Real Estate - Construction, Tenant, and Other Capital Improvements (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Real estate acquisitions [Line Items]
Funding for construction, tenant and other capital improvements	$ 774,561	$ 961,994	$ 759,720
Lab
Real estate acquisitions [Line Items]
Funding for construction, tenant and other capital improvements	428,961	658,542	472,301
Outpatient Medical
Real estate acquisitions [Line Items]
Funding for construction, tenant and other capital improvements	236,135	237,761	230,227
CCRC
Real estate acquisitions [Line Items]
Funding for construction, tenant and other capital improvements	$ 109,465	$ 65,691	$ 57,192