount available	$ 274,100,000

Equity - At-The-Market Offering

Equity - At-The-Market Offering (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Class of Stock [Line Items]
Gross proceeds	$ 634,446	$ 47,236	$ 22,946
ATM Program
Class of Stock [Line Items]
Number of shares (shares)	30,869,000	2,405,000	990,000
Average sales price per share (usd per share)	$ 20.86	$ 20	$ 23.74
Gross proceeds	$ 643,802	$ 48,100	$ 23,505
Commissions paid on stock issuance	$ 8,300	$ 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, 2023

Sep. 30, 2023

Jun. 30, 2023

Mar. 31, 2023

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, 2023

Dec. 31, 2022

Dec. 31, 2021

Dividends on common stock

Dividends declared per share (usd per share)

$ 0.28

$ 0.28

$ 0.28

$ 0.28

$ 0.275

$ 0.275

$ 0.275

$ 0.275

$ 0.265

$ 0.265

$ 0.265

$ 0.265

$ 1.12

$ 1.10

$ 1.06

Dividends payment date

Jan. 12, 2024

Oct. 13, 2023

Jul. 14, 2023

Apr. 14, 2023

Jan. 13, 2023

Oct. 14, 2022

Jul. 15, 2022

Apr. 15, 2022

Jan. 14, 2022

Oct. 15, 2021

Jul. 15, 2021

Apr. 15, 2021

Dividends payable as of record date

$ 36,531

$ 32,403

$ 27,853

$ 27,846

$ 27,386

$ 26,683

$ 26,683

$ 26,691

$ 25,755

$ 25,714

$ 25,714

$ 25,633

$ 36,531

$ 27,386

$ 25,755

Dividends record date

Dec. 29, 2023

Sep. 29, 2023

Jun. 30, 2023

Mar. 31, 2023

Dec. 30, 2022

Sep. 30, 2022

Jun. 30, 2022

Mar. 31, 2022

Dec. 31, 2021

Sep. 30, 2021

Jun. 30, 2021

Mar. 31, 2021

Stock-Based Compensation - Narr

Stock-Based Compensation - Narrative (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	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	$ 10.4
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)			3 years	4 years
RSAs | Non-Employees
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)				1 year
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	$ 2.9	$ 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 8 months 12 days

Stock-Based Compensation - Rest

Stock-Based Compensation - Restricted Stock and Performance Awards Activity (Details) - $ / shares	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Shares
Unvested, beginning balance (shares)	573,609
Vested (shares)	(185,767)
Forfeited (shares)	(68,136)
Unvested, ending balance (shares)	510,596	573,609
Weighted Average Share Price
Unvested, beginning balance (usd per share)	$ 20.63
Vested (usd per share)	20.94
Forfeited (usd per share)	20.85
Unvested, ending balance (usd per share)	$ 21.01	$ 20.63
RSAs
Shares
Granted (shares)	166,122	159,663	394,863
Vested (shares)	(138,438)
Weighted Average Share Price
Granted (usd per share)	$ 22.41	$ 19.56	$ 21.92
PSAs
Shares
Granted (shares)	0		108,414
Vested (shares)	(21,337)
Weighted Average Share Price
Granted (usd per share)	$ 0		$ 22.48
Board Awards
Shares
Granted (shares)	24,768
Weighted Average Share Price
Granted (usd per share)	$ 19.38

Stock-Based Compensation - Gran

Stock-Based Compensation - Grants During the Period (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vested (shares)	185,767
RSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	166,122	159,663	394,863
Granted (usd per share)	$ 22.41	$ 19.56	$ 21.92
Grant Date Fair Value	$ 3,722	$ 3,123	$ 8,654
Vested (shares)	138,438
Vest Date Fair Value	$ 2,855
Board Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	24,768
Granted (usd per share)	$ 19.38
Board Awards | Director
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	24,768	25,992	20,266
Granted (usd per share)	$ 19.38	$ 16.93	$ 24.18
Grant Date Fair Value	$ 480	$ 440	$ 490
Vested (shares)	25,992
Vest Date Fair Value	$ 504
PSAs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (shares)	0		108,414
Granted (usd per share)	$ 0		$ 22.48
Grant Date Fair Value	$ 0		$ 2,437
Vested (shares)	21,337
Vest Date Fair Value	$ 438

