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v3.25.3

Debt - Senior Unsecured Note and Mortgage Debt (Details) $ in Thousands | 3 Months Ended | 9 Months Ended |  |  |
--- | --- | --- | --- | --- | ---
Sep. 30, 2025 USD ($) facility property | Sep. 30, 2024 USD ($) | Sep. 30, 2025 USD ($) facility property obligation | Sep. 30, 2024 USD ($) | Dec. 31, 2024 USD ($) facility | Aug. 31, 2022 derivative_held | Apr. 30, 2022 derivative_held
Debt Instrument |  |  |  |  |  |  |
Principal balance on debt | $ 9,267,681 |  | $ 9,267,681 |  |  |  |
Letter of Credit |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Number of obligations expiring | obligation |  |  | 16 |  |  |  |
Contractual obligation | $ 16,000 |  | $ 16,000 |  |  |  |
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 | 2
Outpatient Medical Buildings | Secured Debt |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Property count | facility | 13 |  | 13 |  |  |  |
Aggregate principal amount | $ 142,000 |  | $ 142,000 |  |  |  |
Outpatient medical | Secured Debt |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Property count | facility | 1 |  | 1 |  |  |  |
Debt instrument, periodic payment |  |  | $ 4,000 |  |  |  |
Secured Debt |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Principal balance on debt | $ 349,556 |  | 349,556 |  | $ 356,000 |  |
Debt instrument, collateral, healthcare facilities carrying value | 752,000 |  | 752,000 |  | $ 770,000 |  |
Debt instrument, periodic payment | $ 1,000 | $ 1,000 | $ 6,000 | $ 3,000 |  |  |
Secured Debt | Outpatient Medical Buildings |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Property count | 18 |  | 18 |  | 19 |  |
Secured Debt | CCRC |  |  |  |  |  |  |
Debt Instrument |  |  |  |  |  |  |
Property count | 2 |  | 2 |  | 2 |  |

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