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Notes Payable and Other Debt (Details Narrative)
$ in Thousands, ₪ in Millions
1 Months Ended 12 Months Ended
Mar. 28, 2022
USD ($)
Mar. 21, 2022
USD ($)
Jul. 31, 2021
USD ($)
Jul. 31, 2021
ILS (₪)
Nov. 30, 2015
USD ($)
Nov. 30, 2015
ILS (₪)
Sep. 30, 2023
Dec. 31, 2022
USD ($)
Integer
Dec. 31, 2021
USD ($)
Integer
Dec. 31, 2022
ILS (₪)
Integer
Jul. 04, 2022
Mar. 19, 2020
USD ($)
Aug. 31, 2019
May 31, 2017
Mar. 31, 2017
Short-Term Debt [Line Items]                              
Number of outstanding credit related instrument | Integer               40 42 40          
Proceeds from issuance of bonds               $ 1,700            
Minority interest               7,786 2,265            
Offering and issuance, costs               $ 1,376 2,377            
Notes payable                 1,400            
New Buy Back Program [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, expiration date Mar. 28, 2023                            
BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Credit facility of market fair value collateral               Under the terms of the indenture for the Series C Bonds, the BVI Company can take out properties from the collateral (in case of HUD refinancing) or to add properties and increase the Series C Bonds as long as the ratio of outstanding amount of the Series C Bonds to fair market value of the collateral is not more than 65%. In addition, starting from July 1, 2023, if the fair market value of the collateral is below 55%, the BVI Company can request to release collateral so the fair market value will increase to 55%.              
Minimum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Ratio of equity               27              
Minimum [Member] | BVI Company [Member] | Stockholders Equity [Member]                              
Short-Term Debt [Line Items]                              
Stockholders' equity percentage               30.00%              
Maximum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Adjustment of interest rate               40.00%              
Mortgage Loans [Member]                              
Short-Term Debt [Line Items]                              
Mortgage loans               $ 276,000 $ 283,000            
Debt instrument, rate               0.65%   0.65%          
Weighted interest rate, debt               3.88% 3.88% 3.88%          
Series B Bonds [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate   3.50%           7.68%   7.68%          
Debt borrowing value   $ 105,000                          
Downgrade of rating, description   The facility provides for monthly payments of principal based on a 20-year amortization with a balloon payment due in March 2027                          
Floor interest rate   4.00%                          
Debt outstanding value               $ 102,390              
Foreign currency loss               $ 10,100              
Credit facility description               (i) a covenant that the ratio of the Company’s indebtedness to its EBITDA cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net operating income to its debt service before dividend distribution is at least 1.20 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement (iii) a covenant that the ratio of the Company’s net operating income to its debt service after dividend distribution is at least 1.05 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement, and (iii) a covenant that the Company’s GAAP equity is at least $20,000,000.              
Series A Bonds [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate                         6.90% 6.40% 6.65%
Weighted interest rate, debt                           7.40%  
Proceeds from issuance of bonds         $ 68,000 ₪ 265.2                  
Proceeds from issuance of debt, Net of issuance costs         $ 64,300 ₪ 251.2   $ 30,100              
Series A Bonds [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate               2.50%   2.50%          
Annual rate of interest               0.50%              
Interest increasing in additional precentage               0.25%              
Series A Bonds [Member] | First Four Principal Payments [Member]                              
Short-Term Debt [Line Items]                              
Original principal amount, rate               15.00%              
Series A Bonds [Member] | Last Four Principal Payments [Member]                              
Short-Term Debt [Line Items]                              
Original principal amount, rate               10.00%              
Series A Bonds [Member] | Minimum [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate                     6.90%        
Series A Bonds [Member] | Minimum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Minority interest               $ 110,000              
Interest increasing in additional precentage               1.25%              
Series A Bonds [Member] | Minimum [Member] | BVI Company [Member] | Stockholders Equity [Member]                              
Short-Term Debt [Line Items]                              
Dividend distribution               $ 120,000              
Series A Bonds [Member] | Maximum [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate                     6.40%        
Series A Bonds [Member] | Maximum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Interest increasing in additional precentage               6.40%              
Series A and B Bonds [Member] | New Buy Back Program [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument repurchase                       $ 5,000      
Series A and C Bonds[Member] | New Buy Back Program [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument repurchase $ 10,000                            
Series C Bonds [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument, rate               5.70%   5.70%          
Proceeds from issuance initial public offering     $ 64,700 ₪ 208.0                      
Offering and issuance, costs     $ 1,700                        
Series C Bonds [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Adjustment of interest rate               1.50%              
Interest increasing in additional precentage               0.50%              
Fair market value               75.00%              
Maximum issuance of debt               $ 179,000   ₪ 630.0          
Debt instrument interest rate during period               1.00%              
Series C Bonds [Member] | BVI Company [Member] | Forecast [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument interest rate during period             2.50%                
Series C Bonds [Member] | BVI Company [Member] | There after [Member]                              
Short-Term Debt [Line Items]                              
Debt instrument interest rate during period               3.00%              
Series C Bonds [Member] | First Four Principal Payments [Member]                              
Short-Term Debt [Line Items]                              
Original principal amount, rate               6.00%              
Series C Bonds [Member] | Minimum [Member] | Stockholders Equity [Member]                              
Short-Term Debt [Line Items]                              
Stockholders' equity percentage               27.00%              
Series C Bonds [Member] | Minimum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Minority interest               $ 230,000              
Adjustment of interest rate               0.25%              
Stockholders' equity percentage               25.00%              
Fair market value               75.00%              
Series C Bonds [Member] | Minimum [Member] | BVI Company [Member] | Stockholders Equity [Member]                              
Short-Term Debt [Line Items]                              
Minority interest               $ 250,000              
Stockholders' equity percentage               30.00%              
Dividend distribution               $ 250,000              
Series C Bonds [Member] | Maximum [Member] | BVI Company [Member]                              
Short-Term Debt [Line Items]                              
Adjustment of interest rate               80.00%              
Single ratings interest Increase annually               1.25%