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Real Estate Investments - Lease (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2023
USD ($)
item
property
Mar. 31, 2023
USD ($)
item
Dec. 31, 2022
USD ($)
item
Jun. 30, 2022
USD ($)
property
item
Jun. 30, 2023
USD ($)
property
item
Center
lease
Jun. 30, 2022
USD ($)
property
item
Dec. 31, 2022
USD ($)
lease
item
Center
Real estate investments              
Write-off of straight-line rent and lease incentives balances         $ 26 $ 173  
Carrying value $ 1,024,120   $ 1,019,218   1,024,120   $ 1,019,218
Impairment loss 12,076 $ 434 $ 1,222   12,510    
Income and Expenses, Lessor [Abstract]              
Contractual cash rental income 29,014     $ 28,108 58,139 55,023  
Variable cash rental income 3,176     4,019 6,460 8,058  
Straight-line rent (423)     (293) (888) (527)  
Adjustment for collectability of lease incentives and rental income (26)       (26) (173)  
Amortization of lease incentives (204)     (206) (413) (429)  
Total Rental Income 31,537     31,628 63,272 61,952  
Real estate taxes reimbursed 3,176     $ 4,019 6,460 8,001  
Contingent rental income           $ 57  
Number of units | item       217   217  
Purchase Option in Lease Arrangements              
Real estate investments              
Gross Investment 391,653       391,653    
Carrying value $ 368,136       $ 368,136    
ALF              
Real estate investments              
Number of properties acquired | property         1    
Income and Expenses, Lessor [Abstract]              
Percentage of cash return         9.75%    
ALF | Encore Senior Living              
Real estate investments              
Lease term 10 years       10 years    
ALF | Florida              
Real estate investments              
Impairment loss $ 12,076            
ALF | North Carolina              
Real estate investments              
Number of properties | property       4   4  
ALF | Illinois, Ohio and Michigan | Encore Senior Living              
Real estate investments              
Lease term 2 years       2 years    
Number of assisted living communities transitioned to another operator | item 8       8    
Income and Expenses, Lessor [Abstract]              
Number of units | item 500       500    
ALF | Purchase Option in Lease Arrangements | Nebraska              
Real estate investments              
Number of properties | property 3       3    
Gross Investment $ 7,633       $ 7,633    
Carrying value $ 2,834       $ 2,834    
MC | Purchase Option in Lease Arrangements | Florida              
Real estate investments              
Number of properties | property 1       1    
Gross Investment $ 7,680       $ 7,680    
Carrying value 4,750       $ 4,750    
Impairment loss $ 7,522            
MC | Purchase Option in Lease Arrangements | Ohio              
Real estate investments              
Number of properties | property 1       1    
Gross Investment $ 16,161       $ 16,161    
Carrying value $ 13,708       $ 13,708    
ALF & MC              
Real estate investments              
Lease renewal term 5 years       5 years    
Number of operating lease renewals | lease         2    
Lease term 10 years       10 years    
Income and Expenses, Lessor [Abstract]              
Number of assisted living and memory care communities | item 11       11    
Maximum percentage of purchase option to buy properties         50.00%    
Percentage of cash return         9.00%    
ALF & MC | North Carolina              
Income and Expenses, Lessor [Abstract]              
Number of assisted living and memory care communities | item   11          
Number of units | item   523          
ALF & MC | Purchase Option in Lease Arrangements | California              
Real estate investments              
Number of properties | property 2       2    
Gross Investment $ 38,895       $ 38,895    
Carrying value $ 33,248       $ 33,248    
ALF & MC | Purchase Option in Lease Arrangements | North Carolina              
Real estate investments              
Number of properties | property 11       11    
Gross Investment $ 121,321       $ 121,321    
Carrying value $ 121,321       $ 121,321    
Lease term 10 years       10 years    
Income and Expenses, Lessor [Abstract]              
Number of assisted living and memory care communities | item 11       11    
Number of units | item 523       523    
Maximum percentage of purchase option to buy properties         50.00%    
Percentage of cash return         9.00%    
ALF & MC | Purchase Option in Lease Arrangements | South Carolina              
Real estate investments              
Number of properties | property 1       1    
Gross Investment $ 11,680       $ 11,680    
Carrying value $ 8,764       $ 8,764    
SNF              
Real estate investments              
Lease renewal term     5 years       5 years
Number of operating lease renewals | lease             2
Skilled nursing center purchased | Center             3
Number of properties acquired | property           4  
Lease term     10 years       10 years
SNF | Brookdale Senior Living              
Real estate investments              
Skilled nursing center purchased | Center         2    
Additional term of lessor's operating lease renewal         5 years    
SNF | Florida              
Real estate investments              
Skilled nursing center purchased | item             3
Income and Expenses, Lessor [Abstract]              
Number of units | item     299       299
SNF | Florida | Brookdale Senior Living              
Income and Expenses, Lessor [Abstract]              
Number of units | item 216       216    
SNF | Texas              
Real estate investments              
Lease term       10 years   10 years  
SNF | Tennessee | Brookdale Senior Living              
Real estate investments              
Skilled nursing center purchased | Center         2    
Additional term of lessor's operating lease renewal         2 years    
Contractual annual cash rent         $ 1,005    
Percentage of increase in contractual annual cash rent         2.50%    
Income and Expenses, Lessor [Abstract]              
Number of units | item 141       141    
SNF | Purchase Option in Lease Arrangements | Florida              
Real estate investments              
Number of properties | property 3       3    
Gross Investment $ 76,734       $ 76,734    
Carrying value $ 76,734       $ 76,734    
Number of properties acquired | item             3
Lease term     10 years       10 years
Income and Expenses, Lessor [Abstract]              
Number of units | item     299       299
SNF | Purchase Option in Lease Arrangements | Texas              
Real estate investments              
Number of properties | property 4       4    
Gross Investment $ 51,837       $ 51,837    
Carrying value $ 50,188       $ 50,188    
Number of properties acquired | item             4
Lease term     10 years       10 years
SNF | Purchase Option in Lease Arrangements | Tennessee              
Real estate investments              
Number of properties | property 2       2    
Gross Investment $ 5,275       $ 5,275    
Carrying value $ 2,333       $ 2,333    
ILF/ALF/MC | Ohio              
Income and Expenses, Lessor [Abstract]              
Number of units | item 242       242    
ILF/ALF/MC | Purchase Option in Lease Arrangements | Ohio              
Real estate investments              
Number of properties | property 1       1    
Gross Investment $ 54,437       $ 54,437    
Carrying value $ 54,256       $ 54,256