Stock-Based Compensation - Key

Stock-Based Compensation - Key Assumptions Used in Valuation (Details) - TSR Units - $ / shares	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Key Assumptions Used in Valuation
Risk-free interest rate	4.08%	3.91%	0.60%
Expected stock price volatility	26.44%	52.90%	52.42%
Expected service period	3 years 14 days	3 years 14 days	2 years 11 months 4 days
Expected dividend yield (assuming full reinvestment)	0%	0%	0%
Fair value per share at date of grant (usd per share)	$ 27.41	$ 26.53	$ 29.10

Stock-Based Compensation - Stoc

Stock-Based Compensation - Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Share-Based Payment Arrangement [Abstract]
Stock-based compensation expense	$ 5,153	$ 5,758	$ 10,832

Earnings (Loss) Per Common Sh_3

Earnings (Loss) Per Common Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Numerator:
Net income (loss) attributable to CareTrust REIT, Inc.	$ 53,735	$ (7,506)	$ 71,982
Less: Net income allocated to participating securities	(400)	(440)	(507)
Numerator for basic earnings available to common stockholders	53,335	(7,946)	71,475
Numerator for diluted earnings available to common stockholders	$ 53,335	$ (7,946)	$ 71,475
Denominator:
Weighted-average basic common shares outstanding (shares)	105,956	96,703	96,017
Weighted-average diluted common shares outstanding (shares)	106,152	96,703	96,092
Earnings (loss) per common share attributable to CareTrust REIT, Inc., basic (usd per share)	$ 0.50	$ (0.08)	$ 0.74
Earnings (loss) per common share attributable to CareTrust REIT, Inc., diluted (usd per share)	$ 0.50	$ (0.08)	$ 0.74
Antidilutive unvested restricted stock awards, total shareholder units, performance awards, and forward equity shares excluded from the computation (shares)	475	744	591
Performance Stock Awards
Denominator:
Dilutive performance stock awards (shares)	164	0	75
Forward Equity Agreements
Denominator:
Dilutive performance stock awards (shares)	32	0	0

Variable Interest Entities - Na

Variable Interest Entities - Narrative (Details) $ in Millions	1 Months Ended
	Oct. 31, 2023 USD ($) facility	Sep. 30, 2023 USD ($) facility	Aug. 31, 2023 USD ($)	Sep. 30, 2022 facility	Dec. 31, 2023
JV Partner
Noncontrolling Interest [Line Items]
Preferred ownership (percentage)					100%
Equity ownership percentage (percentage)					50%
JV Partner
Noncontrolling Interest [Line Items]
Ownership percentage held by noncontrolling interest (percentage)					2.50%
JV Partner 97.5%
Noncontrolling Interest [Line Items]
Ownership percentage held by parent (percentage)					97.50%
JV Partner 95%
Noncontrolling Interest [Line Items]
Ownership percentage held by parent (percentage)					95%
Real Estate Acquisition
Noncontrolling Interest [Line Items]
Contributed to JV			$ 2.4
Skilled Nursing Facility
Noncontrolling Interest [Line Items]
Contributed to JV	$ 34.3	$ 25.5
Number of facilities acquired | facility	2	1		4
Real estate property acquired	$ 35.1	$ 26.1
Skilled Nursing Facility | JV Partner
Noncontrolling Interest [Line Items]
Contributed to JV	$ 0.8	$ 0.6

Variable Interest Entities - Sc

Variable Interest Entities - Schedule of Variable Interest Entities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Noncontrolling Interest [Line Items]
Real estate investments, net	$ 1,567,119	$ 1,421,410
Prepaid expenses and other assets, net	23,337	11,690
Total assets	2,084,838	1,620,781
Total liabilities	666,121	$ 771,408
Variable Interest Entity, Primary Beneficiary
Noncontrolling Interest [Line Items]
Real estate investments, net	68,106
Prepaid expenses and other assets, net	2,800
Total assets	70,906
Accounts payable, accrued liabilities and deferred rent liabilities	7,239
Total liabilities	$ 7,239

