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Real Estate Investments - Mortgage Loans Activity (Details)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2025
property
Sep. 30, 2024
USD ($)
property
Sep. 30, 2025
USD ($)
property
Sep. 30, 2024
USD ($)
property
Dec. 31, 2024
USD ($)
item
Sep. 30, 2025
USD ($)
Sep. 30, 2025
item
Sep. 30, 2025
period
Mortgage Loans                
Originations and funding under mortgage loans receivable     $ 99,590 $ 19,078        
Exchange of mortgage loans for controlling interests in joint ventures accounted for as financing receivables   $ (64,450)   (102,435)        
Pay-offs received     (21,281) (34,094)        
Application of interest reserve       169        
Scheduled principal payments received     (450) (380)        
Mortgage loan premium amortization     (6) (4)        
(Provision) recovery for loan loss reserve     (779) 1,176        
Net (decrease) increase in mortgage loans receivable     $ 77,074 (116,490)        
Gross Investment           $ 1,596,451    
Number of beds/units | item             213  
Number of Properties 128   128       128  
Remaining commitment           61,993    
Mortgage Loans                
Mortgage Loans                
Gross Investment           393,587    
Number of Properties | property 27   27          
Other Mortgage Loans                
Mortgage Loans                
Additions to mortgage loans       767        
SNF                
Mortgage Loans                
Gross Investment           599,663    
Number of Properties 50   50       50  
SNF | Mortgage loans with 8.8% Interest Maturing 2028 | Mortgage Loans                
Mortgage Loans                
Interest rate (as a percent)     9.00%          
SH                
Mortgage Loans                
Gross Investment           984,783    
Number of Properties 77   77       77  
SH | Mortgage Loans With 8.3% Interest Maturing 2030 | Mortgage Loans                
Mortgage Loans                
Gross Investment           55,350    
Number of Properties | property 2   2          
Interest rate (as a percent)     8.30%          
ALF | Mortgage Loans With 8.75 Interest | Mortgage Loans                
Mortgage Loans                
Remaining commitment           3,013    
Michigan | ALF/MC | Mortgage Loans With 8.75 Interest                
Mortgage Loans                
Gross Investment           19,500    
Number of beds/units | item             85  
Borrower contribution     $ 12,100          
Loan Term     3 years          
Interest rate (as a percent)     8.75%          
Loan extension term     1 year          
Funding under mortgage loan commitment           3,733    
Extension term number of options | period               2
Florida | ILF/ALF/MC | Mortgage loans with 8.5% interest                
Mortgage Loans                
Gross Investment   19,500   19,500   42,300    
Number of beds/units | item             250  
Loan Term     5 years          
Interest rate (as a percent)     8.50%          
Funding under mortgage loan commitment   $ 9,999   9,999   39,330    
California | ALF/MC | Mortgage Loans With 8.3% Interest Maturing 2030                
Mortgage Loans                
Gross Investment           57,550    
Number of beds/units | item             171  
Number of Properties | property 2   2          
Loan Term     5 years          
Interest rate (as a percent)     8.30%          
Funding under mortgage loan commitment           55,350    
Illinois | Mortgage Loans                
Mortgage Loans                
Gross Investment         $ 26,120      
Number of beds/units | item         116      
Borrower contribution         $ 12,300      
Interest rate (as a percent)         9.00%      
Internal Rate of Return         9.50%      
Illinois | ILF/ALF/MC | Mortgage Loans With 9.0 Interest Maturing 2030                
Mortgage Loans                
Gross Investment           26,120    
Number of beds/units | item             116  
Borrower contribution     $ 12,300          
Remaining commitment           24,943    
Interest rate (as a percent) 9.00%              
Internal Rate of Return 9.50%              
Funding under mortgage loan commitment           $ 1,177    
Affiliates of ALG                
Mortgage Loans                
Additional amount funded under mortgage loan       5,546        
Affiliates of ALG | North Carolina/ South Carolina | ALF/MC                
Mortgage Loans                
Exchange of mortgage loans for controlling interests in joint ventures accounted for as financing receivables       $ (64,450)        
Number of properties collateralized | property   13   13        
Affiliates of ALG | North Carolina | ALF                
Mortgage Loans                
Exchange of mortgage loans for controlling interests in joint ventures accounted for as financing receivables   $ (37,985)   $ (37,985)        
Number of Properties | property   4   4        
Additional amount funded under mortgage loan       $ 2,766        
Affiliates of ALG | North Carolina | ALF/MC                
Mortgage Loans                
Number of properties collateralized | property   12   12        
Affiliates of ALG | South Carolina | ALF/MC                
Mortgage Loans                
Number of properties collateralized | property   1   1