v3.26.3
Debt - Mortgage Debt (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
USD ($)
facility
derivative_held
property
Sep. 30, 2025
USD ($)
Sep. 30, 2026
USD ($)
facility
derivative_held
property
Sep. 30, 2025
USD ($)
Dec. 31, 2025
USD ($)
facility
Mar. 31, 2025
facility
Debt Instrument            
Long-term debt, gross $ 9,493,342   $ 9,493,342      
Loss on debt extinguishments $ 0 $ 0 $ 403 $ 0    
Interest rate swap instruments | Designated as Hedging Instrument            
Debt Instrument            
Number of interest-rate contracts held | derivative_held 2   2      
Interest rate swap instruments | Cash Flow Hedging | Designated as Hedging Instrument            
Debt Instrument            
Number of interest-rate contracts held | derivative_held 2   2      
Outpatient Medical Buildings | Secured Debt            
Debt Instrument            
Property count | facility 13   13     1
Debt instrument, periodic payment     $ 142,000 4,000    
Senior Housing Communities | Secured Debt            
Debt Instrument            
Property count | facility 2   2      
Debt instrument, periodic payment     $ 102,000      
Accrued interest and prepayment penalties     1,000      
Secured Debt            
Debt Instrument            
Long-term debt, gross $ 103,842   103,842   $ 349,000  
Debt instrument, collateral, healthcare facilities carrying value 202,000   202,000   $ 747,000  
Debt instrument, periodic payment $ 223 $ 1,000 245,000 $ 6,000    
Loss on debt extinguishments     $ 400      
Secured Debt | Outpatient Medical Buildings            
Debt Instrument            
Property count 5   5   18  
Secured Debt | Senior Housing Communities            
Debt Instrument            
Property count | facility         2