Leases - Narrative (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Lessee, Lease, Description [Line Items]
Pricing period	30 years
Straight line rent receivables	$ 16,642	$ 0	$ 49,241
Rental income	1,556,073	1,451,786	1,374,695
Seniors Housing Operating
Lessee, Lease, Description [Line Items]
Rental income	$ 466,162	$ 410,749	$ 194,078
Minimum
Lessee, Lease, Description [Line Items]
Lease term extension period	1 year
Maximum
Lessee, Lease, Description [Line Items]
Lease term extension period	25 years