Cover Financial Statements Notes to Financial Statements Notes Tables Notes Details

Cover Page - USD ($) $ in Billions	12 Months Ended
Cover Page - USD ($) $ in Billions	Dec. 31, 2019	Feb. 19, 2020	Jun. 30, 2019
Cover page.
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2019
Document Transition Report	false
Entity File Number	001-36181
Entity Registrant Name	CareTrust REIT, Inc.
Entity Central Index Key	0001590717
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2019
Document Fiscal Period Focus	FY
Amendment Flag	false
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	46-3999490
Entity Address, Address Line One	905 Calle Amanecer
Entity Address, Address Line Two	Suite 300
Entity Address, City or Town	San Clemente
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92673
City Area Code	949
Local Phone Number	542-3130
Title of 12(b) Security	Common Stock, par value $0.01 per share
Trading Symbol	CTRE
Security Exchange Name	NASDAQ
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Public Float			$ 2.2
Entity Common Stock, Shares Outstanding		95,468,760
Documents Incorporated by Reference	Portions of the definitive Proxy Statement for the registrant’s 2020 Annual Meeting of Stockholders, which will be filed with the Securities and Exchange Commission within 120 days after the end of fiscal year 2019, are incorporated by reference into Part III of this Report.

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Assets:
Real estate investments, net	$ 1,414,200	$ 1,216,237
Other real estate investments, net	33,300	18,045
Assets held for sale, net	34,590	0
Cash and cash equivalents	20,327	36,792
Accounts and other receivables, net	2,571	11,387
Prepaid expenses and other assets	10,850	8,668
Deferred financing costs, net	3,023	633
Total assets	1,518,861	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	295,911	295,153
Senior unsecured term loan, net	198,713	99,612
Unsecured revolving credit facility	60,000	95,000
Accounts payable and accrued liabilities	14,962	15,967
Dividends payable	21,684	17,783
Total liabilities	591,270	523,515
Commitments and contingencies
Equity:
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of December 31, 2019 and December 31, 2018	0	0
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively	951	859
Additional paid-in capital	1,162,990	965,578
Cumulative distributions in excess of earnings	(236,350)	(198,190)
Total equity	927,591	768,247
Total liabilities and equity	$ 1,518,861	$ 1,291,762

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2019	Dec. 31, 2018
Statement of Financial Position [Abstract]
Preferred stock, par value (usd per share)	$ 0.01	$ 0.01
Preferred stock, authorized (shares)	100,000,000	100,000,000
Preferred stock, issued (shares)	0	0
Preferred stock, outstanding (shares)	0	0
Common stock, par value (usd per share)	$ 0.01	$ 0.01
Common stock, authorized (shares)	500,000,000	500,000,000
Common stock, issued (shares)	95,103,270	85,867,044
Common stock, outstanding (shares)	95,103,270	85,867,044

Consolidated Income Statements - USD ($) shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Revenues:
Rental income									$ 155,667
Rental income										$ 140,073	$ 117,633
Tenant reimbursements										11,924	10,254
Independent living facilities									3,389	3,379	3,228
Interest and other income									4,345	1,565	1,867
Total revenues	$ 44,228	$ 33,314	$ 46,201	$ 39,658	$ 40,361	$ 39,510	$ 38,969	$ 38,101	163,401	156,941	132,982
Expenses:
Depreciation and amortization									51,822	45,766	39,159
Interest expense									28,125	27,860	24,196
Loss on the extinguishment of debt									0	0	11,883
Property taxes									3,048	11,924	10,254
Independent living facilities									2,898	2,964	2,733
Impairment of real estate investments									16,692	0	890
Provision for loan losses									1,076	0	0
Reserve for advances and deferred rent									0	0	10,414
General and administrative									15,158	12,555	11,117
Total expenses									118,819	101,069	110,646
Other income:
Gain on sale of real estate									1,777	2,051	0
Gain on disposition of other real estate investment									0	0	3,538
Net income	$ 20,662	$ (10,054)	$ 19,698	$ 16,053	$ 15,539	$ 14,510	$ 13,267	$ 14,607	$ 46,359	$ 57,923	$ 25,874
Earnings per common share:
Basic (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.73	$ 0.35
Diluted (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.72	$ 0.35
Weighted-average number of common shares:
Basic (shares)	95,103	95,103	94,036	88,010	84,059	81,490	76,374	75,504	93,088	79,386	72,647
Diluted (shares)	95,144	95,103	94,036	88,010	84,084	81,490	76,374	75,504	93,098	79,392	72,647

Consolidated Statements of Equity - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Cumulative Distributions in Excess of Earnings
Beginning balance at Dec. 31, 2016	$ 452,430	$ 648	$ 611,475	$ (159,693)
Beginning balance (shares) at Dec. 31, 2016		64,816,350
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	170,319	$ 106	170,213
Issuance of common stock, net (shares)		10,573,089
Vesting of restricted common stock, net of shares withheld for employee taxes	(866)	$ 1	(867)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		88,763
Amortization of stock-based compensation	2,416		2,416
Common dividends ($0.82, $0.74 and $0.68 per share for the years ended 2018, 2017 and 2016, respectively)	(55,556)			(55,556)
Net income	25,874			25,874
Ending balance at Dec. 31, 2017	594,617	$ 755	783,237	(189,375)
Ending balance (shares) at Dec. 31, 2017		75,478,202
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	179,886	$ 103	179,783
Issuance of common stock, net (shares)		10,264,981
Vesting of restricted common stock, net of shares withheld for employee taxes	(1,289)	$ 1	(1,290)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		123,861
Amortization of stock-based compensation	3,848		3,848
Common dividends ($0.82, $0.74 and $0.68 per share for the years ended 2018, 2017 and 2016, respectively)	(66,738)			(66,738)
Net income	57,923			57,923
Ending balance at Dec. 31, 2018	768,247	$ 859	965,578	(198,190)
Ending balance (shares) at Dec. 31, 2018		85,867,044
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net	195,924	$ 91	195,833
Issuance of common stock, net (shares)		9,100,250
Vesting of restricted common stock, net of shares withheld for employee taxes	(2,524)	$ 1	(2,525)
Vesting of restricted common stock, net of shares withheld for employee taxes (shares)		135,976
Amortization of stock-based compensation	4,104		4,104
Common dividends ($0.82, $0.74 and $0.68 per share for the years ended 2018, 2017 and 2016, respectively)	(84,519)			(84,519)
Net income	46,359			46,359
Ending balance at Dec. 31, 2019	$ 927,591	$ 951	$ 1,162,990	$ (236,350)
Ending balance (shares) at Dec. 31, 2019		95,103,270

Consolidated Statements of Equity (Parenthetical) - $ / shares	3 Months Ended												12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Statement of Stockholders' Equity [Abstract]
Common dividend (usd per share)	$ 0.225	$ 0.225	$ 0.225	$ 0.225	$ 0.205	$ 0.205	$ 0.205	$ 0.205	$ 0.185	$ 0.185	$ 0.185	$ 0.185	$ 0.90	$ 0.82	$ 0.74

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Cash flows from operating activities:
Net income	$ 46,359	$ 57,923	$ 25,874
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization (including below-market ground leases)	51,866	45,783	39,176
Amortization of deferred financing costs	2,003	1,938	2,100
Loss on the extinguishment of debt	0	0	11,883
Amortization of stock-based compensation	4,104	3,848	2,416
Straight-line rental income	(1,385)	(2,333)	(344)
Adjustment for collectibility of rental income	11,774	0	0
Noncash interest income	(797)	(238)	(686)
Gain on sale of real estate	(1,777)	(2,051)	0
Interest income distribution from other real estate investment	463	0	1,500
Reserve for advances and deferred rent	0	0	10,414
Impairment of real estate investments	16,692	0	890
Provision for loan losses	1,076	0	0
Change in operating assets and liabilities:
Accounts and other receivables, net	(6,283)	(3,800)	(9,428)
Prepaid expenses and other assets	(495)	(270)	(273)
Accounts payable and accrued liabilities	2,695	(1,443)	5,278
Net cash provided by operating activities	126,295	99,357	88,800
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	(321,458)	(111,640)	(296,517)
Improvements to real estate	(3,352)	(7,230)	(748)
Purchases of equipment, furniture and fixtures	(2,937)	(1,782)	(403)
Investment in real estate mortgage and other loans receivable	(18,246)	(5,648)	(12,416)
Principal payments received on real estate mortgage and other loans receivable	24,283	3,227	25
Repayment of other real estate investment	2,204	0	7,500
Escrow deposits for acquisitions of real estate	0	(5,000)	0
Net proceeds from sales of real estate	3,499	13,004	0
Net cash used in investing activities	(316,007)	(115,069)	(302,559)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	195,924	179,882	170,323
Proceeds from the issuance of senior unsecured notes payable	0	0	300,000
Proceeds from the issuance of senior unsecured term loan	200,000	0	0
Borrowings under unsecured revolving credit facility	243,000	65,000	238,000
Payments on senior unsecured notes payable	0	0	(267,639)
Payments on senior unsecured term loan	(100,000)	0	0
Payments on unsecured revolving credit facility	(278,000)	(135,000)	(168,000)
Payments of deferred financing costs	(4,534)	0	(6,063)
Net-settle adjustment on restricted stock	(2,524)	(1,288)	(866)
Dividends paid on common stock	(80,619)	(62,999)	(52,587)
Net cash provided by financing activities	173,247	45,595	213,168
Net (decrease) increase in cash and cash equivalents	(16,465)	29,883	(591)
Cash and cash equivalents, beginning of period	36,792	6,909	7,500
Cash and cash equivalents, end of period	20,327	36,792	6,909
Supplemental disclosures of cash flow information:
Interest paid	26,005	25,941	29,619
Supplemental schedule of noncash investing and financing activities:
Increase in dividends payable	3,900	3,739	2,970
Right-of-use asset obtained in exchange for new operating lease obligation	1,010
Application of escrow deposit to acquisition real estate	0	0	700
Transfer of pre-acquisition costs to acquired assets	242	0	0
Sale of real estate settled with notes receivable	$ 27,500	$ 0	$ 0

Organization	12 Months Ended
Organization	Dec. 31, 2019
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	ORGANIZATION Description of Business—CareTrust REIT, Inc.’s (“CareTrust REIT” or the “Company”) primary business consists of acquiring, financing, developing and owning real property to be leased to third-party tenants in the healthcare sector. As of December 31, 2019, the Company owned and leased to independent operators, including The Ensign Group, Inc. (“Ensign”), 216 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of 21,963 operational beds and units located in 28 states with the highest concentration of properties located in California, Texas, Louisiana, Arizona and Idaho. The Company also owned and operated one independent living facility which had a total of 168 units and is located in Texas. As of December 31, 2019, the Company also had other real estate investments consisting of one preferred equity investment of $3.8 million and two mortgage loans receivable with a carrying value of $29.5 million.

Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2019

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation—The accompanying consolidated financial statements of the Company reflect, for all periods presented, the historical financial position, results of operations and cash flows of the Company and its wholly-owned subsidiaries prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). All intercompany transactions and account balances within the Company have been eliminated.

Recent Accounting Standards Adopted by the Company—On January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842), (“ASU 2016-02”) that sets out the principles for the recognition, measurement, presentation, and disclosure of leases for both parties to a lease agreement (i.e., lessees and lessors). Upon adoption of ASU 2016-02 on January 1, 2019, the Company elected the following practical expedients provided by ASU No. 2018-11, Leases - Targeted Improvements, and ASU No. 2018-20, Narrow Scope Improvements for Lessors (together with ASU 2016-02, the “new lease ASUs”):


•	Package of practical expedients – provides that the Company is not required to reevaluate its existing or expired leases as of January 1, 2019, under the new lease ASUs.


•	Optional transition method practical expedient – allows the Company to apply the new lease ASUs prospectively from the adoption date of January 1, 2019.


•	Single component practical expedient – allows the Company to account for lease and non-lease components associated with that lease as a single component under the new lease ASUs, if certain criteria are met.


•	Short-term leases practical expedient – for the Company’s operating leases with a term of less than 12 months in which it is the lessee, this expedient allows the Company not to record on its balance sheet related lease liabilities and right-of-use assets.

Overview related to both lessee and lessor accounting—The new lease ASUs set new criteria for determining the classification of finance leases for lessees and sales-type leases for lessors. The criteria to determine whether a lease should be accounted for as a finance (sales-type) lease include the following: (i) ownership is transferred from lessor to lessee by the end of the lease term, (ii) an option to purchase is reasonably certain to be exercised, (iii) the lease term is for the major part of the underlying asset’s remaining economic life, (iv) the present value of lease payments equals or exceeds substantially all of the fair value of the underlying asset, and (v) the underlying asset is specialized and is expected to have no alternative use at the end of the lease term. If any of these criteria is met, a lease is classified as a finance lease by the lessee and as a sales-type lease by the lessor. If none of the criteria are met, a lease is classified as an operating lease by the lessee, but may still qualify as a direct financing lease or an operating lease for the lessor. The existence of a residual value guarantee from an unrelated third party other than the lessee may qualify the lease as a direct financing lease by the lessor. Otherwise, the lease is classified as an operating lease by the lessor.

The election of the package of practical expedients discussed above and the optional transition method allowed the Company not to reassess:


•	Whether any expired or existing contracts as of January 1, 2019 were leases or contained leases.


◦	This practical expedient is primarily applicable to entities that have contracts containing embedded leases. As of January 1, 2019, the Company had no such contracts; therefore, this practical expedient had no effect on the Company.


•	The lease classification for any leases expired or existing as of January 1, 2019.

◦

The election of the package of practical expedients provides that the Company is not required to reassess the classification of its leases existing as of January 1, 2019. This means that all of the Company’s leases that were classified as operating leases in accordance with the lease accounting standards in effect prior to January 1, 2019 continue to be classified as operating leases after adoption of the new lease ASUs.

The Company applied the package of practical expedients consistently to all leases (i.e., regardless of whether the Company was the lessee or a lessor) that commenced before January 1, 2019. The election of this package permits the Company to “run off” its leases that commenced before January 1, 2019, for the remainder of their lease terms and to apply the new lease ASUs to leases commencing or modified after January 1, 2019.

Lessor Accounting—On January 1, 2019, the Company elected the single component practical expedient, which allows a lessor, by class of underlying asset, not to allocate the total consideration to the lease and non-lease components based on their relative stand-alone selling prices. This single component practical expedient requires the Company to account for the lease component and non-lease component(s) associated with that lease as a single component if (i) the timing and pattern of transfer of the lease component and the non-lease component(s) associated with it are the same and (ii) the lease component would be classified as an operating lease if it were accounted for separately. If the Company determines that the lease component is the predominant component, the Company accounts for the single component as an operating lease in accordance with the new lease ASUs. Conversely, the Company is required to account for the combined component under the revenue recognition standard if the Company determines that the non-lease component is the predominant component. As a result of this assessment, rental revenues and tenant recoveries from the lease of real estate assets that qualify for this expedient are accounted for as a single component under the new lease ASUs, with tenant recoveries primarily as variable consideration. Tenant recoveries that do not qualify for the single component practical expedient and are considered non-lease components are accounted for under the revenue recognition standard. The components of the Company’s operating leases qualify for the single component presentation.

For the years ended December 31, 2018 and 2017, the Company recognized tenant recoveries for real estate taxes of $11.9 million and $10.3 million, respectively, which were classified as tenant reimbursements on the Company’s consolidated income statements. Prior to the adoption of the new lease ASU, the Company recognized tenant recoveries as tenant reimbursement revenues regardless of whether the third party was paid by the lessor or lessee. Effective January 1, 2019, such tenant recoveries are recognized to the extent that the Company pays the third party directly and classified as rental income on the Company’s consolidated income statements. Due to the application of the new lease ASUs, the Company recognized, on a gross basis, tenant recoveries related to real estate taxes of $2.9 million, for the year ended December 31, 2019.

Under the new lease ASUs, the Company’s assessment of collectibility of its tenant receivables includes a binary assessment of whether or not substantially all of the amounts due under a tenant’s lease agreement are probable of collection. The Company considers the operator’s performance and anticipated trends, payment history, and the existence and creditworthiness of guarantees, among other factors, in making this determination. For such leases that are deemed probable of collection, revenue continues to be recorded on a straight-line basis over the lease term if deemed probable of collection. For such leases that are deemed not probable of collection, revenue is recorded as the lesser of (i) the amount which would be recognized on a straight-line basis or (ii) cash that has been received from the tenant, with any tenant and deferred rent receivable balances charged as a direct write-off against rental income in the period of the change in the collectibility determination. For the year ended December 31, 2019, the Company recorded $11.8 million of adjustments to rental income related to previously recognized rental income. See Note 3, Real Estate Investments, Net for further detail.

Lessee Accounting—Under the new lease ASUs, lessees are required to apply a dual approach by classifying leases as either finance or operating leases based on the principle of whether the lease is effectively a financed purchase of the leased asset by the lessee. This classification will determine whether the lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease, which corresponds to a similar evaluation performed by lessors. In addition to this classification, a lessee is also required to recognize a right-of-use asset and a lease liability for all leases regardless of their classification, whereas a lessor is not required to recognize a right-of-use asset and a lease liability for any operating leases.

As of December 31, 2019, the Company’s lease liability related to its ground lease arrangements for which it is the lessee totaled approximately $1.0 million with a weighted average remaining lease term of 73 years. While these ground leases

were subject to the new lease ASUs effective January 1, 2019, the lease liabilities and corresponding right-of-use assets and lease expense do not have a material effect on the Company’s consolidated financial statements.

The Company has not recognized a right-of-use asset and/or lease liability for leases with a term of 12 months or less and without an option to purchase the underlying asset.

Estimates and Assumptions—The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Management believes that the assumptions and estimates used in preparation of the underlying consolidated financial statements are reasonable. Actual results, however, could differ from those estimates and assumptions.

Real Estate Acquisition Valuation— In accordance with ASC 805, Business Combinations, the Company’s acquisitions of real estate investments generally do not meet the definition of a business, and are treated as asset acquisitions. The assets acquired and liabilities assumed are measured at their acquisition date relative fair values. Acquisition costs are capitalized as incurred. The Company allocates the acquisition costs to the tangible assets, identifiable intangible assets/liabilities and assumed liabilities on a relative fair value basis. The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.

As part of the Company’s real estate acquisitions, the Company may commit to provide contingent payments to a seller or lessee (e.g., an earn-out payable upon the applicable property achieving certain financial metrics). Typically, when the contingent payments are funded, cash rent is increased by the amount funded multiplied by a rate stipulated in the agreement. Generally, if the contingent payment is an earn-out provided to the seller, the payment is capitalized to the property’s basis when earn-out becomes probable and estimable. If the contingent payment is an earn-out provided to the lessee, the payment is recorded as a lease incentive and is amortized as a yield adjustment over the life of the lease.

Impairment of Long-Lived Assets—At each reporting period, the Company evaluates its real estate investments to be held and used for potential impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. The judgment regarding the existence of impairment indicators, used to determine if an impairment assessment is necessary, is based on factors such as, but not limited to, market conditions, operator performance and legal structure. If indicators of impairment are present, the Company evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities. The most significant inputs to the undiscounted cash flows include, but are not limited to, facility level financial results, a lease coverage ratio, the intended hold period by the Company, and a terminal capitalization rate. The analysis is also significantly impacted by determining the lowest level of cash flows, which generally would be at the master lease level of cash flows. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets. The impairment is measured as the excess of carrying value over fair value. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

The Company classifies its real estate investments as held for sale when the applicable criteria have been met, which entails a formal plan to sell the properties that is expected to be completed within one year, among other criteria. Upon designation as held for sale, the Company writes down the excess of the carrying value over the estimated fair value less costs to sell, resulting in an impairment of the real estate investments, if necessary, and ceases depreciation.

In the event of impairment, the fair value of the real estate investment is based on current market conditions and considers matters such as the forecasted operating cash flows, lease coverage ratios, capitalization rates, comparable sales data, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers.

The Company’s ability to accurately estimate future cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While the Company believes its assumptions are reasonable, changes in these assumptions may have a material impact on financial results.

Other Real Estate Investments—Included in “Other real estate investments, net,” on the Company’s consolidated balance sheet, is one preferred equity investment and two mortgage loans receivable. The preferred equity investment is accounted for at unpaid principal balance, plus accrued return, net of reserves. The Company recognizes return income on a quarterly basis based on the outstanding investment including any accrued and unpaid return, to the extent there is outside contributed equity or cumulative earnings from operations. As the preferred member of the joint venture, the Company is not entitled to share in the joint venture’s earnings or losses. Rather, the Company is entitled to receive a preferred return, which is deferred if the cash flow of the joint venture is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return is added to the balance of the preferred equity investment up to the estimated economic outcome assuming a hypothetical liquidation of the book value of the joint venture. Any unpaid accrued preferred return, whether recorded or unrecorded by the Company, will be repaid upon redemption or as available cash flow is distributed from the joint venture.

The Company’s two mortgage loans receivable are recorded at amortized cost, which consists of the outstanding unpaid principal balance, net of unamortized costs and fees directly associated with the origination of the loan.

Interest income on the Company’s mortgage loans receivable is recognized over the life of the investment using the interest method. Origination costs and fees directly related to loans receivable are amortized over the term of the loan as an adjustment to interest income.

The Company evaluates at each reporting period each of its other real estate investments for indicators of impairment. An investment is impaired when, based on current information and events, it is probable that the Company will be unable to collect all amounts due according to the existing contractual terms. A reserve is established for the excess of the carrying value of the investment over its fair value.

Prepaid expenses and other assets—Prepaid expenses and other assets consist of prepaid expenses, deposits, pre-acquisition costs and other loans receivable. Included in other loans receivable is a bridge loan to Priority Life Care, LLC (“Priority”) under which the Company agreed to fund up to $1.4 million until the earlier of (i) October 31, 2019, (ii) the date that a new credit facility is established such that the borrower may submit draw requests to the applicable lender, or (iii) the date on which Priority’s lease is terminated with respect to any facility. Borrowings under the bridge loan accrue interest at an annual base rate of 8.0%. During the year ended December 31, 2019, the Company determined that the remaining contractual obligations under the bridge loan agreement to Priority were not collectible and recorded a $1.1 million provision for loan losses in the Company’s consolidated income statements.

Income Taxes—The Company has elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986, as amended (the “Code”). The Company believes it has been organized and has operated, and the Company intends to continue to operate, in a manner to qualify for taxation as a REIT under the Code. To qualify as a REIT, the Company must meet certain organizational and operational requirements, including a requirement to distribute to its stockholders at least 90% of the Company’s annual REIT taxable income (computed without regard to the dividends paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, the Company generally will not be subject to federal income tax to the extent it distributes as qualifying dividends all of its REIT taxable income to its stockholders. If the Company fails to qualify as a REIT in any taxable year, it will be subject to federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost unless the Internal Revenue Service grants the Company relief under certain statutory provisions.

Real Estate Depreciation and Amortization—Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Expenditures for tenant improvements are capitalized and amortized over the shorter of the tenant’s lease term or expected useful life. The Company anticipates the estimated useful lives of its assets by class to be generally as follows:



Building		25-40 years
Building improvements		10-25 years
Tenant improvements		Shorter of lease term or expected useful life
Integral equipment, furniture and fixtures		5 years
Identified intangible assets		Shorter of lease term or expected useful life

The Company’s cash and cash equivalents balance periodically exceeds federally insurable limits. The Company monitors the cash balances in its operating accounts and adjusts the cash balances as appropriate; however, these cash balances could be impacted if the underlying financial institutions fail or are subject to other adverse conditions in the financial markets. To date, the Company has experienced no loss or lack of access to cash in its operating accounts.

Deferred Financing Costs—External costs incurred from placement of the Company’s debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings, which approximates the effective interest method. For senior unsecured notes payable and the senior unsecured term loan, deferred financing costs are netted against the outstanding debt amounts on the balance sheet. For the unsecured revolving credit facility, deferred financing costs are included in assets on the Company’s balance sheet. Amortization of deferred financing costs is classified as interest expense in the consolidated income statements. Accumulated amortization of deferred financing costs was $7.1 million and $5.1 million at December 31, 2019 and December 31, 2018, respectively.

When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made. Gains and losses from the extinguishment of debt are presented within income from continuing operations in the Company’s consolidated income statements.

Stock-Based Compensation—The Company accounts for share-based payment awards in accordance with ASC Topic 718, Compensation – Stock Compensation (“ASC 718”). ASC 718 requires all entities to apply a fair value-based measurement method in accounting for share-based payment transactions with directors, officers and employees. The Company measures and recognizes compensation expense for all share-based payment awards made to directors, officers and employees based on the grant date fair value, amortized over the requisite service period of the award. Net income reflects stock-based compensation expense of $4.1 million, $3.8 million and $2.4 million for the years ended December 31, 2019, 2018 and 2017, respectively.

Concentration of Credit Risk—The Company is subject to concentrations of credit risk consisting primarily of operating leases on its owned properties. See Note 11, Concentration of Risk, for a discussion of major operator concentration.

Segment Disclosures —The Company is subject to disclosures about segments of an enterprise and related information in accordance with ASC Topic 280, Segment Reporting. The Company has one reportable segment consisting of investments in healthcare-related real estate assets.

Earnings (Loss) Per Share—The Company calculates earnings (loss) per share (“EPS”) in accordance with ASC 260, Earnings Per Share. Basic EPS is computed by dividing net income applicable to common stock by the weighted-average number of common shares outstanding during the period. Diluted EPS reflects the additional dilution for all potentially-dilutive securities.

Beds, Units, Occupancy and Other Measures—Beds, units, occupancy and other non-financial measures used to describe real estate investments included in these Notes to the consolidated financial statements are presented on an unaudited basis and are not subject to audit by the independent registered public accounting firm in accordance with the standards of the Public Company Accounting Oversight Board.

Recent Accounting Pronouncements—In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments - Credit Losses (Subtopic 326) (“ASU 2016-13”), that changes the impairment model for most financial instruments by requiring companies to recognize an allowance for expected credit losses, rather than incurred losses as required currently by the other-than-temporary impairment model. ASU 2016-13 will apply to most financial assets measured at amortized cost and certain other instruments, including trade and other receivables, loans receivable, held-to-maturity debt securities, net investments in leases, and off-balance-sheet credit exposures (e.g., loan commitments). In November 2018, the FASB released ASU No. 2018-19, Codification Improvements to Topic 326 Financial Instruments - Credit Losses (“ASU 2018-19”). ASU 2018-19 clarifies that receivables arising from operating leases are not within the scope of ASU 2016-13. Instead, impairment of receivables arising from operating leases should be accounted for under Subtopic 842-30 “Leases - Lessor.” ASU 2016-13 is effective for reporting periods beginning after December 15, 2019, and will be applied as a cumulative adjustment to retained earnings as of the effective date. The Company is currently assessing the potential effect the adoption of ASU 2016-13 will have on the Company’s consolidated financial statements. With the Company’s primary business being leasing real property to third party tenants, the majority of receivables that arise in the ordinary course of business qualify as operating leases and are not in scope of ASU 2016-13. However, based on the instruments held upon adoption on January 1, 2020, the standard applies to the Company’s mortgage loans receivable, for which the allowance for expected credit losses is in the process of being quantified.

Real Estate Investments, Net

12 Months Ended

Dec. 31, 2019

Real Estate [Abstract]

Real Estate Investments, Net

REAL ESTATE INVESTMENTS, NET

The following table summarizes the Company’s investment in owned properties at December 31, 2019 and December 31, 2018 (dollars in thousands):



	December 31, 2019			December 31, 2018
Land	$	204,154		$	166,948
Buildings and improvements	1,400,927			1,201,209
Integral equipment, furniture and fixtures	93,005			87,623
Identified intangible assets	1,650			2,382
Real estate investments	1,699,736			1,458,162
Accumulated depreciation and amortization	(285,536		)	(241,925		)
Real estate investments, net	$	1,414,200		$	1,216,237

As of December 31, 2019, 85 of the Company’s 217 facilities were leased to subsidiaries of Ensign on a triple-net basis under multiple long-term leases (each, an “Ensign Master Lease” and, collectively, the “Ensign Master Leases”) which commenced on June 1, 2014. The obligations under the Ensign Master Leases are guaranteed by Ensign. A default by any subsidiary of Ensign with regard to any facility leased pursuant to an Ensign Master Lease will result in a default under all of the Ensign Master Leases. As of December 31, 2019, annualized revenues from the Ensign Master Leases were $53.4 million and are escalated annually by an amount equal to the product of (1) the lesser of the percentage change in the Consumer Price Index (“CPI”) (but not less than zero) or 2.5%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of Ensign that are tenants under the Ensign Master Leases are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs). On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of The Pennant Group, Inc. (“Pennant” and, such separation, the “Pennant Spin”). See Lease Amendments for additional information.

As of December 31, 2019, 15 of the Company facilities were leased to subsidiaries of Priority Management Group (“PMG”) on a triple-net basis under one long-term lease (the “PMG Master Lease”). The PMG Master Lease commenced on December 1, 2016, and provides an initial term of fifteen years, with two five-year renewal options. As of December 31, 2019, annualized revenues from the PMG Master Lease were $27.4 million and are escalated annually by an amount equal to the product of (1) the lesser of the percentage change in the CPI (but not less than zero) or 3.0%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of PMG that are tenants under the PMG Master Lease are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs).

As of December 31, 2019, 116 of the Company’s 217 facilities were leased to various other operators under triple-net leases. All of these leases contain annual escalators based on CPI some of which are subject to a cap, or fixed rent escalators.

As of December 31, 2019, the Company has one independent living facility that the Company owns and operates.

As of December 31, 2019, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):



Year	Amount
2020	$	168,394
2021	169,175
2022	169,272
2023	168,968
2024	169,069
Thereafter	1,144,102
	$	1,988,980

As of December 31, 2018, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):



Year	Amount
2019	$	146,010
2020	146,560
2021	147,132
2022	147,719
2023	148,169
Thereafter	1,055,012
	$	1,790,602

The following table summarizes components of the Company’s rental income (dollars in thousands):



	For the Year Ended December 31, 2019
Rental Income
Contractual rent due⁽¹⁾	$	166,056
Straight-line rent	1,385
Adjustment for collectibility of rental income⁽²⁾	(11,774		)
Total	$	155,667


(1)	Initial cash rent including operating expense reimbursements adjusted for rental escalators and increases due to landlord funded capital improvements.

(2)

In accordance with the new lease ASUs, the Company evaluated the collectibility of lease payments through maturity and determined that it was not probable that the Company would collect substantially all of the contractual obligations from five operators through maturity. As such, the Company reversed rental income comprised of $7.8 million of unpaid contractual rent, $3.5 million of straight-line rent and $0.5 million of property tax reimbursements during the year ended December 31, 2019. If lease payments are subsequently deemed probable of collection, the Company increases rental income accordingly.

Recent Real Estate Acquisitions

The following table summarizes the Company’s acquisitions for the year ended December 31, 2019 (dollar amounts in thousands):



Type of Property	Purchase Price⁽¹⁾		Initial Annual Cash Rent⁽²⁾		Number of Properties	Number of Beds/Units⁽³⁾
Skilled nursing	$	254,760	$	22,909	17	2,099
Multi-service campuses	59,344		5,203		4	762
Assisted living	12,596		1,031		1	96
Total	$	326,700	$	29,143	22	2,957


(1)	Purchase price includes capitalized acquisition costs.


(2)	Initial annual cash rent excludes ground lease income.


(3)	The number of beds/units includes operating beds at acquisition date.

The following table summarizes the Company’s acquisitions for the year ended December 31, 2018 (dollar amounts in thousands):



Type of Property	Purchase Price⁽¹⁾			Initial Annual Cash Rent		Number of Properties		Number of Beds/Units⁽²⁾
Skilled nursing	$	85,814		$	7,715	10		926
Multi-service campuses	27,520		⁽³⁾	2,240		2		177
Assisted living	—			—		—		—
Total	$	113,334		$	9,955	$	12	1,103


(1)	Purchase price includes capitalized acquisition costs.


(2)	The number of beds/units includes operating beds at acquisition date.


(3)	The Company has committed to fund approximately $1.4 million in revenue-producing capital expenditures over the next 24 months based on the in-place lease yield, which is included in the purchase price.

Lease Amendments

Pennant Spin. On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of Pennant. As a result of the Pennant Spin, as of October 1, 2019, the Company amended the Ensign Master Leases to lease 85 facilities to subsidiaries of Ensign, which have a total of 8,908 operational beds, and entered into a new triple-net master lease with subsidiaries of Pennant (the “Pennant Master Lease”) to lease 11 facilities, which have a total of 1,151 operational beds. The contractual initial annual cash rent under the Pennant Master Lease is approximately $7.8 million. The Pennant Master Lease carries an initial term of 15 years, with two five-year renewal options and CPI-based rent escalators. The contractual annual cash rent under the amended Ensign Master Leases was reduced by approximately $7.8 million. Ensign continues to guarantee obligations under the Ensign Master Leases and the Pennant Master Lease. If Pennant achieves a specified portfolio coverage and continuously maintains it for a specified period, Ensign’s obligations under the guaranty with respect to the Pennant Master Lease would be released.

Trillium Lease Termination and New Master Lease. On July 15, 2019, the Company terminated its existing master lease (the “Original Trillium Lease”) with affiliates of Trillium Healthcare Group, LLC (“Trillium”), which covered ten properties in Iowa, seven properties in Ohio and one property in Georgia. On August 16, 2019, the Company entered into a new master lease (the “New Trillium Lease”) with Trillium’s Iowa and Georgia affiliates covering the ten properties in Iowa and the one property in Georgia. The Company recorded an adjustment to reduce rental income recognized under the Original Trillium Lease for unpaid contractual rent, straight-line rent and property tax reimbursements by approximately $3.8 million in the three months ended September 30, 2019.

On September 1, 2019, four of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease were transferred to affiliates of Providence Group, Inc. (“Providence”). In connection with the transfer, the

Company amended its triple-net master lease with Providence. The amended lease has a remaining initial term of approximately 13 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.1 million.

Trio Lease Amendment. On November 4, 2019, the Company amended its existing master lease with affiliates of Trio Healthcare, Inc. (“Trio”), which covered seven facilities based in Dayton, Ohio. The amended lease has a remaining initial term of approximately 13 years, with two five-year renewal options and CPI-based rent escalators. The annual base rent due under the amended lease with Trio is approximately $4.7 million and provides for payment of percentage rent if Trio achieves certain increases in portfolio revenue.

