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Real Estate and Other Activities - Schedule of Concentrations of Credit Risk (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Dec. 31, 2022
Business Acquisition [Line Items]          
Total Assets $ 19,204,375   $ 19,204,375   $ 19,658,000
Total Revenues 337,395 $ 400,226 687,606 $ 810,026  
Total Gross Assets [Member] | Operator Concentration Risk [Member]          
Business Acquisition [Line Items]          
Total Assets 19,204,375   $ 19,204,375   $ 19,658,000
Percentage of concentration risk     100.00%   100.00%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Other Assets [Member]          
Business Acquisition [Line Items]          
Total Assets 2,414,567   $ 2,414,567   $ 1,611,159
Percentage of concentration risk     12.60%   8.20%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Steward [Member]          
Business Acquisition [Line Items]          
Total Assets 3,656,046   $ 3,656,046   $ 4,762,673
Percentage of concentration risk     19.00%   24.20%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Circle [Member]          
Business Acquisition [Line Items]          
Total Assets 2,141,517   $ 2,141,517   $ 2,062,474
Percentage of concentration risk     11.20%   10.50%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Priory [Member]          
Business Acquisition [Line Items]          
Total Assets 1,401,106   $ 1,401,106   $ 1,290,213
Percentage of concentration risk     7.30%   6.60%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Prospect [Member]          
Business Acquisition [Line Items]          
Total Assets 1,045,844   $ 1,045,844   $ 1,483,599
Percentage of concentration risk     5.50%   7.50%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Lifepoint Behavioral [Member]          
Business Acquisition [Line Items]          
Total Assets 799,212   $ 799,212   $ 985,959
Percentage of concentration risk     4.20%   5.00%
Total Gross Assets [Member] | Operator Concentration Risk [Member] | Other Operators [Member]          
Business Acquisition [Line Items]          
Total Assets 7,746,083   $ 7,746,083   $ 7,461,923
Percentage of concentration risk     40.20%   38.00%
Total Gross Assets [Member] | Geographic Concentration [Member]          
Business Acquisition [Line Items]          
Total Assets 19,204,375   $ 19,204,375   $ 19,658,000
Percentage of concentration risk     100.00%   100.00%
Total Gross Assets [Member] | Geographic Concentration [Member] | Texas [Member]          
Business Acquisition [Line Items]          
Total Assets 1,940,872   $ 1,940,872   $ 1,967,948
Percentage of concentration risk     10.10%   10.00%
Total Gross Assets [Member] | Geographic Concentration [Member] | California [Member]          
Business Acquisition [Line Items]          
Total Assets 1,211,932   $ 1,211,932   $ 1,450,112
Percentage of concentration risk     6.30%   7.40%
Total Gross Assets [Member] | Geographic Concentration [Member] | Florida [Member]          
Business Acquisition [Line Items]          
Total Assets 1,366,453   $ 1,366,453   $ 1,324,555
Percentage of concentration risk     7.10%   6.80%
Total Gross Assets [Member] | Geographic Concentration [Member] | Utah [Member]          
Business Acquisition [Line Items]          
Total Assets 834,773   $ 834,773   $ 1,224,484
Percentage of concentration risk     4.40%   6.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | Massachusetts [Member]          
Business Acquisition [Line Items]          
Total Assets 805,796   $ 805,796   $ 761,694
Percentage of concentration risk     4.20%   3.90%
Total Gross Assets [Member] | Geographic Concentration [Member] | All Other States [Member]          
Business Acquisition [Line Items]          
Total Assets 3,846,670   $ 3,846,670   $ 4,245,306
Percentage of concentration risk     20.00%   21.60%
Total Gross Assets [Member] | Geographic Concentration [Member] | Total U.S. [Member]          
Business Acquisition [Line Items]          
Total Assets 11,706,182   $ 11,706,182   $ 12,003,045
Percentage of concentration risk     61.00%   61.10%
Total Gross Assets [Member] | Geographic Concentration [Member] | United Kingdom [Member]          
Business Acquisition [Line Items]          
Total Assets 4,301,199   $ 4,301,199   $ 4,083,244
Percentage of concentration risk     22.40%   20.80%
Total Gross Assets [Member] | Geographic Concentration [Member] | Australia [Member]          
Business Acquisition [Line Items]          
Total Assets 301,125   $ 301,125   $ 854,582
Percentage of concentration risk     1.60%   4.30%
Total Gross Assets [Member] | Geographic Concentration [Member] | Switzerland [Member]          
Business Acquisition [Line Items]          
Total Assets 682,069   $ 682,069   $ 748,947
Percentage of concentration risk     3.50%   3.80%
Total Gross Assets [Member] | Geographic Concentration [Member] | Germany [Member]          
Business Acquisition [Line Items]          
Total Assets 746,419   $ 746,419   $ 664,900
Percentage of concentration risk     3.90%   3.40%
Total Gross Assets [Member] | Geographic Concentration [Member] | Spain [Member]          
Business Acquisition [Line Items]          
Total Assets 232,037   $ 232,037   $ 222,316
Percentage of concentration risk     1.20%   1.10%
Total Gross Assets [Member] | Geographic Concentration [Member] | All Other Countries [Member]          
Business Acquisition [Line Items]          
Total Assets 520,463   $ 520,463   $ 498,753
Percentage of concentration risk     2.70%   2.50%
Total Gross Assets [Member] | Geographic Concentration [Member] | Total International [Member]          
Business Acquisition [Line Items]          
