v3.26.1
Segment Reporting - Other Segment Expenses (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Compensation $ 1,340,011 $ 873,837 $ 2,591,545 $ 1,705,708
Utilities 109,149 91,015 234,151 194,917
Food 110,716 77,387 213,247 149,192
Repairs and maintenance 84,881 65,659 167,482 130,214
Property taxes 83,941 88,591 167,672 174,735
Other segment expenses 421,425 318,222 831,446 622,335
Total property operating expenses 2,150,123 1,514,711 4,205,543 2,977,101
Operating Segments | Seniors Housing Operating        
Segment Reporting [Line Items]        
Compensation 1,338,206 858,972 2,586,435 1,677,136
Utilities 108,420 78,287 230,014 168,214
Food 110,716 77,387 213,247 149,192
Repairs and maintenance 83,544 54,807 163,216 107,790
Property taxes 75,990 64,612 148,687 126,545
Other segment expenses 411,233 304,212 801,871 594,084
Total property operating expenses 2,128,109 1,438,277 4,143,470 2,822,961
Operating Segments | Triple-net        
Segment Reporting [Line Items]        
Compensation 0 20 28 32
Utilities 19 115 102 209
Food 0 0 0 0
Repairs and maintenance 61 17 190 46
Property taxes 5,768 5,999 11,571 11,966
Other segment expenses 1,495 2,501 3,258 5,217
Total property operating expenses 7,343 8,652 15,149 17,470
Operating Segments | Outpatient Medical        
Segment Reporting [Line Items]        
Compensation 1,805 14,845 5,082 28,540
Utilities 710 12,613 4,035 26,494
Food 0 0 0 0
Repairs and maintenance 1,276 10,835 4,076 22,378
Property taxes 2,183 17,980 7,414 36,224
Other segment expenses 1,760 6,561 4,960 13,804
Total property operating expenses 7,734 62,834 25,567 127,440
Non-segment/Corporate        
Segment Reporting [Line Items]        
Compensation 0 0 0 0
Utilities 0 0 0 0
Food 0 0 0 0
Repairs and maintenance 0 0 0 0
Property taxes 0 0 0 0
Other segment expenses 6,937 4,948 21,357 9,230
Total property operating expenses $ 6,937 $ 4,948 $ 21,357 $ 9,230