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Real Estate Investments - Purchase options (Details) $ in Thousands | 3 Months Ended | 12 Months Ended |  |  |  |
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Mar. 31, 2023 USD ($) item | Dec. 31, 2022 USD ($) item property | Dec. 31, 2023 USD ($) property item community | Dec. 31, 2022 USD ($) item property | Dec. 31, 2021 USD ($) | Jan. 31, 2024 | Jan. 01, 2024 item | Nov. 30, 2023 | Jun. 30, 2023 item
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 61,101 |  |  |  |  |  |
Net book value |  | $ 1,019,218 | 987,965 | $ 1,019,218 |  |  |  |  |
Impairment loss |  |  | $ 15,775 | 3,422 | $ 0 |  |  |  |
Number of properties | property |  |  | 134 |  |  |  |  |  |
Purchase Option in Lease Arrangements |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 396,347 |  |  |  |  |  |
Net book value |  |  | $ 367,856 |  |  |  |  |  |
Master lease agreement | Brookdale Senior Living |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | property |  |  | 35 |  |  |  |  |  |
ALF |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Impairment loss |  |  | $ 15,775 | $ 3,422 |  |  |  |  |
Number of properties | property |  |  | 83 |  |  |  |  |  |
Number of properties acquired | property |  |  | 1 |  |  |  |  |  |
Number of units | item |  | 74 |  | 74 |  |  |  |  |
ALF | Florida |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Impairment loss | $ 434 | $ 1,222 |  | $ 1,222 |  |  |  |  |
ALF | North Carolina |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | property |  | 4 |  | 4 |  |  |  |  |
Number of units | item |  | 217 |  | 217 |  |  |  |  |
ALF | Texas |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Impairment loss |  |  | $ 3,265 |  |  |  |  |  |
ALF | Purchase Option in Lease Arrangements | Oklahoma |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of ALF transferred to existing operator | property |  |  | 5 |  |  |  |  |  |
Number of units | item |  |  | 184 |  |  |  |  |  |
Lease term, extension period |  |  | 4 years |  |  |  |  |  |
ALF | New master lease agreement | Brookdale Senior Living |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  |  | 738 |  |  |  |  |  |
ALF | New master lease agreement | Brookdale Senior Living | Subsequent Event |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Lease term |  |  |  |  |  | 6 years |  |  |
ALF | New master lease agreement | North Carolina |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  | 210 |  | 210 |  |  |  |  |
ALF | New master lease agreement | North Carolina | Subsequent Event |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Lease term |  |  |  |  |  | 6 years |  |  |
ALF | New master lease agreement | Ohio | Brookdale Senior Living |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | property |  |  | 1 |  |  |  |  |  |
ALF | New master lease agreement | Oklahoma |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | community |  |  | 5 |  |  |  |  |  |
Number of units | item |  |  | 184 |  |  |  |  |  |
Lease term |  |  |  |  |  |  |  | 3 years |
ALF | New master lease agreement | Texas | Brookdale Senior Living |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | property |  |  | 6 |  |  |  |  |  |
MC | Purchase Option in Lease Arrangements | Florida |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 7,680 |  |  |  |  |  |
Net book value |  |  | 4,611 |  |  |  |  |  |
Impairment loss |  |  | $ 7,522 |  |  |  |  |  |
Number of properties | property |  |  | 1 |  |  |  |  |  |
MC | Purchase Option in Lease Arrangements | Ohio |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 16,161 |  |  |  |  |  |
Net book value |  |  | $ 13,488 |  |  |  |  |  |
Number of properties | property |  |  | 1 |  |  |  |  |  |
ALF & MC |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Lease term |  |  | 10 years |  |  |  |  |  |
Maximum percentage of purchase option to buy properties |  |  | 50.00% |  |  |  |  |  |
Percentage of cash return |  |  | 9.00% |  |  |  |  |  |
