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Loans Receivable - Schedule of Loans Receivable (Details) - USD ($)
$ in Thousands
Sep. 30, 2025
Dec. 31, 2024
Dec. 31, 2023
Financing Receivable, Allowance for Credit Loss [Line Items]      
Unamortized discounts and fees $ (15,477) $ (22,380)  
Reserve for loan losses (11,602) (10,499) $ (2,830)
Loans receivable, net 673,502 717,190  
Loans and leases receivable, remaining commitments 121,000    
Outpatient Medical Buildings      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Loans and leases receivable, remaining commitments   85,000  
Secured loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross 580,912 638,482  
Reserve for loan losses (5,267) (5,574) $ (2,830)
CCRC resident loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross 66,549 61,273  
Mezzanine loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross $ 53,120 $ 50,314