Real Property Acquisitions and Development - Construction Activity (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024
Segment Reporting Information [Line Items]
Total development projects	$ 1,079,354	$ 624,945
Expansion projects	0	20,229
Total construction in progress conversions	1,079,354	645,174
Seniors Housing Operating
Segment Reporting Information [Line Items]
Total development projects	742,491	462,246
Outpatient Medical
Segment Reporting Information [Line Items]
Total development projects	$ 336,863	$ 162,699