Commitments and Contingencies -

Commitments and Contingencies - Narrative (Details) $ in Thousands	Dec. 31, 2023 USD ($)
Certain Capital Improvements at Triple-net Leased Facilities
Accounting Policies [Line Items]
Funding commitment	$ 9,200
Portion of funding commitment subject to rent increase at time of funding	$ 2,400
Ensign and Pennant
Accounting Policies [Line Items]
Aggregate required financing of capital expenditures as percentage of initial investment in property (percent)	20%
Tenant ESG Program
Accounting Policies [Line Items]
Authorized annual fund	$ 500

Commitment and Contingencies -

Commitment and Contingencies - Schedule of Commitments and Contingencies (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Accounting Policies [Line Items]
Commitments and contingencies
Remaining Commitment
Accounting Policies [Line Items]
Commitments and contingencies	13,906
Capital expenditures | Remaining Commitment
Accounting Policies [Line Items]
Commitments and contingencies	9,206
Mortgage loans(2) | Remaining Commitment
Accounting Policies [Line Items]
Commitments and contingencies	$ 4,700

Concentration of Risk (Details)

Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2023 facility bed	Dec. 31, 2022 facility bed	Dec. 31, 2021 facility bed	Jun. 01, 2023 facility	Dec. 31, 2020 facility
Concentration Risk [Line Items]
Number of Facilities	226			1
SNF
Concentration Risk [Line Items]
Number of Facilities					9
Campus
Concentration Risk [Line Items]
Number of Facilities	1
CA | SNF
Concentration Risk [Line Items]
Number of Facilities	40	27	27
Number of Beds/Units | bed	4,615	3,048	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities	9	8	8
Number of Beds/Units | bed	1,527	1,359	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	8	5	5
Number of Beds/Units | bed	656	437	449
CA | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	28%	26%	25%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities	40	38	37
Number of Beds/Units | bed	5,123	4,849	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities	3	3	3
Number of Beds/Units | bed	536	536	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	2	3	3
Number of Beds/Units | bed	212	242	242
TX | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	21%	22%	20%
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities	83	83	83
Number of Beds/Units | bed	8,738	8,741	8,756
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities	8	8	8
Number of Beds/Units | bed	997	997	997
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	7	7	4
Number of Beds/Units | bed	661	661	395
Ensign | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	32%	35%	32%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities	13	13	13
Number of Beds/Units | bed	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities	2	2	2
Number of Beds/Units | bed	402	402	402
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	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)	14%	16%	15%

Subsequent Events (Details)

Subsequent Events (Details) $ in Thousands

1 Months Ended

Jan. 03, 2024 USD ($) renewal_option facility

Oct. 31, 2023 USD ($) facility

Sep. 30, 2023 USD ($) facility

Sep. 30, 2022 facility

Feb. 08, 2024 USD ($) facility

Feb. 02, 2024 USD ($) renewal_option facility

Feb. 01, 2024 USD ($) facility

Jan. 01, 2024 USD ($) facility renewal_option

Dec. 31, 2023 USD ($) facility

Jul. 17, 2023 USD ($) facility

Jun. 01, 2023 facility

Jan. 25, 2023 USD ($) renewal_option facility

Dec. 31, 2022 USD ($)

Dec. 31, 2020 facility

Subsequent Event [Line Items]

Principal amount

$ 190,197

Number of facilities | facility

226

1

Interest rate

12%

Assets held for sale, net

$ 15,011

$ 12,291

Mortgage Secured Loan Receivable August 1, 2028 Maturity | Mezzanine Loan

Subsequent Event [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

6 months

Mortgage Secured Loan Receivable August 1, 2028 Maturity | SOFR

Subsequent Event [Line Items]

Interest rate

8.75%

Subservicing fee percentage

0.75%

Mortgage Secured Loan Receivable August 1, 2028 Maturity | Secured Overnight Financing Rate (SOFR) Floor

Subsequent Event [Line Items]

Interest rate

6%

JV Partner

Subsequent Event [Line Items]

Equity ownership percentage (percentage)

50%

Skilled Nursing Facility

Subsequent Event [Line Items]

Contributed to JV

$ 34,300

$ 25,500

Number of facilities acquired | facility

2

1

4

Real estate property acquired

$ 35,100

$ 26,100

Number of facilities | facility

9

Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity

Subsequent Event [Line Items]

Principal amount

$ 15,700

Number of facilities | facility

2

Interest rate

9%

Period of unpaid interest payments due upon prepayment

24 months

Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Mezzanine Loan

Subsequent Event [Line Items]

Principal amount

$ 9,800

Number of facilities | facility

10

Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Minimum

Subsequent Event [Line Items]

Early termination fee

2%

1%

Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Maximum

Subsequent Event [Line Items]

Early termination fee

3%

2%

Skilled Nursing Facility | JV Partner

Subsequent Event [Line Items]

Contributed to JV

$ 800

$ 600

Multi-service campuses

Subsequent Event [Line Items]

Number of facilities | facility

1

Subsequent Event

Subsequent Event [Line Items]

Contributed to JV

$ 10,700

Annual cash rent

$ 1,000

Subsequent Event | New Embassy Lease Agreement

Subsequent Event [Line Items]

Lease term (in years)

10 years

Number of renewal options | renewal_option

2

Lease renewal term (in years)

5 years

Annual cash rent

$ 600

Number of facilities | facility

1

Subsequent Event | Mortgage Secured Loan Receivable August 1, 2028 Maturity

Subsequent Event [Line Items]

Interest rate

11.50%

Subsequent Event | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Mezzanine Loan

Subsequent Event [Line Items]

Number of renewal options | renewal_option

2

Lease renewal term (in years)

6 months

Subsequent Event | Mortgage Secured Loan Receivable August 1, 2028 Maturity | SOFR

Subsequent Event [Line Items]

Interest rate

8.75%

Subservicing fee percentage

0.75%

Subsequent Event | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Secured Overnight Financing Rate (SOFR) Floor

Subsequent Event [Line Items]

Interest rate

6%

Subsequent Event | JV Partner

Subsequent Event [Line Items]

Equity ownership percentage (percentage)

50%

Subsequent Event | JV Partner

Subsequent Event [Line Items]

Contributed to JV

$ 300

Ownership percentage held by parent (percentage)

100%

Subsequent Event | Assisted living

Subsequent Event [Line Items]

Number of facilities acquired | facility

1

Real estate property acquired

$ 11,000

Number of facilities | facility

1

Assets held for sale, net

$ 1,000

Subsequent Event | Assisted living | JV Partner

Subsequent Event [Line Items]

Lease term (in years)

10 years

Number of renewal options | renewal_option

4

Lease renewal term (in years)

5 years

Percentage of fixed rent escalator

2%

Subsequent Event | Skilled Nursing Facility

Subsequent Event [Line Items]

Number of facilities | facility

1

Subsequent Event | Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity

Subsequent Event [Line Items]

Period of unpaid interest payments due upon prepayment

18 months

18 months

Subsequent Event | Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Mezzanine Loan

Subsequent Event [Line Items]

Principal amount

$ 35,000

$ 7,400

Number of facilities | facility

15

1

Subsequent Event | Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Minimum

Subsequent Event [Line Items]

Early termination fee

1%

Subsequent Event | Skilled Nursing Facility | Mortgage Secured Loan Receivable August 1, 2028 Maturity | Maximum

Subsequent Event [Line Items]

Early termination fee

2%

Subsequent Event | Multi-service campuses

Subsequent Event [Line Items]

