NATIONAL HEALTH INVESTORS INC, 10-K filed on 2/25/2025
Annual Report
v3.25.0.1
Cover Page - USD ($)
12 Months Ended
Dec. 31, 2024
Feb. 19, 2025
Jun. 30, 2024
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2024    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-10822    
Entity Registrant Name National Health Investors, Inc.    
Entity Incorporation, State or Country Code MD    
Entity Tax Identification Number 62-1470956    
Entity Address, Address Line One 222 Robert Rose Drive    
Entity Address, City or Town Murfreesboro    
Entity Address, State or Province TN    
Entity Address, Postal Zip Code 37129    
City Area Code (615)    
Local Phone Number 890-9100    
Title of 12(b) Security Common Stock, $0.01 par value    
Trading Symbol NHI    
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 Emerging Growth Company false    
Entity Small Business false    
ICFR Auditor Attestation Flag true    
Document Financial Statement Error Correction [Flag] false    
Entity Shell Company false    
Entity Public Float     $ 2,806,597,661
Entity Common Stock, Shares Outstanding   45,687,942  
Documents Incorporated by Reference
Portions of the registrant’s definitive proxy statement for its 2025 annual meeting of stockholders are incorporated by reference into Part III, Items 10, 11, 12, 13, and 14 of this Annual Report on Form 10-K.
   
Amendment Flag false    
Document Fiscal Year Focus 2024    
Document Fiscal Period Focus FY    
Entity Central Index Key 0000877860    
v3.25.0.1
Audit Information
12 Months Ended
Dec. 31, 2024
Audit Information [Abstract]  
Auditor Name BDO USA, P.C.
Auditor Location Nashville, Tennessee
Auditor Firm ID 243
v3.25.0.1
Consolidated Balance Sheets - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Real estate properties:    
Land $ 191,909 $ 180,749
Buildings and improvements 2,751,071 2,593,696
Construction in progress 10,568 5,913
Real estate properties, gross 2,953,548 2,780,358
Less accumulated depreciation (742,295) (673,276)
Real estate properties, net 2,211,253 2,107,082
Mortgage and other notes receivable, net of reserve of $20,249 and $15,476, respectively 268,926 245,271
Cash and cash equivalents 24,289 22,347
Straight-line rents receivable 87,150 84,713
Assets held for sale, net 0 5,004
Other assets, net 22,753 24,063
Total Assets [1] 2,614,371 2,488,480
Liabilities and Equity:    
Debt 1,146,041 1,135,051
Accounts payable and accrued expenses 37,757 34,304
Dividends payable 41,119 39,069
Deferred income 4,277 6,009
Total Liabilities 1,229,194 1,214,433
Commitments and Contingencies
Redeemable noncontrolling interest 9,790 9,656
National Health Investors Stockholders' Equity:    
Common stock 457 434
Capital in excess of par value 1,736,831 1,603,757
Retained earnings 2,604,829 2,466,844
Cumulative dividends (2,975,642) (2,817,083)
Total National Health Investors, Inc. Stockholders' Equity 1,366,475 1,253,952
Noncontrolling interests 8,912 10,439
Total Equity 1,375,387 1,264,391
Total Liabilities and Equity $ 2,614,371 $ 2,488,480
[1] The consolidated balance sheets include the following amounts related to our consolidated Variable Interest Entities (VIEs): $505.9 million and $513.2 million of Real estate properties, net; $9.7 million and $10.9 million of Cash and cash equivalents; $10.0 million and $9.7 million of Straight-line rents receivable; $7.5 million and $9.4 million of Other assets, net; and $5.7 million and $4.7 million of Accounts payable and accrued expenses as of December 31, 2024 and 2023, respectively.
v3.25.0.1
Consolidated Balance Sheets (Parenthetical) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Statement of Financial Position [Abstract]    
Mortgage and other notes receivable, net of reserve $ 20,249 $ 15,476
Common stock, par value (in usd per share) $ 0.01 $ 0.01
Common stock, shares authorized (in shares) 100,000,000,000 100,000,000,000
Common stock, shares issued (in shares) 45,687,942 43,409,841
Common stock, shares outstanding (in shares) 45,687,942 43,409,841
Real estate properties, net $ 2,211,253 $ 2,107,082
Cash and cash equivalents 24,289 22,347
Straight-line rents receivable 87,150 84,713
Other assets, net 22,753 24,063
Accounts payable and accrued liabilities (37,757) (34,304)
Variable Interest Entity, Primary Beneficiary    
Real estate properties, net 505,900 513,200
Cash and cash equivalents 9,700 10,900
Straight-line rents receivable 10,000 9,700
Other assets, net 7,500 9,400
Accounts payable and accrued liabilities $ (5,700) $ (4,700)
v3.25.0.1
Consolidated Statements of Income - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Revenues:      
Rental income $ 257,049 $ 249,227 $ 217,700
Resident fees and services 54,421 48,809 35,796
Interest income and other 23,711 21,799 24,698
Revenues 335,181 319,835 278,194
Expenses:      
Depreciation 71,443 69,973 70,880
Interest 59,903 58,160 44,917
Other senior housing operating expenses1 42,251 39,587 28,193
Legal 1,052 507 2,555
Franchise, excise and other taxes 38 449 844
General and administrative 20,736 19,314 22,768
Taxes and insurance on leased properties 11,165 11,513 9,788
Loan and realty losses, net 5,295 1,376 61,911
Total operating expenses 211,883 200,879 241,856
Gain (loss) on operations transfer, net 0 20 (710)
Gain on note receivable payoff 0 0 1,113
Loss on early retirement of debt 0 (73) (151)
Gains from equity method investment 402 555 569
Gains on sales of real estate 6,678 14,721 28,342
Gain on forward equity sale agreement, net 6,261 0 0
Other income 0 202 0
Net income (loss) 136,639 134,381 65,501
Add: net loss attributable to noncontrolling interests 1,346 1,273 902
Net income attributable to stockholders 137,985 135,654 66,403
Less: net income attributable to unvested restricted stock awards (118) (57) 0
Net income attributable to common stockholders $ 137,867 $ 135,597 $ 66,403
Weighted average common shares outstanding:      
Basic (in shares) 43,844,771 43,388,794 44,774,708
Diluted (in shares) 44,102,636 43,389,466 44,794,236
Earnings per common share - basic (in usd per share) $ 3.14 $ 3.13 $ 1.48
Earnings per common share - diluted (in usd per share) $ 3.13 $ 3.13 $ 1.48
v3.25.0.1
Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows from operating activities:      
Net income $ 136,639 $ 134,381 $ 65,501
Adjustments to reconcile net income to net cash provided by      
Depreciation 71,443 69,973 70,880
Amortization of deferred loan costs, debt discounts and prepaids 6,583 4,685 4,283
Amortization of commitment fees and note receivable discounts (116) (412) (872)
Amortization of lease incentives 2,893 2,521 7,555
Straight-line lease revenue (3,031) (6,961) 16,681
Non-cash rental income 0 (2,500) (3,000)
Non-cash interest income on mortgage and other notes receivable (124) (1,302) (4,314)
Non-cash lease deposit liability recognized as rental income 0 0 (8,838)
Non-cash lease incentive recognized as interest and other income (100) 0 0
Non-cash gain on equity forward (6,261) 0 0
Gains on sales of real estate (6,678) (14,721) (28,342)
Gain on note receivable payoff 0 0 (1,113)
Loss on operations transfer, net 0 0 710
Loss on early retirement of debt 0 73 151
Gains from equity method investment (402) (555) (569)
Loan and realty losses, net 5,295 1,376 61,911
Payment of lease incentives 0 (10,000) (1,200)
Non-cash share-based compensation 4,182 4,605 8,613
Changes in operating assets and liabilities:      
Other assets, net (4,700) (2,743) (3,534)
Accounts payable and accrued expenses 3,285 5,929 425
Deferred income (1,140) 101 412
Net cash provided by operating activities 207,768 184,450 185,340
Cash flows from investing activities:      
Investment in mortgage and other notes receivable (60,412) (35,625) (79,801)
Collection of mortgage and other notes receivable 19,365 13,465 119,212
Fees received on mortgage note 82 0 0
Acquisition of real estate (138,128) (38,081) (6,364)
Proceeds from sales of real estate 6,179 57,031 168,958
Investments in renovations of existing real estate (15,734) (7,732) (4,629)
Investments in equipment (4,069) (3,743) 0
Distributions from equity method investment 402 3,055 569
Net cash (used in) provided by investing activities (192,315) (11,630) 197,945
Cash flows from financing activities:      
Proceeds from revolving credit facility 449,700 364,000 225,000
Payments on revolving credit facility (363,500) (161,000) (183,000)
Borrowings on term loans 0 200,000 0
Payments on term loans and private placement notes (75,436) (415,427) (135,388)
Deferred loan costs (3,486) (2,747) (4,612)
Distributions to noncontrolling interests (1,151) (1,280) (916)
Proceeds from noncontrolling interests 1,170 2,973 11,738
Taxes remitted on employee stock awards (5,819) 0 (288)
Proceeds from equity offering 142,394 0 0
Equity issuance costs (930) 0 (66)
Dividends paid to stockholders (156,510) (156,238) (161,771)
Payments to repurchase shares of common stock 0 0 (151,951)
Net cash used in financing activities (13,568) (169,719) (401,254)
Increase (decrease) in cash and cash equivalents and restricted cash 1,885 3,101 (17,969)
Cash and cash equivalents and restricted cash, beginning of year 24,617 21,516 39,485
Cash and cash equivalents and restricted cash, end of year 26,502 24,617 21,516
Supplemental disclosure of cash flow information:      
Interest paid, net of amounts capitalized 55,374 51,897 42,659
Supplemental disclosure of non-cash investing and financing activities:      
Real estate acquired in exchange for mortgage notes receivable 22,184 14,200 23,071
Increase in mortgage note receivable from sale of real estate 9,000 2,249 0
Change in other assets related to sales of real estate 0 0 102
Change in accounts payable related to investments in real estate construction 0 325 20
Right of use asset in exchange for lease liability 344 101 0
Operating equipment received in lease termination 0 0 1,287
Change in accounts payable related to renovations of existing real estate (250) 0 (37)
Change in accounts payable related to distributions to noncontrolling interests 16 6 139
Change in accounts payable from debt issuance costs 189 0 0
Increase in accounts payable related to transfer of operations 0 0 300
Reclassification of prepaid equity issuance costs to capital in excess of par value $ 471 $ 275 $ 0
v3.25.0.1
Consolidated Statements of Equity - USD ($)
$ in Thousands
Total
Total National Health Investors Stockholders’ Equity
Common Stock
Capital in Excess of Par Value
Retained Earnings
Cumulative Dividends
Noncontrolling Interests
Beginning balance (in shares) at Dec. 31, 2021     45,850,599        
Beginning balance, amount at Dec. 31, 2021 $ 1,516,983 $ 1,507,083 $ 459 $ 1,591,182 $ 2,416,713 $ (2,501,271) $ 9,900
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Distributions declared to noncontrolling interests, excluding attributable to redeemable noncontrolling interests (1,015)           (1,015)
Net income, excluding loss attributable to redeemable noncontrolling interest 66,344 66,403     66,403   (59)
Reclassification of redeemable noncontrolling interest 1,030           1,030
Equity issuance cost (80) (80)   (80)      
Taxes related to net settlement of equity awards $ (288) (288)   (288)      
Shares issued on stock options exercised (in shares)     6,497        
Repurchases of common stock (in shares) (2,500,000)   (2,468,354)        
Repurchases of common stock $ (151,951) (151,951) $ (25)   (151,926)    
Share-based compensation 8,613 8,613   8,613      
Dividends declared (159,555) (159,555)       (159,555)  
Ending balance (in shares) at Dec. 31, 2022     43,388,742        
Ending balance, amount at Dec. 31, 2022 1,280,081 1,270,225 $ 434 1,599,427 2,331,190 (2,660,826) 9,856
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Noncontrolling interests capital contribution 2,051           2,051
Distributions declared to noncontrolling interests, excluding attributable to redeemable noncontrolling interests (1,286)           (1,286)
Net income, excluding loss attributable to redeemable noncontrolling interest 135,472 135,654     135,654   (182)
Equity issuance cost $ (275) (275)   (275)      
Grants of restricted stock (in shares)     21,000        
Shares issued on stock options exercised (in shares)     99        
Repurchases of common stock (in shares) 0            
Share-based compensation $ 4,605 4,605   4,605      
Dividends declared $ (156,257) (156,257)       (156,257)  
Ending balance (in shares) at Dec. 31, 2023 43,409,841   43,409,841        
Ending balance, amount at Dec. 31, 2023 $ 1,264,391 1,253,952 $ 434 1,603,757 2,466,844 (2,817,083) 10,439
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Noncontrolling interests capital contribution 70           70
Distributions declared to noncontrolling interests, excluding attributable to redeemable noncontrolling interests (1,167)           (1,167)
Net income, excluding loss attributable to redeemable noncontrolling interest 137,555 137,985     137,985   (430)
Equity issuance cost $ (1,401) (1,401)   (1,401)      
Issuance of common stock, net (in shares) 2,065,878            
Issuance of common stock, net $ 142,394 142,394 $ 21 142,373      
Reclassification of asset related to forward equity sale agreement (6,261) (6,261)   (6,261)      
Taxes related to net settlement of equity awards (in shares)     (230)        
Taxes related to net settlement of equity awards $ (5,819) (5,819)   (5,819)      
Grants of restricted stock (in shares)     15,000        
Shares issued on stock options exercised (in shares) 1,065,119   197,453        
Shares issued on stock options exercised $ 2 2 $ 2        
Repurchases of common stock (in shares) 0            
Share-based compensation $ 4,182 4,182   4,182      
Dividends declared $ (158,559) (158,559)       (158,559)  
Ending balance (in shares) at Dec. 31, 2024 45,687,942   45,687,942        
Ending balance, amount at Dec. 31, 2024 $ 1,375,387 $ 1,366,475 $ 457 $ 1,736,831 $ 2,604,829 $ (2,975,642) $ 8,912
v3.25.0.1
Consolidated Statements Equity (Parenthetical) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Stockholders' Equity [Abstract]      
Distributions $ 1,100   $ 40
Noncontrolling interests capital contributions, excluding attributable to redeemable noncontrolling interest 50    
Net income $ 916 $ 1,091 $ (843)
Dividends to common stockholders (in usd per share) $ 3.60 $ 3.60 $ 3.60
Noncontrolling interest capital contribution, excluding attributable to redeemable noncontrolling interest   $ 922  
Reclassification of asset related to forward equity sale agreement $ (6,261)    
v3.25.0.1
Organization and Nature of Business
12 Months Ended
Dec. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization and Nature of Business Organization and Nature of Business
National Health Investors, Inc. (“NHI,” the “Company,” “we,” “us,” or “our”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint venture and mortgage and mezzanine financing of need-driven and discretionary senior housing and medical facility investments. We operate through two reportable segments: Real Estate Investments and Senior Housing Operating Portfolio (“SHOP”).

Our Real Estate Investments segment consists of real estate investments, leases, and mortgage and other notes receivables in independent living facilities (“ILFs”), assisted living facilities (“ALFs”), entrance-fee communities (“EFCs”), senior living campuses (“SLCs”), skilled nursing facilities (“SNFs”) and hospitals (“HOSPs”). As of December 31, 2024, we had gross real estate investments of approximately $2.6 billion in 172 healthcare real estate properties located in 31 states and leased pursuant primarily to triple-net leases to 27 tenants consisting of 106 senior housing communities (“SHO”), 65 SNFs and one HOSP. Our portfolio of eleven mortgages along with other notes receivable totaled $289.2 million, excluding an allowance for expected credit losses of $20.2 million, as of December 31, 2024. Units, beds and property count disclosures in these footnotes to the consolidated financial statements are unaudited.

Our SHOP segment is comprised of two ventures that own the operations of ILFs. For this segment, as of December 31, 2024, we had gross investments of approximately $358.4 million in 15 ILFs located in eight states with a combined 1,732 units that are operated on behalf of the Company by independent managers pursuant to the terms of separate management agreements. The third-party managers, or related parties of the managers, own equity interests in the respective ventures.
v3.25.0.1
Basis of Presentation and Significant Accounting Policies
12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
Basis of Presentation and Significant Accounting Policies Basis of Presentation and Significant Accounting Policies
Principles of Consolidation - The consolidated financial statements include the accounts of the Company, and its wholly owned subsidiaries, joint ventures and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights (“variable interest entities” or “VIEs”) if the Company is deemed to be the primary beneficiary of such entities. All material intercompany transactions and balances are eliminated in consolidation.

A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights.

We evaluate our arrangements with VIEs to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with Financial Accounting Standards Board (“FASB”) guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI would consolidate the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis.

If the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provisions of Accounting Standards Codification (“ASC”) Topic 810, Consolidation. These provisions provide for consolidation of majority-owned entities where a majority voting interest held by the Company demonstrates control of such entities in the absence of any legal constraints.

Our consolidated total assets and liabilities include two consolidated ventures comprising our SHOP activities, each formed with a separate partner - Merrill Gardens, L.L.C. (“Merrill”) and DSHI NHI Holiday LLC (the “Discovery member”), a related party of Discovery Senior Living (“Discovery”). We consider both ventures to be VIEs as the members of each, as a group, lack the characteristics of a controlling financial interest. We are deemed to be the primary beneficiary of each VIE because we have
the ability to control the activities that most significantly impact each VIE’s economic performance and the obligation to absorb losses or the right to receive benefits. Reference Notes 5 and 17 for further discussion of our SHOP ventures.

We also consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, a related party of Discovery, and LCS Timber Ridge LLC (“LCS”), to invest in senior housing facilities. We consider both partnerships to be VIEs as either the members, as a group, lack the characteristics of a controlling financial interest or the total equity at risk is insufficient to finance activities without additional subordinated financial support. NHI directs the activities that most significantly impact economic performance of these partnerships and the obligation to absorb losses or the right to receive benefits, subject to limited protective rights extended to our partners for specified business decisions. Because of our control of these partnerships, we include their assets, liabilities, noncontrolling interests and operations in our consolidated financial statements. Reference Note 17 for further discussion of these consolidated real estate partnerships.

We use the equity method of accounting when we own an interest in an entity over which we can exert significant influence but cannot control the entity’s operations. We discontinue equity method accounting if our investment in an entity (and net advances) is reduced to zero unless we have guaranteed obligations of the entity or are otherwise committed to provide further financial support for the entity. Reference Note 6 for further discussion of our equity method investment.    

We have concluded that the Company is not the primary beneficiary for certain investments where we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance. See Note 17 for information on unconsolidated VIEs.

Noncontrolling Interests - Contingently redeemable noncontrolling interests are recorded at their initial carrying amounts upon issuance and are subsequently adjusted to reflect their share of gains or losses, contributions, and distributions attributable to the noncontrolling interests. In periods where they are or will become probable of redemption, an adjustment to the redemption value of the noncontrolling interests is also recognized through “Capital in excess of par value” on the Company’s Consolidated Balance Sheets and included in our computation of earnings per share. As of December 31, 2024 and 2023, the Merrill SHOP venture noncontrolling interest was classified in the Consolidated Balance Sheets as mezzanine equity, as discussed further in Note 10.

The noncontrolling interests associated with our two consolidated real estate partnerships, and our Discovery member SHOP venture were classified in the Consolidated Balance Sheets as equity as of December 31, 2024 and 2023.

Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Significant assumptions and estimates include purchase price allocations to record investments in real estate, impairment of real estate, and allowance for credit losses. Actual results could differ from those estimates.

Forward Equity Sales - The Company has and may continue to enter into forward sale agreements relating to shares of its common stock, either through its at-the-market (“ATM”) equity program or through underwritten public offerings. These agreements may be physically settled in stock, settled in cash or net share settled at the Company’s election. The forward sale price that we will receive upon physical settlement of the forward sale agreements will be subject to adjustment for (i) a floating interest rate factor equal to a specified daily rate less a spread, and (ii) scheduled dividends during the term of the forward sale agreement. To the extent our forward sales agreements do not meet all the criteria to qualify for equity treatment under ASC 815-40, we recognize the change in the fair value of the derivative in our earnings. The Company evaluated its forward sale agreements and concluded they meet the conditions to be classified within stockholders’ equity as of December 31, 2024.

Shares issuable under a forward equity sales agreement are reflected in the diluted earnings per share calculations for the applicable periods using the treasury stock method. Under this method, the number of shares of our common stock used in calculating diluted earnings per share is deemed to be increased by the excess, if any, of the number of shares of common stock that would be issued upon full physical settlement of the forward equity sales agreement over the number of common shares that could be purchased by us in the market (based on the average market price during the period) using the proceeds receivable upon full physical settlement (based on the average forward price during the reporting period). Reference Note 11 for more discussion.

Earnings Per Share - Our unvested restricted stock awards contain non-forfeitable rights to dividends, and accordingly, these awards are deemed to be participating securities. Therefore, the Company applies the two-class method to calculate basic and diluted earnings. Under the two-class method, we allocate net income attributable to stockholders to common stockholders
and holders of unvested restricted stock by using the weighted-average shares of each class outstanding for quarter-to-date and year-to-date periods, based on their respective participation rights to dividends declared and undistributed earnings. Basic earnings per common share is computed by dividing net income attributable to common stockholders by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per common share reflects the effect of dilutive securities.

Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs.

The three levels of inputs used to measure fair value are as follows:

Level 1 - Quoted prices in active markets for identical assets or liabilities.

Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data.

Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.

If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy.

Real Property Owned - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, personal property and lease and other intangibles. For properties acquired in transactions accounted for as asset purchases, the purchase price, which includes transaction costs, is allocated based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives ranging from 30 to 40 years, and improvements, including any equipment related to the SHOP segment, over their estimated useful lives ranging from 5 to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings.

Expenditures for repairs and maintenance are expensed as incurred.

Impairment of Long-Lived Assets - We evaluate the recoverability of the carrying amount of our long-lived assets when events or circumstances, including significant physical changes, significant adverse changes in general economic conditions or significant deterioration of the underlying cash flows of the long-lived assets, indicate that the carrying amount of the long-lived asset may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows compared to the carrying amount. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the estimated fair value of the long-lived asset.

During the years ended December 31, 2024, 2023 and 2022, we recognized impairment charges of approximately $0.7 million, $1.6 million and $51.6 million, respectively, included in “Loan and realty losses, net” in our Consolidated Statements of Income. Reference Note 3 for more discussion.

Leases - All of our leases within the Real Estate Investment segment are classified as operating leases and generally have an initial leasehold term of 10 to 15 years followed by one or more five-year tenant renewal options. The leases are primarily “triple-net leases” under which the tenant is responsible for the payment of all taxes, utilities, insurance premiums, repairs and
other charges relating to the operation of the properties, including required levels of capital expenditures each year. The tenant is obligated at its expense to keep all improvements, fixtures and other components of the properties covered by “all risk” insurance in an amount equal to at least the full replacement cost thereof, and to maintain specified minimal personal injury and property damage insurance. The leases also require the tenant to indemnify and hold us harmless from all claims resulting from the use, occupancy and related activities of each property by the tenant, and to indemnify us against all costs related to any release, discovery, clean-up and removal of hazardous substances or materials, or other environmental responsibility with respect to each facility. While we do not incorporate residual value guarantees, the lease provisions and considerations discussed above impact our expectation of realizable value from our properties upon the expiration of their lease terms. The residual value of our real estate under lease is still subject to various market, asset, and tenant-specific risks and characteristics. As the classification of our leases is dependent on the fair value of estimated cash flows at lease commencement, management’s projected residual values represent significant assumptions in our accounting for operating leases. Similarly, the exercise of renewal options is also subject to these same risks, making a tenant’s lease term another significant variable in a lease’s cash flows. Initial direct costs that are incremental to entering into a lease are capitalized in accordance with the provisions of ASC Topic 842.

FASB Lease Modifications Related to Effects of the COVID-19 Pandemic - In accordance with the FASB’s question-and-answer document issued in April 2020, we elected to account for qualified rent concessions provided as a result of the coronavirus pandemic (“COVID-19”) as variable lease payments, recorded as rental income when received and not as lease modifications under ASC Topic 842. This guidance was applicable to certain rent concessions granted in 2022. Reference Note 3 for more detail.

Financial Instruments - Credit Losses - We estimate and record an allowance for credit losses upon origination of a loan, based on expected credit losses over the term of the loan and update this estimate each reporting period. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine loans, revolving lines of credit and loans designated as non-performing are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans, revolving lines of credit and loans designated as non-performing are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date.

Calculation of the allowance for credit losses involves significant judgment. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectible.

Cash and Cash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with original maturities of three months or less. Restricted cash includes amounts required to be held on deposit or subject to an agreement (e.g. with a qualified intermediary subject to an exchange agreement pursuant to Section 1031 of the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”) or in accordance with agency agreements governing our mortgages).

The following table sets forth our “Cash and cash equivalents and restricted cash” reported within the Company’s Consolidated Statements of Cash Flows ($ in thousands):
As of December 31,
20242023
Beginning of period:
Cash and cash equivalents$22,347 $19,291 
Restricted cash (included in Other assets, net)
2,270 2,225 
     Cash, cash equivalents, and restricted cash$24,617 $21,516 
End of period:
Cash and cash equivalents$24,289 $22,347 
Restricted cash (included in Other assets, net)
2,213 2,270 
     Cash, cash equivalents, and restricted cash$26,502 $24,617 

Assets Held for Sale - We consider properties to be assets held for sale when (1) management commits to a plan to sell the property, (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we anticipate the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property’s value at the lower of its carrying value or its estimated fair value, less estimated transaction costs. Depreciation and amortization of the property are discontinued. If a property subsequently no longer meets the criteria to be classified as held for sale, it is reclassified as held and used and measured at the lower of i) its original carrying amount before the asset was classified as held for sale, adjusted for any depreciation expense not recognized while it was classified as held for sale, and ii) its fair value.

Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that may exceed federally insured limits. We have not experienced any losses in such accounts. Our mortgage and other notes receivable consist primarily of secured loans on facilities.

Our financial instruments, principally our investments in mortgage and other notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for mortgage and other notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis.

Deferred Loan Costs - Costs incurred to acquire debt are capitalized and amortized by the straight-line method, which approximates the effective-interest method, over the term of the related debt.

Deferred Income - Deferred income primarily includes rents received in advance from tenants and residents and non-refundable commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or tenant expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the contracts and the creditworthiness of the parties.

Revenue Recognition

Rental Income - Our leases generally provide for rent escalators throughout the term of the lease. Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectable and the lease provides for specific contractual escalators. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the tenant over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the tenant once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rent and are excluded from the schedule of minimum lease payments.

If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rents receivable in the Consolidated Balance Sheets and an increase in rental income in the
Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts.

Property operating expenses that are reimbursed by our operators are recorded as “Rental income” in the Consolidated Statements of Income. Accordingly, we record a corresponding expense, reflected as “Taxes and insurance on leased properties” in the Consolidated Statements of Income. Rental income includes reimbursement of property operating expenses for the years ended December 2024, 2023 and 2022, totaling $11.2 million, $11.5 million and $9.8 million, respectively.

Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved.

The Company reviews its operating lease receivables for collectability on a regular basis, taking into consideration changes in factors such as the tenant’s payment history, the financial condition of the tenant, business conditions in which the tenant operates and economic conditions in the area where the property is located. In the event that collectability of substantially all lease payments with respect to any tenant is not probable, a direct write-off of the receivable is made as an adjustment to rental income and any future rental revenue is recognized only when the tenant makes a rental payment. As of December 31, 2024, we had three tenants, including Bickford Senior Living (“Bickford”), on the cash basis of revenue recognition for their lease arrangements. Reference Note 3 for further discussion.

Resident Fees and Services - Resident fees and services revenue associated with our SHOP activities is recognized as the related performance obligations are satisfied and includes resident room charges, community fees and other resident charges.

Residency agreements are generally short term (30 days to one year), and entitle the resident to certain room and care services for a monthly fee billed in advance. Revenue for certain related services is billed monthly in arrears. The Company has elected the lessor practical expedient within ASC 842, Leases, not to separate the lease and nonlease components within our resident agreements as the timing and pattern of transfer to the resident are the same. The Company has determined that the nonlease component is the predominant component within the contract and recognizes revenue under ASC 606, Revenue Recognition from Contracts with Customers.

Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. We identify a mortgage note or other note receivable as non-performing, and is placed on non-accrual status, based on various criteria including timeliness of required payments, compliance with other provisions under the related note agreement, and an evaluation of the borrower’s current financial condition for indicators that it is probable it cannot pay its contractual amounts. A non-performing loan is returned to accrual status at such time as the note becomes contractually current and management believes all future principal and interest will be received according to the contractual terms of the note. As of December 31, 2024, we had one mortgage notes receivable and two mezzanine loans totaling an aggregate of $25.9 million designated as non-performing. Reference Note 4 for further discussion.

Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code. Accordingly, we will generally not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT. A failure to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows.

Certain activities that we undertake may be conducted by subsidiary entities that have elected to be treated as taxable REIT subsidiaries (“TRS”). TRSs are subject to federal, state, and local income taxes. Accordingly, a provision for income taxes has been made in the consolidated financial statements.

Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees.

Our tax returns filed for years beginning in 2021 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our Consolidated Statements of Income as a component of income tax expense.

Segments - We operate our business through two reportable segments: Real Estate Investments and SHOP. In our Real Estate Investments segment, we invest in (i) senior housing and healthcare real estate and lease those properties to healthcare
operating companies under primarily triple-net leases that obligate tenants to pay all property-related expenses and (ii) mortgage and other notes receivable throughout the United States. Our SHOP segment is comprised of the operations of 15 ILFs located throughout the United States that are operated on behalf of the Company by independent managers pursuant to the terms of separate management agreements. Reference Notes 5 and 16 for additional information.

Recent Accounting Pronouncements - In November 2023, the FASB issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The ASU enhances segment disclosures by requiring public entities to provide investors with additional, more detailed information about a reportable segment’s expenses. The ASU also requires disclosure of the chief operating decision maker’s (“CODM”) title and position on an annual basis, as well as an explanation of how the CODM uses the reported measures and other disclosures. We adopted this guidance effective for the year ended December 31, 2024. The adoption of this guidance resulted in additional segment disclosures as disclosed in Note 16.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which includes amendments that further enhance income tax disclosures, primarily through standardization and disaggregation of rate reconciliation categories and income taxes paid by jurisdiction. ASU 2023-09 is effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the potential impact of adoption on our consolidated financial statements or related disclosures.

In November 2024, the FASB issued ASU 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires public entities to disclose, on an annual and interim basis, disaggregated information in the footnotes about specified information related to certain costs and expenses. This guidance is effective for annual periods beginning after December 15, 2026 and interim periods beginning after December 15, 2027, with early adoption permitted. We are currently evaluating the potential impact of this standard on our consolidated financial statements and related disclosures.
v3.25.0.1
Investment Activity
12 Months Ended
Dec. 31, 2024
Real Estate [Abstract]  
Investment Activity Investment Activity
Asset Acquisition

2024 Acquisitions and New Leases of Real Estate

During the year ended December 31, 2024, we completed the following real estate acquisitions within our Real Estate Investments segment ($ in thousands):

OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Encore Senior LivingQ2 20241ALF$1,329 $30,721 $32,050 
Spring ArborQ4 202410ALF10,284 111,038 121,322 
William James Group, LLCQ4 20241ALF452 6,488 6,940 
$12,065 $148,247 $160,312 

In June 2024, we acquired a 110-unit ALF located in Sussex, Wisconsin, from Encore Senior Living. The acquisition price was $32.1 million, including $0.1 million in closing costs, and the cancellation of an outstanding construction note receivable held by us of $22.2 million including interest. We added the facility to an existing master lease with Encore Senior Living for a term of 15 years at an initial lease rate of 8.25% and annual escalators of 2.21%.

In October 2024, we acquired a portfolio of ten assisted living and memory care communities located in North Carolina for a total purchase price of $121.0 million, excluding $0.3 million in closing costs. The 15-year master lease, which includes two five-year extension options, has an initial lease rate of 8.25% with fixed annual escalators of 2%. The master lease includes a $10.0 million lease incentive which will be added to the respective lease base if funded.

In December 2024, we acquired an assisted living and memory care community located in Georgia for a total purchase price of $6.9 million, including $0.1 million in closing costs. We added the facility to an existing 10-year master lease, which includes two five-year extension options, at an initial lease rate of 8.5% with fixed annual escalators of 2%.
2023 Acquisitions and New Leases of Real Estate

During the year ended December 31, 2023, we completed the following real estate acquisitions within our Real Estate Investments segment ($ in thousands):

OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Silverado Senior LivingQ1 20232ALF$3,894 $33,599 $37,493 
BickfordQ1 20231ALF1,746 15,542 17,288 
$5,640 $49,141 $54,781 

In February 2023, we acquired two memory care communities operated by Silverado Senior Living for approximately $37.5 million. The newly developed properties opened in 2022 and include a 60-unit community in Summerlin, Nevada and a 60-unit community in Frederick, Maryland. They are leased pursuant to 20-year leases with a first-year lease rate of 7.5% and annual escalators of 2.0%.

In February 2023, we also acquired a 64-unit assisted living and memory care community in Chesapeake, Virginia from Bickford. The acquisition price was $17.3 million, including the satisfaction of an outstanding construction note receivable of $14.2 million including interest, cash consideration of $0.5 million and approximately $0.1 million in closing costs. The acquisition price also included a reduction of $2.5 million in Bickford’s outstanding rent deferrals that has been recognized in “Rental income.” We added the community to an existing master lease with Bickford at an initial rate of 8.0%.

2025 Acquisitions and New Leases of Real Estate

In January 2025, we acquired a 109-unit assisted living and memory care community in Montrose, Colorado. The acquisition price was $21.2 million, including $0.2 million in closing cost. The 10-year lease, which includes two five-year extension options, has an initial lease rate of 8.0% with fixed annual escalators of 2%.

Asset Dispositions

2024 Asset Dispositions

During the year ended December 31, 2024, we completed the following real estate property dispositions within our Real Estate Investments segment ($ in thousands):
OperatorDatePropertiesAsset ClassNet ProceedsNet Real Estate InvestmentGain
Senior Living ManagementQ2 20242ALF$4,658 $3,240 $1,418 
Bickford Senior Living1
Q4 20241ALF790 665 125 
Senior Living Management2
Q4 20241ALF9,731 5,004 4,727 
4$15,179 $8,909 $6,270 

1Total aggregate impairment charges previously recognized on the property was $0.7 million and $1.2 million for the years ended December 31, 2024 and 2023, respectively.
2The Company provided aggregate financing of approximately $9.4 million, net of discounts, on the transaction in the form of notes receivable, which is included in net proceeds.

Total rental income related to the disposed properties was $1.3 million, $2.6 million and $1.0 million for the years ended December 31, 2024, 2023 and 2022, respectively.

2023 Asset Dispositions

During the year ended December 31, 2023, we completed the following real estate property dispositions within our Real Estate Investments segment ($ in thousands):
OperatorDatePropertiesAsset ClassNet ProceedsNet Real Estate InvestmentGain
Impairment1
BAKA Enterprises, LLC2
Q1 20231ALF$7,478 $7,505 $— $27 
BickfordQ1 20231ALF2,553 1,421 1,132 — 
Chancellor Health Care2
Q2 20231ALF2,355 1,977 378 — 
Milestone Retirement2,3
Q2 20232ALF3,803 3,934 — 131 
Chancellor Health Care3
Q2 20231ALF7,633 6,140 1,493 — 
Milestone Retirement2,3
Q2 20231ALF1,602 1,452 150 — 
Chancellor Health CareQ2 20231ALF23,724 14,476 9,248 — 
Chancellor Health Care2
Q3 20231ALF2,923 2,292 631 — 
Senior Living Management3
Q4 20232ALF5,522 4,770 752 — 
Senior Living Management2
Q4 20231ALF1,515 1,100 415 — 
12$59,108 $45,067 $14,199 $158 

1 Impairments are included in “Loan and realty losses, net” in the Consolidated Statement of Income for the year ended December 31, 2023.
2 Total aggregate impairment charges previously recognized on these properties were $0.3 million and $17.4 million for the years ended December 31, 2023 and 2022, respectively.
3 The Company provided aggregate financing of approximately $2.2 million, net of discounts, on these transactions in the form of notes receivable, which is included net proceeds.

Total rental income related to the disposed properties was $3.3 million and $0.7 million for years ended December 31, 2023 and 2022, respectively.

Assets Held for Sale and Long-Lived Assets

At December 31, 2023, we classified one property in our Real Estate Investments segment as assets held for sale on our Consolidated Balance Sheet that was sold in the fourth quarter of 2024. Rental income associated with the assets held for sale as of December 31, 2023 totaled $0.9 million, $1.7 million and $0.9 million for the years ended December 31, 2024, 2023 and 2022, respectively.

During the year ended December 31, 2024, we recorded impairment charges of approximately $0.7 million for one property that was sold in the fourth quarter of 2024 in our Real Estate Investments segment. During the year ended December 31, 2023, we recorded impairment charges of approximately $1.6 million for four properties of which $0.5 million related to three properties either sold or classified as assets held for sale in our Real Estate Investments segment. Impairment charges are included in “Loan and realty losses, net” in the Consolidated Statements of Income.

We reduce the carrying value of impaired properties to their estimated fair value or, with respect to the properties classified as assets held for sale, to the estimated fair value less costs to sell. To estimate the fair values of the properties, we utilized a market approach which considered binding agreements for sales (Level 1 inputs), non-binding offers to purchase from unrelated third parties broker quotes of estimated values (Level 3 inputs), and/or independent third-party valuations (Level 1 and 3 inputs).

