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Debt - Mortgage Debt (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2024
USD ($)
derivative_held
facility
Mar. 31, 2023
USD ($)
Dec. 31, 2023
USD ($)
facility
Aug. 31, 2022
derivative_held
Apr. 30, 2022
derivative_held
Debt Instrument          
Principal balance on debt $ 8,914,966        
Number of interest-rate contracts held | derivative_held 1        
Cash Flow Hedging | Designated as Hedging Instrument          
Debt Instrument          
Number of interest-rate contracts held | derivative_held 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        
Aggregate principal amount $ 142,000        
Mortgage Debt          
Debt Instrument          
Principal balance on debt 381,966   $ 255,000    
Debt instrument, collateral, healthcare facilities carrying value 840,000   $ 587,000    
Debt instrument, periodic payment $ 1,000 $ 1,000      
Mortgage Debt | Outpatient Medical Buildings          
Debt Instrument          
Property count | facility 20   15    
Mortgage Debt | CCRC          
Debt Instrument          
Property count | facility 2   2