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Debt - Mortgage Debt (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
USD ($)
facility
Jun. 30, 2021
USD ($)
Jun. 30, 2022
USD ($)
facility
Jun. 30, 2021
USD ($)
Apr. 30, 2022
derivativeHeld
Dec. 31, 2021
USD ($)
derivativeHeld
facility
Apr. 30, 2021
USD ($)
Debt Instrument              
Principal balance on debt $ 6,496,321   $ 6,496,321        
Interest rate swap instruments              
Debt Instrument              
Number of interest-rate contracts held | derivativeHeld           0  
Interest rate swap instruments | Cash Flow Hedging | Designated as Hedging Instrument              
Debt Instrument              
Number of interest-rate contracts held | derivativeHeld         2    
Medical Office Buildings | Mortgage Debt              
Debt Instrument              
Amount           $ 142,000 $ 142,000
Mortgage Debt              
Debt Instrument              
Principal balance on debt $ 347,752   $ 347,752     $ 350,000  
Number of healthcare facilities used to secure debt (in facilities) | facility 18   18     18  
Debt instrument, collateral, healthcare facilities carrying value $ 799,000   $ 799,000     $ 811,000  
Debt instrument, periodic payment $ 1,000 $ 1,000 $ 3,000 $ 3,000