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Real Estate Investments - Mortgage Loan (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
USD ($)
item
property
state
period
Jun. 30, 2023
USD ($)
item
Mar. 31, 2023
USD ($)
item
Sep. 30, 2023
USD ($)
item
loan
property
state
period
$ / item
Sep. 30, 2022
item
property
Dec. 31, 2022
USD ($)
Real Estate [Line Items]            
Interest rate (as a percent)         7.25%  
Gross Investment | $ $ 1,405,848     $ 1,405,848    
Percentage of Investment 100.00%     100.00%    
Number of properties | property 143     143    
Number of beds/units         217  
Notes receivable, net of credit loss reserve | $ $ 63,056     $ 63,056   $ 58,383
Loan Term         4 years  
Internal Rate of Return         8.00%  
Additional interest income related to the exit IRR | $       $ 1,380    
SNF Beds            
Real Estate [Line Items]            
Number of beds/units 6,231     6,231    
ALF Units            
Real Estate [Line Items]            
Number of beds/units 5,559     5,559    
SNF            
Real Estate [Line Items]            
Gross Investment | $ $ 592,880     $ 592,880    
Percentage of Investment 42.10%     42.10%    
Number of properties | property 50     50    
Average Investment per Bed/Unit | $ / item       93.38    
SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 6,113     6,113    
SNF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 236     236    
ALF            
Real Estate [Line Items]            
Gross Investment | $ $ 800,963     $ 800,963    
Percentage of Investment 57.00%     57.00%    
Number of properties | property 92     92    
Average Investment per Bed/Unit | $ / item       150.47    
ALF | North Carolina            
Real Estate [Line Items]            
Number of properties | property         4  
ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 5,323     5,323    
ILF/ALF/MC | Georgia            
Real Estate [Line Items]            
Payments to Acquire Real Estate | $       $ 51,111    
ALF & MC | North Carolina            
Real Estate [Line Items]            
Number of beds/units     523      
Mezzanine loan            
Real Estate [Line Items]            
Interest rate (as a percent)         8.00%  
Number of beds/units 136     136 621  
Loan Term         5 years  
Extension term number of options         2  
Additional interest income related to the exit IRR | $     $ 1,380      
Mezzanine loan | Georgia            
Real Estate [Line Items]            
Interest rate (as a percent) 8.75%          
Number of beds/units 130     130    
Loan Term 5 years          
Mezzanine loan | ILF/ALF/MC | Georgia            
Real Estate [Line Items]            
Gross Investment | $ $ 42,251     $ 42,251    
Mortgage loans with 7.5% Interest Maturing 2024 | Mezzanine loan            
Real Estate [Line Items]            
Notes receivable, net of credit loss reserve | $ 7,461     $ 7,461    
Mortgage loans with 8.8% Interest Maturing 2028 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       8.75%    
Mortgage loans with 8.8% Interest Maturing 2028 | SNF | Illinois            
Real Estate [Line Items]            
Interest rate (as a percent)   8.75%        
Gross Investment | $ $ 16,500 $ 16,500   $ 16,500    
Number of beds/units 150 150   150    
Mortgage loans with 9.8% Interest Maturing 2045 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       10.10%    
Mortgage Loans            
Real Estate [Line Items]            
Gross Investment | $ $ 478,344     $ 478,344    
Percentage of Investment 100.00%     100.00%    
Number of Loans | loan       13    
Number of properties | property 44     44    
Average Investment per Bed/Unit | $ / item       116.75    
Number of borrowers 7     7    
Number of states in which properties are located | state 8     8    
Mortgage Loans | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 3,041     3,041    
Mortgage Loans | ALF Units            
Real Estate [Line Items]            
Number of beds/units 1,056     1,056    
Mortgage Loans | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       2.25%    
Mortgage Loans | ALF            
Real Estate [Line Items]            
Internal Rate of Return       8.00%    
Mortgage Loans | ILF/ALF/MC | Georgia            
Real Estate [Line Items]            
Interest rate (as a percent)       7.50%    
Gross Investment | $ $ 51,111     $ 51,111    
Number of beds/units 203     203    
Internal Rate of Return       7.75%    
Payments to Acquire Real Estate | $       $ 51,111    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2023 | SNF            
Real Estate [Line Items]            
Number of beds/units 91     91    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2024 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.50%    
Gross Investment | $ $ 29,346     $ 29,346    
Percentage of Investment 6.10%     6.10%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       155.27    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2024 | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 189     189    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2024 | OTH            
Real Estate [Line Items]            
Interest rate (as a percent)       7.50%    
Gross Investment | $ $ 1,961     $ 1,961    
Percentage of Investment 0.40%     0.40%    
Number of Loans | loan       1    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2024 | ALF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.50%    
Gross Investment | $ $ 51,111     $ 51,111    
Percentage of Investment 10.70%     10.70%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       251.78    
