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Borrowings - Schedule of Borrowings (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2022
USD ($)
Jun. 30, 2022
USD ($)
property
debt_instrument
Jun. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
Debt Instrument [Line Items]        
Carrying Value $ 931,552 $ 931,552    
Repayments of Notes Payable   $ 12,012 $ 53,361  
Winterfell        
Debt Instrument [Line Items]        
Number of healthcare real estate properties | property   32    
Mortgages and other notes payable        
Debt Instrument [Line Items]        
Principal Amount 931,552 $ 931,552   $ 943,765
Carrying Value 919,525 919,525   929,811
Mortgage notes payable, net        
Debt Instrument [Line Items]        
Principal Amount $ 931,552 $ 931,552   943,765
Mortgage notes payable, net | Rochester, NY        
Debt Instrument [Line Items]        
Number of debt instruments | debt_instrument   7    
Number of healthcare real estate properties | property   7    
Mortgage notes payable, net | Arbors Portfolio        
Debt Instrument [Line Items]        
Number of debt instruments | debt_instrument   4    
Number of healthcare real estate properties | property   4    
Mortgage notes payable, net | Winterfell        
Debt Instrument [Line Items]        
Number of debt instruments | debt_instrument   32    
Mortgage notes payable, net | Avamere Portfolio        
Debt Instrument [Line Items]        
Number of debt instruments | debt_instrument   5    
Number of healthcare real estate properties | property   5    
Mortgage notes payable, net | Frisco, TX Non-recourse | Frisco, TX        
Debt Instrument [Line Items]        
Fixed interest rate 3.00% 3.00%    
Principal Amount $ 26,000 $ 26,000   26,000
Carrying Value 25,495 $ 25,495   25,431
Mortgage notes payable, net | Frisco, TX Non-recourse | Frisco, TX | LIBOR        
Debt Instrument [Line Items]        
Basis spread on variable interest rate   2.80%    
Mortgage notes payable, net | Milford, OH Non-recourse | Milford, OH        
Debt Instrument [Line Items]        
Principal Amount 18,467 $ 18,467   18,661
Carrying Value $ 18,226 $ 18,226   18,388
Mortgage notes payable, net | Milford, OH Non-recourse | Milford, OH | LIBOR        
Debt Instrument [Line Items]        
Basis spread on variable interest rate   2.68%    
Mortgage notes payable, net | Rochester, NY Non-recourse, February 2025 | Rochester, NY        
Debt Instrument [Line Items]        
Fixed interest rate 4.25% 4.25%    
Principal Amount $ 18,562 $ 18,562   18,911
Carrying Value 18,509 18,509   18,853
Mortgage notes payable, net | Rochester, NY Non-recourse, August 2027 | Rochester, NY        
Debt Instrument [Line Items]        
Principal Amount 101,224 101,224   101,224
Carrying Value 100,555 $ 100,555   100,495
Mortgage notes payable, net | Rochester, NY Non-recourse, August 2027 | Rochester, NY | LIBOR        
Debt Instrument [Line Items]        
Basis spread on variable interest rate   2.34%    
Mortgage notes payable, net | Rochester NY Nonrecourse August 2022 | Rochester, NY        
Debt Instrument [Line Items]        
Principal Amount 11,638 $ 11,638   11,732
Carrying Value 11,635 $ 11,635   11,716
Mortgage notes payable, net | Rochester NY Nonrecourse August 2022 | Rochester, NY | LIBOR        
Debt Instrument [Line Items]        
Basis spread on variable interest rate   2.90%    
Mortgage notes payable, net | Non-Recourse        
Debt Instrument [Line Items]        
Principal Amount 931,552 $ 931,552   939,851
Carrying Value $ 919,525 $ 919,525   925,897
Mortgage notes payable, net | Non-Recourse | Arbors Portfolio        
Debt Instrument [Line Items]        
Fixed interest rate 3.99% 3.99%    
Principal Amount $ 84,401 $ 84,401   85,369
Carrying Value $ 83,930 $ 83,930   84,799
Mortgage notes payable, net | Non-Recourse | Winterfell        
Debt Instrument [Line Items]        
Fixed interest rate 4.17% 4.17%    
Principal Amount $ 602,639 $ 602,639   608,810
Carrying Value $ 592,905 $ 592,905   597,460
Mortgage notes payable, net | Non-Recourse | Avamere Portfolio        
Debt Instrument [Line Items]        
Fixed interest rate 4.66% 4.66%    
Principal Amount $ 68,621 $ 68,621   69,144
Carrying Value 68,270 68,270   68,755
Mortgage notes payable, net | One-Month LIBOR        
Debt Instrument [Line Items]        
Principal Amount 131,300 131,300    
Other notes payable | Non-Recourse        
Debt Instrument [Line Items]        
Principal Amount 0 0   3,914
Carrying Value $ 0 $ 0   3,914
Other notes payable | Non-Recourse | Oak Cottage        
Debt Instrument [Line Items]        
Fixed interest rate 6.00% 6.00%    
Principal Amount $ 0 $ 0   3,914
Carrying Value 0 $ 0   $ 3,914
Repayments of Notes Payable $ 3,700