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Credit Concentration - Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
property
Dec. 31, 2022
USD ($)
property
regional_operator
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Concentration Risk [Line Items]          
Total NOI | $     $ 2,301,845 $ 1,967,553 $ 2,008,144
Payments to acquire interest | $     $ 502,171 $ 396,020 $ 411,154
Net Operating Income | Credit Concentration Risk          
Concentration Risk [Line Items]          
Number of real estate properties   1,743 1,743    
Total NOI | $     $ 2,301,845    
Percent of NOI     100.00%    
ProMedica | Net Operating Income | Credit Concentration Risk          
Concentration Risk [Line Items]          
Number of real estate properties   58 58    
Total NOI | $     $ 240,128    
Percent of NOI     10.00%    
Integra Health          
Concentration Risk [Line Items]          
Proceeds from sale of interest | $   $ 73,000      
Integra Health Joint Venture          
Concentration Risk [Line Items]          
Ownership percentage by parent   85.00% 85.00%    
ProMedica          
Concentration Risk [Line Items]          
Decrease in interest | $   $ 273,504      
ProMedica | ProMedica Joint Ventures          
Concentration Risk [Line Items]          
Ownership interest   15.00% 15.00%    
Integra Health | Integra Health Joint Venture          
Concentration Risk [Line Items]          
Ownership interest   15.00% 15.00%    
Number of real estate properties   54 54    
Integra Health | Integra Health Joint Venture | Subsequent Event          
Concentration Risk [Line Items]          
Interest acquired 15.00%        
Payments to acquire interest | $ $ 74,000        
Skilled Nursing Facilities | ProMedica | Net Operating Income          
Concentration Risk [Line Items]          
Number of real estate properties   147 147    
Total NOI | $     $ 180,441    
Skilled Nursing Facilities | ProMedica | Net Operating Income | Credit Concentration Risk          
Concentration Risk [Line Items]          
Percent of NOI     8.00%    
Skilled Nursing Facilities | Integra Health Joint Venture          
Concentration Risk [Line Items]          
Number of real estate properties   147 147    
Skilled Nursing Facilities | Integra Health Joint Venture | Subsequent Event          
Concentration Risk [Line Items]          
Number of real estate properties 93        
Skilled Nursing Facilities | ProMedica          
Concentration Risk [Line Items]          
Number of properties sold   147      
Skilled Nursing Facilities | Integra Health          
Concentration Risk [Line Items]          
Number of regional operators | regional_operator     15    
Skilled Nursing Facilities | Integra Health | Integra Health Joint Venture | Subsequent Event          
Concentration Risk [Line Items]          
Number of real estate properties 31        
Assisted Living And Memory Care | ProMedica | Net Operating Income          
Concentration Risk [Line Items]          
Number of real estate properties   58 58    
Total NOI | $     $ 59,687    
Assisted Living And Memory Care | ProMedica | Net Operating Income | Credit Concentration Risk          
Concentration Risk [Line Items]          
Percent of NOI     3.00%    
Assisted Living And Memory Care | ProMedica          
Concentration Risk [Line Items]          
Number of real estate properties   58 58