Real Estate and Other Activities - 2024 Activity - Additional Information (Details) $ in Thousands		12 Months Ended
	Apr. 12, 2024 USD ($) Hospital	Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Business Acquisition [Line Items]
Gain (loss) on real estate dispositions				$ 100,000
Investments in unconsolidated real estate joint ventures		$ 1,156,397	$ 1,474,455
Payments of term debt		$ (701,809)	$ (988,162)	$ (869,606)
Derivative Liability Statement of Financial Position Extensible Enumeration Not Disclosed Flag		true
CommonSpirit Health [Member]
Business Acquisition [Line Items]
Leased real estate acquire lease base	$ 1,200,000
Derivative liability	$ 2,300
Institutional Asset Manager [Member]
Business Acquisition [Line Items]
Number Of Utah Hospitals Sold | Hospital	5
Agreegate agreed valuation	$ 1,200,000
Gain (loss) on real estate dispositions	380,000	$ 360,000
Write-off of unbilled straight-line rent receivables	$ 20,000
Percentage Of Interest Retained In Venture	25.00%
Investments in unconsolidated real estate joint ventures	$ 108,000
Percentage of interest sold in venture	75.00%
Proceeds from divestiture of interest in joint venture	$ 886,000
Additional cash proceeds of non-recourse secured finance	190,000
Payments of term debt	$ (1,100,000)