Intangible Assets and Goodwill - Goodwill (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2026 USD ($)
Goodwill [Roll Forward]
Beginning balance	$ 346,316
Acquisition measurement period adjustments	2,117
Effect of foreign currency translation	(5,526)
Ending balance	342,907
Seniors Housing Operating
Goodwill [Roll Forward]
Beginning balance	277,995
Acquisition measurement period adjustments	2,117
Effect of foreign currency translation	(5,526)
Ending balance	274,586
Outpatient Medical
Goodwill [Roll Forward]
Beginning balance	68,321
Acquisition measurement period adjustments	0
Effect of foreign currency translation	0
Ending balance	$ 68,321