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Real Estate Investments - Mortgage Loans Activity (Details)
3 Months Ended
Mar. 31, 2024
USD ($)
property
item
period
Sep. 30, 2023
USD ($)
item
period
Mar. 31, 2023
USD ($)
item
Mortgage Loans      
Originations and funding under mortgage loans receivable $ 3,128,000   $ 62,844,000
Application of interest reserve 14,000   1,149,000
Scheduled principal payments received (125,000)   (125,000)
Mortgage loan premium amortization (2,000)   (2,000)
Provision for loan loss reserve (31,000)   (639,000)
Net increase in mortgage loans receivable 2,984,000   63,227,000
Gross Investment $ 1,342,921,000    
Number of properties | property 127    
Remaining commitment $ 66,218,000    
Percentage of Investment 100.00%    
Additions to mortgage loans     $ 983,000
Accrued interest receivable $ 55,842,000    
Mortgage Loans      
Mortgage Loans      
Gross Investment $ 485,095,000    
Number of properties | property 46    
Percentage of Investment 100.00%    
Other Mortgage Loans      
Mortgage Loans      
Additions to mortgage loans $ 188,000    
Mezzanine loan      
Mortgage Loans      
Number of beds/units | item     136
SNF      
Mortgage Loans      
Gross Investment $ 597,015,000    
Number of properties | property 50    
Percentage of Investment 44.50%    
SNF | Mortgage Loans      
Mortgage Loans      
Interest rate (as a percent) 2.25%    
SNF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans      
Mortgage Loans      
Gross Investment $ 29,346,000    
Interest rate (as a percent) 7.50%    
Number of properties | property 1    
Percentage of Investment 6.00%    
SNF | Mortgage loans with 8.8% Interest Maturing 2028 | Mortgage Loans      
Mortgage Loans      
Gross Investment $ 16,500,000    
Interest rate (as a percent) 8.80%    
Number of properties | property 1    
Percentage of Investment 3.40%    
ALF      
Mortgage Loans      
Gross Investment $ 733,901,000    
Number of properties | property 76    
Percentage of Investment 54.60%    
ALF | Mortgage Loans      
Mortgage Loans      
Internal Rate of Return 8.00%    
ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans      
Mortgage Loans      
Gross Investment $ 10,750,000   $ 10,750,000
Interest rate (as a percent) 7.30%    
Number of properties | property 1    
Percentage of Investment 2.20%    
ALF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans      
Mortgage Loans      
Gross Investment $ 51,111,000    
Interest rate (as a percent) 7.50%    
Number of properties | property 1    
Percentage of Investment 10.50%    
ALF | Mortgage Loans With 8.75 Interest | Mortgage Loans      
Mortgage Loans      
Loan Term   3 years  
Gross Investment   $ 19,500,000  
Interest rate (as a percent)   8.75%  
Number of beds/units | item   85  
Borrower contribution   $ 12,100,000  
Remaining commitment $ 16,600 $ 16,600  
Extension term number of options | period   2  
Michigan | ALF & MC | Mortgage Loans With 8.75 Interest      
Mortgage Loans      
Loan Term 3 years    
Gross Investment $ 19,500,000    
Interest rate (as a percent) 8.75%    
Number of beds/units | item 85    
Borrower contribution $ 12,100,000    
Funding under mortgage loan commitment $ 2,940,000    
Extension term number of options | period 2    
Loan extension term 1 year    
Georgia | ILF/ALF/MC      
Mortgage Loans      
Payments to Acquire Real Estate     51,111,000
Georgia | ILF/ALF/MC | Mortgage Loans      
Mortgage Loans      
Gross Investment     $ 51,111,000
Interest rate (as a percent)     7.50%
Internal Rate of Return     7.75%
Number of beds/units | item     203
Georgia | ILF/ALF/MC | Mezzanine loan      
Mortgage Loans      
Gross Investment     $ 42,251,000
SNF Beds      
Mortgage Loans      
Number of beds/units | item 6,231    
SNF Beds | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 3,041    
SNF Beds | SNF      
Mortgage Loans      
Number of beds/units | item 6,113    
SNF Beds | SNF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 189    
SNF Beds | SNF | Mortgage loans with 8.8% Interest Maturing 2028 | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 150    
ALF Units      
Mortgage Loans      
Number of beds/units | item 4,657    
ALF Units | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 1,192    
ALF Units | SNF      
Mortgage Loans      
Number of beds/units | item 236    
ALF Units | ALF      
Mortgage Loans      
Number of beds/units | item 4,421    
ALF Units | ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 45    
ALF Units | ALF | Mortgage loans with 7.5% Interest Maturing 2024 | Mortgage Loans      
Mortgage Loans      
Number of beds/units | item 203    
ALF Units | North Carolina | ALF | Mortgage loans with 7.3% Interest Maturing 2025, NC | Mortgage Loans      
Mortgage Loans      
Loan Term     2 years
Interest rate (as a percent)     7.25%
Internal Rate of Return     9.00%
Number of beds/units | item     45