Real Estate and Other Activities - Schedule of Concentrations of Credit Risk - (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Business Acquisition [Line Items]
Total Assets		$ 14,294,594	$ 18,304,844
Total revenues		995,547	871,799	$ 1,542,851
Prospect [Member]
Business Acquisition [Line Items]
Total revenues			96,000
Operator Concentration Risk [Member] | Total Gross Assets [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 14,294,594	$ 18,304,844
Percentage of concentration risk		100.00%	100.00%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Other Assets [Member]
Business Acquisition [Line Items]
Percentage of concentration risk	[2]	11.80%	11.00%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Circle [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 2,026,778	$ 2,119,392
Percentage of concentration risk		14.20%	11.60%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Priory [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 1,233,462	$ 1,391,005
Percentage of concentration risk		8.60%	7.60%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Healthcare Systems of America [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 1,187,006	$ 0
Percentage of concentration risk		8.30%	0.00%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Lifepoint Behavioral [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 813,584	$ 813,527
Percentage of concentration risk		5.70%	4.40%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Swiss Medical Network [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 719,632	$ 735,891
Percentage of concentration risk		5.10%	4.00%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Steward [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 0	$ 3,518,537
Percentage of concentration risk		0.00%	19.20%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Other Operators [Member]
Business Acquisition [Line Items]
Total Assets	[1]	$ 6,624,256	$ 7,709,095
Percentage of concentration risk		46.30%	42.20%
Operator Concentration Risk [Member] | Total Gross Assets [Member] | Other Assets by Operator [Member]
Business Acquisition [Line Items]
Total Assets	[1],[2]	$ 1,689,876	$ 2,017,397
Operator Concentration Risk [Member] | Revenue [Member] | Prospect [Member]
Business Acquisition [Line Items]
Percentage of concentration risk				11.00%
Total revenues				$ 169,335
Operator Concentration Risk [Member] | Revenue [Member] | Circle [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		20.70%	22.30%	12.30%
Total revenues		$ 205,582	$ 194,390	$ 189,565
Operator Concentration Risk [Member] | Revenue [Member] | Priory [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		10.20%	12.30%
Total revenues		$ 101,675	$ 107,557
Operator Concentration Risk [Member] | Revenue [Member] | Steward [Member]
Business Acquisition [Line Items]
Percentage of concentration risk				27.70%
Total revenues				$ 427,912
Geographic Concentration Risk [Member] | Total Gross Assets [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 14,294,594	$ 18,304,844
Percentage of concentration risk	[3]	100.00%	100.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Texas [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 1,394,296	$ 1,891,482
Percentage of concentration risk	[3]	9.80%	10.30%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | California [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 935,470	$ 1,252,674
Percentage of concentration risk	[3]	6.40%	6.80%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Florida [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 840,876	$ 1,348,210
Percentage of concentration risk	[3]	5.90%	7.40%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Arizona [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 379,801	$ 547,789
Percentage of concentration risk	[3]	2.70%	3.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Ohio [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 327,577	$ 349,140
Percentage of concentration risk	[3]	2.30%	1.90%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | All Other States [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 2,636,587	$ 4,385,814
Percentage of concentration risk	[3]	18.50%	24.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Other Domestic Assets [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 951,486	$ 1,397,170
Percentage of concentration risk	[3]	6.60%	7.60%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Total U.S. [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 7,466,093	$ 11,172,279
Percentage of concentration risk	[3]	52.20%	61.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | United Kingdom [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 3,985,672	$ 4,261,944
Percentage of concentration risk	[3]	27.90%	23.30%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Switzerland [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 719,632	$ 735,891
Percentage of concentration risk	[3]	5.00%	4.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Germany [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 672,343	$ 734,630
