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Debt - Mortgage Debt (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
USD ($)
facility
Sep. 30, 2021
USD ($)
Sep. 30, 2022
USD ($)
facility
Sep. 30, 2021
USD ($)
Aug. 31, 2022
derivativeHeld
Apr. 30, 2022
derivativeHeld
Dec. 31, 2021
USD ($)
facility
derivativeHeld
Apr. 30, 2021
USD ($)
Debt Instrument                
Principal balance on debt $ 6,631,833   $ 6,631,833          
Interest rate swap instruments                
Debt Instrument                
Number of interest-rate contracts held | derivativeHeld             0  
Interest rate swap instruments | Designated as Hedging Instrument                
Debt Instrument                
Number of interest-rate contracts held | derivativeHeld         2      
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 $ 346,500   $ 346,500       $ 350,000  
Number of healthcare facilities used to secure debt (in facilities) | facility 18   18       18  
Debt instrument, collateral, healthcare facilities carrying value $ 796,000   $ 796,000       $ 811,000  
Debt instrument, periodic payment $ 1,000 $ 1,000 $ 4,000 $ 4,000