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Real Property Acquisitions and Development - Narrative (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2024
USD ($)
property
Jul. 31, 2024
USD ($)
property
Feb. 29, 2024
USD ($)
property
Sep. 30, 2024
USD ($)
property
Jun. 30, 2024
USD ($)
Mar. 31, 2024
USD ($)
Sep. 30, 2023
USD ($)
property
joint_venture
Jun. 30, 2023
USD ($)
Mar. 31, 2023
USD ($)
Sep. 30, 2024
USD ($)
property
Sep. 30, 2023
USD ($)
property
joint_venture
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
[1]
Asset Acquisition [Line Items]                          
Net change in noncontrolling interests       $ 11,810,000 $ 353,525,000 $ 13,091,000 $ (53,995,000) $ 153,120,000 $ (21,344,000)        
Secured debt $ 2,468,527,000     2,468,527,000           $ 2,468,527,000     $ 2,183,327,000
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net       272,266,000     71,102,000     443,416,000 $ 69,681,000    
Forecast                          
Asset Acquisition [Line Items]                          
Contingent consideration                       $ 150,000,000  
Seniors Housing Operating Properties, Affinity Brand                          
Asset Acquisition [Line Items]                          
Contingent consideration $ 75,074,000     $ 75,074,000           $ 75,074,000      
Number of assets acquired | property 20   25 20           20      
Expected consideration     $ 969,000,000                    
Consideration transferred       $ 690,510,000                  
Equity issued in acquisition       203,328                  
Secured debt in acquisition       $ 364,130,000                  
Seniors Housing Real Estate Portfolio                          
Asset Acquisition [Line Items]                          
Number of assets acquired | property   136                      
Expected consideration   $ 1,000,000,000.0                      
Equity Method Joint Venture                          
Asset Acquisition [Line Items]                          
Number of properties | property 39     39           39      
Percentage ownership 25.00%     25.00%           25.00%      
Payments for investments $ 205,029,000                        
Secured debt $ 532,575,000     $ 532,575,000           $ 532,575,000      
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net       $ 179,770,000                  
Joint Ventures Canadian Pension Plan Investment Board                          
Asset Acquisition [Line Items]                          
Acquisitions of noncontrolling interests             $ 69,606,000            
Ownership interest (in percent)             45.00%       45.00%    
Number of joint ventures | joint_venture             2       2    
Net change in noncontrolling interests             $ 118,256,000            
Joint Ventures Canadian Pension Plan Investment Board | Office Building                          
Asset Acquisition [Line Items]                          
Number of properties | property             10       10    
[1] The consolidated balance sheet at December 31, 2023 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements.