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Debt - Mortgage Debt (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
USD ($)
facility
derivative_held
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
facility
derivative_held
Jun. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
facility
Aug. 31, 2022
derivative_held
Apr. 30, 2022
derivative_held
Debt Instrument              
Principal balance on debt $ 8,755,864   $ 8,755,864        
Number of interest-rate contracts held | derivative_held 1   1        
Cash Flow Hedging | Designated as Hedging Instrument              
Debt Instrument              
Number of interest-rate contracts held | derivative_held 2   2        
Interest rate swap instruments | Designated as Hedging Instrument              
Debt Instrument              
Number of interest-rate contracts held | derivative_held           2  
Interest rate swap instruments | Cash Flow Hedging | Designated as Hedging Instrument              
Debt Instrument              
Number of interest-rate contracts held | derivative_held             2
Outpatient Medical Buildings | Mortgage Debt              
Debt Instrument              
Property count | facility 13   13        
Aggregate principal amount $ 142,000   $ 142,000        
Mortgage Debt              
Debt Instrument              
Principal balance on debt 380,864   380,864   $ 255,000    
Debt instrument, collateral, healthcare facilities carrying value 830,000   830,000   $ 587,000    
Debt instrument, periodic payment $ 1,000 $ 1,000 $ 2,000 $ 3,000      
Mortgage Debt | Outpatient Medical Buildings              
Debt Instrument              
Property count | facility 20   20   15    
Mortgage Debt | CCRC              
Debt Instrument              
Property count | facility 2   2   2