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Debt - Mortgage Debt (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
loan
facility
Dec. 31, 2024
USD ($)
derivative_held
facility
Dec. 31, 2023
USD ($)
facility
Dec. 31, 2022
USD ($)
Feb. 28, 2023
derivative_held
Aug. 31, 2022
derivative_held
Apr. 30, 2022
derivative_held
Debt Instrument [Line Items]              
Principal balance on debt   $ 8,856,048          
Number of interest-rate contracts held | derivative_held   1          
Cash Flow Hedging | Designated as Hedging Instrument              
Debt Instrument [Line Items]              
Number of interest-rate contracts held | derivative_held   2          
Interest rate swap instruments | Designated as Hedging Instrument              
Debt Instrument [Line Items]              
Number of interest-rate contracts held | derivative_held           2  
Interest rate swap instruments | Cash Flow Hedging | Designated as Hedging Instrument              
Debt Instrument [Line Items]              
Number of interest-rate contracts held | derivative_held         2   2
Outpatient Medical | Mortgage Debt              
Debt Instrument [Line Items]              
Property count | facility   1          
Debt instrument, periodic payment, principal   $ 23,000          
CCRC | Mortgage Debt              
Debt Instrument [Line Items]              
Face amount $ 85,000   $ 85,000        
Number of loans | loan 1            
Mortgage Debt              
Debt Instrument [Line Items]              
Principal balance on debt $ 255,000 356,048 255,000        
Debt instrument, collateral, healthcare facilities carrying value $ 587,000 770,000 587,000        
Debt instrument, periodic payment, principal   $ 27,000 $ 90,000 $ 5,000      
Mortgage Debt | Outpatient Medical              
Debt Instrument [Line Items]              
Property count | facility 15 19 15        
Mortgage Debt | Outpatient Medical | Mortgage Debt              
Debt Instrument [Line Items]              
Property count | facility   13          
Face amount   $ 142,000          
Mortgage Debt | CCRC              
Debt Instrument [Line Items]              
Property count | facility 2 2 2