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Leases - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Lessee, Lease, Description [Line Items]        
Straight line rent adjustment     $ 97,665  
Rental and other revenues related to operating lease payments $ 335,811 $ 383,439 753,463 $ 767,498
Rental and other revenues related to operating lease payments, variable leases     109,607 108,566
Seniors Housing Operating        
Lessee, Lease, Description [Line Items]        
Rental and other revenues related to operating lease payments     $ 265,959 $ 222,452
Minimum        
Lessee, Lease, Description [Line Items]        
Lease term extension period (in years)     1 year  
Maximum        
Lessee, Lease, Description [Line Items]        
Lease term extension period (in years)     25 years