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Real Estate Investments - Properties Sales (Details) | 3 Months Ended | 12 Months Ended
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Dec. 31, 2023 USD ($) | Jun. 30, 2023 USD ($) | Mar. 31, 2023 USD ($) | Dec. 31, 2023 USD ($) property item | Dec. 31, 2022 USD ($) item property | Dec. 31, 2021 USD ($) property item
Disposals and other |  |  |  |  |  |
Carrying value | $ 987,965,000 |  |  | $ 987,965,000 | $ 1,019,218,000 |
Net gain (loss) |  |  |  | $ 37,296,000 | 37,830,000 | $ 7,462,000
ALF | Florida |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Sales price |  | $ 4,850,000 |  |  |  |
Net gain (loss) |  | $ 64,000 |  |  |  |
ALF | Kentucky |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Sales price |  |  | $ 11,000,000 |  |  |
Net gain (loss) |  |  | $ 57,000 |  |  |
ALF | Mississippi |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Sales price | 1,650,000 |  |  |  |  |
Net gain (loss) | (219,000) |  |  |  |  |
ALF | Virginia |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Lease termination fee payable |  |  |  |  | $ 1,181,000 |
Properties sold |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 19 | 5 | 6
Number of beds or units in property sold | item |  |  |  | 1,059 | 427 | 426
Sales price |  |  |  | $ 82,821,000 | $ 74,345,000 | $ 45,600,000
Carrying value | 42,729,000 |  |  | 42,729,000 | 35,924,000 | 36,513,000
Net gain (loss) |  |  |  | $ 37,296,000 | 37,830,000 | 7,462,000
Net Gain (Loss) |  |  |  |  | $ 214,000 | $ 363,000
Properties sold | ALF | Florida |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 5 |  | 1
Number of beds or units in property sold | item |  |  |  | 246 |  |
Sales price |  |  |  | $ 23,600,000 |  | $ 2,000,000
Carrying value | 9,084,000 |  |  | 9,084,000 |  | 2,626,000
Net Gain (Loss) |  |  |  | $ 13,327,000 |  | $ (858,000)
Properties sold | ALF | Mississippi |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  | 67 |  |
Sales price |  |  |  | $ 1,650,000 |  |
Carrying value | 1,639,000 |  |  | 1,639,000 |  |
Net Gain (Loss) |  |  |  | $ (220,000) |  |
Properties sold | ALF | New Jersey |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  | 39 |  |
Sales price |  |  |  | $ 2,000,000 |  |
Carrying value | 1,552,000 |  |  | 1,552,000 |  |
Net Gain (Loss) |  |  |  | $ 266,000 |  |
Properties sold | ALF | Nebraska |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 3 |  | 1
Number of beds or units in property sold | item |  |  |  | 117 |  | 40
Sales price |  |  |  | $ 2,984,000 |  | $ 900,000
Carrying value | 2,934,000 |  |  | $ 2,934,000 |  | 1,079,000
Net Gain (Loss) |  |  |  |  |  | $ (200,000)
Properties sold | ALF | Oklahoma |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  | 37 |  |
Sales price |  |  |  | $ 800,000 |  |
Carrying value | 777,000 |  |  | 777,000 |  |
Net Gain (Loss) |  |  |  | $ 11,000 |  |
Properties sold | ALF | Pennsylvania |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 2 |  |
Number of beds or units in property sold | item |  |  |  | 130 |  |
Sales price |  |  |  | $ 11,128,000 |  |
Carrying value | 6,054,000 |  |  | 6,054,000 |  |
Net Gain (Loss) |  |  |  | $ 4,860,000 |  |
Properties sold | ALF | California |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 1 | 2 |
Number of beds or units in property sold | item |  |  |  | 60 | 232 |
Sales price |  |  |  | $ 11,000,000 | $ 43,715,000 |
Carrying value | 10,720,000 |  |  | 10,720,000 | 17,832,000 |
Net Gain (Loss) |  |  |  | $ 57,000 | $ 25,867,000 |
Properties sold | ALF | Wisconsin |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 3
Number of beds or units in property sold | item |  |  |  |  |  | 263
Sales price |  |  |  |  |  | $ 35,000,000
Carrying value |  |  |  |  |  | 28,295,000
Net Gain (Loss) |  |  |  |  |  | $ 5,595,000
Properties sold | SNF | New Mexico |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 2 |  |
Number of beds or units in property sold | item |  |  |  | 235 |  |
Sales price |  |  |  | $ 21,250,000 |  |
Carrying value | 5,523,000 |  |  | 5,523,000 |  |
Net Gain (Loss) |  |  |  | $ 15,287,000 |  |
Properties sold | SNF | South Carolina |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  | 3 |  |
Number of beds or units in property sold | item |  |  |  | 128 |  |
Sales price |  |  |  | $ 8,409,000 |  |
Carrying value | $ 4,446,000 |  |  | 4,446,000 |  |
Net Gain (Loss) |  |  |  | $ 3,708,000 |  |
Properties sold | SNF | California |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  | 1 |
Number of beds or units in property sold | item |  |  |  |  | 121 |
Sales price |  |  |  |  | $ 13,250,000 |
Carrying value |  |  |  |  | 1,846,000 |
Net Gain (Loss) |  |  |  |  | $ 10,846,000 |
Properties sold | SNF | Texas |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  | 1 |
Sales price |  |  |  |  | $ 485,000 |
Carrying value |  |  |  |  | 697,000 |
Net Gain (Loss) |  |  |  |  | $ (441,000) |
Properties sold | SNF | Virginia |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  | 1 |
Number of beds or units in property sold | item |  |  |  |  | 74 |
Sales price |  |  |  |  | $ 16,895,000 |
Carrying value |  |  |  |  | 15,549,000 |
Net Gain (Loss) |  |  |  |  | $ 1,344,000 |
Properties sold | SNF | Washington |  |  |  |  |  |
Disposals and other |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 1
Number of beds or units in property sold | item |  |  |  |  |  | 123
Sales price |  |  |  |  |  | $ 7,700,000
Carrying value |  |  |  |  |  | 4,513,000
Net Gain (Loss) |  |  |  |  |  | $ 2,562,000

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