ALF & MC | North Carolina |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item | 523 |  |  |  |  |  |  |  |
Number of assisted living and memory care communities | item | 11 |  |  |  |  |  |  |  |
ALF & MC | Purchase Option in Lease Arrangements | California |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 38,895 |  |  |  |  |  |
Net book value |  |  | $ 32,778 |  |  |  |  |  |
Number of properties | property |  |  | 2 |  |  |  |  |  |
ALF & MC | Purchase Option in Lease Arrangements | North Carolina |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 121,321 |  |  |  |  |  |
Net book value |  |  | $ 121,321 |  |  |  |  |  |
Number of properties | property |  |  | 11 |  |  |  |  |  |
Number of units | item |  |  | 523 |  |  |  |  |  |
Lease term |  |  | 10 years |  |  |  |  |  |
Number of assisted living and memory care communities | property |  |  | 11 |  |  |  |  |  |
Maximum percentage of purchase option to buy properties |  |  | 50.00% |  |  |  |  |  |
Percentage of cash return |  |  | 9.00% |  |  |  |  |  |
ALF & MC | Purchase Option in Lease Arrangements | Oklahoma |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 11,202 |  |  |  |  |  |
Net book value |  |  | $ 4,394 |  |  |  |  |  |
Number of properties | property |  |  | 5 |  |  |  |  |  |
ALF & MC | Purchase Option in Lease Arrangements | South Carolina |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 11,680 |  |  |  |  |  |
Net book value |  |  | $ 8,475 |  |  |  |  |  |
Number of properties | property |  |  | 1 |  |  |  |  |  |
SNF |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | property |  |  | 50 |  |  |  |  |  |
Number of properties acquired | property |  |  |  | 4 |  |  |  |  |
Lease term |  |  | 10 years |  |  |  |  |  |
SNF | Florida |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  | 299 |  | 299 |  |  |  |  |
SNF | Texas |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Lease term |  |  | 10 years |  |  |  |  |  |
SNF | Texas | Subsequent Event |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  |  |  |  |  |  | 1,444 |  |
SNF | Purchase Option in Lease Arrangements | Florida |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 76,690 |  |  |  |  |  |
Net book value |  |  | $ 76,690 |  |  |  |  |  |
Number of properties | property |  |  | 3 |  |  |  |  |  |
Number of properties acquired | item |  |  |  | 3 |  |  |  |  |
Number of units | item |  | 299 |  | 299 |  |  |  |  |
Lease term |  | 10 years |  | 10 years |  |  |  |  |
SNF | Purchase Option in Lease Arrangements | Tennessee |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 5,275 |  |  |  |  |  |
Net book value |  |  | $ 2,263 |  |  |  |  |  |
Number of properties | property |  |  | 2 |  |  |  |  |  |
SNF | Purchase Option in Lease Arrangements | Texas |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 52,726 |  |  |  |  |  |
Net book value |  |  | $ 50,388 |  |  |  |  |  |
Number of properties | property |  |  | 4 |  |  |  |  |  |
Number of properties acquired | item |  |  |  | 4 |  |  |  |  |
SNF | Master lease agreement | Florida |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  |  | 216 |  |  |  |  |  |
SNF | Master lease agreement | Tennessee |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of properties | item |  |  | 141 |  |  |  |  |  |
SNF | Master lease agreement | Texas | Subsequent Event |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  |  |  |  |  |  | 1,444 |  |
ILF/ALF/MC | Ohio |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Number of units | item |  |  |  |  |  |  |  |  | 242
ILF/ALF/MC | Ohio | Encore Senior Living |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Lease term |  |  | 10 years |  |  |  |  |  |
ILF/ALF/MC | Purchase Option in Lease Arrangements | Ohio |  |  |  |  |  |  |  |  |
Real estate investments |  |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 54,717 |  |  |  |  |  |
Net book value |  |  | $ 53,448 |  |  |  |  |  |
Number of properties | property |  |  | 1 |  |  |  |  |  |

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