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Loans Receivable - Schedule of Loans Receivable (Details) - USD ($)
$ in Thousands
Sep. 30, 2023
Dec. 31, 2022
Dec. 31, 2021
Financing Receivable, Allowance for Credit Loss [Line Items]      
Unamortized discounts and fees $ (498) $ (808)  
Reserve for loan losses (8,023) (8,280) $ (1,813)
Loans receivable, net 225,881 374,832  
Loans and leases receivable, remaining commitments 36,000 40,000  
Secured Loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross 192,187 350,837  
Reserve for loan losses (8,023) (8,280) $ (1,804)
CCRC resident loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross $ 42,215 $ 33,083