We lease an SLC that is subject to an outstanding purchase and sale agreement for the tenant to acquire the property for approximately $38.5 million. The purchase and sale agreement, as amended, expires in June 2025. The property continues to be classified as held and used and is leased pursuant to the existing triple-net lease that generates approximately $2.8 million in annual rent and expires in July 2027. The property will be reclassified to assets held for sale when the sale becomes probable, including when the tenant demonstrates its ability to obtain sufficient financing to close on the sale of the property within the terms of the purchase and sale agreement. The property had a net investment of $19.1 million as of December 31, 2024.

Tenant Concentration

The following table contains information regarding tenant concentration in our Real Estate Investments segment, excluding $2.6 million for our corporate office, $358.4 million for the SHOP segment, and a credit loss reserve of $20.2 million, based on the percentage of revenues for the years ended December 31, 2024, 2023 and 2022 related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):
As of December 31, 2024
Revenues1
Asset  Gross RealNotesYear Ended December 31,
ClassEstateReceivable202420232022
Senior Living CommunitiesEFC$577,243 $43,916 $53,570 16%$51,274 16%$51,183 18%
Bickford2
ALF428,068 16,072 41,720 12%38,688 12%N/AN/A
National HealthCare CorporationSNF133,770 — 40,016 12%37,335 12%36,893 13%
All others, netVarious1,453,506 229,187 134,289 41%132,216 41%144,534 52%
Escrow funds received from tenants
    for property operating expensesVarious— — 11,165 3%11,513 4%9,788 4%
$2,592,587 $289,175 280,760 271,026 242,398 
Resident fees and services3
54,421 16%48,809 15%35,796 13%
$335,181 $319,835 $278,194 

1 Includes interest income on notes receivable and rental income from properties classified as assets held for sale.
2 Revenues included in All others, net for years when less than 10%.
3 There is no tenant concentration in “Resident fees and services” because these agreements are with individual residents.

At December 31, 2024, the two states in which we had an investment concentration of 10% or more were South Carolina (11.6%) and Texas (10.1%). As of December 31, 2023, the two states in which we had an investment concentration of 10% or more were also South Carolina (12.1%) and Texas (10.7%).

Senior Living Communities

As of December 31, 2024, we leased ten retirement communities totaling 2,232 units to Senior Living Communities, LLC (“Senior Living”). In 2024, the Senior Living leases were amended to extend the maturity dates by two years and to provide up to $10.0 million of capital improvements on various properties. Rental revenue will increase at a lease rate of 8.5% applied to the amount expended. We recognized straight-line lease revenue of $(0.2) million, $(1.2) million and $0.4 million from Senior Living for the years ended December 31, 2024, 2023 and 2022, respectively.

Bickford

As of December 31, 2024, we leased 38 facilities to Bickford under four leases. Bickford has been on the cash basis of revenue recognition since the second quarter of 2022 based upon information obtained from Bickford regarding its financial condition that raised substantial doubt as to its ability to continue as a going concern. As a result, we wrote off approximately $18.1 million of straight-line rents receivable and $7.1 million of lease incentives, that were included in “Other assets, net” on the Consolidated Balance Sheet, to rental income in 2022.

Effective April 1, 2024, the combined rent for the Bickford leased portfolio was reset to $34.5 million per year with nominal increases through April 1, 2026, at which time the rent will be reset to a fair market value based on the Consumer Price Index (“CPI”). Base rent will escalate annually thereafter based on either a fixed percentage or CPI subject to a floor of 2% and a ceiling of 3%. As part of the related lease amendments, we agreed to fund up to $8.0 million of capital improvements on various properties. Rental revenue will increase at a lease rate of 8.0% applied to the amount expended.

During the years ended December 31, 2024, 2023 and 2022, Bickford repaid $5.1 million $2.3 million and $0.2 million of its outstanding rent deferrals, respectively. These amounts exclude $2.5 million and $3.0 million of rental income for the years ended December 31, 2023 and 2022, respectively, related to the reduction of rent deferrals in connection with the acquisition of two ALFs located in Virginia from Bickford through notes receivables conversions. As of December 31, 2024, Bickford’s outstanding rent deferrals were $12.9 million.

In November 2024, we disposed of one ALF located in Indiana from the Bickford portfolio that is included in the “2024 Asset Dispositions” table above.
During 2022, we transferred one ALF located in Pennsylvania from the Bickford portfolio to a new operator that is leased pursuant to a ten-year triple-net lease and wrote off approximately $0.7 million in a straight-line rents receivable, reducing rental income.

National HealthCare Corporation (“NHC”)

As of December 31, 2024, we leased three ILFs and 32 SNFs to NHC, a publicly held company, under a master lease (four of which were subleased to other parties for whom the lease payments were guaranteed to us by NHC) that expires on December 31, 2026. There are two five-year renewal options at a fair rental value as negotiated between the parties. In addition to the base rent, NHC pays any additional rent and percentage rent as required by the master lease. Under the terms of the master lease, the base annual rent escalates by 4% of the increase, if any, in each facility’s annual revenue over a base year and is referred to as “percentage rent.”.

The following table summarizes the percentage rent income from NHC ($ in thousands):

Year Ended December 31,
202420232022
Current year$5,518 $3,862 $3,332 
Prior year final certification1
1,656 630 (206)
Total percentage rent income$7,174 $4,492 $3,126 
1 For purposes of the percentage rent calculation described in the master lease agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year.

One of the members of our Board of Directors is also a member of NHC’s board of directors. Our former chairperson, Mr. W. Andrew Adams, was also a director of NHC. Mr. W. Andrew Adams retired from our Board of Directors effective December 31, 2024. As of December 31, 2024, NHC owned 1,630,642 shares of our common stock.

Cash Basis Operators

We had three tenants on the cash basis of accounting for revenue recognition for their leasing arrangements based on our assessment of each tenant’s ability to satisfy its contractual obligations as of December 31, 2024. Cash rents received from these tenants for the years ended December 31, 2024, 2023 and 2022 were as follows ($ in thousands):

Year Ended December 31,
202420232022
Bickford1,2
$38,971 $33,352 $27,650 
All others3
11,010 12,444 7,681 
Total cash rent received from cash basis operators$49,981 $45,796 $35,331 

1Excludes $2.5 million and $3.0 million of rental income related to the reduction of rent deferrals recognized in connection with the acquisition of two ALFs located in Virginia from Bickford for the years ended December 31, 2023 and 2022, respectively.
2Excludes the impact of write-offs of $18.1 million in total straight-line rents receivable and $7.1 million of lease incentives during the year ended December 31, 2022.
3Excludes the impact of write-offs of $9.0 million in total straight-line rents receivable during the year ended December 31, 2022.

Included in rental income are amounts received from prior rent deferrals granted to cash basis tenants totaling $9.0 million, $2.8 million and $0.3 million for the years ended December 31, 2024, 2023 and 2022, respectively.

Senior Living Management

In 2022, we converted four properties leased to Senior Living Management (“SLM”) to the cash basis of accounting. In late September 2024, SLM notified us that ongoing liquidity constraints raised doubts about SLM’s ability to sustain its operations and pay its contractual rent and interest obligations prospectively. In the fourth quarter of 2024, one property was transitioned to a new operator under a new lease agreement, as previously planned, one property classified as assets held for sale in 2023 was sold, and the remaining two leased properties with a net book value of $6.8 million as of December 31, 2024, were transitioned pursuant to interim management agreements and subsequently transitioned to the interim manager pursuant to a new triple-net lease in January 2025.
Total cash rent received from SLM recognized for the years ended December 31, 2024, 2023 and 2022 was $2.7 million, $5.4 million and $3.7 million, respectively. Reference Note 4 for further discussion on the two non-performing notes receivable from SLM.

Other Portfolio Activity

Tenant Transitions

In addition to the ALF previously leased to SLM that was transitioned as discussed above, we transitioned an SNF in Wisconsin and an ALF in Alabama to new operators in 2024. We wrote off to “Rental income” the straight-line rents receivable of approximately $1.6 million associated with two of the terminated leases.

Tenant Purchase Options

Certain of our leases contain purchase options allowing tenants to acquire the leased properties at a fixed base price plus a specified share in any appreciation, fixed base price, or a fixed minimum internal rate of return on our investment. At December 31, 2024, tenants had purchase options on four properties with an aggregate net investment of $77.2 million that will become exercisable between 2027 and 2031. Rental income from these properties with tenant purchase options was $8.8 million, $7.2 million and $7.0 million for the years ended December 31, 2024, 2023 and 2022, respectively.

We cannot reasonably estimate at this time the probability that any purchase options will be exercised in the future. Consideration to be received from the exercise of any tenant purchase option is expected to exceed our net investment in the leased property or properties.

Lease Costs

As of December 31, 2024, we are a lessee under a ground lease related to an ALF located in Ohio. For the years ended December 31, 2024, 2023 and 2022, the expense associated with this operating lease was $0.1 million and is included within “General and administrative expense” on the Consolidated Statements of Income. Future minimum lease payments are approximately $0.1 million annually for 2025 through 2029 with cumulative payments of $2.1 million thereafter reflecting an aggregate of $1.2 million of imputed interest. At December 31, 2024, the discount rate for this lease approximated 4.7%. Supplemental balance sheet information related to the lease is as follows ($ in thousands):
As of December 31,
20242023
Buildings and improvements - right of use asset$1,524 $1,562 
Accounts payable and accrued expenses - lease liability$1,685 $1,705 

Rent Concessions

During 2022 we granted approximately $9.3 million in rent concessions to tenants whose operations were adversely affected by COVID-19. These concessions were accounted for as variable lease payments, reducing rental income. Bickford accounted for $4.0 million of the concessions. There were no rent concessions accounted for as variable lease payments granted for the years ended December 31, 2024 or 2023.

Future Minimum Lease Payments

Future minimum lease payments to be received by us under our operating leases, including cash basis tenants, at December 31, 2024 are as follows ($ in thousands):
Year Ending December 31, Amount
2025$247,712 
2026254,499 
2027208,589 
2028203,933 
2029194,283 
Thereafter845,337 
$1,954,353 

Variable Lease Payments

Most of our leases contain annual escalators in rent payments. Some of our leases contain escalators that are determined annually based on a variable index or other factors that are indeterminable at the inception of the lease. The table below indicates the rental income recognized as a result of fixed and variable lease escalators ($ in thousands):

Year Ended December 31,
202420232022
Lease payments based on fixed escalators$234,672 $225,565 $226,873 
Lease payments based on variable escalators11,074 7,709 5,275 
Straight-line rent income, net of write-offs3,031 6,961 (16,681)
Escrow funds received from tenants for property operating expenses11,165 11,513 9,788 
Amortization and write-off of lease incentives(2,893)(2,521)(7,555)
Rental income$257,049 $249,227 $217,700 
v3.25.0.1
Mortgage and Other Notes Receivable
12 Months Ended
Dec. 31, 2024
Mortgage and Other Notes Receivable [Abstract]  
Mortgage and Other Notes Receivable Mortgage and Other Notes Receivable
At December 31, 2024, our investments in mortgage notes receivable totaled $175.8 million secured by real estate and other assets of the borrowers (e.g., Uniform Commercial Code liens on personal property) related to 16 facilities, and our investments in other notes receivable totaled $113.4 million, substantially all of which were guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner. At December 31, 2023, our investments in mortgage notes receivable totaled $162.4 million and other notes receivable totaled $98.3 million. These balances exclude a credit loss reserve of $20.2 million and $15.5 million at December 31, 2024 and 2023, respectively.

Non-performing Loans

As of December 31, 2024 and 2023, we had three loans designated as non-performing including a mortgage note receivable of $10.0 million and a mezzanine loan of $14.5 million due from affiliates of SLM. As of December 31, 2023, we had designated a mortgage note receivable of $2.1 million, due from Bickford, as non-performing. In the fourth quarter of 2024, we received $0.7 million to settle this mortgage note receivable upon sale of the underlying property securing the loan. We executed a new unsecured loan with Bickford for the remaining balance of the mortgage loan of approximately $1.4 million, on which we maintain a full reserve.

Interest income recognized, representing cash received, from these non-performing loans was $1.3 million, $1.8 million and $1.7 million, respectively, for the years ended December 31, 2024, 2023 and 2022. All other loans were on full accrual basis at December 31, 2024 and 2023. The credit loss reserve related to non-performing loans totaled $16.1 million and $11.9 million at December 31, 2024 and 2023, respectively. The credit loss reserve was increased $3.6 million during the third quarter of 2024 related to the $14.5 million mezzanine loan due from SLM based upon further deterioration in SLM’s liquidity. Reference Note 3 for further discussion. In February 2025, we received ownership of the property securing the $10.0 million mortgage note receivable in lieu of foreclosure. The fair value of the real estate assets was estimated at approximately $8.6 million, consistent with our net carrying value of the mortgage loan as of December 31, 2024.

2024 Mortgage and Other Notes Receivable

Carriage Crossing Senior Living Bloomington
In February 2024, we funded $15.0 million on a mortgage note receivable with Carriage Crossing Senior Living Bloomington (“Carriage Crossing”), with an additional $2.0 million available to be funded contingent upon the performance of facility operations until March 31, 2027. The five-year loan agreement provides for an annual interest rate of 8.75% and two one-year extensions with an option for the Company to purchase the facility after February 2026.

Compass Senior Living, LLC

In June 2024, we funded $9.5 million on a mortgage note receivable secured by two facilities with Compass Senior Living, LLC. The five-year loan agreement provides for an annual interest rate of 8.5% with an option for the Company to purchase one or both facilities after July 2026.

The Sanders Trust, LLC

In August 2024, we entered into an agreement to fund up to $27.7 million on a construction loan with TST Lake City IRF, LLC for the development of an in-patient rehabilitation facility to be located in Lake City, Florida. The four-year loan agreement provides for an annual interest rate of 9.0% and two one-year extensions. As of December 31, 2024, $7.4 million was outstanding on the loan.

Capital Funding Group, Inc. Loan Extension

In November 2024, we amended a mezzanine loan with Capital Funding Group, Inc. Pursuant to the terms of the related amended loan agreement, the loan balance increased from $25.0 million to $50.0 million. The loan bears interest at an annual rate of 10.0% and matures December 31, 2028.

Montecito Medical Real Estate

We have a $50.0 million mezzanine loan and security agreement with Montecito Medical Real Estate for a fund that invests in medical real estate, including medical office buildings, throughout the United States. In 2024, approximately $4.5 million of principal was repaid upon the sale by the fund of three of the underlying properties. As of December 31, 2024, $15.6 million was outstanding on the loan associated with six medical office buildings with a combined purchase price of approximately $64.7 million. In January 2025, we received an additional $6.2 million in principal repayment upon the sale of an additional property by the fund.

Interest accrues at an annual rate ranging between 7.5% and 9.5% that is paid monthly in arrears. Deferred interest accrues at an additional annual rate ranging between 2.5% and 4.5% to be paid upon certain future events including repayments, sales of fund investments, and refinancings. The deferred interest will be recognized as interest income upon receipt. For the years ended December 31, 2024, 2023 and 2022, we received interest of $1.9 million, $1.8 million and $1.8 million, respectively. Funds drawn in accordance with this agreement are required to be repaid on a per-investment basis five years from deployment of the funds for the applicable investment, subject to two one-year extensions.

2023 Mortgage and Other Notes Receivable

Capital Funding Group, Inc. Loan Extension

In September 2023, we amended a mezzanine loan with Capital Funding Group, Inc. Pursuant to the terms of the related amended loan agreement, the loan increased from its balance of $8.1 million to $25.0 million. The interest rate on the loan was increased to 10% and the maturity was extended to December 31, 2028.

Other Activity

Bickford Construction and Mortgage Loans

At December 31, 2024, we had one fully funded construction loan of $14.7 million outstanding to Bickford. The construction loan is secured by a first mortgage lien on substantially all of the related real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreement, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the property upon stabilization of the underlying operations.
As of December 31, 2023, we had designated a mortgage note receivable of $2.1 million, due from Bickford, as non-performing. In the fourth quarter of 2024, we received $0.7 million to settle this mortgage note receivable upon sale of the underlying property securing the loan. We executed a new unsecured loan with Bickford for the remaining balance of the mortgage loan of approximately $1.4 million, on which we maintain a full reserve. This note receivable bears interest at a 9% annual rate and matures in May 2033.

At December 31, 2024, we held a $12.2 million second mortgage as a component of the purchase price consideration in connection with the sale of properties to Bickford. This second mortgage notes receivable bears interest at a 10% annual rate and matures in April 2026. Interest income was $1.3 million, $1.2 million and $1.3 million for the years ended December 31, 2024, 2023 and 2022, respectively, related to the second mortgage. We did not include this mortgage notes receivable in the determination of the gain recognized upon sale of the portfolio. Therefore, this mortgage notes receivable is not reflected in “Mortgage and other notes receivable, net” in the Consolidated Balance Sheets as of December 31, 2024 and 2023. During the years ended December 31, 2024 and 2023 Bickford repaid $0.4 million and $0.3 million, respectively, of principal on this mortgage notes receivable which is reflected in “Gains on sales of real estate” in the Consolidated Statements of Income.

Senior Living

We have provided a $20.0 million revolving line of credit to Senior Living whose borrowings under the revolver are to be used for working capital needs and to finance construction projects within its portfolio, including building additional units. Beginning January 1, 2025, availability under the revolver was reduced to $15.0 million. The revolver matures in December 2031 at the time of the Senior Living lease maturity. At December 31, 2024, the $11.3 million outstanding under the revolver bore interest at 8.0% per annum.

The Company also has a mortgage loan of $32.7 million with Senior Living that originated in July 2019 for the acquisition of a 248-unit CCRC in Columbia, South Carolina. The mortgage loan matures in July 2025, which may be extended for one-year, and bears interest at an annual rate of 7.25%. Additionally, the loan conveys to NHI a purchase option at a stated minimum price of $38.3 million, subject to adjustment for market conditions.

Credit Loss Reserve

Our principal measures of credit quality, except for construction mortgages, are debt service coverage for amortizing loans and interest or fixed charge coverage for non-amortizing loans, collectively referred to as “Coverage.” A Coverage ratio provides a measure of the borrower’s ability to make scheduled principal and interest payments. The Coverage ratios presented in the table below have been calculated utilizing the most recent date for which data is available, September 30, 2024, using EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) and the requisite debt service, interest service or fixed charges, as defined in the applicable loan agreement. We categorize Coverage into three levels: (i) more than 1.5x, (ii) between 1.0x and 1.5x, and (iii) less than 1.0x. We update the calculation of Coverage on a quarterly basis. Coverage is not a meaningful credit quality indicator for construction mortgages as either these developments are not generating any operating income, or they have insufficient operating income as occupancy levels necessary to stabilize the properties have not yet been achieved. We measure credit quality for these mortgages by considering the construction and stabilization timeline and the financial condition of the borrower as well as economic and market conditions. The tables below present outstanding note balances as of December 31, 2024 at amortized cost.

We consider the guidance in ASC 310-20, Receivables - Nonrefundable Fees and Other Costs, when determining whether a modification, extension or renewal constitutes a current period origination. The credit quality indicator as of December 31, 2024, is presented below for the amortized cost, net by year of origination ($ in thousands):
20242023202220212020PriorTotal
Mortgages
more than 1.5x$16,589 $— $42,465 $— $— $32,666 $91,720 
between 1.0x and 1.5x23,877 725 28,387 — — 6,423 59,412 
less than 1.0x— — — — — 14,700 14,700 
40,466 725 70,852 — — 53,789 165,832 
Mezzanine
more than 1.5x— 524 — 13,137 — — 13,661 
between 1.0x and 1.5x— — — 18,998 — — 18,998 
less than 1.0x24,760 229 — — — 25,000 49,989 
24,760 753 — 32,135 — 25,000 82,648 
Non-performing
more than 1.5x— — — — — 10,000 10,000 
between 1.0x and 1.5x1,369 — — — — 14,500 15,869 
1,369 — — — — 24,500 25,869 
Revolver
more than 1.5x14,476 
between 1.0x and 1.5x350 
14,826 
Credit loss reserve(20,249)
$268,926 

Due to the continuing challenges in financial markets and the potential impact on the collectability of our mortgage and other notes receivable, we forecasted a 20% increase in the probability of a default and a 20% increase in the amount of loss from a default on all loans, other than those designated as non-performing, resulting in an effective adjustment of 40%. The methodology for estimating the reserves for non-performing loans incorporates the sufficiency of the underlying collateral and the current conditions and forecasts of future economic conditions of these loans, including qualitative factors, which may differ from conditions existing in the historical periods.

The allowance for expected credit losses is presented in the following table for the year ended December 31, 2024 ($ in thousands):
Balance at January 1, 2024$15,476 
Provision for expected credit losses4,773 
Balance at December 31, 2024$20,249 
v3.25.0.1
Senior Housing Operating Portfolio Structure
12 Months Ended
Dec. 31, 2024
Senior Housing Operating Portfolio Formation Activities [Abstract]  
Senior Housing Operating Portfolio Structure Senior Housing Operating Portfolio Structure
Our SHOP segment is comprised of two ventures that own the operations of 15 ILFs. These ventures are structured to comply with REIT requirements and utilize the TRS for activities that would otherwise be non-qualifying for REIT purposes. The properties in each venture are operated by a property manager in exchange for a management fee. The ventures were capitalized with preferred and common equity interests, with the Company owning 100% of the preferred equity and a controlling common equity interest in each venture. The managers, or related parties of the managers, own a non-controlling common equity interest in their respective ventures. Each venture is discussed in more detail below.

Merrill Managed Portfolio

We have six ILFs located in California and Washington in a consolidated venture with Merrill. Merrill initially contributed $10.6 million in cash for its 20% common equity interest in the venture. For the years ended December 31, 2024, and 2023, the members contributed an additional $5.5 million and $4.6 million, respectively, to fund additional capital expenditures, of which Merrill contributed approximately $1.1 million and $0.9 million in cash in accordance with its common equity interest percentage in the venture. The operating agreement for the venture provides for contingent distributions to the members based on the attainment of certain yields on investment calculated on an annual basis.
The properties are managed by Merrill pursuant to a management agreement with an initial term through March 2032 that automatically renews on a year-to-year basis thereafter unless terminated by either party with notice. The management agreement entitles Merrill to a base management fee of 5% of net revenue and a real estate services fee of 5% of real estate costs incurred during any calendar year that exceed $1,000 times the number of units at each facility. The noncontrolling interest associated with the venture was determined to be contingently redeemable and is classified in mezzanine equity on the Consolidated Balance Sheets as of December 31, 2024 and 2023, as discussed further in Note 10.

Discovery Managed Portfolio

We have nine ILFs located in Arkansas, Georgia, Ohio, Oklahoma, New Jersey, and South Carolina in a consolidated venture with the Discovery member, which owns a 2% common equity interest in the venture. For the years ended December 31, 2024 and 2023, the members contributed an additional $3.5 million and $2.6 million, respectively, to fund additional capital expenditures, of which the Discovery member contributed approximately $0.1 million and $0.1 million, respectively, in cash in accordance with its common equity interest percentage in the venture. The operating agreement for the venture provides for contingent distributions to the members based on the attainment of certain yields on investment calculated on an annual basis. At inception, the noncontrolling interest associated with this venture was determined to be contingently redeemable and classified in mezzanine equity on the Consolidated Balance Sheet. Effective in the fourth quarter of 2022, the operating agreement was amended, resulting in the noncontrolling interest no longer being contingently redeemable. The noncontrolling interest associated with the venture is included in “Equity” on the Consolidated Balance Sheets as of December 31, 2024 and 2023.

The properties are managed by separate related parties of Discovery pursuant to management agreements, each with an initial term through March 2032 that automatically renews on a year-to-year basis thereafter unless terminated by either party with notice. The management agreements entitle the managers to a base management fee of 5% of net revenue.
v3.25.0.1
Equity Method Investment
12 Months Ended
Dec. 31, 2024
Equity Method Investments and Joint Ventures [Abstract]  
Equity Method Investment Equity Method Investment
Concurrently with the acquisition of a CCRC from LCS-Westminster Partnership III, LLP in January 2020, we invested $0.9 million in the operating company, Timber Ridge OpCo, LLC (“Timber Ridge OpCo”) representing a 25% equity interest. This investment is held by our TRS to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act (“RIDEA”) of 2007. As part of our investment, we provided Timber Ridge OpCo a revolving credit facility of up to $5.0 million of which no funds have been drawn.

We account for our investment in Timber Ridge OpCo under the equity method and decrease the carrying value of our investment for losses in the entity and distributions to NHI for cumulative amounts up to and including our basis plus any guaranteed or implied commitments to fund operations. In February 2023, we received $2.5 million from Timber Ridge OpCo, representing the Company’s proportionate share of the lease incentive earned, as discussed in Note 7, based on its equity interest in the entity. Our guaranteed and implied commitments are currently limited to the additional $5.0 million under the revolving credit facility and the $2.5 million lease incentive distribution received. As of December 31, 2024 and 2023, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses of $5.0 million in excess of our original basis and the $2.5 million lease incentive distribution received are included in “Accounts payable and accrued expenses” in our Consolidated Balance Sheets as of December 31, 2024 and 2023. Excess unrecognized equity method losses for this investment for both the years ended December 31, 2024 and 2023 were $2.7 million. Cumulative unrecognized losses for this investment were $12.2 million through December 31, 2024. We recognized gains of approximately $0.4 million, $0.6 million and $0.6 million representing cash distributions received related to our investment in Timber Ridge OpCo for the years ended December 31, 2024, 2023 and 2022 respectively.

The Timber Ridge OpCo property is subject to early resident mortgages secured by a Deed of Trust and Indenture of Trust (the “Deed and Indenture”). As part of our acquisition, NHI-LCS JV I, LLC (“Timber Ridge PropCo”) acquired the Timber Ridge CCRC property and a subordination agreement was entered into pursuant to which the trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the $81.0 million loan made by NHI to Timber Ridge PropCo, which is eliminated upon consolidation. In addition, under the terms of the resident loan assumption agreements, during the term of the lease (seven years with two five-year renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these early resident mortgage liabilities under the guarantee. As a result of the subordination agreement and the resident loan assumption agreements, no liability has been recorded as of December 31, 2024. The balance secured by the Deed and Indenture was $10.3 million at December 31, 2024.
v3.25.0.1
Other Assets
12 Months Ended
Dec. 31, 2024
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Other Assets Other Assets
Other assets, net consist of the following ($ in thousands):
December 31, 2024December 31, 2023
SHOP accounts receivable, net of allowance of $494 and $343, and other assets
$2,232 $1,620 
Real estate investments accounts receivable and prepaid expenses4,223 3,296 
Lease incentive payments, net7,877 10,669 
Regulatory escrows6,208 6,208 
Restricted cash2,213 2,270 
$22,753 $24,063 

In February 2023, Timber Ridge PropCo, the consolidated senior housing partnership with LCS that owns the Timber Ridge CCRC, paid a $10.0 million lease incentive earned by Timber Ridge OpCo. The lease incentive is being amortized on a straight-line basis through the remaining initial lease term ending January 2027.
v3.25.0.1
Debt
12 Months Ended
Dec. 31, 2024
Debt Instruments [Abstract]  
Debt Debt
Debt consisted of the following ($ in thousands):
December 31, 2024December 31, 2023
Revolving credit facility - unsecured$331,200 $245,000 
Bank term loans - unsecured200,000 200,000 
2031 Senior Notes - unsecured, net of discount of $1,956 and $2,278
398,044 397,722 
Private placement notes - unsecured150,000 225,000 
Fannie Mae term loans - secured, non-recourse75,815 76,241 
Unamortized loan costs(9,018)(8,912)
$1,146,041 $1,135,051 

Aggregate principal maturities of debt as of December 31, 2024 for each of the next five years and thereafter are included in
the table below. These maturities do not include the impact of any debt incurred or repaid subsequent to December 31, 2024 ($ in thousands):

For The Year Ending December 31,
2025$325,815 
2026— 
2027100,000 
2028331,200 
2029— 
Thereafter400,000 
1,157,015 
Less: discount(1,956)
Less: unamortized loan costs(9,018)
$1,146,041 

Unsecured revolving credit facility and bank term loan

We have a $700.0 million unsecured revolving credit facility (the “Credit Facility”), which was amended and restated on October 24, 2024 to extend the maturity date from March 2026 to October 2028, which may be further extended by us pursuant to (i) one or both of the two six-month extension options or (ii) one twelve-month extension option. Borrowings under the Credit Facility bear interest, at our election, at one of the following (a) Term Secured Overnight Financing Rate (“SOFR”) (plus a credit spread adjustment) plus a margin ranging from 0.725% to 1.40%, (b) Daily SOFR (plus a credit spread adjustment) plus
a margin ranging from 0.725% to 1.40% or (c) the base rate plus a margin ranging from 0.00% to 0.40%. In each election, the actual margin is determined according to our credit ratings. The base rate means, for any day, a fluctuating rate per annum equal to the highest of (x) the agent’s prime rate, (y) the federal funds rate on such day plus 0.50% or (z) the adjusted Term SOFR for a one-month tenor in effect on such day plus 1.0%. In addition, the Credit Facility requires a facility fee equal to 0.125% to 0.30%, based on our credit rating on the $700.0 million committed capacity, without regard to usage. We expensed approximately $0.2 million of unamortized loan costs and incurred approximately $3.6 million in costs related to the Credit Facility during the year ended December 31, 2024.

At December 31, 2024, we had $368.8 million available to draw on the Credit Facility, subject to usual and customary covenants. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. At December 31, 2024, we were in compliance with these ratios.

In 2023, we repaid $20.0 million of a term loan due in 2023 (the “2023 Term Loan”). In June 2023, we entered into a two-year $200.0 million term loan (the “2025 Term Loan”) bearing interest at a variable rate which is SOFR-based with a margin determined according to our credit ratings plus a 0.10% credit spread adjustment. The Company incurred approximately $2.7 million of deferred financing costs associated with this loan. The 2025 Term Loan proceeds were used to repay a portion of the remaining $220.0 million 2023 Term Loan balance, which was repaid in full in June 2023. Upon repayment, we expensed approximately $0.1 million of unamortized loan costs associated with this loan which are included in “Loss on early retirement of debt” in our Consolidated Statement of Income for the year ended December 31, 2023.

Concurrently with the amendment and restatement of the Credit Facility, we amended the terms of the term loan agreement for the 2025 Term Loan to, among other things, modify the representations, covenants, financial covenants, and events of default to align with the same provisions in Credit Facility.

In 2022, we repaid a $75.0 million term loan in advance of its contractual maturity date resulting in a $0.2 million charge reflected in “Loss on early retirement of debt” in our Consolidated Statement of Income for the year ended December 31, 2022.

Pinnacle Bank is a participating member of our banking group. A member of NHI’s Board of Directors and chairperson of the Board of Directors, effective January 7, 2025, is also the chairperson of Pinnacle Financial Partners, Inc., the holding company for Pinnacle Bank. NHI’s local banking transactions are conducted primarily through Pinnacle Bank.

2031 Senior Notes

In January 2021, we issued $400.0 million in aggregate principal amount of 3.00% senior notes that mature on February 1, 2031 and pay interest semi-annually (the “2031 Senior Notes”). The 2031 Senior Notes were sold at an issue price of 99.196% of face value before the underwriters’ discount. Our net proceeds from the 2031 Senior Notes offering, after deducting underwriting discounts and expenses, were approximately $392.3 million. The 2031 Senior Notes are subject to affirmative and negative covenants, including financial covenants with which we were in compliance at December 31, 2024.

Private Placement Notes

In September 2024, we repaid upon maturity the $75.0 million of the private placement notes primarily with proceeds from the Credit Facility.

Our unsecured private placement notes outstanding as of December 31, 2024, payable interest-only, are summarized below ($ in thousands):

AmountInceptionMaturityFixed Rate
$50,000 November 2015November 20254.33 %
100,000 January 2015January 20274.51 %
$150,000 

Covenants pertaining to the unsecured private placement notes are generally conformed with those governing our Credit Facility, except for specific debt-coverage ratios that are more restrictive. Our unsecured private placement notes include a rate increase provision that is effective if any rating agency lowers our credit rating on our senior unsecured debt below investment grade and our compliance leverage increases to 50% or more.

Fannie Mae Term Loans
As of December 31, 2024, we had $60.1 million in Fannie Mae term-debt mortgage financing, that originated in March 2015, requiring interest-only payments at an annual rate of 3.79% with a 10-year maturity. The mortgages are non-recourse and secured by 11 properties leased to Bickford.

In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, bears interest at a rate of 4.6%, and has a remaining balance of $15.7 million at December 31, 2024. Collectively, the Fannie Mae debt is secured by properties having a net book value of $98.2 million at December 31, 2024.

Interest Expense

The following table summarizes interest expense ($ in thousands):
December 31, 2024
202420232022
Interest expense on debt at contractual rates$56,313 $55,603 $42,487 
Capitalized interest(193)(90)(46)
Amortization of debt issuance costs, debt discount and other3,783 2,647 2,476 
Total interest expense$59,903 $58,160 $44,917 
v3.25.0.1
Commitments, Contingencies and Uncertainties
12 Months Ended
Dec. 31, 2024
Commitments and Contingencies Disclosure [Abstract]  
Commitments, Contingencies and Uncertainties Commitments, Contingencies and Uncertainties
In the normal course of business, we enter into a variety of commitments, typically consisting of funding of revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account, and commitments for the funding of construction for expansion or renovation to our existing properties under lease. In our leasing operations, we offer to our tenants and to sellers of newly acquired properties a variety of inducements that originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned are included in the respective lease bases when funded.

As of December 31, 2024, we had working capital, mortgage, construction, revolving credit and mezzanine loan commitments to seven operators or borrowers for an aggregate of $138.2 million, of which we had funded $70.7 million toward these commitments. Loan funded amounts do not reflect the effects of discounts or commitment fees. See Note 4 for further details of our loan commitments. Loans funded do not include the effects of discounts or commitment fees.

As of December 31, 2024, we had $37.1 million of development commitments for renovation of eight properties, of which we had funded $19.5 million toward these commitments.

As of December 31, 2024, we had an aggregate of $16.9 million in remaining contingent lease inducement commitments in four lease agreements which are generally based on the performance of facility operations and may or may not be met by the tenant.

The credit loss liability for unfunded loan commitments is estimated using the same methodology as used for our funded mortgage and other notes receivable based on the estimated amount that we expect to fund. We applied the same market adjustments as discussed in Note 4.

The liability for expected credit losses on our unfunded loan commitments reflected in “Accounts payable and accrued expenses” on the Consolidated Balance Sheets as of December 31, 2024 and 2023 is presented in the following table for the year ended December 31, 2024 ($ in thousands):

Balance at January 1, 2024$279 
Provision for expected credit losses(132)
Balance at December 31, 2024$147 

Bickford Contingent Note Arrangement

Related to the sale of six properties to Bickford in 2021 we reached an agreement with Bickford whereby Bickford would owe us up to $4.5 million under a contingent note arrangement. We have the one-time option to determine fair market value of
the portfolio through April 30, 2026, at which time the amount owed under the contingent note arrangement, if any, will be determined as the lesser of (i) the difference between the fair market value of the portfolio and $52.1 million, which amount represents the purchase consideration for the portfolio of $52.9 million less $0.8 million in mortgage debt repayment fees previously paid by us associated with this portfolio, and (ii) $4.5 million. Any amount due on the contingent note arrangement will accrue interest at an annual rate of 10% and will be due in five years from the determination date.

Litigation

Our facilities are subject to claims and suits in the ordinary course of business. Such claims may include, among other things, professional liability and general liability claims, as well as regulatory proceedings related to our SHOP segment. Our managers, tenants and borrowers have indemnified, and are obligated to continue to indemnify, us against liabilities arising from their operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against us and certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no material adverse effect on our financial condition, results of operations or cash flows.

Welltower Inc.

In 2021, Welltower completed the purchase of a senior housing portfolio from Holiday Retirement (“Holiday”), which included 17 facilities subject to a 2013 master lease between a Holiday subsidiary and NHI. NHI received no rent due under such master lease after the Welltower closing. As a result, NHI and certain of its subsidiaries filed suit against Welltower and certain of its affiliates or subsidiaries for, among other things, failure to pay rent and failure to comply with other obligations. Pursuant to a memorandum of understanding dated March 4, 2022, NHI applied the remaining approximately $8.8 million lease deposit to past due rents in the first quarter of 2022, and Welltower transferred approximately $6.9 million to an escrow account to be released to NHI upon satisfactory transition of facility operations and mutual dismissal of the lawsuit. Effective April 1, 2022, the escrow conditions were satisfied, the escrowed funds were released, and NHI recognized $6.9 million as rental income during the year ended December 31, 2022. NHI recognized approximately $0.7 million as a “Loss on operations transfer, net” on the Consolidated Statements of Income for the year ended December 31, 2022, which represents the amount of net working capital deficit assumed by NHI in connection with the transfer of operations.
v3.25.0.1
Redeemable Noncontrolling Interest
12 Months Ended
Dec. 31, 2024
Noncontrolling Interest [Abstract]  
Redeemable Noncontrolling Interest Redeemable Noncontrolling Interest
The interest held by Merrill in its SHOP venture was classified as a “Redeemable noncontrolling interest” in the mezzanine section between Total liabilities and Stockholders’ equity on our Consolidated Balance Sheets as of December 31, 2024 and 2023. Certain provisions within the operating agreement of the Merrill venture provide Merrill with put rights upon certain contingent events that are not solely within the control of the Company. Therefore, Merrill’s noncontrolling interest was determined to be contingently redeemable. The redeemable noncontrolling interest is not currently redeemable and we concluded a contingent redemption event is not probable to occur as of December 31, 2024. Consequently, the noncontrolling interest will not be subsequently remeasured to its redemption amount until such contingent event and the related redemption are probable to occur. We will continue to reflect the attribution of gains or losses to the redeemable noncontrolling interest each period.

