XML 65 R50.htm IDEA: XBRL DOCUMENT v3.25.0.1
Real Estate and Other Activities - 2022 Activity - Additional Information (Detail)
$ in Thousands, € in Millions, £ in Millions
12 Months Ended
Feb. 07, 2023
Facility
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 ($)
Facility
Mar. 11, 2022
EUR (€)
Facility
Feb. 16, 2022
GBP (£)
Dec. 31, 2024
USD ($)
Dec. 31, 2022
USD ($)
Facility
Dec. 31, 2023
USD ($)
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
Acquisition loan                       105,618 $ 1,332,962 $ 235,187
Deferred income tax liabilities and other liabilities, incurred                 $ 26,000          
Syndicated Term Loan [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | £                     £ 96.5      
Acquisition loan | £                     £ 100.0      
Loan term                     6 years      
Corporate Joint Venture [Member]                            
Business Acquisition [Line Items]                            
Investments in unconsolidated real estate joint ventures               $ 400,000            
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                      
Real Estate Partnership [Member]                            
Business Acquisition [Line Items]                            
Percentage of equity investment               50.00%            
General Acute Care Hospitals [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Facility 8         2             6  
Purchase price of acquisition       $ 26,000   $ 80,000                
Lease extension expiration year 2041                          
General Acute Care Hospitals [Member] | Finland [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Facility                 4 4        
Purchase price of acquisition                 $ 194,000 € 178        
General Acute Care Hospitals [Member] | Arizona [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Facility             1              
General Acute Care Hospitals [Member] | Spain [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Facility         3                  
Purchase price of acquisition | €         € 27                  
Massachusetts-based General Acute Care Hospitals [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Facility               8            
Purchase price of acquisition               $ 1,700,000            
Gain (loss) on real estate dispositions               $ 600,000            
Nonrecourse secured debt percentage of asset value               55.00%            
Proceeds from expected secured debt                       $ 1,300,000    
Massachusetts-based General Acute Care Hospitals [Member] | Macquarie Asset Management [Member]                            
Business Acquisition [Line Items]                            
Percentage of equity investment               50.00%