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Segment Reporting
 9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
The Company is a REIT that owns, leases, acquires, invests in joint ventures, manages, finances, develops and redevelops its medical outpatient properties and reports the operating results in the accompanying Condensed Consolidated Financial Statements as one reportable segment. The CODM assesses performance and allocates resources based on consolidated net income (loss) as reported on the Company's Condensed Consolidated Statements of Operations. The Company uses net income (loss) to monitor expected versus actual results to assess the segment's performance. The measure of the Company's reportable segment assets is reported on the Company's Condensed Consolidated Balance Sheets as total assets.
Pursuant to ASU 2023-07, Segment Reporting (Topic 280), public entities are required to disclose more detailed information about significant reportable segment expenses that are regularly provided to the CODM.
The table below details the significant expenses for the three and nine months ended September 30, 2025 and 2024.
THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousands2025202420252024
Significant Segment Expenses:
Property taxes$28,224 $31,366 $86,063 $96,783 
Personnel21,882 23,161 70,483 70,466 
Utilities26,292 27,278 70,432 74,770 
Maintenance25,002 26,805 78,495 83,526 
Totals$101,400 $108,610 $305,473 $325,545 
The following schedule reconciles net loss to segment expenses for the three and nine months ended September 30, 2025 and 2024.
THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousands2025202420252024
Revenue$297,765 $315,423 $894,243 $958,550 
Property taxes(28,224)(31,366)(86,063)(96,783)
Personnel(21,882)(23,161)(70,483)(70,466)
Utilities(26,292)(27,278)(70,432)(74,770)
Maintenance(25,002)(26,805)(78,495)(83,526)
Other segment expenses 1
(33,827)(31,746)(91,652)(82,398)
Transaction costs(125)(719)(1,729)(1,545)
Depreciation and amortization(137,841)(163,226)(436,558)(514,821)
Gain on sales of real estate properties and other assets76,771 39,310 99,678 77,670 
Interest expense(52,642)(60,649)(160,800)(184,159)
Loss on extinguishment of debt(286)— (286)— 
Impairment of real estate properties and credit loss reserves(104,362)(84,394)(258,791)(232,450)
Impairment of goodwill— — — (250,530)
Equity income (loss) from unconsolidated joint ventures287 208 446 (360)
Interest and other (expense) income, net(2,884)(132)(3,154)(104)
Net loss$(58,544)$(94,535)$(264,076)$(555,692)
1    Other segment expenses are primarily related to restructuring, administrative costs, travel, legal, technology, and insurance.