Real Estate and Other Activities - 2024 Activity - Additional Information (Detail) $ in Thousands		12 Months Ended
	Apr. 12, 2024 USD ($) Hospital	Dec. 31, 2025 USD ($)	Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)
Business Combination [Line Items]
Gain (loss) on real estate dispositions		$ 5,500
Investments in unconsolidated real estate joint ventures		1,399,777	$ 1,156,397
Payments of term debt		$ (2,252,731)	$ (701,809)	$ (988,162)
Derivative Liability Statement of Financial Position Extensible Enumeration Not Disclosed Flag		true
CommonSpirit Health [Member]
Business Combination [Line Items]
Leased real estate acquire lease base	$ 1,200,000
Derivative liability	$ 2,300
Institutional Asset Manager [Member]
Business Combination [Line Items]
Number Of Utah Hospitals Sold | Hospital	5
Agreegate agreed valuation	$ 1,200,000
Gain (loss) on real estate dispositions	380,000
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)