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Other Real Estate Related and Other Investments - Other Real Estate Related Investments, At Fair Value (Details)
12 Months Ended
Dec. 31, 2022
USD ($)
facility
Dec. 31, 2021
USD ($)
facility
Real Estate Properties [Line Items]    
Principal amount $ 162,150,000  
Book value 156,368,000 $ 15,155,000
Expected credit loss   0
Senior mortgage secured loan receivable    
Real Estate Properties [Line Items]    
Principal amount 75,000,000  
Book value $ 72,543,000 $ 0
Weighted Average Contractual Interest Rate 8.40%  
Senior mortgage secured loan receivable | Skilled Nursing and Campus Facilities    
Real Estate Properties [Line Items]    
Facility Count and Type | facility 18 18
Mortgage secured loan receivable    
Real Estate Properties [Line Items]    
Principal amount $ 22,250,000  
Book value $ 21,345,000 $ 0
Weighted Average Contractual Interest Rate 10.20%  
Mortgage secured loan receivable | SOFR    
Real Estate Properties [Line Items]    
Basis spread on variable rate (percent) 4.33%  
Mortgage secured loan receivable | Skilled Nursing Facility    
Real Estate Properties [Line Items]    
Facility Count and Type | facility 5 5
Mortgage secured loan receivable    
Real Estate Properties [Line Items]    
Principal amount $ 24,900,000  
Book value $ 23,796,000 $ 0
Weighted Average Contractual Interest Rate 9.00%  
Mortgage secured loan receivable | Skilled Nursing Facility    
Real Estate Properties [Line Items]    
Facility Count and Type | facility 4 4
Mezzanine loans receivable    
Real Estate Properties [Line Items]    
Principal amount $ 15,000,000  
Book value $ 14,672,000 $ 15,155,000
Weighted Average Contractual Interest Rate 12.00%  
Mezzanine loans receivable | Skilled Nursing Facility    
Real Estate Properties [Line Items]    
Facility Count and Type | facility 9 9
Mezzanine loan receivable    
Real Estate Properties [Line Items]    
Principal amount $ 25,000,000  
Book value $ 24,012,000 $ 0
Weighted Average Contractual Interest Rate 11.00%  
Mezzanine loan receivable | Skilled Nursing and Campus Facilities    
Real Estate Properties [Line Items]    
Facility Count and Type | facility 18 18
Other    
Real Estate Properties [Line Items]    
Principal amount $ 9,596,000  
Book value $ 9,600,000 $ 3,161,000
Weighted Average Contractual Interest Rate 8.50%  
Expected credit loss $ (2,094,000)  
Principal Balance 9,596,000  
Book Value $ 7,506,000 $ 3,161,000