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Other Real Estate Related and Other Investments - Narrative (Details) |  |  |  |  |  |  | 1 Months Ended | 12 Months Ended |  |  |
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Dec. 15, 2023 loan | Nov. 29, 2023 USD ($) facility extension_option | Sep. 29, 2023 USD ($) extension_option facility | Jul. 17, 2023 USD ($) extension_option facility | Jun. 01, 2023 USD ($) facility | Mar. 30, 2023 USD ($) loan | Dec. 31, 2023 USD ($) facility Rate | Oct. 31, 2023 facility | Sep. 30, 2023 facility | Sep. 30, 2022 USD ($) extension_option facility | Aug. 31, 2022 USD ($) facility extension_option | Jun. 30, 2022 USD ($) facility | Dec. 31, 2023 USD ($) facility | Dec. 31, 2022 USD ($) loan facility | Dec. 31, 2021 USD ($) | Jun. 29, 2023 USD ($) facility | Jan. 25, 2023 | Dec. 31, 2020 facility
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  | $ 190,197,000 |  |  |  |  |  | $ 190,197,000 |  |  |  |  |
Number of facilities | facility |  |  |  |  | 1 |  | 226 |  |  |  |  |  | 226 |  |  |  |  |
Interest rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 12.00%
Number of facilities operated by existing operator | facility |  |  |  |  |  |  |  |  |  |  | 4 |  |  |  |  |  |  |
Number of facilities operated by large regional operator | facility |  |  |  |  |  |  |  |  |  |  | 1 |  |  |  |  |  |  |
Expected credit loss |  |  |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 3,844,000 | $ 0 |  |  |
Next WV Realty, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities acquired | facility |  |  |  |  |  |  |  |  |  |  |  | 18 |  |  |  |  |  |
Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9
Number of facilities acquired | facility |  |  |  |  |  |  |  | 2 | 1 | 4 |  |  |  |  |  |  |  |
Skilled Nursing Facility | Held for Sale | Trio Healthcare Holdings, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  |  |  |  |  |  |  |  |  |  |  | 6 |  |  |  |
Multi-service campuses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  |  |  |  | 1 |  |  |  |  |  | 1 |  |  |  |  |
Multi-service campuses | Held for Sale | Trio Healthcare Holdings, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 |  |  |  |
Mortgage Secured Loans Receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments for loans receivable |  |  |  |  |  |  | $ 10,500,000 |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  |  |  |  | $ 24,900,000 | $ 22,300,000 |  |  |  |  |  |  |
Number of loans | loan | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of extension option | extension_option |  |  |  |  |  |  |  |  |  | 2 | 2 |  |  |  |  |  |  |
Extension option, term (year) |  |  |  |  |  |  |  |  |  | 1 year | 1 year |  |  |  |  |  |  |
Earnout advance |  |  |  |  |  |  |  |  |  | $ 4,700,000 |  |  |  |  |  |  |  |
Subservicing fee percentage |  |  |  |  |  |  |  |  |  | 100.00% | 50.00% |  |  |  |  |  |  |
Mortgage Secured Loans Receivable | Next WV Realty, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  |  |  |  |  |  | $ 75,000,000 |  |  |  |  |  |
Loan receivable interest rate |  |  |  |  |  |  |  |  |  |  |  | 8.50% |  |  |  |  |  |
Servicing fee threshold |  |  |  |  |  |  |  |  |  |  |  | 8.25% |  |  |  |  |  |
Effective rate |  |  |  |  |  |  |  |  |  |  |  | 8.375% |  |  |  |  |  |
Mortgage Secured Loans Receivable | SOFR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loans receivable, basis spread on variable rate |  |  |  |  |  |  |  |  |  | 4.50% | 4.25% |  |  |  |  |  |  |
Floor rate |  |  |  |  |  |  |  |  |  | 1.00% | 1.00% |  |  |  |  |  |  |
Mortgage Secured Loans Receivable | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  | 1.00% | 2.00% |  |  |  |  |  |  |
Subservicing fee percentage |  |  |  |  |  |  |  |  |  | 9.00% | 8.25% |  |  |  |  |  |  |
Mortgage Secured Loans Receivable | Minimum | Next WV Realty, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  |  |  | 1.00% |  |  |  |  |  |
Mortgage Secured Loans Receivable | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  | 3.00% | 3.00% |  |  |  |  |  |  |
Mortgage Secured Loans Receivable | Maximum | Next WV Realty, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  |  |  | 3.00% |  |  |  |  |  |
Mortgage Secured Loans Receivable | Weighted Average | SOFR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loans receivable, basis spread on variable rate |  |  |  |  |  |  |  |  |  | 2.85% | 2.75% |  |  |  |  |  |  |
Mezzanine Loan Receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments for loans receivable |  |  |  |  |  | $ 15,000,000 |  |  |  |  |  |  |  |  |  |  |  |