Pristine Lease Termination. On February 27, 2018, the Company announced that it entered into a Lease Termination Agreement (the “LTA”) with Pristine for its nine remaining properties, with a target completion date of April 30, 2018. Under the LTA, Pristine agreed to continue to operate the facilities until possession could be surrendered, and the operations therein transitioned, to operator(s) designated by the Company. Among other things, Pristine also agreed to amend certain pending agreements to sell the rights to certain Ohio Medicaid beds (the “Bed Sales Agreements”) and cooperate with the Company to turn over any claim or control it might have had with respect to the sale process and the proceeds thereof, if any, to the Company. The transactions were timely completed, and on May 1, 2018, Trio took over operations in the seven facilities based primarily in the Dayton, Ohio area under a new 15-year master lease, while Hillstone Healthcare, Inc. (“Hillstone”) assumed the operation of the two facilities in Willard and Toledo, Ohio under a new 12-year master lease. In addition, amendments to the Bed Sales Agreements were subsequently executed, confirming the Company as the sole seller of the bed rights and the sole recipient of any proceeds therefrom. The aggregate annual base rent due under the new master leases with Trio and Hillstone is approximately $10.0 million, subject to CPI-based or fixed escalators.

Under the LTA, the Company agreed, upon Pristine’s full performance of the terms thereof, to terminate Pristine’s master lease and all future obligations of the tenant thereunder; however, under the terms of the master lease the Company’s security interest in Pristine’s accounts receivable has survived any such termination. Such security interest was subject to the prior lien and security interest of Pristine’s working capital lender, Capital One, National Association (“CONA”), with whom the Company has an existing intercreditor agreement that defines the relative rights and responsibilities of CONA and with its respect to the loan and lease collateral represented by Pristine’s accounts receivable and the Company’s respective security interests therein.

Impairment of Real Estate Investments, Asset Sales and Assets Held for Sale

On September 1, 2019, the Company sold three of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. During the three months ended September 30, 2019 and prior to the disposition, the Company recorded an impairment expense of approximately $7.8 million. In connection with the sale, the Company provided affiliates of CommuniCare Family of Companies (“CommuniCare”), the purchaser of the three Ohio properties, with a mortgage loan secured by the three Ohio properties for approximately $26.5 million. See Note 4, Other Real Estate Investments, Net for additional information.

As of September 30, 2019, the Company met the criteria to classify six skilled nursing facilities operated by affiliates of Metron Integrated Health Systems (“Metron”) as held for sale, which resulted in an impairment expense of approximately $8.8 million to reduce the carrying value to fair value less costs to sell the properties. As of December 31, 2019, the properties continued to be held for sale and the carrying value of $34.6 million is primarily comprised of real estate assets. In February 2020, the six skilled nursing facilities were sold. See Note 14, Subsequent Events, for further detail.

The fair values of the assets impaired during the three months ended September 30, 2019 were based on contractual sales prices, which are considered to be Level 2 measurements within the fair value hierarchy.

During the year ended December 31, 2019, the Company sold one of its owned and operated independent living facilities consisting of 38 units located in Texas with an aggregate carrying value of $1.7 million for net proceeds of $3.3 million. In connection with the sale, the Company recognized a gain of $1.6 million.

During the year ended December 31, 2018, the Company sold three assisted living facilities consisting of 102 units located in Idaho with an aggregate carrying value of $10.9 million for an aggregate price of $13.0 million. In connection with the sale, the Company recognized a gain of $2.1 million.

Other Real Estate Investments, Net	12 Months Ended
Other Real Estate Investments, Net	Dec. 31, 2019
Real Estate [Abstract]
Other Real Estate Investments, Net	OTHER REAL ESTATE INVESTMENTS, NET Preferred Equity Investments—In July 2016, the Company completed a $2.2 million preferred equity investment with an affiliate of Cascadia Development, LLC. The preferred equity investment yielded a return equal to prime plus 9.5% but in no event less than 12.0% calculated on a quarterly basis on the outstanding carrying value of the investment. The investment was used to develop a 99-bed skilled nursing facility in Nampa, Idaho. In connection with its investment, CareTrust REIT obtained an option to purchase the development at a fixed-formula price upon stabilization, with an initial lease yield of at least 9.0%. The project was completed in the fourth quarter of 2017 and began lease-up during the first quarter of 2018. In June 2019, the Company purchased the skilled nursing facility for approximately $16.2 million, inclusive of transaction costs. The Company paid $12.9 million after receiving back its initial investment of $2.2 million and cumulative contractual preferred return through June 18, 2019, the acquisition date, of $1.1 million, of which $0.6 million was recognized as interest income during the year ended December 31, 2019. In September 2016, the Company completed a $2.3 million preferred equity investment with an affiliate of Cascadia Development, LLC. The preferred equity investment yields a return equal to prime plus 9.5% but in no event less than 12.0% calculated on a quarterly basis on the outstanding carrying value of the investment. The investment is being used to develop a 99-bed skilled nursing facility in Boise, Idaho. In connection with its investment, CareTrust REIT obtained an option to purchase the development at a fixed-formula price upon stabilization, with an initial lease yield of at least 9.0%. The project was completed in the first quarter of 2018 and began lease-up during the second quarter of 2018. In January 2020, the Company purchased the skilled nursing facility for approximately $18.7 million, inclusive of estimated transaction costs. The Company paid $15.0 million after receiving back its initial investment of $2.3 million and cumulative contractual preferred return through January 17, 2020, the acquisition date, of $1.4 million, of which $0.7 million was recognized as interest income during the year ended December 31, 2019. See Note 14, Subsequent Events, for further detail. During the years ended December 31, 2019, 2018 and 2017, the Company recognized $1.3 million (including $0.6 million for unrecognized preferred return related to prior periods), $0.2 million and $1.7 million, respectively, of interest income related to these preferred equity investments. Performing Mortgage Loans Receivable—In October 2017, the Company provided an affiliate of Providence a mortgage loan secured by a skilled nursing facility for approximately $12.5 million inclusive of transaction costs, which bore a fixed interest rate of 9%. The mortgage loan, which required Providence to make monthly principal and interest payments, was set to mature on October 26, 2020 and had an option to be prepaid before the maturity date. During the three months ended December 31, 2019, Providence exercised its option to prepay the loan in full, and prepayment was received by the Company. In February 2019, the Company provided affiliates of Covenant Care a mortgage loan secured by first mortgages on five skilled nursing facilities for approximately $11.4 million, at an annual interest rate of 9%. The loan required monthly interest payments, was set to mature on February 11, 2020, and included two, six-month extension options. During the three months ended September 30, 2019, Covenant Care exercised its option to prepay the loan in full, and prepayment was received by the Company. In July 2019, the Company provided MCRC, LLC a real estate loan secured by a 176 bed skilled nursing facility in Manteca, California for $3.0 million, which bears a fixed interest rate of 8% and requires monthly interest payments. Concurrently, the Company entered into a purchase and sale agreement to purchase the Manteca facility from MCRC, LLC for approximately $16.4 million subject to normal diligence and other contingencies. The loan documents provide for a maturity date of the earlier to occur of the closing date of the acquisition, or five business days following the termination of the purchase and sale agreement. MCRC, LLC breached its obligation to sell the Manteca facility to the Company on the terms outlined in the purchase and sale agreement and, as a result, the Company has commenced non-judicial foreclosure proceedings with respect to the Manteca facility. The Company expects the Manteca facility to go to auction in early 2020 at which point the Company expects to either purchase the facility or be repaid the loan and accrued interest. In September 2019, the Company provided affiliates of CommuniCare a $26.5 million loan secured by mortgages on the three skilled nursing facilities sold to CommuniCare, as discussed in Note 3, Real Estate Investments, which bears a fixed interest rate of 10%. The mortgage loan, which requires CommuniCare to make monthly interest payments, was originally set to mature on February 29, 2020, with an option to be prepaid before the maturity date. In January 2020, the Company amended the maturity date to April 30, 2020. See Note 14, Subsequent Events, for further detail. Given the structure of the arrangement, the Company has concluded that the acquiring entities whom are joint and severally liable for the loan constitute variable interest entities. The loan includes standard lender protective rights and does not allow the Company to control the entities. During the years ended December 31, 2019, 2018 and 2017, the Company recognized $3.0 million, $1.2 million and $0.2 million, respectively, of interest income related to the mortgage loans.

Fair Value Measurements

12 Months Ended

Dec. 31, 2019

Fair Value Disclosures [Abstract]

Fair Value Measurements

FAIR VALUE MEASUREMENTS

Financial Instruments: Considerable judgment is necessary to estimate the fair value of financial instruments. The estimates of fair value presented herein are not necessarily indicative of the amounts that could be realized upon disposition of the financial instruments. A summary of the face values, carrying amounts and fair values of the Company’s financial instruments as of December 31, 2019 and 2018 using Level 2 inputs, for the senior unsecured notes payable, and Level 3 inputs, for all other financial instruments, is as follows (dollars in thousands):



	December 31, 2019						December 31, 2018
	Face Value		Carrying Amount		Fair Value		Face Value		Carrying Amount		Fair Value
Financial assets:
Preferred equity investments	$	2,327	$	3,800	$	3,674	$	4,531	$	5,746	$	6,246
Mortgage loans receivable	29,500		29,500		29,500		12,375		12,299		12,375
Financial liabilities:
Senior unsecured notes payable	$	300,000	$	295,911	$	312,750	$	300,000	$	295,153	$	289,500

Cash and cash equivalents, accounts and other receivables, other loans receivable, and accounts payable and accrued liabilities: These balances approximate their fair values due to the short-term nature of these instruments.

Preferred equity investments: The fair values of the preferred equity investments were estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value, market interest rates and other credit enhancements.

Mortgage loans receivable: The fair values of the mortgage loans receivable were estimated using an internal valuation model that considered the expected future cash flows of the investments, the underlying collateral value, market interest rates and other credit enhancements.

Senior unsecured notes payable: The fair value of the Notes was determined using third-party quotes derived from orderly trades.

Unsecured revolving credit facility and senior unsecured term loan: The fair values approximate their carrying values as the interest rates are variable and approximate prevailing market interest rates for similar debt arrangements.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Debt

12 Months Ended

Dec. 31, 2019

Debt Disclosure [Abstract]

Debt

DEBT

The following table summarizes the balance of the Company’s indebtedness as of December 31, 2019 and 2018 (in thousands):



	December 31, 2019							December 31, 2018
	Principal		Deferred			Carrying		Principal		Deferred			Carrying
	Amount		Loan Fees			Value		Amount		Loan Fees			Value
Senior unsecured notes payable	$	300,000	$	(4,089	)	$	295,911	$	300,000	$	(4,847	)	$	295,153
Senior unsecured term loan	200,000		(1,287		)	198,713		100,000		(388		)	99,612
Unsecured revolving credit facility	60,000		—			60,000		95,000		—			95,000
	$	560,000	$	(5,376	)	$	554,624	$	495,000	$	(5,235	)	$	489,765

Senior Unsecured Notes Payable

On May 10, 2017, the Company’s wholly owned subsidiary, CTR Partnership, L.P. (the “Operating Partnership”), and its wholly owned subsidiary, CareTrust Capital Corp. (together with the Operating Partnership, the “Issuers”), completed an underwritten public offering of $300.0 million aggregate principal amount of 5.25% Senior Notes due 2025 (the “Notes”). The Notes were issued at par, resulting in gross proceeds of $300.0 million and net proceeds of approximately $294.0 million after deducting underwriting fees and other offering expenses. The Company used the net proceeds from the offering of the Notes to redeem all $260.0 million aggregate principal amount outstanding of its 5.875% Senior Notes due 2021, including payment of the redemption price at 102.938% and all accrued and unpaid interest thereon. The Company used the remaining portion of the net proceeds of the Notes offering to pay borrowings outstanding under its senior unsecured revolving credit facility. The Notes mature on June 1, 2025 and bear interest at a rate of 5.25% per year. Interest on the Notes is payable on June 1 and December 1 of each year, beginning on December 1, 2017.

The Issuers may redeem the Notes any time before June 1, 2020 at a redemption price of 100% of the principal amount of the Notes redeemed plus accrued and unpaid interest on the Notes, if any, to, but not including, the redemption date, plus a “make-whole” premium described in the indenture governing the Notes and, at any time on or after June 1, 2020, at the redemption prices set forth in the indenture. At any time on or before June 1, 2020, up to 40% of the aggregate principal amount of the Notes may be redeemed with the net proceeds of certain equity offerings if at least 60% of the originally issued aggregate principal amount of the Notes remains outstanding. In such case, the redemption price will be equal to 105.25% of the aggregate principal amount of the Notes to be redeemed plus accrued and unpaid interest, if any, to, but not including, the redemption date. If certain changes of control of the Company occur, holders of the Notes will have the right to require the Issuers to repurchase their Notes at 101% of the principal amount plus accrued and unpaid interest, if any, to, but not including, the repurchase date.

The obligations under the Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by the Company and certain of the Company’s wholly owned existing and, subject to certain exceptions, future material subsidiaries (other than the Issuers); provided, however, that such guarantees are subject to automatic release under certain customary circumstances, including if the subsidiary guarantor is sold or sells all or substantially all of its assets, the subsidiary guarantor is designated “unrestricted” for covenant purposes under the indenture, the subsidiary guarantor’s guarantee of other indebtedness which resulted in the creation of the guarantee of the Notes is terminated or released, or the requirements for legal defeasance or covenant defeasance or to discharge the indenture have been satisfied. See Note 12, Summarized Condensed Consolidating Information.

The indenture contains customary covenants such as limiting the ability of the Company and its restricted subsidiaries to: incur or guarantee additional indebtedness; incur or guarantee secured indebtedness; pay dividends or distributions on, or redeem or repurchase, capital stock; make certain investments or other restricted payments; sell assets; enter into transactions with affiliates; merge or consolidate or sell all or substantially all of their assets; and create restrictions on the ability of the Issuers and their restricted subsidiaries to pay dividends or other amounts to the Issuers. The indenture also requires the Company and its restricted subsidiaries to maintain a specified ratio of unencumbered assets to unsecured indebtedness. These covenants are subject to a number of important and significant limitations, qualifications and exceptions. The indenture also contains customary events of default.

As of December 31, 2019, the Company was in compliance with all applicable financial covenants under the indenture.

Unsecured Revolving Credit Facility and Term Loan

On August 5, 2015, the Company, CareTrust GP, LLC, the Operating Partnership, as the borrower, and certain of its wholly owned subsidiaries entered into a credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the “Prior Credit Agreement”). As later amended on February 1, 2016, the Prior Credit Agreement provided the following: (i) a $400.0 million unsecured asset based revolving credit facility (the “Prior Revolving Facility”), (ii) a $100.0 million non-amortizing unsecured term loan (the “Prior Term Loan” and, together with the Prior Revolving Facility, the “Prior Credit Facility”), and (iii) a $250.0 million uncommitted incremental facility. The Prior Revolving Facility was scheduled to mature on August 5, 2019, subject to two, six-month extension options. The Prior Term Loan was scheduled to mature on February 1, 2023 and could be prepaid at any time subject to a 2% premium in the first year after issuance and a 1% premium in the second year after issuance.

On February 8, 2019, the Operating Partnership, as the borrower, the Company, as guarantor, CareTrust GP, LLC, and certain of the Operating Partnership’s wholly owned subsidiaries entered into an amended and restated credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the “Amended Credit Agreement”). The Amended Credit Agreement, which amended and restated the Prior Credit Agreement, provides for: (i) an unsecured revolving credit facility (the “Revolving Facility”) with revolving commitments in an aggregate principal amount of $600.0 million, including a letter of credit subfacility for 10% of the then available revolving commitments and a swingline loan subfacility for 10% of the then available revolving commitments and (ii) an unsecured term loan credit facility (the “Term Loan” and, together with the Revolving Facility, the “Amended Credit Facility”) in an aggregate principal amount of $200.0 million. Borrowing availability under the Revolving Facility is subject to no default or event of default under the Amended Credit Agreement having occurred at the time of borrowing. The proceeds of the Term Loan were used, in part, to repay in full all outstanding borrowings under the Prior Term Loan and Prior Revolving Facility under the Prior Credit Agreement. Future borrowings under the Amended Credit Facility will be used for working capital purposes, for capital expenditures, to fund acquisitions and for general corporate purposes.

The interest rates applicable to loans under the Revolving Facility are, at the Operating Partnership’s option, equal to either a base rate plus a margin ranging from 0.10% to 0.55% per annum or LIBOR plus a margin ranging from 1.10% to 1.55% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt). The interest rates applicable to loans under the Term Loan are, at the Operating Partnership’s option, equal to either a base rate plus a margin ranging from 0.50% to 1.20% per annum or LIBOR plus a margin ranging from 1.50% to 2.20% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt). In addition, the Operating Partnership will pay a facility fee on the revolving commitments under the Revolving Facility ranging from 0.15% to 0.35% per annum, based on the debt to asset value ratio of the Company and its consolidated subsidiaries (unless the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt and the Operating Partnership elects to decrease the applicable margin as described above, in which case the Operating Partnership will pay a facility fee on the revolving commitments ranging from 0.125% to 0.30% per annum based on the credit ratings of the Company’s senior long-term unsecured debt). As of December 31, 2019, the Operating Partnership had $200.0 million outstanding under the Term Loan and $60.0 million outstanding under the Revolving Facility.

The Revolving Facility has a maturity date of February 8, 2023, and includes, at the sole discretion of the Operating Partnership, two, six-month extension options. The Term Loan has a maturity date of February 8, 2026.

The Amended Credit Facility is guaranteed, jointly and severally, by the Company and its wholly owned subsidiaries that are party to the Amended Credit Agreement (other than the Operating Partnership). The Amended Credit Agreement contains customary covenants that, among other things, restrict, subject to certain exceptions, the ability of the Company and its subsidiaries to grant liens on their assets, incur indebtedness, sell assets, make investments, engage in acquisitions, mergers or consolidations, amend organizational documents and pay certain dividends and other restricted payments. The Amended Credit Agreement requires the Company to comply with financial maintenance covenants to be tested quarterly, consisting of a maximum debt to asset value ratio, a minimum fixed charge coverage ratio, a minimum tangible net worth, a maximum cash distributions to operating income ratio, a maximum secured debt to asset value ratio, a maximum secured recourse debt to asset value ratio, a maximum unsecured debt to unencumbered properties asset value ratio, a minimum unsecured interest coverage ratio and a minimum rent coverage ratio. The Amended Credit Agreement also contains certain customary events of default, including the failure to make timely payments under the Amended Credit Facility or other material indebtedness, the failure to satisfy certain covenants (including the financial maintenance covenants), the occurrence of change of control and specified events of bankruptcy and insolvency.

As of December 31, 2019, the Company was in compliance with all applicable financial covenants under the Credit Agreement.

Loss on the Extinguishment of Debt

During the year ended December 31, 2017, the loss on the extinguishment of debt included $7.6 million related to the redemption of the Company’s 5.875% Senior Notes due 2021 at a redemption price of 102.938% and a $4.2 million write-off of deferred financing costs associated with the redemption.

Schedule of Debt Maturities

As of December 31, 2019, the Company’s debt maturities were (dollars in thousands):



Year	Amount
2020	$	—
2021	—
2022	—
2023	60,000
2024	—
Thereafter	500,000
	$	560,000

Equity

12 Months Ended

Dec. 31, 2019

Equity [Abstract]

Equity

EQUITY

Common Stock

Public Offering of Common Stock—On April 15, 2019, the Company completed an underwritten public offering of 6,641,250 shares of its common stock, par value $0.01 per share, at an initial price to the public of $23.35, including 866,250 shares of common stock sold pursuant to the full exercise of an option to purchase additional shares of common stock granted to the underwriters, resulting in approximately $149.0 million in net proceeds, after deducting the underwriting discount and offering expenses. The Company used the proceeds from the offering to repay a portion of the outstanding borrowings on its Revolving Facility, which had been used to fund a portion of the purchase price of acquisitions in the second quarter of 2019.

At-The-Market Offering—On March 4, 2019, the Company entered into a new equity distribution agreement to issue and sell, from time to time, up to $300.0 million in aggregate offering price of its common stock through an “at-the-market” equity offering program (the “New ATM Program”). In connection with the entry into the equity distribution agreement and the commencement of the New ATM Program, the Company’s “at-the-market” equity offering program pursuant to the Company’s prior equity distribution agreement, dated as of May 17, 2017, was terminated (the “Prior ATM Program”).

There was no New ATM Program activity for 2019. The following table summarizes the quarterly Prior ATM Program activity for 2019 and 2018 (in thousands, except per share amounts):



	For the Years Ended December 31,
	2019		2018
Number of shares	2,459		10,265
Average sales price per share	$	19.48	$	17.76
Gross proceeds⁽¹⁾	$	47,893	$	182,321


(1)	Total gross proceeds is before $0.6 million and $2.3 million, respectively, of commissions paid to the sales agents during the years ended December 31, 2019 and 2018 under the Prior ATM Program.

As of December 31, 2019, the Company had $300.0 million available for future issuances under the New ATM Program.

Dividends on Common Stock — The following table summarizes the cash dividends per share of common stock declared by the Company’s Board of Directors for 2019, 2018 and 2017 (dollars in thousands, except per share amounts):



	For the Three Months Ended
2019	March 31,		June 30,		September 30,		December 31,
Dividends declared	$	0.225	$	0.225	$	0.225	$	0.225
Dividends payment date	April 15, 2019		July 15, 2019		October 15, 2019		January 15, 2020
Dividends payable as of record date	$	20,011	$	21,508	$	21,500	$	21,500
Dividends record date	March 29, 2019		June 28, 2019		September 30, 2019		December 31, 2019

2018
Dividends declared	$	0.205	$	0.205	$	0.205	$	0.205
Dividends payment date	April 13, 2018		July 13, 2018		October 15, 2018		January 15, 2019
Dividends payable as of record date	$	15,608	$	16,224	$	17,196	$	17,710
Dividends record date	March 30, 2018		June 29, 2018		September 28, 2018		December 31, 2018

2017
Dividends declared	$	0.185	$	0.185	$	0.185	$	0.185
Dividends payment date	April 14, 2017		July 14, 2017		October 13, 2017		January 16, 2018
Dividends payable as of record date	$	13,421	$	14,047	$	14,045	$	14,043
Dividends record date	March 31, 2017		June 30, 2017		September 29, 2017		December 29, 2017

Stock-Based Compensation

12 Months Ended

Dec. 31, 2019

Share-based Payment Arrangement [Abstract]

Stock-Based Compensation

STOCK-BASED COMPENSATION

All stock-based awards are subject to the terms of the CareTrust REIT, Inc. and CTR Partnership, L.P. Incentive Award Plan (the “Plan”). The Plan provides for the granting of stock-based compensation, including stock options, restricted stock, performance awards, restricted stock units and other incentive awards to officers, employees and directors in connection with their employment with or services provided to the Company.

The following table summarizes restricted stock award and performance award activity for the years ended December 31, 2019 and 2018:



	Shares		Weighted Average Share Price
Unvested balance at December 31, 2017	422,911		$	14.19
Granted	287,982		15.25
Vested	(191,287	)	14.39
Forfeited	(334	)	15.21
Unvested balance at December 31, 2018	519,272		14.69
Granted	180,629		22.22
Vested	(247,534	)	14.50
Forfeited	(134	)	15.21
Unvested balance at December 31, 2019	452,233		$	17.90

The following table summarizes the stock-based compensation expense recognized (dollars in thousands):



	For Year Ended December 31,
	2019		2018		2017
Stock-based compensation expense	$	4,104	$	3,848	$	2,416

As of December 31, 2019, there was $4.3 million of unamortized stock-based compensation expense related to these unvested awards and the weighted-average remaining vesting period of such awards was 2.1 years.

In connection with the separation of Ensign’s healthcare business and its real estate business into two separate and independently publicly traded companies (the “Spin-Off”) on June 1, 2014, employees of Ensign who had unvested shares of restricted stock were given one share of CareTrust REIT unvested restricted stock totaling 207,580 shares at the Spin-Off. These restricted shares are subject to a time vesting provision only and the Company does not recognize any stock compensation expense associated with these awards. During the year ended December 31, 2019, no shares vested or were forfeited. At December 31, 2019, there were 1,760 unvested restricted stock awards outstanding.

In February 2019, the Compensation Committee of the Company’s Board of Directors granted 91,440 shares of restricted stock to officers and employees. Each share had a fair market value on the date of grant of $22.00 per share, based on the closing market price of the Company’s common stock on that date, and the shares vest in four equal annual installments beginning on the first anniversary of the grant date. Additionally, in February 2019, the Compensation Committee granted 71,440 performance stock awards to officers. Each share had a fair market value on the date of grant of $22.00 per share, based on the closing market price of the Company’s common stock on that date. Performance stock awards are subject to both time and performance based conditions and vest over a one- to four-year period. The amount of performance awards that will ultimately vest is dependent on the Company’s Normalized Funds from Operations (“NFFO”) per share, as defined by the Compensation Committee, meeting or exceeding fiscal year over year growth of 5.0% or greater.

In May 2019, the Compensation Committee of the Company's Board of Directors granted 17,749 shares of restricted stock to members of the Board of Directors. Each share had a fair market value on the date of grant of $24.23 per share, based on the closing market price of the Company's common stock on that date, and the shares vest in full on the earlier to occur of April 30, 2020 or the Company’s 2020 Annual Meeting of Stockholders.

In February 2018, the Compensation Committee of the Company’s Board of Directors granted 141,060 shares of restricted stock to officers and employees. Each share had a fair market value on the date of grant of $15.13 per share, based on the market price of the Company’s common stock on that date, and the shares vest in four equal annual installments beginning on the first anniversary of the grant date. Additionally, the Compensation Committee granted 120,460 performance stock awards to officers and employees. Each share had a fair market value on the date of grant of $15.13 per share, based on the market price of the Company’s common stock on that date. Performance stock awards are subject to both time and performance based conditions and vest over a one- to four-year period. The amount of performance awards that will ultimately vest is dependent on the Company meeting or exceeding fiscal year over year NFFO per share growth of 6.0% or greater.

In May 2018, the Compensation Committee of the Company's Board of Directors granted 26,462 shares of restricted stock to members of the Board of Directors. Each share had a fair market value on the date of grant of $16.44 per share, based on the market price of the Company's common stock on that date, and the shares vest in full on the earlier to occur of May 30, 2019 or when the Company holds its 2019 Annual Meeting.

Earnings Per Common Share

12 Months Ended

Dec. 31, 2019

Earnings Per Share [Abstract]

Earnings Per Common Share

EARNINGS PER COMMON SHARE

The following table presents the calculation of basic and diluted EPS for the Company’s common stock for the years ended December 31, 2019, 2018 and 2017, and reconciles the weighted-average common shares outstanding used in the calculation of basic EPS to the weighted-average common shares outstanding used in the calculation of diluted EPS for the years ended December 31, 2019, 2018 and 2017 (amounts in thousands, except per share amounts):



	Year Ended December 31,
	2019			2018			2017
Numerator:
Net income	$	46,359		$	57,923		$	25,874
Less: Net income allocated to participating securities	(296		)	(364		)	(354		)
Numerator for basic and diluted earnings available to common stockholders	$	46,063		$	57,559		$	25,520
Denominator:
Weighted-average basic common shares outstanding	93,088			79,386			72,647
Weighted-average diluted common shares outstanding	93,098			79,392			72,647

Earnings per common share, basic	$	0.49		$	0.73		$	0.35
Earnings per common share, diluted	$	0.49		$	0.72		$	0.35

The Company’s unvested restricted shares associated with its incentive award plan and unvested restricted shares issued to employees of Ensign at the Spin-Off have been excluded from the above calculation of earnings per share for the years ended December 31, 2019, 2018 and 2017, when their inclusion would have been anti-dilutive.

Commitments and Contingencies	12 Months Ended
Commitments and Contingencies	Dec. 31, 2019
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	COMMITMENTS AND CONTINGENCIES The Company and its subsidiaries are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, which are not individually or in the aggregate anticipated to have a material adverse effect on the Company’s results of operations, financial condition or cash flows. Claims and lawsuits may include matters involving general or professional liability asserted against the Company’s tenants, which are the responsibility of the Company’s tenants and for which the Company is entitled to be indemnified by its tenants under the insurance and indemnification provisions in the applicable leases. Capital expenditures for each property leased under the Company’s triple-net leases are generally the responsibility of the tenant, except that, for the facilities under the Ensign Master Leases, the tenant will have an option to require the Company to finance certain capital expenditures up to an aggregate of 20% of its initial investment in such property, subject to a corresponding rent increase at the time of funding. For the Company’s other triple-net master leases, the tenants also have the option to request capital expenditure funding that would generally be subject to a corresponding rent increase at the time of funding, which are subject to tenant compliance with the conditions to the Company’s approval and funding of their requests. As of December 31, 2019, the Company had committed to fund expansions, construction and capital improvements at certain triple-net leased facilities totaling $13.5 million, of which $11.8 million is subject to rent increase at the time of funding.

Concentration of Risk	12 Months Ended
Concentration of Risk	Dec. 31, 2019
Risks and Uncertainties [Abstract]
Concentration of Risk	CONCENTRATION OF RISK Major operator concentration – As of December 31, 2019, Ensign leased 85 skilled nursing, assisted living and independent living facilities which had a total of 8,908 beds and units and are located in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Texas, Utah and Washington. The four states in which Ensign leases the highest concentration of properties are California, Texas, Utah and Arizona. During the years ended December 31, 2019, 2018 and 2017, Ensign represented 38%, 42% and 49%, respectively, of the Company’s rental income, exclusive of operating expense reimbursements. On October 1, 2019, Ensign completed the Pennant Spin. See Note 3, Real Estate Investments, Net, for additional information regarding the Company’s facilities leased to Ensign subsequent to the Pennant Spin. Ensign is subject to the registration and reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Ensign’s financial statements, as filed with the SEC, can be found at http://www.sec.gov. The Company has not verified this information through an independent investigation or otherwise. As of December 31, 2019, PMG leased 15 skilled nursing facilities which had a total of 2,145 beds and units and are located in Louisiana and Texas. During the years ended December 31, 2019, 2018 and 2017, PMG represented 15%, 8% and 8%, respectively, of the Company’s rental income, exclusive of operating expense reimbursements.

Summarized Condensed Consolidating Information

12 Months Ended

Dec. 31, 2019

Summarized Condensed Consolidating And Combining Information [Abstract]

Summarized Condensed Consolidating Information

SUMMARIZED CONDENSED CONSOLIDATING INFORMATION

The Notes issued by the Operating Partnership and CareTrust Capital Corp. on May 10, 2017 are jointly and severally, fully and unconditionally, guaranteed by CareTrust REIT, Inc., as the parent guarantor (the “Parent Guarantor”), and the wholly owned subsidiaries of the Parent Guarantor other than the Issuers (collectively, the “Subsidiary Guarantors” and, together with the Parent Guarantor, the “Guarantors”), subject to automatic release under certain customary circumstances, including if the Subsidiary Guarantor is sold or sells all or substantially all of its assets, the Subsidiary Guarantor is designated “unrestricted” for covenant purposes under the indenture governing the Notes, the Subsidiary Guarantor’s guarantee of other indebtedness which resulted in the creation of the guarantee of the Notes is terminated or released, or the requirements for legal defeasance or covenant defeasance or to discharge the indenture have been satisfied.

The following provides information regarding the entity structure of the Parent Guarantor, the Issuers and the Subsidiary Guarantors:

CareTrust REIT, Inc. – The Parent Guarantor was formed on October 29, 2013 in anticipation of the Spin-Off on June 1, 2014. The Parent Guarantor did not conduct any operations or have any business prior to the date of the consummation of the Spin-Off related transactions.

CTR Partnership, L.P. and CareTrust Capital Corp. – The Issuers, each of which is a wholly owned subsidiary of the Parent Guarantor, were formed on May 8, 2014 and May 9, 2014, respectively, in anticipation of the Spin-Off and the related transactions. The Issuers did not conduct any operations or have any business prior to the date of the consummation of the Spin-Off related transactions.

Subsidiary Guarantors – The Subsidiary Guarantors consist of all of the subsidiaries of the Parent Guarantor other than the Issuers.

Pursuant to Rule 3-10 of Regulation S-X, the following summarized consolidating information is provided for the Parent Guarantor, the Issuers, and the Subsidiary Guarantors. There are no subsidiaries of the Company other than the Issuers and the Subsidiary Guarantors. This summarized financial information has been prepared from the financial statements of the Company and the books and records maintained by the Company.

