Real Estate and Other Activities - 2025 Activity - Additional Information (Details) $ in Thousands, SFr in Millions	1 Months Ended	3 Months Ended		6 Months Ended
	Apr. 30, 2025 CHF (SFr)	Mar. 31, 2025 USD ($)	Mar. 31, 2024 USD ($)	Jun. 30, 2025 USD ($)	Jun. 30, 2024 USD ($)
Debt Instrument [Line Items]
Cash paid for acquisitions of real estate assets				$ 102,329	$ 105,618
Profit (loss) from real estate operations				$ 48,000	$ 7,000
Swiss Medical Network [Member]
Debt Instrument [Line Items]
Cash paid for acquisitions of real estate assets | SFr	SFr 50
Proceeds from short-term loan | SFr	SFr 25
Steward [Member]
Debt Instrument [Line Items]
Total assets acquired		$ 39,000
Behavioral Health Hospitals [Member]
Debt Instrument [Line Items]
Profit (loss) from real estate operations		$ 10,500	$ 35,400