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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, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
property
Dec. 31, 2021
USD ($)
Concentration Risk [Line Items]          
Payments to acquire interest | $     $ 343,498 $ 502,171 $ 396,020
Net Operating Income | Credit Concentration Risk          
Concentration Risk [Line Items]          
Number of real estate properties     1,901    
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%  
Integra Healthcare Properties          
Concentration Risk [Line Items]          
Decrease in interest | $   $ 273,504      
Integra Healthcare Properties | 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  
Interest acquired 15.00%        
Payments to acquire interest | $ $ 74,000        
Skilled Nursing Facilities | ProMedica Joint Ventures          
Concentration Risk [Line Items]          
Number of properties sold       147  
Skilled Nursing Facilities | Integra Health Joint Venture          
Concentration Risk [Line Items]          
Number of real estate properties 93        
Skilled Nursing Facilities | Integra Healthcare Properties          
Concentration Risk [Line Items]          
Number of properties sold   147      
Skilled Nursing Facilities | Integra Health | Integra Health Joint Venture          
Concentration Risk [Line Items]          
Number of real estate properties 31        
Assisted Living And Memory Care | Integra Healthcare Properties          
Concentration Risk [Line Items]          
Number of real estate properties   58   58