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Real Estate Investments - Mortgage Loans Activity (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
property
period
item
Dec. 31, 2023
USD ($)
property
period
item
Dec. 31, 2022
USD ($)
a
loan
item
property
Dec. 31, 2021
USD ($)
item
Mar. 31, 2023
item
Dec. 31, 2020
USD ($)
Mortgage Loans            
Originations and funding under mortgage loans receivable   $ 97,058 $ 40,732 $ 88,955    
Application of interest reserve   1,722 6,192 298    
Scheduled principal payments received   (10,351) (1,175) (1,175)    
Mortgage loan premium amortization   (7) (6) (6)    
Provision for loan loss reserve   (884) (457) (881)    
Net increase in mortgage loans receivable   87,538 $ 45,286 87,191    
Number of senior mortgage loans | loan     2      
Gross Investment $ 61,101 $ 61,101        
Interest rate (as a percent) 8.50%          
Number of properties | property 134 134        
Notes receivable, net of credit loss reserve $ 60,490 $ 60,490 $ 58,383      
Additional interest income related to the exit IRR   1,380        
Carrying Amount of Mortgages 477,266 477,266 389,728 344,442   $ 257,251
Additions to mortgage loans       9,900    
Mortgage Loans            
Mortgage Loans            
Gross Investment $ 482,080 $ 482,080        
Number of properties | property 46 46        
Percentage of Investment 100.00% 100.00%        
Additions to mortgage loans     $ 2,000 $ 540    
Other Mortgage Loans            
Mortgage Loans            
Additions to mortgage loans   $ 4,947        
Mezzanine loan            
Mortgage Loans            
Loan Term     5 years      
Interest rate (as a percent)     8.00%      
Number of beds/units | item 136 136 621      
Additional interest income related to the exit IRR   $ 1,380        
Extension term number of options | item     2      
Loan extension term     1 year      
Mortgage loans with 7.5% Interest Maturing 2024 | Mezzanine loan            
Mortgage Loans            
Notes receivable, net of credit loss reserve $ 7,461 $ 7,461        
Mortgage loans with 7.25%            
Mortgage Loans            
Loan Term     4 years      
Interest rate (as a percent)     7.25%      
Internal Rate of Return     8.00%      
SNF            
Mortgage Loans            
Number of properties | property 50 50        
SNF | Mortgage Loans            
Mortgage Loans            
Interest rate (as a percent)   2.25%        
SNF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans            
Mortgage Loans            
Gross Investment $ 29,346 $ 29,346        
Interest rate (as a percent)   7.50%        
Number of properties | property 1 1        
Number of beds/units | item 91 91        
Percentage of Investment 6.10% 6.10%        
SNF | Mortgage loans with 8.8% Interest Maturing 2028 | Mortgage Loans            
Mortgage Loans            
Gross Investment $ 16,500 $ 16,500        
Interest rate (as a percent)   8.80%        
Number of properties | property 1 1        
Percentage of Investment 3.40% 3.40%        
ALF            
Mortgage Loans            
Number of properties | property 83 83        
Number of beds/units | item     74      
ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans            
Mortgage Loans            
Gross Investment $ 10,750 $ 10,750        
Interest rate (as a percent)   7.30%        
Number of properties | property 1 1        
Percentage of Investment 2.20% 2.20%        
ALF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans            
Mortgage Loans            
Gross Investment $ 51,111 $ 51,111        
Interest rate (as a percent)   7.50%        
Number of properties | property 1 1        
Percentage of Investment 10.60% 10.60%        
Michigan | ALF & MC | Mortgage Loans With 8.75 Interest            
Mortgage Loans            
Loan Term   3 years        
Gross Investment $ 19,500 $ 19,500        
Interest rate (as a percent)   8.75%        
Number of beds/units | item 85 85        
Borrower contribution   $ 12,100        
Extension term number of options | period 2 2        
Loan extension term   1 year        
Missouri | SNF | Mortgage loans with 7.5% Interest Maturing 2022 | Mortgage Loans            
Mortgage Loans            
