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Real Estate Investments - Purchase Options (Details)
$ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2024
USD ($)
item
property
Dec. 31, 2023
USD ($)
property
item
Dec. 31, 2022
item
Real estate investments      
Number of Properties | property 124    
Gross Investment $ 1,342,188    
Net Book Value $ 942,314 $ 987,965  
Number of units | item 466    
Purchase Option in Lease Arrangements      
Real estate investments      
Gross Investment $ 663,441    
Net Book Value $ 585,235    
Financing receivables      
Real estate investments      
Number of Properties | property 31    
Gross Investment $ 361,505    
ALF      
Real estate investments      
Number of Properties | property 73    
Gross Investment $ 732,120    
Number of properties acquired | property   1  
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 $ 14,654    
Net Book Value $ 6,876    
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  
ALF (Option window 2024- 2028) | Purchase Option in Lease Arrangements | North Carolina      
Real estate investments      
Number of Properties | property 4    
Gross Investment $ 41,000    
Net Book Value $ 41,000    
Controlling interest obtained from JV (%) 92.70%    
Number of units | item 217    
Lease term 10 years    
Percentage of cash return 8.00%    
MC | Purchase Option in Lease Arrangements | Ohio      
Real estate investments      
Number of Properties | property 1    
Gross Investment $ 16,161    
Net Book Value $ 13,158    
MC | Purchase Option in Lease Arrangements | Texas      
Real estate investments      
Number of Properties | property 1    
Gross Investment $ 12,743    
Net Book Value $ 9,440    
Lease term, extension period 1 year    
ALF & MC | Purchase Option in Lease Arrangements | California      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 38,895    
Net Book Value $ 32,072    
ALF & MC | Purchase Option in Lease Arrangements | Colorado/Kansas/Ohio/Texas      
Real estate investments      
Number of Properties | property 17    
Gross Investment $ 63,576    
Net Book Value $ 29,928    
ALF & MC | Purchase Option in Lease Arrangements | Georgia/South Carolina      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 31,904    
Net Book Value $ 24,721    
ALF & MC | Purchase Option in Lease Arrangements | North Carolina      
Real estate investments      
Number of Properties | property 12    
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 | North Carolina/ South Carolina      
Real estate investments      
Number of Properties | property 13    
Gross Investment $ 122,460    
Net Book Value $ 122,460    
Controlling interest obtained from JV (%) 52.60%    
Number of units | item 523    
Lease term 10 years    
Percentage of cash return 8.00%    
ALF & MC | Purchase Option in Lease Arrangements | Oklahoma      
Real estate investments      
Number of Properties | property 5    
Gross Investment $ 11,221    
Net Book Value $ 4,170    
ALF & MC | Purchase Option in Lease Arrangements | South Carolina      
Real estate investments      
Number of Properties | property 1    
ALF & MC | 7.25% (2033 Maturity Year) | North Carolina      
Real estate investments      
Number of Properties | property   11  
Gross Investment   $ 121,419  
Lease term   10 years  
Maximum percentage of purchase option to buy properties   50.00%  
Percentage of cash return   9.00%  
ALF & MC | 7.25% (2033 Maturity Year) | Purchase Option in Lease Arrangements | North Carolina      
Real estate investments      
Number of Properties | property 11    
Gross Investment $ 121,419    
Net Book Value $ 121,419    
SNF      
Real estate investments      
Number of Properties | property 50    
Gross Investment $ 598,063    
SNF | Purchase Option in Lease Arrangements | Florida      
Real estate investments      
Number of Properties | property 3    
Gross Investment $ 76,625    
Net Book Value $ 76,625    
SNF | Purchase Option in Lease Arrangements | Tennessee      
Real estate investments      
Number of Properties | property 2    
Gross Investment $ 5,275    
Net Book Value $ 2,157    
SNF | Purchase Option in Lease Arrangements | Texas      
Real estate investments      
Number of Properties | property 4    
Gross Investment $ 52,726    
Net Book Value $ 49,332    
Number of properties acquired | item     4
Lease term     10 years
ALF/ILF/MC | Ohio | Encore Senior Living      
Real estate investments      
Lease term   10 years  
ALF/ILF/MC | Purchase Option in Lease Arrangements | Ohio      
Real estate investments      
Number of Properties | property 1    
Gross Investment $ 54,782    
Net Book Value $ 51,877