CONDENSED CONSOLIDATING BALANCE SHEETS

DECEMBER 31, 2019

(in thousands, except share and per share amounts)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—	$	894,830	$	519,370	$	—		$	1,414,200
Other real estate investments, net	—		29,500		3,800		—			33,300
Assets held for sale, net	—		34,590		—		—			34,590
Cash and cash equivalents	—		20,327		—		—			20,327
Accounts and other receivables, net	—		2,549		22		—			2,571
Prepaid expenses and other assets	—		10,847		3		—			10,850
Deferred financing costs, net	—		3,023		—		—			3,023
Investment in subsidiaries	949,275		541,019		—		(1,490,294		)	—
Intercompany	—		—		19,295		(19,295		)	—
Total assets	$	949,275	$	1,536,685	$	542,490	$	(1,509,589	)	$	1,518,861
Liabilities and Equity:
Senior unsecured notes payable, net	$	—	$	295,911	$	—	$	—		$	295,911
Senior unsecured term loan, net	—		198,713		—		—			198,713
Unsecured revolving credit facility	—		60,000		—		—			60,000
Accounts payable and accrued liabilities	—		13,491		1,471		—			14,962
Dividends payable	21,684		—		—		—			21,684
Intercompany	—		19,295		—		(19,295		)	—
Total liabilities	21,684		587,410		1,471		(19,295		)	591,270
Total equity	927,591		949,275		541,019		(1,490,294		)	927,591
Total liabilities and equity	$	949,275	$	1,536,685	$	542,490	$	(1,509,589	)	$	1,518,861

CONDENSED CONSOLIDATING BALANCE SHEETS

DECEMBER 31, 2018

(in thousands, except share and per share amounts)



	Parent Guarantor			Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—		$	887,921	$	328,316	$	—		$	1,216,237
Other real estate investments, net	—			12,299		5,746		—			18,045
Cash and cash equivalents	—			36,792		—		—			36,792
Accounts and other receivables, net	—			9,359		2,028		—			11,387
Prepaid expenses and other assets	—			8,666		2		—			8,668
Deferred financing costs, net	—			633		—		—			633
Investment in subsidiaries	786,030			484,955		—		(1,270,985		)	—
Intercompany	—			—		151,242		(151,242		)	—
Total assets	$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	$	—		$	295,153	$	—	$	—		$	295,153
Senior unsecured term loan, net	—			99,612		—		—			99,612
Unsecured revolving credit facility	—			95,000		—		—			95,000
Accounts payable and accrued liabilities	—			13,588		2,379		—			15,967
Dividends payable	17,783			—		—		—			17,783
Intercompany	—			151,242		—		(151,242		)	—
Total liabilities	17,783			654,595		2,379		(151,242		)	523,515
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 85,867,044 shares issued and outstanding as of December 31, 2018	859			—		—		—			859
Additional paid-in capital	965,578			661,686		321,761		(983,447		)	965,578
Cumulative distributions in excess of earnings	(198,190		)	124,344		163,194		(287,538		)	(198,190		)
Total equity	768,247			786,030		484,955		(1,270,985		)	768,247
Total liabilities and equity	$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2019

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	81,380	$	74,287	$	—		$	155,667
Independent living facilities	—		—		3,389		—			3,389
Interest and other income	—		3,001		1,344		—			4,345
Total revenues	—		84,381		79,020		—			163,401
Expenses:
Depreciation and amortization	—		30,436		21,386		—			51,822
Interest expense	—		28,125		—		—			28,125
Property taxes	—		2,887		161		—			3,048
Independent living facilities	—		—		2,898		—			2,898
Impairment of real estate investments	—		16,692		—		—			16,692
Provision for loan losses	—		1,076		—		—			1,076
General and administrative	4,218		10,868		72		—			15,158
Total expenses	4,218		90,084		24,517		—			118,819
Gain on sale of real estate	—		217		1,560		—			1,777
Income in Subsidiary	50,577		56,063		—		(106,640		)	—
Net income	$	46,359	$	50,577	$	56,063	$	(106,640	)	$	46,359

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2018

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	81,560	$	58,513	$	—		$	140,073
Tenant reimbursements	—		7,173		4,751		—			11,924
Independent living facilities	—		—		3,379		—			3,379
Interest and other income	—		1,369		196		—			1,565
Total revenues	—		90,102		66,839		—			156,941
Expenses:
Depreciation and amortization	—		27,553		18,213		—			45,766
Interest expense	—		27,860		—		—			27,860
Property taxes	—		7,173		4,751		—			11,924
Independent living facilities	—		—		2,964		—			2,964
General and administrative	3,856		8,623		76		—			12,555
Total expenses	3,856		71,209		26,004		—			101,069
Gain on sale of real estate	—		2,051		—		—			2,051
Income in Subsidiary	61,779		40,835		—		(102,614		)	—
Net income	$	57,923	$	61,779	$	40,835	$	(102,614	)	$	57,923

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2017

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	60,464	$	57,169	$	—		$	117,633
Tenant reimbursements	—		5,493		4,761		—			10,254
Independent living facilities	—		—		3,228		—			3,228
Interest and other income	—		215		1,652		—			1,867
Total revenues	—		66,172		66,810		—			132,982
Expenses:
Depreciation and amortization	—		20,048		19,111		—			39,159
Interest expense	—		24,196		—		—			24,196
Loss on the extinguishment of debt	—		11,883		—		—			11,883
Property taxes	—		5,493		4,761		—			10,254
Independent living facilities	—		—		2,733		—			2,733
Impairment of real estate investment	—		—		890		—			890
Reserve for advances and deferred rent	—		10,414		—		—			10,414
General and administrative	2,638		8,417		62		—			11,117
Total expenses	2,638		80,451		27,557		—			110,646
Gain on disposition of other real estate investment	—		—		3,538		—			3,538
Income in Subsidiary	28,512		42,791		—		(71,303		)	—
Net income	$	25,874	$	28,512	$	42,791	$	(71,303	)	$	25,874

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2019

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(114	)	$	49,681		$	76,728		$	—		$	126,295
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	—			(109,294		)	(212,164		)	—			(321,458		)
Improvements to real estate	—			(1,360		)	(1,992		)	—			(3,352		)
Purchases of equipment, furniture and fixtures	—			(2,933		)	(4		)	—			(2,937		)
Investment in real estate mortgage and other loans receivable	—			(18,246		)	—			—			(18,246		)
Principal payments received on real estate mortgage and other loans receivable	—			24,283			—			—			24,283
Repayment of other real estate investment	—			—			2,204			—			2,204
Net proceeds from sales of real estate	—			218			3,281			—			3,499
Distribution from Subsidiary	80,619			—			—			(80,619		)	—
Intercompany financing	(193,286		)	(131,947		)	—			325,233			—
Net cash used in investing activities	(112,667		)	(239,279		)	(208,675		)	244,614			(316,007		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	195,924			—			—			—			195,924
Proceeds from the issuance of senior unsecured term loan	—			200,000			—			—			200,000
Borrowings under unsecured revolving credit facility	—			243,000			—			—			243,000
Payments on unsecured revolving credit facility	—			(278,000		)	—			—			(278,000		)
Payments on senior unsecured term loan	—			(100,000		)	—			—			(100,000		)
Payments of deferred financing costs	—			(4,534		)	—			—			(4,534		)
Net-settle adjustment on restricted stock	(2,524		)	—			—			—			(2,524		)
Dividends paid on common stock	(80,619		)	—			—			—			(80,619		)
Distribution to Parent	—			(80,619		)	—			80,619			—
Intercompany financing	—			193,286			131,947			(325,233		)	—
Net cash provided by financing activities	112,781			173,133			131,947			(244,614		)	173,247
Net decrease in cash and cash equivalents	—			(16,465		)	—			—			(16,465		)
Cash and cash equivalents, beginning of period	—			36,792			—			—			36,792
Cash and cash equivalents, end of period	$	—		$	20,327		$	—		$	—		$	20,327

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2018

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(10	)	$	40,092		$	59,275		$	—		$	99,357
Cash flows from investing activities:
Acquisitions of real estate	—			(111,640		)	—			—			(111,640		)
Improvements to real estate	—			(7,204		)	(26		)	—			(7,230		)
Purchases of equipment, furniture and fixtures	—			(1,713		)	(69		)	—			(1,782		)
Investment in real estate mortgage and other loans receivable	—			(5,648		)	—			—			(5,648		)
Principal payments received on real estate mortgage and other loans receivable	—			3,227			—			—			3,227
Escrow deposit for acquisition of real estate	—			(5,000		)	—			—			(5,000		)
Net proceeds from the sale of real estate	—			13,004			—			—			13,004
Distribution from Subsidiary	62,999			—			—			(62,999		)	—
Intercompany financing	(178,584		)	59,180			—			119,404			—
Net cash used in investing activities	(115,585		)	(55,794		)	(95		)	56,405			(115,069		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	179,882			—			—			—			179,882
Borrowings under unsecured revolving credit facility	—			65,000			—			—			65,000
Payments on unsecured revolving credit facility	—			(135,000		)	—			—			(135,000		)
Net-settle adjustment on restricted stock	(1,288		)	—			—			—			(1,288		)
Dividends paid on common stock	(62,999		)	—			—			—			(62,999		)
Distribution to Parent	—			(62,999		)	—			62,999			—
Intercompany financing	—			178,584			(59,180		)	(119,404		)	—
Net cash provided by (used in) financing activities	115,595			45,585			(59,180		)	(56,405		)	45,595
Net increase in cash and cash equivalents	—			29,883			—			—			29,883
Cash and cash equivalents, beginning of period	—			6,909			—			—			6,909
Cash and cash equivalents, end of period	$	—		$	36,792		$	—		$	—		$	36,792

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2017

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(222	)	$	25,745		$	63,277		$	—		$	88,800
Cash flows from investing activities:
Acquisition of real estate	—			(296,517		)	—			—			(296,517		)
Improvements to real estate	—			(681		)	(67		)	—			(748		)
Purchases of equipment, furniture and fixtures	—			(309		)	(94		)	—			(403		)
Investment in real estate mortgage loan receivable	—			(12,416		)	—			—			(12,416		)
Sale of other real estate investment	—			—			7,500			—			7,500
Principal payments received on mortgage loan receivable	—			25			—			—			25
Distribution from Subsidiary	52,587			—			—			(52,587		)	—
Intercompany financing	(169,235		)	70,616			—			98,619			—
Net cash (used in) provided by investing activities	(116,648		)	(239,282		)	7,339			46,032			(302,559		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	170,323			—			—			—			170,323
Proceeds from the issuance of senior unsecured notes payable	—			300,000			—			—			300,000
Borrowings under unsecured revolving credit facility	—			238,000			—			—			238,000
Payments on senior unsecured notes payable	—			(267,639		)	—			—			(267,639		)
Payments on unsecured revolving credit facility	—			(168,000		)	—			—			(168,000		)
Net-settle adjustment on restricted stock	(866		)	—			—			—			(866		)
Payments of deferred financing costs	—			(6,063		)	—			—			(6,063		)
Dividends paid on common stock	(52,587		)	—			—			—			(52,587		)
Distribution to Parent	—			(52,587		)	—			52,587			—
Intercompany financing	—			169,235			(70,616		)	(98,619		)	—
Net cash provided by (used in) financing activities	116,870			212,946			(70,616		)	(46,032		)	213,168
Net decrease in cash and cash equivalents	—			(591		)	—			—			(591		)
Cash and cash equivalents, beginning of period	—			7,500			—			—			7,500
Cash and cash equivalents, end of period	$	—		$	6,909		$	—		$	—		$	6,909

Selected Quarterly Financial Data (Unaudited)

12 Months Ended

Dec. 31, 2019

Quarterly Financial Information Disclosure [Abstract]

Selected Quarterly Financial Data (Unaudited)

SELECTED QUARTERLY FINANCIAL DATA (UNAUDITED)

The following table presents selected quarterly financial data for the Company. This information has been prepared on a basis consistent with that of the Company’s audited consolidated financial statements. The Company’s quarterly results of operations for the periods presented are not necessarily indicative of future results of operations. This unaudited quarterly data should be read together with the accompanying consolidated financial statements and related notes thereto (in thousands, except per share amounts):



	For the Year Ended December 31, 2019
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
Operating data:
Total revenues	$	39,658	$	46,201	$	33,314		$	44,228
Net income (loss)	16,053		19,698		(10,054		)	20,662
Earnings per common share, basic	0.18		0.21		(0.11		)	0.22
Earnings per common share, diluted	0.18		0.21		(0.11		)	0.22
Other data:
Weighted-average number of common shares outstanding, basic	88,010		94,036		95,103			95,103
Weighted-average number of common shares outstanding, diluted	88,010		94,036		95,103			95,144
	For the Year Ended December 31, 2018
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
Operating data:
Total revenues	$	38,101	$	38,969	$	39,510		$	40,361
Net income	14,607		13,267		14,510			15,539
Earnings per common share, basic	0.19		0.17		0.18			0.18
Earnings per common share, diluted	0.19		0.17		0.18			0.18
Other data:
Weighted-average number of common shares outstanding, basic	75,504		76,374		81,490			84,059
Weighted-average number of common shares outstanding, diluted	75,504		76,374		81,490			84,084

Subsequent Events	12 Months Ended
Subsequent Events	Dec. 31, 2019
Subsequent Events [Abstract]
Subsequent Events	SUBSEQUENT EVENTS The Company evaluates subsequent events in accordance with ASC 855, Subsequent Events. The Company evaluates subsequent events up until the date the consolidated financial statements are issued. Recent Acquisitions In January 2020, the Company acquired one skilled nursing facility for approximately $18.7 million, which includes estimated capitalized acquisition costs. The facility was leased to an affiliate of the operator which developed the property, Cascadia Healthcare, LLC. The contractual initial annual cash rent from the acquisition is approximately $1.7 million. The acquisition was funded using borrowings under the Company’s Revolving Facility, cash on hand and a credit for the Company’s original equity investment in the facility and preferred returns thereon. See Note 4, Other Real Estate Investments, Net for further detail. In February 2020, the Company acquired one assisted living facility for approximately $7.4 million, which includes estimated capitalized acquisition costs. The facility was leased to an affiliate of Bayshire, LLC. The contractual initial annual cash rent from the acquisition is approximately $0.6 million. The acquisition was funded using borrowings under the Company’s Revolving Facility and cash on hand. Amended Agreements In January 2020, the Company amended its loan agreement secured by mortgages on the three skilled nursing facilities sold to CommuniCare, as discussed in Note 3, Real Estate Investments, Net. The amended agreement has a new maturity date of April 30, 2020. See Note 4, Other Real Estate Investments, Net for further detail. Asset Sales On February 14, 2020, the Company closed on the sale of the six Metron skilled nursing facilities which were held for sale as of December 31, 2019. In connection with the sale for $36.0 million, the Company received $3.5 million in cash and provided subsidiaries of Cascade Capital Group, LLC, the purchaser of the properties, with a short-term mortgage loan secured by these properties for $32.4 million. The mortgage loan bears interest at 7.5% and has a maturity date of March 31, 2020. The Company does not expect to record a material gain or loss in connection with the sale.

Schedule III - Real Estate Assets and Accumulated Depreciation

12 Months Ended

Dec. 31, 2019

SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]

SEC Schedule III, Real Estate and Accumulated Depreciation

SCHEDULE III

REAL ESTATE ASSETS AND ACCUMULATED DEPRECIATION

DECEMBER 31, 2019

(dollars in thousands)



					Initial Cost to Company						Gross Carrying Value
Description	Facility	Location	Encum.		Land		Building Improvs.		Costs Cap. Since Acq.		Land		Building Improvs.		Total (1)		Accum. Depr.			Const./Ren. Date	Acq. Date
Skilled Nursing Properties:
Ensign Highland LLC	Highland Manor	Phoenix, AZ	$	—	$	257	$	976	$	926	$	257	$	1,902	$	2,159	$	(1,223	)	2013	2000
Meadowbrook Health Associates LLC	Sabino Canyon	Tucson, AZ	—		425		3,716		1,940		425		5,656		6,081		(2,891		)	2012	2000
Terrace Holdings AZ LLC	Desert Terrace	Phoenix, AZ	—		113		504		971		113		1,475		1,588		(783		)	2004	2002
Rillito Holdings LLC	Catalina	Tucson, AZ	—		471		2,041		3,055		471		5,096		5,567		(2,759		)	2013	2003
Valley Health Holdings LLC	North Mountain	Phoenix, AZ	—		629		5,154		1,519		629		6,673		7,302		(3,523		)	2009	2004
Cedar Avenue Holdings LLC	Upland	Upland, CA	—		2,812		3,919		1,994		2,812		5,913		8,725		(3,276		)	2011	2005
Granada Investments LLC	Camarillo	Camarillo, CA	—		3,526		2,827		1,522		3,526		4,349		7,875		(2,409		)	2010	2005
Plaza Health Holdings LLC	Park Manor	Walla Walla, WA	—		450		5,566		1,055		450		6,621		7,071		(3,610		)	2009	2006
Mountainview Communitycare LLC	Park View Gardens	Santa Rosa, CA	—		931		2,612		653		931		3,265		4,196		(1,964		)	1963	2006
CM Health Holdings LLC	Carmel Mountain	San Diego, CA	—		3,028		3,119		2,071		3,028		5,190		8,218		(2,755		)	2012	2006
Polk Health Holdings LLC	Timberwood	Livingston, TX	—		60		4,391		1,167		60		5,558		5,618		(2,911		)	2009	2006
Snohomish Health Holdings LLC	Emerald Hills	Lynnwood, WA	—		741		1,663		1,998		741		3,661		4,402		(2,413		)	2009	2006
Cherry Health Holdings LLC	Pacific Care	Hoquiam, WA	—		171		1,828		2,038		171		3,866		4,037		(2,313		)	2010	2006
Golfview Holdings LLC	Cambridge SNF	Richmond, TX	—		1,105		3,110		1,067		1,105		4,177		5,282		(2,088		)	2007	2006
Tenth East Holdings LLC	Arlington Hills	Salt Lake City, UT	—		332		2,426		2,507		332		4,933		5,265		(2,771		)	2013	2006
Trinity Mill Holdings LLC	Carrollton	Carrollton, TX	—		664		2,294		902		664		3,196		3,860		(2,106		)	2007	2006
Cottonwood Health Holdings LLC	Holladay	Salt Lake City, UT	—		965		2,070		958		965		3,028		3,993		(2,120		)	2008	2007
Verde Villa Holdings LLC	Lake Village	Lewisville, TX	—		600		1,890		470		600		2,360		2,960		(1,330		)	2011	2007
Mesquite Health Holdings LLC	Willow Bend	Mesquite, TX	—		470		1,715		8,661		470		10,376		10,846		(6,512		)	2012	2007
Arrow Tree Health Holdings LLC	Arbor Glen	Glendora, CA	—		2,165		1,105		324		2,165		1,429		3,594		(938		)	1965	2007
Fort Street Health Holdings LLC	Draper	Draper, UT	—		443		2,394		759		443		3,153		3,596		(1,484		)	2008	2007
Trousdale Health Holdings LLC	Brookfield	Downey, CA	—		1,415		1,841		1,861		1,415		3,702		5,117		(1,878		)	2013	2007
Ensign Bellflower LLC	Rose Villa	Bellflower, CA	—		937		1,168		357		937		1,525		2,462		(866		)	2009	2007
RB Heights Health Holdings LLC	Osborn	Scottsdale, AZ	—		2,007		2,793		1,762		2,007		4,555		6,562		(2,340		)	2009	2008
San Corrine Health Holdings LLC	Salado Creek	San Antonio, TX	—		310		2,090		719		310		2,809		3,119		(1,384		)	2005	2008
Temple Health Holdings LLC	Wellington	Temple, TX	—		529		2,207		1,163		529		3,370		3,899		(1,680		)	2008	2008
Anson Health Holdings LLC	Northern Oaks	Abilene, TX	—		369		3,220		1,725		369		4,945		5,314		(2,351		)	2012	2008



Willits Health Holdings LLC	Northbrook	Willits, CA	—	490	1,231	500	490	1,731	2,221	(810	)	2011	2008
Lufkin Health Holdings LLC	Southland	Lufkin, TX	—	467	4,644	782	467	5,426	5,893	(1,476	)	1988	2009
Lowell Health Holdings LLC	Littleton	Littleton, CO	—	217	856	1,735	217	2,591	2,808	(1,276	)	2012	2009
Jefferson Ralston Holdings LLC	Arvada	Arvada, CO	—	280	1,230	834	280	2,064	2,344	(835	)	2012	2009
Lafayette Health Holdings LLC	Julia Temple	Englewood, CO	—	1,607	4,222	6,195	1,607	10,417	12,024	(4,507	)	2012	2009
Hillendahl Health Holdings LLC	Golden Acres	Dallas, TX	—	2,133	11,977	1,421	2,133	13,398	15,531	(5,005	)	1984	2009
Price Health Holdings LLC	Pinnacle	Price, UT	—	193	2,209	849	193	3,058	3,251	(994	)	2012	2009
Silver Lake Health Holdings LLC	Provo	Provo, UT	—	2,051	8,362	2,011	2,051	10,373	12,424	(2,903	)	2011	2009
Jordan Health Properties LLC	Copper Ridge	West Jordan, UT	—	2,671	4,244	1,507	2,671	5,751	8,422	(1,627	)	2013	2009
Regal Road Health Holdings LLC	Sunview	Youngstown, AZ	—	767	4,648	729	767	5,377	6,144	(1,875	)	2012	2009
Paredes Health Holdings LLC	Alta Vista	Brownsville, TX	—	373	1,354	190	373	1,544	1,917	(422	)	1969	2009
Expressway Health Holdings LLC	Veranda	Harlingen, TX	—	90	675	430	90	1,105	1,195	(407	)	2011	2009
Rio Grande Health Holdings LLC	Grand Terrace	McAllen, TX	—	642	1,085	870	642	1,955	2,597	(828	)	2012	2009
Fifth East Holdings LLC	Paramount	Salt Lake City, UT	—	345	2,464	1,065	345	3,529	3,874	(1,227	)	2011	2009
Emmett Healthcare Holdings LLC	River's Edge	Emmet, ID	—	591	2,383	69	591	2,452	3,043	(726	)	1972	2010
Burley Healthcare Holdings LLC	Parke View	Burley, ID	—	250	4,004	424	250	4,428	4,678	(1,451	)	2011	2010
Josey Ranch Healthcare Holdings LLC	Heritage Gardens	Carrollton, TX	—	1,382	2,293	478	1,382	2,771	4,153	(842	)	1996	2010
Everglades Health Holdings LLC	Victoria Ventura	Ventura, CA	—	1,847	5,377	682	1,847	6,059	7,906	(1,541	)	1990	2011
Irving Health Holdings LLC	Beatrice Manor	Beatrice, NE	—	60	2,931	245	60	3,176	3,236	(950	)	2011	2011
Falls City Health Holdings LLC	Careage Estates of Falls City	Falls City, NE	—	170	2,141	82	170	2,223	2,393	(604	)	1972	2011
Gillette Park Health Holdings LLC	Careage of Cherokee	Cherokee, IA	—	163	1,491	12	163	1,503	1,666	(515	)	1967	2011
Gazebo Park Health Holdings LLC	Careage of Clarion	Clarion, IA	—	80	2,541	97	80	2,638	2,718	(941	)	1978	2011
Oleson Park Health Holdings LLC	Careage of Ft. Dodge	Ft. Dodge, IA	—	90	2,341	759	90	3,100	3,190	(1,358	)	2012	2011
Arapahoe Health Holdings LLC	Oceanview	Texas City, TX	—	158	4,810	759	128	5,599	5,727	(1,811	)	2012	2011
Dixie Health Holdings LLC	Hurricane	Hurricane, UT	—	487	1,978	98	487	2,076	2,563	(468	)	1978	2011
Memorial Health Holdings LLC	Pocatello	Pocatello, ID	—	537	2,138	698	537	2,836	3,373	(968	)	2007	2011
Bogardus Health Holdings LLC	Whittier East	Whittier, CA	—	1,425	5,307	1,079	1,425	6,386	7,811	(2,042	)	2011	2011
South Dora Health Holdings LLC	Ukiah	Ukiah, CA	—	297	2,087	1,621	297	3,708	4,005	(2,011	)	2013	2011
Silverada Health Holdings LLC	Rosewood	Reno, NV	—	1,012	3,282	103	1,012	3,385	4,397	(714	)	1970	2011
Orem Health Holdings LLC	Orem	Orem, UT	—	1,689	3,896	3,235	1,689	7,131	8,820	(2,655	)	2011	2011
Renee Avenue Health Holdings LLC	Monte Vista	Pocatello, ID	—	180	2,481	966	180	3,447	3,627	(1,069	)	2013	2012
Stillhouse Health Holdings LLC	Stillhouse	Paris, TX	—	129	7,139	6	129	7,145	7,274	(954	)	2009	2012
Fig Street Health Holdings LLC	Palomar Vista	Escondido, CA	—	329	2,653	1,094	329	3,747	4,076	(1,530	)	2007	2012
Lowell Lake Health Holdings LLC	Owyhee	Owyhee, ID	—	49	1,554	29	49	1,583	1,632	(275	)	1990	2012
Queensway Health Holdings LLC	Atlantic Memorial	Long Beach, CA	—	999	4,237	2,331	999	6,568	7,567	(2,771	)	2008	2012
Long Beach Health Associates LLC	Shoreline	Long Beach, CA	—	1,285	2,343	2,172	1,285	4,515	5,800	(1,786	)	2013	2012



Kings Court Health Holdings LLC	Richland Hills	Ft. Worth, TX	—	193	2,311	318		193	2,629	2,822	(558	)	1965	2012
51st Avenue Health Holdings LLC	Legacy	Amarillo, TX	—	340	3,925	32		340	3,957	4,297	(781	)	1970	2013
Ives Health Holdings LLC	San Marcos	San Marcos, TX	—	371	2,951	274		371	3,225	3,596	(605	)	1972	2013
Guadalupe Health Holdings LLC	The Courtyard (Victoria East)	Victoria, TX	—	80	2,391	15		80	2,406	2,486	(368	)	2013	2013
49th Street Health Holdings LLC	Omaha	Omaha, NE	—	129	2,418	24		129	2,442	2,571	(547	)	1960	2013
Willows Health Holdings LLC	Cascade Vista	Redmond, WA	—	1,388	2,982	202		1,388	3,184	4,572	(796	)	1970	2013
Tulalip Bay Health Holdings LLC	Mountain View	Marysville, WA	—	1,722	2,642	(980	)	742	2,642	3,384	(572	)	1966	2013
Sky Holdings AZ LLC	Bella Vita Health and Rehabilitation Center	Glendale, AZ	—	228	1,124	1,380		228	2,504	2,731	(1,613	)	2004	2002
Lemon River Holdings LLC	Plymouth Tower	Riverside, CA	—	152	357	1,493		152	1,850	2,002	(1,040	)	2012	2009
CTR Partnership, L.P.	Bethany Rehabilitation Center	Lakewood, CO	—	1,668	15,375	56		1,668	15,431	17,099	(1,898	)	1989	2015
CTR Partnership, L.P.	Mira Vista Care Center	Mount Vernon, WA	—	1,601	7,425	—		1,601	7,425	9,026	(882	)	1989	2015
CTR Partnership, L.P.	Shoreline Health and Rehabilitation Center	Shoreline, WA	—	1,462	5,034	—		1,462	5,034	6,496	(577	)	1987	2015
CTR Partnership, L.P.	Shamrock Nursing and Rehabilitation Center	Dublin, GA	—	251	7,855	—		251	7,855	8,106	(884	)	2010	2015
CTR Partnership, L.P.	BeaverCreek Health and Rehab	Beavercreek, OH	—	892	17,159	13		892	17,172	18,064	(1,824	)	2014	2015
CTR Partnership, L.P.	Premier Estates of Cincinnati-Riverview	Cincinnati, OH	—	833	18,086	192		833	18,278	19,111	(1,947	)	1992	2015
CTR Partnership, L.P.	Englewood Health and Rehab	Englewood, OH	—	1,014	18,541	88		1,014	18,629	19,643	(1,991	)	1962	2015
CTR Partnership, L.P.	Portsmouth Health and Rehab	Portsmouth, OH	—	282	9,726	192		282	9,918	10,200	(1,067	)	2008	2015
CTR Partnership, L.P.	West Cove Care & Rehabilitation Center	Toledo, OH	—	93	10,365	—		93	10,365	10,458	(1,101	)	2007	2015
CTR Partnership, L.P.	BellBrook Health and Rehab	Bellbrook, OH	—	214	2,573	25		214	2,598	2,812	(275	)	2003	2015
CTR Partnership, L.P.	Xenia Health and Rehab	Xenia, OH	—	205	3,564	23		205	3,587	3,792	(380	)	1981	2015
CTR Partnership, L.P.	Jamestown Place Health and Rehab	Jamestown, OH	—	266	4,725	127		266	4,852	5,118	(522	)	1967	2015
CTR Partnership, L.P.	Casa de Paz	Sioux City, IA	—	119	7,727	—		119	7,727	7,846	(757	)	1974	2016
CTR Partnership, L.P.	Denison Care Center	Denison, IA	—	96	2,784	—		96	2,784	2,880	(273	)	2015	2016
CTR Partnership, L.P.	Garden View Care Center	Shenandoah, IA	—	105	3,179	—		105	3,179	3,284	(311	)	2013	2016
CTR Partnership, L.P.	Grandview Health Care Center	Dayton, IA	—	39	1,167	—		39	1,167	1,206	(114	)	2014	2016
CTR Partnership, L.P.	Grundy Care Center	Grundy Center, IA	—	65	1,935	—		65	1,935	2,000	(189	)	2011	2016
CTR Partnership, L.P.	Iowa City Rehab and Health Care Center	Iowa City, IA	—	522	5,690	—		522	5,690	6,212	(557	)	2014	2016
CTR Partnership, L.P.	Lenox Care Center	Lenox, IA	—	31	1,915	—		31	1,915	1,946	(188	)	2012	2016
CTR Partnership, L.P.	Osage	Osage, IA	—	126	2,255	—		126	2,255	2,381	(221	)	2014	2016
CTR Partnership, L.P.	Pleasant Acres Care Center	Hull, IA	—	189	2,544	—		189	2,544	2,733	(249	)	2014	2016
CTR Partnership, L.P.	Cedar Falls Health Care Center	Cedar Falls, IA	—	324	4,366	—		324	4,366	4,690	(409	)	2015	2016
CTR Partnership, L.P.	Premier Estates of Highlands	Norwood, OH	—	364	2,199	282		364	2,481	2,845	(217	)	2012	2016



CTR Partnership, L.P.	Shaw Mountain at Cascadia	Boise, ID	—	1,801	6,572	395	1,801	6,967	8,768	(705	)	1989	2016
CTR Partnership, L.P.	The Oaks	Petaluma, CA	—	3,646	2,873	110	3,646	2,983	6,629	(270	)	2015	2016
CTR Partnership, L.P.	Arbor Nursing Center	Lodi, CA	—	768	10,712	—	768	10,712	11,480	(915	)	1982	2016
CTR Partnership, L.P.	Broadmoor Medical Lodge	Rockwall, TX	—	1,232	22,152	—	1,232	22,152	23,384	(1,706	)	1984	2016
CTR Partnership, L.P.	Decatur Medical Lodge	Decatur, TX	—	990	24,909	—	990	24,909	25,899	(1,920	)	2013	2016
CTR Partnership, L.P.	Royse City Medical Lodge	Royse City, TX	—	606	14,660	—	606	14,660	15,266	(1,130	)	2009	2016
CTR Partnership, L.P.	Saline Care Nursing & Rehabilitation Center	Harrisburg, IL	—	1,022	5,713	—	1,022	5,713	6,735	(405	)	2009	2017
CTR Partnership, L.P.	Carrier Mills Nursing & Rehabilitation Center	Carrier Mills, IL	—	775	8,377	—	775	8,377	9,152	(593	)	1968	2017
CTR Partnership, L.P.	StoneBridge Nursing & Rehabilitation Center	Benton, IL	—	439	3,475	—	439	3,475	3,914	(246	)	2014	2017
CTR Partnership, L.P.	DuQuoin Nursing & Rehabilitation Center	DuQuoin, IL	—	511	3,662	—	511	3,662	4,173	(259	)	2014	2017
CTR Partnership, L.P.	Pinckneyville Nursing & Rehabilitation Center	Pinckneyville, IL	—	406	3,411	—	406	3,411	3,817	(242	)	2014	2017
CTR Partnership, L.P.	Wellspring Health and Rehabilitation of Cascadia	Nampa, ID	—	774	5,044	—	774	5,044	5,818	(336	)	2011	2017
CTR Partnership, L.P.	The Rio at Fox Hollow	Brownsville, TX	—	1,178	12,059	—	1,178	12,059	13,237	(779	)	2016	2017
CTR Partnership, L.P.	The Rio at Cabezon	Albuquerque, NM	—	2,055	9,749	—	2,055	9,749	11,804	(630	)	2016	2017
CTR Partnership, L.P.	Eldorado Rehab & Healthcare	Eldorado, IL	—	940	2,093	—	940	2,093	3,033	(131	)	1993	2017
CTR Partnership, L.P.	Secora Health and Rehabilitation of Cascadia	Portland, OR	—	1,481	2,216	—	1,481	2,216	3,697	(139	)	2012	2017
CTR Partnership, L.P.	Mountain Valley	Kellogg, ID	—	916	7,874	—	916	7,874	8,790	(459	)	1971	2017
CTR Partnership, L.P.	Caldwell Care	Caldwell, ID	—	906	7,020	—	906	7,020	7,926	(410	)	1947	2017
CTR Partnership, L.P.	Canyon West	Caldwell, ID	—	312	10,410	—	312	10,410	10,722	(607	)	1969	2017
CTR Partnership, L.P.	Lewiston Health and Rehabilitation	Lewiston, ID	—	625	12,087	—	625	12,087	12,712	(680	)	1964	2017
CTR Partnership, L.P.	The Orchards	Nampa, ID	—	785	8,923	—	785	8,923	9,708	(502	)	1958	2017
CTR Partnership, L.P.	Weiser Care	Weiser, ID	—	80	4,419	—	80	4,419	4,499	(249	)	1964	2017
CTR Partnership, L.P.	Aspen Park	Moscow, ID	—	698	5,092	274	698	5,366	6,064	(292	)	1965	2017
CTR Partnership, L.P.	Ridgmar Medical Lodge	Fort Worth, TX	—	681	6,587	1,256	681	7,843	8,524	(453	)	2006	2017
CTR Partnership, L.P.	Mansfield Medical Lodge	Mansfield, TX	—	607	4,801	1,171	607	5,972	6,579	(325	)	2006	2017
CTR Partnership, L.P.	Grapevine Medical Lodge	Grapevine, TX	—	1,602	4,536	891	1,602	5,427	7,029	(313	)	2006	2017
CTR Partnership, L.P.	Brookfield Health and Rehab	Battle Ground, WA	—	320	500	—	320	500	820	(29	)	2012	2017
CTR Partnership, L.P.	The Oaks at Forest Bay	Seattle, WA	—	6,347	815	—	6,347	815	7,162	(46	)	1997	2017
CTR Partnership, L.P.	The Oaks at Lakewood	Tacoma, WA	—	1,000	1,779	—	1,000	1,779	2,779	(100	)	1989	2017
CTR Partnership, L.P.	The Oaks at Timberline	Vancouver, WA	—	445	869	—	445	869	1,314	(49	)	1972	2017
CTR Partnership, L.P.	Providence Waterman Nursing Center	San Bernardino, CA	—	3,831	19,791	—	3,831	19,791	23,622	(1,113	)	1967	2017
CTR Partnership, L.P.	Providence Orange Tree	Riverside, CA	—	2,897	14,700	—	2,897	14,700	17,597	(827	)	1969	2017



