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Dispositions, Real Property Held for Sale and Impairment - Strategic Dissolution of Revera Joint Ventures (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Apr. 30, 2024
USD ($)
property
Jun. 30, 2023
USD ($)
property
joint_venture
Sep. 30, 2023
USD ($)
property
project
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Non-cash consideration       $ 434,326 $ 361,830 $ 0
Net real estate investments       $ 43,851,677 $ 38,775,913  
U K Portfolio Revera Joint Venture            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of joint ventures | joint_venture   2        
U K Portfolio Revera Joint Venture1            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Ownership percentage   75.00%        
Proceeds from sale of interest   $ 107,341        
U K Portfolio Revera Joint Venture2            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Ownership percentage   90.00%        
U S Portfolio Revera Joint Venture            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Ownership percentage     34.00%      
Equity method investments     $ 47,734      
U S Portfolio Revera Joint Venture | Revera            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Ownership percentage     66.00%      
Canadian Portfolio Revera Joint Venture            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Ownership percentage 75.00%          
Proceeds from sale of interest $ 60,614          
Revera Joint Venture Disposal Transaction            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties sold | property 14 4 13   31  
Gross sale price $ 430,898 $ 222,521        
Non-cash consideration 434,326 241,728        
Other consideration   198,837        
Noncontrolling interest 53,174 42,891        
Transaction related expenses 3,428 9,049        
Payments for disposal   10,158        
Real estate property 293,257 224,208 $ 119,258      
Gain (loss) on real estate dispositions 137,641 (1,687) 62,075      
Payment for transaction related expenses disposal group   5,776        
Noncontrolling Interest, decrease from deconsolidation   180,497 $ 56,905      
Liabilities   22,270        
Realized adjustment on disposal   $ 1,846        
Number of projects | project     1      
Long term debt $ 164,640          
Revera Joint Venture Disposal Transaction | Avery Healthcare            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties transitioned | property   29        
Revera Joint Venture Disposal Transaction U S Properties            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties sold | property     12      
Revera Joint Venture Disposal Transaction Now Wholly Owned Properties | Oakmont Management Group            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties transitioned | property     2      
Revera Joint Venture, Existing Wholly-Owned Properties | Oakmont Management Group            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties transitioned | property     26      
Revera Joint Venture Acquisition Transaction            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties acquired | property 71 29 10   110  
Payment for property acquired $ 51,986          
Transaction cost 17,258          
Fair value of interests transferred 219,940          
Noncontrolling Interest, decrease from deconsolidation 246,564          
Realized adjustment on disposal $ 42,619          
Net real estate investments     $ 479,525      
Payments to acquire real estate and real estate joint ventures     31,456      
Asset acquisition, consideration transferred     448,069      
Asset acquisition debt assumed     $ 270,486      
Revera Joint Venture Acquisition Transaction | Cogir Senior Living            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties acquired | property         53  
Revera Joint Venture Acquisition Transaction | Levante Living            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties acquired | property         12  
Revera Joint Venture Acquisition Transaction | Optima Living            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of properties acquired | property         6