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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2025
USD ($)
segment
Jun. 30, 2024
USD ($)
Segment Reporting [Abstract]        
Number of reportable segments | segment     1  
Segment Reporting Information [Line Items]        
Revenue $ 297,502 $ 316,322 $ 596,478 $ 643,127
Depreciation and amortization (147,749) (173,477) (298,717) (351,596)
Gain on sales of real estate properties and other assets 20,004 38,338 22,907 38,360
Interest expense (53,346) (62,457) (108,157) (123,510)
Impairment of real estate properties and credit loss reserves (142,348) (132,118) (154,429) (148,055)
Impairment of goodwill 0 0 0 (250,530)
Equity income (loss) from unconsolidated joint ventures 158 (146) 159 (568)
Interest and other (expense) income, net (366) (248) (271) 27
Net loss (160,144) (145,938) (205,532) (461,157)
Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 100,185 105,666 204,072 216,934
Revenue 297,502 316,322 596,478 643,127
Property taxes (29,029) (32,487) (57,839) (65,416)
Personnel (24,221) (22,686) (48,600) (47,305)
Utilities (22,189) (23,411) (44,140) (47,492)
Maintenance (24,746) (27,082) (53,493) (56,721)
Other segment expenses (33,221) (26,055) (57,826) (50,652)
Transaction costs (593) (431) (1,604) (826)
Depreciation and amortization (147,749) (173,477) (298,717) (351,596)
Gain on sales of real estate properties and other assets 20,004 38,338 22,907 38,360
Interest expense (53,346) (62,457) (108,157) (123,510)
Impairment of real estate properties and credit loss reserves (142,348) (132,118) (154,429) (148,055)
Impairment of goodwill 0 0 0 (250,530)
Equity income (loss) from unconsolidated joint ventures 158 (146) 159 (568)
Interest and other (expense) income, net (366) (248) (271) 27
Net loss (160,144) (145,938) (205,532) (461,157)
Property taxes | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 29,029 32,487 57,839 65,416
Personnel | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 24,221 22,686 48,600 47,305
Utilities | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 22,189 23,411 44,140 47,492
Maintenance | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals $ 24,746 $ 27,082 $ 53,493 $ 56,721