Real Estate and Other Activities - 2025 Activity - Additional Information (Details) $ in Thousands, SFr in Millions	1 Months Ended	3 Months Ended			9 Months Ended
	Apr. 30, 2025 CHF (SFr)	Sep. 30, 2025 USD ($)	Mar. 31, 2025 USD ($)	Mar. 31, 2024 USD ($)	Sep. 30, 2025 USD ($)	Sep. 30, 2024 USD ($)
Debt Instrument [Line Items]
Cash paid for acquisitions of real estate assets					$ 110,089	$ 105,618
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		$ 47,000			$ 47,000
Lifepoint Behavioral Health and Surgery Partners
Debt Instrument [Line Items]
Profit (loss) from real estate operations		$ 36,000
Behavioral Health Hospitals [Member]
Debt Instrument [Line Items]
Profit (loss) from real estate operations			$ 10,500	$ 35,400