Total Assets 7,498,193   $ 7,498,193   $ 7,654,955
Percentage of concentration risk     39.00%   38.90%
Total Gross Assets [Member] | Geographic Concentration [Member] | Other Domestic Assets [Member]          
Business Acquisition [Line Items]          
Total Assets 1,699,686   $ 1,699,686   $ 1,028,946
Percentage of concentration risk     8.90%   5.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | Other International Assets [Member]          
Business Acquisition [Line Items]          
Total Assets $ 714,881   $ 714,881   $ 582,213
Percentage of concentration risk     3.70%   3.00%
Revenue [Member] | Operator Concentration Risk [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 100.00% 100.00%      
Total Revenues $ 337,395 $ 400,226      
Revenue [Member] | Operator Concentration Risk [Member] | Steward [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk   26.50%      
Percentage of concentration risk (0.10%)        
Total Revenues $ (301) $ 106,007      
Revenue [Member] | Operator Concentration Risk [Member] | Circle [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 14.40% 11.90%      
Total Revenues $ 48,645 $ 47,539      
Revenue [Member] | Operator Concentration Risk [Member] | Priory [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 8.00% 4.80%      
Total Revenues $ 26,930 $ 19,179      
Revenue [Member] | Operator Concentration Risk [Member] | Prospect [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 20.30% 10.60%      
Total Revenues $ 68,436 $ 42,364      
Revenue [Member] | Operator Concentration Risk [Member] | Common Spirit [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 5.80%        
Total Revenues $ 19,568        
Revenue [Member] | Operator Concentration Risk [Member] | Lifepoint Behavioral [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 5.70% 5.60%      
Total Revenues $ 19,068 $ 22,250      
Revenue [Member] | Operator Concentration Risk [Member] | Other Operators [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 45.90% 40.60%      
Total Revenues $ 155,049 $ 162,887      
Revenue [Member] | Geographic Concentration [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 100.00% 100.00%      
Total Revenues $ 337,395 $ 400,226      
Revenue [Member] | Geographic Concentration [Member] | Texas [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 14.10% 9.90%      
Total Revenues $ 47,444 $ 39,716      
Revenue [Member] | Geographic Concentration [Member] | California [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 17.00% 12.00%      
Total Revenues $ 57,367 $ 48,109      
Revenue [Member] | Geographic Concentration [Member] | Florida [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 10.50% 6.50%      
Total Revenues $ 35,508 $ 26,051      
Revenue [Member] | Geographic Concentration [Member] | Pennsylvania [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 6.80% 5.00%      
Total Revenues $ 22,930 $ 19,942      
Revenue [Member] | Geographic Concentration [Member] | Arizona [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 5.90% 4.10%      
Total Revenues $ 19,721 $ 16,383      
Revenue [Member] | Geographic Concentration [Member] | All Other States [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 10.70% 34.40%      
Total Revenues $ 36,204 $ 137,518      
Revenue [Member] | Geographic Concentration [Member] | Total U.S. [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 65.00% 71.90%      
Total Revenues $ 219,174 $ 287,719      
Revenue [Member] | Geographic Concentration [Member] | United Kingdom [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 26.20% 19.80%      
Total Revenues $ 88,275 $ 79,415      
Revenue [Member] | Geographic Concentration [Member] | Germany [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 2.80% 2.10%      
Total Revenues $ 9,517 $ 8,337      
Revenue [Member] | Geographic Concentration [Member] | All Other Countries [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 6.00% 6.20%      
Total Revenues $ 20,429 $ 24,755      
Revenue [Member] | Geographic Concentration [Member] | Total International [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 35.00% 28.10%      
Total Revenues $ 118,221 $ 112,507      
Revenue [Member] | Customer Concentration Risk [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 100.00% 100.00%      
Total Revenues $ 337,395 $ 400,226      
Revenue [Member] | Customer Concentration Risk [Member] | General Acute Care Hospitals [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 69.60% 76.30%      
Total Revenues $ 234,917 $ 305,468      
Revenue [Member] | Customer Concentration Risk [Member] | Behavioral Health Facilities [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 16.70% 12.90%      
Total Revenues $ 56,378 $ 51,763      
Revenue [Member] | Customer Concentration Risk [Member] | Inpatient Rehabilitation Facilities [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 9.30% 7.20%      
Total Revenues $ 31,452 $ 28,897      
Revenue [Member] | Customer Concentration Risk [Member] | Long Term Acute Care Hospital [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 2.50% 2.10%      
Total Revenues $ 8,329 $ 8,270      
Revenue [Member] | Customer Concentration Risk [Member] | Freestanding ER/Urgent Care Facilities [Member]          
Business Acquisition [Line Items]          
Percentage of concentration risk 1.90% 1.50%      
Total Revenues $ 6,319 $ 5,828      
Pro Forma [Member] | Total Gross Assets [Member] | Customer Concentration Risk [Member]          
Business Acquisition [Line Items]          
Maximum percentage of entity's assets invested on single property 2.00%   2.00%