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Real Estate Investments - Mortgage Loans Activity (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
item
Mortgage Loans      
Originations and fundings under mortgage loans receivable $ 4,253 $ 12,342 $ 21,364
Pay-offs received     (1,086)
Scheduled principal payments received (1,065) (1,065) (1,050)
Mortgage loan premium amortization (4) (4) (4)
Provision for loan loss reserve (32) (113) (192)
Net increase in mortgage loans receivable $ 3,152 11,160 $ 19,032
Minimum      
Mortgage Loans      
Interest rate (as a percent) 5.00%    
Maximum      
Mortgage Loans      
Interest rate (as a percent) 7.50%    
Mortgage Loans      
Mortgage Loans      
Loan Term 30 years    
Mortgage Loans | Minimum      
Mortgage Loans      
Interest rate (as a percent) 9.30%    
Mortgage Loans | Maximum      
Mortgage Loans      
Interest rate (as a percent) 10.10%    
Mortgages with 9.41% Interest, fixed for two years, and escalating by 2.25% thereafter | Mortgage Loans      
Mortgage Loans      
Additions to mortgage loans   $ 7,500  
Interest rate (as a percent)   9.41%  
Loan Term   2 years  
Specified basis points for annual increase in interest rate (as a percent)   2.25%  
Mortgages With 8.89 Percent Interest With Escalation [Member] | Mortgage Loans      
Mortgage Loans      
Additions to mortgage loans $ 2,000    
Interest rate (as a percent) 8.89%    
Specified basis points for annual increase in interest rate (as a percent) 2.25%    
Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Interest rate (as a percent)     8.70%
Loan Term     5 years
Specified basis points for annual increase in interest rate (as a percent)     2.25%
Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | Mortgage Loans      
Mortgage Loans      
Additions to mortgage loans     $ 7,400
Michigan | SNF | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Additions to mortgage loans     $ 7,125
Interest rate (as a percent)     9.41%
Loan Term     5 years
Specified basis points for annual increase in interest rate (as a percent)     2.25%
SNF Beds | Michigan | SNF | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Number of beds/units | item     112
SNF Beds | Michigan | SNF | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter      
Mortgage Loans      
Number of beds/units | item     126