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Real Estate and Other Activities - 2022 Activity - Additional Information (Detail)
$ in Thousands, € in Millions, £ in Millions
3 Months Ended
Feb. 07, 2023
Facility
Mar. 14, 2022
USD ($)
Facility
Mar. 11, 2022
USD ($)
Facility
Mar. 11, 2022
EUR (€)
Facility
Feb. 16, 2022
GBP (£)
Mar. 31, 2023
USD ($)
Mar. 31, 2022
USD ($)
Dec. 31, 2022
USD ($)
Business Acquisition [Line Items]                
Proceeds from sale of facilities             $ 48,000  
Gain (loss) on real estate dispositions             15,000  
Investments in unconsolidated real estate joint ventures           $ 1,506,474   $ 1,497,903
Acquisition loan           72,900 $ 724,795  
Deferred income tax liabilities and other liabilities, incurred     $ 26,000          
Syndicated Term Loan [Member]                
Business Acquisition [Line Items]                
Purchase price of acquisition | £         £ 96.5      
Acquisition loan | £         £ 100.0      
Loan term         6 years      
Corporate Joint Venture [Member]                
Business Acquisition [Line Items]                
Investments in unconsolidated real estate joint ventures   $ 400,000            
Massachusetts [Member]                
Business Acquisition [Line Items]                
Redevelopment recovery receivables of prior storm and flood damage           150,000    
Real Estate Partnership [Member]                
Business Acquisition [Line Items]                
Percentage of equity investment   50.00%            
General Acute Care Hospitals [Member]                
Business Acquisition [Line Items]                
Number of facilities acquired | Facility 8              
Lease extension expiration year 2041              
General Acute Care Hospitals [Member] | Finland [Member]                
Business Acquisition [Line Items]                
Number of facilities acquired | Facility     4 4        
Purchase price of acquisition     $ 194,000 € 178        
Massachusetts-based General Acute Care Hospitals [Member]                
Business Acquisition [Line Items]                
Number of facilities acquired | Facility   8            
Purchase price of acquisition   $ 1,700,000            
Gain (loss) on real estate dispositions   $ 600,000            
Nonrecourse secured debt percentage of asset value   55.00%            
Proceeds from expected secured debt           $ 1,300,000    
Lease extension expiration year   2041            
Massachusetts-based General Acute Care Hospitals [Member] | Macquarie Asset Management [Member]                
Business Acquisition [Line Items]                
Percentage of equity investment   50.00%