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Real Estate Properties and Investments (Tables)
 12 Months Ended
Dec. 31, 2021
Real Estate [Abstract]  
New Real Estate Investments [Table Text Block]
During the year ended December 31, 2021, we completed the following real estate acquisitions as described below ($ in thousands):

OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Vizion HealthQ2 20211HOSP$1,470 $38,780 $40,250 
Navion Senior SolutionsQ2 20211SHO531 6,069 6,600 
$2,001 $44,849 $46,850 
Prior Year Real Estate Investments [Table Text Block]
During the year ended December 31, 2020, we completed the following real estate acquisitions as described below ($ in thousands):
OperatorDatePropertiesAsset ClassLandBuilding and ImprovementsTotal
Bickford Senior LivingQ1 20201SHO$1,588 $13,512 $15,100 
Life Care ServicesQ1 20201SHO4,370 130,522 134,892 
Autumn Trace Q2 20202SHO344 13,906 14,250 
Encore Senior Living1
Q3 20201SHO504 11,796 12,300 
$6,806 $169,736 $176,542 
1Formerly 41 Management
Schedule of Tenant Concentrations [Table Text Block]
Major Tenants

The following table contains information regarding tenant concentration in our portfolio, including properties classified as held for sale, $2.6 million for our corporate office and a credit loss reserve balance of $5.2 million, based on the percentage of revenues for the years ended December 31, 2021, 2020 and 2019 related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):
as of December 31, 2021
Revenues1
Asset RealNotesYear Ended December 31,
Class
Estate2
Receivable202120202019
Senior Living CommunitiesEFC$573,631 $42,266 $50,726 17%$50,734 15%$48,450 15%
National HealthCare CorporationSNF171,188 — 37,735 12%37,820 11%38,131 12%
Bickford Senior LivingALF490,308 40,599 34,599 12%49,451 15%56,210 17%
Holiday3
ILF377,735 — N/AN/A40,705 12%40,459 13%
All others, netVarious1,414,475 222,297 164,017 55%144,448 44%129,033 41%
Escrow funds received from tenants
    for property operating expensesVarious— — 11,638 4%9,653 3%5,798 2%
$3,027,337 $305,162 $298,715 $332,811 $318,081
1 Includes interest income on notes receivable
2 Amounts reflect gross investment and include four Bickford properties held for sale and one Holiday property held for sale.
3 Below 10% for year ended December 31, 2021, as such revenues are included in All others, net
Summary of NHC Percentage Rent [Table Text Block]
The following table summarizes the percentage rent income from NHC ($ in thousands):

Year Ended December 31,
202120202019
Current year$3,536 $3,687 $3,650 
Prior year final certification1
(5)(14)334 
Total percentage rent income$3,531 $3,673 $3,984 
1 For purposes of the percentage rent calculation described in the master lease agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year.
Schedule of Fixed and Variable Lease Payments [Table Text Block]
Variable Lease Payments

Most of our existing leases contain annual escalators in rent payments. For financial statement purposes, rental income is recognized on a straight-line basis over the term of the lease where the lease contains fixed escalators. Some of our leases contain escalators that are determined annually based on a variable index or other factor that is indeterminable at the inception of the lease. The table below indicates the revenue recognized as a result of fixed and variable lease escalators ($ in thousands):

Year Ended December 31,
202120202019
Lease payments based on fixed escalators, net of deferrals$241,172 $272,630 $262,178 
Lease payments based on variable escalators4,662 5,501 4,967 
Straight-line rent income14,603 20,411 22,084 
Escrow funds received from tenants for property operating expenses11,638 9,653 5,798 
Amortization of lease incentives(1,026)(987)(845)
Rental income$271,049 $307,208 $294,182 
Asset Dispositions
During the year ended December 31, 2021, we completed the following real estate dispositions as described below ($ in thousands):
OperatorDatePropertiesAsset ClassNet ProceedsNet Real Estate Investment
Other1
Gain/(Impairment)2
BickfordQ2 20216SHO$39,924 $34,485 $1,871 $3,568 
Community Health SystemsQ2 20211MOB3,887 946 62 2,879 
TrustPoint HospitalQ3 20211HOSP31,215 21,018 1,562 8,635 
HolidayQ3 20218SHO114,133 113,611 (1,360)1,882 
Quorum HealthQ3 20211HOSP8,314 9,568 — (1,254)
Senior Living ManagementQ3 20211SHO12,847 3,212 210 9,425 
HolidayQ3 20211SHO5,666 10,388 (81)(4,641)
Brookdale Senior LivingQ4 20211ALF11,880 11,696 — 184 
Senior Living ManagementQ4 20211SLC7,275 3,335 256 3,684 
GenesisQ4 20211SLC3,723 1,677 (166)2,211 
$238,864 $209,936 $2,354 $26,573 
1 Includes straight-line rent and deferred lease intangibles
2 Impairments are included in “Loan and realty losses” in our Consolidated Income Statement for the year ended December 31, 2021
Lessor, Operating Lease, Payment to be Received, Fiscal Year Maturity
Future Minimum Lease Payments

Future minimum lease payments to be received by us under our operating leases at December 31, 2021 are as follows ($ in
thousands):

Year Ending December 31,
2022$268,096 
2023261,788 
2024258,381 
2025259,664 
2026263,620 
Thereafter1,092,671 
$2,404,220