Real Property Acquisitions and Development - Summary of Real Property Investment Activity by Segment (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023
Business Acquisition [Line Items]
Land and land improvements	$ 281,454	$ 189,838
Buildings and improvements	2,102,334	1,156,206
Acquired lease intangibles	124,885	71,553
Construction in progress	45,983	165,934
Real property held for sale	297,000	0
Right of use assets, net	0	17,466
Total net real estate assets	2,851,656	1,600,997
Receivables and other assets	10,822	17,334
Total assets acquired	2,862,478	1,618,331
Secured debt	(816,798)	(333,113)
Lease liabilities	0	(17,492)
Accrued expenses and other liabilities	(40,243)	(21,657)
Total liabilities acquired	(857,041)	(372,262)
Noncontrolling interests	(25,787)	(775)
Non-cash acquisition related activity	(310,544)	(171,667)
Cash disbursed for acquisitions	1,669,106	1,073,627
Construction in progress additions	694,695	773,713
Less: Capitalized interest	(43,955)	(36,152)
Accruals	(18,229)	(6,849)
Cash disbursed for construction in progress	632,511	730,712
Capital improvements to existing properties	538,752	334,090
Total cash invested in real property, net of cash acquired	2,840,369	2,138,429
Cash acquired from acquisition	33,577	6,431
Seniors Housing Operating
Business Acquisition [Line Items]
Land and land improvements	208,219	58,049
Buildings and improvements	1,446,475	411,273
Acquired lease intangibles	89,460	25,617
Construction in progress	45,983	165,934
Real property held for sale	0	0
Right of use assets, net	0	16,539
Total net real estate assets	1,790,137	677,412
Receivables and other assets	9,592	16,789
Total assets acquired	1,799,729	694,201
Secured debt	(350,978)	(292,160)
Lease liabilities	0	(16,539)
Accrued expenses and other liabilities	(19,752)	(10,825)
Total liabilities acquired	(370,730)	(319,524)
Noncontrolling interests	(25,787)	0
Non-cash acquisition related activity	(119,012)	(171,667)
Cash disbursed for acquisitions	1,284,200	203,010
Construction in progress additions	424,827	450,205
Less: Capitalized interest	(36,247)	(28,289)
Accruals	1,217	3,447
Cash disbursed for construction in progress	389,797	425,363
Capital improvements to existing properties	448,144	261,935
Total cash invested in real property, net of cash acquired	2,122,141	890,308
Triple-net
Business Acquisition [Line Items]
Land and land improvements	63,075	58,797
Buildings and improvements	621,378	430,041
Acquired lease intangibles	33,232	0
Construction in progress	0	0
Real property held for sale	297,000	0
Right of use assets, net	0	0
Total net real estate assets	1,014,685	488,838
Receivables and other assets	1,118	0
Total assets acquired	1,015,803	488,838
Secured debt	(465,820)	0
Lease liabilities	0	0
Accrued expenses and other liabilities	(20,309)	0
Total liabilities acquired	(486,129)	0
Noncontrolling interests	0	0
Non-cash acquisition related activity	(191,532)	0
Cash disbursed for acquisitions	338,142	488,838
Construction in progress additions	28	25,646
Less: Capitalized interest	0	(2,416)
Accruals	126	(2,692)
Cash disbursed for construction in progress	154	20,538
Capital improvements to existing properties	19,870	17,933
Total cash invested in real property, net of cash acquired	358,166	527,309
Outpatient Medical
Business Acquisition [Line Items]
Land and land improvements	10,160	72,992
Buildings and improvements	34,481	314,892
Acquired lease intangibles	2,193	45,936
Construction in progress	0	0
Real property held for sale	0	0
Right of use assets, net	0	927
Total net real estate assets	46,834	434,747
Receivables and other assets	112	545
Total assets acquired	46,946	435,292
Secured debt	0	(40,953)
Lease liabilities	0	(953)
Accrued expenses and other liabilities	(182)	(10,832)
Total liabilities acquired	(182)	(52,738)
Noncontrolling interests	0	(775)
Non-cash acquisition related activity	0	0
Cash disbursed for acquisitions	46,764	381,779
Construction in progress additions	269,840	297,862
Less: Capitalized interest	(7,708)	(5,447)
Accruals	(19,572)	(7,604)
Cash disbursed for construction in progress	242,560	284,811
Capital improvements to existing properties	70,738	54,222
Total cash invested in real property, net of cash acquired	$ 360,062	$ 720,812