Number of properties removed | facility

1

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, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	281,689
Buildings and improvements	1,527,054
Cost Capitalized Since Acquisition
Improvements	126,288
Gross Carrying Value
Land	279,276
Buildings and improvements	1,620,014
Total	1,899,290	$ 1,721,871	$ 1,873,806	$ 1,683,205
Accumulated depreciation	(350,732)	$ (315,914)	$ (304,785)	$ (259,803)
Aggregate cost of real estate for federal income tax purposes	1,900,000
Skilled Nursing Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Land	187,074
Buildings and improvements	1,044,381
Cost Capitalized Since Acquisition
Improvements	99,030
Gross Carrying Value
Land	185,374
Buildings and improvements	1,135,033
Total	1,320,407
Accumulated depreciation	(267,859)
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	$ (1,549)
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	$ (3,700)
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	$ (1,103)
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	$ (3,826)
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	$ (4,630)
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	$ (4,054)
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	$ (3,150)
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	$ (4,660)
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	$ (2,434)
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	$ (3,571)
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	$ (3,722)
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	$ (2,986)
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	$ (3,163)
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	$ (2,704)
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	$ (3,872)
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	$ (2,670)
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	$ (2,706)
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	$ (1,745)
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	$ (8,813)
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	$ (1,214)
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	$ (1,945)
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	$ (2,554)
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	$ (1,096)
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	$ (3,036)
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	$ (1,648)
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	$ (2,181)
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	$ (3,108)
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	$ (1,078)
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	$ (2,063)
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	$ (1,815)
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	$ (1,159)
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	$ (6,529)
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	$ (7,046)
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	$ (1,418)
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	$ (4,037)
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	$ (2,353)
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	$ (2,587)
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	$ (589)
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	$ (594)
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	$ (1,214)
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	$ (1,720)
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	$ (1,018)
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	$ (1,986)
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	$ (1,206)
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	$ (2,033)
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	$ (1,374)
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	$ (895)
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	$ (757)
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	$ (1,366)
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	$ (2,025)
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	$ (2,659)
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	$ (696)
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	$ (1,398)
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	$ (2,879)
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	$ (2,334)
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	$ (1,070)
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	$ (3,791)
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	$ 0
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	$ (2,826)
Construction/Renovation date	2008
Acquisition date	2011
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	$ (1,664)
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	$ (1,456)
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	$ (1,914)
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	$ (423)
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	$ (3,211)
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	$ (2,415)
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	$ (866)
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	$ (1,238)
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	$ (974)
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	$ (587)
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	$ (875)
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	$ (1,244)
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	$ (925)
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	2,732
Accumulated depreciation	$ (2,021)
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	$ (1,510)
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	61
Gross Carrying Value
Land	1,668
Buildings and improvements	15,436
Total	17,104
Accumulated depreciation	$ (3,445)
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	$ (1,624)
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	$ (1,080)
Construction/Renovation date	1987
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	$ (3,936)
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	811
Gross Carrying Value
Land	6
Buildings and improvements	1,185
Total	1,191
Accumulated depreciation	$ 0
Construction/Renovation date	2007
Acquisition date	2015
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	$ (1,520)
Construction/Renovation date	1989
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	$ (1,986)
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	$ (3,924)
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	$ (4,411)
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	$ (2,596)
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	$ (976)
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	$ (1,431)
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	$ (594)
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	$ (626)
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	$ (583)
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	336
Gross Carrying Value
Land	775
Buildings and improvements	5,380
Total	6,155
Accumulated depreciation	$ (869)
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	$ (1,985)
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	$ (1,605)
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	$ (340)
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	$ (369)
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	$ (1,247)
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	$ (1,155)
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	$ (1,687)
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	215
Gross Carrying Value
Land	625
Buildings and improvements	12,302
Total	12,927
