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Real Property Acquisitions and Development - Summary of Real Property Investment Activity by Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Business Acquisition [Line Items]    
Land and land improvements $ 284,550 $ 27,401
Buildings and improvements 2,279,298 48,868
Acquired lease intangibles 146,745 5,861
Right of use assets, net 24,204 0
Total net real estate assets 2,734,797 82,130
Receivables and other assets 15,296 24
Total assets acquired 2,750,093 82,154
Secured debt (289,721) 0
Lease liabilities (4,731) 0
Accrued expenses and other liabilities (40,329) (532)
Total liabilities acquired (334,781) (532)
Noncontrolling interests (2,545) 0
Non-cash acquisition related activity (423,809) (18,851)
Cash disbursed for acquisitions 1,988,958 62,771
Construction in progress additions 131,570 248,697
Less: Capitalized interest (11,520) (13,809)
Accruals 6,137 (3,125)
Cash disbursed for construction in progress 126,187 231,763
Capital improvements to existing properties 240,350 132,509
Total cash invested in real property, net of cash acquired 2,355,495 427,043
Cash acquired from acquisition 4,502  
Seniors Housing Operating    
Business Acquisition [Line Items]    
Land and land improvements 176,983 26,691
Buildings and improvements 1,095,050 48,615
Acquired lease intangibles 139,005 5,861
Right of use assets, net 3,032 0
Total net real estate assets 1,414,070 81,167
Receivables and other assets 15,237 24
Total assets acquired 1,429,307 81,191
Secured debt (289,721) 0
Lease liabilities (3,032) 0
Accrued expenses and other liabilities (28,507) (532)
Total liabilities acquired (321,260) (532)
Noncontrolling interests (2,545) 0
Non-cash acquisition related activity (163,627) (18,141)
Cash disbursed for acquisitions 941,875 62,518
Construction in progress additions 100,242 165,140
Less: Capitalized interest (9,595) (11,660)
Accruals 1,145 2,248
Cash disbursed for construction in progress 91,792 155,728
Capital improvements to existing properties 219,244 104,812
Total cash invested in real property, net of cash acquired 1,252,911 323,058
Triple-net    
Business Acquisition [Line Items]    
Land and land improvements 88,247 710
Buildings and improvements 1,182,642 253
Acquired lease intangibles 7,084 0
Right of use assets, net 18,389 0
Total net real estate assets 1,296,362 963
Receivables and other assets 0 0
Total assets acquired 1,296,362 963
Secured debt 0 0
Lease liabilities 0 0
Accrued expenses and other liabilities (10,233) 0
Total liabilities acquired (10,233) 0
Noncontrolling interests 0 0
Non-cash acquisition related activity (240,075) (710)
Cash disbursed for acquisitions 1,046,054 253
Construction in progress additions 0 28
Less: Capitalized interest 0 0
Accruals 80 72
Cash disbursed for construction in progress 80 100
Capital improvements to existing properties 5,639 6,064
Total cash invested in real property, net of cash acquired 1,051,773 6,417
Outpatient Medical    
Business Acquisition [Line Items]    
Land and land improvements 19,320 0
Buildings and improvements 1,606 0
Acquired lease intangibles 656 0
Right of use assets, net 2,783 0
Total net real estate assets 24,365 0
Receivables and other assets 59 0
Total assets acquired 24,424 0
Secured debt 0 0
Lease liabilities (1,699) 0
Accrued expenses and other liabilities (1,589) 0
Total liabilities acquired (3,288) 0
Noncontrolling interests 0 0
Non-cash acquisition related activity (20,107) 0
Cash disbursed for acquisitions 1,029 0
Construction in progress additions 31,328 83,529
Less: Capitalized interest (1,925) (2,149)
Accruals 4,912 (5,445)
Cash disbursed for construction in progress 34,315 75,935
Capital improvements to existing properties 15,467 21,633
Total cash invested in real property, net of cash acquired $ 50,811 $ 97,568