Number of loans | loan |  |  |  |  |  | 1 |  |  |  |  |  |  |  |  |  |  |  |
Mezzanine Loan Receivable | Next WV Realty, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  |  |  |  |  |  | $ 25,000,000 |  |  |  |  |  |
Loan receivable interest rate |  |  |  |  |  |  |  |  |  |  |  | 11.00% |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  | $ 6,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate |  | 9.90% | 12.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Extension option, term (year) |  | 6 months | 6 months |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  | 2.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | E3 Acquisition, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Preferred equity investment |  |  |  |  |  |  | $ 1,800,000 |  |  |  |  |  |  |  |  |  |  |
Preferred rate | Rate |  |  |  |  |  |  | 15.00% |  |  |  |  |  |  |  |  |  |  |
Repayment period |  |  |  |  |  |  | 15 months |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Assisted Living Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  | 3 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of extension option | extension_option |  | 2 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  | 0.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  | 2.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Multi-Tranche Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  | $ 3,600,000 |  |  |  | $ 3,600,000 |  |  |  |  |  | $ 3,600,000 |  |  |  |  |
Mortgage Secured Loan Receivable August 1, 2028 Maturity | SOFR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8.75% |
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  | $ 15,700,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate |  |  |  | 9.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of extension option | extension_option |  |  |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Extension option, term (year) |  |  |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  | 2.00% |  |  |  |  |  |  |  |  |  |  |  |  | 1.00% |
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  | 3.00% |  |  |  |  |  |  |  |  |  |  |  |  | 2.00% |
Mortgage secured loans receivable | Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 26,000,000 |  |
Number of facilities | facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 |  |
Interest rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9.00% |  |
Mortgage secured loans receivable | Skilled Nursing Facility | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0.00% |  |
Mortgage secured loans receivable | Skilled Nursing Facility | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Early termination fee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3.00% |  |
Mortgage secured loans receivable | Independent Living Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities | facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 |  |
Mortgage secured loans receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Extension option, term (year) |  |  |  |  | 1 year |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage secured loans receivable | Assisted Living Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  | $ 2,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate |  |  |  |  | 9.00% |  |  |  |  |  |  |  |  |  |  |  |  |
B Tranche Mortgage Loan | Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities acquired by borrower | facility |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |  |
Other loans receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal amount |  |  |  |  |  |  | $ 17,094,000 |  |  |  |  |  | 17,094,000 |  |  |  |  |
Expected credit loss |  |  |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 4,600,000 | $ 0 |  |  |
Number of loans receivable with provision | loan |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |
Unfunded loan commitment |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 400,000 |  |  |  |
Write-off |  |  |  |  |  |  |  |  |  |  |  |  |  | 800,000 |  |  |  |
Other loans receivable | Skilled Nursing Facility |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Write-off |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 2,500,000 |  |  |  |
Other loans receivable | Multi-service campuses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Financing Receivable, Allowance for Credit Loss [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of loans receivable with provision | loan |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 |  |  |  |

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