Intangible Assets and Goodwill - Goodwill (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2025 USD ($)
Goodwill [Roll Forward]
Beginning balance	$ 149,225
Acquisition measurement period adjustments	50,625
Effect of foreign currency translation	5,749
Ending balance	205,599
Seniors Housing Operating
Goodwill [Roll Forward]
Beginning balance	80,904
Acquisition measurement period adjustments	50,625
Effect of foreign currency translation	5,749
Ending balance	137,278
Outpatient Medical
Goodwill [Roll Forward]
Beginning balance	68,321
Acquisition measurement period adjustments	0
Effect of foreign currency translation	0
Ending balance	$ 68,321