Intangible and Goodwill - Goodwill (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2025 USD ($)
Goodwill [Roll Forward]
Beginning balance	$ 149,225
Acquisition measurement period adjustment	48,572
Effect of foreign currency translation	2,404
Ending balance	200,201
Seniors Housing Operating
Goodwill [Roll Forward]
Beginning balance	80,904
Acquisition measurement period adjustment	48,572
Effect of foreign currency translation	2,404
Ending balance	131,880
Outpatient Medical
Goodwill [Roll Forward]
Beginning balance	68,321
Acquisition measurement period adjustment	0
Effect of foreign currency translation	0
Ending balance	$ 68,321