Real Property Acquisitions and Development - Construction Activity (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024
Segment Reporting Information [Line Items]
Total development projects	$ 774,648	$ 300,608
Expansion projects	0	20,229
Total construction in progress conversions	774,648	320,837
Seniors Housing Operating
Segment Reporting Information [Line Items]
Total development projects	506,732	194,012
Outpatient Medical
Segment Reporting Information [Line Items]
Total development projects	$ 267,916	$ 106,596