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Real Estate Investments - Financing Receivable (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended 33 Months Ended
Sep. 30, 2024
USD ($)
property
Jun. 30, 2024
USD ($)
property
Option
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
item
property
$ / item
Sep. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
item
Option
property
$ / item
Dec. 31, 2022
USD ($)
item
Option
property
$ / item
Sep. 30, 2024
USD ($)
property
item
Nov. 30, 2023
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment $ 1,342,188     $ 1,342,188       $ 1,342,188  
Number of properties | property 124     124       124  
Interest income from financing receivables $ 7,001   $ 3,832 $ 14,661 $ 11,413        
Non-controlling interest owned by JV partner   7.00%              
Lease renewal term                 4 years
Provision for credit losses 215   $ 189 942 $ 2,107        
Financing receivables                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment $ 361,505     $ 361,505       $ 361,505  
LTC Investment               $ 282,324  
Number of properties | property 31     31       31  
Number of Beds/Units | item               1,562  
Florida | 7.25% (2032 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Number of properties | property             3    
Lease term             10 years    
Number of operating lease renewals | Option             2    
Lease renewal term             5 years    
SNF                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment $ 598,063     $ 598,063       $ 598,063  
Number of properties | property 50     50       50  
Investment per Bed/Unit | $ / item       94.20          
SNF | Florida | 7.25% (2032 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Interest rate (as a percent)             7.25%    
Gross Investment             $ 76,626    
LTC Investment             $ 62,301    
Number of properties | property             3    
Number of Beds/Units | item             299    
Investment per Bed/Unit | $ / item             256.27    
ALF & MC | North Carolina/ South Carolina | 7.25% (2034 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Interest rate (as a percent)       7.25%          
Gross Investment $ 122,460     $ 122,460       $ 122,460  
LTC Investment       $ 64,450          
Number of properties | property 13 13   13       13  
Number of Beds/Units | item       523          
Investment per Bed/Unit | $ / item       234.15          
Additional amount funded under mortgage loan   $ 5,546              
ALF & MC | North Carolina | 7.25% (2033 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Interest rate (as a percent)           7.25%      
Gross Investment           $ 121,419      
LTC Investment           $ 117,588      
Number of properties | property           11      
Number of Beds/Units | item           523      
Investment per Bed/Unit | $ / item           232,160      
Percentage of contractual initial cash yield           7.25%      
Lease term           10 years      
Number of operating lease renewals | Option           2      
Lease renewal term           5 years      
Percentage of contractual initial cash yield in year three           7.50%      
Percentage of floor on initial cash yield           2.00%      
Percentage of ceiling on initial cash yield           4.00%      
Maximum percentage of purchase option to buy properties           50.00%      
Percentage of cash return           9.00%      
Interest income deferred       $ 2,240          
Interest income deferred per month       258          
ALF & MC | North Carolina | 7.25% (2034 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment   122,460              
LTC Investment   $ 64,450              
Number of properties | property   12              
Controlling interest obtained from JV (%)   53.00%              
Non-controlling interest owned by JV partner   47.00%              
Lease term   10 years              
Number of operating lease renewals | Option   2              
Lease renewal term   5 years              
Percentage of cash return   8.00%              
ALF & MC | South Carolina | 7.25% (2034 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Number of properties | property   1              
ALF                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment $ 732,120     $ 732,120       $ 732,120  
Number of properties | property 73     73       73  
Investment per Bed/Unit | $ / item       168.65          
ALF | North Carolina/ South Carolina | 7.25% (2034 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Interest rate (as a percent)       7.25%          
Gross Investment $ 41,000     $ 41,000       $ 41,000  
LTC Investment   $ 37,985   $ 37,985          
Number of properties | property 4 4   4       4  
Number of Beds/Units | item       217          
Investment per Bed/Unit | $ / item       188.94          
Additional amount funded under mortgage loan   $ 2,766              
Controlling interest obtained from JV (%)   93.00%              
Lease term   10 years              
Number of operating lease renewals | Option   2              
Lease renewal term   5 years              
Percentage of cash return   8.00%              
Affiliates of ALG                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Additional amount funded under mortgage loan       $ 5,546          
Affiliates of ALG | ALF | 7.25% (2034 Maturity Year)                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Gross Investment   $ 41,000              
Affiliates of ALG | ALF | North Carolina                  
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                  
Additional amount funded under mortgage loan       $ 2,766