The following table presents the change in “Redeemable noncontrolling interest” for the years ended December 31, 2024 and 2023 ($ in thousands):

Year Ended December 31,
20242023
Balance at January 1,$9,656 $9,825 
  Contributions1,100 922 
  Net loss(916)(1,091)
  Distributions(50)— 
Balance at December 31,$9,790 $9,656 
v3.25.0.1
Equity and Dividends
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
Equity and Dividends Equity and Dividends
Share Repurchase Plan
On February 16, 2024, our Board of Directors renewed our stock repurchase plan (the “Repurchase Plan”) pursuant to which we may repurchase up to $160.0 million in shares of our issued and outstanding common stock, par value $0.01 per share. The Repurchase plan, which was effective for a period of one year, expired in February 2025. Under the Repurchase Plan shares could be repurchased from time-to-time in open market transactions at prevailing market prices, in privately negotiated transactions or by other means in accordance with the terms of Rule 10b-18 of the Securities Exchange Act of 1934 as amended (the “Exchange Act”).

No common stock was repurchased under the Repurchase Plan during the years ended December 31, 2024 and 2023. During the year ended December 31, 2022, we repurchased through the open market transactions approximately 2.5 million shares of common stock for an average price of $61.56 per share, excluding commissions. All shares received were constructively retired upon receipt, and the excess of the purchase price over the par value per share was recorded to “Retained earnings” in the Consolidated Balance Sheet.

Forward Sale Agreements

In August 2024, we entered into forward equity sale agreements with financial institutions to sell up to an aggregate of approximately 2.8 million shares of common stock, at an initial forward sale price of $68.40 per share, pursuant to which the financial institutions borrowed and sold these shares of common stock in a public offering. We did not receive any proceeds from the sale of shares of our common stock by the forward purchasers at the time of the offering.

In the fourth quarter of 2024, we partially settled the forward equity sale agreements by issuing approximately 1.8 million shares of common stock for net proceeds of approximately $122.4 million. As of December 31, 2024, the remaining 1.0 million shares of common stock were available for settlement for proceeds of approximately $64.9 million at a forward price of $67.65.

ATM Equity Program

We maintain an ATM equity program which allows us to sell our common stock directly into the market and have entered into an ATM equity offering sales agreement pursuant to which the Company may sell, from time to time, up to an aggregate sales price of $500.0 million of the Company’s common stock. The ATM equity program has a forward sale provision which allows us to sell shares of common stock to forward purchasers at a predetermined price at a future date (the “ATM forward sale agreements”).

On November 22, 2024, we entered into an ATM forward sale agreement with a financial institution to sell shares of common stock over a forward selling period to be completed by the end of the year. We sold approximately 1.0 million shares on a forward basis at a weighted average price of $74.99 per share net of sales agent fees, or $74.2 million. We did not initially receive any proceeds from the sale of shares on a forward basis. On December 19, 2024, we closed the forward selling period and completed the hedge with the financial institution at an initial forward price of $75.17 per share. Prior to this date, we did not qualify for equity treatment in accordance with ASC 815-40. Accordingly, we have recognized a gain of approximately $6.3 million for the year ended December 31, 2024 representing the net asset of the forward at the conclusion of the forward selling period. Upon hedge completion, the forward qualified for equity treatment and we reclassified the asset into “Capital in excess of par value” on the Consolidated Balance Sheet. The gain is reflected in “Gain on forward equity sale agreement, net” on the Consolidated Statements of Income.

On December 26, 2024, we physically settled in part the forward by issuing approximately 0.3 million shares of common stock and received net proceeds of approximately $20.0 million, or $75.22 per share. As of December 31, 2024, the remaining approximately 0.7 million shares of common stock were available for settlement for proceeds of approximately $53.8 million at a forward price of $74.36. No shares were sold under the ATM equity program during the year ended December 31, 2023.

Dividends

The following table summarizes dividends declared by the Board of Directors or paid during the years ended December 31, 2024 and 2023:
Year Ended December 31, 2024
Date of DeclarationDate of RecordDate Paid/PayableQuarterly Dividend
February 16, 2024March 28, 2024May 3, 2024$0.90
May 3, 2024June 28, 2024August 2, 2024$0.90
August 2, 2024September 27, 2024November 1, 2024$0.90
November 1, 2024December 31, 2024January 29, 2025$0.90
Year Ended December 31, 2023
Date of DeclarationDate of RecordDate Paid/PayableQuarterly Dividend
February 17, 2023March 31, 2023May 5, 2023$0.90
May 5, 2023June 30, 2023August 4, 2023$0.90
August 4, 2023September 29, 2023November 3, 2023$0.90
November 3, 2023December 29, 2023January 26, 2024$0.90

On February 14, 2025, the Board of Directors declared a $0.90 per share dividend to common stockholders of record on March 31, 2025, payable May 2, 2025.
v3.25.0.1
Share-Based Compensation
12 Months Ended
Dec. 31, 2024
Share-Based Payment Arrangement [Abstract]  
Share-Based Compensation Share-Based Compensation
We recognize share-based compensation for all stock options granted over the requisite service period using the fair value of these grants as estimated at the date of grant using the Black-Scholes pricing model over the requisite service period using the market value of our publicly traded common stock on the date of grant. Restricted stock awards are issued with a grant date fair value based on the market value of our common stock on the date of grant. The restricted stock awards vest over five years, with 20% vesting on each anniversary of the date of grant. The restricted stock awards contain non-forfeitable rights to dividends or dividend equivalents during the vesting periods.

Share-Based Compensation Plans

The Compensation Committee of the Board of Directors (the “Committee”) has the authority to select the participants to be granted options; to designate whether the option granted is an incentive stock option (“ISO”), a non-qualified option, or a stock appreciation right; to establish the number of shares of common stock that may be issued upon exercise of the option; to establish the vesting provision for any award; and to establish the term any award may be outstanding. The exercise price of any ISOs granted will not be less than 100% of the fair market value of the shares of common stock on the date granted and the term of an ISO may not be more than ten years. The exercise price of any non-qualified options granted will not be less than 100% of the fair market value of the shares of common stock on the date granted unless so determined by the Committee.

The Company’s outstanding stock incentive awards have been granted under two incentive plans – the 2012 Stock Incentive Plan and the 2019 Stock Incentive Plan, as amended and restated (the “2019 Plan”). The number of shares of common stock authorized for issuance under the 2019 Plan is 6,000,000 and the Company may award shares of restricted stock and restricted stock units subject to such conditions and restrictions as the Company may determine. The individual awards may vest over periods up to five years. The term of the awards under the 2019 Plan is up to ten years from the date of grant. As of December 31, 2024, shares available for future grants totaled 3,713,168 under the 2019 Plan.

In February 2024, 15,000 shares of restricted stock were issued to executive officers with a grant date fair value of $57.76 per share based on the market value of our common stock on the date of grant. In May 2023, 21,000 shares of restricted stock were issued to executive officers with a grant date fair value of $49.30 per share based on the market value of our common stock on the date of grant. The restricted stock awards vests over five years, with 20% vesting on each anniversary of the date of grant. The restricted stock awards contain non-forfeitable rights to dividends or dividend equivalents during the vesting periods. During the second quarter of 2024, 3,970 net shares of restricted stock vested. As of December 31, 2024, there were 31,800 non-vested shares of restricted stock outstanding.

Compensation expense is recognized only for the awards that ultimately vest. Accordingly, forfeitures that were not expected may result in the reversal of previously recorded compensation expense. The following is a summary of share-based compensation expense, net of any forfeitures, included in “General and administrative expenses” in the Consolidated Statements of Income ($ in thousands):
December 31, 2024December 31, 2023December 31, 2022
Shared-based compensation components:
  Restricted stock expense$676 $310 $— 
  Stock option expense3,506 4,295 8,613 
Total share-based compensation expense$4,182 $4,605 $8,613 

Determining Fair Value of Option Awards

The fair value of each option award was estimated on the grant date using the Black-Scholes option valuation model with the weighted average assumptions indicated in the following table. Each grant is valued as a single award with an expected term based upon expected employee and termination behavior. Compensation expense is recognized on the graded vesting method over the requisite service period for each separately vesting tranche of the award as though the award were, in substance, multiple awards. The expected volatility is derived using daily historical data for periods preceding the date of grant. The risk-free interest rate is the approximate yield on the United States Treasury Strips having a life equal to the expected option life on the date of grant. The expected life is an estimate of the number of years an option will be held before it is exercised.

Stock Options

The weighted average fair value of options granted was $7.36, $10.56 and $11.92 for the years ended December 31, 2024, 2023 and 2022, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:
December 31, 2024December 31, 2023December 31, 2022
Dividend yield6.4%6.9%7.0%
Expected volatility26.1%39.0%49.3%
Expected lives2.9 years2.9 years2.9 years
Risk-free interest rate4.49%4.56%1.75%

Stock Option Activity

The following tables summarize our outstanding stock options:
Weighted Average
NumberWeighted AverageRemaining
of SharesExercise PriceContractual Life (Years)
Outstanding December 31, 20211,652,505 $78.10
Options granted under 2019 Plan718,000 $53.62
Options exercised under 2019 Plan(56,832)$53.41
Options forfeited (23,000)$62.33
Options expired(74,498)$77.93
Outstanding December 31, 20222,216,175 $70.97
Options granted under 2019 Plan385,500 $54.73
Options exercised (5,166)$53.41
Options forfeited(61,168)$66.44
Options expired(88,170)$64.33
Outstanding December 31, 20232,447,171 $68.80
Options granted under 2019 Plan431,000 $57.76
Options exercised(1,065,119)$58.24
Options forfeited(95,000)$68.00
Options expired(301,837)$79.96
Outstanding December 31, 20241,416,215 $71.061.78
Exercisable at December 31, 20241,075,521 $75.561.12
Remaining
GrantNumberExerciseContractual
Dateof SharesPriceLife in Years
2/21/2020491,000 $90.79 0.14
2/25/2021322,500 $69.20 1.15
2/25/2022126,560 $53.41 2.15
2/24/2023171,650 $54.73 3.15
2/23/2024304,505 $57.76 4.15
Options outstanding, December 31, 20241,416,215 


The following table summarizes our outstanding non-vested stock options:

Number of SharesWeighted Average Grant Date Fair Value
Non-vested December 31, 2023368,344 $11.48
Options granted under 2019 Plan431,000 $7.36
Options vested under 2019 Plan(458,650)$9.68
Non-vested December 31, 2024340,694 $8.71


As of December 31, 2024, unrecognized compensation expense totaling $1.7 million associated with stock-based awards was expected to be recognized over the following periods: 2025 - $1.2 million, 2026 - $0.3 million, 2027 - $0.1 million, and 2028 - $0.1 million.. Share-based compensation expense is included in “General and administrative expense” in the Consolidated Statements of Income.

At December 31, 2024, the aggregate intrinsic value of stock options outstanding and exercisable was $8.1 million and $3.8 million, respectfully. The aggregate intrinsic value of stock options exercised during the years ended December 31, 2024, 2023 and 2022 was $11.8 million or $77.92 per share; less than $0.01 million or $1.23 per share, and $0.1 million or $6.13 per share, respectively.
v3.25.0.1
Earnings Per Common Share
12 Months Ended
Dec. 31, 2024
Earnings Per Share [Abstract]  
Earnings Per Common Share Earnings Per Common Share
Our unvested restricted stock awards contain non-forfeitable rights to dividends, and accordingly, these awards are deemed to be participating securities. Therefore, the Company applies the two-class method to calculate basic and diluted earnings. Under the two-class method, we allocate net income attributable to stockholders to common stockholders and holders of unvested restricted stock by using the weighted-average shares of each class outstanding for quarter-to-date and year-to-date periods, based on their respective participation rights to dividends declared and undistributed earnings. Basic earnings per common share is computed by dividing net income attributable to common stockholders by the weighted number of shares of common stock outstanding during the period. Diluted earnings per common share reflects the effect of dilutive securities.

The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share ($ in thousands, except share and per share amounts):
Year Ended December 31,
202420232022
Net income$136,639 $134,381 $65,501 
 Add: net loss attributable to noncontrolling interests1,346 1,273 $902 
Net income attributable to stockholders137,985 135,654 66,403 
Less: net income attributable to unvested restricted stock awards(118)(57)— 
Net income attributable to common stockholders - basic and diluted$137,867 $135,597 $66,403 
BASIC:
Weighted average common shares outstanding43,844,771 43,388,794 44,774,708 
DILUTED:
Weighted average common shares outstanding43,844,771 43,388,794 44,774,708 
Stock options 184,416 672 19,528 
Forward equity sales agreement73,449 — — 
Weighted average dilutive common shares outstanding44,102,636 43,389,466 44,794,236 
Earnings per common share - basic$3.14 $3.13 $1.48 
Earnings per common share - diluted$3.13 $3.13 $1.48 
Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the
average market price for our common shares235,344 802,506 564,803 
Regular dividends declared per common share$3.60 $3.60 $3.60 
v3.25.0.1
Fair Value of Financial Instruments
12 Months Ended
Dec. 31, 2024
Fair Value Disclosures [Abstract]  
Fair Value of Financial Instruments Fair Value of Financial Instruments
Carrying amounts and fair values of financial instruments that are not carried at fair value at December 31, 2024 and December 31, 2023 in the Consolidated Balance Sheets are as follows ($ in thousands):
Carrying AmountFair Value Measurement
2024202320242023
Level 2
Variable rate debt$525,177 $439,693 $531,200 $445,000 
Fixed rate debt$620,864 $695,358 $548,339 $616,852 
Level 3
Mortgage and other notes receivable, net$268,926 $245,271 $261,708 $237,646 

Fixed rate debt. Fixed rate debt is classified as Level 2 and its fair value is based on quoted prices for similar instruments or calculated utilizing model derived valuations in which significant inputs are observable in active markets.

Variable rate debt. Variable rate debt is classified as Level 2 and the fair values of our borrowings under our revolving credit facility and other variable rate debt are reasonably estimated at their notional amounts due to the predominance of floating interest rates, which generally reflect market conditions.

Mortgage and other notes receivable. The fair value of mortgage and other notes receivable is based on credit risk and discount rates that are not observable in the marketplace and therefore represents a Level 3 measurement.

Carrying amounts of cash and cash equivalents and restricted cash, accounts receivable and accounts payable approximate fair value due to their short-term nature and are classified as Level 1.
v3.25.0.1
Income Taxes
12 Months Ended
Dec. 31, 2024
Income Tax Disclosure [Abstract]  
Income Taxes Income Taxes
Beginning with our inception in 1991, we have elected to be taxed as a REIT under the Internal Revenue Code. We have recorded state income tax expense of $0.1 million related to a Texas franchise tax that has attributes of an income tax for each of the years ended years ended December 31, 2024, 2023, and 2022. Some of our leases require taxes to be reimbursed by our tenants. State income taxes are combined in “Franchise, excise and other taxes” in our Consolidated Statements of Income.

We have a deferred tax asset, which is fully reserved through a valuation allowance, of $0.9 million and $2.2 million as of December 31, 2024 and 2023, respectively. The deferred tax asset is primarily a result of net operating losses from our participation in the operations of a joint venture during the years 2012 through 2016 and by entities that are structured as TRSs under provisions of the Internal Revenue Code. See Notes 5 and 6 for a discussion of SHOP ventures and Timber Ridge OpCo.

The Company made state income tax payments of $0.2 million for each of the years ended December 31, 2024, 2023, and 2022.

Distributions to common stockholders for the last three years are characterized for tax purposes as follows on a per share basis (unaudited):
Year Ended December 31,
20241
20232022
Ordinary income$2.84119 $2.40807 $2.61966 
Capital gain— 0.24805 — 
Return of capital— 0.94388 0.98034 
Distributions per common share$2.84119 $3.60 $3.60 

1Pursuant to Section 857(b)(9) of the Internal Revenue Code, the $0.90 per share cash distribution paid on January 29, 2025 with a record date of December 31, 2024 (the “January 2025 Cash Distribution”) is treated as received by stockholders on December 31, 2024 to the extent of 2024 earnings and profits. As the Company’s aggregate 2024 cash distributions exceeded 2024 earnings and profits, only a portion of the January 2025 Cash Distribution has been included as a distribution for 2024 tax reporting. The remainder of the January 2025 Cash Distribution will be treated as a 2025 distribution for federal income tax purposes.
v3.25.0.1
Segment Reporting
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
We evaluate our business and make resource allocations on our two operating segments: Real Estate Investments and SHOP. Our Real Estate Investments segment includes leases, mortgages and other note investments in ILFs, ALFs, EFCs, SLCs, SNFs and HOSPs. Under the Real Estate Investments segment, we invest in senior housing and healthcare real estate through acquisition and financing of primarily single-tenant properties. Properties acquired are leased primarily under triple-net leases, and we are not involved in the management of the properties. The SHOP segment includes multi-tenant ILFs. The SHOP properties and related operations are controlled by the Company and are operated by property managers in exchange for a management fee. See Note 5 for further discussion.

Effective April 1, 2022, the operations and properties of 15 ILFs were transferred from a triple-net lease to two separate ventures, as discussed further in Notes 5 and 10. The results associated with the prior triple-net lease structure for these properties are included in the Real Estate Investments segment and the results from operating these SHOP properties after the transition are included in our SHOP segment.

Our President and Chief Executive Officer serves as our CODM. Our CODM reviews financial and performance information quarterly based upon segment net operating income (“NOI”). We define NOI as total revenues, less tenant reimbursements and property operating expenses. Our CODM evaluates NOI to make decisions about resource allocations and to assess the property level performance of our properties. For both segments, the CODM considers revenue and operating expenses on a comparative basis (i.e., sequential or year over year) and budget to actual variances on a quarterly basis when making decisions about allocating resources to the segments. In addition, for the SHOP segment, the CODM reviews key performance indicators, including revenues and operating expenses per occupied unit or available unit and resident revenues and related functional expenses. There were no intersegment transactions for years ended December 31, 2024, 2023 and 2022. Capital expenditures for the years ended December 31, 2024, 2023 and 2022, were approximately $169.2 million, $56.9 million and $30.8 million for the Real Estate Investments segment, respectively, and $11.0 million, $9.3 million and $3.3 million for the SHOP segment, respectively.
Non-segment revenue consists mainly of other income. Non-segment assets consist of corporate assets including cash and cash equivalents, and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.

The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 2. The results of operations for all acquisitions described in Note 3 are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments. Prior period segment disclosures have been recast to conform to the current period presentation.

Summary information for the reportable segments during the years ended December 31, 2024, 2023 and 2022 are as follows ($ in thousands):

For the year ended December 31, 2024:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$257,049 $— $— $257,049 
Resident fees and services— 54,421 — 54,421 
Interest income and other23,243 — 468 23,711 
   Total revenues280,292 54,421 468 335,181 
Labor— 17,166 — 17,166 
Dietary— 4,287 — 4,287 
Utilities— 3,887 — 3,887 
Taxes and insurance11,165 6,412 — 17,577 
Other senior housing operating expenses1
— 10,499 — 10,499 
   NOI 269,127 12,170 468 281,765 
Depreciation61,249 10,157 37 71,443 
Interest3,060 — 56,843 59,903 
Legal — — 1,052 1,052 
Franchise, excise and other taxes— — 38 38 
General and administrative— — 20,736 20,736 
Loan and realty losses, net5,295 — — 5,295 
Gains on sales of real estate(6,678)— — (6,678)
Gains from equity method investment(402)— — (402)
Gain on forward equity sale agreement, net— — (6,261)(6,261)
    Net income (loss)$206,603 $2,013 $(71,977)$136,639 
Total assets$2,325,269 $270,273 $18,829 $2,614,371 
1Includes management fees, general and administrative and marketing expenses.
For the year ended December 31, 2023:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$249,227 $— $— $249,227 
Resident fees and services— 48,809 — 48,809 
Interest income and other21,448 — 351 21,799 
   Total revenues270,675 48,809 351 319,835 
Labor— 16,165 — 16,165 
Dietary— 3,763 — 3,763 
Utilities— 3,537 — 3,537 
Taxes and insurance 11,513 5,889 — 17,402 
Other senior housing operating expenses1
— 10,233 — 10,233 
   NOI 259,162 9,222 351 268,735 
Depreciation60,764 9,158 51 69,973 
Interest3,071 — 55,089 58,160 
Legal — — 507 507 
Franchise, excise and other taxes— — 449 449 
General and administrative— — 19,314 19,314 
Loan and realty losses, net1,376 — — 1,376 
Gains on sales of real estate(14,721)— — (14,721)
Gain on operations transfer, net(20)— — (20)
Other income(202)— — (202)
Loss on early retirement of debt— — 73 73 
Gains from equity method investment(555)— — (555)
    Net income (loss)$209,449 $64 $(75,132)$134,381 
Total assets$2,202,647 $270,051 $15,782 $2,488,480 
1Includes management fees, general and administrative and marketing expenses.
For the year ended December 31, 2022:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$217,700 $— $— $217,700 
Resident fees and services— 35,796 — 35,796 
Interest income and other24,383 — 315 24,698 
   Total revenues242,083 35,796 315 278,194 
Labor— 11,184 — 11,184 
Dietary— 2,749 — 2,749 
Utilities— 2,633 — 2,633 
Taxes and insurance 9,788 4,183 — 13,971 
Other senior housing operating expenses1
— 7,444 — 7,444 
   NOI 232,295 7,603 315 240,213 
Depreciation64,407 6,408 65 70,880 
Interest3,089 — 41,828 44,917 
Legal — — 2,555 2,555 
Franchise, excise and other taxes— — 844 844 
General and administrative— — 22,768 22,768 
Loan and realty losses, net61,911 — — 61,911 
Gains on sales of real estate(28,342)— — (28,342)
Loss on operations transfer, net710 — — 710 
Gain on note receivable payoff(1,113)— — (1,113)
Loss on early retirement of debt— — 151 151 
Gains from equity method investment(569)— — (569)
    Net income (loss)$132,202 $1,195 $(67,896)$65,501 
Total assets$2,225,176 $274,135 $8,113 $2,507,424 
1Includes management fees, general and administrative and marketing expenses.
v3.25.0.1
Variable Interest Entities
12 Months Ended
Dec. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Variable Interest Entities Variable Interest Entities
Consolidated Variable Interest Entities

SHOP - The assets of the SHOP ventures primarily consist of real estate properties, cash and cash equivalents, and resident fees and services (accounts receivable). The obligations of the ventures primarily consist of operating expenses of the ILFs (accounts payable and accrued expenses) and capital expenditures for the properties. Aggregate assets of the consolidated SHOP ventures that can be used only to settle obligations of each respective SHOP venture primarily include approximately $261.6 million and $260.7 million of real estate properties, net, $6.5 million and $7.7 million of cash and cash equivalents, $1.5 million and $0.9 million of other assets, and $0.8 million and $0.8 million of accounts receivable, net as of December 31, 2024 and 2023, respectively. Liabilities of the consolidated SHOP ventures for which creditors do not have recourse to the general credit of the Company are $5.7 million and $4.7 million as of December 31, 2024 and 2023, respectively. Reference Notes 5 and 10 for further discussion of these ventures.

Real Estate Partnerships - The aggregate assets of the two consolidated real estate partnerships that can be used only to settle obligations of each respective partnership for the years ended December 31, 2024 and 2023 include approximately $244.3 million and $252.5 million of real estate properties, net, $10.0 million and $9.7 million in straight-line rents receivable, $3.2 million and $3.2 million of cash and cash equivalents and $5.3 million and $7.8 million of other assets, net, respectively. Liabilities of these partnerships for which creditors do not have recourse to the general credit of the Company are not material.

Unconsolidated Variable Interest Entities
The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below ($ in thousands).

DateNameSource of ExposureCarrying Amount Maximum Exposure to LossNote Reference
2014Senior LivingNotes and straight-line rents receivable$84,087 $92,837 Notes 3, 4
2016Senior Living ManagementNotes$24,500 $24,500 Notes 3, 4
2018BickfordNotes$16,186 $28,432 Notes 3, 4
2019Encore Senior Living
Various1
$35,330 $35,397 
2020Timber Ridge OpCo
Various2
$(1,332)$3,668 Notes 6, 7
2020Watermark RetirementNotes and straight-line rents receivable$10,293 $12,067 
2021Montecito Medical Real EstateNotes and funding commitment$15,618 $50,053 Note 4
2021Vizion HealthNotes and straight-line rents receivable$15,244 $15,244 
2021Navion Senior Solutions
Various3
$7,730 $9,880 
2023Kindcare Senior Living
Notes4
$785 $785 
2024Mainstay Healthcare Maitland, LLCNote$9,019 $9,019 

1 Note, straight-line rents receivable, and lease receivables
2 Loan commitment, equity method investment, straight-line rents receivable and unamortized lease incentive
3 Straight-line rents receivable, and unamortized lease incentive
4 Represents two mezzanine loans originated from the sales of real estate

We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly, our maximum exposure to loss as a result of these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. Economic loss on a lease, in excess of what is presented in the table above, if any, would be limited to that resulting from any period of non-payment of rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease to a new tenant. The potential extent of such loss would be dependent upon individual facts and circumstances, and is therefore not included in the table above.

In the future, NHI may be deemed the primary beneficiary of the operations if the tenants or borrowers do not have adequate liquidity to accept the risks and rewards as the tenants and operators of the properties and NHI may be required to consolidate the financial position and results of operations of the tenants or borrowers into our consolidated financial statements.
v3.25.0.1
Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation
12 Months Ended
Dec. 31, 2024
Schedule III - Real Estate and Accumulated Depreciation [Abstract]  
Schedule III - Real Estate and Accumulated Depreciation
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
Real Estate Investments
Skilled Nursing Facilities
Anniston, AL$— $70 $4,477 $— $70 $4,477 $4,547 $3,860 10/17/1991
Moulton, AL— 25 688 — 25 688 713 688 10/17/1991
Avondale, AZ— 453 6,678 — 453 6,678 7,131 4,795 08/13/1996
Brooksville, FL— 1,217 16,166 — 1,217 16,166 17,383 6,029 02/01/2010
Crystal River, FL— 912 12,117 — 912 12,117 13,029 4,519 02/01/2010
Dade City, FL— 605 8,042 — 605 8,042 8,647 2,999 02/01/2010
Hudson, FL (2 facilities)— 1,290 22,392 — 1,290 22,392 23,682 13,807 Various
Merritt Island, FL— 701 8,869 — 701 8,869 9,570 7,942 10/17/1991
New Port Richey, FL— 228 3,023 — 228 3,023 3,251 1,127 02/01/2010
Plant City, FL— 405 8,777 — 405 8,777 9,182 7,801 10/17/1991
Stuart, FL— 787 9,048 — 787 9,048 9,835 8,259 10/17/1991
Trenton, FL— 851 11,312 — 851 11,312 12,163 4,218 09/29/2000
Glasgow, KY— 33 2,110 — 33 2,110 2,143 2,072 10/17/1991
Desloge, MO— 178 3,804 — 178 3,804 3,982 3,804 10/17/1991
Joplin, MO— 175 4,034 — 175 4,034 4,209 3,478 10/17/1991
Kennett, MO— 180 4,928 — 180 4,928 5,108 4,829 10/17/1991
Maryland Heights, MO— 150 4,790 — 150 4,790 4,940 4,684 10/17/1991
St. Charles, MO— 420 5,512 — 420 5,512 5,932 5,512 10/17/1991
Albany, OR— 190 10,415 — 190 10,415 10,605 3,217 03/31/2014
Creswell, OR— 470 8,946 — 470 8,946 9,416 2,663 03/31/2014
Forest Grove, OR— 540 11,848 — 540 11,848 12,388 3,591 03/31/2014
Anderson, SC— 308 4,643 — 308 4,643 4,951 4,514 10/17/1991
Greenwood, SC— 174 3,457 — 174 3,457 3,631 3,314 10/17/1991
Laurens, SC— 42 3,426 — 42 3,426 3,468 3,221 10/17/1991
Orangeburg, SC— 300 3,714 — 300 3,714 4,014 1,568 09/25/2008
Athens, TN— 38 1,463 — 38 1,463 1,501 1,383 10/17/1991
Chattanooga, TN— 143 2,309 — 143 2,309 2,452 2,302 10/17/1991
Dickson, TN— 90 3,541 — 90 3,541 3,631 3,334 10/17/1991
Franklin, TN— 47 1,130 — 47 1,130 1,177 1,130 10/17/1991
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
Hendersonville, TN— 363 3,837 — 363 3,837 4,200 3,515 10/17/1991
Johnson City, TN— 85 1,918 — 85 1,918 2,003 1,917 10/17/1991
Lewisburg, TN (2 facilities)— 46 994 — 46 994 1,040 995 10/17/1991
McMinnville, TN— 73 3,618 — 73 3,618 3,691 3,332 10/17/1991
Milan, TN— 41 1,826 — 41 1,826 1,867 1,720 10/17/1991
Pulaski, TN— 53 3,921 — 53 3,921 3,974 3,571 10/17/1991
Lawrenceburg, TN— 98 2,900 — 98 2,900 2,998 2,548 10/17/1991
Dunlap, TN— 35 3,679 — 35 3,679 3,714 3,217 10/17/1991
Smithville, TN— 35 3,816 — 35 3,816 3,851 3,420 10/18/1991
Somerville, TN— 26 677 — 26 677 703 678 10/19/1991
Sparta, TN— 80 1,602 — 80 1,602 1,682 1,559 10/20/1991
Austin, TX— 606 9,895 — 606 9,895 10,501 2,490 04/01/2016
Canton, TX— 420 12,330 — 420 12,330 12,750 4,328 04/18/2013
Corinth, TX— 1,075 13,935 — 1,075 13,935 15,010 5,090 04/18/2013
Ennis, TX— 986 9,025 — 986 9,025 10,011 3,510 10/31/2011
Euless, TX— 1,241 12,629 — 1,241 12,629 13,870 3,394 04/01/2016
Fort Worth, TX— 1,380 14,370 — 1,380 14,370 15,750 3,222 05/10/2018
Garland, TX— 1,440 14,310 — 1,440 14,310 15,750 3,202 05/10/2018
Gladewater, TX— 70 17,840 — 70 17,840 17,910 4,292 04/01/2016
Greenville, TX— 1,800 13,948 — 1,800 13,948 15,748 5,229 10/31/2011
Houston, TX (3 facilities)— 2,808 42,511 — 2,808 42,511 45,319 16,496 Various
Katy, TX— 610 13,893 — 610 13,893 14,503 3,514 04/01/2016
Kyle, TX— 1,096 12,279 — 1,096 12,279 13,375 4,635 06/11/2012
Marble Falls, TX— 480 14,989 — 480 14,989 15,469 3,719 04/01/2016
McAllen, TX— 1,175 8,259 — 1,175 8,259 9,434 2,259 04/01/2016
New Braunfels, TX— 1,430 13,666 — 1,430 13,666 15,096 3,545 02/24/2017
San Antonio, TX (3 facilities)— 2,370 40,054 — 2,370 40,054 42,424 12,742 Various
Waxahachie, TX— 1,330 14,349 — 1,330 14,349 15,679 3,358 01/17/2018
Bristol, VA— 176 2,511 — 176 2,511 2,687 2,511 10/17/1991
Oak Creek, WI— 2,000 14,903 7,403 2,000 22,306 24,306 3,856 12/07/2018
— 34,450 516,143 7,403 34,450 523,546 557,996 238,524 
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
Assisted Living Facilities
Rainbow City, AL— 670 11,330 — 670 11,330 12,000 3,493 10/31/2013
Sacramento, CA— 660 10,840 — 660 10,840 11,500 3,242 06/01/2014
Pueblo West, CO— 169 7,431 — 169 7,431 7,600 1,207 07/23/2019
Greensboro, GA— 672 4,849 675 672 5,524 6,196 1,829 09/15/2011
Statham, GA— 452 6,487 — 452 6,487 6,939 22 12/05/2024
Ames, IA3,193 360 4,670 — 360 4,670 5,030 1,501 06/28/2013
Burlington, IA3,901 200 8,374 14 200 8,388 8,588 2,702 06/28/2013
Cedar Falls, IA— 260 4,700 30 260 4,730 4,990 1,553 06/28/2013
Ft. Dodge, IA4,008 100 7,208 — 100 7,208 7,308 2,281 06/28/2013
Iowa City, IA— 297 2,725 33 297 2,758 3,055 1,105 06/30/2010
Marshalltown, IA5,714 240 6,208 — 240 6,208 6,448 1,997 06/28/2013
Urbandale, IA8,113 540 4,292 18 540 4,310 4,850 1,418 06/28/2013
Caldwell, ID— 320 9,353 — 320 9,353 9,673 2,806 03/31/2014
Aurora, IL— 1,195 11,713 — 1,195 11,713 12,908 3,079 05/09/2017
Bolingbrook, IL— 1,290 14,677 — 1,290 14,677 15,967 3,171 03/16/2017
Bourbonnais, IL7,974 170 16,594 390 170 16,984 17,154 5,173 06/28/2013
Crystal Lake, IL (2 facilities)— 1,060 30,043 170 1,060 30,213 31,273 6,702 Various
Gurnee, IL— 1,244 13,856 — 1,244 13,856 15,100 2,192 09/10/2019
Moline, IL3,896 250 5,630 — 250 5,630 5,880 1,826 06/28/2013
Oswego, IL— 390 20,957 212 390 21,169 21,559 4,793 06/01/2016
Quincy, IL6,055 360 12,403 — 360 12,403 12,763 3,930 06/28/2013
Rockford, IL6,412 390 12,575 381 390 12,956 13,346 3,988 06/28/2013
South Barrington, IL— 1,610 13,456 — 1,610 13,456 15,066 2,963 03/16/2017
St. Charles, IL— 820 22,188 252 820 22,440 23,260 5,120 06/01/2016
Tinley Park, IL— 1,622 11,354 — 1,622 11,354 12,976 3,058 06/23/2016
Attica, IN— 284 7,891 — 284 7,891 8,175 1,113 05/01/2020
Carmel, IN— 463 7,055 — 463 7,055 7,518 2,525 11/12/2014
Crown Point, IN— 574 7,336 353 574 7,689 8,263 2,679 10/30/2013
Greenwood, IN— 791 7,020 227 791 7,247 8,038 2,596 11/07/2013
Linton, IN— 60 6,015 — 60 6,015 6,075 850 05/01/2020
Bossier City, LA— 500 3,344 — 500 3,344 3,844 1,307 04/30/2011
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
West Monroe, LA— 770 5,627 — 770 5,627 6,397 2,087 04/30/2011
Frederick, MD— 1,942 17,415 — 1,942 17,415 19,357 1,015 02/04/2023
Battle Creek, MI— 398 3,093 197 398 3,290 3,688 1,435 10/19/2009
Lansing, MI— 1,020 9,684 174 1,020 9,858 10,878 2,313 10/19/2009
Okemos, MI— 340 8,082 — 340 8,082 8,422 3,322 11/19/2009
Shelby, MI— 1,588 13,512 — 1,588 13,512 15,100 2,022 01/27/2020
Champlin, MN— 980 4,475 — 980 4,475 5,455 1,775 03/10/2010
Hugo, MN— 400 3,945 113 400 4,058 4,458 1,549 03/10/2010
Maplewood, MN— 1,700 6,544 — 1,700 6,544 8,244 2,594 03/10/2010
North Branch, MN— 595 3,053 — 595 3,053 3,648 1,240 03/10/2010
Mahtomedi, MN— 515 8,825 — 515 8,825 9,340 1,249 12/27/2019
Albermarle, NC— 870 4,872 — 870 4,872 5,742 36 10/09/2024
Apex, NC— 1,042 15,831 — 1,042 15,831 16,873 112 10/09/2024
Cary, NC— 1,366 20,805 — 1,366 20,805 22,171 146 10/09/2024
Charlotte, NC— 650 17,663 2,000 650 19,663 20,313 5,225 07/01/2015
Durham, NC— 860 7,752 2,681 860 10,433 11,293 1,376 12/15/2017
Greensboro, NC— 1,426 20,550 — 1,426 20,550 21,976 151 10/09/2024
Greenville, NC— 797 10,612 — 797 10,612 11,409 83 10/09/2024
Hendersonville, NC (2 facilities)— 3,120 12,980 128 3,120 13,108 16,228 3,008 Various
Kinston, NC— 798 3,958 — 798 3,958 4,756 31 10/09/2024
Kill Devil Hills, NC— 1,276 9,471 — 1,276 9,471 10,747 67 10/09/2024
Rocky Mount, NC— 990 8,114 — 990 8,114 9,104 83 10/09/2024
Wilmington, NC— 843 7,313 — 843 7,313 8,156 59 10/09/2024
Wilson, NC— 876 9,512 — 876 9,512 10,388 76 10/09/2024
Lincoln, NE8,418 380 10,904 — 380 10,904 11,284 3,403 06/28/2013
Omaha, NE (2 facilities)2,455 1,110 15,437 851 1,110 16,288 17,398 4,568 Various
Las Vegas, NV— 1,951 16,184 — 1,951 16,184 18,135 934 02/14/2023
Arlington, OH— 570 7,917 — 570 7,917 8,487 2,206 04/30/2018
Columbus, OH— 530 6,776 — 530 6,776 7,306 1,974 04/30/2018
Lancaster, OH— 530 20,530 261 530 20,791 21,321 5,779 07/31/2015
Middletown, OH— 940 15,548 222 940 15,770 16,710 4,468 10/31/2014
Rocky River, OH— 650 4,189 — 650 4,189 4,839 967 04/30/2018
Worthington, OH— — 18,869 1,476 — 20,345 20,345 4,706 04/30/2018
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
McMinnville, OR— 390 9,183 — 390 9,183 9,573 2,193 08/31/2016
Portland, OR— 930 25,270 — 930 25,270 26,200 5,281 08/31/2015
Erie, PA— 1,030 15,206 976 1,030 16,182 17,212 2,952 04/30/2018
Reading, PA— 1,027 11,179 — 1,027 11,179 12,206 1,871 05/31/2019
Manchester, TN— 534 6,068 191 534 6,259 6,793 724 06/03/2021
Chesapeake, VA— 1,746 15,542 — 1,746 15,542 17,288 912 02/09/2023
Fredericksburg, VA— 1,615 9,271 — 1,615 9,271 10,886 2,466 09/20/2016
Midlothian, VA— 1,646 8,635 — 1,646 8,635 10,281 2,379 10/31/2016
Suffolk, VA— 1,022 9,320 — 1,022 9,320 10,342 2,347 03/25/2016
Virginia Beach, VA— 2,052 15,148 — 2,052 15,148 17,200 866 11/10/2022
Bellevue, WI— 504 11,796 — 504 11,796 12,300 1,558 09/30/2020
Oshkosh, WI— 542 12,758 — 542 12,758 13,300 973 04/29/2022
Sussex, WI— 1,329 30,721 — 1,329 30,721 32,050 448 06/21/2024
60,139 64,203 842,713 12,025 64,203 854,738 918,941 167,250 
Independent Living Facilities
Vero Beach, FL— 550 37,450 2,543 550 39,993 40,543 6,631 02/01/2019
Columbus, IN— 348 6,124 — 348 6,124 6,472 989 05/31/2019
St. Charles, MO— 344 3,181 — 344 3,181 3,525 2,833 10/17/1991
Tulsa, OK15,676 1,980 32,620 502 1,980 33,122 35,102 6,634 12/01/2017
Chattanooga, TN— 1,567 1,568 1,577 1,510 10/17/1991
Johnson City, TN— 55 4,077 — 55 4,077 4,132 3,456 10/17/1991
Chehalis, WA— 1,980 7,710 7,520 1,980 15,230 17,210 3,127 01/15/2016
15,676 5,266 92,729 10,566 5,266 103,295 108,561 25,180 
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
Senior Living Campuses
Michigan City, IN— 974 22,667 — 974 22,667 23,641 3,622 05/31/2019
Portage, IN— 661 21,959 — 661 21,959 22,620 3,517 05/31/2019
Needham, MA— 5,500 45,157 1,451 5,500 46,608 52,108 8,779 01/15/2019
Salisbury, MD— 1,876 44,084 471 1,876 44,555 46,431 7,411 05/31/2019
Roscommon, MI— 44 6,005 44 6,006 6,050 1,692 08/31/2015
Mt. Airy, NC— 1,370 7,470 150 1,370 7,620 8,990 2,193 12/17/2014
McMinnville, OR— 410 26,667 — 410 26,667 27,077 6,057 08/31/2016
Silverdale, WA— 1,750 23,860 2,167 1,750 26,027 27,777 8,674 08/16/2012
— 12,585 197,869 4,240 12,585 202,109 214,694 41,945 
Entrance-Fee Communities
Bridgeport, CT— 4,320 23,494 5,809 4,320 29,303 33,623 7,499 06/02/2016
North Branford, CT— 7,724 64,430 33 7,724 64,463 72,187 14,945 11/03/2016
Southbury, CT— 10,320 17,143 6,178 10,320 23,321 33,641 5,450 06/02/2016
Fernandina Beach, FL— 1,430 63,420 2,044 1,430 65,464 66,894 18,054 12/17/2014
St. Simons Island, GA— 8,770 38,070 1,764 8,770 39,834 48,604 10,972 12/17/2014
Winston-Salem, NC— 8,700 73,920 919 8,700 74,839 83,539 20,487 12/17/2014
Greenville, SC— 5,850 90,760 1,149 5,850 91,909 97,759 24,555 12/17/2014
Myrtle Beach, SC— 3,910 82,140 744 3,910 82,884 86,794 22,872 12/17/2014
Pawleys Island, SC— 1,480 38,620 645 1,480 39,265 40,745 11,107 12/17/2014
Spartanburg, SC— 900 49,190 1,329 900 50,519 51,419 13,948 12/17/2014
Issaquah, WA— 4,370 130,522 — 4,370 130,522 134,892 18,427 01/31/2020
— 57,774 671,709 20,614 57,774 692,323 750,097 168,316 
Hospitals
Tulsa, OK— 1,470 38,780 2,048 1,470 40,828 42,298 3,746 05/28/2021
— 1,470 38,780 2,048 1,470 40,828 42,298 3,746 
Total real estate investments properties75,815 175,748 2,359,943 56,896 175,748 2,416,839 2,592,587 644,961 
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2024
($ in thousands)
Costs
Initial Cost to Company(C)
CapitalizedDate
Buildings &Subsequent toBuildings &AccumulatedAcquired/
Encumbrances(A)
LandImprovementsAcquisitionLand
Improvements(D)
Total(E)
Depreciation(B)
Constructed
Senior Housing Operating
Independent Living Facilities
Fort Smith, AR— 590 22,447 1,036 590 23,483 24,073 6,748 04/01/2022
Rogers, AR— 1,470 25,282 1,998 1,470 27,280 28,750 7,673 04/01/2022
Fresno, CA— 420 10,899 1,240 420 12,139 12,559 3,370 04/01/2022
Modesto, CA— 1,170 22,673 1,648 1,170 24,321 25,491 6,725 04/01/2022
Pinole, CA— 1,020 18,066 1,650 1,020 19,716 20,736 5,402 04/01/2022
Roseville, CA— 630 31,343 1,650 630 32,993 33,623 9,272 04/01/2022
West Covina, CA— 940 20,280 2,336 940 22,616 23,556 6,184 04/01/2022
Athens, GA— 910 31,940 1,962 910 33,902 34,812 9,663 04/01/2022
Columbus, GA— 570 8,639 1,271 570 9,910 10,480 2,879 04/01/2022
Voorhees, NJ— 670 23,710 1,847 670 25,557 26,227 7,232 04/01/2022
Gahanna, OH— 920 22,919 1,065 920 23,984 24,904 6,932 04/01/2022
Broken Arrow, OK— 2,660 18,477 851 2,660 19,328 21,988 5,634 04/01/2022
Greenville, SC— 560 16,547 1,138 560 17,685 18,245 5,170 04/01/2022
Myrtle Beach, SC— 1,310 26,229 2,274 1,310 28,503 29,813 8,079 04/01/2022
Vancouver, WA— 1,030 19,183 2,908 1,030 22,091 23,121 5,856 04/01/2022
Total senior housing operating properties— 14,870 318,634 24,874 14,870 343,508 358,378 96,819 
Corporate office— 1,291 677 615 1,291 1,292 2,583 515 
$75,815 $191,909 $2,679,254 $82,385 $191,909 $2,761,639 $2,953,548 $742,295 


