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Real Estate Investments - Improvements (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Real estate investments    
Invested in projects $ 18,596  
Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects 9,908 $ 5,053
ALF | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects 8,663 2,418
SNF | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects $ 1,245 2,548
Other | Improvements | Development and Improvement Commitments    
Real estate investments    
Invested in projects   $ 87