Percentage of concentration risk	[3]	4.70%	4.00%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Spain [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 247,996	$ 252,529
Percentage of concentration risk	[3]	1.70%	1.40%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Finland [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 199,721	$ 218,322
Percentage of concentration risk	[3]	1.40%	1.20%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | All Other Countries [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 264,747	$ 309,022
Percentage of concentration risk	[3]	1.90%	1.70%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Other International Assets [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 738,390	$ 620,227
Percentage of concentration risk	[3]	5.20%	3.40%
Geographic Concentration Risk [Member] | Total Gross Assets [Member] | Total International [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 6,828,501	$ 7,132,565
Percentage of concentration risk	[3]	47.80%	39.00%
Geographic Concentration Risk [Member] | Revenue [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		100.00%	100.00%	100.00%
Total revenues		$ 995,547	$ 871,799	$ 1,542,851
Geographic Concentration Risk [Member] | Revenue [Member] | Total U.S. [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		56.40%	46.70%	71.10%
Total revenues		$ 561,673	$ 407,329	$ 1,096,465
Geographic Concentration Risk [Member] | Revenue [Member] | United Kingdom [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		36.20%	40.40%	20.50%
Total revenues		$ 359,991	$ 352,594	$ 317,013
Geographic Concentration Risk [Member] | Revenue [Member] | All Other Countries [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		7.40%	12.90%	8.40%
Total revenues		$ 73,883	$ 111,876	$ 129,373
Customer Concentration Risk [Member] | Total Gross Assets [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 14,294,594	$ 18,304,844
Percentage of concentration risk	[3]	100.00%	100.00%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | Other Assets [Member]
Business Acquisition [Line Items]
Percentage of concentration risk	[3]	11.80%	11.00%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | General Acute Care Hospitals [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 8,493,331	$ 11,764,151
Percentage of concentration risk	[3]	59.40%	64.30%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | Behavioral Health Facilities [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 2,376,460	$ 2,576,983
Percentage of concentration risk	[3]	16.70%	14.10%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | Post acute care facilities [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 1,617,596	$ 1,716,248
Percentage of concentration risk	[3]	11.30%	9.40%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | Freestanding E R Urgent Care Facilities [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 117,331	$ 230,065
Percentage of concentration risk	[3]	0.80%	1.20%
Customer Concentration Risk [Member] | Total Gross Assets [Member] | Other Assets By Facility [Member]
Business Acquisition [Line Items]
Total Assets	[3]	$ 1,689,876	$ 2,017,397
Customer Concentration Risk [Member] | Revenue [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		100.00%	100.00%	100.00%
Total revenues		$ 995,547	$ 871,799	$ 1,542,851
Customer Concentration Risk [Member] | Revenue [Member] | General Acute Care Hospitals [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		63.10%	62.20%	75.70%
Total revenues		$ 628,622	$ 541,888	$ 1,167,233
Customer Concentration Risk [Member] | Revenue [Member] | Behavioral Health Facilities [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		21.10%	24.50%	13.20%
Total revenues		$ 209,668	$ 213,292	$ 204,420
Customer Concentration Risk [Member] | Revenue [Member] | Post acute care facilities [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		14.00%	10.60%	9.50%
Total revenues		$ 139,859	$ 92,787	$ 146,780
Customer Concentration Risk [Member] | Revenue [Member] | Freestanding E R Urgent Care Facilities [Member]
Business Acquisition [Line Items]
Percentage of concentration risk		1.80%	2.70%	1.60%
Total revenues		$ 17,398	$ 23,832	$ 24,418

[1] Total assets by operator are generally comprised of real estate assets, mortgage loans, investments in unconsolidated real estate joint ventures, investments in unconsolidated operating entities, and other loans.

[2] Includes our investment in PHP Holdings of approximately $150 million and $700 million as of December 31, 2024 and 2023, respectively — see Prospect Transaction and tenant update described previously in this same Note 3 for more information.

[3] For geographic and facility type concentration metrics in the tables above, we allocate our investments in unconsolidated operating entities pro rata based on the gross book value of the real estate. Such pro rata allocations are subject to change from period to period.