NOTES TO SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION

(A) See Note 8 to the consolidated financial statements included in this Annual Report.
(B) Depreciation is calculated using estimated useful lives up to 40 years for all completed facilities.
(C) Subsequent to NHC’s transfer of the original real estate properties in 1991, we purchased from NHC $33.9 million of additions to those properties. As the additions were purchased from NHC rather than developed by us, the $33.9 million has been included as Initial Cost to Company.
(D) Includes construction in progress.
(E) At December 31, 2024, the tax basis of the Company’s net real estate assets was $2.2 billion.
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
FOR THE YEARS ENDED DECEMBER 31, 2024, 2023, AND 2022
($ in thousands)
December 31,
202420232022
Investment in Real Estate:
Balance at beginning of period$2,780,358 $2,729,898 $2,894,548 
Additions through cash expenditures157,931 49,556 10,993 
Change in accounts payable related to investments in real estate construction & equipment(250)325 (69)
Change in other assets related to investments in real estate— 454 200 
Right of use asset in exchange for lease liability344 101 — 
Operating equipment received in lease termination— — 1,287 
Real estate acquired in exchange for non-cash rental income— 2,500 3,000 
Real estate acquired in exchange for mortgage notes receivable22,184 14,200 23,071 
Sale of properties for cash(4,758)(19,326)(104,691)
Properties classified as held for sale(2,261)(11,970)(84,761)
Property reclassified as held for use — 15,793 7,851 
Impairment of property— (1,173)(21,531)
Balance at end of period$2,953,548 $2,780,358 $2,729,898 
Accumulated Depreciation:
Balance at beginning of period$673,276 $611,688 $576,668 
Addition charged to costs and expenses71,443 69,973 70,880 
Amortization of right-of-use asset36 38 36 
Sale of properties(1,518)(4,851)(25,643)
Properties classified as held for sale(942)(6,965)(11,092)
Property reclassified as held for use— 3,393 839 
Balance at end of period$742,295 $673,276 $611,688 
v3.25.0.1
Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate
12 Months Ended
Dec. 31, 2024
Schedule IV - Mortgage Loans on Real Estate [Abstract]  
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE
December 31, 2024
MonthlyAmount Subject To
InterestMaturityPaymentPriorOriginalCarryingDelinquent Principal
RateDateTermsLiensFace AmountAmountor Interest
($ in thousands)
First Mortgages:
Skilled nursing facilities:
Austin/San Antonio, TX7.25%2027-11-30Interest Only$42,500 $42,465 
 Maitland, FL8.5%2027-12-31Interest Only$9,000 $9,000 
Assisted living facilities:
Oviedo, FL8.25%2025-07-31Interest Only$10,000 $10,000 
Bloomington, IL8.75%2029-02-28Interest Only$15,000 $14,877 
Indianapolis, IN7.0%2025-06-30Interest Only$6,423 $6,423 
Tulsa, OK8.5%2029-06-30Interest Only$9,500 $9,416 
Entrance-fee communities:
Columbia, SC7.25%2025-06-30Interest Only$32,700 $32,666 
Second Mortgages:
Winter Park, FL12.0%2025-10-31Interest Only$725 $725 
Construction Loans:
Lake City, FL9.0%2028-08-31Interest Only$7,172 $7,172 
Canton, MI9.0%2025-07-31Interest Only$14,700 $14,700 
Fitchburg, WI8.5%2026-01-28Interest Only$28,386 $28,386 
$175,830 $— 

At December 31, 2024, the tax basis of our mortgage loans on real estate was $188.7 million. Balloon payments on our interest only mortgage receivables are equivalent to the carrying amounts listed above except for unamortized commitment fees of $651.2 thousand.

See the notes to our consolidated financial statements included in the Annual Report for more information on our mortgage loan receivables.
NATIONAL HEALTH INVESTORS, INC.
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE
FOR THE YEARS ENDED DECEMBER 31, 2024, 2023, AND 2022
($ in thousands)
December 31,
202420232022
Reconciliation of mortgage loans on real estate
Balance at beginning of period$162,433 $164,576 $230,927 
Additions:
New mortgage loans41,718 15,083 67,978 
Amortization of loan discount and commitment fees471 428 907 
Total Additions42,189 15,511 68,885 
Deductions:
Loan commitment fees received885 — 497 
Extension fee received82 — — 
Mortgage notes receivable related to investments in real estate22,184 14,200 23,071 
Collection of principal, less recoveries of previous write-downs5,641 3,454 111,668 
Total Deductions28,792 17,654 135,236 
Balance at end of period$175,830 $162,433 $164,576 
v3.25.0.1
Pay vs Performance Disclosure - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Pay vs Performance Disclosure      
Net Income (Loss) $ 137,985 $ 135,654 $ 66,403
v3.25.0.1
Insider Trading Arrangements
3 Months Ended
Dec. 31, 2024
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
v3.25.0.1
Insider Trading Policies and Procedures
12 Months Ended
Dec. 31, 2024
Insider Trading Policies and Procedures [Line Items]  
Insider Trading Policies and Procedures Adopted true
v3.25.0.1
Cybersecurity Risk Management and Strategy Disclosure
12 Months Ended
Dec. 31, 2024
Cybersecurity Risk Management, Strategy, and Governance [Line Items]  
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]
Risk Management and Strategy

The Board of Directors recognizes the importance of maintaining the trust and confidence of our tenants/borrowers/operators and employees to safeguard sensitive information and the integrity of our information systems. We have systems in place to assess, identify and manage cybersecurity incidents and we invest in technology and third-party support to identify, mitigate, and quickly respond to cybersecurity incidents. We have maintained a strong focus on consistently reviewing our cybersecurity practices. We also conduct periodic information security and awareness training to ensure that employees are aware of information security risks and to enable them to take steps to mitigate those risks. As part of this program, we also take steps designed to provide appropriate guidance regarding security to our executive management and employees, including any employee who may come into possession of confidential financial information.

We have engaged the services of various third-party service providers to, among other things, review and evaluate our processes and procedures designed to control access to our information systems, perform penetration testing on our cybersecurity systems on a biannual basis, and provide regular information technology reviews based upon the National Institute of Standards and Technology (“NIST”) Cybersecurity Framework. In addition, we contracted with a third-party managed detection and response security company (“MDR”) in the fourth quarter of 2023 to commence testing for cyber vulnerabilities on a continual basis.

In order to identify and mitigate cybersecurity threats related to our use of material third-party vendors, we conduct periodic reviews of internal controls of certain third-party service providers to assess their procedures to mitigate material security risks.
Cybersecurity Risk Management Processes Integrated [Flag] true
Cybersecurity Risk Management Processes Integrated [Text Block] The Board of Directors recognizes the importance of maintaining the trust and confidence of our tenants/borrowers/operators and employees to safeguard sensitive information and the integrity of our information systems. We have systems in place to assess, identify and manage cybersecurity incidents and we invest in technology and third-party support to identify, mitigate, and quickly respond to cybersecurity incidents.
Cybersecurity Risk Management Third Party Engaged [Flag] true
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag] true
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag] false
Cybersecurity Risk Board of Directors Oversight [Text Block]
Board & Management Responsibilities

We have formed an Information Technology Steering Committee comprised of employees from multiple departments within the Company including the Chief Executive Officer (“CEO”); the Chief Financial Officer; the Chief Accounting Officer; the Vice President, Controller; the Vice President, Investor Relations & Finance; and the Vice President of Human Resources and Compliance & Information Security Officer (“ISO”) to more effectively prevent, detect and respond to information security
threats. The ISO has served in various roles in corporate compliance for over 20 years and reports directly to the Company’s CEO. To enhance our cybersecurity capabilities, we actively collaborate with third-party vendors. Notably, we engage a Managed Service Provider (“MSP”) and an MDR provider who specializes in cybersecurity issues. Our MSP plays a critical role in supporting our IT infrastructure, offering expertise and resources that complement our in-house capabilities. The MDR provides advanced cybersecurity solutions, including continuous monitoring and threat detection services, which are integral to our cybersecurity program.

The ISO is responsible for overseeing a company-wide information security strategy, including policy, standards, architecture, and processes, and managing many of the security services that run on personal computers and servers. The Audit Committee meets with the ISO at least annually to review and discuss the Company’s cyber risks and threats, incident responses, technology, the status of projects to strengthen the Company’s information security systems, assessments of the Company’s security program and the emerging threat landscape.

In the event of an incident that jeopardizes the confidentiality, integrity, or availability of the information technology systems we use, we utilize a regularly updated information security incident response plan (“IRP”). The IRP is overseen by the Information Technology Steering Committee and sets forth the processes for containment, review, escalation, recovery from and remediation of any cybersecurity incidents identified by the Company. Pursuant to our IRP and its escalation protocols, designated personnel are responsible for assessing the severity of the incident and associated threat, containing the threat, remediating the threat, including recovery of data and access to systems, analyzing the reporting obligations associated with the incident, and performing post-incident analysis and program improvements. The IRP also specifies the approach to reporting findings and keeping senior management and other key stakeholders (including the Audit Committee and the Board of Directors for certain incidents) informed and involved as appropriate and specifies the use of third-party experts for legal advice, consulting and cyber incident response.

The Company periodically conducts cybersecurity “tabletop” exercises administered by an independent third-party in which members of a cross-functional team and relevant third-party vendors engage in simulated cybersecurity incident scenarios. These exercises are intended to provide hand-on training for the participants and assists the Company with assessing its processes and capabilities in addressing cybersecurity threats.

As of December 31, 2024, we have not experienced any material risks from cybersecurity threats, including as a result of any previous cybersecurity incidents or threats, that have materially affected the business strategy, results of operations or financial condition of the Company or are reasonably likely to have such a material effect. We also maintain cyber liability insurance to help mitigate potential liabilities resulting from cyber issues. However, there can be no assurance that our cyber risk insurance coverage will be sufficient to cover incurred losses in the event of a cyber-attack.
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block]
The ISO is responsible for overseeing a company-wide information security strategy, including policy, standards, architecture, and processes, and managing many of the security services that run on personal computers and servers. The Audit Committee meets with the ISO at least annually to review and discuss the Company’s cyber risks and threats, incident responses, technology, the status of projects to strengthen the Company’s information security systems, assessments of the Company’s security program and the emerging threat landscape.

In the event of an incident that jeopardizes the confidentiality, integrity, or availability of the information technology systems we use, we utilize a regularly updated information security incident response plan (“IRP”). The IRP is overseen by the Information Technology Steering Committee and sets forth the processes for containment, review, escalation, recovery from and remediation of any cybersecurity incidents identified by the Company. Pursuant to our IRP and its escalation protocols, designated personnel are responsible for assessing the severity of the incident and associated threat, containing the threat, remediating the threat, including recovery of data and access to systems, analyzing the reporting obligations associated with the incident, and performing post-incident analysis and program improvements. The IRP also specifies the approach to reporting findings and keeping senior management and other key stakeholders (including the Audit Committee and the Board of Directors for certain incidents) informed and involved as appropriate and specifies the use of third-party experts for legal advice, consulting and cyber incident response.
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block] The Audit Committee meets with the ISO at least annually to review and discuss the Company’s cyber risks and threats, incident responses, technology, the status of projects to strengthen the Company’s information security systems, assessments of the Company’s security program and the emerging threat landscape.
In the event of an incident that jeopardizes the confidentiality, integrity, or availability of the information technology systems we use, we utilize a regularly updated information security incident response plan (“IRP”). The IRP is overseen by the Information Technology Steering Committee and sets forth the processes for containment, review, escalation, recovery from and remediation of any cybersecurity incidents identified by the Company. Pursuant to our IRP and its escalation protocols, designated personnel are responsible for assessing the severity of the incident and associated threat, containing the threat, remediating the threat, including recovery of data and access to systems, analyzing the reporting obligations associated with the incident, and performing post-incident analysis and program improvements. The IRP also specifies the approach to reporting findings and keeping senior management and other key stakeholders (including the Audit Committee and the Board of Directors for certain incidents) informed and involved as appropriate and specifies the use of third-party experts for legal advice, consulting and cyber incident response.
Cybersecurity Risk Role of Management [Text Block] We have formed an Information Technology Steering Committee comprised of employees from multiple departments within the Company including the Chief Executive Officer (“CEO”); the Chief Financial Officer; the Chief Accounting Officer; the Vice President, Controller; the Vice President, Investor Relations & Finance; and the Vice President of Human Resources and Compliance & Information Security Officer (“ISO”) to more effectively prevent, detect and respond to information security
threats. The ISO has served in various roles in corporate compliance for over 20 years and reports directly to the Company’s CEO. To enhance our cybersecurity capabilities, we actively collaborate with third-party vendors. Notably, we engage a Managed Service Provider (“MSP”) and an MDR provider who specializes in cybersecurity issues. Our MSP plays a critical role in supporting our IT infrastructure, offering expertise and resources that complement our in-house capabilities. The MDR provides advanced cybersecurity solutions, including continuous monitoring and threat detection services, which are integral to our cybersecurity program.
Cybersecurity Risk Management Positions or Committees Responsible [Flag] true
Cybersecurity Risk Management Positions or Committees Responsible [Text Block] The Audit Committee meets with the ISO at least annually to review and discuss the Company’s cyber risks and threats, incident responses, technology, the status of projects to strengthen the Company’s information security systems, assessments of the Company’s security program and the emerging threat landscape.
In the event of an incident that jeopardizes the confidentiality, integrity, or availability of the information technology systems we use, we utilize a regularly updated information security incident response plan (“IRP”). The IRP is overseen by the Information Technology Steering Committee and sets forth the processes for containment, review, escalation, recovery from and remediation of any cybersecurity incidents identified by the Company. Pursuant to our IRP and its escalation protocols, designated personnel are responsible for assessing the severity of the incident and associated threat, containing the threat, remediating the threat, including recovery of data and access to systems, analyzing the reporting obligations associated with the incident, and performing post-incident analysis and program improvements. The IRP also specifies the approach to reporting findings and keeping senior management and other key stakeholders (including the Audit Committee and the Board of Directors for certain incidents) informed and involved as appropriate and specifies the use of third-party experts for legal advice, consulting and cyber incident response.
Cybersecurity Risk Management Expertise of Management Responsible [Text Block] The ISO has served in various roles in corporate compliance for over 20 years and reports directly to the Company’s CEO.
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block]
In the event of an incident that jeopardizes the confidentiality, integrity, or availability of the information technology systems we use, we utilize a regularly updated information security incident response plan (“IRP”). The IRP is overseen by the Information Technology Steering Committee and sets forth the processes for containment, review, escalation, recovery from and remediation of any cybersecurity incidents identified by the Company. Pursuant to our IRP and its escalation protocols, designated personnel are responsible for assessing the severity of the incident and associated threat, containing the threat, remediating the threat, including recovery of data and access to systems, analyzing the reporting obligations associated with the incident, and performing post-incident analysis and program improvements. The IRP also specifies the approach to reporting findings and keeping senior management and other key stakeholders (including the Audit Committee and the Board of Directors for certain incidents) informed and involved as appropriate and specifies the use of third-party experts for legal advice, consulting and cyber incident response.
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag] true
v3.25.0.1
Basis of Presentation and Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
Principles of Consolidation
Principles of Consolidation - The consolidated financial statements include the accounts of the Company, and its wholly owned subsidiaries, joint ventures and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights (“variable interest entities” or “VIEs”) if the Company is deemed to be the primary beneficiary of such entities. All material intercompany transactions and balances are eliminated in consolidation.
Variable Interest Entity
A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights.

We evaluate our arrangements with VIEs to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with Financial Accounting Standards Board (“FASB”) guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI would consolidate the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis.

If the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provisions of Accounting Standards Codification (“ASC”) Topic 810, Consolidation. These provisions provide for consolidation of majority-owned entities where a majority voting interest held by the Company demonstrates control of such entities in the absence of any legal constraints.

Our consolidated total assets and liabilities include two consolidated ventures comprising our SHOP activities, each formed with a separate partner - Merrill Gardens, L.L.C. (“Merrill”) and DSHI NHI Holiday LLC (the “Discovery member”), a related party of Discovery Senior Living (“Discovery”). We consider both ventures to be VIEs as the members of each, as a group, lack the characteristics of a controlling financial interest. We are deemed to be the primary beneficiary of each VIE because we have
the ability to control the activities that most significantly impact each VIE’s economic performance and the obligation to absorb losses or the right to receive benefits. Reference Notes 5 and 17 for further discussion of our SHOP ventures.

We also consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, a related party of Discovery, and LCS Timber Ridge LLC (“LCS”), to invest in senior housing facilities. We consider both partnerships to be VIEs as either the members, as a group, lack the characteristics of a controlling financial interest or the total equity at risk is insufficient to finance activities without additional subordinated financial support. NHI directs the activities that most significantly impact economic performance of these partnerships and the obligation to absorb losses or the right to receive benefits, subject to limited protective rights extended to our partners for specified business decisions. Because of our control of these partnerships, we include their assets, liabilities, noncontrolling interests and operations in our consolidated financial statements. Reference Note 17 for further discussion of these consolidated real estate partnerships.

We use the equity method of accounting when we own an interest in an entity over which we can exert significant influence but cannot control the entity’s operations. We discontinue equity method accounting if our investment in an entity (and net advances) is reduced to zero unless we have guaranteed obligations of the entity or are otherwise committed to provide further financial support for the entity. Reference Note 6 for further discussion of our equity method investment.    

We have concluded that the Company is not the primary beneficiary for certain investments where we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance. See Note 17 for information on unconsolidated VIEs.
Noncontrolling Interests
Noncontrolling Interests - Contingently redeemable noncontrolling interests are recorded at their initial carrying amounts upon issuance and are subsequently adjusted to reflect their share of gains or losses, contributions, and distributions attributable to the noncontrolling interests. In periods where they are or will become probable of redemption, an adjustment to the redemption value of the noncontrolling interests is also recognized through “Capital in excess of par value” on the Company’s Consolidated Balance Sheets and included in our computation of earnings per share. As of December 31, 2024 and 2023, the Merrill SHOP venture noncontrolling interest was classified in the Consolidated Balance Sheets as mezzanine equity, as discussed further in Note 10.
Use of Estimates
Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Significant assumptions and estimates include purchase price allocations to record investments in real estate, impairment of real estate, and allowance for credit losses. Actual results could differ from those estimates.
Forward Equity Sales
Forward Equity Sales - The Company has and may continue to enter into forward sale agreements relating to shares of its common stock, either through its at-the-market (“ATM”) equity program or through underwritten public offerings. These agreements may be physically settled in stock, settled in cash or net share settled at the Company’s election. The forward sale price that we will receive upon physical settlement of the forward sale agreements will be subject to adjustment for (i) a floating interest rate factor equal to a specified daily rate less a spread, and (ii) scheduled dividends during the term of the forward sale agreement. To the extent our forward sales agreements do not meet all the criteria to qualify for equity treatment under ASC 815-40, we recognize the change in the fair value of the derivative in our earnings. The Company evaluated its forward sale agreements and concluded they meet the conditions to be classified within stockholders’ equity as of December 31, 2024.

Shares issuable under a forward equity sales agreement are reflected in the diluted earnings per share calculations for the applicable periods using the treasury stock method. Under this method, the number of shares of our common stock used in calculating diluted earnings per share is deemed to be increased by the excess, if any, of the number of shares of common stock that would be issued upon full physical settlement of the forward equity sales agreement over the number of common shares that could be purchased by us in the market (based on the average market price during the period) using the proceeds receivable upon full physical settlement (based on the average forward price during the reporting period). Reference Note 11 for more discussion.
Earnings Per Share
Earnings Per Share - Our unvested restricted stock awards contain non-forfeitable rights to dividends, and accordingly, these awards are deemed to be participating securities. Therefore, the Company applies the two-class method to calculate basic and diluted earnings. Under the two-class method, we allocate net income attributable to stockholders to common stockholders
and holders of unvested restricted stock by using the weighted-average shares of each class outstanding for quarter-to-date and year-to-date periods, based on their respective participation rights to dividends declared and undistributed earnings. Basic earnings per common share is computed by dividing net income attributable to common stockholders by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per common share reflects the effect of dilutive securities.
Fair Value Measurements
Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs.

The three levels of inputs used to measure fair value are as follows:

Level 1 - Quoted prices in active markets for identical assets or liabilities.

Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data.

Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.

If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy.
Real Property Owned
Real Property Owned - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, personal property and lease and other intangibles. For properties acquired in transactions accounted for as asset purchases, the purchase price, which includes transaction costs, is allocated based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives ranging from 30 to 40 years, and improvements, including any equipment related to the SHOP segment, over their estimated useful lives ranging from 5 to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings.

Expenditures for repairs and maintenance are expensed as incurred.
Impairment of Long-Lived Assets
Impairment of Long-Lived Assets - We evaluate the recoverability of the carrying amount of our long-lived assets when events or circumstances, including significant physical changes, significant adverse changes in general economic conditions or significant deterioration of the underlying cash flows of the long-lived assets, indicate that the carrying amount of the long-lived asset may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows compared to the carrying amount. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the estimated fair value of the long-lived asset.
Leases
Leases - All of our leases within the Real Estate Investment segment are classified as operating leases and generally have an initial leasehold term of 10 to 15 years followed by one or more five-year tenant renewal options. The leases are primarily “triple-net leases” under which the tenant is responsible for the payment of all taxes, utilities, insurance premiums, repairs and
other charges relating to the operation of the properties, including required levels of capital expenditures each year. The tenant is obligated at its expense to keep all improvements, fixtures and other components of the properties covered by “all risk” insurance in an amount equal to at least the full replacement cost thereof, and to maintain specified minimal personal injury and property damage insurance. The leases also require the tenant to indemnify and hold us harmless from all claims resulting from the use, occupancy and related activities of each property by the tenant, and to indemnify us against all costs related to any release, discovery, clean-up and removal of hazardous substances or materials, or other environmental responsibility with respect to each facility. While we do not incorporate residual value guarantees, the lease provisions and considerations discussed above impact our expectation of realizable value from our properties upon the expiration of their lease terms. The residual value of our real estate under lease is still subject to various market, asset, and tenant-specific risks and characteristics. As the classification of our leases is dependent on the fair value of estimated cash flows at lease commencement, management’s projected residual values represent significant assumptions in our accounting for operating leases. Similarly, the exercise of renewal options is also subject to these same risks, making a tenant’s lease term another significant variable in a lease’s cash flows. Initial direct costs that are incremental to entering into a lease are capitalized in accordance with the provisions of ASC Topic 842.
FASB Lease Modifications Related to Effects of the COVID-19 Pandemic - In accordance with the FASB’s question-and-answer document issued in April 2020, we elected to account for qualified rent concessions provided as a result of the coronavirus pandemic (“COVID-19”) as variable lease payments, recorded as rental income when received and not as lease modifications under ASC Topic 842. This guidance was applicable to certain rent concessions granted in 2022.
Financial Instruments - Credit Losses
Financial Instruments - Credit Losses - We estimate and record an allowance for credit losses upon origination of a loan, based on expected credit losses over the term of the loan and update this estimate each reporting period. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine loans, revolving lines of credit and loans designated as non-performing are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans, revolving lines of credit and loans designated as non-performing are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date.

Calculation of the allowance for credit losses involves significant judgment. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectible.
Cash and Cash Equivalents and Restricted Cash
Cash and Cash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with original maturities of three months or less. Restricted cash includes amounts required to be held on deposit or subject to an agreement (e.g. with a qualified intermediary subject to an exchange agreement pursuant to Section 1031 of the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”) or in accordance with agency agreements governing our mortgages).
Assets Held for Sale
Assets Held for Sale - We consider properties to be assets held for sale when (1) management commits to a plan to sell the property, (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we anticipate the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property’s value at the lower of its carrying value or its estimated fair value, less estimated transaction costs. Depreciation and amortization of the property are discontinued. If a property subsequently no longer meets the criteria to be classified as held for sale, it is reclassified as held and used and measured at the lower of i) its original carrying amount before the asset was classified as held for sale, adjusted for any depreciation expense not recognized while it was classified as held for sale, and ii) its fair value.
Concentration of Credit Risks
Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that may exceed federally insured limits. We have not experienced any losses in such accounts. Our mortgage and other notes receivable consist primarily of secured loans on facilities.

Our financial instruments, principally our investments in mortgage and other notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for mortgage and other notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis.
Deferred Loan Costs and Deferred Income
Deferred Loan Costs - Costs incurred to acquire debt are capitalized and amortized by the straight-line method, which approximates the effective-interest method, over the term of the related debt.

Deferred Income - Deferred income primarily includes rents received in advance from tenants and residents and non-refundable commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or tenant expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the contracts and the creditworthiness of the parties.
Rental Income
Rental Income - Our leases generally provide for rent escalators throughout the term of the lease. Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectable and the lease provides for specific contractual escalators. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the tenant over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the tenant once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rent and are excluded from the schedule of minimum lease payments.

If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rents receivable in the Consolidated Balance Sheets and an increase in rental income in the
Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts.

Property operating expenses that are reimbursed by our operators are recorded as “Rental income” in the Consolidated Statements of Income. Accordingly, we record a corresponding expense, reflected as “Taxes and insurance on leased properties” in the Consolidated Statements of Income. Rental income includes reimbursement of property operating expenses for the years ended December 2024, 2023 and 2022, totaling $11.2 million, $11.5 million and $9.8 million, respectively.

Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved.

The Company reviews its operating lease receivables for collectability on a regular basis, taking into consideration changes in factors such as the tenant’s payment history, the financial condition of the tenant, business conditions in which the tenant operates and economic conditions in the area where the property is located. In the event that collectability of substantially all lease payments with respect to any tenant is not probable, a direct write-off of the receivable is made as an adjustment to rental income and any future rental revenue is recognized only when the tenant makes a rental payment. As of December 31, 2024, we had three tenants, including Bickford Senior Living (“Bickford”), on the cash basis of revenue recognition for their lease arrangements. Reference Note 3 for further discussion.

Resident Fees and Services - Resident fees and services revenue associated with our SHOP activities is recognized as the related performance obligations are satisfied and includes resident room charges, community fees and other resident charges.

Residency agreements are generally short term (30 days to one year), and entitle the resident to certain room and care services for a monthly fee billed in advance. Revenue for certain related services is billed monthly in arrears. The Company has elected the lessor practical expedient within ASC 842, Leases, not to separate the lease and nonlease components within our resident agreements as the timing and pattern of transfer to the resident are the same. The Company has determined that the nonlease component is the predominant component within the contract and recognizes revenue under ASC 606, Revenue Recognition from Contracts with Customers.
Interest Income from Mortgage and Other Notes Receivable
Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. We identify a mortgage note or other note receivable as non-performing, and is placed on non-accrual status, based on various criteria including timeliness of required payments, compliance with other provisions under the related note agreement, and an evaluation of the borrower’s current financial condition for indicators that it is probable it cannot pay its contractual amounts. A non-performing loan is returned to accrual status at such time as the note becomes contractually current and management believes all future principal and interest will be received according to the contractual terms of the note. As of December 31, 2024, we had one mortgage notes receivable and two mezzanine loans totaling an aggregate of $25.9 million designated as non-performing. Reference Note 4 for further discussion.
Income Taxes
Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code. Accordingly, we will generally not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT. A failure to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows.

Certain activities that we undertake may be conducted by subsidiary entities that have elected to be treated as taxable REIT subsidiaries (“TRS”). TRSs are subject to federal, state, and local income taxes. Accordingly, a provision for income taxes has been made in the consolidated financial statements.

Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees.

Our tax returns filed for years beginning in 2021 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our Consolidated Statements of Income as a component of income tax expense.
Segments
Segments - We operate our business through two reportable segments: Real Estate Investments and SHOP. In our Real Estate Investments segment, we invest in (i) senior housing and healthcare real estate and lease those properties to healthcare
operating companies under primarily triple-net leases that obligate tenants to pay all property-related expenses and (ii) mortgage and other notes receivable throughout the United States. Our SHOP segment is comprised of the operations of 15 ILFs located throughout the United States that are operated on behalf of the Company by independent managers pursuant to the terms of separate management agreements. Reference Notes 5 and 16 for additional information.
Recent Accounting Pronouncements
Recent Accounting Pronouncements - In November 2023, the FASB issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The ASU enhances segment disclosures by requiring public entities to provide investors with additional, more detailed information about a reportable segment’s expenses. The ASU also requires disclosure of the chief operating decision maker’s (“CODM”) title and position on an annual basis, as well as an explanation of how the CODM uses the reported measures and other disclosures. We adopted this guidance effective for the year ended December 31, 2024. The adoption of this guidance resulted in additional segment disclosures as disclosed in Note 16.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which includes amendments that further enhance income tax disclosures, primarily through standardization and disaggregation of rate reconciliation categories and income taxes paid by jurisdiction. ASU 2023-09 is effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the potential impact of adoption on our consolidated financial statements or related disclosures.

