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Real Estate Investments - Purchase options (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
USD ($)
property
item
Dec. 31, 2022
item
Dec. 31, 2023
USD ($)
item
property
Real estate investments      
Number of Properties | property 127    
Gross Investment $ 1,342,921    
Net Book Value 956,366   $ 987,965
Purchase Option in Lease Arrangements      
Real estate investments      
Gross Investment 481,586    
Net Book Value $ 411,066    
ALF      
Real estate investments      
Number of Properties | property 76    
Gross Investment $ 733,901    
ALF | Purchase Option in Lease Arrangements | Colorado/Kansas/Ohio/Texas | Brookdale Senior Living      
Real estate investments      
Number of Properties | property     17
Number of units | item     738
Lease term     6 years
ALF | Purchase Option in Lease Arrangements | North Carolina      
Real estate investments      
Number of Properties | property 5   5
Gross Investment $ 14,404    
Net Book Value $ 6,844    
Number of units | item     210
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
MC | Purchase Option in Lease Arrangements | Ohio      
Real estate investments      
Number of Properties | property 1    
Gross Investment $ 16,161    
Net Book Value $ 13,378    
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 | Purchase Option in Lease Arrangements | California      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 38,895    
Net Book Value $ 32,542    
ALF & MC | Purchase Option in Lease Arrangements | Colorado/Kansas/Ohio/Texas      
Real estate investments      
Number of Properties | property 17    
Gross Investment $ 58,723    
Net Book Value $ 26,089    
ALF & MC | Purchase Option in Lease Arrangements | Georgia/South Carolina      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 31,433    
Net Book Value $ 24,682    
ALF & MC | Purchase Option in Lease Arrangements | North Carolina      
Real estate investments      
Number of Properties | property 11    
Gross Investment $ 121,321    
Net Book Value $ 121,321    
Number of units | item 523    
Lease term 10 years    
Number of assisted living and memory care communities | item 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      
Number of Properties | property 5    
Gross Investment $ 11,221    
Net Book Value $ 4,332    
SNF      
Real estate investments      
Number of Properties | property 50    
Gross Investment $ 597,015    
Lease term 10 years    
SNF | Purchase Option in Lease Arrangements | Florida      
Real estate investments      
Number of Properties | property 3    
Gross Investment $ 76,669    
Net Book Value $ 76,669    
SNF | Purchase Option in Lease Arrangements | Tennessee      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 5,275    
Net Book Value $ 2,227    
SNF | Purchase Option in Lease Arrangements | Texas      
Real estate investments      
Number of Properties | property 4    
Gross Investment $ 52,726    
Net Book Value $ 50,036    
Number of properties acquired | item   4  
Lease term   10 years  
ILF/ALF/MC | Purchase Option in Lease Arrangements | Ohio      
Real estate investments      
Number of Properties | property 1    
Gross Investment $ 54,758    
Net Book Value $ 52,946