Real Estate Investments - Types of property Improvement (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Real estate investments
Invested in projects	$ 17,249
Development | Development and Improvement Commitments
Real estate investments
Invested in projects	105
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	4,555	$ 4,839
ALF | Development | Development and Improvement Commitments
Real estate investments
Invested in projects	105
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	3,015	4,560
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	981	$ 279
Other | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 559