In November 2024, the FASB issued ASU 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires public entities to disclose, on an annual and interim basis, disaggregated information in the footnotes about specified information related to certain costs and expenses. This guidance is effective for annual periods beginning after December 15, 2026 and interim periods beginning after December 15, 2027, with early adoption permitted. We are currently evaluating the potential impact of this standard on our consolidated financial statements and related disclosures.
v3.25.0.1
Basis of Presentation and Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
Schedule of Cash and Cash Equivalents
The following table sets forth our “Cash and cash equivalents and restricted cash” reported within the Company’s Consolidated Statements of Cash Flows ($ in thousands):
As of December 31,
20242023
Beginning of period:
Cash and cash equivalents$22,347 $19,291 
Restricted cash (included in Other assets, net)
2,270 2,225 
     Cash, cash equivalents, and restricted cash$24,617 $21,516 
End of period:
Cash and cash equivalents$24,289 $22,347 
Restricted cash (included in Other assets, net)
2,213 2,270 
     Cash, cash equivalents, and restricted cash$26,502 $24,617 
Schedule of Restrictions on Cash and Cash Equivalents
The following table sets forth our “Cash and cash equivalents and restricted cash” reported within the Company’s Consolidated Statements of Cash Flows ($ in thousands):
As of December 31,
20242023
Beginning of period:
Cash and cash equivalents$22,347 $19,291 
Restricted cash (included in Other assets, net)
2,270 2,225 
     Cash, cash equivalents, and restricted cash$24,617 $21,516 
End of period:
Cash and cash equivalents$24,289 $22,347 
Restricted cash (included in Other assets, net)
2,213 2,270 
     Cash, cash equivalents, and restricted cash$26,502 $24,617 
v3.25.0.1
Investment Activity (Tables)
12 Months Ended
Dec. 31, 2024
Real Estate [Abstract]  
Schedule of Business Acquisitions, by Acquisition
During the year ended December 31, 2024, we completed the following real estate acquisitions within our Real Estate Investments segment ($ in thousands):

OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Encore Senior LivingQ2 20241ALF$1,329 $30,721 $32,050 
Spring ArborQ4 202410ALF10,284 111,038 121,322 
William James Group, LLCQ4 20241ALF452 6,488 6,940 
$12,065 $148,247 $160,312 
During the year ended December 31, 2023, we completed the following real estate acquisitions within our Real Estate Investments segment ($ in thousands):

OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Silverado Senior LivingQ1 20232ALF$3,894 $33,599 $37,493 
BickfordQ1 20231ALF1,746 15,542 17,288 
$5,640 $49,141 $54,781 
Schedule of Asset Dispositions
During the year ended December 31, 2024, we completed the following real estate property dispositions within our Real Estate Investments segment ($ in thousands):
OperatorDatePropertiesAsset ClassNet ProceedsNet Real Estate InvestmentGain
Senior Living ManagementQ2 20242ALF$4,658 $3,240 $1,418 
Bickford Senior Living1
Q4 20241ALF790 665 125 
Senior Living Management2
Q4 20241ALF9,731 5,004 4,727 
4$15,179 $8,909 $6,270 

1Total aggregate impairment charges previously recognized on the property was $0.7 million and $1.2 million for the years ended December 31, 2024 and 2023, respectively.
2The Company provided aggregate financing of approximately $9.4 million, net of discounts, on the transaction in the form of notes receivable, which is included in net proceeds.
During the year ended December 31, 2023, we completed the following real estate property dispositions within our Real Estate Investments segment ($ in thousands):
OperatorDatePropertiesAsset ClassNet ProceedsNet Real Estate InvestmentGain
Impairment1
BAKA Enterprises, LLC2
Q1 20231ALF$7,478 $7,505 $— $27 
BickfordQ1 20231ALF2,553 1,421 1,132 — 
Chancellor Health Care2
Q2 20231ALF2,355 1,977 378 — 
Milestone Retirement2,3
Q2 20232ALF3,803 3,934 — 131 
Chancellor Health Care3
Q2 20231ALF7,633 6,140 1,493 — 
Milestone Retirement2,3
Q2 20231ALF1,602 1,452 150 — 
Chancellor Health CareQ2 20231ALF23,724 14,476 9,248 — 
Chancellor Health Care2
Q3 20231ALF2,923 2,292 631 — 
Senior Living Management3
Q4 20232ALF5,522 4,770 752 — 
Senior Living Management2
Q4 20231ALF1,515 1,100 415 — 
12$59,108 $45,067 $14,199 $158 

1 Impairments are included in “Loan and realty losses, net” in the Consolidated Statement of Income for the year ended December 31, 2023.
2 Total aggregate impairment charges previously recognized on these properties were $0.3 million and $17.4 million for the years ended December 31, 2023 and 2022, respectively.
3 The Company provided aggregate financing of approximately $2.2 million, net of discounts, on these transactions in the form of notes receivable, which is included net proceeds.
Schedule of Tenant Concentration
The following table contains information regarding tenant concentration in our Real Estate Investments segment, excluding $2.6 million for our corporate office, $358.4 million for the SHOP segment, and a credit loss reserve of $20.2 million, based on the percentage of revenues for the years ended December 31, 2024, 2023 and 2022 related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):
As of December 31, 2024
Revenues1
Asset  Gross RealNotesYear Ended December 31,
ClassEstateReceivable202420232022
Senior Living CommunitiesEFC$577,243 $43,916 $53,570 16%$51,274 16%$51,183 18%
Bickford2
ALF428,068 16,072 41,720 12%38,688 12%N/AN/A
National HealthCare CorporationSNF133,770 — 40,016 12%37,335 12%36,893 13%
All others, netVarious1,453,506 229,187 134,289 41%132,216 41%144,534 52%
Escrow funds received from tenants
    for property operating expensesVarious— — 11,165 3%11,513 4%9,788 4%
$2,592,587 $289,175 280,760 271,026 242,398 
Resident fees and services3
54,421 16%48,809 15%35,796 13%
$335,181 $319,835 $278,194 

1 Includes interest income on notes receivable and rental income from properties classified as assets held for sale.
2 Revenues included in All others, net for years when less than 10%.
3 There is no tenant concentration in “Resident fees and services” because these agreements are with individual residents.
Schedule of NHC Percentage Rent
The following table summarizes the percentage rent income from NHC ($ in thousands):

Year Ended December 31,
202420232022
Current year$5,518 $3,862 $3,332 
Prior year final certification1
1,656 630 (206)
Total percentage rent income$7,174 $4,492 $3,126 
1 For purposes of the percentage rent calculation described in the master lease agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year.
Schedule of Cash Rents Received Cash rents received from these tenants for the years ended December 31, 2024, 2023 and 2022 were as follows ($ in thousands):
Year Ended December 31,
202420232022
Bickford1,2
$38,971 $33,352 $27,650 
All others3
11,010 12,444 7,681 
Total cash rent received from cash basis operators$49,981 $45,796 $35,331 

1Excludes $2.5 million and $3.0 million of rental income related to the reduction of rent deferrals recognized in connection with the acquisition of two ALFs located in Virginia from Bickford for the years ended December 31, 2023 and 2022, respectively.
2Excludes the impact of write-offs of $18.1 million in total straight-line rents receivable and $7.1 million of lease incentives during the year ended December 31, 2022.
3Excludes the impact of write-offs of $9.0 million in total straight-line rents receivable during the year ended December 31, 2022.
Schedule of Supplemental Balance Sheet Information Related to Lease Supplemental balance sheet information related to the lease is as follows ($ in thousands):
As of December 31,
20242023
Buildings and improvements - right of use asset$1,524 $1,562 
Accounts payable and accrued expenses - lease liability$1,685 $1,705 
Schedule of Lessor, Operating Lease, Payment to be Received, Fiscal Year Maturity
Future Minimum Lease Payments

Future minimum lease payments to be received by us under our operating leases, including cash basis tenants, at December 31, 2024 are as follows ($ in thousands):
Year Ending December 31, Amount
2025$247,712 
2026254,499 
2027208,589 
2028203,933 
2029194,283 
Thereafter845,337 
$1,954,353 
Schedule of Fixed and Variable Lease Payments
Variable Lease Payments

Most of our leases contain annual escalators in rent payments. Some of our leases contain escalators that are determined annually based on a variable index or other factors that are indeterminable at the inception of the lease. The table below indicates the rental income recognized as a result of fixed and variable lease escalators ($ in thousands):

Year Ended December 31,
202420232022
Lease payments based on fixed escalators$234,672 $225,565 $226,873 
Lease payments based on variable escalators11,074 7,709 5,275 
Straight-line rent income, net of write-offs3,031 6,961 (16,681)
Escrow funds received from tenants for property operating expenses11,165 11,513 9,788 
Amortization and write-off of lease incentives(2,893)(2,521)(7,555)
Rental income$257,049 $249,227 $217,700 
v3.25.0.1
Mortgage and Other Notes Receivable (Tables)
12 Months Ended
Dec. 31, 2024
Mortgage and Other Notes Receivable [Abstract]  
Schedule of Financing Receivable Credit Quality Indicators The credit quality indicator as of December 31, 2024, is presented below for the amortized cost, net by year of origination ($ in thousands):
20242023202220212020PriorTotal
Mortgages
more than 1.5x$16,589 $— $42,465 $— $— $32,666 $91,720 
between 1.0x and 1.5x23,877 725 28,387 — — 6,423 59,412 
less than 1.0x— — — — — 14,700 14,700 
40,466 725 70,852 — — 53,789 165,832 
Mezzanine
more than 1.5x— 524 — 13,137 — — 13,661 
between 1.0x and 1.5x— — — 18,998 — — 18,998 
less than 1.0x24,760 229 — — — 25,000 49,989 
24,760 753 — 32,135 — 25,000 82,648 
Non-performing
more than 1.5x— — — — — 10,000 10,000 
between 1.0x and 1.5x1,369 — — — — 14,500 15,869 
1,369 — — — — 24,500 25,869 
Revolver
more than 1.5x14,476 
between 1.0x and 1.5x350 
14,826 
Credit loss reserve(20,249)
$268,926 
Schedule of Financing Receivable, Allowance for Credit Loss, Roll Forward
The allowance for expected credit losses is presented in the following table for the year ended December 31, 2024 ($ in thousands):
Balance at January 1, 2024$15,476 
Provision for expected credit losses4,773 
Balance at December 31, 2024$20,249 
v3.25.0.1
Other Assets (Tables)
12 Months Ended
Dec. 31, 2024
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of Other Assets
Other assets, net consist of the following ($ in thousands):
December 31, 2024December 31, 2023
SHOP accounts receivable, net of allowance of $494 and $343, and other assets
$2,232 $1,620 
Real estate investments accounts receivable and prepaid expenses4,223 3,296 
Lease incentive payments, net7,877 10,669 
Regulatory escrows6,208 6,208 
Restricted cash2,213 2,270 
$22,753 $24,063 
v3.25.0.1
Debt (Tables)
12 Months Ended
Dec. 31, 2024
Debt Instruments [Abstract]  
Schedule of Long-term Debt Instruments
Debt consisted of the following ($ in thousands):
December 31, 2024December 31, 2023
Revolving credit facility - unsecured$331,200 $245,000 
Bank term loans - unsecured200,000 200,000 
2031 Senior Notes - unsecured, net of discount of $1,956 and $2,278
398,044 397,722 
Private placement notes - unsecured150,000 225,000 
Fannie Mae term loans - secured, non-recourse75,815 76,241 
Unamortized loan costs(9,018)(8,912)
$1,146,041 $1,135,051 
Schedule of Maturities of Long-term Debt
Aggregate principal maturities of debt as of December 31, 2024 for each of the next five years and thereafter are included in
the table below. These maturities do not include the impact of any debt incurred or repaid subsequent to December 31, 2024 ($ in thousands):

For The Year Ending December 31,
2025$325,815 
2026— 
2027100,000 
2028331,200 
2029— 
Thereafter400,000 
1,157,015 
Less: discount(1,956)
Less: unamortized loan costs(9,018)
$1,146,041 
Schedule of Unsecured Term Loans
Our unsecured private placement notes outstanding as of December 31, 2024, payable interest-only, are summarized below ($ in thousands):

AmountInceptionMaturityFixed Rate
$50,000 November 2015November 20254.33 %
100,000 January 2015January 20274.51 %
$150,000 
Schedule of Interest Expense
The following table summarizes interest expense ($ in thousands):
December 31, 2024
202420232022
Interest expense on debt at contractual rates$56,313 $55,603 $42,487 
Capitalized interest(193)(90)(46)
Amortization of debt issuance costs, debt discount and other3,783 2,647 2,476 
Total interest expense$59,903 $58,160 $44,917 
v3.25.0.1
Commitments, Contingencies and Uncertainties (Tables)
12 Months Ended
Dec. 31, 2024
Commitments and Contingencies Disclosure [Abstract]  
Schedule of Off Balance Sheet, Credit Loss, Liability, Roll Forward
The liability for expected credit losses on our unfunded loan commitments reflected in “Accounts payable and accrued expenses” on the Consolidated Balance Sheets as of December 31, 2024 and 2023 is presented in the following table for the year ended December 31, 2024 ($ in thousands):

Balance at January 1, 2024$279 
Provision for expected credit losses(132)
Balance at December 31, 2024$147 
v3.25.0.1
Redeemable Noncontrolling Interest (Tables)
12 Months Ended
Dec. 31, 2024
Noncontrolling Interest [Abstract]  
Schedule of Redeemable Noncontrolling Interest
The following table presents the change in “Redeemable noncontrolling interest” for the years ended December 31, 2024 and 2023 ($ in thousands):

Year Ended December 31,
20242023
Balance at January 1,$9,656 $9,825 
  Contributions1,100 922 
  Net loss(916)(1,091)
  Distributions(50)— 
Balance at December 31,$9,790 $9,656 
v3.25.0.1
Equity and Dividends (Tables)
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
Schedule of Dividends Declared
The following table summarizes dividends declared by the Board of Directors or paid during the years ended December 31, 2024 and 2023:
Year Ended December 31, 2024
Date of DeclarationDate of RecordDate Paid/PayableQuarterly Dividend
February 16, 2024March 28, 2024May 3, 2024$0.90
May 3, 2024June 28, 2024August 2, 2024$0.90
August 2, 2024September 27, 2024November 1, 2024$0.90
November 1, 2024December 31, 2024January 29, 2025$0.90
Year Ended December 31, 2023
Date of DeclarationDate of RecordDate Paid/PayableQuarterly Dividend
February 17, 2023March 31, 2023May 5, 2023$0.90
May 5, 2023June 30, 2023August 4, 2023$0.90
August 4, 2023September 29, 2023November 3, 2023$0.90
November 3, 2023December 29, 2023January 26, 2024$0.90
v3.25.0.1
Share-Based Compensation (Tables)
12 Months Ended
Dec. 31, 2024
Share-Based Payment Arrangement [Abstract]  
Schedule of Share-based Payment Arrangement, Expensed and Capitalized, Amount The following is a summary of share-based compensation expense, net of any forfeitures, included in “General and administrative expenses” in the Consolidated Statements of Income ($ in thousands):
December 31, 2024December 31, 2023December 31, 2022
Shared-based compensation components:
  Restricted stock expense$676 $310 $— 
  Stock option expense3,506 4,295 8,613 
Total share-based compensation expense$4,182 $4,605 $8,613 
Schedule of Stock Option Valuation Assumptions The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:
December 31, 2024December 31, 2023December 31, 2022
Dividend yield6.4%6.9%7.0%
Expected volatility26.1%39.0%49.3%
Expected lives2.9 years2.9 years2.9 years
Risk-free interest rate4.49%4.56%1.75%
Schedule of Stock Option Activity
The following tables summarize our outstanding stock options:
Weighted Average
NumberWeighted AverageRemaining
of SharesExercise PriceContractual Life (Years)
Outstanding December 31, 20211,652,505 $78.10
Options granted under 2019 Plan718,000 $53.62
Options exercised under 2019 Plan(56,832)$53.41
Options forfeited (23,000)$62.33
Options expired(74,498)$77.93
Outstanding December 31, 20222,216,175 $70.97
Options granted under 2019 Plan385,500 $54.73
Options exercised (5,166)$53.41
Options forfeited(61,168)$66.44
Options expired(88,170)$64.33
Outstanding December 31, 20232,447,171 $68.80
Options granted under 2019 Plan431,000 $57.76
Options exercised(1,065,119)$58.24
Options forfeited(95,000)$68.00
Options expired(301,837)$79.96
Outstanding December 31, 20241,416,215 $71.061.78
Exercisable at December 31, 20241,075,521 $75.561.12
Remaining
GrantNumberExerciseContractual
Dateof SharesPriceLife in Years
2/21/2020491,000 $90.79 0.14
2/25/2021322,500 $69.20 1.15
2/25/2022126,560 $53.41 2.15
2/24/2023171,650 $54.73 3.15
2/23/2024304,505 $57.76 4.15
Options outstanding, December 31, 20241,416,215 
Schedule of Nonvested Share Activity
The following table summarizes our outstanding non-vested stock options:

Number of SharesWeighted Average Grant Date Fair Value
Non-vested December 31, 2023368,344 $11.48
Options granted under 2019 Plan431,000 $7.36
Options vested under 2019 Plan(458,650)$9.68
Non-vested December 31, 2024340,694 $8.71
v3.25.0.1
Earnings Per Common Share (Tables)
12 Months Ended
Dec. 31, 2024
Earnings Per Share [Abstract]  
Schedule of Earnings Per Share, Basic and Diluted
The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share ($ in thousands, except share and per share amounts):
Year Ended December 31,
202420232022
Net income$136,639 $134,381 $65,501 
 Add: net loss attributable to noncontrolling interests1,346 1,273 $902 
Net income attributable to stockholders137,985 135,654 66,403 
Less: net income attributable to unvested restricted stock awards(118)(57)— 
Net income attributable to common stockholders - basic and diluted$137,867 $135,597 $66,403 
BASIC:
Weighted average common shares outstanding43,844,771 43,388,794 44,774,708 
DILUTED:
Weighted average common shares outstanding43,844,771 43,388,794 44,774,708 
Stock options 184,416 672 19,528 
Forward equity sales agreement73,449 — — 
Weighted average dilutive common shares outstanding44,102,636 43,389,466 44,794,236 
Earnings per common share - basic$3.14 $3.13 $1.48 
Earnings per common share - diluted$3.13 $3.13 $1.48 
Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the
average market price for our common shares235,344 802,506 564,803 
Regular dividends declared per common share$3.60 $3.60 $3.60 
v3.25.0.1
Fair Value of Financial instruments (Tables)
12 Months Ended
Dec. 31, 2024
Fair Value Disclosures [Abstract]  
Schedule of Fair Value Measurements, Nonrecurring
Carrying amounts and fair values of financial instruments that are not carried at fair value at December 31, 2024 and December 31, 2023 in the Consolidated Balance Sheets are as follows ($ in thousands):
Carrying AmountFair Value Measurement
2024202320242023
Level 2
Variable rate debt$525,177 $439,693 $531,200 $445,000 
Fixed rate debt$620,864 $695,358 $548,339 $616,852 
Level 3
Mortgage and other notes receivable, net$268,926 $245,271 $261,708 $237,646 
v3.25.0.1
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2024
Income Tax Disclosure [Abstract]  
Schedule of Dividends Paid, Per Share
Distributions to common stockholders for the last three years are characterized for tax purposes as follows on a per share basis (unaudited):
Year Ended December 31,
20241
20232022
Ordinary income$2.84119 $2.40807 $2.61966 
Capital gain— 0.24805 — 
Return of capital— 0.94388 0.98034 
Distributions per common share$2.84119 $3.60 $3.60 

1Pursuant to Section 857(b)(9) of the Internal Revenue Code, the $0.90 per share cash distribution paid on January 29, 2025 with a record date of December 31, 2024 (the “January 2025 Cash Distribution”) is treated as received by stockholders on December 31, 2024 to the extent of 2024 earnings and profits. As the Company’s aggregate 2024 cash distributions exceeded 2024 earnings and profits, only a portion of the January 2025 Cash Distribution has been included as a distribution for 2024 tax reporting. The remainder of the January 2025 Cash Distribution will be treated as a 2025 distribution for federal income tax purposes.
v3.25.0.1
Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment Summary information for the reportable segments during the years ended December 31, 2024, 2023 and 2022 are as follows ($ in thousands):
For the year ended December 31, 2024:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$257,049 $— $— $257,049 
Resident fees and services— 54,421 — 54,421 
Interest income and other23,243 — 468 23,711 
   Total revenues280,292 54,421 468 335,181 
Labor— 17,166 — 17,166 
Dietary— 4,287 — 4,287 
Utilities— 3,887 — 3,887 
Taxes and insurance11,165 6,412 — 17,577 
Other senior housing operating expenses1
— 10,499 — 10,499 
   NOI 269,127 12,170 468 281,765 
Depreciation61,249 10,157 37 71,443 
Interest3,060 — 56,843 59,903 
Legal — — 1,052 1,052 
Franchise, excise and other taxes— — 38 38 
General and administrative— — 20,736 20,736 
Loan and realty losses, net5,295 — — 5,295 
Gains on sales of real estate(6,678)— — (6,678)
Gains from equity method investment(402)— — (402)
Gain on forward equity sale agreement, net— — (6,261)(6,261)
    Net income (loss)$206,603 $2,013 $(71,977)$136,639 
Total assets$2,325,269 $270,273 $18,829 $2,614,371 
1Includes management fees, general and administrative and marketing expenses.
For the year ended December 31, 2023:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$249,227 $— $— $249,227 
Resident fees and services— 48,809 — 48,809 
Interest income and other21,448 — 351 21,799 
   Total revenues270,675 48,809 351 319,835 
Labor— 16,165 — 16,165 
Dietary— 3,763 — 3,763 
Utilities— 3,537 — 3,537 
Taxes and insurance 11,513 5,889 — 17,402 
Other senior housing operating expenses1
— 10,233 — 10,233 
   NOI 259,162 9,222 351 268,735 
Depreciation60,764 9,158 51 69,973 
Interest3,071 — 55,089 58,160 
Legal — — 507 507 
Franchise, excise and other taxes— — 449 449 
General and administrative— — 19,314 19,314 
Loan and realty losses, net1,376 — — 1,376 
Gains on sales of real estate(14,721)— — (14,721)
Gain on operations transfer, net(20)— — (20)
Other income(202)— — (202)
Loss on early retirement of debt— — 73 73 
Gains from equity method investment(555)— — (555)
    Net income (loss)$209,449 $64 $(75,132)$134,381 
Total assets$2,202,647 $270,051 $15,782 $2,488,480 
1Includes management fees, general and administrative and marketing expenses.
For the year ended December 31, 2022:Real Estate InvestmentsSHOPNon-segment/CorporateTotal
Rental income$217,700 $— $— $217,700 
Resident fees and services— 35,796 — 35,796 
Interest income and other24,383 — 315 24,698 
   Total revenues242,083 35,796 315 278,194 
Labor— 11,184 — 11,184 
Dietary— 2,749 — 2,749 
Utilities— 2,633 — 2,633 
Taxes and insurance 9,788 4,183 — 13,971 
Other senior housing operating expenses1
— 7,444 — 7,444 
   NOI 232,295 7,603 315 240,213 
Depreciation64,407 6,408 65 70,880 
Interest3,089 — 41,828 44,917 
Legal — — 2,555 2,555 
Franchise, excise and other taxes— — 844 844 
General and administrative— — 22,768 22,768 
Loan and realty losses, net61,911 — — 61,911 
Gains on sales of real estate(28,342)— — (28,342)
Loss on operations transfer, net710 — — 710 
Gain on note receivable payoff(1,113)— — (1,113)
Loss on early retirement of debt— — 151 151 
Gains from equity method investment(569)— — (569)
    Net income (loss)$132,202 $1,195 $(67,896)$65,501 
Total assets$2,225,176 $274,135 $8,113 $2,507,424 
1Includes management fees, general and administrative and marketing expenses.
v3.25.0.1
Variable Interest Entities (Tables)
12 Months Ended
Dec. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Variable Interest Entities
The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below ($ in thousands).

DateNameSource of ExposureCarrying Amount Maximum Exposure to LossNote Reference
2014Senior LivingNotes and straight-line rents receivable$84,087 $92,837 Notes 3, 4
2016Senior Living ManagementNotes$24,500 $24,500 Notes 3, 4
2018BickfordNotes$16,186 $28,432 Notes 3, 4
2019Encore Senior Living
Various1
$35,330 $35,397 
2020Timber Ridge OpCo
Various2
$(1,332)$3,668 Notes 6, 7
2020Watermark RetirementNotes and straight-line rents receivable$10,293 $12,067 
2021Montecito Medical Real EstateNotes and funding commitment$15,618 $50,053 Note 4
2021Vizion HealthNotes and straight-line rents receivable$15,244 $15,244 
2021Navion Senior Solutions
Various3
$7,730 $9,880 
2023Kindcare Senior Living
Notes4
$785 $785 
2024Mainstay Healthcare Maitland, LLCNote$9,019 $9,019 

