Real Property Acquisitions and Development - Summary of Real Property Investment Activity by Segment (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Business Acquisition [Line Items]
Land and land improvements	$ 27,401	$ 70,414
Buildings and improvements	48,868	346,429
Acquired lease intangibles	5,861	39,955
Right of use assets, net	0	927
Total net real estate assets	82,130	457,725
Receivables and other assets	24	592
Total assets acquired	82,154	458,317
Secured debt	0	(46,454)
Lease liabilities	0	(953)
Accrued expenses and other liabilities	(532)	(8,191)
Total liabilities acquired	(532)	(55,598)
Non-cash acquisition related activity	(18,851)	0
Cash disbursed for acquisitions	62,771	402,719
Construction in progress additions	248,697	238,548
Less: Capitalized interest	(13,809)	(10,335)
Accruals	(3,125)	(1,987)
Cash disbursed for construction in progress	231,763	226,226
Capital improvements to existing properties	132,509	91,339
Total cash invested in real property, net of cash acquired	427,043	720,284
Seniors Housing Operating
Business Acquisition [Line Items]
Land and land improvements	26,691	2,517
Buildings and improvements	48,615	16,434
Acquired lease intangibles	5,861	865
Right of use assets, net	0	0
Total net real estate assets	81,167	19,816
Receivables and other assets	24	234
Total assets acquired	81,191	20,050
Secured debt	0	(5,501)
Lease liabilities	0	0
Accrued expenses and other liabilities	(532)	(120)
Total liabilities acquired	(532)	(5,621)
Non-cash acquisition related activity	(18,141)	0
Cash disbursed for acquisitions	62,518	14,429
Construction in progress additions	165,140	131,944
Less: Capitalized interest	(11,660)	(7,950)
Accruals	2,248	2,303
Cash disbursed for construction in progress	155,728	126,297
Capital improvements to existing properties	104,812	69,783
Total cash invested in real property, net of cash acquired	323,058	210,509
Triple-net
Business Acquisition [Line Items]
Land and land improvements	710	7,370
Buildings and improvements	253	74,289
Acquired lease intangibles	0	0
Right of use assets, net	0	0
Total net real estate assets	963	81,659
Receivables and other assets	0	0
Total assets acquired	963	81,659
Secured debt	0	0
Lease liabilities	0	0
Accrued expenses and other liabilities	0	0
Total liabilities acquired	0	0
Non-cash acquisition related activity	(710)	0
Cash disbursed for acquisitions	253	81,659
Construction in progress additions	28	4,995
Less: Capitalized interest	0	(1,248)
Accruals	72	0
Cash disbursed for construction in progress	100	3,747
Capital improvements to existing properties	6,064	4,427
Total cash invested in real property, net of cash acquired	6,417	89,833
Outpatient Medical
Business Acquisition [Line Items]
Land and land improvements	0	60,527
Buildings and improvements	0	255,706
Acquired lease intangibles	0	39,090
Right of use assets, net	0	927
Total net real estate assets	0	356,250
Receivables and other assets	0	358
Total assets acquired	0	356,608
Secured debt	0	(40,953)
Lease liabilities	0	(953)
Accrued expenses and other liabilities	0	(8,071)
Total liabilities acquired	0	(49,977)
Non-cash acquisition related activity	0	0
Cash disbursed for acquisitions	0	306,631
Construction in progress additions	83,529	101,609
Less: Capitalized interest	(2,149)	(1,137)
Accruals	(5,445)	(4,290)
Cash disbursed for construction in progress	75,935	96,182
Capital improvements to existing properties	21,633	17,129
Total cash invested in real property, net of cash acquired	$ 97,568	$ 419,942