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Schedule IV - Mortgage Loans on Real Estate - Mortgage Loan (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2022
USD ($)
facility
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Prior Liens $ 1,279,409      
Principal Balance 162,150      
Book value 156,368 $ 15,155 $ 15,000 $ 29,500
Aggregate cost of investments in real estate mortgage loans for federal income tax purposes $ 162,200      
Skilled Nursing Facility | Mortgage Secured Loans | West Virginia (18 SNF facilities)        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of facilities | facility 18      
Contractual Interest Rate 8.40%      
Prior Liens $ 482,000      
Principal Balance 75,000      
Book value $ 72,543      
Skilled Nursing Facility | Mortgage Secured Loans | California (5 SNF facilities)        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of facilities | facility 5      
Contractual Interest Rate 10.20%      
Prior Liens $ 53,400      
Principal Balance 22,250      
Book value $ 21,345      
Skilled Nursing Facility | Mortgage Secured Loans | Georgia (4 SNF facilities)        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of facilities | facility 4      
Contractual Interest Rate 9.00%      
Prior Liens $ 72,700      
Principal Balance 24,900      
Book value $ 23,796      
Skilled Nursing Facility | Mezzanine Loans | West Virginia (18 SNF facilities)        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of facilities | facility 18      
Contractual Interest Rate 11.00%      
Prior Liens $ 557,000      
Principal Balance 25,000      
Book value $ 24,012      
Skilled Nursing Facility | Mezzanine Loans | Virginia (9 SNF facilities)        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of facilities | facility 9      
Contractual Interest Rate 12.00%      
Prior Liens $ 114,309      
Principal Balance 15,000      
Book value $ 14,672