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Real Estate Investments - Financing Receivable (Details)			3 Months Ended	9 Months Ended
	Sep. 30, 2025 USD ($)	Jun. 30, 2025	Sep. 30, 2024 USD ($) property Option	Sep. 30, 2025 USD ($) item $ / item	Sep. 30, 2024 USD ($) property	Sep. 30, 2025 property	Sep. 30, 2025 item	Dec. 31, 2024 USD ($)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Gross Investment	$ 1,596,451,000			$ 1,596,451,000
Number of properties						128	128
Accrued interest	4,009,000			4,009,000				$ 3,094,000
Financing receivables
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Gross Investment	$ 362,201,000			362,201,000
LTC Investment				$ 283,935,000
Number of properties | property						31
Number of Beds/Units | item				1,562
Mortgage loans with 11.1% interest maturing 2043
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Interest rate (as a percent)	11.14%	8.50%
Gross Investment	$ 180,388,000			$ 180,388,000
Accrued interest	41,455,000			41,455,000
SNF
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Gross Investment	599,663,000			$ 599,663,000
Number of properties						50	50
Investment per Bed/Unit | $ / item				94.45
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	76,545,000			$ 76,545,000
LTC Investment				$ 62,220,000
Number of properties | property						3
Number of Beds/Units | item				299
Investment per Bed/Unit | $ / item				256
Percentage of cash return				8.50%
SH
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Gross Investment	984,783,000			$ 984,783,000
Number of properties						77	77
Investment per Bed/Unit | $ / item				197.71
SH | North Carolina/ South Carolina | 7.25% (2034 Maturity Year One)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Interest rate (as a percent)				7.25%
Gross Investment	122,460,000		$ 122,460,000	$ 122,460,000	$ 122,460,000
LTC Investment			$ 64,450,000	$ 64,450,000
Number of properties | property			13		13	13
Number of Beds/Units | item				523
Investment per Bed/Unit | $ / item				234.15
Percentage of cash return			8.00%
Additional amount funded under mortgage loan			$ 5,546,000
Controlling interest obtained from JV (%)			53.00%
Non-controlling interest owned by JV partner			47.00%
Lease term			10 years		10 years
Number of operating lease renewals | Option			2
Lease renewal term			5 years		5 years
SH | 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	122,196,000			$ 122,196,000
LTC Investment				$ 119,280,000
Number of properties | property						11
Number of Beds/Units | item				523
Investment per Bed/Unit | $ / item				233,640
Percentage of cash return				9.00%
SH | North Carolina | 7.25% (2034 Maturity Year One)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Number of properties | property			12		12
SH | North Carolina | 7.25% (2034 Maturity Year Two)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Interest rate (as a percent)				7.25%
Gross Investment	$ 41,000,000			$ 41,000,000
LTC Investment			$ 37,985,000	$ 37,985,000
Number of properties | property			4		4	4
Number of Beds/Units | item				217
Investment per Bed/Unit | $ / item				188.94
Percentage of cash return			8.00%
Additional amount funded under mortgage loan			$ 2,766,000
Controlling interest obtained from JV (%)			93.00%
Non-controlling interest owned by JV partner			7.00%
Lease term			10 years		10 years
Number of operating lease renewals | Option			2
Lease renewal term			5 years		5 years
SH | South Carolina | 7.25% (2034 Maturity Year One)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Number of properties | property			1		1
Affiliates of ALG
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Additional amount funded under mortgage loan					$ 5,546,000
Affiliates of ALG | SH | North Carolina | 7.25% (2034 Maturity Year Two)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Gross Investment			$ 41,000,000		$ 41,000,000

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