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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 USD ($) item | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($)
Investment in Unconsolidated Joint Ventures |  |  |
Carrying Value | $ 19,340 | $ 19,340 |
Non-cash Income Accrued | 1,939 | 6,192 | $ 150
Income from unconsolidated joint ventures | $ 1,504 | 1,504 | 1,417
Joint Venture | Not primary beneficiary |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Number of beds/units | item | 362 |  |
Carrying Value | $ 19,340 |  |
Capital Contributions |  |  | 8,000
Income Recognized | 1,504 | 1,504 | 1,417
Cash Income Earned | 56 | 351 |
Non-cash Income Accrued | 1,448 | 1,153 | 1,292
UDP | Joint Venture | Not primary beneficiary |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Income Recognized |  | 1,054 | 450
Cash Income Earned |  | 351 |
Non-cash Income Accrued |  | 703 | 412
UDP | Joint Venture | Not primary beneficiary |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Capital Contributions |  |  | 8,000
Income Recognized |  |  | 967
Non-cash Income Accrued |  |  | $ 880
Combination ALF/MC | Joint Venture | Not primary beneficiary |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Income Recognized | 450 | 450 |
Cash Income Earned | 56 |  |
Non-cash Income Accrued | $ 394 | $ 450 |
Combination ALF/MC | Joint Venture | Not primary beneficiary | Internal Rate of Return is Until Eight Percent |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Percentage of internal rate of return | 8.00% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Percentage of internal rate of return | 12.00% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Percentage of internal rate of return | 14.00% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Preferred return percentage | 12.00% |  |
Contractual cash portion | 7.00% |  |
Number of beds/units | item | 95 |  |
Carrying Value | $ 6,340 |  |
Percentage of Investment | 15.50% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Minimum |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Preferred return percentage | 12.00% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Percentage of cash return | 7.00% |  |
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Percentage of cash return | 9.00% |  |
Combination ILF/ALF | Joint Venture | Not primary beneficiary |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Income Recognized | $ 1,054 |  |
Non-cash Income Accrued | $ 1,054 |  |
Combination ILF/ALF | Joint Venture | Not primary beneficiary | Washington |  |  |
Investment in Unconsolidated Joint Ventures |  |  |
Preferred return percentage | 14.00% |  |
Contractual cash portion | 8.00% |  |
Number of beds/units | item | 267 |  |
Carrying Value | $ 13,000 |  |
Percentage of Investment | 11.60% |  |
Percentage of cash return | 8.00% |  |
Percentage of internal rate of return | 14.00% |  |

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