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Real Estate and Other Activities - 2022 Activity - Additional Information) (Detail)
$ in Thousands, € in Millions, £ in Millions, SFr in Millions
3 Months Ended 12 Months Ended
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 ($)
Facility
Mar. 11, 2022
EUR (€)
Facility
Feb. 16, 2022
GBP (£)
Dec. 29, 2020
CHF (SFr)
Dec. 31, 2021
USD ($)
Dec. 31, 2022
USD ($)
Facility
Dec. 31, 2022
CHF (SFr)
Facility
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Business Acquisition [Line Items]                                
Investments in unconsolidated real estate joint ventures                       $ 1,152,927 $ 1,497,903   $ 1,152,927  
Gain (loss) on real estate dispositions                       (40,000)     52,500 $ (2,800)
Mortgage loan                         177,924   1,128,695 193,590
Deferred income tax liabilities and other liabilities, incurred               $ 26,000                
Acquisition loan                       $ 5,350,239 $ 1,332,962   $ 5,350,239 $ 4,249,180
Syndicated Term Loan [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquisition | £                   £ 96.5            
Acquisition loan | £                   £ 100.0            
Loan term                   6 years            
Percentage of discount on investment                   3.50%            
Variable interest rate                         8.30%      
General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Number of facilities acquired | Facility         2               6 6    
Purchase price of acquisition         $ 80,000                      
Infracore [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquisition | SFr                     SFr 206.5          
Mortgage loan | SFr                           SFr 60.0    
Massachusetts-based General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Proceeds from expected secured debt                         $ 1,300,000      
Gain (loss) on real estate dispositions             $ 600,000                  
Nonrecourse secured debt percentage of asset value             55.00%                  
Number of facilities acquired | Facility             8                  
Purchase price of acquisition             $ 1,700,000                  
Lease extension expiration year             2041                  
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                            
Finland [Member] | General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Number of facilities acquired | Facility               4 4              
Purchase price of acquisition               $ 194,000 € 178              
Spain [Member] | General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Number of facilities acquired | Facility       3                 3 3    
Purchase price of acquisition | €       € 27                        
Arizona [Member] | General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Number of facilities acquired | Facility           1                    
Colombia [Member] | General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquisition     $ 26,000                          
Corporate Joint Venture [Member]                                
Business Acquisition [Line Items]                                
Investments in unconsolidated real estate joint ventures             $ 400,000                  
Real Estate Partnership [Member]                                
Business Acquisition [Line Items]                                
Percentage of equity investment             50.00%                  
Macquarie Asset Management [Member] | Massachusetts-based General Acute Care Hospitals [Member]                                
Business Acquisition [Line Items]                                
Percentage of equity investment             50.00%