1 Note, straight-line rents receivable, and lease receivables
2 Loan commitment, equity method investment, straight-line rents receivable and unamortized lease incentive
3 Straight-line rents receivable, and unamortized lease incentive
4 Represents two mezzanine loans originated from the sales of real estate
v3.25.0.1
Organization and Nature of Business (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
segment
Dec. 31, 2024
property
Dec. 31, 2024
state
Dec. 31, 2024
tenant
Dec. 31, 2024
mortgage
Dec. 31, 2024
unit
Dec. 31, 2024
facility
Dec. 31, 2024
jointVenture
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Real Estate [Line Items]                    
Number of reportable segments | segment 2                  
Real estate investment property, portfolio assets | $                 $ 358,400  
Number of health care properties related to mortgage notes receivables   16     11          
Loans an leases receivable, gross | $ $ 289,175                  
Credit loss reserve | $ 20,249               $ 15,476 $ 20,200
Real Estate Investments                    
Real Estate [Line Items]                    
Real estate investment property, portfolio assets | $ 2,600,000                  
Properties   172                
Number of states in which entity operates | state     31              
Number of lessees | tenant       27            
Senior Housing Community | Real Estate Investments                    
Real Estate [Line Items]                    
Properties   106                
Skilled Nursing Facilities                    
Real Estate [Line Items]                    
Properties | facility             32      
Skilled Nursing Facilities | Real Estate Investments                    
Real Estate [Line Items]                    
Properties   65                
Hospitals | Real Estate Investments                    
Real Estate [Line Items]                    
Properties   1                
Independent Living Facilities                    
Real Estate [Line Items]                    
Properties   3                
Number of states in which entity operates | state     8              
Number of joint ventures | jointVenture               2    
Independent Living Facilities | SHOP                    
Real Estate [Line Items]                    
Real estate investment property, portfolio assets | $ $ 358,400                  
Properties   15                
Number of units in real estate property | unit           1,732        
v3.25.0.1
Basis of Presentation and Significant Accounting Policies (Narrative) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
mortgage
segment
Dec. 31, 2023
USD ($)
realEstatePartnership
Dec. 31, 2022
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2024
property
Dec. 31, 2024
realEstatePartnership
Dec. 31, 2024
operator
Dec. 31, 2024
facility
Dec. 31, 2024
jointVenture
Property, Plant and Equipment [Line Items]                  
Number of real estate partnerships | realEstatePartnership   2       2      
Property, plant and equipment, useful life 40 years                
Impairment of property $ 0 $ 1,173 $ 21,531            
Lessor, operating lease, renewal term 5 years                
Taxes and insurance $ 11,165 11,513 9,788            
Loans an leases receivable, gross       $ 289,175          
Number of reportable segments | segment 2                
Independent Living Facilities                  
Property, Plant and Equipment [Line Items]                  
Number of joint ventures | jointVenture                 2
Properties | property         3        
Non-performing                  
Property, Plant and Equipment [Line Items]                  
Mortgage note receivables | mortgage 1                
Non-performing | Mortgage Receivable And Mezzanine Loan                  
Property, Plant and Equipment [Line Items]                  
Loans an leases receivable, gross       $ 25,900          
Bickford                  
Property, Plant and Equipment [Line Items]                  
Number of operators | operator             3    
Properties         4     38  
Real Estate Investments                  
Property, Plant and Equipment [Line Items]                  
Impairment of property $ 700 $ 1,600 $ 51,600            
Properties | property         172        
SHOP | Independent Living Facilities                  
Property, Plant and Equipment [Line Items]                  
Properties | property         15        
Minimum                  
Property, Plant and Equipment [Line Items]                  
Lessor, operating lease, contract term 10 years                
Residency agreement, term 30 days                
Maximum                  
Property, Plant and Equipment [Line Items]                  
Lessor, operating lease, contract term 15 years                
Residency agreement, term 1 year                
Building | Minimum                  
Property, Plant and Equipment [Line Items]                  
Property, plant and equipment, useful life 30 years                
Building | Maximum                  
Property, Plant and Equipment [Line Items]                  
Property, plant and equipment, useful life 40 years                
Building Improvements | Minimum                  
Property, Plant and Equipment [Line Items]                  
Property, plant and equipment, useful life 5 years                
Building Improvements | Maximum                  
Property, Plant and Equipment [Line Items]                  
Property, plant and equipment, useful life 25 years                
v3.25.0.1
Basis of Presentation and Significant Accounting Policies (Schedule of Cash and Cash Equivalents and Restricted Cash) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Accounting Policies [Abstract]        
Cash and cash equivalents $ 24,289 $ 22,347 $ 19,291  
Restricted cash (included in Other assets, net) 2,213 2,270 2,225  
Cash, cash equivalents, and restricted cash $ 26,502 $ 24,617 $ 21,516 $ 39,485
v3.25.0.1
Investment Activity (Asset Acquisition Schedule) (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2023
USD ($)
property
Jun. 30, 2024
USD ($)
property
Dec. 31, 2024
USD ($)
property
Encore Senior Living      
Real Estate [Line Items]      
Properties | property   1  
Total   $ 32,050  
Encore Senior Living | Land      
Real Estate [Line Items]      
Total   1,329  
Encore Senior Living | Building and Improvements      
Real Estate [Line Items]      
Total   30,721  
Spring Arbor      
Real Estate [Line Items]      
Properties | property     10
Total     $ 121,322
Spring Arbor | Land      
Real Estate [Line Items]      
Total     10,284
Spring Arbor | Building and Improvements      
Real Estate [Line Items]      
Total     $ 111,038
William James Group, LLC      
Real Estate [Line Items]      
Properties | property     1
Total     $ 6,940
William James Group, LLC | Land      
Real Estate [Line Items]      
Total     452
William James Group, LLC | Building and Improvements      
Real Estate [Line Items]      
Total     $ 6,488
Silverado Senior Living      
Real Estate [Line Items]      
Properties | property 2    
Total $ 37,493    
Silverado Senior Living | Land      
Real Estate [Line Items]      
Total 3,894    
Silverado Senior Living | Building and Improvements      
Real Estate [Line Items]      
Total $ 33,599    
Bickford      
Real Estate [Line Items]      
Properties | property 1    
Total $ 17,288    
Bickford | Land      
Real Estate [Line Items]      
Total 1,746    
Bickford | Building and Improvements      
Real Estate [Line Items]      
Total 15,542    
Current Period Real Estate Acquisition      
Real Estate [Line Items]      
Total 54,781 160,312  
Current Period Real Estate Acquisition | Land      
Real Estate [Line Items]      
Total 5,640 12,065  
Current Period Real Estate Acquisition | Building and Improvements      
Real Estate [Line Items]      
Total $ 49,141 $ 148,247  
v3.25.0.1
Investment Activity (Asset Acquisition) (Details)
$ in Millions
1 Months Ended 6 Months Ended 12 Months Ended
Jan. 31, 2025
USD ($)
unit
extensionOption
Oct. 31, 2024
USD ($)
extensionOption
community
Feb. 28, 2023
USD ($)
unit
Jun. 30, 2024
USD ($)
unit
Dec. 31, 2024
USD ($)
extensionOption
Real Estate [Line Items]          
Proceeds from sale and collection of notes receivable     $ 14.2    
Subsequent Event          
Real Estate [Line Items]          
Proceeds from sale and collection of notes receivable $ 0.2        
Encore Senior Living          
Real Estate [Line Items]          
Initial lease rate       8.25%  
Ten Assisted Living and Memory Care Communities          
Real Estate [Line Items]          
Number of units in real estate property | community   10      
Acquisition price   $ 121.0      
Asset purchase transaction costs   $ 0.3      
Term Of Master Lease   15 years      
Initial lease rate   8.25%      
Annual lease escalator   2.00%      
Asset acquisition, number Of loan extensions | extensionOption   2      
Asset acquisition, extension option renewal term   5 years      
Asset acquisition, lease earnout incentives funded   $ 10.0      
Assisted Living and Memory Care Facility          
Real Estate [Line Items]          
Acquisition price         $ 6.9
Asset purchase transaction costs         $ 0.1
Term Of Master Lease         10 years
Initial lease rate         8.50%
Annual lease escalator         2.00%
Asset acquisition, number Of loan extensions | extensionOption         2
Asset acquisition, extension option renewal term         5 years
2024 Asset Acquisition | Subsequent Event          
Real Estate [Line Items]          
Term Of Master Lease 10 years        
Initial lease rate 8.00%        
Annual lease escalator 2.00%        
Asset acquisition, number Of loan extensions | extensionOption 2        
Asset acquisition, extension option renewal term 5 years        
Silverado Senior Living          
Real Estate [Line Items]          
Initial lease rate     7.50%    
Annual lease escalator     2.00%    
Term of master lease     20 years    
Silverado Senior Living, Summerlin, NE          
Real Estate [Line Items]          
Number of units in real estate property | unit     60    
Acquisition price     $ 37.5    
Silverado Senior Living, Frederick, MD          
Real Estate [Line Items]          
Number of units in real estate property | unit     60    
Bickford Senior Living Acquisition          
Real Estate [Line Items]          
Asset acquisition, rent deferral deduction     $ 2.5    
Encore Senior Living | Encore Senior Living          
Real Estate [Line Items]          
Number of units in real estate property | unit       110  
Acquisition price       $ 32.1  
Asset purchase transaction costs       0.1  
Proceeds from sale and collection of notes receivable       $ 22.2  
Term Of Master Lease       15 years  
Annual lease escalator       2.21%  
Bickford | Bickford          
Real Estate [Line Items]          
Number of units in real estate property | unit     64    
Acquisition price     $ 17.3    
Asset purchase transaction costs     $ 0.1    
Initial lease rate     8.00%    
Cancellation of outstanding construction note receivable     $ 0.5    
Bickford | Bickford | Subsequent Event          
Real Estate [Line Items]          
Number of units in real estate property | unit 109        
Acquisition price $ 21.2        
v3.25.0.1
Investment Activity (Dispositions Table) (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
property
Sep. 30, 2023
USD ($)
property
Jun. 30, 2023
USD ($)
property
Mar. 31, 2023
USD ($)
property
Jun. 30, 2024
USD ($)
property
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Dec. 31, 2024
property
Dec. 31, 2024
facility
Real Estate [Line Items]                    
Net Proceeds           $ 6,179 $ 57,031 $ 168,958    
Gain           6,678 14,721 28,342    
Impairment           0 $ 1,173 21,531    
Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property 12       4   12      
Net Proceeds         $ 15,179   $ 59,108      
Net Real Estate Investment $ 45,067       8,909   45,067      
Gain         $ 6,270   14,199      
Impairment             $ 158      
Senior Living Management | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property 1       2   1   1  
Net Proceeds $ 1,515       $ 4,658 9,731        
Net Real Estate Investment 1,100       3,240 5,004 $ 1,100      
Gain 415       $ 1,418 4,727        
Impairment 0                  
Bickford                    
Real Estate [Line Items]                    
Properties                 4 38
Mortgage and other notes receivable, net           16,072        
Bickford | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property         1          
Net Proceeds         $ 790          
Net Real Estate Investment           665        
Gain         $ 125          
BAKA Enterprises, LLC                    
Real Estate [Line Items]                    
Total impairment charges on real estate 300           300 $ 17,400    
BAKA Enterprises, LLC | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property       1            
Net Proceeds       $ 7,478            
Net Real Estate Investment       7,505            
Gain       0            
Impairment       $ 27            
Bickford | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property       1            
Net Proceeds       $ 2,553            
Net Real Estate Investment       1,421            
Gain       1,132            
Impairment       $ 0            
Chancellor Health Care | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property     1              
Net Proceeds     $ 2,355              
Net Real Estate Investment     1,977              
Gain     378              
Impairment     $ 0              
Milestone Retirement | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property     2              
Net Proceeds     $ 3,803              
Net Real Estate Investment     3,934              
Gain     0              
Impairment     $ 131              
Chancellor Health Care | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property     1              
Net Proceeds     $ 7,633              
Net Real Estate Investment     6,140              
Gain     1,493              
Impairment     $ 0              
Milestone Retirement | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property     1              
Net Proceeds     $ 1,602              
Net Real Estate Investment     1,452              
Gain     150              
Impairment     $ 0              
Chancellor Health Care | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property     1              
Net Proceeds     $ 23,724              
Net Real Estate Investment     14,476              
Gain     9,248              
Impairment     $ 0              
Chancellor Health Care | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property   1                
Net Proceeds   $ 2,923                
Net Real Estate Investment   2,292                
Gain   631                
Impairment   $ 0                
Senior Living Management                    
Real Estate [Line Items]                    
Total impairment charges on real estate $ 1,200         700 $ 1,200      
Senior Living Management | Disposal Group, Disposed of by Sale, Not Discontinued Operations                    
Real Estate [Line Items]                    
Properties | property 2           2      
Net Proceeds $ 5,522                  
Net Real Estate Investment 4,770           $ 4,770      
Gain 752                  
Impairment 0                  
Senior Living Management 1 and Milestone Retirement 1 & 2                    
Real Estate [Line Items]                    
Mortgage and other notes receivable, net $ 2,200         $ 9,400 $ 2,200      
v3.25.0.1
Investment Activity (2024 Asset Dispositions) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Real Estate [Line Items]      
Rental income $ 257,049 $ 249,227 $ 217,700
Senior Living Management      
Real Estate [Line Items]      
Total impairment charges on real estate 700 1,200  
Disposal Group, Disposed of by Sale, Not Discontinued Operations | 2024 Asset Dispositions      
Real Estate [Line Items]      
Rental income $ 1,300 $ 2,600 $ 1,000
v3.25.0.1
Investment Activity (2023 Asset Dispositions) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Real Estate [Line Items]      
Rental income $ 257,049 $ 249,227 $ 217,700
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Two Thousand Twenty Three Asset Dispositions      
Real Estate [Line Items]      
Rental income   $ 3,300 $ 700
v3.25.0.1
Investment Activity (Assets Held for Sale and Long-Lived Assets) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
property
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Real Estate [Line Items]      
Number of properties | property   1  
Rental income $ 257,049 $ 249,227 $ 217,700
Impairment of property 0 $ 1,173 21,531
Real estate properties, impaired, sold or classified as held for sale | property   4  
Real estate assets held for development and sale   $ 1,600  
Real Estate Investments      
Real Estate [Line Items]      
Impairment of property $ 700 $ 1,600 51,600
Real estate properties, impaired, sold or classified as held for sale | property 1 3  
Real estate assets held for development and sale   $ 500  
Senior Living Campuses | Disposal Group, Held-for-sale, Not Discontinued Operations | Two Thousand Twenty Four Disposal Group      
Real Estate [Line Items]      
Disposal group, including discontinued operation, consideration $ 38,500    
Lease income, annual rent 2,800    
Disposal group, including discontinued operation, assets 19,100    
Asset Held For Sale In 2022      
Real Estate [Line Items]      
Rental income $ 900 $ 1,700 $ 900
v3.25.0.1
Investment Activity (Tenant Concentration) (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Apr. 01, 2024
USD ($)
Jun. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
state
property
Dec. 31, 2022
USD ($)
property
Dec. 31, 2024
USD ($)
Dec. 31, 2024
property
Dec. 31, 2024
state
Dec. 31, 2024
unit
Dec. 31, 2024
facility
Dec. 31, 2024
masterLease
Dec. 31, 2024
boardMember
Dec. 31, 2024
shares
Feb. 28, 2023
unit
Jun. 30, 2021
facility
Real Estate [Line Items]                              
Nonportfolio assets, original cost           $ 2,600                  
Real estate investment property, portfolio assets       $ 358,400                      
Mortgage and other notes receivable, net of reserve       15,476 $ 20,200 20,249                  
Straight-line rent income, net of write-offs     $ 3,031 6,961 (16,681)                    
Lessor, operating lease, renewal term     5 years                        
Number of board of directors members also members of NHC board of directors | boardMember                       1      
Lease incentive payments, net       10,669   7,877                  
Rental income     $ 257,049 249,227 217,700                    
Lease Extended Until 2026                              
Real Estate [Line Items]                              
Lease escalator minimum 2.00%                            
Annual lease cap 3.00%                            
Senior Living Communities                              
Real Estate [Line Items]                              
Operating lease maturity date extension   2 years                          
Payments for capital improvements   $ 10,000                          
Rental revenue increase at lease rate   0.085                          
Straight-line rent income, net of write-offs     200 1,200 400                    
Rental income     $ 53,570 51,274 51,183                    
National HealthCare Corporation                              
Real Estate [Line Items]                              
Number of master leases | masterLease                     2        
Lessor, operating lease, renewal term     5 years                        
Lessor equity shares owned, significant lessee (in shares) | shares                         1,630,642    
Rental income     $ 40,016 37,335 36,893                    
National HealthCare Corporation | NHC - 1991 Lease                              
Real Estate [Line Items]                              
Percentage rent rate     4.00%                        
Bickford                              
Real Estate [Line Items]                              
Properties             4     38          
Write off of financing receivable         18,100                    
Rental income     $ 41,720 38,688                      
Maximum capital improvements commitment $ 8,000                            
Annual rent increase 8.00%                            
Asset acquisition, rent deferral deduction           $ 12,900                  
Bickford | Bickford                              
Real Estate [Line Items]                              
Number of units in real estate property | unit                           64  
Payments for rent     5,100 2,300 200                    
Bickford | Bickford Senior Living Acquisition                              
Real Estate [Line Items]                              
Payments for rent       2,500 3,000                    
Bickford | Lease Extended Until 2026                              
Real Estate [Line Items]                              
Rental income $ 34,500                            
Cash Basis Lessees                              
Real Estate [Line Items]                              
Write off of financing receivable         9,000                    
Lease incentive payments, net         7,100                    
Rental income     49,981 45,796 35,331                    
Cash Basis Lessees | Bickford                              
Real Estate [Line Items]                              
Rental income     $ 38,971 $ 33,352 $ 27,650                    
Holiday Acquisition Holdings                              
Real Estate [Line Items]                              
Properties | facility                             17
NHC - 1991 Lease | Senior Living Communities                              
Real Estate [Line Items]                              
Properties | property             10                
Number of units in real estate property | unit                 2,232            
Revenue as % of Total, Exceeds 10%                              
Real Estate [Line Items]                              
Number of states in which entity operates | state       2       2              
Geographic Concentration Risk | SOUTH CAROLINA | Investment Consideration Benchmark                              
Real Estate [Line Items]                              
Percentage of continuing revenue     11.60% 12.10%                      
Geographic Concentration Risk | TEXAS | Investment Consideration Benchmark                              
Real Estate [Line Items]                              
Percentage of continuing revenue     10.10% 10.70%                      
Independent Living Facilities                              
Real Estate [Line Items]                              
Number of states in which entity operates | state               8              
Properties | property             3                
Skilled Nursing Facilities                              
Real Estate [Line Items]                              
Properties | facility                   32          
Skilled Nursing Facilities | National HealthCare Corporation | Subleased Facilities                              
Real Estate [Line Items]                              
Properties | property             4                
Facilities Transitioned To Other Operators | Bickford                              
Real Estate [Line Items]                              
Properties | property         1                    
Write off of financing receivable         $ 700                    
Facilities Transitioned To Other Operators | Holiday Acquisition Holdings                              
Real Estate [Line Items]                              
Properties | property       2 2   2                
v3.25.0.1
Investment Activity (Schedule of Tenant Concentrations) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Real Estate [Line Items]      
Gross Real Estate $ 2,953,548 $ 2,780,358  
Total gross real estate 2,592,587    
Loans an leases receivable, gross 289,175    
Revenues 257,049 249,227 $ 217,700
Escrow funds received from tenants for property operating expenses 11,165 11,513 9,788
Resident fees and services 54,421 48,809 35,796
Total revenues $ 335,181 $ 319,835 $ 278,194
Percentage of continuing revenue 16.00% 15.00% 13.00%
Senior Living Communities      
Real Estate [Line Items]      
Gross Real Estate $ 577,243    
Notes Receivable 43,916    
Revenues $ 53,570 $ 51,274 $ 51,183
Percentage of continuing revenue 16.00% 16.00% 18.00%
Bickford      
Real Estate [Line Items]      
Gross Real Estate $ 428,068    
Notes Receivable 16,072    
Revenues $ 41,720 $ 38,688  
Percentage of continuing revenue 12.00% 12.00%  
National HealthCare Corporation      
Real Estate [Line Items]      
Gross Real Estate $ 133,770    
Notes Receivable 0    
Revenues $ 40,016 $ 37,335 $ 36,893
Percentage of continuing revenue 12.00% 12.00% 13.00%
All others, net      
Real Estate [Line Items]      
Gross Real Estate $ 1,453,506    
Notes Receivable 229,187    
Revenues $ 134,289 $ 132,216 $ 144,534
Percentage of continuing revenue 41.00% 41.00% 52.00%
Tenants With Escrow Funds      
Real Estate [Line Items]      
Percentage of continuing revenue 3.00% 4.00% 4.00%
More than 10% Operators      
Real Estate [Line Items]      
Revenues $ 280,760 $ 271,026 $ 242,398
v3.25.0.1
Investment Activity (Schedule of NHC Percentage Rent) (Details) - National HealthCare Corporation - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Net Investment Income [Line Items]      
Rent income from NHC $ 7,174 $ 4,492 $ 3,126
Current year      
Net Investment Income [Line Items]      
Rent income from NHC 5,518 3,862 3,332
Prior year final certification      
Net Investment Income [Line Items]      
Rent income (loss) from NHC $ 1,656 $ 630 $ (206)
v3.25.0.1
Investment Activity (Schedule of Cash Rents Received) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Real Estate [Line Items]      
Revenues $ 257,049 $ 249,227 $ 217,700
Lease incentive payments, net 7,877 10,669  
Cash Basis Lessees      
Real Estate [Line Items]      
Revenues 49,981 45,796 35,331
Write off of financing receivable     9,000
Lease incentive payments, net     7,100
Cash Basis Lessees | Bickford      
Real Estate [Line Items]      
Revenues 38,971 33,352 27,650
Cash Basis Lessees | All others      
Real Estate [Line Items]      
Revenues 11,010 12,444 7,681
Cash Basis Lessees | Bickford Senior Living Acquisition      
Real Estate [Line Items]      
Lease income, rent deferral deduction   2,500 3,000
Bickford      
Real Estate [Line Items]      
Revenues $ 41,720 $ 38,688  
Write off of financing receivable     $ 18,100
v3.25.0.1
Investment Activity (Other Tenant Transitions Narrative) (Details)
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
lease
Real Estate [Line Items]  
Number of terminated leases | lease 2
Skilled Nursing Facilities  
Real Estate [Line Items]  
Straight-line rent adjustments | $ $ (1.6)
v3.25.0.1
Investment Activity (Cash Basis Operators Narrative) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
tenant
loan
property
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
lease
Oct. 01, 2024
lease
Real Estate [Line Items]        
Rental income $ 2,700 $ 5,400 $ 3,700  
Number of non-performing notes receivable | loan 2      
Lease incentive payments, net $ 7,877 10,669    
Cash Basis Lessees        
Real Estate [Line Items]        
Number of cash basis operators | tenant 3      
Prior rent deferrals $ 9,000 2,800 300  
Write off of financing receivable     9,000  
Lease incentive payments, net     7,100  
Cash Basis Lessees | Bickford Senior Living Acquisition        
Real Estate [Line Items]        
Lease income, rent deferral deduction   $ 2,500 $ 3,000  
Senior Living Management        
Real Estate [Line Items]        
Number of leases | lease     4 2
Number of properties | property 1 1    
Net book value of leased properties $ 6,800      
Bickford        
Real Estate [Line Items]        
Write off of financing receivable     $ 18,100  
v3.25.0.1
Investment Activity (Other Portfolio Activity) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Real Estate [Line Items]      
Real estate properties, net $ 2,211,253 $ 2,107,082  
Rental income (257,049) (249,227) $ (217,700)
Skilled Nursing Facilities      
Real Estate [Line Items]      
Straight-line rent adjustments $ (1,600)    
Lease Option      
Real Estate [Line Items]      
Properties | property 4    
Lease Option, Between 2027 and 2028      
Real Estate [Line Items]      
Real estate properties, net $ 77,200    
Rental income $ (8,800) $ (7,200) $ (7,000)
v3.25.0.1
Investment Activity (Lease Costs) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Real Estate [Abstract]      
Operating lease $ 0.1 $ 0.1 $ 0.1
Future minimum lease payments, 2025 0.1    
Future minimum lease payments, 2026 0.1    
Future minimum lease payments, 2027 0.1    
Future minimum lease payments, 2028 0.1    
Future minimum lease payments, 2029 0.1    
Future minimum lease payments, thereafter 2.1    
Imputed interest $ 1.2    
Discount rate 4.70%    
v3.25.0.1
Investment Activity (Schedule of Supplemental Balance Sheet Information Related to Lease) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Assets:    
Buildings and improvements - right of use asset $ 1,524 $ 1,562
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration] Buildings and improvements Buildings and improvements
Liabilities [Abstract]    
Accounts payable and accrued expenses - lease liability $ 1,685 $ 1,705
Operating Lease, Liability, Statement of Financial Position [Extensible Enumeration] Accounts payable and accrued expenses Accounts payable and accrued expenses
v3.25.0.1
Investment Activity (Rent Concessions) (Details) - Lease Payment Deferral and Abatement - COVID-19
$ in Millions
12 Months Ended
Dec. 31, 2022
USD ($)
Real Estate [Line Items]  
Pandemic deferrals $ 9.3
Bickford  
Real Estate [Line Items]  
Pandemic deferrals $ 4.0
v3.25.0.1
Investment Activity (Future Minimum Lease Payments) (Details)
$ in Thousands
Dec. 31, 2024
USD ($)
Real Estate [Abstract]  
2025 $ 247,712
2026 254,499
2027 208,589
2028 203,933
2029 194,283
Thereafter 845,337
Operating leases, future minimum payments due $ 1,954,353
v3.25.0.1
Investment Activity (Schedule of Fixed and Variable Lease Payments) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Schedule of Fixed and Variable Lease Payments [Line Items]      
Rental income $ 257,049 $ 249,227 $ 217,700
Straight-line rent income, net of write-offs 3,031 6,961 (16,681)
Lease payments based on fixed escalators      
Schedule of Fixed and Variable Lease Payments [Line Items]      
Rental income 234,672 225,565 226,873
Lease payments based on variable escalators      
Schedule of Fixed and Variable Lease Payments [Line Items]      
Rental income 11,074 7,709 5,275
Straight-line rent income, net of write-offs      
Schedule of Fixed and Variable Lease Payments [Line Items]      
Straight-line rent income, net of write-offs 3,031 6,961 (16,681)
Escrow funds received from tenants for property operating expenses      
Schedule of Fixed and Variable Lease Payments [Line Items]      
Rental income 11,165 11,513 9,788
Amortization and write-off of lease incentives      
Schedule of Fixed and Variable Lease Payments [Line Items]      
Amortization and write-off of lease incentives $ (2,893) $ (2,521) $ (7,555)
v3.25.0.1
Mortgage and Other Notes Receivable (Narrative) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2025
USD ($)
Aug. 31, 2024
USD ($)
extensionOption
Jun. 30, 2024
USD ($)
facility
Feb. 29, 2024
USD ($)
extensionOption
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Feb. 01, 2025
USD ($)
Dec. 31, 2024
mortgage
Dec. 31, 2024
unit
Dec. 31, 2024
property
Dec. 31, 2024
Dec. 31, 2024
renewalOption
Dec. 31, 2024
loan
Nov. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           $ (289,175)                      
Number of health care properties related to mortgage notes receivables                   11   16          
Credit loss reserve           (20,249) $ (15,476) $ (20,200)                  
Financing receivable, allowance for credit loss, period increase (decrease)         $ 3,600                        
Loans and leases agreement           138,200                      
Financing receivable, excluding accrued interest, after allowance for credit loss           (268,926) (245,271)                    
Loans and lease receivable, number Of underlying properties | property                       3          
Interest income and other           23,711 21,799 24,698                  
Probability of default, increase, current conditions adjustment                         20.00%        
Estimated credit losses, current conditions adjustment, combined                         40.00%        
Carriage Crossing Senior Living                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement       $ 15,000                          
Contingent incentive payments       $ 2,000                          
Loan term       5 years                          
Financing receivable, stated interest rate       8.75%                          
Number of additional lease renewal options | extensionOption       2                          
Note receivable renewal term       1 year                          
Compass Senior Living , LLC                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement     $ 9,500                            
Loan term     5 years                            
Financing receivable, stated interest rate     8.50%                            
Number of mortgage note receivable facilities | facility     2                            
Clear Sky Senior Living                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement   $ 27,700                              
Loan term   4 years                              
Financing receivable, stated interest rate   9.00%                              
Number of additional lease renewal options | extensionOption   2                              
Note receivable renewal term   1 year                              
Financing receivable, after allowance for credit loss           (7,400)                      
Montecito Medical Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Interest income and other           1,900 1,800 1,800                  
Loans and leases agreement           $ 50,000                      
Loan term           5 years                      
Number of additional lease renewal options | renewalOption                           2      
Financing receivable, after allowance for credit loss           $ (4,500)                      
Investment interest rate                         7.50%        
Notes receivable, interest rate, master credit agreement                         9.50%        
Incremental percentage increase in the stated rate of a note receivable                         2.50%        
Deferred interest rate, additional interest rate accrued                         4.50%        
Montecito Medical Real Estate | Subsequent Event                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, proceeds from principal payments $ 6,200                                
Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, after allowance for credit loss           (16,072)                      
Aggregate principle amount issued           400 300                    
Interest income and other           $ 1,300 1,200 1,300                  
Senior Living Communities                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Note receivable renewal term           1 year                      
Financing receivable, after allowance for credit loss           $ (43,916)                      
Revolving amount line of credit           20,000                      
Revolving note receivable amount outstanding           $ (11,300)                      
Loans receivable, description, variable rate basis, reference rate           8.00%                      
Purchase option, minimum amount           $ 38,300                      
Non-performing                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve           (16,100) (11,900)                    
Interest income and other           1,300 1,800 $ 1,700                  
Non-performing                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (25,869)                      
Non-performing | between 1.0x and 1.5x                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss         (14,500) (15,869)                      
Mezzanine                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve           (8,600)                      
Mezzanine | Subsequent Event                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve                 $ (10,000)                
Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Credit loss reserve           (1,400) (2,100)                    
Bickford | Non-performing                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (700)                      
Secured By Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss           (175,800) (162,400)                    
Not Secured By Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, accrued interest, before allowance for credit loss             $ (98,300)                    
Financing receivable, after allowance for credit loss           (113,400)                      
Capital Funding Group, Inc.                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, stated interest rate                                 10.00%
Financing receivable, excluding accrued interest, after allowance for credit loss         $ (25,000)                     $ (50,000) $ (8,100)
Property Held by Fund | Montecito Medical Real Estate                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Financing receivable, after allowance for credit loss           $ (15,600)                      
Properties | property           6                      
Combined purchase price of medical office buildings           $ 64,700                      
Fully Funded | Bickford                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement           14,700                      
Number of construction loans | loan                             1    
Note receivable interest rate                         10.00%        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Unlikely to be Collected Financing Receivable | Bickford Note Investment                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Increase in mortgage note receivable from sale of real estate           (12,200)                      
After 2021 | Senior Living Communities                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Revolving amount line of credit           15,000                      
July 2019 Transaction | Senior Living                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Loans and leases agreement           $ 32,700                      
Notes receivable, interest rate, master credit agreement                         7.25%        
June 2019 Transaction | Senior Living Communities                                  
Accounts, Notes, Loans and Financing Receivable [Line Items]                                  
Number of units in real estate property | unit                     248            
v3.25.0.1
Mortgage and Other Notes Receivable (Schedule of Financing Receivables By Credit Quality Indicator) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Sep. 30, 2024
Dec. 31, 2023
Dec. 31, 2022
Financing Receivable, Credit Quality Indicator [Line Items]        
Total $ 289,175      
Credit loss reserve (20,249)   $ (15,476) $ (20,200)
Financing receivable, after allowance for credit loss 268,926   $ 245,271  
Mortgages        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 40,466      
2023 725      
2022 70,852      
2021 0      
2020 0      
Prior 53,789      
Total 165,832      
Mortgages | more than 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 16,589      
2023 0      
2022 42,465      
2021 0      
2020 0      
Prior 32,666      
Total 91,720      
Mortgages | between 1.0x and 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 23,877      
2023 725      
2022 28,387      
2021 0      
2020 0      
Prior 6,423      
Total 59,412      
Mortgages | less than 1.0x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 0      
2023 0      
2022 0      
2021 0      
2020 0      
Prior 14,700      
Total 14,700      
Mezzanine        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 24,760      
2023 753      
2022 0      
2021 32,135      
2020 0      
Prior 25,000      
Total 82,648      
Mezzanine | more than 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 0      
2023 524      
2022 0      
2021 13,137      
2020 0      
Prior 0      
Total 13,661      
Mezzanine | between 1.0x and 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 0      
2023 0      
2022 0      
2021 18,998      
2020 0      
Prior 0      
Total 18,998      
Mezzanine | less than 1.0x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 24,760      
2023 229      
2022 0      
2021 0      
2020 0      
Prior 25,000      
Total 49,989      
Non-performing        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 1,369      
2023 0      
2022 0      
2021 0      
2020 0      
Prior 24,500      
Total 25,869      
Non-performing | more than 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 0      
2023 0      
2022 0      
2021 0      
2020 0      
Prior 10,000      
Total 10,000      
Non-performing | between 1.0x and 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
2024 1,369      
2023 0      
2022 0      
2021 0      
2020 0      
Prior 14,500      
Total 15,869 $ 14,500    
Revolver        
Financing Receivable, Credit Quality Indicator [Line Items]        
Total 14,826      
Revolver | more than 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
Total 14,476      
Revolver | between 1.0x and 1.5x        
Financing Receivable, Credit Quality Indicator [Line Items]        
Total $ 350      
v3.25.0.1
Mortgage and Other Notes Receivable (Schedule of Financing Receivables By Allowance for Credit Loss) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
Financing receivable, allowance for credit loss  
Balance at January 1, 2024 $ 15,476
Provision for expected credit losses 4,773
Balance at December 31, 2024 $ 20,249
v3.25.0.1
Senior Housing Operating Portfolio Structure (Details)
12 Months Ended
Dec. 31, 2024
USD ($)
property
jointVenture
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Minimum      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Management fee multiplier $ 1,000    
Merrill Gardens Managed Portfolio      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Cash contributed for its common equity interest in the venture $ 5,500,000 $ 4,600,000 $ 10,600,000
Interest in joint venture percentage 20.00%    
Management fee 5.00%    
Real estate services fee 5.00%    
Merrill Gardens Managed Portfolio | Merrill      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Cash contributed for its common equity interest in the venture $ 1,100,000 900,000  
Discovery Managed Portfolio      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Cash contributed for its common equity interest in the venture $ 3,500,000 2,600,000  
Management fee 5.00%    
Common equity interest in venture 2.00%    
Discovery Managed Portfolio | Discovery Senior Living [Member]      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Cash contributed for its common equity interest in the venture $ 100,000 $ 100,000  
SHOP | New Venture      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Ownership percentage 100.00%    
Independent Living Facilities      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Number of joint ventures | jointVenture 2    
Properties | property 3    
Independent Living Facilities | Merrill Gardens Managed Portfolio      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Properties | property 6    
Independent Living Facilities | Discovery Managed Portfolio      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Properties | property 9    
Independent Living Facilities | SHOP      
Senior Housing Operating Portfolio Formation Activities [Line Items]      
Properties | property 15    
v3.25.0.1
Equity Method Investment (Narrative) (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Feb. 28, 2023
USD ($)
Jan. 31, 2020
USD ($)
Dec. 31, 2024
USD ($)
extensionOption
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Investments in affiliates     $ 81,000    
Cumulative unrecognized equity method losses     (5,000)    
Unrecognized equity method losses     (2,700)    
Gains from equity method investment     $ 402 $ 555 $ 569
Operating lease term     7 years    
Number of renewal options | extensionOption     2    
Renewal term     5 years    
Balance secured by deed and indenture     $ 10,300    
Timber Ridge OpCo          
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Financing receivable of revolving credit facility     5,000    
Amortization and write-off of lease incentives $ 2,500        
Maximum Exposure to Loss     5,000    
Timber Ridge OpCo          
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Mortgage and other notes receivable, net     0    
Timber Ridge OpCo | Cumulative Amount          
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Cumulative unrecognized equity method losses     $ 12,200    
Timber Ridge OpCo | Noncontrolling Interests | Real Estate Operating Company          
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Investments in affiliates   $ 900      
LCS Timber Ridge | Real Estate Operating Company          
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]          
Equity interest acquired   25.00%      
v3.25.0.1
Other Assets (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Feb. 28, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]        
Lease incentive payments, net   $ 7,877 $ 10,669  
Regulatory escrows   6,208 6,208  
Restricted cash   2,213 2,270 $ 2,225
Other assets   22,753 24,063  
Payment of lease incentive   0 10,000 $ 1,200
Timber Ridge OpCo        
Segment Reporting Information [Line Items]        
Payment of lease incentive $ 10,000      
SHOP        
Segment Reporting Information [Line Items]        
Accounts receivable and prepaid expenses   2,232 1,620  
Allowance   494 343  
Real Estate Investments        
Segment Reporting Information [Line Items]        
Accounts receivable and prepaid expenses   $ 4,223 $ 3,296  
v3.25.0.1
Debt (Schedule of Debt) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Debt Instrument [Line Items]    
Revolving credit facility - unsecured $ 331,200 $ 245,000
Unamortized loan costs (9,018) (8,912)
Debt 1,146,041 1,135,051
Debt instrument, unamortized discount (1,956)  
Bank term loans - unsecured    
Debt Instrument [Line Items]    
Bank term loans - unsecured 200,000 200,000
2031 Senior Notes - unsecured, net of discount of $1,956 and $2,278    
Debt Instrument [Line Items]    
Bank term loans - unsecured 398,044 397,722
Debt instrument, unamortized discount (1,956) (2,278)
Private placement notes - unsecured    
Debt Instrument [Line Items]    
Bank term loans - unsecured 150,000 225,000
Fannie Mae term loans - secured, non-recourse    
Debt Instrument [Line Items]    
Fannie Mae term loans - secured, non-recourse $ 75,815 $ 76,241
v3.25.0.1
Debt (Schedule of Long Term Debt Maturities) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Debt Instruments [Abstract]    
2025 $ 325,815  
2026 0  
2027 100,000  
2028 331,200  
2029 0  
Thereafter 400,000  
HUD mortgage loans, balance 1,157,015  
Debt instrument, unamortized discount (1,956)  
Unamortized loan costs (9,018) $ (8,912)
Debt $ 1,146,041 $ 1,135,051
v3.25.0.1
Debt (Narrative) (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Sep. 30, 2024
USD ($)
Jun. 30, 2023
Jan. 31, 2021
USD ($)
Dec. 31, 2024
USD ($)
property
extensionOption
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Jun. 30, 2024
USD ($)
Debt Instrument [Line Items]              
Amortization of deferred loan costs, debt discounts and prepaids       $ 6,583 $ 4,685 $ 4,283  
Line of credit facility, loan costs capitalized       $ 3,600      
Debt issuance costs, gross         2,700    
Fannie Mae financing             $ 220,000
Debt leverage limit, coupon change, trigger       50.00%      
$75M Term Loan              
Debt Instrument [Line Items]              
Aggregate principle amount issued         20,000 75,000  
Deferred debt issuance cost         100    
$300M Term Loan              
Debt Instrument [Line Items]              
Long-term debt         $ 200,000    
$100M Term Loan              
Debt Instrument [Line Items]              
Deferred financing costs           $ 200  
Fannie Mae Term Loans              
Debt Instrument [Line Items]              
Long-term debt       $ 60,100      
Fannie Mae term loans - secured, non-recourse              
Debt Instrument [Line Items]              
Debt instrument, term       10 years      
Fixed Rate       3.79%      
Properties | property       11      
Net book value of real estate pledged toward mortgage       $ 98,200      
FNMA Berkadia Note              
Debt Instrument [Line Items]              
Long-term debt       $ 15,700      
Fixed Rate       4.60%      
Secured Overnight Financing Rate (SOFR)              
Debt Instrument [Line Items]              
Basis spread on variable rate       1.00%      
Fed Funds Effective Rate Overnight Index Swap Rate              
Debt Instrument [Line Items]              
Basis spread on variable rate       0.50%      
Minimum              
Debt Instrument [Line Items]              
Facility fee percentage       0.125%      
Maximum              
Debt Instrument [Line Items]              
Facility fee percentage       0.30%      
Unsecured Debt              
Debt Instrument [Line Items]              
Amortization of deferred loan costs, debt discounts and prepaids       $ 200      
Senior Notes | 2031 Senior Notes - unsecured, net of discount of $1,956 and $2,278              
Debt Instrument [Line Items]              
Aggregate principal amount, senior notes     $ 400,000        
Fixed Rate     3.00%        
Percentage of issue price on face value     99.196%        
Proceeds from issuance of senior notes     $ 392,300        
Extinguishment of debt, amount $ 75,000            
Revolving Credit Facility | Minimum | Secured Overnight Financing Rate (SOFR)              
Debt Instrument [Line Items]              
Basis spread on variable rate       0.725%      
Revolving Credit Facility | Minimum | Base Rate              
Debt Instrument [Line Items]              
Basis spread on variable rate       0.00%      
Revolving Credit Facility | Maximum | Secured Overnight Financing Rate (SOFR)              
Debt Instrument [Line Items]              
Basis spread on variable rate       1.40%      
Revolving Credit Facility | Maximum | Base Rate              
Debt Instrument [Line Items]              
Basis spread on variable rate       0.40%      
Revolving Credit Facility | Unsecured Debt              
Debt Instrument [Line Items]              
Unsecured revolving credit facility       $ 700,000      
Debt instrument, extension period       6 months      
Debt instrument, extension period one       12 months      
Unused balance of the unsecured revolving credit facility       $ 368,800      
Debt instrument, term   2 years          
Revolving Credit Facility | Unsecured Debt | Secured Overnight Financing Rate (SOFR)              
Debt Instrument [Line Items]              
Basis spread on variable rate   0.10%          
Revolving Credit Facility | Unsecured Debt | Minimum              
Debt Instrument [Line Items]              
Debt instrument, extension options | extensionOption       2      
Debt instrument, twelve month extension options | extensionOption       1      
v3.25.0.1
Debt Debt (Schedule of Unsecured Term Loans) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Private placement notes - unsecured    
Debt Instrument [Line Items]    
Amount $ 150,000 $ 225,000
November 2025    
Debt Instrument [Line Items]    
Amount $ 50,000  
Fixed Rate 4.33%  
January 2015    
Debt Instrument [Line Items]    
Amount $ 100,000  
Fixed Rate 4.51%  
v3.25.0.1
Debt Debt (Schedule of Interest Expense) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Debt Instruments [Abstract]      
Interest expense on debt at contractual rates $ 56,313 $ 55,603 $ 42,487
Capitalized interest (193) (90) (46)
Amortization of debt issuance costs, debt discount and other 3,783 2,647 2,476
Total interest expense $ 59,903 $ 58,160 $ 44,917
v3.25.0.1
Commitments, Contingencies and Uncertainties (Narratives) (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Apr. 30, 2022
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
property
Dec. 31, 2024
property
Dec. 31, 2024
facility
Dec. 31, 2024
operator
Dec. 31, 2024
leaseAgreement
Mar. 31, 2022
USD ($)
Jun. 30, 2021
facility
Loss Contingencies [Line Items]                      
Loans and leases agreement   $ 138,200                  
Development commitments for construction and renovation   37,100                  
Development in process   (19,500)                  
Contingent funding commitment   16,900                  
Proceeds from sales of real estate   6,179 $ 57,031 $ 168,958              
Litigation settlement, amount awarded from other party $ 6,900                    
Loss on operations transfer, net   0 $ (20) $ 710              
Bickford                      
Loss Contingencies [Line Items]                      
Financing receivable, after allowance for credit loss   (16,072)                  
Properties           4 38        
Bickford | Assessed not probable to occur                      
Loss Contingencies [Line Items]                      
Asset disposition, contingent consideration, note receivable         $ 4,500            
Bickford | Assessed not probable to occur | Notes Receivable                      
