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Leases - Narrative (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2025
USD ($)
Mar. 31, 2025
USD ($)
property
Dec. 31, 2024
USD ($)
property
Sep. 30, 2024
USD ($)
lease
Sep. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
lease
property
Lessee, Lease, Description [Line Items]            
Straight line rent adjustment           $ 97,674
Rental and other revenues related to operating lease payments $ 499,475     $ 430,486 $ 1,444,082 1,183,949
Rental and other revenues related to operating lease payments, variable leases         167,865 165,863
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net $ 4,025     $ 272,266 70,652 443,416
Cash proceeds from real estate dispositions         522,087 $ 145,774
15 Properties Disposed            
Lessee, Lease, Description [Line Items]            
Property sold | property           15
Number of operating leases | lease       2   2
Number of sales-type leases | lease       2   2
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net           $ 92,593
11 Properties Disposed            
Lessee, Lease, Description [Line Items]            
Property sold | property     11      
Cash proceeds from real estate dispositions     $ 101,614      
4 Properties Disposed            
Lessee, Lease, Description [Line Items]            
Property sold | property   4        
Cash proceeds from real estate dispositions   $ 174,824        
Seniors Housing Operating            
Lessee, Lease, Description [Line Items]            
Rental and other revenues related to operating lease payments         $ 589,289 $ 417,490
Minimum            
Lessee, Lease, Description [Line Items]            
Lease term extension period (in years)         1 year  
Maximum            
Lessee, Lease, Description [Line Items]            
Lease term extension period (in years)         25 years