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Equity - Noncontrolling Interest (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2024 USD ($) item	Sep. 30, 2023 USD ($)	Dec. 31, 2023 USD ($)
Noncontrolling interest
Gross Consolidated Assets	$ 1,871,637		$ 1,855,098
Non-controlling interests	$ 93,618		$ 34,988
Number of units | item	466
Principal payments received on notes receivable	$ 13,268	$ 7,077
Partnership
Noncontrolling interest
Gross Consolidated Assets	461,068
Non-controlling interests	93,618
North Carolina/ South Carolina | 2024 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	122,460
Non-controlling interests	58,010
Ohio | 2023 Acquisitions | Partnership | ALF/ILF/MC
Noncontrolling interest
Gross Consolidated Assets	54,782
Non-controlling interests	9,134
North Carolina | 2023 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	121,419
Non-controlling interests	3,831
North Carolina | 2024 Acquisitions | Partnership | ALF
Noncontrolling interest
Gross Consolidated Assets	41,000
Non-controlling interests	3,015
Florida | 2022 Acquisitions | Partnership | SNF
Noncontrolling interest
Gross Consolidated Assets	76,625
Non-controlling interests	14,325
Oregon | 2018 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	18,452
Non-controlling interests	1,156
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,650
Non-controlling interests	2,907
South Carolina | 2017 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	11,680
Non-controlling interests	$ 1,240

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