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Equity - Noncontrolling Interest (Details) - USD ($)
$ in Thousands
Sep. 30, 2021
Dec. 31, 2020
Noncontrolling interest    
Gross Consolidated Assets $ 1,453,088 $ 1,459,486
Non-controlling interests 8,413 $ 8,404
Partnership    
Noncontrolling interest    
Gross Consolidated Assets 83,429  
Non-controlling interests 8,413  
Virginia | 2019 Acquisitions | Partnership | ALF and MC    
Noncontrolling interest    
Gross Consolidated Assets 16,895  
Non-controlling interests 919  
Oregon | 2018 Acquisitions | Partnership | ALF and MC    
Noncontrolling interest    
Gross Consolidated Assets 18,447  
Non-controlling interests 1,091  
Oregon | 2018 Acquisitions | Partnership | ILF    
Noncontrolling interest    
Gross Consolidated Assets 14,400  
Non-controlling interests 2,857  
Wisconsin | 2017 Acquisitions | Partnership | ILF/ALF/MC    
Noncontrolling interest    
Gross Consolidated Assets 22,007  
Non-controlling interests 2,305  
South Carolina | 2017 Acquisitions | Partnership | ALF and MC    
Noncontrolling interest    
Gross Consolidated Assets 11,680  
Non-controlling interests $ 1,241