Loan Term       1 year    
Gross Investment       $ 1,638    
Interest rate (as a percent)       7.50%    
Number of beds/units | item       91    
Amount With held in Reserve       $ 142    
Louisiana | SNF | Mortgage loans with 7.5% Interest Maturing 2022 | Mortgage Loans            
Mortgage Loans            
Loan Term       3 years    
Gross Investment       $ 27,047    
Interest rate (as a percent)       7.50%    
Number of beds/units | item       189    
Extension term number of options | item       1    
Loan extension term       12 months    
Florida | SNF            
Mortgage Loans            
Number of beds/units | item     299      
Florida | ALF | Mortgages With 7.75% Interest | Mortgage Loans            
Mortgage Loans            
Loan Term       4 years    
Gross Investment       $ 11,724    
Interest rate (as a percent)       7.75%    
Number of beds/units | item       68    
Amount With held in Reserve       $ 806    
Origination/Funding       4,177    
Application of mortgage premium       $ 156    
Florida | ALF | Mortgage Loans With 8.75 Interest            
Mortgage Loans            
Loan Term   2 years        
Interest rate (as a percent)   8.75%        
Loan extension term   1 year        
Real Estate Investment, Seller Financing $ 13,750 $ 13,750        
Real estate investment, Seller financed $ 4,000 $ 4,000        
Number of properties collateralized | item 4 4        
Payments to seller financing   $ 9,750        
Number of properties released from collateral | item 2 2        
California | Mortgage Loans            
Mortgage Loans            
Loan Term       4 years    
Amount With held in Reserve       $ 4,496    
Number of real estate properties acquired | item       13    
Carrying Amount of Mortgages       $ 48,006    
Funded commitment       6,097    
Commitment for working capital       $ 650    
California | ALF | Mortgages With 7.75% Interest | Mortgage Loans            
Mortgage Loans            
Interest rate (as a percent)       7.25%    
North Carolina            
Mortgage Loans            
Area of land | a     7.6      
North Carolina | ALF            
Mortgage Loans            
Number of properties | property     4      
Number of beds/units | item     217      
North Carolina | ALF | Maximum            
Mortgage Loans            
Loan Term     4 years      
North Carolina | ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 45 45        
North Carolina | ALF & MC            
Mortgage Loans            
Number of beds/units | item         523  
Georgia | Mezzanine loan            
Mortgage Loans            
Loan Term   5 years        
Interest rate (as a percent)   8.75%        
Number of beds/units | item 130 130        
Georgia | ILF/ALF/MC | Mortgage Loans            
Mortgage Loans            
Payments to Acquire Real Estate   $ 51,111        
Gross Investment $ 51,111 $ 51,111        
Number of beds/units 203 203        
Georgia | ILF/ALF/MC | Mezzanine loan            
Mortgage Loans            
Gross Investment $ 42,251 $ 42,251        
Interest rate (as a percent)   7.50%        
Internal Rate of Return   7.75%        
Illinois | SNF | Mortgage loans with 8.8% Interest Maturing 2028            
Mortgage Loans            
Gross Investment $ 16,500 $ 16,500        
Interest rate (as a percent)   8.75%        
Number of beds/units | item 150 150        
SNF Beds | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 3,041 3,041        
SNF Beds | SNF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 189 189        
SNF Beds | SNF | Mortgage loans with 8.8% Interest Maturing 2028 | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 150 150        
ALF Units | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 1,192 1,192        
ALF Units | ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 45 45        
ALF Units | ALF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans            
Mortgage Loans            
Number of beds/units | item 203 203        
ALF Units | North Carolina | ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans            
Mortgage Loans            
Loan Term   2 years        
Interest rate (as a percent)   7.25%        
Internal Rate of Return   9.00%