Real Property Acquisitions and Development - Construction Activity (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Segment Reporting Information [Line Items]
Total development projects	$ 307,256	$ 179,928
Expansion projects	106	3,083
Total construction in progress conversions	307,362	183,011
Seniors Housing Operating
Segment Reporting Information [Line Items]
Total development projects	132,210	88,680
Outpatient Medical
Segment Reporting Information [Line Items]
Total development projects	$ 175,046	$ 91,248