CTR Partnership, L.P.	Providence Ontario	Ontario, CA	—	4,204	21,880	—	4,204	21,880	26,084	(1,231	)	1980	2017
CTR Partnership, L.P.	Greenville Nursing & Rehabilitation Center	Greenville, IL	—	188	3,972	—	188	3,972	4,160	(247	)	1973	2017
CTR Partnership, L.P.	Copper Ridge Health and Rehabilitation Center	Butte, MT	—	220	4,974	—	220	4,974	5,194	(262	)	2010	2018
CTR Partnership, L.P.	Prairie Heights Healthcare Center	Aberdeen, SD	—	1,372	7,491	—	1,372	7,491	8,863	(303	)	1965	2018
CTR Partnership, L.P.	The Meadows on University	Fargo, ND	—	989	3,275	—	989	3,275	4,264	(106	)	1966	2018
CTR Partnership, L.P.	The Suites - Parker	Parker, CO	—	1,178	17,857	—	1,178	17,857	19,035	(495	)	2012	2018
CTR Partnership, L.P.	Huntington Park Nursing Center	Huntington Park, CA	—	3,131	8,876	76	3,131	8,952	12,083	(207	)	1955	2019
CTR Partnership, L.P.	Shoreline Care Center	Oxnard, CA	—	1,699	9,004	—	1,699	9,004	10,703	(212	)	1962	2019
CTR Partnership, L.P.	Downey Care Center	Downey, CA	—	2,502	6,141	—	2,502	6,141	8,643	(145	)	1967	2019
CTR Partnership, L.P.	Courtyard Healthcare Center	Davis, CA	—	2,351	9,256	—	2,351	9,256	11,607	(222	)	1969	2019
Gulf Coast Buyer 1 LLC	Alpine Skilled Nursing and Rehabilitation	Ruston, LA	—	2,688	23,825	—	2,688	23,825	26,513	(475	)	2014	2019
Gulf Coast Buyer 1 LLC	The Bradford Skilled Nursing and Rehabilitation	Shreveport, LA	—	3,758	21,325	17	3,758	21,342	25,100	(425	)	1980	2019
Gulf Coast Buyer 1 LLC	Colonial Oaks Skilled Nursing and Rehabilitation	Bossier City, LA	—	1,635	21,180	—	1,635	21,180	22,815	(412	)	2013	2019
Gulf Coast Buyer 1 LLC	The Guest House Skilled Nursing and Rehabilitation	Shreveport, LA	—	3,437	20,889	184	3,437	21,073	24,510	(422	)	2006	2019
Gulf Coast Buyer 1 LLC	Pilgrim Manor Skilled Nursing and Rehabilitation	Bossier City, LA	—	2,979	24,617	—	2,979	24,617	27,596	(486	)	2008	2019
Gulf Coast Buyer 1 LLC	Shreveport Manor Skilled Nursing and Rehabilitation	Shreveport, LA	—	676	10,238	193	676	10,431	11,107	(198	)	2008	2019
Gulf Coast Buyer 1 LLC	Booker T. Washington Skilled Nursing and Rehabilitation	Shreveport, LA	—	2,452	9,148	113	2,452	9,261	11,713	(191	)	2013	2019
Gulf Coast Buyer 1 LLC	Legacy West Rehabilitation and Healthcare	Corsicana, TX	—	120	6,682	276	120	6,958	7,078	(141	)	2002	2019
Gulf Coast Buyer 1 LLC	Legacy at Jacksonville	Jacksonville, TX	—	173	7,481	52	173	7,533	7,706	(156	)	2006	2019
Gulf Coast Buyer 1 LLC	Pecan Tree Rehabilitation and Healthcare	Gainesville, TX	—	219	10,097	124	219	10,221	10,440	(202	)	1990	2019
Lakewest SNF Realty, LLC	Lakewest Rehabilitation and Skilled Care	Dallas, TX	—	—	6,905	—	—	6,905	6,905	(129	)	2011	2019
CTR Partnership, L.P.	Cascadia of Nampa	Nampa, ID	—	880	14,117	—	880	14,117	14,997	(219	)	2017	2019
CTR Partnership, L.P.	Valley Skilled Nursing	Modesto, CA	—	798	7,671	—	798	7,671	8,469	(50	)	2016	2019
			—	145,149	889,318	89,189	144,139	979,517	1,123,655	(162,361	)
Multi-Service Campus Properties:
Ensign Southland LLC	Southland Care	Norwalk, CA	—	966	5,082	2,213	966	7,295	8,261	(4,986	)	2011	1999
Wisteria Health Holdings LLC	Wisteria	Abilene, TX	—	746	9,903	290	746	10,193	10,939	(2,077	)	2008	2011
Mission CCRC LLC	St. Joseph's Villa	Salt Lake City, UT	—	1,962	11,035	464	1,962	11,499	13,461	(3,016	)	1994	2011



Wayne Health Holdings LLC	Careage of Wayne	Wayne, NE	—	130	3,061	122	130	3,183	3,313	(889	)	1978	2011
4th Street Holdings LLC	West Bend Care Center	West Bend, IA	—	180	3,352	—	180	3,352	3,532	(886	)	2006	2011
Big Sioux River Health Holdings LLC	Hillcrest Health	Hawarden, IA	—	110	3,522	75	110	3,597	3,707	(892	)	1974	2011
Prairie Health Holdings LLC	Colonial Manor of Randolph	Randolph, NE	—	130	1,571	22	130	1,593	1,723	(678	)	2011	2011
Salmon River Health Holdings LLC	Discovery Care Center	Salmon, ID	—	168	2,496	—	168	2,496	2,664	(463	)	2012	2012
CTR Partnership, L.P.	Centerville Campus	Dayton, OH	—	3,912	22,458	117	3,781	22,706	26,487	(2,432	)	2007	2015
CTR Partnership, L.P.	Liberty Nursing Center	Willard, OH	—	143	11,097	50	143	11,147	11,290	(1,195	)	1985	2015
CTR Partnership, L.P.	Premier Estates of Middletown	Middletown, OH	—	990	7,484	172	990	7,656	8,646	(822	)	1985	2015
CTR Partnership, L.P.	Premier Estates of Norwood Towers	Norwood, OH	—	1,316	10,071	499	1,316	10,570	11,886	(960	)	1991	2016
CTR Partnership, L.P.	Turlock Nursing and Rehabilitation Center	Turlock, CA	—	1,258	16,526	—	1,258	16,526	17,784	(1,412	)	1986	2016
CTR Partnership, L.P.	Bridgeport Medical Lodge	Bridgeport, TX	—	980	27,917	—	980	27,917	28,897	(2,152	)	2014	2016
CTR Partnership, L.P.	The Villas at Saratoga	Saratoga, CA	—	8,709	9,736	1,635	8,709	11,371	20,080	(346	)	2004	2018
CTR Partnership, L.P.	Madison Park Healthcare	Huntington, WV	—	601	6,385	—	601	6,385	6,986	(193	)	1924	2018
CTR Partnership, L.P.	Oakview Heights Nursing & Rehabilitation Center	Mt. Carmel, IL	—	298	8,393	—	298	8,393	8,691	(218	)	2004	2019
Gulf Coast Buyer 1 LLC	Spring Lake Skilled Nursing and Rehabilitation	Shreveport, LA	—	3,217	21,195	710	3,217	21,905	25,122	(431	)	2008	2019
Gulf Coast Buyer 1 LLC	The Village at Heritage Oaks	Corsicana, TX	—	143	11,429	196	143	11,625	11,768	(234	)	2007	2019
CTR Partnership, L.P.	City Creek Post-Acute and Assisted Living	Sacramento, CA	—	3,980	10,106	—	3,980	10,106	14,086	(69	)	1990	2019
			—	29,939	202,819	6,565	29,808	209,515	239,323	(24,351	)
Assisted and Independent Living Properties:
Avenue N Holdings LLC	Cambridge ALF	Rosenburg, TX	—	124	2,301	392	124	2,693	2,817	(1,276	)	2007	2006
Moenium Holdings LLC	Grand Court	Mesa, AZ	—	1,893	5,268	1,210	1,893	6,478	8,371	(3,232	)	1986	2007
Lafayette Health Holdings LLC	Chateau Des Mons	Englewood, CO	—	420	1,160	189	420	1,349	1,769	(395	)	2011	2009
Expo Park Health Holdings LLC	Canterbury Gardens	Aurora, CO	—	570	1,692	248	570	1,940	2,510	(772	)	1986	2010
Wisteria Health Holdings LLC	Wisteria IND	Abilene, TX	—	244	3,241	81	244	3,322	3,566	(1,297	)	2008	2011
Everglades Health Holdings LLC	Lexington	Ventura, CA	—	1,542	4,012	113	1,542	4,125	5,667	(811	)	1990	2011
Flamingo Health Holdings LLC	Desert Springs ALF	Las Vegas, NV	—	908	4,767	281	908	5,048	5,956	(2,248	)	1986	2011
18th Place Health Holdings LLC	Rose Court	Phoenix, AZ	—	1,011	2,053	490	1,011	2,543	3,554	(831	)	1974	2011
Boardwalk Health Holdings LLC	Park Place	Reno, NV	—	367	1,633	51	367	1,684	2,051	(452	)	1993	2012
Willows Health Holdings LLC	Cascade Plaza	Redmond, WA	—	2,835	3,784	395	2,835	4,179	7,014	(1,048	)	2013	2013
Lockwood Health Holdings LLC	Santa Maria	Santa Maria, CA	—	1,792	2,253	585	1,792	2,838	4,630	(1,086	)	1967	2013
Saratoga Health Holdings LLC	Lake Ridge	Orem, UT	—	444	2,265	176	444	2,441	2,885	(408	)	1995	2013
Sky Holdings AZ LLC	Desert Sky Assisted Living	Glendale, AZ	—	61	304	372	61	676	737	(435	)	2004	2002
Lemon River Holdings LLC	The Grove Assisted Living	Riverside, CA	—	342	802	3,360	342	4,162	4,504	(2,340	)	2012	2009



Mission CCRC LLC	St. Joseph's Villa IND	Salt Lake City, UT	—	411		2,312		258		411		2,570		2,981		(1,250		)	1994	2011
CTR Partnership, L.P.	Prelude Cottages of Woodbury	Woodbury, MN	—	430		6,714		—		430		6,714		7,144		(839		)	2011	2014
CTR Partnership, L.P.	English Meadows Senior Living Community	Christiansburg, VA	—	250		6,114		3		250		6,117		6,367		(765		)	2011	2014
CTR Partnership, L.P.	Bristol Court Assisted Living	Saint Petersburg, FL	—	645		7,322		13		645		7,335		7,980		(827		)	2010	2015
CTR Partnership, L.P.	Asbury Place Assisted Living	Pensacola, FL	—	212		4,992		72		212		5,064		5,276		(543		)	1997	2015
CTR Partnership, L.P.	New Haven Assisted Living of San Angelo	San Angelo, TX	—	284		4,478		—		284		4,478		4,762		(438		)	2012	2016
CTR Partnership, L.P.	Lamplight Inn of Fort Wayne	Fort Wayne, IN	—	452		8,703		—		452		8,703		9,155		(834		)	2015	2016
CTR Partnership, L.P.	Lamplight Inn of West Allis	West Allis, WI	—	97		6,102		—		97		6,102		6,199		(585		)	2013	2016
CTR Partnership, L.P.	Lamplight Inn of Baltimore	Baltimore, MD	—	—		3,697		—		—		3,697		3,697		(354		)	2014	2016
CTR Partnership, L.P.	Fort Myers Assisted Living	Fort Myers, FL	—	1,489		3,531		405		1,489		3,936		5,425		(353		)	1980	2016
CTR Partnership, L.P.	English Meadows Elks Home Campus	Bedford, VA	—	451		9,023		142		451		9,165		9,616		(865		)	2014	2016
CTR Partnership, L.P.	Croatan Village	New Bern, NC	—	312		6,919		—		312		6,919		7,231		(634		)	2010	2016
CTR Partnership, L.P.	Countryside Village	Pikeville, NC	—	131		4,157		—		131		4,157		4,288		(381		)	2011	2016
CTR Partnership, L.P.	The Pines of Clarkston	Village of Clarkston, MI	—	603		9,326		—		603		9,326		9,929		(835		)	2010	2016
CTR Partnership, L.P.	The Pines of Goodrich	Goodrich, MI	—	241		4,112		—		241		4,112		4,353		(368		)	2014	2016
CTR Partnership, L.P.	The Pines of Burton	Burton, MI	—	492		9,199		—		492		9,199		9,691		(824		)	2014	2016
CTR Partnership, L.P.	The Pines of Lapeer	Lapeer, MI	—	302		5,773		—		302		5,773		6,075		(517		)	2008	2016
CTR Partnership, L.P.	Arbor Place	Lodi, CA	—	392		3,605		—		392		3,605		3,997		(308		)	1984	2016
CTR Partnership, L.P.	Applewood of Brookfield	Brookfield, WI	—	493		14,002		—		493		14,002		14,495		(1,021		)	2013	2017
CTR Partnership, L.P.	Applewood of New Berlin	New Berlin, WI	—	356		10,812		—		356		10,812		11,168		(788		)	2016	2017
CTR Partnership, L.P.	Tangerine Cove of Brooksville	Brooksville, FL	—	995		927		161		995		1,088		2,083		(77		)	1984	2017
CTR Partnership, L.P.	Memory Care Cottages in White Bear Lake	White Bear Lake, MN	—	1,611		5,633		—		1,611		5,633		7,244		(352		)	2016	2017
CTR Partnership, L.P.	Culpeper	Culpepper, VA	—	318		3,897		69		318		3,966		4,284		(257		)	1997	2017
CTR Partnership, L.P.	Louisa	Louisa, VA	—	407		4,660		72		407		4,732		5,139		(313		)	2002	2017
CTR Partnership, L.P.	Warrenton	Warrenton, VA	—	1,238		7,247		85		1,238		7,332		8,570		(462		)	1999	2017
CTR Partnership, L.P.	Vista Del Lago	Escondido, CA	—	4,362		7,997		—		4,362		7,997		12,359		(70		)	2015	2019
			—	29,527		196,789		9,223		29,527		206,012		235,539		(31,491		)
Independent Living Properties:
Hillview Health Holdings LLC	Lakeland Hills	Dallas, TX	—	680		4,872		1,011		680		5,883		6,563		(2,156		)	1996	2011
			—	680		4,872		1,011		680		5,883		6,563		(2,156		)
			—	$	205,295	$	1,293,798	$	105,988	$	204,154	$	1,400,927	$	1,605,081	$	(220,359	)

(1) The aggregate cost of real estate for federal income tax purposes was $1.6 billion.

SCHEDULE III

REAL ESTATE ASSETS AND ACCUMULATED DEPRECIATION

DECEMBER 31, 2019

(dollars in thousands)



	Year Ended December 31,
Real estate:	2019			2018			2017
Balance at the beginning of the period	$	1,368,157		$	1,266,484		$	986,215
Acquisitions	318,070			106,208			280,477
Improvements	3,103			7,230			744
Impairment	(21,465		)	—			—
Sales of real estate	(62,784		)	(11,765		)	(952		)
Balance at the end of the period	$	1,605,081		$	1,368,157		$	1,266,484
Accumulated depreciation:
Balance at the beginning of the period	$	(185,926	)	$	(152,185	)	$	(121,797	)
Depreciation expense	(40,373		)	(34,676		)	(30,493		)
Impairment	5,220			—			—
Sales of real estate	720			935			105
Balance at the end of the period	$	(220,359	)	$	(185,926	)	$	(152,185	)

Schedule IV - Mortgage Loan on Real Estate

12 Months Ended

Dec. 31, 2019

SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]

Schedule IV - Mortgage Loan on Real Estate

SCHEDULE IV

MORTGAGE LOANS ON REAL ESTATE

DECEMBER 31, 2019

(dollars in thousands)



Description	Contractual Interest Rate		Maturity Date	Periodic Payment Terms	Prior Liens			Principal Balance		Book Value⁽³⁾		Carrying Amount of Loans Subject to Delinquent Principal or Interest

First Mortgage:
Ohio (3 SNF facilities)	10.0	%	2020	(1)	$	—		$	26,500	$	26,500	$	—

Third Mortgage:
California (1 SNF facility)	8.0	%	2019	(2)	5,500		⁽⁴⁾	3,000		3,000		3,000

Loan Loss Allowance					—			—		—		—
					$	5,500		$	29,500	$	29,500	$	3,000


(1)	Interest is due monthly, and principal is due at the maturity date.


(2)	Past due.


(3)	The aggregate cost of investments in real estate mortgage loans for federal income tax purposes was $29.5 million.


(4)	An estimate.

Changes in mortgage loans are summarized as follows:



	Year Ended December 31,
	2019			2018			2017

Balance at beginning of period	$	12,375		$	12,517		$	—
Additions during period:
New mortgage loans	40,889			—			12,542
Deductions during period:
Paydowns/Repayments	(23,764		)	(142		)	(25		)
Balance at end of period	$	29,500		$	12,375		$	12,517

Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2019

Accounting Policies [Abstract]

Basis of Presentation

The election of the package of practical expedients discussed above and the optional transition method allowed the Company not to reassess:


•	Whether any expired or existing contracts as of January 1, 2019 were leases or contained leases.


◦	This practical expedient is primarily applicable to entities that have contracts containing embedded leases. As of January 1, 2019, the Company had no such contracts; therefore, this practical expedient had no effect on the Company.


•	The lease classification for any leases expired or existing as of January 1, 2019.

◦

Lessor Accounting

Lessee Accounting

The Company has not recognized a right-of-use asset and/or lease liability for leases with a term of 12 months or less and without an option to purchase the underlying asset.

Estimates and Assumptions

Real Estate Acquisition Valuation

Impairment of Long-Lived Assets

Other Real Estate Investments

Prepaid expenses and other assets

Prepaid expenses and other assets—Prepaid expenses and other assets consist of prepaid expenses, deposits, pre-acquisition costs and other loans receivable.

Income Taxes

Real Estate Depreciation and Amortization



Building		25-40 years
Building improvements		10-25 years
Tenant improvements		Shorter of lease term or expected useful life
Integral equipment, furniture and fixtures		5 years
Identified intangible assets		Shorter of lease term or expected useful life

Cash and Cash Equivalents

Cash and Cash Equivalents—Cash and cash equivalents consist of bank term deposits and money market funds with original maturities of three months or less at time of purchase and therefore approximate fair value. The fair value of these investments is determined based on “Level 1” inputs, which consist of unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets. The Company places its cash and short-term investments with high credit quality financial institutions.The Company’s cash and cash equivalents balance periodically exceeds federally insurable limits. The Company monitors the cash balances in its operating accounts and adjusts the cash balances as appropriate; however, these cash balances could be impacted if the underlying financial institutions fail or are subject to other adverse conditions in the financial markets.

Deferred Financing Costs

Stock-Based Compensation

Concentration of Credit Risk

Segment Disclosures

Earnings (Loss) Per Share

Beds, Units, Occupancy and Other Measures

Recent Accounting Pronouncements


•	Package of practical expedients – provides that the Company is not required to reevaluate its existing or expired leases as of January 1, 2019, under the new lease ASUs.


•	Optional transition method practical expedient – allows the Company to apply the new lease ASUs prospectively from the adoption date of January 1, 2019.


•	Single component practical expedient – allows the Company to account for lease and non-lease components associated with that lease as a single component under the new lease ASUs, if certain criteria are met.

•

Short-term leases practical expedient – for the Company’s operating leases with a term of less than 12 months in which it is the lessee, this expedient allows the Company not to record on its balance sheet related lease liabilities and right-of-use assets.

Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2019

Accounting Policies [Abstract]

Summary of Estimated Useful Lives of Assets

The Company anticipates the estimated useful lives of its assets by class to be generally as follows:



Building		25-40 years
Building improvements		10-25 years
Tenant improvements		Shorter of lease term or expected useful life
Integral equipment, furniture and fixtures		5 years
Identified intangible assets		Shorter of lease term or expected useful life

Real Estate Investments, Net (Tables)

12 Months Ended

Dec. 31, 2019

Real Estate [Abstract]

Summary of Investment in Owned Properties

The following table summarizes the Company’s investment in owned properties at December 31, 2019 and December 31, 2018 (dollars in thousands):



	December 31, 2019			December 31, 2018
Land	$	204,154		$	166,948
Buildings and improvements	1,400,927			1,201,209
Integral equipment, furniture and fixtures	93,005			87,623
Identified intangible assets	1,650			2,382
Real estate investments	1,699,736			1,458,162
Accumulated depreciation and amortization	(285,536		)	(241,925		)
Real estate investments, net	$	1,414,200		$	1,216,237

Schedule of Total Future Minimum Rental Revenues

As of December 31, 2019, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):



Year	Amount
2020	$	168,394
2021	169,175
2022	169,272
2023	168,968
2024	169,069
Thereafter	1,144,102
	$	1,988,980

Schedule of Total Future Minimum Rental Revenues at Prior Year End

As of December 31, 2018, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):



Year	Amount
2019	$	146,010
2020	146,560
2021	147,132
2022	147,719
2023	148,169
Thereafter	1,055,012
	$	1,790,602

Schedule of Rental Income

The following table summarizes components of the Company’s rental income (dollars in thousands):



	For the Year Ended December 31, 2019
Rental Income
Contractual rent due⁽¹⁾	$	166,056
Straight-line rent	1,385
Adjustment for collectibility of rental income⁽²⁾	(11,774		)
Total	$	155,667


(1)	Initial cash rent including operating expense reimbursements adjusted for rental escalators and increases due to landlord funded capital improvements.

(2)

Schedule of Real Estate Acquisitions

The following table summarizes the Company’s acquisitions for the year ended December 31, 2019 (dollar amounts in thousands):



Type of Property	Purchase Price⁽¹⁾		Initial Annual Cash Rent⁽²⁾		Number of Properties	Number of Beds/Units⁽³⁾
Skilled nursing	$	254,760	$	22,909	17	2,099
Multi-service campuses	59,344		5,203		4	762
Assisted living	12,596		1,031		1	96
Total	$	326,700	$	29,143	22	2,957


(1)	Purchase price includes capitalized acquisition costs.


(2)	Initial annual cash rent excludes ground lease income.


(3)	The number of beds/units includes operating beds at acquisition date.

The following table summarizes the Company’s acquisitions for the year ended December 31, 2018 (dollar amounts in thousands):



Type of Property	Purchase Price⁽¹⁾			Initial Annual Cash Rent		Number of Properties		Number of Beds/Units⁽²⁾
Skilled nursing	$	85,814		$	7,715	10		926
Multi-service campuses	27,520		⁽³⁾	2,240		2		177
Assisted living	—			—		—		—
Total	$	113,334		$	9,955	$	12	1,103


(1)	Purchase price includes capitalized acquisition costs.


(2)	The number of beds/units includes operating beds at acquisition date.

(3)

The Company has committed to fund approximately $1.4 million in revenue-producing capital expenditures over the next 24 months based on the in-place lease yield, which is included in the purchase price.

Fair Value Measurements (Tables)

12 Months Ended

Dec. 31, 2019

Fair Value Disclosures [Abstract]

Summary of Fair Value of Financial Instruments

A summary of the face values, carrying amounts and fair values of the Company’s financial instruments as of December 31, 2019 and 2018 using Level 2 inputs, for the senior unsecured notes payable, and Level 3 inputs, for all other financial instruments, is as follows (dollars in thousands):



	December 31, 2019						December 31, 2018
	Face Value		Carrying Amount		Fair Value		Face Value		Carrying Amount		Fair Value
Financial assets:
Preferred equity investments	$	2,327	$	3,800	$	3,674	$	4,531	$	5,746	$	6,246
Mortgage loans receivable	29,500		29,500		29,500		12,375		12,299		12,375
Financial liabilities:
Senior unsecured notes payable	$	300,000	$	295,911	$	312,750	$	300,000	$	295,153	$	289,500

- Definition

Tabular disclosure of financial instruments measured at fair value, including those classified in shareholders' equity measured on a recurring or nonrecurring basis. Disclosures include, but are not limited to, fair value measurements recorded and the reasons for the measurements, level within the fair value hierarchy in which the fair value measurements are categorized and transfers between levels 1 and 2. Nonrecurring fair value measurements are those that are required or permitted in the statement of financial position in particular circumstances.

+ References + Details

Debt (Tables)

12 Months Ended

Dec. 31, 2019

Debt Disclosure [Abstract]

Schedule of Long-term Debt Instruments

The following table summarizes the balance of the Company’s indebtedness as of December 31, 2019 and 2018 (in thousands):



	December 31, 2019							December 31, 2018
	Principal		Deferred			Carrying		Principal		Deferred			Carrying
	Amount		Loan Fees			Value		Amount		Loan Fees			Value
Senior unsecured notes payable	$	300,000	$	(4,089	)	$	295,911	$	300,000	$	(4,847	)	$	295,153
Senior unsecured term loan	200,000		(1,287		)	198,713		100,000		(388		)	99,612
Unsecured revolving credit facility	60,000		—			60,000		95,000		—			95,000
	$	560,000	$	(5,376	)	$	554,624	$	495,000	$	(5,235	)	$	489,765

Schedule of Debt Maturities

As of December 31, 2019, the Company’s debt maturities were (dollars in thousands):



Year	Amount
2020	$	—
2021	—
2022	—
2023	60,000
2024	—
Thereafter	500,000
	$	560,000

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28541-108399

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21506-112644

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28551-108399

Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21521-112644

Reference 7: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21538-112644

Reference 8: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 470
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823

Reference 9: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=114775985&loc=d3e28878-108400

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21475-112644

+ Details

Equity (Tables)

12 Months Ended

Dec. 31, 2019

Equity [Abstract]

Summary of the At-The-Market Equity Offering Program

The following table summarizes the quarterly Prior ATM Program activity for 2019 and 2018 (in thousands, except per share amounts):



	For the Years Ended December 31,
	2019		2018
Number of shares	2,459		10,265
Average sales price per share	$	19.48	$	17.76
Gross proceeds⁽¹⁾	$	47,893	$	182,321

(1)

Total gross proceeds is before $0.6 million and $2.3 million, respectively, of commissions paid to the sales agents during the years ended December 31, 2019 and 2018 under the Prior ATM Program.

Summary of Dividends on Common Stock

The following table summarizes the cash dividends per share of common stock declared by the Company’s Board of Directors for 2019, 2018 and 2017 (dollars in thousands, except per share amounts):



	For the Three Months Ended
2019	March 31,		June 30,		September 30,		December 31,
Dividends declared	$	0.225	$	0.225	$	0.225	$	0.225
Dividends payment date	April 15, 2019		July 15, 2019		October 15, 2019		January 15, 2020
Dividends payable as of record date	$	20,011	$	21,508	$	21,500	$	21,500
Dividends record date	March 29, 2019		June 28, 2019		September 30, 2019		December 31, 2019

2018
Dividends declared	$	0.205	$	0.205	$	0.205	$	0.205
Dividends payment date	April 13, 2018		July 13, 2018		October 15, 2018		January 15, 2019
Dividends payable as of record date	$	15,608	$	16,224	$	17,196	$	17,710
Dividends record date	March 30, 2018		June 29, 2018		September 28, 2018		December 31, 2018

2017
Dividends declared	$	0.185	$	0.185	$	0.185	$	0.185
Dividends payment date	April 14, 2017		July 14, 2017		October 13, 2017		January 16, 2018
Dividends payable as of record date	$	13,421	$	14,047	$	14,045	$	14,043
Dividends record date	March 31, 2017		June 30, 2017		September 29, 2017		December 29, 2017

- Definition

Tabular disclosure of an entity's stock, including par or stated value per share, number and dollar amount of share subscriptions, shares authorized, shares issued, shares outstanding, number and dollar amount of shares held in an employee trust, dividend per share, total dividends, share conversion features, par value plus additional paid in capital, the value of treasury stock and other information necessary to a fair presentation, and EPS information. Stock by class includes common, convertible, and preferred stocks which are not redeemable or redeemable solely at the option of the issuer. Includes preferred stock with redemption features that are solely within the control of the issuer and mandatorily redeemable stock if redemption is required to occur only upon liquidation or termination of the reporting entity. If more than one issue is outstanding, state the title of each issue and the corresponding dollar amount; dollar amount of any shares subscribed but unissued and the deduction of subscriptions receivable there from; number of shares authorized, issued, and outstanding.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=65888546&loc=d3e21300-112643

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(28))
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 10
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21553-112644

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 480
-SubTopic 10
-Section S99
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=65877616&loc=d3e177068-122764

Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21538-112644

Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21521-112644

Reference 7: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(29))
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 8: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(d))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

Reference 9: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21488-112644

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.3-04)
-URI http://asc.fasb.org/extlink&oid=27012166&loc=d3e187085-122770

Reference 11: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21506-112644

Reference 12: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(27))
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 13: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21484-112644

Reference 14: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21475-112644

+ Details

Stock-Based Compensation (Tables)

12 Months Ended

Dec. 31, 2019

Share-based Payment Arrangement [Abstract]

Summary of Restricted Stock Award Activity

The following table summarizes restricted stock award and performance award activity for the years ended December 31, 2019 and 2018:



	Shares		Weighted Average Share Price
Unvested balance at December 31, 2017	422,911		$	14.19
Granted	287,982		15.25
Vested	(191,287	)	14.39
Forfeited	(334	)	15.21
Unvested balance at December 31, 2018	519,272		14.69
Granted	180,629		22.22
Vested	(247,534	)	14.50
Forfeited	(134	)	15.21
Unvested balance at December 31, 2019	452,233		$	17.90

Schedule of Stock-Based Compensation Expense

The following table summarizes the stock-based compensation expense recognized (dollars in thousands):



	For Year Ended December 31,
	2019		2018		2017
Stock-based compensation expense	$	4,104	$	3,848	$	2,416

Earnings Per Common Share (Tables)

12 Months Ended

Dec. 31, 2019

Earnings Per Share [Abstract]

Reconciliation of Weighted-Average Common Shares Outstanding Used in Calculation of Basic EPS to Diluted EPS



	Year Ended December 31,
	2019			2018			2017
Numerator:
Net income	$	46,359		$	57,923		$	25,874
Less: Net income allocated to participating securities	(296		)	(364		)	(354		)
Numerator for basic and diluted earnings available to common stockholders	$	46,063		$	57,559		$	25,520
Denominator:
Weighted-average basic common shares outstanding	93,088			79,386			72,647
Weighted-average diluted common shares outstanding	93,098			79,392			72,647

Earnings per common share, basic	$	0.49		$	0.73		$	0.35
Earnings per common share, diluted	$	0.49		$	0.72		$	0.35

Summarized Condensed Consolidating Information (Tables)

12 Months Ended

Dec. 31, 2019

Summarized Condensed Consolidating And Combining Information [Abstract]

Condensed Consolidating Balance Sheets

CONDENSED CONSOLIDATING BALANCE SHEETS

DECEMBER 31, 2019

(in thousands, except share and per share amounts)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—	$	894,830	$	519,370	$	—		$	1,414,200
Other real estate investments, net	—		29,500		3,800		—			33,300
Assets held for sale, net	—		34,590		—		—			34,590
Cash and cash equivalents	—		20,327		—		—			20,327
Accounts and other receivables, net	—		2,549		22		—			2,571
Prepaid expenses and other assets	—		10,847		3		—			10,850
Deferred financing costs, net	—		3,023		—		—			3,023
Investment in subsidiaries	949,275		541,019		—		(1,490,294		)	—
Intercompany	—		—		19,295		(19,295		)	—
Total assets	$	949,275	$	1,536,685	$	542,490	$	(1,509,589	)	$	1,518,861
Liabilities and Equity:
Senior unsecured notes payable, net	$	—	$	295,911	$	—	$	—		$	295,911
Senior unsecured term loan, net	—		198,713		—		—			198,713
Unsecured revolving credit facility	—		60,000		—		—			60,000
Accounts payable and accrued liabilities	—		13,491		1,471		—			14,962
Dividends payable	21,684		—		—		—			21,684
Intercompany	—		19,295		—		(19,295		)	—
Total liabilities	21,684		587,410		1,471		(19,295		)	591,270
Total equity	927,591		949,275		541,019		(1,490,294		)	927,591
Total liabilities and equity	$	949,275	$	1,536,685	$	542,490	$	(1,509,589	)	$	1,518,861

CONDENSED CONSOLIDATING BALANCE SHEETS

DECEMBER 31, 2018

(in thousands, except share and per share amounts)



	Parent Guarantor			Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—		$	887,921	$	328,316	$	—		$	1,216,237
Other real estate investments, net	—			12,299		5,746		—			18,045
Cash and cash equivalents	—			36,792		—		—			36,792
Accounts and other receivables, net	—			9,359		2,028		—			11,387
Prepaid expenses and other assets	—			8,666		2		—			8,668
Deferred financing costs, net	—			633		—		—			633
Investment in subsidiaries	786,030			484,955		—		(1,270,985		)	—
Intercompany	—			—		151,242		(151,242		)	—
Total assets	$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	$	—		$	295,153	$	—	$	—		$	295,153
Senior unsecured term loan, net	—			99,612		—		—			99,612
Unsecured revolving credit facility	—			95,000		—		—			95,000
Accounts payable and accrued liabilities	—			13,588		2,379		—			15,967
Dividends payable	17,783			—		—		—			17,783
Intercompany	—			151,242		—		(151,242		)	—
Total liabilities	17,783			654,595		2,379		(151,242		)	523,515
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 85,867,044 shares issued and outstanding as of December 31, 2018	859			—		—		—			859
Additional paid-in capital	965,578			661,686		321,761		(983,447		)	965,578
Cumulative distributions in excess of earnings	(198,190		)	124,344		163,194		(287,538		)	(198,190		)
Total equity	768,247			786,030		484,955		(1,270,985		)	768,247
Total liabilities and equity	$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762

Condensed Consolidating Income Statements

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2019

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	81,380	$	74,287	$	—		$	155,667
Independent living facilities	—		—		3,389		—			3,389
Interest and other income	—		3,001		1,344		—			4,345
Total revenues	—		84,381		79,020		—			163,401
Expenses:
Depreciation and amortization	—		30,436		21,386		—			51,822
Interest expense	—		28,125		—		—			28,125
Property taxes	—		2,887		161		—			3,048
Independent living facilities	—		—		2,898		—			2,898
Impairment of real estate investments	—		16,692		—		—			16,692
Provision for loan losses	—		1,076		—		—			1,076
General and administrative	4,218		10,868		72		—			15,158
Total expenses	4,218		90,084		24,517		—			118,819
Gain on sale of real estate	—		217		1,560		—			1,777
Income in Subsidiary	50,577		56,063		—		(106,640		)	—
Net income	$	46,359	$	50,577	$	56,063	$	(106,640	)	$	46,359

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2018

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	81,560	$	58,513	$	—		$	140,073
Tenant reimbursements	—		7,173		4,751		—			11,924
Independent living facilities	—		—		3,379		—			3,379
Interest and other income	—		1,369		196		—			1,565
Total revenues	—		90,102		66,839		—			156,941
Expenses:
Depreciation and amortization	—		27,553		18,213		—			45,766
Interest expense	—		27,860		—		—			27,860
Property taxes	—		7,173		4,751		—			11,924
Independent living facilities	—		—		2,964		—			2,964
General and administrative	3,856		8,623		76		—			12,555
Total expenses	3,856		71,209		26,004		—			101,069
Gain on sale of real estate	—		2,051		—		—			2,051
Income in Subsidiary	61,779		40,835		—		(102,614		)	—
Net income	$	57,923	$	61,779	$	40,835	$	(102,614	)	$	57,923

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE YEAR ENDED DECEMBER 31, 2017

