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Summary of Significant Accounting Policies - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Disaggregation of Revenue [Line Items]    
Resident fees and services $ 408,630 $ 318,974
Integrated Senior Health Campuses    
Disaggregation of Revenue [Line Items]    
Resident fees and services 361,770 281,012
SHOP    
Disaggregation of Revenue [Line Items]    
Resident fees and services 46,860 37,962
Resident Fees and Services [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 408,630 318,974
Resident Fees and Services [Member] | Over Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 344,463 267,750
Resident Fees and Services [Member] | Point in Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 64,167 51,224
Resident Fees and Services [Member] | Private and Other Payors [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 213,528 166,840
Resident Fees and Services [Member] | Medicare [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 126,777 94,517
Resident Fees and Services [Member] | Medicaid [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 68,325 57,617
Resident Fees and Services [Member] | Integrated Senior Health Campuses    
Disaggregation of Revenue [Line Items]    
Resident fees and services 361,770 281,012
Resident Fees and Services [Member] | Integrated Senior Health Campuses | Over Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 298,850 230,534
Resident Fees and Services [Member] | Integrated Senior Health Campuses | Point in Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 62,920 50,478
Resident Fees and Services [Member] | Integrated Senior Health Campuses | Private and Other Payors [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 169,678 131,803
Resident Fees and Services [Member] | Integrated Senior Health Campuses | Medicare [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 126,466 94,517
Resident Fees and Services [Member] | Integrated Senior Health Campuses | Medicaid [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 65,626 54,692
Resident Fees and Services [Member] | SHOP    
Disaggregation of Revenue [Line Items]    
Resident fees and services 46,860 37,962
Resident Fees and Services [Member] | SHOP | Over Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 45,613 37,216
Resident Fees and Services [Member] | SHOP | Point in Time [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 1,247 746
Resident Fees and Services [Member] | SHOP | Private and Other Payors [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 43,850 35,037
Resident Fees and Services [Member] | SHOP | Medicare [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services 311 0
Resident Fees and Services [Member] | SHOP | Medicaid [Member]    
Disaggregation of Revenue [Line Items]    
Resident fees and services $ 2,699 $ 2,925