Loss Contingencies [Line Items]                      
Note receivable interest rate         10.00%            
Loan term         5 years            
Holiday Acquisition Holdings                      
Loss Contingencies [Line Items]                      
Properties | facility                     17
Lease deposit liabilities                   $ 8,800  
Loans Receivable                      
Loss Contingencies [Line Items]                      
Number of operators/tenants | operator               7      
Notes Receivable Remain Unfunded                      
Loss Contingencies [Line Items]                      
Financing receivable, after allowance for credit loss   $ (70,700)                  
Development Commitment                      
Loss Contingencies [Line Items]                      
Number of properties | property           8          
Lease Inducement                      
Loss Contingencies [Line Items]                      
Number of leases | leaseAgreement                 4    
Negotiations to sale | Bickford                      
Loss Contingencies [Line Items]                      
Properties | property         6            
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford                      
Loss Contingencies [Line Items]                      
Proceeds from sales of real estate         $ 52,100            
Proceeds from sale of real estate         52,900            
Repayments of secured debt         $ 800            
v3.25.0.1
Commitments, Contingencies and Uncertainties (Off Balance Sheet Credit Loss Liability Roll Forward Schedule) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
Off Balance Sheet, Credit Loss [Roll Forward]  
Provision for expected credit losses $ (132)
Balance at December 31, 2024 147
Accounting Standards Update 2016-13  
Off Balance Sheet, Credit Loss [Roll Forward]  
Balance at January 1, 2024 $ 279
v3.25.0.1
Redeemable Noncontrolling Interest (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Redeemable Noncontrolling Interests [Roll Forward]      
Balance at January 1, $ 9,656 $ 9,825  
Contributions 1,100 922  
Net loss (916) (1,091) $ 843
Distributions (50) 0  
Balance at December 31, $ 9,790 $ 9,656 $ 9,825
v3.25.0.1
Equity and Dividends (Narrative) (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Feb. 14, 2025
Dec. 26, 2024
Dec. 19, 2024
Nov. 22, 2024
Feb. 16, 2024
Aug. 31, 2024
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Accumulated Other Comprehensive Income (Loss) [Line Items]                                  
Authorized repurchase amount         $ 160,000                        
Common stock, par value (in usd per share)         $ 0.01   $ 0.01       $ 0.01       $ 0.01 $ 0.01  
Effective period of stock repurchase plan         1 year                        
Repurchases of common stock (in shares)                             0 0 2,500,000
Average price of shares repurchased (in usd per share)                                 $ 61.56
Sale of stock, aggregate shares (in shares)           2,800,000                 1,000,000.0    
Sale of stock, exercise price (in dollars per share)           $ 68.40 $ 67.65               $ 67.65    
Sale of stock, additional purchase of shares (in shares)             1,800,000                    
Sale of stock, consideration received             $ 122,400                    
Sale of stock, available shares (in shares)                             64,900,000    
At-the market shelf registration, equity offering sales agreement, aggregate sales price             $ 500,000               $ 500,000    
Gain on forward equity sale agreement, net                             $ 6,261 $ 0 $ 0
Issuance of common stock, net (in shares)                             2,065,878    
Proceeds from equity offering                             $ 142,394 $ 0 $ 0
Dividends to common stockholders (in usd per share)             $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 3.60 $ 3.60 $ 3.60
Subsequent Event                                  
Accumulated Other Comprehensive Income (Loss) [Line Items]                                  
Dividends to common stockholders (in usd per share) $ 0.90                                
At The Market                                  
Accumulated Other Comprehensive Income (Loss) [Line Items]                                  
Sale of stock, exercise price (in dollars per share)             $ 74.36               $ 74.36    
Sale of stock, additional purchase of shares (in shares)       1,000,000.0                          
Sale of stock, consideration received       $ 74,200                          
Proceeds from sale of treasury stock                             $ 53,800    
Sale of Stock, Price Per Share       $ 74.99                          
Initial forward price per share     $ 75.17                            
Gain on forward equity sale agreement, net                             $ 6,300    
Issuance of common stock, net (in shares)   300,000                           0  
Proceeds from equity offering   $ 20,000                              
Shares Issued, price per share (in dollars per share)   $ 75.22                              
Stock Issued During Period, Remaining Shares                             700,000    
v3.25.0.1
Equity and Dividends - Schedule of Dividends Declared (Details) - $ / shares
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Equity [Abstract]                      
Dividends to common stockholders (in usd per share) $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 3.60 $ 3.60 $ 3.60
v3.25.0.1
Share-Based Compensation (Narrative) (Details)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Feb. 29, 2024
$ / shares
shares
May 31, 2023
$ / shares
shares
Jun. 30, 2024
shares
Dec. 31, 2024
USD ($)
plan
$ / shares
shares
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Number of incentive plans | plan       2    
Weighted average fair value of options granted (in usd per share) | $ / shares       $ 7.36 $ 10.56 $ 11.92
Unrecognized compensation cost       $ 1,700    
Intrinsic value of stock options outstanding       8,100    
Intrinsic value of stock options exercisable       3,800    
Aggregate intrinsic value of stock options exercised       $ 11,800 $ 100 $ 10
Aggregate intrinsic value of stock options exercised, per share amounts (in usd per share) | $ / shares       $ 1.23 $ 77.92 $ 6.13
Restricted stock expense | 2019 Stock Option Plan            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock option plan, award vesting period       5 years    
Restricted stock expense | 2019 Stock Option Plan | Tranche One            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights, percentage       20.00%    
Restricted stock expense | 2019 Stock Option Plan | Tranche Two            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights, percentage       20.00%    
Restricted stock expense | 2019 Stock Option Plan | Tranche Three            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights, percentage       20.00%    
Restricted stock expense | 2019 Stock Option Plan | Tranche Four            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights, percentage       20.00%    
Restricted stock expense | 2019 Stock Option Plan | Tranche Five            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Award vesting rights, percentage       20.00%    
Restricted stock expense | 2019 Stock Option Plan | Executive Officer            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock option plan, award vesting period 5 years          
Shares issued in period (in dollars per shares) | shares 15,000 21,000        
Stock option plan, award vesting period | $ / shares $ 57.76 $ 49.30        
Restricted stock vested shares (in shares) | shares     3,970      
Restricted stock non-vested shares (in shares) | shares       31,800    
Performance Shares            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Percent of fair market value       100.00%    
Share-based compensation arrangement by share-based payment award, expiration period       10 years    
Non-qualified Options            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Percent of fair market value       100.00%    
2019 Stock Option Plan            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Weighted average fair value of options granted (in usd per share) | $ / shares       $ 7.36    
2019 Stock Award Plan            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Stock option plan, award vesting period       5 years    
Share-based compensation arrangement by share-based payment award, expiration period       10 years    
Shares available for grants (in shares) | shares       3,713,168    
Common Stock | 2019 Stock Option Plan            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Number of shares authorized (in shares) | shares       6,000,000    
Expected To Be Recognized During 2025            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Unrecognized compensation cost       $ 1,200    
Expected To Be Recognized During 2026            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Unrecognized compensation cost       300    
Expected To Be Recognized During 2027            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Unrecognized compensation cost       100    
Expected To Be Recognized During 2028            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Unrecognized compensation cost       $ 100    
v3.25.0.1
Share-Based Compensation (Schedule of Share-Based Payments) (Details)) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total share-based compensation expense $ 4,182 $ 4,605 $ 8,613
Restricted stock expense      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total share-based compensation expense 676 310 0
Stock option expense      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total share-based compensation expense $ 3,506 $ 4,295 $ 8,613
v3.25.0.1
Share-Based Compensation (Schedule of Stock Option Valuation Assumptions) (Details)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Share-Based Payment Arrangement [Abstract]      
Dividend yield 6.40% 6.90% 7.00%
Expected volatility 26.10% 39.00% 49.30%
Expected lives 2 years 10 months 24 days 2 years 10 months 24 days 2 years 10 months 24 days
Risk-free interest rate 4.49% 4.56% 1.75%
v3.25.0.1
Share-Based Compensation (Schedule Of Stock Option Activity) (Details) - $ / shares
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Number of Shares      
Options outstanding, beginning (in shares) 2,447,171 2,216,175 1,652,505
Options exercised (in shares) (1,065,119)    
Options expired (in shares) (301,837)    
Options outstanding, December 31 (in shares) 1,416,215 2,447,171 2,216,175
Weighted Average Grant Date Fair Value      
Outstanding, January 1 (in usd per share) $ 68.80 $ 70.97 $ 78.10
Exercised (in usd per share) 58.24    
Options expired (in US dollars per share) 79.96    
Outstanding, December 31 (in usd per share) $ 71.06 $ 68.80 $ 70.97
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 1 year 9 months 10 days    
Share-based compensation arrangement by share-based payment award, options, exercisable, weighted average remaining contractual term 1 year 1 month 13 days    
Share-based compensation arrangement by share-based payment award, options, exercisable, number 1,075,521    
Share-based compensation arrangement by share-based payment award, options, exercisable, weighted average exercise price $ 75.56    
2019 Stock Option Plan      
Number of Shares      
Options granted (in shares) 431,000 385,500 718,000
Options exercised (in shares)   (5,166) (56,832)
Options forfeited (in shares) (95,000) (61,168) (23,000)
Options expired (in shares)   (88,170) (74,498)
Weighted Average Grant Date Fair Value      
Granted (in usd per share) $ 57.76 $ 54.73 $ 53.62
Exercised (in usd per share)   53.41 53.41
Forfeited (in usd per share) $ 68.00 66.44 62.33
Options expired (in US dollars per share)   $ 64.33 $ 77.93
Grant Date 2-21-2020      
Number of Shares      
Options outstanding, December 31 (in shares) 491,000    
Weighted Average Grant Date Fair Value      
Outstanding, December 31 (in usd per share) $ 90.79    
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 1 month 20 days    
Grant date 2-25-2021      
Number of Shares      
Options outstanding, December 31 (in shares) 322,500    
Weighted Average Grant Date Fair Value      
Outstanding, December 31 (in usd per share) $ 69.20    
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 1 year 1 month 24 days    
Grant date 2-25-2022      
Number of Shares      
Options outstanding, December 31 (in shares) 126,560    
Weighted Average Grant Date Fair Value      
Outstanding, December 31 (in usd per share) $ 53.41    
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 2 years 1 month 24 days    
Grant date2-24-2023      
Number of Shares      
Options outstanding, December 31 (in shares) 171,650    
Weighted Average Grant Date Fair Value      
Outstanding, December 31 (in usd per share) $ 54.73    
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 3 years 1 month 24 days    
Grant date2-23-2024      
Number of Shares      
Options outstanding, December 31 (in shares) 304,505    
Weighted Average Grant Date Fair Value      
Outstanding, December 31 (in usd per share) $ 57.76    
Weighted Average Remaining Contractual Life (Years)      
Share-based compensation arrangement by share-based Payment award, options, outstanding, weighted average remaining contractual term 4 years 1 month 24 days    
v3.25.0.1
Share-Based Compensation (Schedule of Non-Vested Share Activity) (Details) - $ / shares
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Number of Shares      
Non-vested stock options, period start (in shares) 368,344    
Non-vested stock options, period end (in shares) 340,694 368,344  
Weighted Average Grant Date Fair Value      
Non-vested stock options, period start (in usd per share) $ 8.71 $ 11.48  
Weighted average fair value of options granted (in usd per share) 7.36 $ 10.56 $ 11.92
Non-vested stock options, period end (in usd per share) $ 11.48    
2019 Stock Option Plan      
Number of Shares      
Options granted (in shares) 431,000 385,500 718,000
Options vested (in shares) (458,650)    
Weighted Average Grant Date Fair Value      
Weighted average fair value of options granted (in usd per share) $ 7.36    
Weighted average grant date fair value per share, options vested (in usd per share) $ 9.68    
v3.25.0.1
Earnings Per Common Share (Schedule of Calculation of Basic and Diluted Earnings Per Share) (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Earnings Per Share [Abstract]                      
Net income                 $ 136,639 $ 134,381 $ 65,501
Add: net loss attributable to noncontrolling interests                 1,346 1,273 902
Net income attributable to stockholders                 137,985 135,654 66,403
Less: net income attributable to unvested restricted stock awards                 (118) (57) 0
Net income attributable to common stockholders - diluted                 137,867 135,597 66,403
Net income attributable to common stockholders - basic and diluted                 $ 137,867 $ 135,597 $ 66,403
BASIC:                      
Weighted average common shares outstanding (in shares)                 43,844,771 43,388,794 44,774,708
DILUTED:                      
Diluted (in shares)                 43,844,771 43,388,794 44,774,708
Stock options (in shares)                 184,416 672 19,528
Convertible debt (in shares)                 73,449 0 0
Weighted average dilutive common shares outstanding (in shares)                 44,102,636 43,389,466 44,794,236
Net income attributable to common stockholders - basic (in usd per share)                 $ 3.14 $ 3.13 $ 1.48
Net income attributable to common stockholders - diluted (in usd per share)                 $ 3.13 $ 3.13 $ 1.48
Incremental anti-dilutive shares excluded:                      
Net share effect of stock options with an exercise price in excess of the average market price for our common shares (in shares)                 235,344 802,506 564,803
Dividends to common stockholders (in usd per share) $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 0.90 $ 3.60 $ 3.60 $ 3.60
v3.25.0.1
Fair Value of Financial Instruments (Fair Value Measurements, Nonrecurring) (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Carrying Amount | Level 2 | Variable rate debt    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt instrument, fair value disclosure $ 525,177 $ 439,693
Carrying Amount | Level 2 | Fixed rate debt    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt instrument, fair value disclosure 620,864 695,358
Carrying Amount | Level 3    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Mortgage and other notes receivable, net 268,926 245,271
Fair Value Measurement | Level 2 | Variable rate debt    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt instrument, fair value disclosure 531,200 445,000
Fair Value Measurement | Level 2 | Fixed rate debt    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt instrument, fair value disclosure 548,339 616,852
Fair Value Measurement | Level 3    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Mortgage and other notes receivable, net $ 261,708 $ 237,646
v3.25.0.1
Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Operating Loss Carryforwards [Line Items]      
Deferred tax asset $ 0.9 $ 2.2  
State income tax payments 0.2 0.2 $ 0.2
State and Local Jurisdiction      
Operating Loss Carryforwards [Line Items]      
Income tax expense (benefit) $ 0.1 $ 0.1 $ 0.1
v3.25.0.1
Income Taxes (Schedule of Dividends Paid, Per Share) (Details) - $ / shares
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Tax Examination [Line Items]      
Dividends paid per common share (in usd per share) $ 2.84119 $ 3.60 $ 3.60
Ordinary income      
Income Tax Examination [Line Items]      
Dividends paid per common share (in usd per share) 2.84119 2.40807 2.61966
Capital gain      
Income Tax Examination [Line Items]      
Dividends paid per common share (in usd per share) 0 0.24805 0
Return of capital      
Income Tax Examination [Line Items]      
Dividends paid per common share (in usd per share) $ 0 $ 0.94388 $ 0.98034
v3.25.0.1
Segment Reporting (Narrative) (Details)
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
property
segment
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Segment Reporting Information [Line Items]      
Number of reportable segments | segment 2    
SHOP      
Segment Reporting Information [Line Items]      
Capital expenditures | $ $ 11.0 $ 9.3 $ 3.3
Real Estate Investments      
Segment Reporting Information [Line Items]      
Properties 172    
Capital expenditures | $ $ 169.2 $ 56.9 $ 30.8
Independent Living Facilities      
Segment Reporting Information [Line Items]      
Properties 3    
Independent Living Facilities | SHOP      
Segment Reporting Information [Line Items]      
Properties 15    
v3.25.0.1
Segment Reporting (Schedule of Segment Reporting Information, by Segment) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]      
Rental income $ 257,049 $ 249,227 $ 217,700
Resident fees and services 54,421 48,809 35,796
Interest income and other 23,711 21,799 24,698
Revenues 335,181 319,835 278,194
Labor 17,166 16,165 11,184
Dietary 4,287 3,763 2,749
Utilities 3,887 3,537 2,633
Taxes and insurance 17,577 17,402 13,971
Other senior housing operating expenses 10,499 10,233 7,444
Net Operating Income 281,765 268,735 240,213
Depreciation 71,443 69,973 70,880
Interest 59,903 58,160 44,917
Legal 1,052 507 2,555
Franchise, excise and other taxes 38 449 844
General and administrative 20,736 19,314 22,768
Loan and realty losses, net 5,295 1,376 61,911
Gains on sales of real estate (6,678) (14,721) (28,342)
Loss on operations transfer, net 0 (20) 710
Gain on note receivable payoff     (1,113)
Other income   (202)  
Loss on early retirement of debt 0 73 151
Gains from equity method investment (402) (555) (569)
Gain on forward equity sale agreement, net (6,261)    
Net income (loss) 136,639 134,381 65,501
Total assets 2,614,371 [1] 2,488,480 [1] 2,507,424
Operating Segments | Real Estate Investments      
Segment Reporting Information [Line Items]      
Rental income 257,049 249,227 217,700
Resident fees and services 0 0 0
Interest income and other 23,243 21,448 24,383
Revenues 280,292 270,675 242,083
Labor 0 0 0
Dietary 0 0 0
Utilities 0 0 0
Taxes and insurance 11,165 11,513 9,788
Other senior housing operating expenses 0 0 0
Net Operating Income 269,127 259,162 232,295
Depreciation 61,249 60,764 64,407
Interest 3,060 3,071 3,089
Legal 0 0 0
Franchise, excise and other taxes 0 0 0
General and administrative 0 0 0
Loan and realty losses, net 5,295 1,376 61,911
Gains on sales of real estate (6,678) (14,721) (28,342)
Loss on operations transfer, net   (20) 710
Gain on note receivable payoff     (1,113)
Other income   (202)  
Loss on early retirement of debt   0 0
Gains from equity method investment (402) (555) (569)
Gain on forward equity sale agreement, net 0    
Net income (loss) 206,603 209,449 132,202
Total assets 2,325,269 2,202,647 2,225,176
Operating Segments | SHOP      
Segment Reporting Information [Line Items]      
Rental income 0 0 0
Resident fees and services 54,421 48,809 35,796
Interest income and other 0 0 0
Revenues 54,421 48,809 35,796
Labor 17,166 16,165 11,184
Dietary 4,287 3,763 2,749
Utilities 3,887 3,537 2,633
Taxes and insurance 6,412 5,889 4,183
Other senior housing operating expenses 10,499 10,233 7,444
Net Operating Income 12,170 9,222 7,603
Depreciation 10,157 9,158 6,408
Interest 0 0 0
Legal 0 0 0
Franchise, excise and other taxes 0 0 0
General and administrative 0 0 0
Loan and realty losses, net 0 0 0
Gains on sales of real estate 0 0 0
Loss on operations transfer, net   0 0
Gain on note receivable payoff     0
Other income   0  
Loss on early retirement of debt   0 0
Gains from equity method investment 0 0 0
Gain on forward equity sale agreement, net 0    
Net income (loss) 2,013 64 1,195
Total assets 270,273 270,051 274,135
Non-segment/Corporate      
Segment Reporting Information [Line Items]      
Rental income 0 0 0
Resident fees and services 0 0 0
Interest income and other 468 351 315
Revenues 468 351 315
Labor 0 0 0
Dietary 0 0 0
Utilities 0 0 0
Taxes and insurance 0 0 0
Other senior housing operating expenses 0 0 0
Net Operating Income 468 351 315
Depreciation 37 51 65
Interest 56,843 55,089 41,828
Legal 1,052 507 2,555
Franchise, excise and other taxes 38 449 844
General and administrative 20,736 19,314 22,768
Loan and realty losses, net 0 0 0
Gains on sales of real estate 0 0 0
Loss on operations transfer, net   0 0
Gain on note receivable payoff     0
Other income   0  
Loss on early retirement of debt   73 151
Gains from equity method investment 0 0 0
Gain on forward equity sale agreement, net (6,261)    
Net income (loss) (71,977) (75,132) (67,896)
Total assets $ 18,829 $ 15,782 $ 8,113
[1] The consolidated balance sheets include the following amounts related to our consolidated Variable Interest Entities (VIEs): $505.9 million and $513.2 million of Real estate properties, net; $9.7 million and $10.9 million of Cash and cash equivalents; $10.0 million and $9.7 million of Straight-line rents receivable; $7.5 million and $9.4 million of Other assets, net; and $5.7 million and $4.7 million of Accounts payable and accrued expenses as of December 31, 2024 and 2023, respectively.
v3.25.0.1
Variable Interest Entities - (Narrative) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
realEstatePartnership
Dec. 31, 2023
USD ($)
realEstatePartnership
Dec. 31, 2022
USD ($)
Property, Plant and Equipment [Line Items]      
Real estate properties, net $ 2,211,253 $ 2,107,082  
Cash and cash equivalents $ 24,289 $ 22,347 $ 19,291
Number of real estate partnerships | realEstatePartnership 2 2  
Other assets, net $ 22,753 $ 24,063  
Subsidiaries      
Property, Plant and Equipment [Line Items]      
Real estate properties, net 244,300 252,500  
Cash and cash equivalents 3,200 3,200  
Accounts receivable, net 10,000 9,700  
Other assets, net 5,300 7,800  
SHOP      
Property, Plant and Equipment [Line Items]      
Real estate properties, net 261,600 260,700  
Cash and cash equivalents 6,500 7,700  
Prepaid expense 1,500 900  
Accounts receivable, net 800 800  
Credit liabilities of SHOP $ (5,700) $ (4,700)  
v3.25.0.1
Variable Interest Entities - (Schedule of Variable Interest Entities) (Details)
$ in Thousands
Dec. 31, 2024
USD ($)
Senior Living Communities | Notes and straight-line rents receivable  
Variable Interest Entity [Line Items]  
Carrying Amount $ 84,087
Maximum Exposure to Loss 92,837
Senior Living Management | Notes  
Variable Interest Entity [Line Items]  
Carrying Amount 24,500
Maximum Exposure to Loss 24,500
Bickford | Notes  
Variable Interest Entity [Line Items]  
Carrying Amount 16,186
Maximum Exposure to Loss 28,432
Encore Senior Living | Various  
Variable Interest Entity [Line Items]  
Carrying Amount 35,330
Maximum Exposure to Loss 35,397
Timber Ridge OpCo  
Variable Interest Entity [Line Items]  
Maximum Exposure to Loss 5,000
Timber Ridge OpCo | Various  
Variable Interest Entity [Line Items]  
Carrying Amount (1,332)
Maximum Exposure to Loss 3,668
Watermark Retirement | Notes and straight-line rents receivable  
Variable Interest Entity [Line Items]  
Carrying Amount 10,293
Maximum Exposure to Loss 12,067
Montecito Medical Real Estate | Notes and funding commitment  
Variable Interest Entity [Line Items]  
Carrying Amount 15,618
Maximum Exposure to Loss 50,053
Vizion Health | Notes and straight-line rents receivable  
Variable Interest Entity [Line Items]  
Carrying Amount 15,244
Maximum Exposure to Loss 15,244
Navion Senior Solutions | Various  
Variable Interest Entity [Line Items]  
Carrying Amount 7,730
Maximum Exposure to Loss 9,880
Kindcare Senior Living | Notes  
Variable Interest Entity [Line Items]  
Carrying Amount 785
Maximum Exposure to Loss 785
Mainstay Healthcare Maitland, LLC | Note  
Variable Interest Entity [Line Items]  
Carrying Amount 9,019
Maximum Exposure to Loss $ 9,019
v3.25.0.1
Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 75,815      
Initial cost to company, land 191,909      
Initial cost to company, building and improvements 2,679,254      
Cost capitalized subsequent to acquisition 82,385      
Investment in real estate and accumulated depreciation, land, amount 191,909      
Building and improvements, amount 2,761,639      
Investment in real estate, gross 2,953,548 $ 2,780,358 $ 2,729,898 $ 2,894,548
Accumulated depreciation $ 742,295 $ 673,276 $ 611,688 $ 576,668
Property, plant and equipment, useful life 40 years      
Investment in real estate, federal income tax basis $ 2,200,000      
Real estate investment properties        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 75,815      
Initial cost to company, land 175,748      
Initial cost to company, building and improvements 2,359,943      
Cost capitalized subsequent to acquisition 56,896      
Investment in real estate and accumulated depreciation, land, amount 175,748      
Building and improvements, amount 2,416,839      
Investment in real estate, gross 2,592,587      
Accumulated depreciation 644,961      
Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 34,450      
Initial cost to company, building and improvements 516,143      
Cost capitalized subsequent to acquisition 7,403      
Investment in real estate and accumulated depreciation, land, amount 34,450      
Building and improvements, amount 523,546      
Investment in real estate, gross 557,996      
Accumulated depreciation 238,524      
Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 60,139      
Initial cost to company, land 64,203      
Initial cost to company, building and improvements 842,713      
Cost capitalized subsequent to acquisition 12,025      
Investment in real estate and accumulated depreciation, land, amount 64,203      
Building and improvements, amount 854,738      
Investment in real estate, gross 918,941      
Accumulated depreciation 167,250      
Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 15,676      
Initial cost to company, land 5,266      
Initial cost to company, building and improvements 92,729      
Cost capitalized subsequent to acquisition 10,566      
Investment in real estate and accumulated depreciation, land, amount 5,266      
Building and improvements, amount 103,295      
Investment in real estate, gross 108,561      
Accumulated depreciation 25,180      
Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 12,585      
Initial cost to company, building and improvements 197,869      
Cost capitalized subsequent to acquisition 4,240      
Investment in real estate and accumulated depreciation, land, amount 12,585      
Building and improvements, amount 202,109      
Investment in real estate, gross 214,694      
Accumulated depreciation 41,945      
Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 57,774      
Initial cost to company, building and improvements 671,709      
Cost capitalized subsequent to acquisition 20,614      
Investment in real estate and accumulated depreciation, land, amount 57,774      
Building and improvements, amount 692,323      
Investment in real estate, gross 750,097      
Accumulated depreciation 168,316      
Hospitals        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 1,470      
Initial cost to company, building and improvements 38,780      
Cost capitalized subsequent to acquisition 2,048      
Investment in real estate and accumulated depreciation, land, amount 1,470      
Building and improvements, amount 40,828      
Investment in real estate, gross 42,298      
Accumulated depreciation 3,746      
Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 14,870      
Initial cost to company, building and improvements 318,634      
Cost capitalized subsequent to acquisition 24,874      
Investment in real estate and accumulated depreciation, land, amount 14,870      
Building and improvements, amount 343,508      
Investment in real estate, gross 358,378      
Accumulated depreciation 96,819      
Corporate office        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 1,291      
Initial cost to company, building and improvements 677      
Cost capitalized subsequent to acquisition 615      
Investment in real estate and accumulated depreciation, land, amount 1,291      
Building and improvements, amount 1,292      
Investment in real estate, gross 2,583      
Accumulated depreciation 515      
Subsequent Property Additions Purchased From NHC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Initial cost to company, building and improvements 33,900      
Anniston, AL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 70      
Initial cost to company, building and improvements 4,477      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 70      
Building and improvements, amount 4,477      
Investment in real estate, gross 4,547      
Accumulated depreciation $ 3,860      
Date acquired, constructed Oct. 17, 1991      
Moulton, AL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 25      
Initial cost to company, building and improvements 688      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 25      
Building and improvements, amount 688      
Investment in real estate, gross 713      
Accumulated depreciation $ 688      
Date acquired, constructed Oct. 17, 1991      
Avondale, AZ | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 453      
Initial cost to company, building and improvements 6,678      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 453      
Building and improvements, amount 6,678      
Investment in real estate, gross 7,131      
Accumulated depreciation $ 4,795      
Date acquired, constructed Aug. 13, 1996      
Brooksville, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,217      
Initial cost to company, building and improvements 16,166      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,217      
Building and improvements, amount 16,166      
Investment in real estate, gross 17,383      
Accumulated depreciation $ 6,029      
Date acquired, constructed Feb. 01, 2010      
Crystal River, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 912      
Initial cost to company, building and improvements 12,117      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 912      
Building and improvements, amount 12,117      
Investment in real estate, gross 13,029      
Accumulated depreciation $ 4,519      
Date acquired, constructed Feb. 01, 2010      
Dade City, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 605      
Initial cost to company, building and improvements 8,042      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 605      
Building and improvements, amount 8,042      
Investment in real estate, gross 8,647      
Accumulated depreciation $ 2,999      
Date acquired, constructed Feb. 01, 2010      
Hudson, FL (2 facilities) | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,290      
Initial cost to company, building and improvements 22,392      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,290      
Building and improvements, amount 22,392      
Investment in real estate, gross 23,682      
Accumulated depreciation 13,807      
Merritt Island, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 701      
Initial cost to company, building and improvements 8,869      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 701      
Building and improvements, amount 8,869      
Investment in real estate, gross 9,570      
Accumulated depreciation $ 7,942      
Date acquired, constructed Oct. 17, 1991      
New Port Richey, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 228      
Initial cost to company, building and improvements 3,023      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 228      
Building and improvements, amount 3,023      
Investment in real estate, gross 3,251      
Accumulated depreciation $ 1,127      
Date acquired, constructed Feb. 01, 2010      
Plant City, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 405      
Initial cost to company, building and improvements 8,777      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 405      
Building and improvements, amount 8,777      
Investment in real estate, gross 9,182      
Accumulated depreciation $ 7,801      
Date acquired, constructed Oct. 17, 1991      
Stuart, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 787      
Initial cost to company, building and improvements 9,048      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 787      
Building and improvements, amount 9,048      
Investment in real estate, gross 9,835      
Accumulated depreciation $ 8,259      
Date acquired, constructed Oct. 17, 1991      
Trenton, FL | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 851      
Initial cost to company, building and improvements 11,312      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 851      
Building and improvements, amount 11,312      
Investment in real estate, gross 12,163      
Accumulated depreciation $ 4,218      
Date acquired, constructed Sep. 29, 2000      
Glasgow, KY | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 33      
Initial cost to company, building and improvements 2,110      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 33      
Building and improvements, amount 2,110      
Investment in real estate, gross 2,143      
Accumulated depreciation $ 2,072      
Date acquired, constructed Oct. 17, 1991      
Desloge, MO | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 178      
Initial cost to company, building and improvements 3,804      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 178      
Building and improvements, amount 3,804      
Investment in real estate, gross 3,982      
Accumulated depreciation $ 3,804      
Date acquired, constructed Oct. 17, 1991      
Joplin, MO | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 175      
Initial cost to company, building and improvements 4,034      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 175      
Building and improvements, amount 4,034      
Investment in real estate, gross 4,209      
Accumulated depreciation $ 3,478      
Date acquired, constructed Oct. 17, 1991      
Kennett, MO | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 180      
Initial cost to company, building and improvements 4,928      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 180      
Building and improvements, amount 4,928      
Investment in real estate, gross 5,108      
Accumulated depreciation $ 4,829      
Date acquired, constructed Oct. 17, 1991      
Maryland Heights, MO | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 150      
Initial cost to company, building and improvements 4,790      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 150      
Building and improvements, amount 4,790      
Investment in real estate, gross 4,940      
Accumulated depreciation $ 4,684      
Date acquired, constructed Oct. 17, 1991      
St. Charles, MO | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 420      
Initial cost to company, building and improvements 5,512      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 420      
Building and improvements, amount 5,512      
Investment in real estate, gross 5,932      
Accumulated depreciation $ 5,512      
Date acquired, constructed Oct. 17, 1991      
St. Charles, MO | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 344      
Initial cost to company, building and improvements 3,181      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 344      
Building and improvements, amount 3,181      
Investment in real estate, gross 3,525      
Accumulated depreciation $ 2,833      
Date acquired, constructed Oct. 17, 1991      
Albany, OR | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 190      
Initial cost to company, building and improvements 10,415      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 190      
Building and improvements, amount 10,415      
Investment in real estate, gross 10,605      
Accumulated depreciation $ 3,217      
Date acquired, constructed Mar. 31, 2014      
Creswell, OR | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 470      
Initial cost to company, building and improvements 8,946      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 470      
Building and improvements, amount 8,946      
Investment in real estate, gross 9,416      
Accumulated depreciation $ 2,663      
Date acquired, constructed Mar. 31, 2014      
Forest Grove, OR | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 540      
Initial cost to company, building and improvements 11,848      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 540      
Building and improvements, amount 11,848      
Investment in real estate, gross 12,388      
Accumulated depreciation $ 3,591      
Date acquired, constructed Mar. 31, 2014      
Anderson, SC | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 308      
Initial cost to company, building and improvements 4,643      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 308      
Building and improvements, amount 4,643      
Investment in real estate, gross 4,951      
Accumulated depreciation $ 4,514      
Date acquired, constructed Oct. 17, 1991      
Greenwood, SC | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 174      
Initial cost to company, building and improvements 3,457      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 174      
Building and improvements, amount 3,457      
Investment in real estate, gross 3,631      
Accumulated depreciation $ 3,314      
Date acquired, constructed Oct. 17, 1991      
Laurens, SC | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 42      
Initial cost to company, building and improvements 3,426      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 42      
Building and improvements, amount 3,426      
Investment in real estate, gross 3,468      
Accumulated depreciation $ 3,221      
Date acquired, constructed Oct. 17, 1991      
Orangeburg, SC | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 300      
Initial cost to company, building and improvements 3,714      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 300      
Building and improvements, amount 3,714      
Investment in real estate, gross 4,014      
Accumulated depreciation $ 1,568      
Date acquired, constructed Sep. 25, 2008      
Athens, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 38      
Initial cost to company, building and improvements 1,463      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 38      
Building and improvements, amount 1,463      
Investment in real estate, gross 1,501      
Accumulated depreciation $ 1,383      
Date acquired, constructed Oct. 17, 1991      
Chattanooga, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 143      
Initial cost to company, building and improvements 2,309      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 143      
Building and improvements, amount 2,309      
Investment in real estate, gross 2,452      
Accumulated depreciation $ 2,302      
Date acquired, constructed Oct. 17, 1991      
Chattanooga, TN | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 9      
Initial cost to company, building and improvements 1,567      
Cost capitalized subsequent to acquisition 1      
Investment in real estate and accumulated depreciation, land, amount 9      
Building and improvements, amount 1,568      
Investment in real estate, gross 1,577      
Accumulated depreciation $ 1,510      
Date acquired, constructed Oct. 17, 1991      
Dickson, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 90      
Initial cost to company, building and improvements 3,541      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 90      
Building and improvements, amount 3,541      
Investment in real estate, gross 3,631      
Accumulated depreciation $ 3,334      
Date acquired, constructed Oct. 17, 1991      
Franklin, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 47      
Initial cost to company, building and improvements 1,130      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 47      
Building and improvements, amount 1,130      
Investment in real estate, gross 1,177      
Accumulated depreciation $ 1,130      
Date acquired, constructed Oct. 17, 1991      
Hendersonville, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 363      
Initial cost to company, building and improvements 3,837      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 363      
Building and improvements, amount 3,837      
Investment in real estate, gross 4,200      
Accumulated depreciation $ 3,515      
Date acquired, constructed Oct. 17, 1991      
Johnson City, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 85      
Initial cost to company, building and improvements 1,918      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 85      
Building and improvements, amount 1,918      
Investment in real estate, gross 2,003      
Accumulated depreciation $ 1,917      
Date acquired, constructed Oct. 17, 1991      
Johnson City, TN | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 55      
Initial cost to company, building and improvements 4,077      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 55      
Building and improvements, amount 4,077      
Investment in real estate, gross 4,132      
Accumulated depreciation $ 3,456      
Date acquired, constructed Oct. 17, 1991      
Lewisburg, TN (2 facilities) | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 46      
Initial cost to company, building and improvements 994      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 46      
Building and improvements, amount 994      
Investment in real estate, gross 1,040      
Accumulated depreciation 995      
McMinnville, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 73      
Initial cost to company, building and improvements 3,618      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 73      
Building and improvements, amount 3,618      
Investment in real estate, gross 3,691      
Accumulated depreciation $ 3,332      
Date acquired, constructed Oct. 17, 1991      
Milan, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 41      
Initial cost to company, building and improvements 1,826      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 41      
Building and improvements, amount 1,826      
Investment in real estate, gross 1,867      
Accumulated depreciation $ 1,720      
Date acquired, constructed Oct. 17, 1991      
Pulaski, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 53      
Initial cost to company, building and improvements 3,921      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 53      
Building and improvements, amount 3,921      
Investment in real estate, gross 3,974      
Accumulated depreciation $ 3,571      
Date acquired, constructed Oct. 17, 1991      
Lawrenceburg, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 98      
Initial cost to company, building and improvements 2,900      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 98      
Building and improvements, amount 2,900      
Investment in real estate, gross 2,998      
Accumulated depreciation $ 2,548      
Date acquired, constructed Oct. 17, 1991      
Dunlap, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 35      
Initial cost to company, building and improvements 3,679      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 35      
Building and improvements, amount 3,679      
Investment in real estate, gross 3,714      
Accumulated depreciation $ 3,217      
Date acquired, constructed Oct. 17, 1991      
Smithville, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 35      
Initial cost to company, building and improvements 3,816      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 35      
Building and improvements, amount 3,816      
Investment in real estate, gross 3,851      
Accumulated depreciation $ 3,420      
Date acquired, constructed Oct. 18, 1991      
Somerville, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 26      
Initial cost to company, building and improvements 677      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 26      
Building and improvements, amount 677      
Investment in real estate, gross 703      
Accumulated depreciation $ 678      
Date acquired, constructed Oct. 19, 1991      
Sparta, TN | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 80      
Initial cost to company, building and improvements 1,602      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 80      
Building and improvements, amount 1,602      
Investment in real estate, gross 1,682      
Accumulated depreciation $ 1,559      
Date acquired, constructed Oct. 20, 1991      
Austin, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 606      
Initial cost to company, building and improvements 9,895      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 606      
Building and improvements, amount 9,895      
Investment in real estate, gross 10,501      
Accumulated depreciation $ 2,490      
Date acquired, constructed Apr. 01, 2016      
Canton, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 420      
Initial cost to company, building and improvements 12,330      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 420      
Building and improvements, amount 12,330      
Investment in real estate, gross 12,750      
Accumulated depreciation $ 4,328      
Date acquired, constructed Apr. 18, 2013      
Corinth, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,075      
Initial cost to company, building and improvements 13,935      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,075      
Building and improvements, amount 13,935      
Investment in real estate, gross 15,010      
Accumulated depreciation $ 5,090      
Date acquired, constructed Apr. 18, 2013      
Ennis, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 986      
Initial cost to company, building and improvements 9,025      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 986      
Building and improvements, amount 9,025      
Investment in real estate, gross 10,011      
Accumulated depreciation $ 3,510      
Date acquired, constructed Oct. 31, 2011      
Euless, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,241      
Initial cost to company, building and improvements 12,629      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,241      
Building and improvements, amount 12,629      
Investment in real estate, gross 13,870      
Accumulated depreciation $ 3,394      
Date acquired, constructed Apr. 01, 2016      
Fort Worth, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,380      
Initial cost to company, building and improvements 14,370      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,380      
Building and improvements, amount 14,370      
Investment in real estate, gross 15,750      
Accumulated depreciation $ 3,222      
Date acquired, constructed May 10, 2018      
Garland, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,440      
Initial cost to company, building and improvements 14,310      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,440      
Building and improvements, amount 14,310      
Investment in real estate, gross 15,750      
Accumulated depreciation $ 3,202      
Date acquired, constructed May 10, 2018      
Gladewater, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 70      
Initial cost to company, building and improvements 17,840      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 70      
Building and improvements, amount 17,840      
Investment in real estate, gross 17,910      
Accumulated depreciation $ 4,292      
Date acquired, constructed Apr. 01, 2016      
Greenville, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,800      
Initial cost to company, building and improvements 13,948      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,800      
Building and improvements, amount 13,948      
Investment in real estate, gross 15,748      
Accumulated depreciation $ 5,229      
Date acquired, constructed Oct. 31, 2011      
Houston, TX (3 facilities) | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 2,808      
Initial cost to company, building and improvements 42,511      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 2,808      
Building and improvements, amount 42,511      
Investment in real estate, gross 45,319      
Accumulated depreciation 16,496      
Katy, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 610      
Initial cost to company, building and improvements 13,893      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 610      
Building and improvements, amount 13,893      
Investment in real estate, gross 14,503      
Accumulated depreciation $ 3,514      
Date acquired, constructed Apr. 01, 2016      
Kyle, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,096      
Initial cost to company, building and improvements 12,279      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,096      
Building and improvements, amount 12,279      
Investment in real estate, gross 13,375      
Accumulated depreciation $ 4,635      
Date acquired, constructed Jun. 11, 2012      
Marble Falls, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 480      
Initial cost to company, building and improvements 14,989      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 480      
Building and improvements, amount 14,989      
Investment in real estate, gross 15,469      
Accumulated depreciation $ 3,719      
Date acquired, constructed Apr. 01, 2016      
McAllen, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,175      
Initial cost to company, building and improvements 8,259      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,175      
Building and improvements, amount 8,259      
Investment in real estate, gross 9,434      
Accumulated depreciation $ 2,259      
Date acquired, constructed Apr. 01, 2016      
New Braunfels, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,430      
Initial cost to company, building and improvements 13,666      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,430      
Building and improvements, amount 13,666      
Investment in real estate, gross 15,096      
Accumulated depreciation $ 3,545      
Date acquired, constructed Feb. 24, 2017      
San Antonio, TX (3 facilities) | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 2,370      
Initial cost to company, building and improvements 40,054      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 2,370      
Building and improvements, amount 40,054      
Investment in real estate, gross 42,424      
Accumulated depreciation 12,742      
Waxahachie, TX | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 1,330      
Initial cost to company, building and improvements 14,349      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,330      
Building and improvements, amount 14,349      
Investment in real estate, gross 15,679      
Accumulated depreciation $ 3,358      
Date acquired, constructed Jan. 17, 2018      
Bristol, VA | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 176      
Initial cost to company, building and improvements 2,511      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 176      
Building and improvements, amount 2,511      
Investment in real estate, gross 2,687      
Accumulated depreciation $ 2,511      
Date acquired, constructed Oct. 17, 1991      
Oak Creek, WI | Skilled Nursing Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 2,000      
Initial cost to company, building and improvements 14,903      
Cost capitalized subsequent to acquisition 7,403      
Investment in real estate and accumulated depreciation, land, amount 2,000      
Building and improvements, amount 22,306      
Investment in real estate, gross 24,306      