(in thousands)



	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	60,464	$	57,169	$	—		$	117,633
Tenant reimbursements	—		5,493		4,761		—			10,254
Independent living facilities	—		—		3,228		—			3,228
Interest and other income	—		215		1,652		—			1,867
Total revenues	—		66,172		66,810		—			132,982
Expenses:
Depreciation and amortization	—		20,048		19,111		—			39,159
Interest expense	—		24,196		—		—			24,196
Loss on the extinguishment of debt	—		11,883		—		—			11,883
Property taxes	—		5,493		4,761		—			10,254
Independent living facilities	—		—		2,733		—			2,733
Impairment of real estate investment	—		—		890		—			890
Reserve for advances and deferred rent	—		10,414		—		—			10,414
General and administrative	2,638		8,417		62		—			11,117
Total expenses	2,638		80,451		27,557		—			110,646
Gain on disposition of other real estate investment	—		—		3,538		—			3,538
Income in Subsidiary	28,512		42,791		—		(71,303		)	—
Net income	$	25,874	$	28,512	$	42,791	$	(71,303	)	$	25,874

Condensed Consolidating Statements of Cash Flows

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2019

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(114	)	$	49,681		$	76,728		$	—		$	126,295
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied	—			(109,294		)	(212,164		)	—			(321,458		)
Improvements to real estate	—			(1,360		)	(1,992		)	—			(3,352		)
Purchases of equipment, furniture and fixtures	—			(2,933		)	(4		)	—			(2,937		)
Investment in real estate mortgage and other loans receivable	—			(18,246		)	—			—			(18,246		)
Principal payments received on real estate mortgage and other loans receivable	—			24,283			—			—			24,283
Repayment of other real estate investment	—			—			2,204			—			2,204
Net proceeds from sales of real estate	—			218			3,281			—			3,499
Distribution from Subsidiary	80,619			—			—			(80,619		)	—
Intercompany financing	(193,286		)	(131,947		)	—			325,233			—
Net cash used in investing activities	(112,667		)	(239,279		)	(208,675		)	244,614			(316,007		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	195,924			—			—			—			195,924
Proceeds from the issuance of senior unsecured term loan	—			200,000			—			—			200,000
Borrowings under unsecured revolving credit facility	—			243,000			—			—			243,000
Payments on unsecured revolving credit facility	—			(278,000		)	—			—			(278,000		)
Payments on senior unsecured term loan	—			(100,000		)	—			—			(100,000		)
Payments of deferred financing costs	—			(4,534		)	—			—			(4,534		)
Net-settle adjustment on restricted stock	(2,524		)	—			—			—			(2,524		)
Dividends paid on common stock	(80,619		)	—			—			—			(80,619		)
Distribution to Parent	—			(80,619		)	—			80,619			—
Intercompany financing	—			193,286			131,947			(325,233		)	—
Net cash provided by financing activities	112,781			173,133			131,947			(244,614		)	173,247
Net decrease in cash and cash equivalents	—			(16,465		)	—			—			(16,465		)
Cash and cash equivalents, beginning of period	—			36,792			—			—			36,792
Cash and cash equivalents, end of period	$	—		$	20,327		$	—		$	—		$	20,327

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2018

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(10	)	$	40,092		$	59,275		$	—		$	99,357
Cash flows from investing activities:
Acquisitions of real estate	—			(111,640		)	—			—			(111,640		)
Improvements to real estate	—			(7,204		)	(26		)	—			(7,230		)
Purchases of equipment, furniture and fixtures	—			(1,713		)	(69		)	—			(1,782		)
Investment in real estate mortgage and other loans receivable	—			(5,648		)	—			—			(5,648		)
Principal payments received on real estate mortgage and other loans receivable	—			3,227			—			—			3,227
Escrow deposit for acquisition of real estate	—			(5,000		)	—			—			(5,000		)
Net proceeds from the sale of real estate	—			13,004			—			—			13,004
Distribution from Subsidiary	62,999			—			—			(62,999		)	—
Intercompany financing	(178,584		)	59,180			—			119,404			—
Net cash used in investing activities	(115,585		)	(55,794		)	(95		)	56,405			(115,069		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	179,882			—			—			—			179,882
Borrowings under unsecured revolving credit facility	—			65,000			—			—			65,000
Payments on unsecured revolving credit facility	—			(135,000		)	—			—			(135,000		)
Net-settle adjustment on restricted stock	(1,288		)	—			—			—			(1,288		)
Dividends paid on common stock	(62,999		)	—			—			—			(62,999		)
Distribution to Parent	—			(62,999		)	—			62,999			—
Intercompany financing	—			178,584			(59,180		)	(119,404		)	—
Net cash provided by (used in) financing activities	115,595			45,585			(59,180		)	(56,405		)	45,595
Net increase in cash and cash equivalents	—			29,883			—			—			29,883
Cash and cash equivalents, beginning of period	—			6,909			—			—			6,909
Cash and cash equivalents, end of period	$	—		$	36,792		$	—		$	—		$	36,792

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2017

(in thousands)



	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(222	)	$	25,745		$	63,277		$	—		$	88,800
Cash flows from investing activities:
Acquisition of real estate	—			(296,517		)	—			—			(296,517		)
Improvements to real estate	—			(681		)	(67		)	—			(748		)
Purchases of equipment, furniture and fixtures	—			(309		)	(94		)	—			(403		)
Investment in real estate mortgage loan receivable	—			(12,416		)	—			—			(12,416		)
Sale of other real estate investment	—			—			7,500			—			7,500
Principal payments received on mortgage loan receivable	—			25			—			—			25
Distribution from Subsidiary	52,587			—			—			(52,587		)	—
Intercompany financing	(169,235		)	70,616			—			98,619			—
Net cash (used in) provided by investing activities	(116,648		)	(239,282		)	7,339			46,032			(302,559		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	170,323			—			—			—			170,323
Proceeds from the issuance of senior unsecured notes payable	—			300,000			—			—			300,000
Borrowings under unsecured revolving credit facility	—			238,000			—			—			238,000
Payments on senior unsecured notes payable	—			(267,639		)	—			—			(267,639		)
Payments on unsecured revolving credit facility	—			(168,000		)	—			—			(168,000		)
Net-settle adjustment on restricted stock	(866		)	—			—			—			(866		)
Payments of deferred financing costs	—			(6,063		)	—			—			(6,063		)
Dividends paid on common stock	(52,587		)	—			—			—			(52,587		)
Distribution to Parent	—			(52,587		)	—			52,587			—
Intercompany financing	—			169,235			(70,616		)	(98,619		)	—
Net cash provided by (used in) financing activities	116,870			212,946			(70,616		)	(46,032		)	213,168
Net decrease in cash and cash equivalents	—			(591		)	—			—			(591		)
Cash and cash equivalents, beginning of period	—			7,500			—			—			7,500
Cash and cash equivalents, end of period	$	—		$	6,909		$	—		$	—		$	6,909

Selected Quarterly Financial Data (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2019

Quarterly Financial Information Disclosure [Abstract]

Schedule of Selected Quarterly Financial Data

This unaudited quarterly data should be read together with the accompanying consolidated financial statements and related notes thereto (in thousands, except per share amounts):



	For the Year Ended December 31, 2019
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
Operating data:
Total revenues	$	39,658	$	46,201	$	33,314		$	44,228
Net income (loss)	16,053		19,698		(10,054		)	20,662
Earnings per common share, basic	0.18		0.21		(0.11		)	0.22
Earnings per common share, diluted	0.18		0.21		(0.11		)	0.22
Other data:
Weighted-average number of common shares outstanding, basic	88,010		94,036		95,103			95,103
Weighted-average number of common shares outstanding, diluted	88,010		94,036		95,103			95,144
	For the Year Ended December 31, 2018
	First Quarter		Second Quarter		Third Quarter			Fourth Quarter
Operating data:
Total revenues	$	38,101	$	38,969	$	39,510		$	40,361
Net income	14,607		13,267		14,510			15,539
Earnings per common share, basic	0.19		0.17		0.18			0.18
Earnings per common share, diluted	0.19		0.17		0.18			0.18
Other data:
Weighted-average number of common shares outstanding, basic	75,504		76,374		81,490			84,059
Weighted-average number of common shares outstanding, diluted	75,504		76,374		81,490			84,084

Organization - Narrative (Details) $ in Millions	12 Months Ended
Organization - Narrative (Details) $ in Millions	Dec. 31, 2019 USD ($) investment state unit facility loan bed
Real Estate Properties [Line Items]
Number of living facilities	217
Number of states with properties \| state	28
Number of preferred equity investments \| investment	1
Preferred equity investment \| $	$ 3.8
Number of mortgage loans receivable \| loan	2
Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans \| $	$ 29.5
Skilled Nursing, Assisted Living and Independent Living Facilities \| Assets Leased to Independent Operators
Real Estate Properties [Line Items]
Number of living facilities	216
Number of operational beds and units in facilities \| bed	21,963
Independent Living Facilities owned and operated by Company
Real Estate Properties [Line Items]
Number of living facilities	1
Number of units available in living facilities \| unit	168

Summary of Significant Accounting Policies - Narrative (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2019 USD ($) segment	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Accounting Policies [Abstract]
Tenant recoveries related to real estate taxes		$ 11,924	$ 10,254
Gross real estate taxes offset to rental income	$ 2,900
Adjustment for collectibility of rental income	11,774
Lease liability related to ground lease arrangements	$ 1,000
Weighted average remaining lease term (in years)	73 years
Accumulated amortization of deferred financing costs	$ 7,100	5,100
Stock-based compensation expense	$ 4,104	3,848	2,416
Number of reportable segments \| segment	1
Accounting Policies [Line Items]
Provision for loan losses	$ 1,076	$ 0	$ 0
Bridge loan \| Priority
Accounting Policies [Line Items]
Bridge loan funding in loans receivable	$ 1,400
Loan receivable interest rate (percent)	8.00%

Summary of Significant Accounting Policies - Estimated Useful Lives of Assets (Details)	12 Months Ended
	Dec. 31, 2019
Building \| Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	25 years
Building \| Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	40 years
Building Improvements \| Minimum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	10 years
Building Improvements \| Maximum
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	25 years
Integral Equipment, Furniture and Fixtures
Property, Plant and Equipment [Line Items]
Estimated useful life (in years)	5 years

Real Estate Investments, Net - Narrative (Details) $ in Millions	Dec. 31, 2019 USD ($) renewal_option facility
Investment [Line Items]
Number of living facilities	217
Independent Living Facilities owned and operated by Company
Investment [Line Items]
Number of living facilities	1
Ensign Master Leases
Investment [Line Items]
Number of facilities leased	85
Annualized rental revenues from master leases \| $	$ 53.4
Ensign Master Leases \| Minimum
Investment [Line Items]
Annualized revenue escalation rate (percent)	0.00%
Ensign Master Leases \| Maximum
Investment [Line Items]
Annualized revenue escalation rate (percent)	2.50%
PMG
Investment [Line Items]
Number of facilities leased	15
Initial lease term (in years)	15 years
Number of renewal options \| renewal_option	2
Lease renewal term (in years)	5 years
Annualized rental revenues from master leases \| $	$ 27.4
PMG \| Minimum
Investment [Line Items]
Annualized revenue escalation rate (percent)	0.00%
PMG \| Maximum
Investment [Line Items]
Annualized revenue escalation rate (percent)	3.00%
Various Other Operators
Investment [Line Items]
Number of facilities leased	116

Real Estate Investments, Net - Investment in Owned Properties (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Real Estate [Abstract]
Land	$ 204,154	$ 166,948
Buildings and improvements	1,400,927	1,201,209
Integral equipment, furniture and fixtures	93,005	87,623
Identified intangible assets	1,650	2,382
Real estate investments	1,699,736	1,458,162
Accumulated depreciation and amortization	(285,536)	(241,925)
Real estate investments, net	$ 1,414,200	$ 1,216,237

Real Estate Investments, Net - Future Minimum Rental Revenues (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Future Minimum Rental Revenues
2020	$ 168,394
2021	169,175
2022	169,272
2023	168,968
2024	169,069
Thereafter	1,144,102
Total	$ 1,988,980
Future Minimum Rental Revenues at Prior Year End
2019		$ 146,010
2020		146,560
2021		147,132
2022		147,719
2023		148,169
Thereafter		1,055,012
Total		$ 1,790,602

Real Estate Investments, Net - Rental Income (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2019 USD ($) operator	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Lessor, Lease, Description [Line Items]
Contractual rent due	$ 166,056
Straight-line rent	1,385	$ 2,333	$ 344
Adjustment for collectibility of rental income	(11,774)
Total rental income	$ 155,667
Number of operators for which collectability not probable \| operator	5
Contractual rent
Lessor, Lease, Description [Line Items]
Adjustment for collectibility of rental income	$ (7,800)
Straight-line rent
Lessor, Lease, Description [Line Items]
Adjustment for collectibility of rental income	(3,500)
Property taxes
Lessor, Lease, Description [Line Items]
Adjustment for collectibility of rental income	$ (500)

Real Estate Investments, Net - Recent Real Estate Acquisitions (Details) $ in Thousands	1 Months Ended	12 Months Ended
	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($) property unit	Dec. 31, 2018 USD ($) property unit
Business Acquisition [Line Items]
Purchase Price		$ 326,700	$ 113,334
Initial Annual Cash Rent		$ 29,143	$ 9,955
Number of Properties \| property		22	12
Number of Beds/Units \| unit		2,957	1,103
Skilled Nursing Properties
Business Acquisition [Line Items]
Purchase Price	$ 16,200	$ 254,760	$ 85,814
Initial Annual Cash Rent		$ 22,909	$ 7,715
Number of Properties \| property		17	10
Number of Beds/Units \| unit		2,099	926
Multi-Service Campus Properties
Business Acquisition [Line Items]
Purchase Price		$ 59,344	$ 27,520
Initial Annual Cash Rent		$ 5,203	$ 2,240
Number of Properties \| property		4	2
Number of Beds/Units \| unit		762	177
Funding commitment for revenue-producing capital expenditures			$ 1,400
Assisted Living Facility
Business Acquisition [Line Items]
Purchase Price		$ 12,596	0
Initial Annual Cash Rent		$ 1,031	$ 0
Number of Properties \| property		1	0
Number of Beds/Units \| unit		96	0

Real Estate Investments, Net - Lease Amendments (Details) $ in Thousands		3 Months Ended	12 Months Ended
	Oct. 01, 2019 USD ($) renewal_option facility bed	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Nov. 04, 2019 USD ($) renewal_option facility	Sep. 01, 2019 USD ($) property renewal_option	Aug. 16, 2019 property	Jul. 15, 2019 property	May 01, 2018
Real Estate [Line Items]
Initial annual cash rent \| $			$ 29,143	$ 9,955
Ensign
Real Estate [Line Items]
Number of facilities leased \| facility	85
Number of beds in leased facilities \| bed	8,908
Reduction to contractual annual cash rent as result of spin \| $	$ 7,800
Pennant
Real Estate [Line Items]
Number of facilities leased \| facility	11
Number of beds in leased facilities \| bed	1,151
Initial annual cash rent \| $	$ 7,800
Initial lease term (in years)	15 years
Number of renewal options \| renewal_option	2
Lease renewal term (in years)	5 years
Trillium \| Iowa
Real Estate [Line Items]
Properties in terminated master lease \| property								10
Properties covered in new master lease \| property							10
Trillium \| Ohio
Real Estate [Line Items]
Properties in terminated master lease \| property								7
Trillium \| Georgia
Real Estate [Line Items]
Properties in terminated master lease \| property								1
Properties covered in new master lease \| property							1
Accounts and Other Receivables
Real Estate [Line Items]
Write-off of accounts and straight-line rent receivable \| $		$ 3,800
Skilled Nursing Properties
Real Estate [Line Items]
Initial annual cash rent \| $			$ 22,909	$ 7,715
Skilled Nursing Properties \| Trillium \| Ohio
Real Estate [Line Items]
Properties in terminated master lease \| property								7
Skilled Nursing Properties \| Providence \| Ohio
Real Estate [Line Items]
Number of properties transferred \| property						4
Triple-net master lease \| Providence
Real Estate [Line Items]
Initial lease term (in years)						13 years
Number of renewal options \| renewal_option						2
Lease renewal term (in years)						5 years
Annual cash rent increase under amended lease \| $						$ 2,100
Trio Healthcare Master Lease
Real Estate [Line Items]
Initial lease term (in years)									15 years
Trio Healthcare Master Lease \| Trio
Real Estate [Line Items]
Number of facilities leased \| facility					7
Initial lease term (in years)					13 years
Number of renewal options \| renewal_option					2
Lease renewal term (in years)					5 years
Annual cash rent increase under amended lease \| $					$ 4,700

Real Estate Investments, Net - Pristine Lease Termination (Details) $ in Millions	May 01, 2018 USD ($) facility	Nov. 04, 2019	Feb. 27, 2018 property
Pristine Lease Termination Agreement
Real Estate [Line Items]
Number of properties \| property			9
Pristine Lease Termination Agreement \| Trio
Real Estate [Line Items]
Number of transitioned facilities	7
Pristine Lease Termination Agreement \| Hillstone Healthcare
Real Estate [Line Items]
Number of transitioned facilities	2
Trio and Hillstone Master Lease
Real Estate [Line Items]
Aggregate annual base rent due under master lease \| $	$ 10.0
Trio Healthcare Master Lease
Real Estate [Line Items]
Initial lease term (in years)	15 years
Trio Healthcare Master Lease \| Trio
Real Estate [Line Items]
Initial lease term (in years)		13 years
Hillstone Healthcare Master Lease
Real Estate [Line Items]
Initial lease term (in years)	12 years

Real Estate Investments, Net - Impairment of Real Estate Investments, Asset Sales and Assets Held for Sale (Details) $ in Thousands	3 Months Ended	12 Months Ended
	Sep. 30, 2019 USD ($) facility	Dec. 31, 2019 USD ($) unit facility	Dec. 31, 2018 USD ($) unit facility	Dec. 31, 2017 USD ($)	Sep. 01, 2019 USD ($) property	Jul. 15, 2019 property
Real Estate [Line Items]
Real estate investments, net		$ 1,414,200	$ 1,216,237
Net proceeds from sale		3,499	13,004	$ 0
Gain on sale of real estate		1,777	$ 2,051	$ 0
Skilled Nursing Properties \| Ohio
Real Estate [Line Items]
Number of properties sold \| property					3
Trillium \| Ohio
Real Estate [Line Items]
Properties in terminated master lease \| property						7
Trillium \| Skilled Nursing Properties \| Ohio
Real Estate [Line Items]
Properties in terminated master lease \| property						7
Trillium Skilled Nursing Facilities \| Disposed of by sale
Real Estate [Line Items]
Number of properties sold \| property					3
Contract purchase price					$ 28,000
Impairment expense to reduce carrying value to fair value less costs to sell	$ 7,800
Metron Skilled Nursing Facilities \| Held for sale
Real Estate [Line Items]
Number of properties held for sale \| facility	6
Impairment expense to reduce carrying value to fair value less costs to sell	$ 8,800
Assets held for sale, net		$ 34,600
Owned and Operated Living Facilities \| Disposed of by sale
Real Estate [Line Items]
Number of properties sold \| facility		1
Number of units available in living facilities \| unit		38
Real estate investments, net		$ 1,700
Net proceeds from sale		3,300
Gain on sale of real estate		1,600
Idaho Assisted Living Facilities \| Disposed of by sale
Real Estate [Line Items]
Number of properties sold \| facility			3
Number of units available in living facilities \| unit			102
Real estate investments, net			$ 10,900
Aggregate price of sale			13,000
Gain on sale of real estate			$ 2,100
Mortgage Loan Receivable
Real Estate [Line Items]
Mortgage loans		$ 29,500
Mortgage Loan Receivable \| CommuniCare
Real Estate [Line Items]
Facilities utilized to secure mortgage loan	3				3
Mortgage loans	$ 26,500				$ 26,500

Other Real Estate Investments, Net - Narrative (Details) $ in Thousands	1 Months Ended						12 Months Ended
	Jan. 31, 2020 USD ($) facility	Jul. 31, 2019 USD ($) bed	Jun. 30, 2019 USD ($)	Feb. 28, 2019 USD ($) extension_option facility	Sep. 30, 2016 USD ($) bed	Jul. 31, 2016 USD ($) bed	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Sep. 30, 2019 USD ($) facility	Sep. 01, 2019 USD ($) property	Oct. 31, 2017 USD ($)
Real Estate Properties [Line Items]
Preferred equity investment							$ 3,800
Aggregate purchase price							326,700	$ 113,334
Payment to acquire facility							321,458	111,640	$ 296,517
Return of initial investment							2,204	0	7,500
Cumulative contractual preferred return through acquisition date			$ 1,100
Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans							29,500
Interest income related to mortgage loans							3,000	1,200	200
Providence \| Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans												$ 12,500
Mortgage loan receivable interest rate (percent)												9.00%
Covenant Care \| Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans				$ 11,400
Mortgage loan receivable interest rate (percent)				9.00%
Facilities utilized to secure mortgage loan \| facility				5
Number of extension options \| extension_option				2
Extension option term (in months)				6 months
Manteca
Real Estate Properties [Line Items]
Purchase and sale agreement amount		$ 16,400
Manteca \| Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans		$ 3,000
Mortgage loan receivable interest rate (percent)		8.00%
Number of beds in facility utilized to secure loan \| bed		176
CommuniCare \| Mortgage Loan Receivable
Real Estate Properties [Line Items]
Mortgage loans										$ 26,500	$ 26,500
Mortgage loan receivable interest rate (percent)										10.00%
Facilities utilized to secure mortgage loan										3	3
Cascadia Development, Nampa ID
Real Estate Properties [Line Items]
Preferred equity investment						$ 2,200
Preferred equity instrument minimum yield						12.00%
Number of beds planned for construction \| bed						99
Initial lease yield (percent)						9.00%
Return of initial investment			2,200
Interest income related to preferred equity investments							600
Cascadia Development, Nampa ID \| Prime Rate
Real Estate Properties [Line Items]
Basis spread on preferred equity investment yield						9.50%
Cascadia Development, Boise ID
Real Estate Properties [Line Items]
Preferred equity investment					$ 2,300
Preferred equity instrument minimum yield					12.00%
Number of beds planned for construction \| bed					99
Initial lease yield (percent)					9.00%
Interest income related to preferred equity investments							700
Cascadia Development, Boise ID \| Prime Rate
Real Estate Properties [Line Items]
Basis spread on preferred equity investment yield					9.50%
Preferred Equity Investment
Real Estate Properties [Line Items]
Interest income related to preferred equity investments							1,300	200	$ 1,700
Recognition of unrecognized preferred return from prior periods							600
Skilled Nursing Properties
Real Estate Properties [Line Items]
Aggregate purchase price			16,200				$ 254,760	$ 85,814
Payment to acquire facility			$ 12,900
Subsequent Event
Real Estate Properties [Line Items]
Cumulative contractual preferred return through acquisition date	$ 1,400
Subsequent Event \| CommuniCare \| Mortgage Loan Receivable
Real Estate Properties [Line Items]
Facilities utilized to secure mortgage loan \| facility	3
Subsequent Event \| Cascadia Development, Boise ID
Real Estate Properties [Line Items]
Return of initial investment	$ 2,300
Subsequent Event \| Skilled Nursing Properties
Real Estate Properties [Line Items]
Aggregate purchase price	18,700
Payment to acquire facility	$ 15,000

Fair Value Measurements - Summary of Fair Value of Financial Instruments (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Financial assets:
Preferred equity investments - face value	$ 2,327	$ 4,531
Mortgage Loan Receivable
Financial assets:
Mortgage loans receivable - face value	29,500	12,375
Senior Unsecured Notes
Financial liabilities:
Senior unsecured notes payable - face value	300,000	300,000
Carrying Amount \| Level 2 \| Senior Unsecured Notes
Financial liabilities:
Senior unsecured notes payable	295,911	295,153
Carrying Amount \| Level 3
Financial assets:
Preferred equity investments	3,800	5,746
Carrying Amount \| Level 3 \| Mortgage Loan Receivable
Financial assets:
Mortgage loans receivable	29,500	12,299
Fair Value \| Level 2 \| Senior Unsecured Notes
Financial liabilities:
Senior unsecured notes payable	312,750	289,500
Fair Value \| Level 3
Financial assets:
Preferred equity investments	3,674	6,246
Fair Value \| Level 3 \| Mortgage Loan Receivable
Financial assets:
Mortgage loans receivable	$ 29,500	$ 12,375

Debt - Schedule of Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Debt Instrument [Line Items]
Principal Amount	$ 560,000	$ 495,000
Deferred Loan Fees	(5,376)	(5,235)
Carrying Value	554,624	489,765
Senior unsecured notes payable
Debt Instrument [Line Items]
Principal Amount	300,000	300,000
Deferred Loan Fees	(4,089)	(4,847)
Carrying Value	295,911	295,153
Senior unsecured term loan
Debt Instrument [Line Items]
Principal Amount	200,000	100,000
Deferred Loan Fees	(1,287)	(388)
Carrying Value	198,713	99,612
Unsecured revolving credit facility
Debt Instrument [Line Items]
Principal Amount	60,000	95,000
Deferred Loan Fees	0	0
Carrying Value	$ 60,000	$ 95,000

Debt - Senior Unsecured Notes Payable Narrative (Details) - USD ($)		12 Months Ended
	May 10, 2017	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Gross proceeds from issuance of senior notes		$ 200,000,000	$ 0	$ 0
Senior Unsecured Notes
Debt Instrument [Line Items]
Debt instrument face amount		$ 300,000,000	$ 300,000,000
Senior Unsecured Notes \| 5.25% Senior Notes due 2025
Debt Instrument [Line Items]
Debt instrument face amount	$ 300,000,000.0
Interest rate (percent)	5.25%
Redemption price of notes (percent)	100.00%
Gross proceeds from issuance of senior notes	$ 300,000,000.0
Net proceeds from issuance of senior notes	$ 294,000,000.0
Redemption price, percentage upon change of control (percent)	101.00%
Senior Unsecured Notes \| 5.25% Senior Notes due 2025 \| Debt Instrument, Redemption, Period One
Debt Instrument [Line Items]
Redemption price of notes (percent)	105.25%
Senior Unsecured Notes \| 5.25% Senior Notes due 2025 \| Debt Instrument, Redemption, Period One \| Maximum
Debt Instrument [Line Items]
Redemption price, percentage of principal amount (percent)	40.00%
Senior Unsecured Notes \| 5.25% Senior Notes due 2025 \| Debt Instrument, Redemption, Period One \| Minimum
Debt Instrument [Line Items]
Percentage of aggregate principal amount of notes outstanding (percent)	60.00%
Senior Unsecured Notes \| 5.875% Senior Notes due 2021
Debt Instrument [Line Items]
Interest rate (percent)	5.875%			5.875%
Redemption price of notes (percent)	102.938%			102.938%
Payments for redemption of senior notes	$ 260,000,000.0

Debt - Unsecured Revolving Credit Facility and Term Loan Narrative (Details)	Feb. 08, 2019 USD ($) extension_option	Feb. 01, 2016 USD ($) extension_option	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)
Line of Credit Facility [Line Items]
Principal outstanding			$ 560,000,000	$ 495,000,000
Borrowings outstanding			554,624,000	489,765,000
Revolving Credit Facility \| New Revolving Facility
Line of Credit Facility [Line Items]
Credit facility borrowing capacity	$ 600,000,000.0
Number of extension options \| extension_option	2
Revolving Credit Facility \| New Revolving Facility \| Maximum
Line of Credit Facility [Line Items]
Facility fee on revolving commitment fees (percent)	0.35%
Facility fee on revolving commitment fee based on investment grade ratings (percent)	0.30%
Revolving Credit Facility \| New Revolving Facility \| Maximum \| Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.55%
Revolving Credit Facility \| New Revolving Facility \| Maximum \| LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.55%
Revolving Credit Facility \| New Revolving Facility \| Minimum
Line of Credit Facility [Line Items]
Facility fee on revolving commitment fees (percent)	0.15%
Facility fee on revolving commitment fee based on investment grade ratings (percent)	0.125%
Revolving Credit Facility \| New Revolving Facility \| Minimum \| Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.10%
Revolving Credit Facility \| New Revolving Facility \| Minimum \| LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.10%
Letter of Credit
Line of Credit Facility [Line Items]
Subfacility capacity as percentage of available revolving commitments (percent)	10.00%
Swingline Loan
Line of Credit Facility [Line Items]
Subfacility capacity as percentage of available revolving commitments (percent)	10.00%
Revolving Facility
Line of Credit Facility [Line Items]
Principal outstanding			60,000,000	95,000,000
Borrowings outstanding			60,000,000	95,000,000
Revolving Facility \| Prior Term Loan
Line of Credit Facility [Line Items]
Credit facility borrowing capacity		$ 100,000,000.0
Credit facility prepayment premium in first year (percent)		2.00%
Credit facility prepayment premium in second year (percent)		1.00%
Revolving Facility \| Prior Revolving Facility
Line of Credit Facility [Line Items]
Credit facility borrowing capacity		$ 400,000,000.0
Credit facility uncommitted incremental facility		$ 250,000,000.0
Number of extension options \| extension_option		2
Extension option term (in months)		6 months
Unsecured Debt \| New Term Loan Feb 2019
Line of Credit Facility [Line Items]
Debt instrument face amount	$ 200,000,000.0
Unsecured Debt \| New Term Loan Feb 2019 \| Maximum \| Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.20%
Unsecured Debt \| New Term Loan Feb 2019 \| Maximum \| LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	2.20%
Unsecured Debt \| New Term Loan Feb 2019 \| Minimum \| Base Rate
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	0.50%
Unsecured Debt \| New Term Loan Feb 2019 \| Minimum \| LIBOR
Line of Credit Facility [Line Items]
Basis spread on variable rate (percent)	1.50%
Senior Unsecured Term Loan
Line of Credit Facility [Line Items]
Principal outstanding			200,000,000	100,000,000
Borrowings outstanding			$ 198,713,000	$ 99,612,000

Debt - Loss on Extinguishment of Debt (Details) - USD ($) $ in Millions		12 Months Ended
	May 10, 2017	Dec. 31, 2017
Debt Instrument [Line Items]
Loss on extinguishment of debt before write-off of deferred financing costs		$ 7.6
Write-off of deferred financing costs		$ 4.2
Senior Unsecured Notes \| 5.875% Senior Notes due 2021
Debt Instrument [Line Items]
Interest rate (percent)	5.875%	5.875%
Redemption price of notes (percent)	102.938%	102.938%

Debt - Schedule of Debt Maturities (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018
Debt, Fiscal Year Maturity [Abstract]
2020	$ 0
2021	0
2022	0
2023	60,000
2024	0
Thereafter	500,000
Total debt	$ 560,000	$ 495,000

Equity - Public Offering of Common Stock (Details) - USD ($) $ / shares in Units, $ in Thousands		12 Months Ended
	Apr. 15, 2019	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Class of Stock [Line Items]
Issuance of common stock, net (shares)	6,641,250
Common stock, par value (usd per share)	$ 0.01	$ 0.01	$ 0.01
Share price to the public (usd per share)	$ 23.35
Proceeds from the issuance of common stock, net	$ 149,000	$ 195,924	$ 179,882	$ 170,323
Over-Allotment Option
Class of Stock [Line Items]
Issuance of common stock, net (shares)	866,250

Equity - At-The-Market Offering (Details) - USD ($) $ / shares in Units, $ in Thousands		12 Months Ended
	Apr. 15, 2019	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Mar. 04, 2019
ATM Program Activity
Number of shares (shares)	6,641,250
Gross proceeds	$ 149,000	$ 195,924	$ 179,882	$ 170,323
ATM Program
Class of Stock [Line Items]
Remaining offering amount available		$ 300,000
ATM Program \| Maximum
Class of Stock [Line Items]
Authorized aggregate offering price of common stock					$ 300,000
Prior ATM Program
ATM Program Activity
Number of shares (shares)		2,459,000	10,265,000
Average sales price per share (usd per share)		$ 19.48	$ 17.76
Gross proceeds		$ 47,893	$ 182,321
Commissions paid on stock issuance		$ 600	$ 2,300

Equity - Dividends on Common Stock (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended												12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Equity [Abstract]
Dividends declared (usd per share)	$ 0.225	$ 0.225	$ 0.225	$ 0.225	$ 0.205	$ 0.205	$ 0.205	$ 0.205	$ 0.185	$ 0.185	$ 0.185	$ 0.185	$ 0.90	$ 0.82	$ 0.74
Dividends payment date	Jan. 15, 2020	Oct. 15, 2019	Jul. 15, 2019	Apr. 15, 2019	Jan. 15, 2019	Oct. 15, 2018	Jul. 13, 2018	Apr. 13, 2018	Jan. 16, 2018	Oct. 13, 2017	Jul. 14, 2017	Apr. 14, 2017
Dividends payable as of record date	$ 21,500	$ 21,500	$ 21,508	$ 20,011	$ 17,710	$ 17,196	$ 16,224	$ 15,608	$ 14,043	$ 14,045	$ 14,047	$ 13,421	$ 21,500	$ 17,710	$ 14,043
Dividends record date	Dec. 31, 2019	Sep. 30, 2019	Jun. 28, 2019	Mar. 29, 2019	Dec. 31, 2018	Sep. 28, 2018	Jun. 29, 2018	Mar. 30, 2018	Dec. 29, 2017	Sep. 29, 2017	Jun. 30, 2017	Mar. 31, 2017

Stock-Based Compensation - Summary of Restricted Stock Awards (Details) - Restricted Stock Award and Performance Award - $ / shares	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Shares
Unvested, beginning balance (shares)	519,272	422,911
Granted (shares)	180,629	287,982
Vested (shares)	(247,534)	(191,287)
Forfeited (shares)	(134)	(334)
Unvested, ending balance (shares)	452,233	519,272
Weighted Average Share Price
Unvested, beginning balance (usd per share)	$ 14.69	$ 14.19
Granted (usd per share)	22.22	15.25
Vested (usd per share)	14.50	14.39
Forfeited (usd per share)	15.21	15.21
Unvested, ending balance (usd per share)	$ 17.90	$ 14.69

Stock-Based Compensation - Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Share-based Payment Arrangement [Abstract]
Stock-based compensation expense	$ 4,104	$ 3,848	$ 2,416

