Property Investments (Details) $ in Thousands	Dec. 31, 2024 USD ($) property	Dec. 12, 2024 property	Dec. 31, 2023 USD ($)
Summary of Company's investment
NUMBER OF PROPERTIES | property	589	3
LAND	$ 1,143,468
BUILDINGS AND IMPROVEMENTS	9,707,066		$ 10,881,373
LEASE INTANGIBLES	664,867
PERSONAL PROPERTY	9,909		12,718
Total real estate investments	11,810,710		13,399,067
ACCUMULATED DEPRECIATION	$ (2,483,656)		$ (2,226,853)
Investment in financing receivables, net
Summary of Company's investment
NUMBER OF PROPERTIES | property	1
LAND	$ 0
BUILDINGS AND IMPROVEMENTS	0
LEASE INTANGIBLES
PERSONAL PROPERTY	0
Total real estate investments	123,671
ACCUMULATED DEPRECIATION	$ 0
Financing lease right-of-use assets
Summary of Company's investment
NUMBER OF PROPERTIES | property	1
LAND	$ 0
BUILDINGS AND IMPROVEMENTS	0
LEASE INTANGIBLES	0
PERSONAL PROPERTY	0
Total real estate investments	77,343
ACCUMULATED DEPRECIATION	$ 0
Construction in progress
Summary of Company's investment
NUMBER OF PROPERTIES | property	1
LAND	$ 0
BUILDINGS AND IMPROVEMENTS	0
LEASE INTANGIBLES	0
PERSONAL PROPERTY	0
Total real estate investments	31,978
ACCUMULATED DEPRECIATION	$ 0
Land held for development
Summary of Company's investment
NUMBER OF PROPERTIES | property	0
LAND	$ 0
BUILDINGS AND IMPROVEMENTS	0
LEASE INTANGIBLES	0
PERSONAL PROPERTY	0
Total real estate investments	52,408
ACCUMULATED DEPRECIATION	$ 0
Medical office/outpatient
Summary of Company's investment
NUMBER OF PROPERTIES | property	586
LAND	$ 1,143,468
BUILDINGS AND IMPROVEMENTS	9,707,066
LEASE INTANGIBLES	664,867
PERSONAL PROPERTY	9,909
Total real estate investments	11,525,310
ACCUMULATED DEPRECIATION	$ (2,483,656)
Medical office/outpatient | Dallas, TX
Summary of Company's investment
NUMBER OF PROPERTIES | property	39
LAND	$ 73,030
BUILDINGS AND IMPROVEMENTS	864,625
LEASE INTANGIBLES	40,948
PERSONAL PROPERTY	547
Total real estate investments	979,150
ACCUMULATED DEPRECIATION	$ (245,493)
Medical office/outpatient | Seattle, WA
Summary of Company's investment
NUMBER OF PROPERTIES | property	24
LAND	$ 45,272
BUILDINGS AND IMPROVEMENTS	547,743
LEASE INTANGIBLES	5,178
PERSONAL PROPERTY	679
Total real estate investments	598,872
ACCUMULATED DEPRECIATION	$ (184,304)
Medical office/outpatient | Charlotte, NC
Summary of Company's investment
NUMBER OF PROPERTIES | property	31
LAND	$ 32,980
BUILDINGS AND IMPROVEMENTS	462,173
LEASE INTANGIBLES	25,947
PERSONAL PROPERTY	133
Total real estate investments	521,233
ACCUMULATED DEPRECIATION	$ (134,075)
Medical office/outpatient | Houston, TX
Summary of Company's investment
NUMBER OF PROPERTIES | property	26
LAND	$ 61,201
BUILDINGS AND IMPROVEMENTS	510,255
LEASE INTANGIBLES	46,286
PERSONAL PROPERTY	46
Total real estate investments	617,788
ACCUMULATED DEPRECIATION	$ (106,416)
Medical office/outpatient | Denver, CO
Summary of Company's investment
NUMBER OF PROPERTIES | property	26
LAND	$ 55,309
BUILDINGS AND IMPROVEMENTS	390,453
LEASE INTANGIBLES	32,602
PERSONAL PROPERTY	605
Total real estate investments	478,969
ACCUMULATED DEPRECIATION	$ (106,457)
Medical office/outpatient | Atlanta, GA
Summary of Company's investment
NUMBER OF PROPERTIES | property	24
LAND	$ 39,895
BUILDINGS AND IMPROVEMENTS	365,592
LEASE INTANGIBLES	20,769
PERSONAL PROPERTY	102
Total real estate investments	426,358
ACCUMULATED DEPRECIATION	$ (86,861)
Medical office/outpatient | Boston, MA
Summary of Company's investment
NUMBER OF PROPERTIES | property	16
LAND	$ 120,818
BUILDINGS AND IMPROVEMENTS	279,881
LEASE INTANGIBLES	39,509
PERSONAL PROPERTY	14
Total real estate investments	440,222
ACCUMULATED DEPRECIATION	$ (60,469)
Medical office/outpatient | Los Angeles, CA
Summary of Company's investment
NUMBER OF PROPERTIES | property	15
LAND	$ 49,770
