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Real Estate and Other Activities - 2022 Activity - Additional Information (Detail)
$ in Thousands, € in Millions, £ in Millions
3 Months Ended 12 Months Ended
Feb. 07, 2023
Facility
Dec. 09, 2022
USD ($)
Facility
Dec. 09, 2022
GBP (£)
Facility
Jul. 29, 2022
USD ($)
Apr. 29, 2022
EUR (€)
Facility
Apr. 25, 2022
USD ($)
Facility
Apr. 18, 2022
Facility
Mar. 14, 2022
USD ($)
Facility
Mar. 11, 2022
USD ($)
Facility
Mar. 11, 2022
EUR (€)
Facility
Feb. 16, 2022
GBP (£)
Dec. 31, 2021
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Facility
Dec. 31, 2021
USD ($)
Business Acquisition [Line Items]                              
Gain (loss) on real estate dispositions                       $ 40,000   $ 100,000 $ 52,500
Investments in unconsolidated real estate joint ventures                         $ 1,474,455 1,497,903  
Acquisition loan                       $ 5,350,239 235,187 $ 1,332,962 $ 5,350,239
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              
United Kingdom [Member] | Behavioral Health Facilities [Member]                              
Business Acquisition [Line Items]                              
Number of facilities acquired | Facility   6 6                        
Purchase price of acquisition   $ 286,000 £ 233.0                        
Real estate financing by third party seller | £     £ 105.0                        
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         2               6  
Purchase price of acquisition       $ 26,000   $ 80,000                  
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          
General Acute Care Hospitals [Member] | Arizona [Member]                              
Business Acquisition [Line Items]                              
Number of facilities acquired | Facility             1                
General Acute Care Hospitals [Member] | Spain [Member]                              
Business Acquisition [Line Items]                              
Number of facilities acquired | Facility         3                    
Purchase price of acquisition | €         € 27                    
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%