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Mortgage and Other Notes Receivable (Narrative) (Details)
$ in Thousands
 1 Months Ended 3 Months Ended 9 Months Ended
May 31, 2025
USD ($)
unit
Mar. 31, 2025
USD ($)
Feb. 28, 2025
USD ($)
Sep. 30, 2025
USD ($)
loan
facility
unit
Jun. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2025
USD ($)
loan
facility
unit
property
Sep. 30, 2024
USD ($)
Oct. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2021
property
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Credit loss reserve       $ (15,443)     $ (15,443)     $ (20,249)  
Financing receivable, non-performing loans | loan             2        
Loans and leases agreement             $ 149,700        
Interest income and other       $ 6,492   $ 5,855 $ 19,158 $ 17,745      
Increase rate in the amount of loss from a default       20.00%     20.00%        
Effective adjustment rate       4.50%     4.50%        
Vizion Health                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       $ 17,200     $ 17,200        
Mezzanine loan agreement   $ 5,400                  
Interest rate on loan             0.094        
Encore Senior Living                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage and other notes receivable, net       2,800     $ 2,800        
Loans and leases agreement $ 28,000                    
Number of units in real estate property | unit 84                    
Annual interest rate from master credit agreement 9.00%                    
Real Estate                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage and other notes receivable, net       6,600     6,600        
Interest income and other       500   400 1,200 1,400      
Bickford                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage and other notes receivable, net       $ 15,989     $ 15,989        
Interest rate       9.00%     9.00%        
Properties | facility       38     38        
Interest income and other       $ 300   300 $ 900 1,000      
Repayments of term loan       100     300        
Senior Living                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage and other notes receivable, net       $ 39,450     39,450        
Loans and leases agreement             $ 6,800        
Annual interest rate from master credit agreement       8.25%     8.25%        
Revolving amount line of credit       $ 15,000     $ 15,000        
Loans receivable facility bears interest rate             8.00%        
Senior Living | Subsequent Event                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Revolving amount line of credit                 $ 1,500    
Senior Living Communities in South Carolina                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Loans and leases agreement             $ 32,700        
Number of units in real estate property | unit       251     251        
SLM | SLM                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Repayments of secured debt $ 2,500                    
Credit loss reserve         $ (1,300)            
Principal outstanding       $ 12,000     $ 12,000        
Nonperforming Financial Instruments                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Credit loss reserve       (13,300)     (13,300)     (16,100)  
Interest income and other       100   $ 300 100 $ 1,300      
Mezzanine loans:                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Credit loss reserve     $ (8,600) (1,400)     (1,400)        
Mezzanine loans: | SLM                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage and other notes receivable, net of reserve     $ 10,000                
Mezzanine loans: | Bickford                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Credit loss reserve       (1,300)     (1,300)        
Nonperforming Financial Instruments                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       13,289     13,289        
Nonperforming Financial Instruments | SLM Mezzanine Loan                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       14,500     14,500        
Nonperforming Financial Instruments | Between 1.0x and 1.5x                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       1,289     1,289        
Nonperforming Financial Instruments | Between 1.0x and 1.5x | SLM                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       12,000     12,000        
Secured By Real Estate                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss       158,400     158,400     175,800  
Not Secured By Real Estate                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Financing receivable, accrued interest, before allowance for credit loss                   $ 113,400  
Mortgage and other notes receivable, net       $ 66,200     $ 66,200        
Property Held by Fund | Real Estate                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Properties | property             4        
Combined purchase price of medical office buildings             $ 48,300        
Fully Funded | Bickford                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Loans and leases agreement             $ 14,700        
Number of construction loans | loan       1     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%     10.00%        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Unlikely to be Collected Financing Receivable | Bickford Note Investment                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Mortgage increase from sale of real estate             $ (11,900)        
Negotiations to sale | Bickford                      
Accounts, Notes, Loans and Financing Receivable [Line Items]                      
Properties | property                     6