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Acquisitions, Dispositions and Mortgage Repayments - Acquisitions (Details) $ in Thousands |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Mar. 10, 2023 USD ($) ft² | Dec. 28, 2022 USD ($) ft² | Nov. 21, 2022 USD ($) ft² | Oct. 12, 2022 USD ($) ft² | Sep. 29, 2022 USD ($) ft² | Sep. 15, 2022 USD ($) ft² | Aug. 18, 2022 USD ($) ft² | Aug. 11, 2022 USD ($) ft² | Aug. 10, 2022 USD ($) ft² | Aug. 09, 2022 USD ($) ft² | Aug. 01, 2022 USD ($) ft² | Jun. 09, 2022 USD ($) ft² property | May 31, 2022 USD ($) ft² property | Apr. 29, 2022 USD ($) ft² | Apr. 28, 2022 USD ($) ft² | Apr. 13, 2022 USD ($) ft² property | Apr. 07, 2022 USD ($) ft² | Mar. 07, 2022 USD ($) ft² property | Feb. 11, 2022 USD ($) ft² | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) ft² property
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,576,463 |
San Francisco, CA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3 |  |  | 3
Colorado Springs, CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |
Charlotte, NC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  |  |  |  |  |  |  |  |  | 3 |  |  |  |  |  |  |  |
Tampa, FL |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |
Austin, TX |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Additional of ownership existing |  | 71.40% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Medical Office Building |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 403,578
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 399,189
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 386,818
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 12,371
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 863,184
Medical Office Building | Dallas, TX |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,175 |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8,185 |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8,202 |  |
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ (17) |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 18,000 |  |
Medical Office Building | San Francisco, CA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 114,000 |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 112,986 |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 108,687 |  |  |
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 4,299 |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 166,396 |  |  |
Medical Office Building | Atlanta, GA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  | $ 11,800 |  |  |  |  |  |  |  | $ 6,912 |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  | 11,525 |  |  |  |  |  |  |  | 7,054 |  |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  | 12,038 |  |  |  |  |  |  |  | 7,178 |  |  |  |
OTHER |  |  |  |  |  |  |  |  | $ (513) |  |  |  |  |  |  |  | $ (124) |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  | 43,496 |  |  |  |  |  |  |  | 21,535 |  |  |  |
Medical Office Building | Denver, CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  | $ 16,400 |  |  |  |  |  | $ 14,800 |  |  |  |  |  |  |  | $ 6,320 |  |  |  |  |
CASH CONSIDERATION |  | 16,170 |  |  |  |  |  | 13,902 |  |  |  |  |  |  |  | 5,254 |  |  |  |  |
REAL ESTATE |  | 16,467 |  |  |  |  |  | 13,918 |  |  |  |  |  |  |  | 5,269 |  |  |  |  |
OTHER |  | $ (297) |  |  |  |  |  | $ (16) |  |  |  |  |  |  |  | $ (15) |  |  |  |  |
SQUARE FOOTAGE | ft² |  | 39,692 |  |  |  |  |  | 34,785 |  |  |  |  |  |  |  | 12,207 |  |  |  |  |
Medical Office Building | Colorado Springs, CO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 13,680 |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13,686 |  |  |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13,701 |  |  |  |  |
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ (15) |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,800 |  |  |  |  |
Medical Office Building | Seattle, WA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  | $ 4,850 |  |  |  | $ 8,350 |  |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  | 4,806 |  |  |  | 8,334 |  |  |  |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  | 4,882 |  |  |  | 8,370 |  |  |  |  |  |
