v3.26.3
Segment Reporting - Other Segment Expenses (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Segment Reporting [Line Items]        
Compensation $ 1,389,491 $ 903,152 $ 3,981,036 $ 2,608,860
Utilities 122,703 106,396 356,854 301,313
Food 116,792 80,626 330,039 229,818
Repairs and maintenance 88,394 71,801 255,876 202,015
Property taxes 85,182 88,847 252,854 263,582
Other segment expenses 443,464 326,226 1,274,910 948,561
Total property operating expenses 2,246,026 1,577,048 6,451,569 4,554,149
Operating Segments | Seniors Housing Operating        
Segment Reporting [Line Items]        
Compensation 1,388,118 888,672 3,974,553 2,565,808
Utilities 121,644 91,065 351,658 259,279
Food 116,792 80,626 330,039 229,818
Repairs and maintenance 87,771 60,925 250,987 168,715
Property taxes 79,760 66,160 228,447 192,705
Other segment expenses 433,274 311,767 1,235,145 905,851
Total property operating expenses 2,227,359 1,499,215 6,370,829 4,322,176
Operating Segments | Triple-net        
Segment Reporting [Line Items]        
Compensation 11 28 39 60
Utilities 60 83 162 292
Food 0 0 0 0
Repairs and maintenance 51 34 241 80
Property taxes 4,626 5,903 16,197 17,869
Other segment expenses 1,458 2,179 4,716 7,396
Total property operating expenses 6,206 8,227 21,355 25,697
Operating Segments | Outpatient Medical        
Segment Reporting [Line Items]        
Compensation 1,362 14,452 6,444 42,992
Utilities 999 15,248 5,034 41,742
Food 0 0 0 0
Repairs and maintenance 572 10,842 4,648 33,220
Property taxes 796 16,784 8,210 53,008
Other segment expenses 1,218 5,993 6,178 19,797
Total property operating expenses 4,947 63,319 30,514 190,759
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 7,514 6,287 28,871 15,517
Total property operating expenses $ 7,514 $ 6,287 $ 28,871 $ 15,517