Real Estate Investments - Improvements (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Real estate investments
Invested in projects	$ 3,359
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	3,230	$ 2,905
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	2,000	1,964
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	1,143	620
Other | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 87	$ 321