Accumulated depreciation $ 3,856      
Date acquired, constructed Dec. 07, 2018      
Rainbow City, AL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 670      
Initial cost to company, building and improvements 11,330      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 670      
Building and improvements, amount 11,330      
Investment in real estate, gross 12,000      
Accumulated depreciation $ 3,493      
Date acquired, constructed Oct. 31, 2013      
Sacramento, CA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 660      
Initial cost to company, building and improvements 10,840      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 660      
Building and improvements, amount 10,840      
Investment in real estate, gross 11,500      
Accumulated depreciation $ 3,242      
Date acquired, constructed Jun. 01, 2014      
Pueblo West, CO | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 169      
Initial cost to company, building and improvements 7,431      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 169      
Building and improvements, amount 7,431      
Investment in real estate, gross 7,600      
Accumulated depreciation $ 1,207      
Date acquired, constructed Jul. 23, 2019      
Greensboro, GA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 672      
Initial cost to company, building and improvements 4,849      
Cost capitalized subsequent to acquisition 675      
Investment in real estate and accumulated depreciation, land, amount 672      
Building and improvements, amount 5,524      
Investment in real estate, gross 6,196      
Accumulated depreciation $ 1,829      
Date acquired, constructed Sep. 15, 2011      
Statham, GA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 452      
Initial cost to company, building and improvements 6,487      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 452      
Building and improvements, amount 6,487      
Investment in real estate, gross 6,939      
Accumulated depreciation $ 22      
Date acquired, constructed Dec. 05, 2024      
Ames, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 3,193      
Initial cost to company, land 360      
Initial cost to company, building and improvements 4,670      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 360      
Building and improvements, amount 4,670      
Investment in real estate, gross 5,030      
Accumulated depreciation $ 1,501      
Date acquired, constructed Jun. 28, 2013      
Burlington, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 3,901      
Initial cost to company, land 200      
Initial cost to company, building and improvements 8,374      
Cost capitalized subsequent to acquisition 14      
Investment in real estate and accumulated depreciation, land, amount 200      
Building and improvements, amount 8,388      
Investment in real estate, gross 8,588      
Accumulated depreciation $ 2,702      
Date acquired, constructed Jun. 28, 2013      
Cedar Falls, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 260      
Initial cost to company, building and improvements 4,700      
Cost capitalized subsequent to acquisition 30      
Investment in real estate and accumulated depreciation, land, amount 260      
Building and improvements, amount 4,730      
Investment in real estate, gross 4,990      
Accumulated depreciation $ 1,553      
Date acquired, constructed Jun. 28, 2013      
Ft. Dodge, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 4,008      
Initial cost to company, land 100      
Initial cost to company, building and improvements 7,208      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 100      
Building and improvements, amount 7,208      
Investment in real estate, gross 7,308      
Accumulated depreciation $ 2,281      
Date acquired, constructed Jun. 28, 2013      
Iowa City, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 297      
Initial cost to company, building and improvements 2,725      
Cost capitalized subsequent to acquisition 33      
Investment in real estate and accumulated depreciation, land, amount 297      
Building and improvements, amount 2,758      
Investment in real estate, gross 3,055      
Accumulated depreciation $ 1,105      
Date acquired, constructed Jun. 30, 2010      
Marshalltown, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 5,714      
Initial cost to company, land 240      
Initial cost to company, building and improvements 6,208      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 240      
Building and improvements, amount 6,208      
Investment in real estate, gross 6,448      
Accumulated depreciation $ 1,997      
Date acquired, constructed Jun. 28, 2013      
Urbandale, IA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 8,113      
Initial cost to company, land 540      
Initial cost to company, building and improvements 4,292      
Cost capitalized subsequent to acquisition 18      
Investment in real estate and accumulated depreciation, land, amount 540      
Building and improvements, amount 4,310      
Investment in real estate, gross 4,850      
Accumulated depreciation $ 1,418      
Date acquired, constructed Jun. 28, 2013      
Caldwell, ID | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 320      
Initial cost to company, building and improvements 9,353      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 320      
Building and improvements, amount 9,353      
Investment in real estate, gross 9,673      
Accumulated depreciation $ 2,806      
Date acquired, constructed Mar. 31, 2014      
Aurora, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,195      
Initial cost to company, building and improvements 11,713      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,195      
Building and improvements, amount 11,713      
Investment in real estate, gross 12,908      
Accumulated depreciation $ 3,079      
Date acquired, constructed May 09, 2017      
Bolingbrook, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,290      
Initial cost to company, building and improvements 14,677      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,290      
Building and improvements, amount 14,677      
Investment in real estate, gross 15,967      
Accumulated depreciation $ 3,171      
Date acquired, constructed Mar. 16, 2017      
Bourbonnais, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 7,974      
Initial cost to company, land 170      
Initial cost to company, building and improvements 16,594      
Cost capitalized subsequent to acquisition 390      
Investment in real estate and accumulated depreciation, land, amount 170      
Building and improvements, amount 16,984      
Investment in real estate, gross 17,154      
Accumulated depreciation $ 5,173      
Date acquired, constructed Jun. 28, 2013      
Crystal Lake, IL (2 facilities) | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,060      
Initial cost to company, building and improvements 30,043      
Cost capitalized subsequent to acquisition 170      
Investment in real estate and accumulated depreciation, land, amount 1,060      
Building and improvements, amount 30,213      
Investment in real estate, gross 31,273      
Accumulated depreciation 6,702      
Gurnee, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 1,244      
Initial cost to company, building and improvements 13,856      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,244      
Building and improvements, amount 13,856      
Investment in real estate, gross 15,100      
Accumulated depreciation $ 2,192      
Date acquired, constructed Sep. 10, 2019      
Moline, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 3,896      
Initial cost to company, land 250      
Initial cost to company, building and improvements 5,630      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 250      
Building and improvements, amount 5,630      
Investment in real estate, gross 5,880      
Accumulated depreciation $ 1,826      
Date acquired, constructed Jun. 28, 2013      
Oswego, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 390      
Initial cost to company, building and improvements 20,957      
Cost capitalized subsequent to acquisition 212      
Investment in real estate and accumulated depreciation, land, amount 390      
Building and improvements, amount 21,169      
Investment in real estate, gross 21,559      
Accumulated depreciation $ 4,793      
Date acquired, constructed Jun. 01, 2016      
Quincy, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 6,055      
Initial cost to company, land 360      
Initial cost to company, building and improvements 12,403      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 360      
Building and improvements, amount 12,403      
Investment in real estate, gross 12,763      
Accumulated depreciation $ 3,930      
Date acquired, constructed Jun. 28, 2013      
Rockford, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 6,412      
Initial cost to company, land 390      
Initial cost to company, building and improvements 12,575      
Cost capitalized subsequent to acquisition 381      
Investment in real estate and accumulated depreciation, land, amount 390      
Building and improvements, amount 12,956      
Investment in real estate, gross 13,346      
Accumulated depreciation $ 3,988      
Date acquired, constructed Jun. 28, 2013      
South Barrington, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,610      
Initial cost to company, building and improvements 13,456      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,610      
Building and improvements, amount 13,456      
Investment in real estate, gross 15,066      
Accumulated depreciation $ 2,963      
Date acquired, constructed Mar. 16, 2017      
St. Charles, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 820      
Initial cost to company, building and improvements 22,188      
Cost capitalized subsequent to acquisition 252      
Investment in real estate and accumulated depreciation, land, amount 820      
Building and improvements, amount 22,440      
Investment in real estate, gross 23,260      
Accumulated depreciation $ 5,120      
Date acquired, constructed Jun. 01, 2016      
Tinley Park, IL | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,622      
Initial cost to company, building and improvements 11,354      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,622      
Building and improvements, amount 11,354      
Investment in real estate, gross 12,976      
Accumulated depreciation $ 3,058      
Date acquired, constructed Jun. 23, 2016      
Attica, IN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 284      
Initial cost to company, building and improvements 7,891      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 284      
Building and improvements, amount 7,891      
Investment in real estate, gross 8,175      
Accumulated depreciation $ 1,113      
Date acquired, constructed May 01, 2020      
Carmel, IN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 463      
Initial cost to company, building and improvements 7,055      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 463      
Building and improvements, amount 7,055      
Investment in real estate, gross 7,518      
Accumulated depreciation $ 2,525      
Date acquired, constructed Nov. 12, 2014      
Crown Point, IN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 574      
Initial cost to company, building and improvements 7,336      
Cost capitalized subsequent to acquisition 353      
Investment in real estate and accumulated depreciation, land, amount 574      
Building and improvements, amount 7,689      
Investment in real estate, gross 8,263      
Accumulated depreciation $ 2,679      
Date acquired, constructed Oct. 30, 2013      
Greenwood, IN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 791      
Initial cost to company, building and improvements 7,020      
Cost capitalized subsequent to acquisition 227      
Investment in real estate and accumulated depreciation, land, amount 791      
Building and improvements, amount 7,247      
Investment in real estate, gross 8,038      
Accumulated depreciation $ 2,596      
Date acquired, constructed Nov. 07, 2013      
Linton, IN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 60      
Initial cost to company, building and improvements 6,015      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 60      
Building and improvements, amount 6,015      
Investment in real estate, gross 6,075      
Accumulated depreciation $ 850      
Date acquired, constructed May 01, 2020      
Bossier City, LA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 500      
Initial cost to company, building and improvements 3,344      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 500      
Building and improvements, amount 3,344      
Investment in real estate, gross 3,844      
Accumulated depreciation $ 1,307      
Date acquired, constructed Apr. 30, 2011      
West Monroe, LA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 770      
Initial cost to company, building and improvements 5,627      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 770      
Building and improvements, amount 5,627      
Investment in real estate, gross 6,397      
Accumulated depreciation $ 2,087      
Date acquired, constructed Apr. 30, 2011      
Frederick, MD | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,942      
Initial cost to company, building and improvements 17,415      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,942      
Building and improvements, amount 17,415      
Investment in real estate, gross 19,357      
Accumulated depreciation $ 1,015      
Date acquired, constructed Feb. 04, 2023      
Battle Creek, MI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 398      
Initial cost to company, building and improvements 3,093      
Cost capitalized subsequent to acquisition 197      
Investment in real estate and accumulated depreciation, land, amount 398      
Building and improvements, amount 3,290      
Investment in real estate, gross 3,688      
Accumulated depreciation $ 1,435      
Date acquired, constructed Oct. 19, 2009      
Lansing, MI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,020      
Initial cost to company, building and improvements 9,684      
Cost capitalized subsequent to acquisition 174      
Investment in real estate and accumulated depreciation, land, amount 1,020      
Building and improvements, amount 9,858      
Investment in real estate, gross 10,878      
Accumulated depreciation $ 2,313      
Date acquired, constructed Oct. 19, 2009      
Okemos, MI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 340      
Initial cost to company, building and improvements 8,082      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 340      
Building and improvements, amount 8,082      
Investment in real estate, gross 8,422      
Accumulated depreciation $ 3,322      
Date acquired, constructed Nov. 19, 2009      
Shelby, MI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,588      
Initial cost to company, building and improvements 13,512      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,588      
Building and improvements, amount 13,512      
Investment in real estate, gross 15,100      
Accumulated depreciation $ 2,022      
Date acquired, constructed Jan. 27, 2020      
Champlin, MN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 980      
Initial cost to company, building and improvements 4,475      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 980      
Building and improvements, amount 4,475      
Investment in real estate, gross 5,455      
Accumulated depreciation $ 1,775      
Date acquired, constructed Mar. 10, 2010      
Hugo, MN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 400      
Initial cost to company, building and improvements 3,945      
Cost capitalized subsequent to acquisition 113      
Investment in real estate and accumulated depreciation, land, amount 400      
Building and improvements, amount 4,058      
Investment in real estate, gross 4,458      
Accumulated depreciation $ 1,549      
Date acquired, constructed Mar. 10, 2010      
Maplewood, MN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,700      
Initial cost to company, building and improvements 6,544      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,700      
Building and improvements, amount 6,544      
Investment in real estate, gross 8,244      
Accumulated depreciation $ 2,594      
Date acquired, constructed Mar. 10, 2010      
North Branch, MN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 595      
Initial cost to company, building and improvements 3,053      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 595      
Building and improvements, amount 3,053      
Investment in real estate, gross 3,648      
Accumulated depreciation $ 1,240      
Date acquired, constructed Mar. 10, 2010      
Mahtomedi, MN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 515      
Initial cost to company, building and improvements 8,825      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 515      
Building and improvements, amount 8,825      
Investment in real estate, gross 9,340      
Accumulated depreciation $ 1,249      
Date acquired, constructed Dec. 27, 2019      
Albermarle, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 870      
Initial cost to company, building and improvements 4,872      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 870      
Building and improvements, amount 4,872      
Investment in real estate, gross 5,742      
Accumulated depreciation $ 36      
Date acquired, constructed Oct. 09, 2024      
Apex, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,042      
Initial cost to company, building and improvements 15,831      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,042      
Building and improvements, amount 15,831      
Investment in real estate, gross 16,873      
Accumulated depreciation $ 112      
Date acquired, constructed Oct. 09, 2024      
Cary, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,366      
Initial cost to company, building and improvements 20,805      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,366      
Building and improvements, amount 20,805      
Investment in real estate, gross 22,171      
Accumulated depreciation $ 146      
Date acquired, constructed Oct. 09, 2024      
Charlotte, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 650      
Initial cost to company, building and improvements 17,663      
Cost capitalized subsequent to acquisition 2,000      
Investment in real estate and accumulated depreciation, land, amount 650      
Building and improvements, amount 19,663      
Investment in real estate, gross 20,313      
Accumulated depreciation $ 5,225      
Date acquired, constructed Jul. 01, 2015      
Durham, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 860      
Initial cost to company, building and improvements 7,752      
Cost capitalized subsequent to acquisition 2,681      
Investment in real estate and accumulated depreciation, land, amount 860      
Building and improvements, amount 10,433      
Investment in real estate, gross 11,293      
Accumulated depreciation $ 1,376      
Date acquired, constructed Dec. 15, 2017      
Greensboro, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,426      
Initial cost to company, building and improvements 20,550      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,426      
Building and improvements, amount 20,550      
Investment in real estate, gross 21,976      
Accumulated depreciation $ 151      
Date acquired, constructed Oct. 09, 2024      
Greenville, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 797      
Initial cost to company, building and improvements 10,612      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 797      
Building and improvements, amount 10,612      
Investment in real estate, gross 11,409      
Accumulated depreciation $ 83      
Date acquired, constructed Oct. 09, 2024      
Hendersonville, NC (2 facilities) | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 3,120      
Initial cost to company, building and improvements 12,980      
Cost capitalized subsequent to acquisition 128      
Investment in real estate and accumulated depreciation, land, amount 3,120      
Building and improvements, amount 13,108      
Investment in real estate, gross 16,228      
Accumulated depreciation 3,008      
Kinston, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 798      
Initial cost to company, building and improvements 3,958      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 798      
Building and improvements, amount 3,958      
Investment in real estate, gross 4,756      
Accumulated depreciation $ 31      
Date acquired, constructed Oct. 09, 2024      
Kill Devil Hills, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,276      
Initial cost to company, building and improvements 9,471      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,276      
Building and improvements, amount 9,471      
Investment in real estate, gross 10,747      
Accumulated depreciation $ 67      
Date acquired, constructed Oct. 09, 2024      
Rocky Mount, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 990      
Initial cost to company, building and improvements 8,114      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 990      
Building and improvements, amount 8,114      
Investment in real estate, gross 9,104      
Accumulated depreciation $ 83      
Date acquired, constructed Oct. 09, 2024      
Wilmington, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 843      
Initial cost to company, building and improvements 7,313      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 843      
Building and improvements, amount 7,313      
Investment in real estate, gross 8,156      
Accumulated depreciation $ 59      
Date acquired, constructed Oct. 09, 2024      
Wilson, NC | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 876      
Initial cost to company, building and improvements 9,512      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 876      
Building and improvements, amount 9,512      
Investment in real estate, gross 10,388      
Accumulated depreciation $ 76      
Date acquired, constructed Oct. 09, 2024      
Lincoln, NE | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 8,418      
Initial cost to company, land 380      
Initial cost to company, building and improvements 10,904      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 380      
Building and improvements, amount 10,904      
Investment in real estate, gross 11,284      
Accumulated depreciation $ 3,403      
Date acquired, constructed Jun. 28, 2013      
Omaha, NE (2 facilities) | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 2,455      
Initial cost to company, land 1,110      
Initial cost to company, building and improvements 15,437      
Cost capitalized subsequent to acquisition 851      
Investment in real estate and accumulated depreciation, land, amount 1,110      
Building and improvements, amount 16,288      
Investment in real estate, gross 17,398      
Accumulated depreciation 4,568      
Las Vegas, NV | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial cost to company, land 1,951      
Initial cost to company, building and improvements 16,184      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,951      
Building and improvements, amount 16,184      
Investment in real estate, gross 18,135      
Accumulated depreciation $ 934      
Date acquired, constructed Feb. 14, 2023      
Arlington, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 570      
Initial cost to company, building and improvements 7,917      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 570      
Building and improvements, amount 7,917      
Investment in real estate, gross 8,487      
Accumulated depreciation $ 2,206      
Date acquired, constructed Apr. 30, 2018      
Columbus, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 530      
Initial cost to company, building and improvements 6,776      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 530      
Building and improvements, amount 6,776      
Investment in real estate, gross 7,306      
Accumulated depreciation $ 1,974      
Date acquired, constructed Apr. 30, 2018      
Lancaster, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 530      
Initial cost to company, building and improvements 20,530      
Cost capitalized subsequent to acquisition 261      
Investment in real estate and accumulated depreciation, land, amount 530      
Building and improvements, amount 20,791      
Investment in real estate, gross 21,321      
Accumulated depreciation $ 5,779      
Date acquired, constructed Jul. 31, 2015      
Middletown, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 940      
Initial cost to company, building and improvements 15,548      
Cost capitalized subsequent to acquisition 222      
Investment in real estate and accumulated depreciation, land, amount 940      
Building and improvements, amount 15,770      
Investment in real estate, gross 16,710      
Accumulated depreciation $ 4,468      
Date acquired, constructed Oct. 31, 2014      
Rocky River, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 650      
Initial cost to company, building and improvements 4,189      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 650      
Building and improvements, amount 4,189      
Investment in real estate, gross 4,839      
Accumulated depreciation $ 967      
Date acquired, constructed Apr. 30, 2018      
Worthington, OH | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 0      
Initial cost to company, building and improvements 18,869      
Cost capitalized subsequent to acquisition 1,476      
Investment in real estate and accumulated depreciation, land, amount 0      
Building and improvements, amount 20,345      
Investment in real estate, gross 20,345      
Accumulated depreciation $ 4,706      
Date acquired, constructed Apr. 30, 2018      
McMinnville, OR | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 390      
Initial cost to company, building and improvements 9,183      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 390      
Building and improvements, amount 9,183      
Investment in real estate, gross 9,573      
Accumulated depreciation $ 2,193      
Date acquired, constructed Aug. 31, 2016      
McMinnville, OR | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 410      
Initial cost to company, building and improvements 26,667      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 410      
Building and improvements, amount 26,667      
Investment in real estate, gross 27,077      
Accumulated depreciation $ 6,057      
Date acquired, constructed Aug. 31, 2016      
Portland, OR | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 930      
Initial cost to company, building and improvements 25,270      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 930      
Building and improvements, amount 25,270      
Investment in real estate, gross 26,200      
Accumulated depreciation $ 5,281      
Date acquired, constructed Aug. 31, 2015      
Reading, PA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,027      
Initial cost to company, building and improvements 11,179      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,027      
Building and improvements, amount 11,179      
Investment in real estate, gross 12,206      
Accumulated depreciation $ 1,871      
Date acquired, constructed May 31, 2019      
Erie, PA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,030      
Initial cost to company, building and improvements 15,206      
Cost capitalized subsequent to acquisition 976      
Investment in real estate and accumulated depreciation, land, amount 1,030      
Building and improvements, amount 16,182      
Investment in real estate, gross 17,212      
Accumulated depreciation $ 2,952      
Date acquired, constructed Apr. 30, 2018      
Manchester, TN | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 534      
Initial cost to company, building and improvements 6,068      
Cost capitalized subsequent to acquisition 191      
Investment in real estate and accumulated depreciation, land, amount 534      
Building and improvements, amount 6,259      
Investment in real estate, gross 6,793      
Accumulated depreciation $ 724      
Date acquired, constructed Jun. 03, 2021      
Chesapeake, VA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,746      
Initial cost to company, building and improvements 15,542      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,746      
Building and improvements, amount 15,542      
Investment in real estate, gross 17,288      
Accumulated depreciation $ 912      
Date acquired, constructed Feb. 09, 2023      
Fredericksburg, VA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,615      
Initial cost to company, building and improvements 9,271      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,615      
Building and improvements, amount 9,271      
Investment in real estate, gross 10,886      
Accumulated depreciation $ 2,466      
Date acquired, constructed Sep. 20, 2016      
Midlothian, VA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,646      
Initial cost to company, building and improvements 8,635      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,646      
Building and improvements, amount 8,635      
Investment in real estate, gross 10,281      
Accumulated depreciation $ 2,379      
Date acquired, constructed Oct. 31, 2016      
Suffolk, VA | Assisted Living Facilities        
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      
Initial cost to company, building and improvements 9,320      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,022      
Building and improvements, amount 9,320      
Investment in real estate, gross 10,342      
Accumulated depreciation $ 2,347      
Date acquired, constructed Mar. 25, 2016      
Virginia Beach, VA | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 2,052      
Initial cost to company, building and improvements 15,148      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 2,052      
Building and improvements, amount 15,148      
Investment in real estate, gross 17,200      
Accumulated depreciation $ 866      
Date acquired, constructed Nov. 10, 2022      
Bellevue, WI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 504      
Initial cost to company, building and improvements 11,796      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 504      
Building and improvements, amount 11,796      
Investment in real estate, gross 12,300      
Accumulated depreciation $ 1,558      
Date acquired, constructed Sep. 30, 2020      
Oshkosh, WI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 542      
Initial cost to company, building and improvements 12,758      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 542      
Building and improvements, amount 12,758      
Investment in real estate, gross 13,300      
Accumulated depreciation $ 973      
Date acquired, constructed Apr. 29, 2022      
Sussex, WI | Assisted Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,329      
Initial cost to company, building and improvements 30,721      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 1,329      
Building and improvements, amount 30,721      
Investment in real estate, gross 32,050      
Accumulated depreciation $ 448      
Date acquired, constructed Jun. 21, 2024      
Vero Beach, FL | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 550      
Initial cost to company, building and improvements 37,450      
Cost capitalized subsequent to acquisition 2,543      
Investment in real estate and accumulated depreciation, land, amount 550      
Building and improvements, amount 39,993      
Investment in real estate, gross 40,543      
Accumulated depreciation $ 6,631      
Date acquired, constructed Feb. 01, 2019      
Columbus, IN | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 348      
Initial cost to company, building and improvements 6,124      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 348      
Building and improvements, amount 6,124      
Investment in real estate, gross 6,472      
Accumulated depreciation $ 989      
Date acquired, constructed May 31, 2019      
Tulsa, OK | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 15,676      
Initial cost to company, land 1,980      
Initial cost to company, building and improvements 32,620      
Cost capitalized subsequent to acquisition 502      
Investment in real estate and accumulated depreciation, land, amount 1,980      
Building and improvements, amount 33,122      
Investment in real estate, gross 35,102      
Accumulated depreciation $ 6,634      
Date acquired, constructed Dec. 01, 2017      
Tulsa, OK | Hospitals        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,470      
Initial cost to company, building and improvements 38,780      
Cost capitalized subsequent to acquisition 2,048      
Investment in real estate and accumulated depreciation, land, amount 1,470      
Building and improvements, amount 40,828      
Investment in real estate, gross 42,298      
Accumulated depreciation $ 3,746      
Date acquired, constructed May 28, 2021      
Chehalis, WA | Independent Living Facilities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,980      
Initial cost to company, building and improvements 7,710      
Cost capitalized subsequent to acquisition 7,520      
Investment in real estate and accumulated depreciation, land, amount 1,980      
Building and improvements, amount 15,230      
Investment in real estate, gross 17,210      
Accumulated depreciation $ 3,127      
Date acquired, constructed Jan. 15, 2016      
Michigan City, IN | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 974      
Initial cost to company, building and improvements 22,667      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 974      
Building and improvements, amount 22,667      
Investment in real estate, gross 23,641      
Accumulated depreciation $ 3,622      
Date acquired, constructed May 31, 2019      
Portage, IN | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 661      
Initial cost to company, building and improvements 21,959      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 661      
Building and improvements, amount 21,959      
Investment in real estate, gross 22,620      
Accumulated depreciation $ 3,517      
Date acquired, constructed May 31, 2019      
Needham, MA | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 5,500      
Initial cost to company, building and improvements 45,157      
Cost capitalized subsequent to acquisition 1,451      
Investment in real estate and accumulated depreciation, land, amount 5,500      
Building and improvements, amount 46,608      
Investment in real estate, gross 52,108      
Accumulated depreciation $ 8,779      
Date acquired, constructed Jan. 15, 2019      
Salisbury, MD | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,876      
Initial cost to company, building and improvements 44,084      
Cost capitalized subsequent to acquisition 471      
Investment in real estate and accumulated depreciation, land, amount 1,876      
Building and improvements, amount 44,555      
Investment in real estate, gross 46,431      
Accumulated depreciation $ 7,411      
Date acquired, constructed May 31, 2019      
Roscommon, MI | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 44      
Initial cost to company, building and improvements 6,005      
Cost capitalized subsequent to acquisition 1      
Investment in real estate and accumulated depreciation, land, amount 44      
Building and improvements, amount 6,006      
Investment in real estate, gross 6,050      
Accumulated depreciation $ 1,692      
Date acquired, constructed Aug. 31, 2015      
Mt. Airy, NC | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,370      
Initial cost to company, building and improvements 7,470      
Cost capitalized subsequent to acquisition 150      
Investment in real estate and accumulated depreciation, land, amount 1,370      
Building and improvements, amount 7,620      
Investment in real estate, gross 8,990      
Accumulated depreciation $ 2,193      
Date acquired, constructed Dec. 17, 2014      
Silverdale, WA | Senior Living Campuses        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,750      
Initial cost to company, building and improvements 23,860      
Cost capitalized subsequent to acquisition 2,167      
Investment in real estate and accumulated depreciation, land, amount 1,750      
Building and improvements, amount 26,027      
Investment in real estate, gross 27,777      
Accumulated depreciation $ 8,674      
Date acquired, constructed Aug. 16, 2012      
Bridgeport, CT | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 4,320      
Initial cost to company, building and improvements 23,494      
Cost capitalized subsequent to acquisition 5,809      
Investment in real estate and accumulated depreciation, land, amount 4,320      
Building and improvements, amount 29,303      
Investment in real estate, gross 33,623      
Accumulated depreciation $ 7,499      
Date acquired, constructed Jun. 02, 2016      
North Branford, CT | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 7,724      
Initial cost to company, building and improvements 64,430      
Cost capitalized subsequent to acquisition 33      
Investment in real estate and accumulated depreciation, land, amount 7,724      
Building and improvements, amount 64,463      
Investment in real estate, gross 72,187      
Accumulated depreciation $ 14,945      
Date acquired, constructed Nov. 03, 2016      
Southbury, CT | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 10,320      
Initial cost to company, building and improvements 17,143      
Cost capitalized subsequent to acquisition 6,178      
Investment in real estate and accumulated depreciation, land, amount 10,320      
Building and improvements, amount 23,321      
Investment in real estate, gross 33,641      
Accumulated depreciation $ 5,450      
Date acquired, constructed Jun. 02, 2016      
Fernandina Beach, FL | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,430      
Initial cost to company, building and improvements 63,420      
Cost capitalized subsequent to acquisition 2,044      
Investment in real estate and accumulated depreciation, land, amount 1,430      
Building and improvements, amount 65,464      
Investment in real estate, gross 66,894      
Accumulated depreciation $ 18,054      
Date acquired, constructed Dec. 17, 2014      
St. Simons Island, GA | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 8,770      
Initial cost to company, building and improvements 38,070      
Cost capitalized subsequent to acquisition 1,764      
Investment in real estate and accumulated depreciation, land, amount 8,770      
Building and improvements, amount 39,834      
Investment in real estate, gross 48,604      
Accumulated depreciation $ 10,972      
Date acquired, constructed Dec. 17, 2014      
Winston-Salem, NC | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 8,700      
Initial cost to company, building and improvements 73,920      
Cost capitalized subsequent to acquisition 919      
Investment in real estate and accumulated depreciation, land, amount 8,700      
Building and improvements, amount 74,839      
Investment in real estate, gross 83,539      
Accumulated depreciation $ 20,487      
Date acquired, constructed Dec. 17, 2014      
Greenville, SC | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 5,850      
Initial cost to company, building and improvements 90,760      
Cost capitalized subsequent to acquisition 1,149      
Investment in real estate and accumulated depreciation, land, amount 5,850      
Building and improvements, amount 91,909      
Investment in real estate, gross 97,759      
Accumulated depreciation $ 24,555      
Date acquired, constructed Dec. 17, 2014      
Greenville, SC | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 560      
Initial cost to company, building and improvements 16,547      
Cost capitalized subsequent to acquisition 1,138      
Investment in real estate and accumulated depreciation, land, amount 560      
Building and improvements, amount 17,685      
Investment in real estate, gross 18,245      
Accumulated depreciation $ 5,170      
Date acquired, constructed Apr. 01, 2022      
Myrtle Beach, SC | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 3,910      
Initial cost to company, building and improvements 82,140      
Cost capitalized subsequent to acquisition 744      
Investment in real estate and accumulated depreciation, land, amount 3,910      
Building and improvements, amount 82,884      
Investment in real estate, gross 86,794      
Accumulated depreciation $ 22,872      
Date acquired, constructed Dec. 17, 2014      
Myrtle Beach, SC | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,310      
Initial cost to company, building and improvements 26,229      
Cost capitalized subsequent to acquisition 2,274      
Investment in real estate and accumulated depreciation, land, amount 1,310      
Building and improvements, amount 28,503      
Investment in real estate, gross 29,813      
Accumulated depreciation $ 8,079      
Date acquired, constructed Apr. 01, 2022      
Pawleys Island, SC | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,480      
Initial cost to company, building and improvements 38,620      
Cost capitalized subsequent to acquisition 645      
Investment in real estate and accumulated depreciation, land, amount 1,480      
Building and improvements, amount 39,265      
Investment in real estate, gross 40,745      
Accumulated depreciation $ 11,107      
Date acquired, constructed Dec. 17, 2014      
Spartanburg, SC | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 900      
Initial cost to company, building and improvements 49,190      
Cost capitalized subsequent to acquisition 1,329      
Investment in real estate and accumulated depreciation, land, amount 900      
Building and improvements, amount 50,519      
Investment in real estate, gross 51,419      
Accumulated depreciation $ 13,948      
Date acquired, constructed Dec. 17, 2014      
Issaquah, WA | Entrance-Fee Communities        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 4,370      
Initial cost to company, building and improvements 130,522      
Cost capitalized subsequent to acquisition 0      
Investment in real estate and accumulated depreciation, land, amount 4,370      
Building and improvements, amount 130,522      
Investment in real estate, gross 134,892      
Accumulated depreciation $ 18,427      
Date acquired, constructed Jan. 31, 2020      
Fort Smith, AR | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 590      
Initial cost to company, building and improvements 22,447      
Cost capitalized subsequent to acquisition 1,036      
Investment in real estate and accumulated depreciation, land, amount 590      
Building and improvements, amount 23,483      
Investment in real estate, gross 24,073      
Accumulated depreciation $ 6,748      
Date acquired, constructed Apr. 01, 2022      
Rogers, AR | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,470      
Initial cost to company, building and improvements 25,282      
Cost capitalized subsequent to acquisition 1,998      
Investment in real estate and accumulated depreciation, land, amount 1,470      
Building and improvements, amount 27,280      
Investment in real estate, gross 28,750      
Accumulated depreciation $ 7,673      
Date acquired, constructed Apr. 01, 2022      
Fresno, CA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 420      
Initial cost to company, building and improvements 10,899      
Cost capitalized subsequent to acquisition 1,240      
Investment in real estate and accumulated depreciation, land, amount 420      
Building and improvements, amount 12,139      
Investment in real estate, gross 12,559      
Accumulated depreciation $ 3,370      
Date acquired, constructed Apr. 01, 2022      
Modesto, CA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,170      
Initial cost to company, building and improvements 22,673      
Cost capitalized subsequent to acquisition 1,648      
Investment in real estate and accumulated depreciation, land, amount 1,170      
Building and improvements, amount 24,321      
Investment in real estate, gross 25,491      
Accumulated depreciation $ 6,725      
Date acquired, constructed Apr. 01, 2022      
Pinole, CA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,020      
Initial cost to company, building and improvements 18,066      
Cost capitalized subsequent to acquisition 1,650      
Investment in real estate and accumulated depreciation, land, amount 1,020      
Building and improvements, amount 19,716      
Investment in real estate, gross 20,736      
Accumulated depreciation $ 5,402      
Date acquired, constructed Apr. 01, 2022      
Roseville, CA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 630      
Initial cost to company, building and improvements 31,343      
Cost capitalized subsequent to acquisition 1,650      
Investment in real estate and accumulated depreciation, land, amount 630      
Building and improvements, amount 32,993      
Investment in real estate, gross 33,623      
Accumulated depreciation $ 9,272      
Date acquired, constructed Apr. 01, 2022      
West Covina, CA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 940      
Initial cost to company, building and improvements 20,280      
Cost capitalized subsequent to acquisition 2,336      
Investment in real estate and accumulated depreciation, land, amount 940      
Building and improvements, amount 22,616      
Investment in real estate, gross 23,556      
Accumulated depreciation $ 6,184      
Date acquired, constructed Apr. 01, 2022      
Athens, GA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 910      
Initial cost to company, building and improvements 31,940      
Cost capitalized subsequent to acquisition 1,962      
Investment in real estate and accumulated depreciation, land, amount 910      
Building and improvements, amount 33,902      
Investment in real estate, gross 34,812      
Accumulated depreciation $ 9,663      
Date acquired, constructed Apr. 01, 2022      
Columbus, GA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 570      
Initial cost to company, building and improvements 8,639      
Cost capitalized subsequent to acquisition 1,271      
Investment in real estate and accumulated depreciation, land, amount 570      
Building and improvements, amount 9,910      
Investment in real estate, gross 10,480      
Accumulated depreciation $ 2,879      
Date acquired, constructed Apr. 01, 2022      
Voorhees, NJ | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 670      
Initial cost to company, building and improvements 23,710      
Cost capitalized subsequent to acquisition 1,847      
Investment in real estate and accumulated depreciation, land, amount 670      
Building and improvements, amount 25,557      
Investment in real estate, gross 26,227      
Accumulated depreciation $ 7,232      
Date acquired, constructed Apr. 01, 2022      
Gahanna, OH | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 920      
Initial cost to company, building and improvements 22,919      
Cost capitalized subsequent to acquisition 1,065      
Investment in real estate and accumulated depreciation, land, amount 920      
Building and improvements, amount 23,984      
Investment in real estate, gross 24,904      
Accumulated depreciation $ 6,932      
Date acquired, constructed Apr. 01, 2022      
Broken Arrow, OK | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 2,660      
Initial cost to company, building and improvements 18,477      
Cost capitalized subsequent to acquisition 851      
Investment in real estate and accumulated depreciation, land, amount 2,660      
Building and improvements, amount 19,328      
Investment in real estate, gross 21,988      
Accumulated depreciation $ 5,634      
Date acquired, constructed Apr. 01, 2022      
Vancouver, WA | Senior Housing Operating        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial cost to company, land 1,030      
Initial cost to company, building and improvements 19,183      
Cost capitalized subsequent to acquisition 2,908      
Investment in real estate and accumulated depreciation, land, amount 1,030      
Building and improvements, amount 22,091      
Investment in real estate, gross 23,121      
Accumulated depreciation $ 5,856      
Date acquired, constructed Apr. 01, 2022      
v3.25.0.1
Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Summary) (Details) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Investment in Real Estate:      
Balance at beginning of period $ 2,780,358 $ 2,729,898 $ 2,894,548
Additions through cash expenditures 157,931 49,556 10,993
Change in accounts payable related to investments in real estate construction & equipment (250) 325 (69)
Change in other assets related to investments in real estate 0 454 200
Right of use asset in exchange for lease liability 344 101 0
Operating equipment received in lease termination 0 0 1,287
Real estate acquired in exchange for non-cash rental income 0 2,500 3,000
Real estate acquired in exchange for mortgage notes receivable 22,184 14,200 23,071
Sale of properties for cash (4,758) (19,326) (104,691)
Properties classified as held for sale (2,261) (11,970) (84,761)
Property reclassified as held for use 0 15,793 7,851
Impairment of property 0 (1,173) (21,531)
Balance at end of period 2,953,548 2,780,358 2,729,898
Accumulated Depreciation:      
Balance at beginning of period 673,276 611,688 576,668
Addition charged to costs and expenses 71,443 69,973 70,880
Amortization of right-of-use asset 36 38 36
Sale of properties (1,518) (4,851) (25,643)
Properties classified as held for sale (942) (6,965) (11,092)
Property reclassified as held for use 0 3,393 839
Balance at end of period $ 742,295 $ 673,276 $ 611,688
v3.25.0.1
Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Details) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Carrying amount $ 175,830,000 $ 162,433,000 $ 164,576,000 $ 230,927,000
Amount of delinquent loans 0      
Federal income tax basis 188,700,000      
Origination fee, and premium (discount) $ 651,200      
Second Mortgages | Winter Park, FL        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 12.00%      
Maturity Oct. 31, 2025      
Payment Interest Only      
Face Amount $ 725,000      
Carrying amount $ 725,000      
Construction Loans | Canton, MI        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 9.00%      
Maturity Jul. 31, 2025      
Payment Interest Only      
Face Amount $ 14,700,000      
Carrying amount $ 14,700,000      
Construction Loans | Fitchburg, WI        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 8.50%      
Maturity Jan. 28, 2026      
Payment Interest Only      
Face Amount $ 28,386,000      
Carrying amount $ 28,386,000      
Construction Loans | Lake City, FL        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 9.00%      
Maturity Aug. 31, 2028      
Payment Interest Only      
Face Amount $ 7,172,000      
Carrying amount $ 7,172,000      
Skilled Nursing Facilities | First Mortgages | Austin/San Antonio, TX        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 7.25%      
Maturity Nov. 30, 2027      
Payment Interest Only      
Face Amount $ 42,500,000      
Carrying amount $ 42,465,000      
Skilled Nursing Facilities | First Mortgages | Maitland, FL        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 8.50%      
Maturity Dec. 31, 2027      
Payment Interest Only      
Face Amount $ 9,000,000      
Carrying amount $ 9,000,000      
Assisted Living Facilities | First Mortgages | Oviedo, FL        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 8.25%      
Maturity Jul. 31, 2025      
Payment Interest Only      
Face Amount $ 10,000,000      
Carrying amount $ 10,000,000      
Assisted Living Facilities | First Mortgages | Indianapolis, IN        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 7.00%      
Maturity Jun. 30, 2025      
Payment Interest Only      
Face Amount $ 6,423,000      
Carrying amount $ 6,423,000      
Assisted Living Facilities | First Mortgages | Tulsa, OK        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 8.50%      
Maturity Jun. 30, 2029      
Payment Interest Only      
Face Amount $ 9,500,000      
Carrying amount $ 9,416,000      
Assisted Living Facilities | First Mortgages | Bloomington, IL        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 8.75%      
Maturity Feb. 28, 2029      
Payment Interest Only      
Face Amount $ 15,000,000      
Carrying amount $ 14,877,000      
Entrance-Fee Communities | First Mortgages | Columbia, SC        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest 7.25%      
Maturity Jun. 30, 2025      
Payment Interest Only      
Face Amount $ 32,700,000      
Carrying amount $ 32,666,000      
v3.25.0.1
Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Roll-Forward) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Reconciliation of mortgage loans on real estate      
Balance at beginning of period $ 162,433 $ 164,576 $ 230,927
Additions:      
New mortgage loans 41,718 15,083 67,978
Amortization of loan discount and commitment fees 471 428 907
Total Additions 42,189 15,511 68,885
Deductions:      
Loan commitment fees received 885 0 497
Extension fee received 82 0 0
Mortgage notes receivable related to investments in real estate 22,184 14,200 23,071
Collection of principal, less recoveries of previous write-downs 5,641 3,454 111,668
Total Deductions 28,792 17,654 135,236
Balance at end of period $ 175,830 $ 162,433 $ 164,576