Stock-Based Compensation - Narrative (Details) $ / shares in Units, $ in Millions		1 Months Ended				12 Months Ended
	Jun. 01, 2014 company shares	May 31, 2019 $ / shares shares	Feb. 28, 2019 installment $ / shares shares	May 31, 2018 $ / shares shares	Feb. 28, 2018 installment $ / shares shares	Dec. 31, 2019 USD ($) shares	Dec. 31, 2018 shares	Dec. 31, 2017 shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of separate and independent companies after spin-off \| company	2
Restricted Stock Award and Performance Award
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unamortized stock-based compensation expense related to unvested awards \| $						$ 4.3
Weighted average remaining vesting period related to expense recognition (in years)						2 years 1 month 6 days
Shares vested (shares)						247,534	191,287
Shares forfeited (shares)						134	334
Unvested stock awards outstanding (shares)						452,233	519,272	422,911
Number of shares granted (shares)						180,629	287,982
Restricted Stock Award \| Ensign Employees
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted stock award conversion ratio related to the spin-off	1
Stock awards unvested during spin-off (shares)	207,580
Shares vested (shares)						0
Shares forfeited (shares)						0
Unvested stock awards outstanding (shares)						1,760
Restricted Stock Award \| Officers and Employees
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares granted (shares)			91,440		141,060
Grant date fair market value (usd per share) \| $ / shares			$ 22.00		$ 15.13
Number of equal annual vesting installments \| installment			4		4
Restricted Stock Award \| Director
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares granted (shares)		17,749		26,462
Grant date fair market value (usd per share) \| $ / shares		$ 24.23		$ 16.44
Performance Stock Award
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting metric, Normalized Funds from Operations, minimum (percent)			5.00%		6.00%
Performance Stock Award \| Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)			1 year		1 year
Performance Stock Award \| Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)			4 years		4 years
Performance Stock Award \| Officer
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares granted (shares)			71,440		120,460
Grant date fair market value (usd per share) \| $ / shares			$ 22.00		$ 15.13

Earnings Per Common Share - Calculation of basic and diluted EPS (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Numerator:
Net income	$ 20,662	$ (10,054)	$ 19,698	$ 16,053	$ 15,539	$ 14,510	$ 13,267	$ 14,607	$ 46,359	$ 57,923	$ 25,874
Less: Net income allocated to participating securities									(296)	(364)	(354)
Numerator for basic and diluted earnings available to common stockholders									$ 46,063	$ 57,559	$ 25,520
Denominator:
Weighted-average basic common shares outstanding (shares)	95,103	95,103	94,036	88,010	84,059	81,490	76,374	75,504	93,088	79,386	72,647
Weighted-average diluted common shares outstanding (shares)	95,144	95,103	94,036	88,010	84,084	81,490	76,374	75,504	93,098	79,392	72,647
Earnings per common share, basic (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.73	$ 0.35
Earnings per common share, diluted (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.72	$ 0.35

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04(19))
-URI http://asc.fasb.org/extlink&oid=116637232&loc=SL114874131-224263

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=117326831&loc=d3e1337-109256

Reference 3: http://www.xbrl.org/2003/role/exampleRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 55
-Paragraph 52
-URI http://asc.fasb.org/extlink&oid=117327953&loc=d3e4984-109258

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 220
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03(21))
-URI http://asc.fasb.org/extlink&oid=116634182&loc=SL114868664-224227

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 250
-SubTopic 10
-Section 50
-Paragraph 11
-URI http://asc.fasb.org/extlink&oid=109234566&loc=d3e22694-107794

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=6371337&loc=d3e3550-109257

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=117326831&loc=d3e1252-109256

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-04(23))
-URI http://asc.fasb.org/extlink&oid=116637391&loc=SL114874048-224260

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 60B
-Subparagraph (d)
-URI http://asc.fasb.org/extlink&oid=117326831&loc=SL5780133-109256

+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 55
-Paragraph 52
-URI http://asc.fasb.org/extlink&oid=117327953&loc=d3e4984-109258

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=117326831&loc=d3e1252-109256

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=6371337&loc=d3e3550-109257

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-04(23))
-URI http://asc.fasb.org/extlink&oid=116637391&loc=SL114874048-224260

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 250
-SubTopic 10
-Section 50
-Paragraph 11
-URI http://asc.fasb.org/extlink&oid=109234566&loc=d3e22694-107794

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=117326831&loc=d3e1337-109256

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 220
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03(21))
-URI http://asc.fasb.org/extlink&oid=116634182&loc=SL114868664-224227

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 45
-Paragraph 60B
-Subparagraph (d)
-URI http://asc.fasb.org/extlink&oid=117326831&loc=SL5780133-109256

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04(19))
-URI http://asc.fasb.org/extlink&oid=116637232&loc=SL114874131-224263

+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References + Details

Commitments and Contingencies - Narrative (Details) $ in Millions	Dec. 31, 2019 USD ($)
Other Commitments [Line Items]
Aggregate required financing of capital expenditures as percentage of initial investment in property (percent)	20.00%
Expansion, construction and capital improvements at triple-net leased facilities
Other Commitments [Line Items]
Funding commitment	$ 13.5
Portion of funding commitments subject to rent increase at time of funding	$ 11.8

Concentration of Risk - Narrative (Details)	12 Months Ended
Concentration of Risk - Narrative (Details)	Dec. 31, 2019 state facility bed	Dec. 31, 2018	Dec. 31, 2017
Concentration Risk [Line Items]
Number of living facilities	217
Skilled Nursing, Assisted Living and Independent Living Facilities \| Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of living facilities	216
Number of operational beds and units in facilities \| bed	21,963
Ensign
Concentration Risk [Line Items]
Description of highest concentration of properties	The four states in which Ensign leases the highest concentration of properties are California, Texas, Utah and Arizona.
Number of states where Ensign leases the highest concentration of properties \| state	4
Ensign \| Customer Concentration Risk \| Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Concentration risk (percent)	38.00%	42.00%	49.00%
PMG \| Customer Concentration Risk \| Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Concentration risk (percent)	15.00%	8.00%	8.00%
Ensign \| Skilled Nursing, Assisted Living and Independent Living Facilities \| Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of living facilities	85
Number of operational beds and units in facilities \| bed	8,908
PMG \| Skilled Nursing, Assisted Living and Independent Living Facilities \| Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of living facilities	15
Number of operational beds and units in facilities \| bed	2,145

Summarized Condensed Consolidating Information - Condensed Consolidating Balance Sheets (Details) - USD ($) $ in Thousands	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Assets:
Real estate investments, net	$ 1,414,200	$ 1,216,237
Other real estate investments, net	33,300	18,045
Assets held for sale, net	34,590	0
Cash and cash equivalents	20,327	36,792	$ 6,909
Accounts and other receivables, net	2,571	11,387
Prepaid expenses and other assets	10,850	8,668
Deferred financing costs, net	3,023	633
Investment in subsidiaries	0	0
Intercompany	0	0
Total assets	1,518,861	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	295,911	295,153
Senior unsecured term loan, net	198,713	99,612
Unsecured revolving credit facility	60,000	95,000
Accounts payable and accrued liabilities	14,962	15,967
Dividends payable	21,684	17,783
Intercompany	0	0
Total liabilities	591,270	523,515
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively	951	859
Additional paid-in capital	1,162,990	965,578
Cumulative distributions in excess of earnings	(236,350)	(198,190)
Total equity	927,591	768,247	594,617	$ 452,430
Total liabilities and equity	1,518,861	1,291,762
Reportable Legal Entities \| Parent Guarantor
Assets:
Real estate investments, net	0	0
Other real estate investments, net	0	0
Assets held for sale, net	0
Cash and cash equivalents	0	0	0
Accounts and other receivables, net	0	0
Prepaid expenses and other assets	0	0
Deferred financing costs, net	0	0
Investment in subsidiaries	949,275	786,030
Intercompany	0	0
Total assets	949,275	786,030
Liabilities and Equity:
Senior unsecured notes payable, net	0	0
Senior unsecured term loan, net	0	0
Unsecured revolving credit facility	0	0
Accounts payable and accrued liabilities	0	0
Dividends payable	21,684	17,783
Intercompany	0	0
Total liabilities	21,684	17,783
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively		859
Additional paid-in capital		965,578
Cumulative distributions in excess of earnings		(198,190)
Total equity	927,591	768,247
Total liabilities and equity	949,275	786,030
Reportable Legal Entities \| Issuers
Assets:
Real estate investments, net	894,830	887,921
Other real estate investments, net	29,500	12,299
Assets held for sale, net	34,590
Cash and cash equivalents	20,327	36,792	6,909
Accounts and other receivables, net	2,549	9,359
Prepaid expenses and other assets	10,847	8,666
Deferred financing costs, net	3,023	633
Investment in subsidiaries	541,019	484,955
Intercompany	0	0
Total assets	1,536,685	1,440,625
Liabilities and Equity:
Senior unsecured notes payable, net	295,911	295,153
Senior unsecured term loan, net	198,713	99,612
Unsecured revolving credit facility	60,000	95,000
Accounts payable and accrued liabilities	13,491	13,588
Dividends payable	0	0
Intercompany	19,295	151,242
Total liabilities	587,410	654,595
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively		0
Additional paid-in capital		661,686
Cumulative distributions in excess of earnings		124,344
Total equity	949,275	786,030
Total liabilities and equity	1,536,685	1,440,625
Reportable Legal Entities \| Combined Subsidiary Guarantors
Assets:
Real estate investments, net	519,370	328,316
Other real estate investments, net	3,800	5,746
Assets held for sale, net	0
Cash and cash equivalents	0	0	0
Accounts and other receivables, net	22	2,028
Prepaid expenses and other assets	3	2
Deferred financing costs, net	0	0
Investment in subsidiaries	0	0
Intercompany	19,295	151,242
Total assets	542,490	487,334
Liabilities and Equity:
Senior unsecured notes payable, net	0	0
Senior unsecured term loan, net	0	0
Unsecured revolving credit facility	0	0
Accounts payable and accrued liabilities	1,471	2,379
Dividends payable	0	0
Intercompany	0	0
Total liabilities	1,471	2,379
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively		0
Additional paid-in capital		321,761
Cumulative distributions in excess of earnings		163,194
Total equity	541,019	484,955
Total liabilities and equity	542,490	487,334
Elimination
Assets:
Real estate investments, net	0	0
Other real estate investments, net	0	0
Assets held for sale, net	0
Cash and cash equivalents	0	0	$ 0
Accounts and other receivables, net	0	0
Prepaid expenses and other assets	0	0
Deferred financing costs, net	0	0
Investment in subsidiaries	(1,490,294)	(1,270,985)
Intercompany	(19,295)	(151,242)
Total assets	(1,509,589)	(1,422,227)
Liabilities and Equity:
Senior unsecured notes payable, net	0	0
Senior unsecured term loan, net	0	0
Unsecured revolving credit facility	0	0
Accounts payable and accrued liabilities	0	0
Dividends payable	0	0
Intercompany	(19,295)	(151,242)
Total liabilities	(19,295)	(151,242)
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of December 31, 2019 and December 31, 2018, respectively		0
Additional paid-in capital		(983,447)
Cumulative distributions in excess of earnings		(287,538)
Total equity	(1,490,294)	(1,270,985)
Total liabilities and equity	$ (1,509,589)	$ (1,422,227)

Summarized Condensed Consolidating Information - Condensed Consolidating Balance Sheets Shares Data (Details) - $ / shares	Dec. 31, 2019	Apr. 15, 2019	Dec. 31, 2018
Summarized Condensed Consolidating And Combining Information [Abstract]
Common stock, par value (usd per share)	$ 0.01	$ 0.01	$ 0.01
Common stock, authorized (shares)	500,000,000		500,000,000
Common stock, issued (shares)	95,103,270		85,867,044
Common stock, outstanding (shares)	95,103,270		85,867,044

Summarized Condensed Consolidating Information - Condensed Consolidating Income Statements (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Revenues:
Rental income									$ 155,667
Rental income										$ 140,073	$ 117,633
Tenant reimbursements										11,924	10,254
Independent living facilities									3,389	3,379	3,228
Interest and other income									4,345	1,565	1,867
Total revenues	$ 44,228	$ 33,314	$ 46,201	$ 39,658	$ 40,361	$ 39,510	$ 38,969	$ 38,101	163,401	156,941	132,982
Expenses:
Depreciation and amortization									51,822	45,766	39,159
Interest expense									28,125	27,860	24,196
Loss on the extinguishment of debt									0	0	11,883
Property taxes									3,048	11,924	10,254
Independent living facilities									2,898	2,964	2,733
Impairment of real estate investments									16,692	0	890
Provision for loan losses									1,076	0	0
Reserve for advances and deferred rent									0	0	10,414
General and administrative									15,158	12,555	11,117
Total expenses									118,819	101,069	110,646
Gain on sale of real estate									1,777	2,051	0
Gain on disposition of other real estate investment									0	0	3,538
Income in Subsidiary									0	0	0
Net income	$ 20,662	$ (10,054)	$ 19,698	$ 16,053	$ 15,539	$ 14,510	$ 13,267	$ 14,607	46,359	57,923	25,874
Reportable Legal Entities \| Parent Guarantor
Revenues:
Rental income									0
Rental income										0	0
Tenant reimbursements										0	0
Independent living facilities									0	0	0
Interest and other income									0	0	0
Total revenues									0	0	0
Expenses:
Depreciation and amortization									0	0	0
Interest expense									0	0	0
Loss on the extinguishment of debt											0
Property taxes									0	0	0
Independent living facilities									0	0	0
Impairment of real estate investments									0		0
Provision for loan losses									0
Reserve for advances and deferred rent											0
General and administrative									4,218	3,856	2,638
Total expenses									4,218	3,856	2,638
Gain on sale of real estate									0	0
Gain on disposition of other real estate investment											0
Income in Subsidiary									50,577	61,779	28,512
Net income									46,359	57,923	25,874
Reportable Legal Entities \| Issuers
Revenues:
Rental income									81,380
Rental income										81,560	60,464
Tenant reimbursements										7,173	5,493
Independent living facilities									0	0	0
Interest and other income									3,001	1,369	215
Total revenues									84,381	90,102	66,172
Expenses:
Depreciation and amortization									30,436	27,553	20,048
Interest expense									28,125	27,860	24,196
Loss on the extinguishment of debt											11,883
Property taxes									2,887	7,173	5,493
Independent living facilities									0	0	0
Impairment of real estate investments									16,692		0
Provision for loan losses									1,076
Reserve for advances and deferred rent											10,414
General and administrative									10,868	8,623	8,417
Total expenses									90,084	71,209	80,451
Gain on sale of real estate									217	2,051
Gain on disposition of other real estate investment											0
Income in Subsidiary									56,063	40,835	42,791
Net income									50,577	61,779	28,512
Reportable Legal Entities \| Combined Subsidiary Guarantors
Revenues:
Rental income									74,287
Rental income										58,513	57,169
Tenant reimbursements										4,751	4,761
Independent living facilities									3,389	3,379	3,228
Interest and other income									1,344	196	1,652
Total revenues									79,020	66,839	66,810
Expenses:
Depreciation and amortization									21,386	18,213	19,111
Interest expense									0	0	0
Loss on the extinguishment of debt											0
Property taxes									161	4,751	4,761
Independent living facilities									2,898	2,964	2,733
Impairment of real estate investments									0		890
Provision for loan losses									0
Reserve for advances and deferred rent											0
General and administrative									72	76	62
Total expenses									24,517	26,004	27,557
Gain on sale of real estate									1,560	0
Gain on disposition of other real estate investment											3,538
Income in Subsidiary									0	0	0
Net income									56,063	40,835	42,791
Elimination
Revenues:
Rental income									0
Rental income										0	0
Tenant reimbursements										0	0
Independent living facilities									0	0	0
Interest and other income									0	0	0
Total revenues									0	0	0
Expenses:
Depreciation and amortization									0	0	0
Interest expense									0	0	0
Loss on the extinguishment of debt											0
Property taxes									0	0	0
Independent living facilities									0	0	0
Impairment of real estate investments									0		0
Provision for loan losses									0
Reserve for advances and deferred rent											0
General and administrative									0	0	0
Total expenses									0	0	0
Gain on sale of real estate									0	0
Gain on disposition of other real estate investment											0
Income in Subsidiary									(106,640)	(102,614)	(71,303)
Net income									$ (106,640)	$ (102,614)	$ (71,303)

Summarized Condensed Consolidating Information - Condensed Consolidating Statements of Cash Flows (Details) - USD ($) $ in Thousands		12 Months Ended
	Apr. 15, 2019	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Cash flows from operating activities:
Net cash (used in) provided by operating activities		$ 126,295	$ 99,357	$ 88,800
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied		(321,458)	(111,640)	(296,517)
Improvements to real estate		(3,352)	(7,230)	(748)
Purchases of equipment, furniture and fixtures		(2,937)	(1,782)	(403)
Investment in real estate mortgage and other loans receivable		(18,246)	(5,648)	(12,416)
Principal payments received on real estate mortgage and other loans receivable		24,283	3,227	25
Repayment of other real estate investment		2,204	0	7,500
Escrow deposits for acquisitions of real estate		0	(5,000)	0
Net proceeds from sales of real estate		3,499	13,004	0
Distribution from Subsidiary		0	0	0
Intercompany financing		0	0	0
Net cash used in investing activities		(316,007)	(115,069)	(302,559)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	$ 149,000	195,924	179,882	170,323
Proceeds from the issuance of senior unsecured notes payable		0	0	300,000
Proceeds from the issuance of senior unsecured term loan		200,000	0	0
Borrowings under unsecured revolving credit facility		243,000	65,000	238,000
Payments on senior unsecured notes payable		0	0	(267,639)
Payments on unsecured revolving credit facility		(278,000)	(135,000)	(168,000)
Payments on senior unsecured term loan		(100,000)	0	0
Payments of deferred financing costs		(4,534)	0	(6,063)
Net-settle adjustment on restricted stock		(2,524)	(1,288)	(866)
Dividends paid on common stock		(80,619)	(62,999)	(52,587)
Distribution to Parent		0	0	0
Intercompany financing		0	0	0
Net cash provided by financing activities		173,247	45,595	213,168
Net (decrease) increase in cash and cash equivalents		(16,465)	29,883	(591)
Cash and cash equivalents, beginning of period		36,792	6,909	7,500
Cash and cash equivalents, end of period		20,327	36,792	6,909
Reportable Legal Entities \| Parent Guarantor
Cash flows from operating activities:
Net cash (used in) provided by operating activities		(114)	(10)	(222)
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied		0	0	0
Improvements to real estate		0	0	0
Purchases of equipment, furniture and fixtures		0	0	0
Investment in real estate mortgage and other loans receivable		0	0	0
Principal payments received on real estate mortgage and other loans receivable		0	0	0
Repayment of other real estate investment		0		0
Escrow deposits for acquisitions of real estate			0
Net proceeds from sales of real estate		0	0
Distribution from Subsidiary		80,619	62,999	52,587
Intercompany financing		(193,286)	(178,584)	(169,235)
Net cash used in investing activities		(112,667)	(115,585)	(116,648)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net		195,924	179,882	170,323
Proceeds from the issuance of senior unsecured notes payable				0
Proceeds from the issuance of senior unsecured term loan		0
Borrowings under unsecured revolving credit facility		0	0	0
Payments on senior unsecured notes payable				0
Payments on unsecured revolving credit facility		0	0	0
Payments on senior unsecured term loan		0
Payments of deferred financing costs		0		0
Net-settle adjustment on restricted stock		(2,524)	(1,288)	(866)
Dividends paid on common stock		(80,619)	(62,999)	(52,587)
Distribution to Parent		0	0	0
Intercompany financing		0	0	0
Net cash provided by financing activities		112,781	115,595	116,870
Net (decrease) increase in cash and cash equivalents		0	0	0
Cash and cash equivalents, beginning of period		0	0	0
Cash and cash equivalents, end of period		0	0	0
Reportable Legal Entities \| Issuers
Cash flows from operating activities:
Net cash (used in) provided by operating activities		49,681	40,092	25,745
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied		(109,294)	(111,640)	(296,517)
Improvements to real estate		(1,360)	(7,204)	(681)
Purchases of equipment, furniture and fixtures		(2,933)	(1,713)	(309)
Investment in real estate mortgage and other loans receivable		(18,246)	(5,648)	(12,416)
Principal payments received on real estate mortgage and other loans receivable		24,283	3,227	25
Repayment of other real estate investment		0		0
Escrow deposits for acquisitions of real estate			(5,000)
Net proceeds from sales of real estate		218	13,004
Distribution from Subsidiary		0	0	0
Intercompany financing		(131,947)	59,180	70,616
Net cash used in investing activities		(239,279)	(55,794)	(239,282)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net		0	0	0
Proceeds from the issuance of senior unsecured notes payable				300,000
Proceeds from the issuance of senior unsecured term loan		200,000
Borrowings under unsecured revolving credit facility		243,000	65,000	238,000
Payments on senior unsecured notes payable				(267,639)
Payments on unsecured revolving credit facility		(278,000)	(135,000)	(168,000)
Payments on senior unsecured term loan		(100,000)
Payments of deferred financing costs		(4,534)		(6,063)
Net-settle adjustment on restricted stock		0	0	0
Dividends paid on common stock		0	0	0
Distribution to Parent		(80,619)	(62,999)	(52,587)
Intercompany financing		193,286	178,584	169,235
Net cash provided by financing activities		173,133	45,585	212,946
Net (decrease) increase in cash and cash equivalents		(16,465)	29,883	(591)
Cash and cash equivalents, beginning of period		36,792	6,909	7,500
Cash and cash equivalents, end of period		20,327	36,792	6,909
Reportable Legal Entities \| Combined Subsidiary Guarantors
Cash flows from operating activities:
Net cash (used in) provided by operating activities		76,728	59,275	63,277
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied		(212,164)	0	0
Improvements to real estate		(1,992)	(26)	(67)
Purchases of equipment, furniture and fixtures		(4)	(69)	(94)
Investment in real estate mortgage and other loans receivable		0	0	0
Principal payments received on real estate mortgage and other loans receivable		0	0	0
Repayment of other real estate investment		2,204		7,500
Escrow deposits for acquisitions of real estate			0
Net proceeds from sales of real estate		3,281	0
Distribution from Subsidiary		0	0	0
Intercompany financing		0	0	0
Net cash used in investing activities		(208,675)	(95)	7,339
Cash flows from financing activities:
Proceeds from the issuance of common stock, net		0	0	0
Proceeds from the issuance of senior unsecured notes payable				0
Proceeds from the issuance of senior unsecured term loan		0
Borrowings under unsecured revolving credit facility		0	0	0
Payments on senior unsecured notes payable				0
Payments on unsecured revolving credit facility		0	0	0
Payments on senior unsecured term loan		0
Payments of deferred financing costs		0		0
Net-settle adjustment on restricted stock		0	0	0
Dividends paid on common stock		0	0	0
Distribution to Parent		0	0	0
Intercompany financing		131,947	(59,180)	(70,616)
Net cash provided by financing activities		131,947	(59,180)	(70,616)
Net (decrease) increase in cash and cash equivalents		0	0	0
Cash and cash equivalents, beginning of period		0	0	0
Cash and cash equivalents, end of period		0	0	0
Elimination
Cash flows from operating activities:
Net cash (used in) provided by operating activities		0	0	0
Cash flows from investing activities:
Acquisitions of real estate, net of deposits applied		0	0	0
Improvements to real estate		0	0	0
Purchases of equipment, furniture and fixtures		0	0	0
Investment in real estate mortgage and other loans receivable		0	0	0
Principal payments received on real estate mortgage and other loans receivable		0	0	0
Repayment of other real estate investment		0		0
Escrow deposits for acquisitions of real estate			0
Net proceeds from sales of real estate		0	0
Distribution from Subsidiary		(80,619)	(62,999)	(52,587)
Intercompany financing		325,233	119,404	98,619
Net cash used in investing activities		244,614	56,405	46,032
Cash flows from financing activities:
Proceeds from the issuance of common stock, net		0	0	0
Proceeds from the issuance of senior unsecured notes payable				0
Proceeds from the issuance of senior unsecured term loan		0
Borrowings under unsecured revolving credit facility		0	0	0
Payments on senior unsecured notes payable				0
Payments on unsecured revolving credit facility		0	0	0
Payments on senior unsecured term loan		0
Payments of deferred financing costs		0		0
Net-settle adjustment on restricted stock		0	0	0
Dividends paid on common stock		0	0	0
Distribution to Parent		80,619	62,999	52,587
Intercompany financing		(325,233)	(119,404)	(98,619)
Net cash provided by financing activities		(244,614)	(56,405)	(46,032)
Net (decrease) increase in cash and cash equivalents		0	0	0
Cash and cash equivalents, beginning of period		0	0	0
Cash and cash equivalents, end of period		$ 0	$ 0	$ 0

Selected Quarterly Financial Data (Unaudited) - Schedule of Unaudited Quarterly Data (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Quarterly Financial Information Disclosure [Abstract]
Total revenues	$ 44,228	$ 33,314	$ 46,201	$ 39,658	$ 40,361	$ 39,510	$ 38,969	$ 38,101	$ 163,401	$ 156,941	$ 132,982
Net income (loss)	$ 20,662	$ (10,054)	$ 19,698	$ 16,053	$ 15,539	$ 14,510	$ 13,267	$ 14,607	$ 46,359	$ 57,923	$ 25,874
Earnings per common share, basic (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.73	$ 0.35
Earnings per common share, diluted (usd per share)	$ 0.22	$ (0.11)	$ 0.21	$ 0.18	$ 0.18	$ 0.18	$ 0.17	$ 0.19	$ 0.49	$ 0.72	$ 0.35
Weighted-average number of common shares outstanding, basic (shares)	95,103	95,103	94,036	88,010	84,059	81,490	76,374	75,504	93,088	79,386	72,647
Weighted-average number of common shares outstanding, diluted (shares)	95,144	95,103	94,036	88,010	84,084	81,490	76,374	75,504	93,098	79,392	72,647

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References + Details

Subsequent Events - Narrative (Details) $ in Thousands		1 Months Ended			12 Months Ended
Subsequent Events - Narrative (Details) $ in Thousands	Feb. 14, 2020 USD ($) facility	Feb. 20, 2020 USD ($) facility	Jan. 31, 2020 USD ($) facility	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($) property	Dec. 31, 2018 USD ($) property	Dec. 31, 2017 USD ($)	Sep. 30, 2019 USD ($) facility	Sep. 01, 2019 USD ($) property
Subsequent Event [Line Items]
Number of properties acquired \| property					22	12
Aggregate purchase price					$ 326,700	$ 113,334
Initial annual cash rent					29,143	9,955
Net proceeds from sale					$ 3,499	$ 13,004	$ 0
Skilled Nursing Properties
Subsequent Event [Line Items]
Number of properties acquired \| property					17	10
Aggregate purchase price				$ 16,200	$ 254,760	$ 85,814
Initial annual cash rent					$ 22,909	$ 7,715
Skilled Nursing Properties \| Subsequent Event
Subsequent Event [Line Items]
Number of properties acquired \| facility			1
Aggregate purchase price			$ 18,700
Initial annual cash rent			$ 1,700
Assisted Living Facility
Subsequent Event [Line Items]
Number of properties acquired \| property					1	0
Aggregate purchase price					$ 12,596	$ 0
Initial annual cash rent					1,031	$ 0
Assisted Living Facility \| Subsequent Event
Subsequent Event [Line Items]
Number of properties acquired \| facility		1
Purchase price including estimated capitalized acquisition costs		$ 7,400
Initial annual cash rent		$ 600
Mortgage Loan Receivable
Subsequent Event [Line Items]
Mortgage loans					$ 29,500
Mortgage Loan Receivable \| CommuniCare
Subsequent Event [Line Items]
Facilities utilized to secure mortgage loan								3	3
Mortgage loans								$ 26,500	$ 26,500
Mortgage loan receivable interest rate (percent)								10.00%
Mortgage Loan Receivable \| CommuniCare \| Subsequent Event
Subsequent Event [Line Items]
Facilities utilized to secure mortgage loan \| facility			3
Mortgage Loan Receivable \| Cascade Capital Group, LLC \| Subsequent Event
Subsequent Event [Line Items]
Mortgage loans	$ 32,400
Mortgage loan receivable interest rate (percent)	7.50%
Disposed of by sale \| Metron Skilled Nursing Facilities \| Subsequent Event
Subsequent Event [Line Items]
Number of properties sold \| facility	6
Contract purchase price	$ 36,000
Net proceeds from sale	$ 3,500

