Leases - Narrative (Details) $ in Thousands		3 Months Ended		9 Months Ended
	Sep. 30, 2024 lease property	Sep. 30, 2024 USD ($) lease	Sep. 30, 2023 USD ($)	Sep. 30, 2024 USD ($) lease	Sep. 30, 2023 USD ($)
Lessee, Lease, Description [Line Items]
Straight line rent adjustment				$ 97,674	$ 12,309
Rental and other revenues related to operating lease payments		$ 430,486	$ 384,507	1,183,949	1,152,005
Rental and other revenues related to operating lease payments, variable leases				165,863	163,980
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net		$ 272,266	$ 71,102	$ 443,416	69,681
15 Properties Disposed
Lessee, Lease, Description [Line Items]
Property sold | property	15
Number of operating leases | lease	2	2		2
Number of sales-type leases | lease	2	2		2
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net				$ 92,593
Seniors Housing Operating
Lessee, Lease, Description [Line Items]
Rental and other revenues related to operating lease payments				$ 417,490	$ 341,172
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