Accumulated depreciation	$ (1,907)
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	272
Gross Carrying Value
Land	785
Buildings and improvements	9,195
Total	9,980
Accumulated depreciation	$ (1,417)
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	389
Gross Carrying Value
Land	80
Buildings and improvements	4,808
Total	4,888
Accumulated depreciation	$ (723)
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	$ (875)
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	$ (1,447)
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	$ (1,077)
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	$ (1,004)
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	$ (278)
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	$ (136)
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	$ (3,092)
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	$ (2,366)
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	$ (3,419)
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	$ (721)
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	$ (814)
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	$ (1,133)
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	$ (468)
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	$ (2,322)
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	$ (1,232)
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	$ (1,136)
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	$ (776)
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	$ (1,191)
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	$ (1,719)
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	$ (845)
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	$ (1,647)
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	$ (656)
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	504
Gross Carrying Value
Land	183
Buildings and improvements	7,884
Total	8,067
Accumulated depreciation	$ (700)
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	$ (1,446)
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	$ (635)
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	$ (886)
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	$ (594)
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	$ (865)
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	$ (786)
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	$ (421)
Construction/Renovation date	1982
Acquisition date	2022
Skilled Nursing Properties | CTR Partnership, L.P. | Park Bend Rehabilitation and 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	1,877
Buildings and improvements	6,616
Cost Capitalized Since Acquisition
Improvements	717
Gross Carrying Value
Land	1,877
Buildings and improvements	7,333
Total	9,210
Accumulated depreciation	$ (148)
Construction/Renovation date	1988
Acquisition date	2023
Skilled Nursing Properties | CTR Partnership, L.P. | Prairie Ridge Health and Rehabiliation
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	1,301
Buildings and improvements	5,025
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,301
Buildings and improvements	5,025
Total	6,326
Accumulated depreciation	$ (104)
Construction/Renovation date	1987
Acquisition date	2023
Skilled Nursing Properties | CTR Partnership, L.P. | Spalding Post Acute
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	680
Buildings and improvements	11,044
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	680
Buildings and improvements	11,044
Total	11,724
Accumulated depreciation	$ (209)
Construction/Renovation date	2022
Acquisition date	2023
Skilled Nursing Properties | CTR Partnership, L.P. | Casa Azul 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	3,413
Buildings and improvements	10,451
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,413
Buildings and improvements	10,451
Total	13,864
Accumulated depreciation	$ (165)
Construction/Renovation date	2005
Acquisition date	2023
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	$ (2,985)
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	$ (2,694)
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	$ (2,591)
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	$ (2,992)
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	1,978
Gross Carrying Value
Land	2,979
Buildings and improvements	26,595
Total	29,574
Accumulated depreciation	$ (3,082)
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	602
Gross Carrying Value
Land	676
Buildings and improvements	10,840
Total	11,516
Accumulated depreciation	$ (1,350)
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	$ (1,221)
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	$ (1,004)
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	$ (1,025)
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	$ (1,356)
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	$ (901)
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	$ (543)
Construction/Renovation date	1967
Acquisition date	2021
Skilled Nursing Properties | 8665 La Mesa Boulevard, LLC | Community Convalescent Hospital of La Mesa
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	5,346
Buildings and improvements	21,528
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	5,346
Buildings and improvements	21,528
Total	26,874
Accumulated depreciation	$ (321)
Construction/Renovation date	1968
Acquisition date	2023
Skilled Nursing Properties | 7039 Alonda Boulevard, LLC | Paramount Meadows 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	3,640
Buildings and improvements	15,380
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,640
Buildings and improvements	15,380
Total	19,020
Accumulated depreciation	$ (230)
Construction/Renovation date	1969
Acquisition date	2023
Skilled Nursing Properties | 10625 Leffingwell Road, LLC | Norwalk Meadows 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	4,932
Buildings and improvements	14,229
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,932
Buildings and improvements	14,229
Total	19,161
Accumulated depreciation	$ (216)
Construction/Renovation date	1964
Acquisition date	2023
Skilled Nursing Properties | 247 E. Bobier Drive, LLC | La Fuente Post Acute
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	4,882
Buildings and improvements	20,793
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,882
Buildings and improvements	20,793
Total	25,675
Accumulated depreciation	$ (187)
Construction/Renovation date	1990
Acquisition date	2023
Skilled Nursing Properties | Capitola 1935 Realty LLC | Pacific Coast Manor
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	5,231
Buildings and improvements	16,321
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	5,231
Buildings and improvements	16,321
Total	21,552
Accumulated depreciation	$ (70)
Construction/Renovation date	1964
Acquisition date	2023
Skilled Nursing Properties | Morgan Hills Realty LLC | Pacific Hills Manor
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	3,239
Buildings and improvements	14,418
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	3,239
Buildings and improvements	14,418
Total	17,657
Accumulated depreciation	$ (64)
Construction/Renovation date	2014
Acquisition date	2023
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	60,619
Buildings and improvements	301,613
Cost Capitalized Since Acquisition
Improvements	10,884
Gross Carrying Value
Land	60,619
Buildings and improvements	312,497
Total	373,116
Accumulated depreciation	(48,798)
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	$ (2,324)
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	$ (1,676)
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	$ (2,216)
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	$ (3,064)
