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Real Estate and Other Activities - Summary of Investments in Unconsolidated Real Estate Joint Ventures by Operator (Details) - USD ($)
$ in Thousands
Sep. 30, 2023
Dec. 31, 2022
Schedule of Equity Method Investments [Line Items]    
Investments in unconsolidated real estate joint ventures $ 1,461,725 $ 1,497,903
MEDIAN [Member]    
Schedule of Equity Method Investments [Line Items]    
Ownership interest 50.00%  
Investments in unconsolidated real estate joint ventures $ 461,930 482,735
Swiss Medical Network [Member]    
Schedule of Equity Method Investments [Line Items]    
Ownership interest 70.00%  
Investments in unconsolidated real estate joint ventures $ 432,919 454,083
Steward (Macquarie Transaction) [Member]    
Schedule of Equity Method Investments [Line Items]    
Ownership interest 50.00%  
Investments in unconsolidated real estate joint ventures $ 431,224 417,701
Policlinico di Monza [Member]    
Schedule of Equity Method Investments [Line Items]    
Ownership interest 50.00%  
Investments in unconsolidated real estate joint ventures $ 82,327 86,245
HM Hospital [Member]    
Schedule of Equity Method Investments [Line Items]    
Ownership interest 45.00%  
Investments in unconsolidated real estate joint ventures $ 53,325 $ 57,139