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Real Estate and Other Activities - Schedule of Concentrations of Credit Risk (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Business Acquisition [Line Items]      
Total Assets $ 14,762,677   $ 15,001,775
Total Revenues $ 252,065 $ 223,799  
Minimum [Member] | Customer Concentration Risk [Member]      
Business Acquisition [Line Items]      
Maximum percentage of entity's assets invested on single property 2.00%    
Total Gross Assets [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 14,762,677   $ 15,001,775
Percentage of concentration risk 100.00%   100.00%
Total Gross Assets [Member] | Geographic Concentration [Member]      
Business Acquisition [Line Items]      
Total Assets $ 14,762,677   $ 15,001,775
Percentage of concentration risk 100.00%   100.00%
Total Gross Assets [Member] | Geographic Concentration [Member] | Texas [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,403,311   $ 1,427,391
Percentage of concentration risk 9.50%   9.50%
Total Gross Assets [Member] | Geographic Concentration [Member] | California [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,024,998   $ 977,890
Percentage of concentration risk 7.00%   6.50%
Total Gross Assets [Member] | Geographic Concentration [Member] | Florida [Member]      
Business Acquisition [Line Items]      
Total Assets $ 832,712   $ 834,940
Percentage of concentration risk 5.60%   5.60%
Total Gross Assets [Member] | Geographic Concentration [Member] | Ohio [Member]      
Business Acquisition [Line Items]      
Total Assets $ 317,842   $ 330,189
Percentage of concentration risk 2.20%   2.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | Arizona [Member]      
Business Acquisition [Line Items]      
Total Assets $ 329,471   $ 328,873
Percentage of concentration risk 2.20%   2.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | All Other States [Member]      
Business Acquisition [Line Items]      
Total Assets $ 2,422,158   $ 2,480,182
Percentage of concentration risk 16.40%   16.50%
Total Gross Assets [Member] | Geographic Concentration [Member] | Other Domestic Assets [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,046,367   $ 1,072,900
Percentage of concentration risk 7.10%   7.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | Total U.S. [Member]      
Business Acquisition [Line Items]      
Total Assets $ 7,376,859   $ 7,452,365
Percentage of concentration risk 50.00%   49.70%
Total Gross Assets [Member] | Geographic Concentration [Member] | United Kingdom [Member]      
Business Acquisition [Line Items]      
Total Assets $ 4,084,982   $ 4,184,188
Percentage of concentration risk 27.70%   27.90%
Total Gross Assets [Member] | Geographic Concentration [Member] | Switzerland [Member]      
Business Acquisition [Line Items]      
Total Assets $ 868,978   $ 873,703
Percentage of concentration risk 5.90%   5.80%
Total Gross Assets [Member] | Geographic Concentration [Member] | Germany [Member]      
Business Acquisition [Line Items]      
Total Assets $ 761,421   $ 751,806
Percentage of concentration risk 5.10%   5.00%
Total Gross Assets [Member] | Geographic Concentration [Member] | Spain [Member]      
Business Acquisition [Line Items]      
Total Assets $ 306,718   $ 302,323
Percentage of concentration risk 2.10%   2.00%
Total Gross Assets [Member] | Geographic Concentration [Member] | All Other Countries [Member]      
Business Acquisition [Line Items]      
Total Assets $ 499,208   $ 504,729
Percentage of concentration risk 3.40%   3.40%
Total Gross Assets [Member] | Geographic Concentration [Member] | Other International Assets [Member]      
Business Acquisition [Line Items]      
Total Assets $ 864,511   $ 932,661
Percentage of concentration risk 5.80%   6.20%
Total Gross Assets [Member] | Geographic Concentration [Member] | Total International [Member]      
Business Acquisition [Line Items]      
Total Assets $ 7,385,818   $ 7,549,410
Percentage of concentration risk 50.00%   50.30%
Total Gross Assets [Member] | Customer Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 14,762,677   $ 15,001,775
Percentage of concentration risk 100.00%   100.00%
Total Gross Assets [Member] | Customer Concentration Risk [Member] | General Acute Care Hospitals [Member]      
Business Acquisition [Line Items]      
Total Assets $ 8,673,783   $ 8,769,909