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	$ (4,944)
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	$ (1,789)
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	$ (856)
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	$ (1,167)
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	$ (1,494)
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	$ (538)
Construction/Renovation date	1980
Acquisition date	2020
Multi-Service Campus Properties | CTR Partnership, L.P. | 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	91
Gross Carrying Value
Land	131
Buildings and improvements	12,590
Total	12,721
Accumulated depreciation	$ (644)
Construction/Renovation date	2003
Acquisition date	2022
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	$ (3,313)
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	$ (1,619)
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	$ (6,116)
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	$ (4,221)
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	$ (1,302)
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	$ (1,304)
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	$ (1,317)
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	$ (998)
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	$ (712)
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	350
Gross Carrying Value
Land	11,176
Buildings and improvements	25,648
Total	36,824
Accumulated depreciation	$ (1,923)
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	$ (2,227)
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	$ (1,459)
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	$ (1,267)
Construction/Renovation date	2000
Acquisition date	2021
Multi-Service Campus Properties | 4075 54th Street, LLC | Jacob 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	4,949
Buildings and improvements	20,227
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	4,949
Buildings and improvements	20,227
Total	25,176
Accumulated depreciation	$ (308)
Construction/Renovation date	1994
Acquisition date	2023
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	33,996
Buildings and improvements	181,060
Cost Capitalized Since Acquisition
Improvements	16,374
Gross Carrying Value
Land	33,283
Buildings and improvements	172,484
Total	205,767
Accumulated depreciation	(34,075)
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	$ (546)
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	$ (1,141)
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	$ (2,045)
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	$ (1,648)
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	737
Accumulated depreciation	$ (546)
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	$ (3,397)
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	289
Gross Carrying Value
Land	430
Buildings and improvements	7,003
Total	7,433
Accumulated depreciation	$ (1,539)
Construction/Renovation date	2011
Acquisition date	2014
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	5,864
Gross Carrying Value
Land	1,489
Buildings and improvements	9,395
Total	10,884
Accumulated depreciation	$ (869)
Construction/Renovation date	2023
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	155
Gross Carrying Value
Land	299
Buildings and improvements	5,820
Total	6,119
Accumulated depreciation	$ (172)
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	3,404
Total	3,529
Accumulated depreciation	$ (102)
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	6
Gross Carrying Value
Land	523
Buildings and improvements	5,334
Total	5,857
Accumulated depreciation	$ (160)
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	923
Gross Carrying Value
Land	207
Buildings and improvements	4,327
Total	4,534
Accumulated depreciation	$ (122)
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	93
Gross Carrying Value
Land	426
Buildings and improvements	7,843
Total	8,269
Accumulated depreciation	$ (237)
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	$ (122)
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	$ (668)
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	44
Gross Carrying Value
Land	242
Buildings and improvements	6,030
Total	6,272
Accumulated depreciation	$ (178)
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	50
Gross Carrying Value
Land	189
Buildings and improvements	5,083
Total	5,272
Accumulated depreciation	$ (148)
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	$ (915)
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	$ (908)
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	$ (510)
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	4,509
Total	4,699
Accumulated depreciation	$ (166)
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	$ (325)
Construction/Renovation date	2021
Acquisition date	2021
Assisted and Independent Living Properties | CTR Partnership, L.P. | Chapters Living of Northwest Chicago
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	1,964
Buildings and improvements	5,650
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,964
Buildings and improvements	5,650
Total	7,614
Accumulated depreciation	$ (106)
Construction/Renovation date	2017
Acquisition date	2023
Assisted and Independent Living Properties | CTR Partnership, L.P. | Chapters Living of Elmhurst
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	2,852
Buildings and improvements	7,348
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	2,852
Buildings and improvements	7,348
Total	10,200
Accumulated depreciation	$ (135)
Construction/Renovation date	2017
Acquisition date	2023
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Ridge at Lansing
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	888
Buildings and improvements	9,871
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	888
Buildings and improvements	9,871
Total	10,759
Accumulated depreciation	$ (163)
Construction/Renovation date	2018
Acquisition date	2023
Assisted and Independent Living Properties | CTR Partnership, L.P. | The Ridge at Beavercreek
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Land	1,165
Buildings and improvements	8,616
Cost Capitalized Since Acquisition
Improvements	0
Gross Carrying Value
Land	1,165
Buildings and improvements	8,616
Total	9,781
Accumulated depreciation	$ (140)
Construction/Renovation date	2018
Acquisition date	2023
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	$ (1,947)
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	$ (1,613)
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	$ (4,100)
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	$ (1,102)
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	$ (3,267)
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	$ (1,238)
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	$ (679)
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	$ (1,707)
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	$ (630)
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, 2023	Dec. 31, 2022	Dec. 31, 2021
Real estate:
Balance at the beginning of the period	$ 1,721,871	$ 1,873,806	$ 1,683,205
Acquisitions	233,876	21,252	190,133
Improvements	8,878	5,896	4,521
Impairment	(10,078)	(29,803)	0
Sales and/or transfers to assets held for sale, net	(55,257)	(149,280)	(4,053)
Balance at the end of the period	1,899,290	1,721,871	1,873,806
Accumulated depreciation:
Balance at the beginning of the period	(315,914)	(304,785)	(259,803)
Depreciation expense	(45,275)	(42,131)	(45,498)
Impairment	2,076	10,232	0
Sales and/or transfers to assets held for sale, net	8,381	20,770	516
Balance at the end of the period	$ (350,732)	$ (315,914)	$ (304,785)

