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Real Estate Investments - Improvements (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Real estate investments    
Invested in projects $ 2,418  
Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects 2,608 $ 1,068
ALF | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects 1,548 694
SNF | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects 973 177
Other | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects $ 87 $ 197