BUILDINGS AND IMPROVEMENTS	265,617
LEASE INTANGIBLES	3,486
PERSONAL PROPERTY	401
Total real estate investments	319,274
ACCUMULATED DEPRECIATION	$ (131,477)
Medical office/outpatient | Phoenix, AZ
Summary of Company's investment
NUMBER OF PROPERTIES | property	35
LAND	$ 29,177
BUILDINGS AND IMPROVEMENTS	492,016
LEASE INTANGIBLES	31,915
PERSONAL PROPERTY	427
Total real estate investments	553,535
ACCUMULATED DEPRECIATION	$ (84,116)
Medical office/outpatient | Raleigh, NC
Summary of Company's investment
NUMBER OF PROPERTIES | property	25
LAND	$ 57,906
BUILDINGS AND IMPROVEMENTS	366,150
LEASE INTANGIBLES	29,224
PERSONAL PROPERTY	13
Total real estate investments	453,293
ACCUMULATED DEPRECIATION	$ (55,468)
Medical office/outpatient | Nashville, TN
Summary of Company's investment
NUMBER OF PROPERTIES | property	11
LAND	$ 38,057
BUILDINGS AND IMPROVEMENTS	339,417
LEASE INTANGIBLES	9,840
PERSONAL PROPERTY	4,422
Total real estate investments	391,736
ACCUMULATED DEPRECIATION	$ (128,686)
Medical office/outpatient | Miami, FL
Summary of Company's investment
NUMBER OF PROPERTIES | property	14
LAND	$ 22,890
BUILDINGS AND IMPROVEMENTS	265,974
LEASE INTANGIBLES	17,785
PERSONAL PROPERTY	176
Total real estate investments	306,825
ACCUMULATED DEPRECIATION	$ (75,640)
Medical office/outpatient | Tampa, FL
Summary of Company's investment
NUMBER OF PROPERTIES | property	18
LAND	$ 30,586
BUILDINGS AND IMPROVEMENTS	313,381
LEASE INTANGIBLES	26,109
PERSONAL PROPERTY	33
Total real estate investments	370,109
ACCUMULATED DEPRECIATION	$ (53,946)
Medical office/outpatient | Indianapolis, IN
Summary of Company's investment
NUMBER OF PROPERTIES | property	39
LAND	$ 50,874
BUILDINGS AND IMPROVEMENTS	274,524
LEASE INTANGIBLES	23,329
PERSONAL PROPERTY	13
Total real estate investments	348,740
ACCUMULATED DEPRECIATION	$ (50,188)
Medical office/outpatient | New York, NY
Summary of Company's investment
NUMBER OF PROPERTIES | property	14
LAND	$ 63,377
BUILDINGS AND IMPROVEMENTS	163,038
LEASE INTANGIBLES	25,963
PERSONAL PROPERTY	0
Total real estate investments	252,378
ACCUMULATED DEPRECIATION	$ (26,533)
Medical office/outpatient | Austin, TX
Summary of Company's investment
NUMBER OF PROPERTIES | property	11
LAND	$ 21,601
BUILDINGS AND IMPROVEMENTS	217,862
LEASE INTANGIBLES	18,568
PERSONAL PROPERTY	37
Total real estate investments	258,068
ACCUMULATED DEPRECIATION	$ (46,372)
Medical office/outpatient | Washington, DC
Summary of Company's investment
NUMBER OF PROPERTIES | property	9
LAND	$ 5,265
BUILDINGS AND IMPROVEMENTS	220,493
LEASE INTANGIBLES	3,799
PERSONAL PROPERTY	48
Total real estate investments	229,605
ACCUMULATED DEPRECIATION	$ (59,598)
Medical office/outpatient | Chicago, IL
Summary of Company's investment
NUMBER OF PROPERTIES | property	6
LAND	$ 13,804
BUILDINGS AND IMPROVEMENTS	217,359
LEASE INTANGIBLES	7,626
PERSONAL PROPERTY	81
Total real estate investments	238,870
ACCUMULATED DEPRECIATION	$ (45,205)
Medical office/outpatient | San Francisco, CA
Summary of Company's investment
NUMBER OF PROPERTIES | property	6
LAND	$ 49,181
BUILDINGS AND IMPROVEMENTS	181,860
LEASE INTANGIBLES	9,915
PERSONAL PROPERTY	52
Total real estate investments	241,008
ACCUMULATED DEPRECIATION	$ (59,302)
Medical office/outpatient | Orlando, FL
Summary of Company's investment
NUMBER OF PROPERTIES | property	7
LAND	$ 9,793
BUILDINGS AND IMPROVEMENTS	170,755
LEASE INTANGIBLES	16,815
PERSONAL PROPERTY	1
Total real estate investments	197,364
ACCUMULATED DEPRECIATION	$ (29,866)
Medical office/outpatient | Other (45 markets)
Summary of Company's investment
NUMBER OF PROPERTIES | property	190
LAND	$ 272,682
BUILDINGS AND IMPROVEMENTS	2,797,898
LEASE INTANGIBLES	229,254
PERSONAL PROPERTY	2,079
Total real estate investments	3,301,913
ACCUMULATED DEPRECIATION	$ (713,184)