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Mortgage and Other Notes Receivable (Narrative) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Aug. 31, 2024
USD ($)
extensionOption
Jun. 30, 2024
USD ($)
facility
Feb. 29, 2024
USD ($)
extensionOption
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
property
Sep. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
Sep. 30, 2024
property
Sep. 30, 2024
unit
Sep. 30, 2024
facility
Sep. 30, 2024
Sep. 30, 2024
loan
Dec. 31, 2021
property
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Number of health care properties related to mortgage notes receivables | property                 17          
Mortgage and other notes receivable, net of reserve       $ 19,411   $ 19,411   $ 15,476            
Financing receivable, after allowance for credit loss       232,550   232,550   245,271            
Allowance for credit loss reserve       3,600                    
Loans and leases agreement           138,200                
Number of underlying properties | property                 2          
Interest income and other       5,855 $ 5,484 17,745 $ 16,005              
Increase rate in the amount of loss from a default                       20.00%    
Effective adjustment rate                       44.00%    
Nonperforming Financial Instruments                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Financing receivable, net       26,447   26,447                
between 1.0x and 1.5x | Nonperforming Financial Instruments                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Financing receivable, net       14,500   14,500                
Clear Sky Senior Living                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       1,100   1,100                
Loans and leases agreement $ 27,700                          
Term of loan agreement 4 years                          
Financing receivable, stated interest rate 9.00%                          
Number of loan extensions | extensionOption 2                          
Financing receivable, renewal term 1 year                          
Compass Senior Living , LLC                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Loans and leases agreement   $ 9,500                        
Term of loan agreement   5 years                        
Financing receivable, stated interest rate   8.50%                        
Number of mortgage facilities | facility   2                        
Carriage Crossing Senior Living                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Loans and leases agreement     $ 15,000                      
Term of loan agreement     5 years                      
Financing receivable, stated interest rate     8.75%                      
Number of loan extensions | extensionOption     2                      
Financing receivable, renewal term     1 year                      
Contingent incentive payments     $ 2,000                      
Montecito Medical Real Estate                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       18,000   18,000                
Interest income and other       400 500 1,400 1,400              
Loans and leases agreement           50,000                
Principal repaid           2,100                
Bickford                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       16,647   16,647                
Properties                 1   39      
Interest income and other       300 1,000 300 1,000              
Repayments of term loan       100 300 100 300              
Senior Living Communities, LLC (“Senior Living”)                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       42,896   $ 42,896                
Financing receivable, renewal term           1 year                
Revolving amount line of credit       20,000   $ 20,000                
Revolving note receivable, amount outstanding       10,300   $ 10,300                
Loans receivable facility bears interest rate           8.00%                
Purchase option at a stated minimum price       38,300   $ 38,300                
Mezzanine                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net of reserve       10,000   10,000                
Nonperforming Financial Instruments                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net of reserve       16,000   16,000   11,900            
Mortgage notes receivable, designated as nonperforming           1,900   $ 2,100            
Interest income and other       300 $ 500 1,300 $ 1,400              
Secured By Real Estate                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       163,200   163,200                
Not Secured By Real Estate                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage and other notes receivable, net       88,800   $ 88,800                
Property Held by Fund | Montecito Medical Real Estate                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Number of medical office buildings | property           7                
Combined purchase price of medical office buildings           $ 76,400                
Fully Funded | Bickford                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Loans and leases agreement           14,700                
Number of construction loans | loan                         1  
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Note receivable interest rate                       10.00%    
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Bickford Note Investment | Unlikely to be Collected Financing Receivable                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Mortgage increase from sale of real estate           12,400                
Negotiations to sale | Bickford                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Properties | property                           6
After 2021 | Senior Living Communities, LLC (“Senior Living”)                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Revolving amount line of credit       $ 15,000   15,000                
July 2019 Transaction | Senior Living Communities, LLC (“Senior Living”)                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Loans and leases agreement           $ 32,700                
Annual interest rate from master credit agreement                       7.25%    
June 2019 Transaction | Senior Living Communities, LLC (“Senior Living”)                            
Accounts, Notes, Loans and Financing Receivable [Line Items]                            
Number of units in real estate property | unit                   248