Segment Reporting (Details) $ in Thousands	3 Months Ended
Mar. 31, 2025 USD ($) segment	Mar. 31, 2024 USD ($)
Segment Reporting [Abstract]
Number of reportable segments \| segment	1
Segment Reporting Information [Line Items]
Revenue	$ 298,977	$ 326,805
Depreciation and amortization	(150,969)	(178,119)
Gain on sales of real estate properties and other assets	2,904	22
Interest expense	(54,812)	(61,054)
Impairment of real estate properties and credit loss reserves	(12,081)	(15,937)
Impairment of goodwill	0	(250,530)
Equity income (loss) from unconsolidated joint ventures	1	(422)
Interest and other (expense) income, net	95	275
Net loss	(45,389)	(315,220)
Medial Outpatient Properties Segment
Segment Reporting Information [Line Items]
Totals	103,887	111,269
Revenue	298,977	326,805
Property taxes	(28,810)	(32,929)
Personnel	(24,379)	(24,619)
Utilities	(21,951)	(24,082)
Maintenance	(28,747)	(29,639)
Other segment expenses	(24,606)	(24,596)
Transaction costs	(1,011)	(395)
Depreciation and amortization	(150,969)	(178,119)
Gain on sales of real estate properties and other assets	2,904	22
Interest expense	(54,812)	(61,054)
Impairment of real estate properties and credit loss reserves	(12,081)	(15,937)
Impairment of goodwill	0	(250,530)
Equity income (loss) from unconsolidated joint ventures	1	(422)
Interest and other (expense) income, net	95	275
Net loss	(45,389)	(315,220)
Property taxes \| Medial Outpatient Properties Segment
Segment Reporting Information [Line Items]
Totals	28,810	32,929
Personnel \| Medial Outpatient Properties Segment
Segment Reporting Information [Line Items]
Totals	24,379	24,619
Utilities \| Medial Outpatient Properties Segment
Segment Reporting Information [Line Items]
Totals	21,951	24,082
Maintenance \| Medial Outpatient Properties Segment
Segment Reporting Information [Line Items]
Totals	$ 28,747	$ 29,639

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