Percentage of concentration risk 58.80%   58.50%
Total Gross Assets [Member] | Customer Concentration Risk [Member] | Behavioral Health Facilities [Member]      
Business Acquisition [Line Items]      
Total Assets $ 2,407,964   $ 2,445,418
Percentage of concentration risk 16.30%   16.30%
Total Gross Assets [Member] | Customer Concentration Risk [Member] | Post Acute Care Facilities [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,668,629   $ 1,671,616
Percentage of concentration risk 11.30%   11.10%
Total Gross Assets [Member] | Customer Concentration Risk [Member] | Freestanding ER/Urgent Care Facilities [Member]      
Business Acquisition [Line Items]      
Total Assets $ 101,423   $ 109,271
Percentage of concentration risk 0.70%   0.70%
Total Gross Assets [Member] | Customer Concentration Risk [Member] | Other Assets By Facility [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,910,878   $ 2,005,561
Percentage of concentration risk 12.90%   13.40%
Total Gross Assets [Member] | Circle [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 2,069,009   $ 2,121,848
Percentage of concentration risk 14.00%   14.10%
Total Gross Assets [Member] | Priory [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,273,725   $ 1,301,888
Percentage of concentration risk 8.60%   8.70%
Total Gross Assets [Member] | HSA [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,209,459   $ 1,200,996
Percentage of concentration risk 8.20%   8.00%
Total Gross Assets [Member] | Swiss Medical Network [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 868,978   $ 873,703
Percentage of concentration risk 5.90%   5.80%
Total Gross Assets [Member] | Lifepoint Behavioral [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 806,344   $ 809,492
Percentage of concentration risk 5.50%   5.40%
Total Gross Assets [Member] | Other Operators [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 6,624,284   $ 6,688,287
Percentage of concentration risk 44.90%   44.60%
Total Gross Assets [Member] | Other Assets by Operator [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Total Assets $ 1,910,878   $ 2,005,561
Percentage of concentration risk 12.90%   13.40%
Revenue [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 100.00% 100.00%  
Total Revenues $ 252,065 $ 223,799  
Revenue [Member] | Geographic Concentration [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 100.00% 100.00%  
Total Revenues $ 252,065 $ 223,799  
Revenue [Member] | Geographic Concentration [Member] | Total U.S. [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 53.50% 52.20%  
Total Revenues $ 134,861 $ 116,840  
Revenue [Member] | Geographic Concentration [Member] | United Kingdom [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 38.20% 39.60%  
Total Revenues $ 96,396 $ 88,653  
Revenue [Member] | Geographic Concentration [Member] | All Other Countries [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 8.30% 8.20%  
Total Revenues $ 20,808 $ 18,306  
Revenue [Member] | Customer Concentration Risk [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 100.00% 100.00%  
Total Revenues $ 252,065 $ 223,799  
Revenue [Member] | Customer Concentration Risk [Member] | General Acute Care Hospitals [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 62.00% 60.30%  
Total Revenues $ 156,194 $ 135,019  
Revenue [Member] | Customer Concentration Risk [Member] | Behavioral Health Facilities [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 22.00% 23.00%  
Total Revenues $ 55,575 $ 51,520  
Revenue [Member] | Customer Concentration Risk [Member] | Post Acute Care Facilities [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 15.20% 15.80%  
Total Revenues $ 38,370 $ 35,256  
Revenue [Member] | Customer Concentration Risk [Member] | Freestanding ER/Urgent Care Facilities [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 0.80% 0.90%  
Total Revenues $ 1,926 $ 2,004  
Revenue [Member] | Circle [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 21.80% 22.70%  
Total Revenues $ 54,961 $ 50,711  
Revenue [Member] | Priory [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 10.90% 11.10%  
Total Revenues $ 27,496 $ 24,941  
Revenue [Member] | Other Operators [Member] | Operator Concentration Risk [Member]      
Business Acquisition [Line Items]      
Percentage of concentration risk 67.30% 66.20%  
Total Revenues $ 169,608 $ 148,147