Schedule III - Real Estate Assets and Accumulated Depreciation - By Property (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	205,295
Initial Cost to Company, Buildings and Improvements	1,293,798
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	105,988
Gross Carrying Value
Gross Carrying Value, Land	204,154
Gross Carrying Value, Buildings and Improvements	1,400,927
Gross Carrying Value, Total	1,605,081	$ 1,368,157	$ 1,266,484	$ 986,215
Accumulated Depreciation	(220,359)	$ (185,926)	$ (152,185)	$ (121,797)
Aggregate cost of real estate for federal income tax purposes	1,600,000
Skilled Nursing Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	145,149
Initial Cost to Company, Buildings and Improvements	889,318
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	89,189
Gross Carrying Value
Gross Carrying Value, Land	144,139
Gross Carrying Value, Buildings and Improvements	979,517
Gross Carrying Value, Total	1,123,655
Accumulated Depreciation	(162,361)
Skilled Nursing Properties \| Ensign Highland LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	257
Initial Cost to Company, Buildings and Improvements	976
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	926
Gross Carrying Value
Gross Carrying Value, Land	257
Gross Carrying Value, Buildings and Improvements	1,902
Gross Carrying Value, Total	2,159
Accumulated Depreciation	$ (1,223)
Construction/Renovation Date	2013
Acquisition Date	2000
Skilled Nursing Properties \| Meadowbrook Health Associates LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	425
Initial Cost to Company, Buildings and Improvements	3,716
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,940
Gross Carrying Value
Gross Carrying Value, Land	425
Gross Carrying Value, Buildings and Improvements	5,656
Gross Carrying Value, Total	6,081
Accumulated Depreciation	$ (2,891)
Construction/Renovation Date	2012
Acquisition Date	2000
Skilled Nursing Properties \| Terrace Holdings AZ LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	113
Initial Cost to Company, Buildings and Improvements	504
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	971
Gross Carrying Value
Gross Carrying Value, Land	113
Gross Carrying Value, Buildings and Improvements	1,475
Gross Carrying Value, Total	1,588
Accumulated Depreciation	$ (783)
Construction/Renovation Date	2004
Acquisition Date	2002
Skilled Nursing Properties \| Rillito Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	471
Initial Cost to Company, Buildings and Improvements	2,041
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,055
Gross Carrying Value
Gross Carrying Value, Land	471
Gross Carrying Value, Buildings and Improvements	5,096
Gross Carrying Value, Total	5,567
Accumulated Depreciation	$ (2,759)
Construction/Renovation Date	2013
Acquisition Date	2003
Skilled Nursing Properties \| Valley Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	629
Initial Cost to Company, Buildings and Improvements	5,154
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,519
Gross Carrying Value
Gross Carrying Value, Land	629
Gross Carrying Value, Buildings and Improvements	6,673
Gross Carrying Value, Total	7,302
Accumulated Depreciation	$ (3,523)
Construction/Renovation Date	2009
Acquisition Date	2004
Skilled Nursing Properties \| Cedar Avenue Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,812
Initial Cost to Company, Buildings and Improvements	3,919
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,994
Gross Carrying Value
Gross Carrying Value, Land	2,812
Gross Carrying Value, Buildings and Improvements	5,913
Gross Carrying Value, Total	8,725
Accumulated Depreciation	$ (3,276)
Construction/Renovation Date	2011
Acquisition Date	2005
Skilled Nursing Properties \| Granada Investments LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,526
Initial Cost to Company, Buildings and Improvements	2,827
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,522
Gross Carrying Value
Gross Carrying Value, Land	3,526
Gross Carrying Value, Buildings and Improvements	4,349
Gross Carrying Value, Total	7,875
Accumulated Depreciation	$ (2,409)
Construction/Renovation Date	2010
Acquisition Date	2005
Skilled Nursing Properties \| Plaza Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	450
Initial Cost to Company, Buildings and Improvements	5,566
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,055
Gross Carrying Value
Gross Carrying Value, Land	450
Gross Carrying Value, Buildings and Improvements	6,621
Gross Carrying Value, Total	7,071
Accumulated Depreciation	$ (3,610)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled Nursing Properties \| Mountainview Community Care LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	931
Initial Cost to Company, Buildings and Improvements	2,612
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	653
Gross Carrying Value
Gross Carrying Value, Land	931
Gross Carrying Value, Buildings and Improvements	3,265
Gross Carrying Value, Total	4,196
Accumulated Depreciation	$ (1,964)
Construction/Renovation Date	1963
Acquisition Date	2006
Skilled Nursing Properties \| CM Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,028
Initial Cost to Company, Buildings and Improvements	3,119
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,071
Gross Carrying Value
Gross Carrying Value, Land	3,028
Gross Carrying Value, Buildings and Improvements	5,190
Gross Carrying Value, Total	8,218
Accumulated Depreciation	$ (2,755)
Construction/Renovation Date	2012
Acquisition Date	2006
Skilled Nursing Properties \| Polk Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	60
Initial Cost to Company, Buildings and Improvements	4,391
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,167
Gross Carrying Value
Gross Carrying Value, Land	60
Gross Carrying Value, Buildings and Improvements	5,558
Gross Carrying Value, Total	5,618
Accumulated Depreciation	$ (2,911)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled Nursing Properties \| Snohomish Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	741
Initial Cost to Company, Buildings and Improvements	1,663
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,998
Gross Carrying Value
Gross Carrying Value, Land	741
Gross Carrying Value, Buildings and Improvements	3,661
Gross Carrying Value, Total	4,402
Accumulated Depreciation	$ (2,413)
Construction/Renovation Date	2009
Acquisition Date	2006
Skilled Nursing Properties \| Cherry Health Holdings, Inc. [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	171
Initial Cost to Company, Buildings and Improvements	1,828
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,038
Gross Carrying Value
Gross Carrying Value, Land	171
Gross Carrying Value, Buildings and Improvements	3,866
Gross Carrying Value, Total	4,037
Accumulated Depreciation	$ (2,313)
Construction/Renovation Date	2010
Acquisition Date	2006
Skilled Nursing Properties \| Golfview Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,105
Initial Cost to Company, Buildings and Improvements	3,110
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,067
Gross Carrying Value
Gross Carrying Value, Land	1,105
Gross Carrying Value, Buildings and Improvements	4,177
Gross Carrying Value, Total	5,282
Accumulated Depreciation	$ (2,088)
Construction/Renovation Date	2007
Acquisition Date	2006
Skilled Nursing Properties \| Tenth East Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	332
Initial Cost to Company, Buildings and Improvements	2,426
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,507
Gross Carrying Value
Gross Carrying Value, Land	332
Gross Carrying Value, Buildings and Improvements	4,933
Gross Carrying Value, Total	5,265
Accumulated Depreciation	$ (2,771)
Construction/Renovation Date	2013
Acquisition Date	2006
Skilled Nursing Properties \| Trinity Mill Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	664
Initial Cost to Company, Buildings and Improvements	2,294
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	902
Gross Carrying Value
Gross Carrying Value, Land	664
Gross Carrying Value, Buildings and Improvements	3,196
Gross Carrying Value, Total	3,860
Accumulated Depreciation	$ (2,106)
Construction/Renovation Date	2007
Acquisition Date	2006
Skilled Nursing Properties \| Cottonwood Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	965
Initial Cost to Company, Buildings and Improvements	2,070
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	958
Gross Carrying Value
Gross Carrying Value, Land	965
Gross Carrying Value, Buildings and Improvements	3,028
Gross Carrying Value, Total	3,993
Accumulated Depreciation	$ (2,120)
Construction/Renovation Date	2008
Acquisition Date	2007
Skilled Nursing Properties \| Verde Villa Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	600
Initial Cost to Company, Buildings and Improvements	1,890
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	470
Gross Carrying Value
Gross Carrying Value, Land	600
Gross Carrying Value, Buildings and Improvements	2,360
Gross Carrying Value, Total	2,960
Accumulated Depreciation	$ (1,330)
Construction/Renovation Date	2011
Acquisition Date	2007
Skilled Nursing Properties \| Mesquite Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	470
Initial Cost to Company, Buildings and Improvements	1,715
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	8,661
Gross Carrying Value
Gross Carrying Value, Land	470
Gross Carrying Value, Buildings and Improvements	10,376
Gross Carrying Value, Total	10,846
Accumulated Depreciation	$ (6,512)
Construction/Renovation Date	2012
Acquisition Date	2007
Skilled Nursing Properties \| Arrow Tree Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,165
Initial Cost to Company, Buildings and Improvements	1,105
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	324
Gross Carrying Value
Gross Carrying Value, Land	2,165
Gross Carrying Value, Buildings and Improvements	1,429
Gross Carrying Value, Total	3,594
Accumulated Depreciation	$ (938)
Construction/Renovation Date	1965
Acquisition Date	2007
Skilled Nursing Properties \| Fort Street Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	443
Initial Cost to Company, Buildings and Improvements	2,394
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	443
Gross Carrying Value, Buildings and Improvements	3,153
Gross Carrying Value, Total	3,596
Accumulated Depreciation	$ (1,484)
Construction/Renovation Date	2008
Acquisition Date	2007
Skilled Nursing Properties \| Trousdale Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,415
Initial Cost to Company, Buildings and Improvements	1,841
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,861
Gross Carrying Value
Gross Carrying Value, Land	1,415
Gross Carrying Value, Buildings and Improvements	3,702
Gross Carrying Value, Total	5,117
Accumulated Depreciation	$ (1,878)
Construction/Renovation Date	2013
Acquisition Date	2007
Skilled Nursing Properties \| Ensign Bellflower LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	937
Initial Cost to Company, Buildings and Improvements	1,168
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	357
Gross Carrying Value
Gross Carrying Value, Land	937
Gross Carrying Value, Buildings and Improvements	1,525
Gross Carrying Value, Total	2,462
Accumulated Depreciation	$ (866)
Construction/Renovation Date	2009
Acquisition Date	2007
Skilled Nursing Properties \| RB Heights Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,007
Initial Cost to Company, Buildings and Improvements	2,793
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,762
Gross Carrying Value
Gross Carrying Value, Land	2,007
Gross Carrying Value, Buildings and Improvements	4,555
Gross Carrying Value, Total	6,562
Accumulated Depreciation	$ (2,340)
Construction/Renovation Date	2009
Acquisition Date	2008
Skilled Nursing Properties \| San Corrine Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	310
Initial Cost to Company, Buildings and Improvements	2,090
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	719
Gross Carrying Value
Gross Carrying Value, Land	310
Gross Carrying Value, Buildings and Improvements	2,809
Gross Carrying Value, Total	3,119
Accumulated Depreciation	$ (1,384)
Construction/Renovation Date	2005
Acquisition Date	2008
Skilled Nursing Properties \| Temple Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	529
Initial Cost to Company, Buildings and Improvements	2,207
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,163
Gross Carrying Value
Gross Carrying Value, Land	529
Gross Carrying Value, Buildings and Improvements	3,370
Gross Carrying Value, Total	3,899
Accumulated Depreciation	$ (1,680)
Construction/Renovation Date	2008
Acquisition Date	2008
Skilled Nursing Properties \| Anson Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	369
Initial Cost to Company, Buildings and Improvements	3,220
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,725
Gross Carrying Value
Gross Carrying Value, Land	369
Gross Carrying Value, Buildings and Improvements	4,945
Gross Carrying Value, Total	5,314
Accumulated Depreciation	$ (2,351)
Construction/Renovation Date	2012
Acquisition Date	2008
Skilled Nursing Properties \| Willits Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	490
Initial Cost to Company, Buildings and Improvements	1,231
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	500
Gross Carrying Value
Gross Carrying Value, Land	490
Gross Carrying Value, Buildings and Improvements	1,731
Gross Carrying Value, Total	2,221
Accumulated Depreciation	$ (810)
Construction/Renovation Date	2011
Acquisition Date	2008
Skilled Nursing Properties \| Lufkin Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	467
Initial Cost to Company, Buildings and Improvements	4,644
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	782
Gross Carrying Value
Gross Carrying Value, Land	467
Gross Carrying Value, Buildings and Improvements	5,426
Gross Carrying Value, Total	5,893
Accumulated Depreciation	$ (1,476)
Construction/Renovation Date	1988
Acquisition Date	2009
Skilled Nursing Properties \| Lowell Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	217
Initial Cost to Company, Buildings and Improvements	856
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,735
Gross Carrying Value
Gross Carrying Value, Land	217
Gross Carrying Value, Buildings and Improvements	2,591
Gross Carrying Value, Total	2,808
Accumulated Depreciation	$ (1,276)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Jefferson Ralston Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	280
Initial Cost to Company, Buildings and Improvements	1,230
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	834
Gross Carrying Value
Gross Carrying Value, Land	280
Gross Carrying Value, Buildings and Improvements	2,064
Gross Carrying Value, Total	2,344
Accumulated Depreciation	$ (835)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Lafayette Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,607
Initial Cost to Company, Buildings and Improvements	4,222
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	6,195
Gross Carrying Value
Gross Carrying Value, Land	1,607
Gross Carrying Value, Buildings and Improvements	10,417
Gross Carrying Value, Total	12,024
Accumulated Depreciation	$ (4,507)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Hillendahl Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,133
Initial Cost to Company, Buildings and Improvements	11,977
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,421
Gross Carrying Value
Gross Carrying Value, Land	2,133
Gross Carrying Value, Buildings and Improvements	13,398
Gross Carrying Value, Total	15,531
Accumulated Depreciation	$ (5,005)
Construction/Renovation Date	1984
Acquisition Date	2009
Skilled Nursing Properties \| Price Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	193
Initial Cost to Company, Buildings and Improvements	2,209
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	849
Gross Carrying Value
Gross Carrying Value, Land	193
Gross Carrying Value, Buildings and Improvements	3,058
Gross Carrying Value, Total	3,251
Accumulated Depreciation	$ (994)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Silver Lake Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,051
Initial Cost to Company, Buildings and Improvements	8,362
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,011
Gross Carrying Value
Gross Carrying Value, Land	2,051
Gross Carrying Value, Buildings and Improvements	10,373
Gross Carrying Value, Total	12,424
Accumulated Depreciation	$ (2,903)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled Nursing Properties \| Jordan Health Properties LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,671
Initial Cost to Company, Buildings and Improvements	4,244
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,507
Gross Carrying Value
Gross Carrying Value, Land	2,671
Gross Carrying Value, Buildings and Improvements	5,751
Gross Carrying Value, Total	8,422
Accumulated Depreciation	$ (1,627)
Construction/Renovation Date	2013
Acquisition Date	2009
Skilled Nursing Properties \| Regal Road Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	767
Initial Cost to Company, Buildings and Improvements	4,648
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	729
Gross Carrying Value
Gross Carrying Value, Land	767
Gross Carrying Value, Buildings and Improvements	5,377
Gross Carrying Value, Total	6,144
Accumulated Depreciation	$ (1,875)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Paredes Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	373
Initial Cost to Company, Buildings and Improvements	1,354
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	190
Gross Carrying Value
Gross Carrying Value, Land	373
Gross Carrying Value, Buildings and Improvements	1,544
Gross Carrying Value, Total	1,917
Accumulated Depreciation	$ (422)
Construction/Renovation Date	1969
Acquisition Date	2009
Skilled Nursing Properties \| Expressway Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	90
Initial Cost to Company, Buildings and Improvements	675
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	430
Gross Carrying Value
Gross Carrying Value, Land	90
Gross Carrying Value, Buildings and Improvements	1,105
Gross Carrying Value, Total	1,195
Accumulated Depreciation	$ (407)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled Nursing Properties \| Rio Grande Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	642
Initial Cost to Company, Buildings and Improvements	1,085
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	870
Gross Carrying Value
Gross Carrying Value, Land	642
Gross Carrying Value, Buildings and Improvements	1,955
Gross Carrying Value, Total	2,597
Accumulated Depreciation	$ (828)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| Fifth East Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	345
Initial Cost to Company, Buildings and Improvements	2,464
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,065
Gross Carrying Value
Gross Carrying Value, Land	345
Gross Carrying Value, Buildings and Improvements	3,529
Gross Carrying Value, Total	3,874
Accumulated Depreciation	$ (1,227)
Construction/Renovation Date	2011
Acquisition Date	2009
Skilled Nursing Properties \| Emmett Healthcare Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	591
Initial Cost to Company, Buildings and Improvements	2,383
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	69
Gross Carrying Value
Gross Carrying Value, Land	591
Gross Carrying Value, Buildings and Improvements	2,452
Gross Carrying Value, Total	3,043
Accumulated Depreciation	$ (726)
Construction/Renovation Date	1972
Acquisition Date	2010
Skilled Nursing Properties \| Burley Healthcare Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	250
Initial Cost to Company, Buildings and Improvements	4,004
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	424
Gross Carrying Value
Gross Carrying Value, Land	250
Gross Carrying Value, Buildings and Improvements	4,428
Gross Carrying Value, Total	4,678
Accumulated Depreciation	$ (1,451)
Construction/Renovation Date	2011
Acquisition Date	2010
Skilled Nursing Properties \| Josey Ranch Healthcare Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,382
Initial Cost to Company, Buildings and Improvements	2,293
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	478
Gross Carrying Value
Gross Carrying Value, Land	1,382
Gross Carrying Value, Buildings and Improvements	2,771
Gross Carrying Value, Total	4,153
Accumulated Depreciation	$ (842)
Construction/Renovation Date	1996
Acquisition Date	2010
Skilled Nursing Properties \| Everglades Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,847
Initial Cost to Company, Buildings and Improvements	5,377
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	682
Gross Carrying Value
Gross Carrying Value, Land	1,847
Gross Carrying Value, Buildings and Improvements	6,059
Gross Carrying Value, Total	7,906
Accumulated Depreciation	$ (1,541)
Construction/Renovation Date	1990
Acquisition Date	2011
Skilled Nursing Properties \| Irving Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	60
Initial Cost to Company, Buildings and Improvements	2,931
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	245
Gross Carrying Value
Gross Carrying Value, Land	60
Gross Carrying Value, Buildings and Improvements	3,176
Gross Carrying Value, Total	3,236
Accumulated Depreciation	$ (950)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled Nursing Properties \| Falls City Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	170
Initial Cost to Company, Buildings and Improvements	2,141
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	82
Gross Carrying Value
Gross Carrying Value, Land	170
Gross Carrying Value, Buildings and Improvements	2,223
Gross Carrying Value, Total	2,393
Accumulated Depreciation	$ (604)
Construction/Renovation Date	1972
Acquisition Date	2011
Skilled Nursing Properties \| Gillette Park Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	163
Initial Cost to Company, Buildings and Improvements	1,491
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	12
Gross Carrying Value
Gross Carrying Value, Land	163
Gross Carrying Value, Buildings and Improvements	1,503
Gross Carrying Value, Total	1,666
Accumulated Depreciation	$ (515)
Construction/Renovation Date	1967
Acquisition Date	2011
Skilled Nursing Properties \| Gazebo Park Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	2,541
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	97
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	2,638
Gross Carrying Value, Total	2,718
Accumulated Depreciation	$ (941)
Construction/Renovation Date	1978
Acquisition Date	2011
Skilled Nursing Properties \| Oleson Park Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	90
Initial Cost to Company, Buildings and Improvements	2,341
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	90
Gross Carrying Value, Buildings and Improvements	3,100
Gross Carrying Value, Total	3,190
Accumulated Depreciation	$ (1,358)
Construction/Renovation Date	2012
Acquisition Date	2011
Skilled Nursing Properties \| Arapahoe Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	158
Initial Cost to Company, Buildings and Improvements	4,810
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	759
Gross Carrying Value
Gross Carrying Value, Land	128
Gross Carrying Value, Buildings and Improvements	5,599
Gross Carrying Value, Total	5,727
Accumulated Depreciation	$ (1,811)
Construction/Renovation Date	2012
Acquisition Date	2011
Skilled Nursing Properties \| Dixie Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	487
Initial Cost to Company, Buildings and Improvements	1,978
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	98
Gross Carrying Value
Gross Carrying Value, Land	487
Gross Carrying Value, Buildings and Improvements	2,076
Gross Carrying Value, Total	2,563
Accumulated Depreciation	$ (468)
Construction/Renovation Date	1978
Acquisition Date	2011
Skilled Nursing Properties \| Memorial Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	537
Initial Cost to Company, Buildings and Improvements	2,138
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	698
Gross Carrying Value
Gross Carrying Value, Land	537
Gross Carrying Value, Buildings and Improvements	2,836
Gross Carrying Value, Total	3,373
Accumulated Depreciation	$ (968)
Construction/Renovation Date	2007
Acquisition Date	2011
Skilled Nursing Properties \| Bogardus Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,425
Initial Cost to Company, Buildings and Improvements	5,307
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,079
Gross Carrying Value
Gross Carrying Value, Land	1,425
Gross Carrying Value, Buildings and Improvements	6,386
Gross Carrying Value, Total	7,811
Accumulated Depreciation	$ (2,042)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled Nursing Properties \| South Dora Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	297
Initial Cost to Company, Buildings and Improvements	2,087
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,621
Gross Carrying Value
Gross Carrying Value, Land	297
Gross Carrying Value, Buildings and Improvements	3,708
Gross Carrying Value, Total	4,005
Accumulated Depreciation	$ (2,011)
Construction/Renovation Date	2013
Acquisition Date	2011
Skilled Nursing Properties \| Silverada Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,012
Initial Cost to Company, Buildings and Improvements	3,282
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	103
Gross Carrying Value
Gross Carrying Value, Land	1,012
Gross Carrying Value, Buildings and Improvements	3,385
Gross Carrying Value, Total	4,397
Accumulated Depreciation	$ (714)
Construction/Renovation Date	1970
Acquisition Date	2011
Skilled Nursing Properties \| Orem Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,689
Initial Cost to Company, Buildings and Improvements	3,896
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,235
Gross Carrying Value
Gross Carrying Value, Land	1,689
Gross Carrying Value, Buildings and Improvements	7,131
Gross Carrying Value, Total	8,820
Accumulated Depreciation	$ (2,655)
Construction/Renovation Date	2011
Acquisition Date	2011
Skilled Nursing Properties \| Renne Avenue Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	180
Initial Cost to Company, Buildings and Improvements	2,481
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	966
Gross Carrying Value
Gross Carrying Value, Land	180
Gross Carrying Value, Buildings and Improvements	3,447
Gross Carrying Value, Total	3,627
Accumulated Depreciation	$ (1,069)
Construction/Renovation Date	2013
Acquisition Date	2012
Skilled Nursing Properties \| Stillhouse Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	129
Initial Cost to Company, Buildings and Improvements	7,139
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	6
Gross Carrying Value
Gross Carrying Value, Land	129
Gross Carrying Value, Buildings and Improvements	7,145
Gross Carrying Value, Total	7,274
Accumulated Depreciation	$ (954)
Construction/Renovation Date	2009
Acquisition Date	2012
Skilled Nursing Properties \| Fig Street Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	329
Initial Cost to Company, Buildings and Improvements	2,653
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,094
Gross Carrying Value
Gross Carrying Value, Land	329
Gross Carrying Value, Buildings and Improvements	3,747
Gross Carrying Value, Total	4,076
Accumulated Depreciation	$ (1,530)
Construction/Renovation Date	2007
Acquisition Date	2012
Skilled Nursing Properties \| Lowell Lake Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	49
Initial Cost to Company, Buildings and Improvements	1,554
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	29
Gross Carrying Value
Gross Carrying Value, Land	49
Gross Carrying Value, Buildings and Improvements	1,583
Gross Carrying Value, Total	1,632
Accumulated Depreciation	$ (275)
Construction/Renovation Date	1990
Acquisition Date	2012
Skilled Nursing Properties \| Queensway Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	999
Initial Cost to Company, Buildings and Improvements	4,237
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,331
Gross Carrying Value
Gross Carrying Value, Land	999
Gross Carrying Value, Buildings and Improvements	6,568
Gross Carrying Value, Total	7,567
Accumulated Depreciation	$ (2,771)
Construction/Renovation Date	2008
Acquisition Date	2012
Skilled Nursing Properties \| Long Beach Health Associates Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,285
Initial Cost to Company, Buildings and Improvements	2,343
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,172
Gross Carrying Value
Gross Carrying Value, Land	1,285
Gross Carrying Value, Buildings and Improvements	4,515
Gross Carrying Value, Total	5,800
Accumulated Depreciation	$ (1,786)
Construction/Renovation Date	2013
Acquisition Date	2012
Skilled Nursing Properties \| Kings Court Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	193
Initial Cost to Company, Buildings and Improvements	2,311
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	318
Gross Carrying Value
Gross Carrying Value, Land	193
Gross Carrying Value, Buildings and Improvements	2,629
Gross Carrying Value, Total	2,822
Accumulated Depreciation	$ (558)
Construction/Renovation Date	1965
Acquisition Date	2012
Skilled Nursing Properties \| 51st Avenue Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	340
Initial Cost to Company, Buildings and Improvements	3,925
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	32
Gross Carrying Value
Gross Carrying Value, Land	340
Gross Carrying Value, Buildings and Improvements	3,957
Gross Carrying Value, Total	4,297
Accumulated Depreciation	$ (781)
Construction/Renovation Date	1970
Acquisition Date	2013
Skilled Nursing Properties \| Ives Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	371
Initial Cost to Company, Buildings and Improvements	2,951
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	274
Gross Carrying Value
Gross Carrying Value, Land	371
Gross Carrying Value, Buildings and Improvements	3,225
Gross Carrying Value, Total	3,596
Accumulated Depreciation	$ (605)
Construction/Renovation Date	1972
Acquisition Date	2013
Skilled Nursing Properties \| Guadalupe Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	2,391
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	15
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	2,406
Gross Carrying Value, Total	2,486
Accumulated Depreciation	$ (368)
Construction/Renovation Date	2013
Acquisition Date	2013
Skilled Nursing Properties \| 49th Street Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	129
Initial Cost to Company, Buildings and Improvements	2,418
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	24
Gross Carrying Value
Gross Carrying Value, Land	129
Gross Carrying Value, Buildings and Improvements	2,442
Gross Carrying Value, Total	2,571
Accumulated Depreciation	$ (547)
Construction/Renovation Date	1960
Acquisition Date	2013
Skilled Nursing Properties \| Willows Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,388
Initial Cost to Company, Buildings and Improvements	2,982
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	202
Gross Carrying Value
Gross Carrying Value, Land	1,388
Gross Carrying Value, Buildings and Improvements	3,184
Gross Carrying Value, Total	4,572
Accumulated Depreciation	$ (796)
Construction/Renovation Date	1970
Acquisition Date	2013
Skilled Nursing Properties \| Tulalip Bay Holdings [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,722
Initial Cost to Company, Buildings and Improvements	2,642
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	(980)
Gross Carrying Value
Gross Carrying Value, Land	742
Gross Carrying Value, Buildings and Improvements	2,642
Gross Carrying Value, Total	3,384
Accumulated Depreciation	$ (572)
Construction/Renovation Date	1966
Acquisition Date	2013
Skilled Nursing Properties \| Sky Holdings AZ LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	228
Initial Cost to Company, Buildings and Improvements	1,124
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,380
Gross Carrying Value
Gross Carrying Value, Land	228
Gross Carrying Value, Buildings and Improvements	2,504
Gross Carrying Value, Total	2,731
Accumulated Depreciation	$ (1,613)
Construction/Renovation Date	2004
Acquisition Date	2002
Skilled Nursing Properties \| Lemon River Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	152
Initial Cost to Company, Buildings and Improvements	357
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,493
Gross Carrying Value
Gross Carrying Value, Land	152
Gross Carrying Value, Buildings and Improvements	1,850
Gross Carrying Value, Total	2,002
Accumulated Depreciation	$ (1,040)
Construction/Renovation Date	2012
Acquisition Date	2009
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Bethany Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,668
Initial Cost to Company, Buildings and Improvements	15,375
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	56
Gross Carrying Value
Gross Carrying Value, Land	1,668
Gross Carrying Value, Buildings and Improvements	15,431
Gross Carrying Value, Total	17,099
Accumulated Depreciation	$ (1,898)
Construction/Renovation Date	1989
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Mira Vista Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,601
Initial Cost to Company, Buildings and Improvements	7,425
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,601
Gross Carrying Value, Buildings and Improvements	7,425
Gross Carrying Value, Total	9,026
Accumulated Depreciation	$ (882)
Construction/Renovation Date	1989
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Shoreline Health And Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,462
Initial Cost to Company, Buildings and Improvements	5,034
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,462
Gross Carrying Value, Buildings and Improvements	5,034
Gross Carrying Value, Total	6,496
Accumulated Depreciation	$ (577)
Construction/Renovation Date	1987
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Shamrock Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	251
Initial Cost to Company, Buildings and Improvements	7,855
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	251
Gross Carrying Value, Buildings and Improvements	7,855
Gross Carrying Value, Total	8,106
Accumulated Depreciation	$ (884)
Construction/Renovation Date	2010
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| BeaverCreek Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	892
Initial Cost to Company, Buildings and Improvements	17,159
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	13
Gross Carrying Value
Gross Carrying Value, Land	892
Gross Carrying Value, Buildings and Improvements	17,172
Gross Carrying Value, Total	18,064
Accumulated Depreciation	$ (1,824)
Construction/Renovation Date	2014
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Premier Estates of Cincinnati-Riverview [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	833
Initial Cost to Company, Buildings and Improvements	18,086
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	192
Gross Carrying Value
Gross Carrying Value, Land	833
Gross Carrying Value, Buildings and Improvements	18,278
Gross Carrying Value, Total	19,111
Accumulated Depreciation	$ (1,947)
Construction/Renovation Date	1992
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Englewood Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,014
Initial Cost to Company, Buildings and Improvements	18,541
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	88
Gross Carrying Value
Gross Carrying Value, Land	1,014
Gross Carrying Value, Buildings and Improvements	18,629
Gross Carrying Value, Total	19,643
Accumulated Depreciation	$ (1,991)
Construction/Renovation Date	1962
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Portsmouth Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	282
Initial Cost to Company, Buildings and Improvements	9,726
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	192
Gross Carrying Value
Gross Carrying Value, Land	282
Gross Carrying Value, Buildings and Improvements	9,918
Gross Carrying Value, Total	10,200
Accumulated Depreciation	$ (1,067)
Construction/Renovation Date	2008
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| West Cove Care & Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	93
Initial Cost to Company, Buildings and Improvements	10,365
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	93
Gross Carrying Value, Buildings and Improvements	10,365
Gross Carrying Value, Total	10,458
Accumulated Depreciation	$ (1,101)
Construction/Renovation Date	2007
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| BellBrook Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	214
Initial Cost to Company, Buildings and Improvements	2,573
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	25
Gross Carrying Value
Gross Carrying Value, Land	214
Gross Carrying Value, Buildings and Improvements	2,598
Gross Carrying Value, Total	2,812
Accumulated Depreciation	$ (275)
Construction/Renovation Date	2003
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Xenia Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	205
Initial Cost to Company, Buildings and Improvements	3,564
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	23
Gross Carrying Value
Gross Carrying Value, Land	205
Gross Carrying Value, Buildings and Improvements	3,587
Gross Carrying Value, Total	3,792
Accumulated Depreciation	$ (380)
Construction/Renovation Date	1981
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Jamestown Place Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	266
Initial Cost to Company, Buildings and Improvements	4,725
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	127
Gross Carrying Value
Gross Carrying Value, Land	266
Gross Carrying Value, Buildings and Improvements	4,852
Gross Carrying Value, Total	5,118
Accumulated Depreciation	$ (522)
Construction/Renovation Date	1967
Acquisition Date	2015
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Casa de Paz [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	119
Initial Cost to Company, Buildings and Improvements	7,727
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	119
Gross Carrying Value, Buildings and Improvements	7,727
Gross Carrying Value, Total	7,846
Accumulated Depreciation	$ (757)
Construction/Renovation Date	1974
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Denison Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	96
Initial Cost to Company, Buildings and Improvements	2,784
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	96
Gross Carrying Value, Buildings and Improvements	2,784
Gross Carrying Value, Total	2,880
Accumulated Depreciation	$ (273)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Garden View Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	105
Initial Cost to Company, Buildings and Improvements	3,179
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	105
Gross Carrying Value, Buildings and Improvements	3,179
Gross Carrying Value, Total	3,284
Accumulated Depreciation	$ (311)
Construction/Renovation Date	2013
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Grandview Health Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	39
Initial Cost to Company, Buildings and Improvements	1,167
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	39
Gross Carrying Value, Buildings and Improvements	1,167
Gross Carrying Value, Total	1,206
Accumulated Depreciation	$ (114)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Grundy Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	65
Initial Cost to Company, Buildings and Improvements	1,935
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	65
Gross Carrying Value, Buildings and Improvements	1,935
Gross Carrying Value, Total	2,000
Accumulated Depreciation	$ (189)
Construction/Renovation Date	2011
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Iowa City Rehab and Health Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	522
Initial Cost to Company, Buildings and Improvements	5,690
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	522
Gross Carrying Value, Buildings and Improvements	5,690
Gross Carrying Value, Total	6,212
Accumulated Depreciation	$ (557)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Lenox Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	31
Initial Cost to Company, Buildings and Improvements	1,915
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	31
Gross Carrying Value, Buildings and Improvements	1,915
Gross Carrying Value, Total	1,946
Accumulated Depreciation	$ (188)
Construction/Renovation Date	2012
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Osage [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	126
Initial Cost to Company, Buildings and Improvements	2,255
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	126
Gross Carrying Value, Buildings and Improvements	2,255
Gross Carrying Value, Total	2,381
Accumulated Depreciation	$ (221)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Pleasant Acres Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	189
Initial Cost to Company, Buildings and Improvements	2,544
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	189
Gross Carrying Value, Buildings and Improvements	2,544
Gross Carrying Value, Total	2,733
Accumulated Depreciation	$ (249)
Construction/Renovation Date	2014
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Cedar Falls Health Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	324
Initial Cost to Company, Buildings and Improvements	4,366
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	324
Gross Carrying Value, Buildings and Improvements	4,366
Gross Carrying Value, Total	4,690
Accumulated Depreciation	$ (409)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Premier Estates of Highlands [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	364
Initial Cost to Company, Buildings and Improvements	2,199
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	282
Gross Carrying Value
Gross Carrying Value, Land	364
Gross Carrying Value, Buildings and Improvements	2,481
Gross Carrying Value, Total	2,845
Accumulated Depreciation	$ (217)
Construction/Renovation Date	2012
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Shaw Mountain at Cascadia [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,801
Initial Cost to Company, Buildings and Improvements	6,572
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	395
Gross Carrying Value
Gross Carrying Value, Land	1,801
Gross Carrying Value, Buildings and Improvements	6,967
Gross Carrying Value, Total	8,768
Accumulated Depreciation	$ (705)
Construction/Renovation Date	1989
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Oaks [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,646
Initial Cost to Company, Buildings and Improvements	2,873
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	110
Gross Carrying Value
Gross Carrying Value, Land	3,646
Gross Carrying Value, Buildings and Improvements	2,983
Gross Carrying Value, Total	6,629
Accumulated Depreciation	$ (270)
Construction/Renovation Date	2015
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Arbor Nursing Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	768
Initial Cost to Company, Buildings and Improvements	10,712
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	768
Gross Carrying Value, Buildings and Improvements	10,712
Gross Carrying Value, Total	11,480
Accumulated Depreciation	$ (915)
Construction/Renovation Date	1982
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Broadmoor Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,232
Initial Cost to Company, Buildings and Improvements	22,152
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,232
Gross Carrying Value, Buildings and Improvements	22,152
Gross Carrying Value, Total	23,384
Accumulated Depreciation	$ (1,706)
Construction/Renovation Date	1984
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Decatur Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	990
Initial Cost to Company, Buildings and Improvements	24,909
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	990
Gross Carrying Value, Buildings and Improvements	24,909
Gross Carrying Value, Total	25,899
Accumulated Depreciation	$ (1,920)
Construction/Renovation Date	2013
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Royse City Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	606
Initial Cost to Company, Buildings and Improvements	14,660
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	606
Gross Carrying Value, Buildings and Improvements	14,660
Gross Carrying Value, Total	15,266
Accumulated Depreciation	$ (1,130)
Construction/Renovation Date	2009
Acquisition Date	2016
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Saline Care Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,022
Initial Cost to Company, Buildings and Improvements	5,713
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,022
Gross Carrying Value, Buildings and Improvements	5,713
Gross Carrying Value, Total	6,735
Accumulated Depreciation	$ (405)
Construction/Renovation Date	2009
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Carrier Mills Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	775
Initial Cost to Company, Buildings and Improvements	8,377
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	775
Gross Carrying Value, Buildings and Improvements	8,377
Gross Carrying Value, Total	9,152
Accumulated Depreciation	$ (593)
Construction/Renovation Date	1968
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| StoneBridge Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	439
Initial Cost to Company, Buildings and Improvements	3,475
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	439
Gross Carrying Value, Buildings and Improvements	3,475
Gross Carrying Value, Total	3,914
Accumulated Depreciation	$ (246)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| DuQuoin Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	511
Initial Cost to Company, Buildings and Improvements	3,662
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	511
Gross Carrying Value, Buildings and Improvements	3,662
Gross Carrying Value, Total	4,173
Accumulated Depreciation	$ (259)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Pinckneyville Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	406
Initial Cost to Company, Buildings and Improvements	3,411
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	406
Gross Carrying Value, Buildings and Improvements	3,411
Gross Carrying Value, Total	3,817
Accumulated Depreciation	$ (242)
Construction/Renovation Date	2014
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Wellspring Health And Rehabilitation Of Cascadia [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	774
Initial Cost to Company, Buildings and Improvements	5,044
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	774
Gross Carrying Value, Buildings and Improvements	5,044
Gross Carrying Value, Total	5,818
Accumulated Depreciation	$ (336)
Construction/Renovation Date	2011
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Rio at Fox Hollow [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,178
Initial Cost to Company, Buildings and Improvements	12,059
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,178
Gross Carrying Value, Buildings and Improvements	12,059
Gross Carrying Value, Total	13,237
Accumulated Depreciation	$ (779)
Construction/Renovation Date	2016
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Rio at Cabezon [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,055
Initial Cost to Company, Buildings and Improvements	9,749
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,055
Gross Carrying Value, Buildings and Improvements	9,749
Gross Carrying Value, Total	11,804
Accumulated Depreciation	$ (630)
Construction/Renovation Date	2016
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Eldorado Rehab & Healthcare [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	940
Initial Cost to Company, Buildings and Improvements	2,093
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	940
Gross Carrying Value, Buildings and Improvements	2,093
Gross Carrying Value, Total	3,033
Accumulated Depreciation	$ (131)
Construction/Renovation Date	1993
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Secora Health and Rehabilitation of Cascadia [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,481
Initial Cost to Company, Buildings and Improvements	2,216
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,481
Gross Carrying Value, Buildings and Improvements	2,216
Gross Carrying Value, Total	3,697
Accumulated Depreciation	$ (139)
Construction/Renovation Date	2012
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Mountain Valley [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	916
Initial Cost to Company, Buildings and Improvements	7,874
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	916
Gross Carrying Value, Buildings and Improvements	7,874
Gross Carrying Value, Total	8,790
Accumulated Depreciation	$ (459)
Construction/Renovation Date	1971
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Caldwell Care [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	906
Initial Cost to Company, Buildings and Improvements	7,020
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	906
Gross Carrying Value, Buildings and Improvements	7,020
Gross Carrying Value, Total	7,926
Accumulated Depreciation	$ (410)
Construction/Renovation Date	1947
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Canyon West [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	312
Initial Cost to Company, Buildings and Improvements	10,410
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	312
Gross Carrying Value, Buildings and Improvements	10,410
Gross Carrying Value, Total	10,722
Accumulated Depreciation	$ (607)
Construction/Renovation Date	1969
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Lewiston Health and Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	625
Initial Cost to Company, Buildings and Improvements	12,087
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	625
Gross Carrying Value, Buildings and Improvements	12,087
Gross Carrying Value, Total	12,712
Accumulated Depreciation	$ (680)
Construction/Renovation Date	1964
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Orchards [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	785
Initial Cost to Company, Buildings and Improvements	8,923
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	785
Gross Carrying Value, Buildings and Improvements	8,923
Gross Carrying Value, Total	9,708
Accumulated Depreciation	$ (502)
Construction/Renovation Date	1958
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Weiser Care [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	80
Initial Cost to Company, Buildings and Improvements	4,419
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	80
Gross Carrying Value, Buildings and Improvements	4,419
Gross Carrying Value, Total	4,499
Accumulated Depreciation	$ (249)
Construction/Renovation Date	1964
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Aspen Park [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	698
Initial Cost to Company, Buildings and Improvements	5,092
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	274
Gross Carrying Value
Gross Carrying Value, Land	698
Gross Carrying Value, Buildings and Improvements	5,366
Gross Carrying Value, Total	6,064
Accumulated Depreciation	$ (292)
Construction/Renovation Date	1965
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Ridgmar Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	681
Initial Cost to Company, Buildings and Improvements	6,587
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,256
Gross Carrying Value
Gross Carrying Value, Land	681
Gross Carrying Value, Buildings and Improvements	7,843
Gross Carrying Value, Total	8,524
Accumulated Depreciation	$ (453)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Mansfield Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	607
Initial Cost to Company, Buildings and Improvements	4,801
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,171
Gross Carrying Value
Gross Carrying Value, Land	607
Gross Carrying Value, Buildings and Improvements	5,972
Gross Carrying Value, Total	6,579
Accumulated Depreciation	$ (325)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Grapevine Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,602
Initial Cost to Company, Buildings and Improvements	4,536
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	891
Gross Carrying Value
Gross Carrying Value, Land	1,602
Gross Carrying Value, Buildings and Improvements	5,427
Gross Carrying Value, Total	7,029
Accumulated Depreciation	$ (313)
Construction/Renovation Date	2006
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Brookfield Health And Rehab [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	320
Initial Cost to Company, Buildings and Improvements	500
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	320
Gross Carrying Value, Buildings and Improvements	500
Gross Carrying Value, Total	820
Accumulated Depreciation	$ (29)
Construction/Renovation Date	2012
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Oaks at Forest Bay [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	6,347
Initial Cost to Company, Buildings and Improvements	815
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	6,347
Gross Carrying Value, Buildings and Improvements	815
Gross Carrying Value, Total	7,162
Accumulated Depreciation	$ (46)
Construction/Renovation Date	1997
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Oaks at Lakewood [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,000
Initial Cost to Company, Buildings and Improvements	1,779
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,000
Gross Carrying Value, Buildings and Improvements	1,779
Gross Carrying Value, Total	2,779
Accumulated Depreciation	$ (100)
Construction/Renovation Date	1989
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Oaks at Timberline [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	445
Initial Cost to Company, Buildings and Improvements	869
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	445
Gross Carrying Value, Buildings and Improvements	869
Gross Carrying Value, Total	1,314
Accumulated Depreciation	$ (49)
Construction/Renovation Date	1972
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Providence Waterman Nursing Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,831
Initial Cost to Company, Buildings and Improvements	19,791
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	3,831
Gross Carrying Value, Buildings and Improvements	19,791
Gross Carrying Value, Total	23,622
Accumulated Depreciation	$ (1,113)
Construction/Renovation Date	1967
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Providence Orange Tree [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,897
Initial Cost to Company, Buildings and Improvements	14,700
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,897
Gross Carrying Value, Buildings and Improvements	14,700
Gross Carrying Value, Total	17,597
Accumulated Depreciation	$ (827)
Construction/Renovation Date	1969
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Providence Ontario [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	4,204
Initial Cost to Company, Buildings and Improvements	21,880
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	4,204
Gross Carrying Value, Buildings and Improvements	21,880
Gross Carrying Value, Total	26,084
Accumulated Depreciation	$ (1,231)
Construction/Renovation Date	1980
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Greenville Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	188
Initial Cost to Company, Buildings and Improvements	3,972
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	188
Gross Carrying Value, Buildings and Improvements	3,972
Gross Carrying Value, Total	4,160
Accumulated Depreciation	$ (247)
Construction/Renovation Date	1973
Acquisition Date	2017
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Copper Ridge Health and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	220
Initial Cost to Company, Buildings and Improvements	4,974
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	220
Gross Carrying Value, Buildings and Improvements	4,974
Gross Carrying Value, Total	5,194
Accumulated Depreciation	$ (262)
Construction/Renovation Date	2010
Acquisition Date	2018
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Prairie Heights Healthcare Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,372
Initial Cost to Company, Buildings and Improvements	7,491
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,372
Gross Carrying Value, Buildings and Improvements	7,491
Gross Carrying Value, Total	8,863
Accumulated Depreciation	$ (303)
Construction/Renovation Date	1965
Acquisition Date	2018
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Meadows on University [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	989
Initial Cost to Company, Buildings and Improvements	3,275
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	989
Gross Carrying Value, Buildings and Improvements	3,275
Gross Carrying Value, Total	4,264
Accumulated Depreciation	$ (106)
Construction/Renovation Date	1966
Acquisition Date	2018
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| The Suites - Parker [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,178
Initial Cost to Company, Buildings and Improvements	17,857
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,178
Gross Carrying Value, Buildings and Improvements	17,857
Gross Carrying Value, Total	19,035
Accumulated Depreciation	$ (495)
Construction/Renovation Date	2012
Acquisition Date	2018
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Huntington Park Nursing Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,131
Initial Cost to Company, Buildings and Improvements	8,876
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	76
Gross Carrying Value
Gross Carrying Value, Land	3,131
Gross Carrying Value, Buildings and Improvements	8,952
Gross Carrying Value, Total	12,083
Accumulated Depreciation	$ (207)
Construction/Renovation Date	1955
Acquisition Date	2019
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Shoreline Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,699
Initial Cost to Company, Buildings and Improvements	9,004
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,699
Gross Carrying Value, Buildings and Improvements	9,004
Gross Carrying Value, Total	10,703
Accumulated Depreciation	$ (212)
Construction/Renovation Date	1962
Acquisition Date	2019
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Downey Care Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,502
Initial Cost to Company, Buildings and Improvements	6,141
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,502
Gross Carrying Value, Buildings and Improvements	6,141
Gross Carrying Value, Total	8,643
Accumulated Depreciation	$ (145)
Construction/Renovation Date	1967
Acquisition Date	2019
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Courtyard Healthcare Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,351
Initial Cost to Company, Buildings and Improvements	9,256
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,351
Gross Carrying Value, Buildings and Improvements	9,256
Gross Carrying Value, Total	11,607
Accumulated Depreciation	$ (222)
Construction/Renovation Date	1969
Acquisition Date	2019
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Cascadia Of Nampa [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	880
Initial Cost to Company, Buildings and Improvements	14,117
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	880
Gross Carrying Value, Buildings and Improvements	14,117
Gross Carrying Value, Total	14,997
Accumulated Depreciation	$ (219)
Construction/Renovation Date	2017
Acquisition Date	2019
Skilled Nursing Properties \| CTR Partnership, L.P. [Member] \| Valley Skilled Nursing [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	798
Initial Cost to Company, Buildings and Improvements	7,671
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	798
Gross Carrying Value, Buildings and Improvements	7,671
Gross Carrying Value, Total	8,469
Accumulated Depreciation	$ (50)
Construction/Renovation Date	2016
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Alpine Skilled Nursing and Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,688
Initial Cost to Company, Buildings and Improvements	23,825
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,688
Gross Carrying Value, Buildings and Improvements	23,825
Gross Carrying Value, Total	26,513
Accumulated Depreciation	$ (475)
Construction/Renovation Date	2014
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| The Bradford Skilled Nursing and Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,758
Initial Cost to Company, Buildings and Improvements	21,325
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	17
Gross Carrying Value
Gross Carrying Value, Land	3,758
Gross Carrying Value, Buildings and Improvements	21,342
Gross Carrying Value, Total	25,100
Accumulated Depreciation	$ (425)
Construction/Renovation Date	1980
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Colonial Oaks Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,635
Initial Cost to Company, Buildings and Improvements	21,180
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,635
Gross Carrying Value, Buildings and Improvements	21,180
Gross Carrying Value, Total	22,815
Accumulated Depreciation	$ (412)
Construction/Renovation Date	2013
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| The Guest House Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,437
Initial Cost to Company, Buildings and Improvements	20,889
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	184
Gross Carrying Value
Gross Carrying Value, Land	3,437
Gross Carrying Value, Buildings and Improvements	21,073
Gross Carrying Value, Total	24,510
Accumulated Depreciation	$ (422)
Construction/Renovation Date	2006
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Pilgrim Manor Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,979
Initial Cost to Company, Buildings and Improvements	24,617
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	2,979
Gross Carrying Value, Buildings and Improvements	24,617
Gross Carrying Value, Total	27,596
Accumulated Depreciation	$ (486)
Construction/Renovation Date	2008
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Shreveport Manor Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	676
Initial Cost to Company, Buildings and Improvements	10,238
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	193
Gross Carrying Value
Gross Carrying Value, Land	676
Gross Carrying Value, Buildings and Improvements	10,431
Gross Carrying Value, Total	11,107
Accumulated Depreciation	$ (198)
Construction/Renovation Date	2008
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Booker T Washington Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,452
Initial Cost to Company, Buildings and Improvements	9,148
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	113
Gross Carrying Value
Gross Carrying Value, Land	2,452
Gross Carrying Value, Buildings and Improvements	9,261
Gross Carrying Value, Total	11,713
Accumulated Depreciation	$ (191)
Construction/Renovation Date	2013
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Legacy West Rehabilitation And Healthcare [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	120
Initial Cost to Company, Buildings and Improvements	6,682
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	276
Gross Carrying Value
Gross Carrying Value, Land	120
Gross Carrying Value, Buildings and Improvements	6,958
Gross Carrying Value, Total	7,078
Accumulated Depreciation	$ (141)
Construction/Renovation Date	2002
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Legacy At Jacksonville [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	173
Initial Cost to Company, Buildings and Improvements	7,481
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	52
Gross Carrying Value
Gross Carrying Value, Land	173
Gross Carrying Value, Buildings and Improvements	7,533
Gross Carrying Value, Total	7,706
Accumulated Depreciation	$ (156)
Construction/Renovation Date	2006
Acquisition Date	2019
Skilled Nursing Properties \| Gulf Coast Buyer 1 LLC [Member] \| Pecan Tree Rehabilitation And Healthcare [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	219
Initial Cost to Company, Buildings and Improvements	10,097
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	124
Gross Carrying Value
Gross Carrying Value, Land	219
Gross Carrying Value, Buildings and Improvements	10,221
Gross Carrying Value, Total	10,440
Accumulated Depreciation	$ (202)
Construction/Renovation Date	1990
Acquisition Date	2019
Skilled Nursing Properties \| Lakewest SNF Realty LLC [Member] \| Lakewest Rehabilitation And Skilled Care [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	0
Initial Cost to Company, Buildings and Improvements	6,905
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	0
Gross Carrying Value, Buildings and Improvements	6,905
Gross Carrying Value, Total	6,905
Accumulated Depreciation	$ (129)
Construction/Renovation Date	2011
Acquisition Date	2019
Multi-Service Campus Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	29,939
Initial Cost to Company, Buildings and Improvements	202,819
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	6,565
Gross Carrying Value
Gross Carrying Value, Land	29,808
Gross Carrying Value, Buildings and Improvements	209,515
Gross Carrying Value, Total	239,323
Accumulated Depreciation	(24,351)
Multi-Service Campus Properties \| Ensign Southland LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	966
Initial Cost to Company, Buildings and Improvements	5,082
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	2,213
Gross Carrying Value
Gross Carrying Value, Land	966
Gross Carrying Value, Buildings and Improvements	7,295
Gross Carrying Value, Total	8,261
Accumulated Depreciation	$ (4,986)
Construction/Renovation Date	2011
Acquisition Date	1999
Multi-Service Campus Properties \| Wisteria Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	746
Initial Cost to Company, Buildings and Improvements	9,903
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	290
Gross Carrying Value
Gross Carrying Value, Land	746
Gross Carrying Value, Buildings and Improvements	10,193
Gross Carrying Value, Total	10,939
Accumulated Depreciation	$ (2,077)
Construction/Renovation Date	2008
Acquisition Date	2011
Multi-Service Campus Properties \| Mission CCRC LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,962
Initial Cost to Company, Buildings and Improvements	11,035
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	464
Gross Carrying Value
Gross Carrying Value, Land	1,962
Gross Carrying Value, Buildings and Improvements	11,499
Gross Carrying Value, Total	13,461
Accumulated Depreciation	$ (3,016)
Construction/Renovation Date	1994
Acquisition Date	2011
Multi-Service Campus Properties \| Wayne Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	130
Initial Cost to Company, Buildings and Improvements	3,061
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	122
Gross Carrying Value
Gross Carrying Value, Land	130
Gross Carrying Value, Buildings and Improvements	3,183
Gross Carrying Value, Total	3,313
Accumulated Depreciation	$ (889)
Construction/Renovation Date	1978
Acquisition Date	2011
Multi-Service Campus Properties \| 4th Street Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	180
Initial Cost to Company, Buildings and Improvements	3,352
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	180
Gross Carrying Value, Buildings and Improvements	3,352
Gross Carrying Value, Total	3,532
Accumulated Depreciation	$ (886)
Construction/Renovation Date	2006
Acquisition Date	2011
Multi-Service Campus Properties \| Big Sioux River Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	110
Initial Cost to Company, Buildings and Improvements	3,522
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	75
Gross Carrying Value
Gross Carrying Value, Land	110
Gross Carrying Value, Buildings and Improvements	3,597
Gross Carrying Value, Total	3,707
Accumulated Depreciation	$ (892)
Construction/Renovation Date	1974
Acquisition Date	2011
Multi-Service Campus Properties \| Prairie Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	130
Initial Cost to Company, Buildings and Improvements	1,571
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	22
Gross Carrying Value
Gross Carrying Value, Land	130
Gross Carrying Value, Buildings and Improvements	1,593
Gross Carrying Value, Total	1,723
Accumulated Depreciation	$ (678)
Construction/Renovation Date	2011
Acquisition Date	2011
Multi-Service Campus Properties \| Salmon River Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	168
Initial Cost to Company, Buildings and Improvements	2,496
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	168
Gross Carrying Value, Buildings and Improvements	2,496
Gross Carrying Value, Total	2,664
Accumulated Depreciation	$ (463)
Construction/Renovation Date	2012
Acquisition Date	2012
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Centerville Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,912
Initial Cost to Company, Buildings and Improvements	22,458
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	117
Gross Carrying Value
Gross Carrying Value, Land	3,781
Gross Carrying Value, Buildings and Improvements	22,706
Gross Carrying Value, Total	26,487
Accumulated Depreciation	$ (2,432)
Construction/Renovation Date	2007
Acquisition Date	2015
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Liberty Nursing Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	143
Initial Cost to Company, Buildings and Improvements	11,097
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	50
Gross Carrying Value
Gross Carrying Value, Land	143
Gross Carrying Value, Buildings and Improvements	11,147
Gross Carrying Value, Total	11,290
Accumulated Depreciation	$ (1,195)
Construction/Renovation Date	1985
Acquisition Date	2015
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Premier Estates of Middletown [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	990
Initial Cost to Company, Buildings and Improvements	7,484
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	172
Gross Carrying Value
Gross Carrying Value, Land	990
Gross Carrying Value, Buildings and Improvements	7,656
Gross Carrying Value, Total	8,646
Accumulated Depreciation	$ (822)
Construction/Renovation Date	1985
Acquisition Date	2015
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Premier Estates of Norwood [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,316
Initial Cost to Company, Buildings and Improvements	10,071
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	499
Gross Carrying Value
Gross Carrying Value, Land	1,316
Gross Carrying Value, Buildings and Improvements	10,570
Gross Carrying Value, Total	11,886
Accumulated Depreciation	$ (960)
Construction/Renovation Date	1991
Acquisition Date	2016
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Turlock Nursing and Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,258
Initial Cost to Company, Buildings and Improvements	16,526
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,258
Gross Carrying Value, Buildings and Improvements	16,526
Gross Carrying Value, Total	17,784
Accumulated Depreciation	$ (1,412)
Construction/Renovation Date	1986
Acquisition Date	2016
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Bridgeport Medical Lodge [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	980
Initial Cost to Company, Buildings and Improvements	27,917
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	980
Gross Carrying Value, Buildings and Improvements	27,917
Gross Carrying Value, Total	28,897
Accumulated Depreciation	$ (2,152)
Construction/Renovation Date	2014
Acquisition Date	2016
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| The Villas at Saratoga [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	8,709
Initial Cost to Company, Buildings and Improvements	9,736
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,635
Gross Carrying Value
Gross Carrying Value, Land	8,709
Gross Carrying Value, Buildings and Improvements	11,371
Gross Carrying Value, Total	20,080
Accumulated Depreciation	$ (346)
Construction/Renovation Date	2004
Acquisition Date	2018
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Madison Park Healthcare [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	601
Initial Cost to Company, Buildings and Improvements	6,385
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	601
Gross Carrying Value, Buildings and Improvements	6,385
Gross Carrying Value, Total	6,986
Accumulated Depreciation	$ (193)
Construction/Renovation Date	1924
Acquisition Date	2018
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| Oakview Heights Nursing And Rehabilitation Center [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	298
Initial Cost to Company, Buildings and Improvements	8,393
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	298
Gross Carrying Value, Buildings and Improvements	8,393
Gross Carrying Value, Total	8,691
Accumulated Depreciation	$ (218)
Construction/Renovation Date	2004
Acquisition Date	2019
Multi-Service Campus Properties \| CTR Partnership, L.P. [Member] \| City Creek Post-Acute And Assisted Living [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,980
Initial Cost to Company, Buildings and Improvements	10,106
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	3,980
Gross Carrying Value, Buildings and Improvements	10,106
Gross Carrying Value, Total	14,086
Accumulated Depreciation	$ (69)
Construction/Renovation Date	1990
Acquisition Date	2019
Multi-Service Campus Properties \| Gulf Coast Buyer 1 LLC [Member] \| Spring Lake Skilled Nursing And Rehabilitation [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	3,217
Initial Cost to Company, Buildings and Improvements	21,195
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	710
Gross Carrying Value
Gross Carrying Value, Land	3,217
Gross Carrying Value, Buildings and Improvements	21,905
Gross Carrying Value, Total	25,122
Accumulated Depreciation	$ (431)
Construction/Renovation Date	2008
Acquisition Date	2019
Multi-Service Campus Properties \| Gulf Coast Buyer 1 LLC [Member] \| The Village At Heritage Oaks [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	143
Initial Cost to Company, Buildings and Improvements	11,429
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	196
Gross Carrying Value
Gross Carrying Value, Land	143
Gross Carrying Value, Buildings and Improvements	11,625
Gross Carrying Value, Total	11,768
Accumulated Depreciation	$ (234)
Construction/Renovation Date	2007
Acquisition Date	2019
Assisted and Independent Living Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	29,527
Initial Cost to Company, Buildings and Improvements	196,789
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	9,223
Gross Carrying Value
Gross Carrying Value, Land	29,527
Gross Carrying Value, Buildings and Improvements	206,012
Gross Carrying Value, Total	235,539
Accumulated Depreciation	(31,491)
Assisted and Independent Living Properties \| Lafayette Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	420
Initial Cost to Company, Buildings and Improvements	1,160
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	189
Gross Carrying Value
Gross Carrying Value, Land	420
Gross Carrying Value, Buildings and Improvements	1,349
Gross Carrying Value, Total	1,769
Accumulated Depreciation	$ (395)
Construction/Renovation Date	2011
Acquisition Date	2009
Assisted and Independent Living Properties \| Everglades Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,542
Initial Cost to Company, Buildings and Improvements	4,012
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	113
Gross Carrying Value
Gross Carrying Value, Land	1,542
Gross Carrying Value, Buildings and Improvements	4,125
Gross Carrying Value, Total	5,667
Accumulated Depreciation	$ (811)
Construction/Renovation Date	1990
Acquisition Date	2011
Assisted and Independent Living Properties \| Willows Health Holdings Llc [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	2,835
Initial Cost to Company, Buildings and Improvements	3,784
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	395
Gross Carrying Value
Gross Carrying Value, Land	2,835
Gross Carrying Value, Buildings and Improvements	4,179
Gross Carrying Value, Total	7,014
Accumulated Depreciation	$ (1,048)
Construction/Renovation Date	2013
Acquisition Date	2013
Assisted and Independent Living Properties \| Sky Holdings AZ LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	61
Initial Cost to Company, Buildings and Improvements	304
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	372
Gross Carrying Value
Gross Carrying Value, Land	61
Gross Carrying Value, Buildings and Improvements	676
Gross Carrying Value, Total	737
Accumulated Depreciation	$ (435)
Construction/Renovation Date	2004
Acquisition Date	2002
Assisted and Independent Living Properties \| Lemon River Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	342
Initial Cost to Company, Buildings and Improvements	802
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3,360
Gross Carrying Value
Gross Carrying Value, Land	342
Gross Carrying Value, Buildings and Improvements	4,162
Gross Carrying Value, Total	4,504
Accumulated Depreciation	$ (2,340)
Construction/Renovation Date	2012
Acquisition Date	2009
Assisted and Independent Living Properties \| Wisteria Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	244
Initial Cost to Company, Buildings and Improvements	3,241
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	81
Gross Carrying Value
Gross Carrying Value, Land	244
Gross Carrying Value, Buildings and Improvements	3,322
Gross Carrying Value, Total	3,566
Accumulated Depreciation	$ (1,297)
Construction/Renovation Date	2008
Acquisition Date	2011
Assisted and Independent Living Properties \| Mission CCRC LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	411
Initial Cost to Company, Buildings and Improvements	2,312
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	258
Gross Carrying Value
Gross Carrying Value, Land	411
Gross Carrying Value, Buildings and Improvements	2,570
Gross Carrying Value, Total	2,981
Accumulated Depreciation	$ (1,250)
Construction/Renovation Date	1994
Acquisition Date	2011
Assisted and Independent Living Properties \| Avenue N- Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	124
Initial Cost to Company, Buildings and Improvements	2,301
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	392
Gross Carrying Value
Gross Carrying Value, Land	124
Gross Carrying Value, Buildings and Improvements	2,693
Gross Carrying Value, Total	2,817
Accumulated Depreciation	$ (1,276)
Construction/Renovation Date	2007
Acquisition Date	2006
Assisted and Independent Living Properties \| Moenium Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,893
Initial Cost to Company, Buildings and Improvements	5,268
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,210
Gross Carrying Value
Gross Carrying Value, Land	1,893
Gross Carrying Value, Buildings and Improvements	6,478
Gross Carrying Value, Total	8,371
Accumulated Depreciation	$ (3,232)
Construction/Renovation Date	1986
Acquisition Date	2007
Assisted and Independent Living Properties \| Expo Park Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	570
Initial Cost to Company, Buildings and Improvements	1,692
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	248
Gross Carrying Value
Gross Carrying Value, Land	570
Gross Carrying Value, Buildings and Improvements	1,940
Gross Carrying Value, Total	2,510
Accumulated Depreciation	$ (772)
Construction/Renovation Date	1986
Acquisition Date	2010
Assisted and Independent Living Properties \| Flamingo Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	908
Initial Cost to Company, Buildings and Improvements	4,767
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	281
Gross Carrying Value
Gross Carrying Value, Land	908
Gross Carrying Value, Buildings and Improvements	5,048
Gross Carrying Value, Total	5,956
Accumulated Depreciation	$ (2,248)
Construction/Renovation Date	1986
Acquisition Date	2011
Assisted and Independent Living Properties \| 18th Place Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,011
Initial Cost to Company, Buildings and Improvements	2,053
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	490
Gross Carrying Value
Gross Carrying Value, Land	1,011
Gross Carrying Value, Buildings and Improvements	2,543
Gross Carrying Value, Total	3,554
Accumulated Depreciation	$ (831)
Construction/Renovation Date	1974
Acquisition Date	2011
Assisted and Independent Living Properties \| Boardwalk Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	367
Initial Cost to Company, Buildings and Improvements	1,633
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	51
Gross Carrying Value
Gross Carrying Value, Land	367
Gross Carrying Value, Buildings and Improvements	1,684
Gross Carrying Value, Total	2,051
Accumulated Depreciation	$ (452)
Construction/Renovation Date	1993
Acquisition Date	2012
Assisted and Independent Living Properties \| Lockwood Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,792
Initial Cost to Company, Buildings and Improvements	2,253
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	585
Gross Carrying Value
Gross Carrying Value, Land	1,792
Gross Carrying Value, Buildings and Improvements	2,838
Gross Carrying Value, Total	4,630
Accumulated Depreciation	$ (1,086)
Construction/Renovation Date	1967
Acquisition Date	2013
Assisted and Independent Living Properties \| Saratoga Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	444
Initial Cost to Company, Buildings and Improvements	2,265
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	176
Gross Carrying Value
Gross Carrying Value, Land	444
Gross Carrying Value, Buildings and Improvements	2,441
Gross Carrying Value, Total	2,885
Accumulated Depreciation	$ (408)
Construction/Renovation Date	1995
Acquisition Date	2013
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Prelude Cottages of Woodbury [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	430
Initial Cost to Company, Buildings and Improvements	6,714
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	430
Gross Carrying Value, Buildings and Improvements	6,714
Gross Carrying Value, Total	7,144
Accumulated Depreciation	$ (839)
Construction/Renovation Date	2011
Acquisition Date	2014
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| English Meadows Senior Living Community [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	250
Initial Cost to Company, Buildings and Improvements	6,114
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	3
Gross Carrying Value
Gross Carrying Value, Land	250
Gross Carrying Value, Buildings and Improvements	6,117
Gross Carrying Value, Total	6,367
Accumulated Depreciation	$ (765)
Construction/Renovation Date	2011
Acquisition Date	2014
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Bristol Court Assisted Living [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	645
Initial Cost to Company, Buildings and Improvements	7,322
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	13
Gross Carrying Value
Gross Carrying Value, Land	645
Gross Carrying Value, Buildings and Improvements	7,335
Gross Carrying Value, Total	7,980
Accumulated Depreciation	$ (827)
Construction/Renovation Date	2010
Acquisition Date	2015
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Asbury Place Assisted Living [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	212
Initial Cost to Company, Buildings and Improvements	4,992
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	72
Gross Carrying Value
Gross Carrying Value, Land	212
Gross Carrying Value, Buildings and Improvements	5,064
Gross Carrying Value, Total	5,276
Accumulated Depreciation	$ (543)
Construction/Renovation Date	1997
Acquisition Date	2015
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| New Haven Assisted Living of San Angelo [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	284
Initial Cost to Company, Buildings and Improvements	4,478
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	284
Gross Carrying Value, Buildings and Improvements	4,478
Gross Carrying Value, Total	4,762
Accumulated Depreciation	$ (438)
Construction/Renovation Date	2012
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Lamplight Inn of Fort Wayne [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	452
Initial Cost to Company, Buildings and Improvements	8,703
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	452
Gross Carrying Value, Buildings and Improvements	8,703
Gross Carrying Value, Total	9,155
Accumulated Depreciation	$ (834)
Construction/Renovation Date	2015
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Lamplight Inn of West Allis [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	97
Initial Cost to Company, Buildings and Improvements	6,102
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	97
Gross Carrying Value, Buildings and Improvements	6,102
Gross Carrying Value, Total	6,199
Accumulated Depreciation	$ (585)
Construction/Renovation Date	2013
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Lamplight Inn of Baltimore [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	0
Initial Cost to Company, Buildings and Improvements	3,697
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	0
Gross Carrying Value, Buildings and Improvements	3,697
Gross Carrying Value, Total	3,697
Accumulated Depreciation	$ (354)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Fort Myers Assisted Living [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,489
Initial Cost to Company, Buildings and Improvements	3,531
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	405
Gross Carrying Value
Gross Carrying Value, Land	1,489
Gross Carrying Value, Buildings and Improvements	3,936
Gross Carrying Value, Total	5,425
Accumulated Depreciation	$ (353)
Construction/Renovation Date	1980
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| English Meadows Elks Home Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	451
Initial Cost to Company, Buildings and Improvements	9,023
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	142
Gross Carrying Value
Gross Carrying Value, Land	451
Gross Carrying Value, Buildings and Improvements	9,165
Gross Carrying Value, Total	9,616
Accumulated Depreciation	$ (865)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Croatan Village [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	312
Initial Cost to Company, Buildings and Improvements	6,919
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	312
Gross Carrying Value, Buildings and Improvements	6,919
Gross Carrying Value, Total	7,231
Accumulated Depreciation	$ (634)
Construction/Renovation Date	2010
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Countryside Village [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	131
Initial Cost to Company, Buildings and Improvements	4,157
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	131
Gross Carrying Value, Buildings and Improvements	4,157
Gross Carrying Value, Total	4,288
Accumulated Depreciation	$ (381)
Construction/Renovation Date	2011
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| The Pines of Clarkston [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	603
Initial Cost to Company, Buildings and Improvements	9,326
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	603
Gross Carrying Value, Buildings and Improvements	9,326
Gross Carrying Value, Total	9,929
Accumulated Depreciation	$ (835)
Construction/Renovation Date	2010
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| The Pines of Goodrich [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	241
Initial Cost to Company, Buildings and Improvements	4,112
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	241
Gross Carrying Value, Buildings and Improvements	4,112
Gross Carrying Value, Total	4,353
Accumulated Depreciation	$ (368)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| The Pines of Burton [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	492
Initial Cost to Company, Buildings and Improvements	9,199
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	492
Gross Carrying Value, Buildings and Improvements	9,199
Gross Carrying Value, Total	9,691
Accumulated Depreciation	$ (824)
Construction/Renovation Date	2014
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| The Pines of Lapeer [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	302
Initial Cost to Company, Buildings and Improvements	5,773
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	302
Gross Carrying Value, Buildings and Improvements	5,773
Gross Carrying Value, Total	6,075
Accumulated Depreciation	$ (517)
Construction/Renovation Date	2008
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Arbor Place [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	392
Initial Cost to Company, Buildings and Improvements	3,605
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	392
Gross Carrying Value, Buildings and Improvements	3,605
Gross Carrying Value, Total	3,997
Accumulated Depreciation	$ (308)
Construction/Renovation Date	1984
Acquisition Date	2016
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Applewood of Brookfield [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	493
Initial Cost to Company, Buildings and Improvements	14,002
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	493
Gross Carrying Value, Buildings and Improvements	14,002
Gross Carrying Value, Total	14,495
Accumulated Depreciation	$ (1,021)
Construction/Renovation Date	2013
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Applewood of New Berlin [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	356
Initial Cost to Company, Buildings and Improvements	10,812
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	356
Gross Carrying Value, Buildings and Improvements	10,812
Gross Carrying Value, Total	11,168
Accumulated Depreciation	$ (788)
Construction/Renovation Date	2016
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Tangerine Cove Of Brooksville [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	995
Initial Cost to Company, Buildings and Improvements	927
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	161
Gross Carrying Value
Gross Carrying Value, Land	995
Gross Carrying Value, Buildings and Improvements	1,088
Gross Carrying Value, Total	2,083
Accumulated Depreciation	$ (77)
Construction/Renovation Date	1984
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Memory Care Cottages in White Bear Lake [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,611
Initial Cost to Company, Buildings and Improvements	5,633
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	1,611
Gross Carrying Value, Buildings and Improvements	5,633
Gross Carrying Value, Total	7,244
Accumulated Depreciation	$ (352)
Construction/Renovation Date	2016
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Culpeper [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	318
Initial Cost to Company, Buildings and Improvements	3,897
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	69
Gross Carrying Value
Gross Carrying Value, Land	318
Gross Carrying Value, Buildings and Improvements	3,966
Gross Carrying Value, Total	4,284
Accumulated Depreciation	$ (257)
Construction/Renovation Date	1997
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Louisa [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	407
Initial Cost to Company, Buildings and Improvements	4,660
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	72
Gross Carrying Value
Gross Carrying Value, Land	407
Gross Carrying Value, Buildings and Improvements	4,732
Gross Carrying Value, Total	5,139
Accumulated Depreciation	$ (313)
Construction/Renovation Date	2002
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Warrenton [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	1,238
Initial Cost to Company, Buildings and Improvements	7,247
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	85
Gross Carrying Value
Gross Carrying Value, Land	1,238
Gross Carrying Value, Buildings and Improvements	7,332
Gross Carrying Value, Total	8,570
Accumulated Depreciation	$ (462)
Construction/Renovation Date	1999
Acquisition Date	2017
Assisted and Independent Living Properties \| CTR Partnership, L.P. [Member] \| Vista Del Lago [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	4,362
Initial Cost to Company, Buildings and Improvements	7,997
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	0
Gross Carrying Value
Gross Carrying Value, Land	4,362
Gross Carrying Value, Buildings and Improvements	7,997
Gross Carrying Value, Total	12,359
Accumulated Depreciation	$ (70)
Construction/Renovation Date	2015
Acquisition Date	2019
Independent Living Properties
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial Cost to Company
Initial Cost to Company, Land	680
Initial Cost to Company, Buildings and Improvements	4,872
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,011
Gross Carrying Value
Gross Carrying Value, Land	680
Gross Carrying Value, Buildings and Improvements	5,883
Gross Carrying Value, Total	6,563
Accumulated Depreciation	(2,156)
Independent Living Properties \| Hillview Health Holdings LLC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company
Initial Cost to Company, Land	680
Initial Cost to Company, Buildings and Improvements	4,872
Cost Capitalized Since Acquisition
Costs Capitalized Since Acquisition	1,011
Gross Carrying Value
Gross Carrying Value, Land	680
Gross Carrying Value, Buildings and Improvements	5,883
Gross Carrying Value, Total	6,563
Accumulated Depreciation	$ (2,156)
Construction/Renovation Date	1996
Acquisition Date	2011

