Real Property Acquisitions and Development - Construction Activity (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Development projects:
Total development projects	$ 1,007,349	$ 795,556	$ 272,573
Expansion projects	20,229	71,250	18,280
Total construction in progress conversions	1,027,578	866,806	290,853
Seniors Housing Operating
Development projects:
Total development projects	778,834	463,644	227,796
Triple-net
Development projects:
Total development projects	0	141,142	0
Outpatient Medical
Development projects:
Total development projects	$ 228,515	$ 190,770	$ 44,777