Real Estate Investments - Owned Properties (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) item property state	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Real Estate [Line Items]
Investment, Type [Extensible Enumeration]	us-gaap:RealEstateInvestmentMember
Number of properties	134
Number of states | state	23
Number of operators | item	22
Depreciation expense | $	$ 37,303	$ 37,394	$ 38,192
ALF
Real Estate [Line Items]
Number of properties	83
SNF
Real Estate [Line Items]
Number of properties	50
Hospital
Real Estate [Line Items]
Number of properties	1