Schedule III - Real Estate Assets and Accumulated Depreciation - Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Real estate:
Balance at the beginning of the period	$ 1,368,157	$ 1,266,484	$ 986,215
Acquisitions	318,070	106,208	280,477
Improvements	3,103	7,230	744
Impairment	(21,465)	0	0
Sales of real estate	(62,784)	(11,765)	(952)
Balance at the end of the period	1,605,081	1,368,157	1,266,484
Accumulated depreciation:
Balance at the beginning of the period	(185,926)	(152,185)	(121,797)
Depreciation expense	(40,373)	(34,676)	(30,493)
Impairment	5,220	0	0
Sales of real estate	720	935	105
Balance at the end of the period	$ (220,359)	$ (185,926)	$ (152,185)

Schedule IV - Mortgage Loan on Real Estate - Mortgage Loan (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Prior Liens	$ 5,500
Principal Balance	29,500
Book Value (3)	29,500	$ 12,375	$ 12,517	$ 0
Carrying Amount of Loans Subject to Delinquent Principal or Interest	3,000
Loan Loss Allowance	$ 0
Skilled Nursing Facility \| CommuniCare
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Contractual Interest Rate	10.00%
Prior Liens	$ 0
Principal Balance	26,500
Book Value (3)	26,500
Carrying Amount of Loans Subject to Delinquent Principal or Interest	$ 0
Skilled Nursing Facility \| Manteca
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Contractual Interest Rate	8.00%
Prior Liens	$ 5,500
Principal Balance	3,000
Book Value (3)	3,000
Carrying Amount of Loans Subject to Delinquent Principal or Interest	$ 3,000

Schedule IV - Mortgage Loan on Real Estate - Mortgage Loan Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loans, beginning of period	$ 12,375	$ 12,517	$ 0
Additions during period:
New mortgage loans	40,889	0	12,542
Deductions during period:
Paydowns/Repayments	(23,764)	(142)	(25)
Mortgage loans, end of period	$ 29,500	$ 12,375	$ 12,517