Real Property Acquisitions and Development - Construction Activity (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Total development projects	$ 78,014	$ 307,256
Expansion projects	0	106
Total construction in progress conversions	78,014	307,362
Seniors Housing Operating
Segment Reporting Information [Line Items]
Total development projects	78,014	132,210
Outpatient Medical
Segment Reporting Information [Line Items]
Total development projects	$ 0	$ 175,046