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans on Real Estate - Mortgage Loan (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility	Jun. 01, 2023 facility	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	226	1
Prior Liens	$ 1,170,106
Principal Balance	190,197
Book value	178,568		$ 156,368	$ 15,155	$ 15,000
Aggregate cost of investments in real estate mortgage loans for federal income tax purposes	$ 190,200
Skilled Nursing Facility | Mortgage Secured Loans | West Virginia
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	$ 68,913
Skilled Nursing Facility | Mortgage Secured Loans | California | California, 2025
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	4
Contractual Interest Rate	10.70%
Prior Liens	$ 28,112
Principal Balance	11,713
Book value	$ 11,501
Skilled Nursing Facility | Mortgage Secured Loans | California | California, 2026
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	3
Contractual Interest Rate	12%
Prior Liens	$ 30,294
Principal Balance	3,564
Book value	$ 3,439
Skilled Nursing Facility | Mortgage Secured Loans | Georgia
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	$ 22,962
Skilled Nursing Facility | Mortgage Secured Loans | Florida
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	2
Contractual Interest Rate	9%
Principal Balance	$ 15,727
Book value	$ 15,399
Skilled Nursing Facility | Mezzanine Loans | West Virginia
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	$ 21,799
Assisted living | Mortgage Secured Loans | California | California, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	2
Contractual Interest Rate	9%
Principal Balance	$ 25,993
Book value	$ 26,194
Assisted living | Mortgage Secured Loans | California | California, 2026
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	1
Contractual Interest Rate	9.90%
Principal Balance	$ 6,300
Book value	$ 6,345
Assisted living | Mortgage Secured Loans | Indiana
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Number of facilities | facility	1
Contractual Interest Rate	9%
Principal Balance	$ 2,000
Book value	$ 2,016

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, 2023	Dec. 31, 2022	Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loans, beginning of period	$ 156,368	$ 15,155	$ 15,000
Additions during period:
New mortgage and mezzanine loans	53,834	147,150	0
Interest income added to principal	388	1,165	155
Deductions during period:
Paydowns/Repayments	(25,537)	0	0
Unrealized losses, net	(6,485)	(7,102)	0
Mortgage loans, end of period	$ 178,568	$ 156,368	$ 15,155