Segment Disclosures - Significant Expense Categories by Segment (Details) - Operating segment - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Segment Disclosure
Operating expenses	$ 1,074,861	$ 906,234	$ 862,991
Outpatient Medical
Segment Disclosure
Compensation and property management	56,066	29,752	27,807
Food	0	0	0
Real estate taxes	95,286	59,255	59,992
Repairs and maintenance	61,409	38,277	36,439
Utilities	69,690	43,348	43,329
Other segment items	123,542	92,500	85,742
Operating expenses	405,993	263,132	253,309
Lab
Segment Disclosure
Compensation and property management	33,058	18,096	16,817
Food	0	0	0
Real estate taxes	78,488	77,690	75,459
Repairs and maintenance	30,555	30,554	26,884
Utilities	50,793	45,490	41,087
Other segment items	46,726	57,800	48,896
Operating expenses	239,620	229,630	209,143
CCRC
Segment Disclosure
Compensation and property management	277,686	260,624	251,804
Food	26,513	25,076	23,641
Real estate taxes	15,472	15,851	14,090
Repairs and maintenance	18,373	17,295	16,522
Utilities	22,309	22,787	21,219
Other segment items	68,895	71,839	73,263
Operating expenses	$ 429,248	$ 413,472	$ 400,539