OTHER |  |  |  |  |  |  |  |  |  |  | $ (76) |  |  |  | $ (36) |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  | 10,593 |  |  |  | 13,256 |  |  |  |  |  |
Medical Office Building | Houston, TX |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  | $ 5,500 |  |  |  |  |  |  |  |  |  |  |  | $ 36,250 |  |  |  |  |  |
CASH CONSIDERATION |  |  | 5,469 |  |  |  |  |  |  |  |  |  |  |  | 36,299 |  |  |  |  |  |
REAL ESTATE |  |  | 5,513 |  |  |  |  |  |  |  |  |  |  |  | 36,816 |  |  |  |  |  |
OTHER |  |  | $ (44) |  |  |  |  |  |  |  |  |  |  |  | $ (517) |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  | 28,369 |  |  |  |  |  |  |  |  |  |  |  | 76,781 |  |  |  |  |  |
Medical Office Building | Los Angeles, CA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 35,000 |  |  |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  | 35,242 |  |  |  |  |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  | 25,400 |  |  |  |  |  |  |
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 9,842 |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  | 34,282 |  |  |  |  |  |  |
Medical Office Building | Oklahoma City, OK |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 11,100 |  |  |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  |  |  |  |  |  |  |  | 11,259 |  |  |  |  |  |  |
REAL ESTATE |  |  |  |  |  |  |  |  |  |  |  |  |  | 11,334 |  |  |  |  |  |  |
OTHER |  |  |  |  |  |  |  |  |  |  |  |  |  | $ (75) |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  | 34,944 |  |  |  |  |  |  |
Medical Office Building | Charlotte, NC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  |  | $ 11,375 |  |  | $ 3,783 |  |  | $ 27,500 |  |  |  |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  |  | 10,670 |  |  | 3,878 |  |  | 26,710 |  |  |  |  |  |  |  |
REAL ESTATE |  |  |  |  |  |  | 10,547 |  |  | 3,932 |  |  | 27,127 |  |  |  |  |  |  |  |
OTHER |  |  |  |  |  |  | $ 123 |  |  | $ (54) |  |  | $ (417) |  |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  |  | 31,318 |  |  | 11,345 |  |  | 85,113 |  |  |  |  |  |  |  |
Medical Office Building | Tampa, FL |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE | $ 31,500 |  |  |  |  |  |  |  |  |  |  | $ 18,650 |  |  |  |  |  |  |  |  |
CASH CONSIDERATION | 30,499 |  |  |  |  |  |  |  |  |  |  | 18,619 |  |  |  |  |  |  |  |  |
REAL ESTATE | 30,596 |  |  |  |  |  |  |  |  |  |  | 18,212 |  |  |  |  |  |  |  |  |
OTHER | $ (97) |  |  |  |  |  |  |  |  |  |  | $ 407 |  |  |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² | 115,867 |  |  |  |  |  |  |  |  |  |  | 55,788 |  |  |  |  |  |  |  |  |
Medical Office Building | Florida |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  | $ 3,600 |  |  |  |  |  | $ 18,195 |  |  |  |  |  |  |  |  |  |  |
CASH CONSIDERATION |  |  |  | 3,530 |  |  |  |  |  | 18,508 |  |  |  |  |  |  |  |  |  |  |
REAL ESTATE |  |  |  | 3,609 |  |  |  |  |  | 18,583 |  |  |  |  |  |  |  |  |  |  |
OTHER |  |  |  | $ (79) |  |  |  |  |  | $ (75) |  |  |  |  |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  | 6,200 |  |  |  |  |  | 34,133 |  |  |  |  |  |  |  |  |  |  |
Medical Office Building | Nashville, TN |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  |  |  |  |  | $ 21,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
CASH CONSIDERATION |  |  |  |  |  | 20,764 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
REAL ESTATE |  |  |  |  |  | 20,572 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
OTHER |  |  |  |  |  | $ 192 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  |  |  |  |  | 61,932 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Medical Office Building | Austin, TX |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Acquisitions and Mortgage Note Financing [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PURCHASE PRICE |  | $ 888 |  |  | $ 5,450 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
CASH CONSIDERATION |  | 890 |  |  | 5,449 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
REAL ESTATE |  | 889 |  |  | 5,572 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
OTHER |  | $ 1 |  |  | $ (123) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
SQUARE FOOTAGE | ft² |  | 2,219 |  |  | 15,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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