Real Estate and Other Activities - Summary of Investments in Unconsolidated Operating Entities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	$ 1,778,640	$ 1,444,872
PHP Holdings [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	699,535
Steward Loan Investment [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	361,591	362,831
International Joint Venture [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	225,960	231,402
Swiss Medical Network [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	186,113	157,145
Priory [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	163,837	156,575
Steward Equity Investment [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	35,696	125,862
Aevis Victoria SA [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	77,345	72,904
Aspris Children's Services [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	15,986	16,023
Lifepoint Behavioral [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	11,429	200,827
Caremax [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities	$ 1,148	8,526
Prospect [Member]
Schedule of Equity Method Investments [Line Items]
Investments in unconsolidated operating entities		$ 112,777