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2024 | ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 203     203    
Mortgage Loans | Mortgage loans with 7.8% Interest Maturing 2025 | ALF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.80%    
Gross Investment | $ $ 16,706     $ 16,706    
Percentage of Investment 3.50%     3.50%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       245.68    
Mortgage Loans | Mortgage loans with 7.8% Interest Maturing 2025 | ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 68     68    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2025, NC | ALF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.30%    
Gross Investment | $ $ 10,750     $ 10,750    
Percentage of Investment 2.20%     2.20%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       238.89    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2025, NC | ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 45     45    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2025, NC | ALF | ALF Units | North Carolina            
Real Estate [Line Items]            
Interest rate (as a percent)       7.25%    
Number of beds/units 45     45    
Loan Term       2 years    
Internal Rate of Return       9.00%    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2025, NC/SC | ALF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.30%    
Gross Investment | $ $ 58,331     $ 58,331    
Percentage of Investment 12.20%     12.20%    
Number of Loans | loan       1    
Number of properties | property 13     13    
Average Investment per Bed/Unit | $ / item       111.53    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2025, NC/SC | ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 523     523    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2026 | OTH            
Real Estate [Line Items]            
Interest rate (as a percent)       7.30%    
Gross Investment | $ $ 826     $ 826    
Percentage of Investment 0.20%     0.20%    
Number of Loans | loan       1    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2026 | ALF            
Real Estate [Line Items]            
Interest rate (as a percent)       7.30%    
Gross Investment | $ $ 34,043     $ 34,043    
Percentage of Investment 7.10%     7.10%    
Number of Loans | loan       1    
Number of properties | property 4     4    
Average Investment per Bed/Unit | $ / item       156.88    
Mortgage Loans | Mortgage loans with 7.3% Interest Maturing 2026 | ALF | ALF Units            
Real Estate [Line Items]            
Number of beds/units 217     217    
Mortgage Loans | Mortgage loans with 8.8% Interest Maturing 2028 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       8.80%    
Gross Investment | $ $ 16,500     $ 16,500    
Percentage of Investment 3.50%     3.50%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       110.00    
Mortgage Loans | Mortgage loans with 8.8% Interest Maturing 2028 | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 150     150    
Mortgage Loans | Mortgage loans with 10.6% Interest Maturing 2043 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       10.60%    
Gross Investment | $ $ 184,220     $ 184,220    
Percentage of Investment 38.50%     38.50%    
Number of Loans | loan       1    
Number of properties | property 15     15    
Average Investment per Bed/Unit | $ / item       98.25    
Mortgage Loans | Mortgage loans with 10.6% Interest Maturing 2043 | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 1,875     1,875    
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045 [Member] | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       9.70%    
Gross Investment | $ $ 40,000     $ 40,000    
Percentage of Investment 8.40%     8.40%    
Number of Loans | loan       1    
Number of properties | property 4     4    
Average Investment per Bed/Unit | $ / item       83.33    
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045 [Member] | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 480     480    
Mortgage Loans | Mortgage loans with 9.8% Interest Maturing 2045 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       10.10%    
Mortgage Loans | Mortgage Loans with 10.1% Interest Maturing 2045 | SNF            
Real Estate [Line Items]            
Gross Investment | $ $ 19,700     $ 19,700    
Percentage of Investment 4.10%     4.10%    
Number of Loans | loan       1    
Number of properties | property 2     2    
Average Investment per Bed/Unit | $ / item       98.01    
Mortgage Loans | Mortgage Loans with 10.1% Interest Maturing 2045 | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 201     201    
Mortgage Loans | Mortgage loans with 10.3% Interest Maturing 2045 | SNF            
Real Estate [Line Items]            
Interest rate (as a percent)       10.30%    
Gross Investment | $ $ 14,850     $ 14,850    
Percentage of Investment 3.10%     3.10%    
Number of Loans | loan       1    
Number of properties | property 1     1    
Average Investment per Bed/Unit | $ / item       101.71    
Mortgage Loans | Mortgage loans with 10.3% Interest Maturing 2045 | SNF | SNF Beds            
Real Estate [Line Items]            
Number of beds/units 146     146    
Mortgage Loans | Mortgage Loans With 8.75 Interest | ALF            
Real Estate [Line Items]            
Interest rate (as a percent) 8.75%     8.75%    
Gross Investment | $ $ 19,500     $ 19,500    
Number of properties 85     85    
Number of beds/units 85     85    
Borrower contribution | $ $ 12,100     $ 12,100    
Loan Term 3 years     3 years    
Extension term number of options | period 2     2    
Extension period of mortgage loan on real estate properties 1 year     1 year