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Leases - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Lessee, Lease, Description [Line Items]        
Rental and other revenues related to operating lease payments $ 383,439 $ 361,411 $ 767,498 $ 717,801
Rental and other revenues related to operating lease payments, variable leases     108,566 96,309
Seniors Housing Operating        
Lessee, Lease, Description [Line Items]        
Rental and other revenues related to operating lease payments     $ 222,452 $ 198,052
Minimum        
Lessee, Lease, Description [Line Items]        
Lease term extension period     1 year  
Maximum        
Lessee, Lease, Description [Line Items]        
Lease term extension period     25 years