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Segment Reporting (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2025
USD ($)
segment
Sep. 30, 2024
USD ($)
Segment Reporting [Abstract]        
Number of reportable segments | segment     1  
Segment Reporting Information [Line Items]        
Revenue $ 297,765 $ 315,423 $ 894,243 $ 958,550
Depreciation and amortization (137,841) (163,226) (436,558) (514,821)
Gain on sales of real estate properties and other assets 76,771 39,310 99,678 77,670
Interest expense (52,642) (60,649) (160,800) (184,159)
Loss on extinguishment of debt (286) 0 (286) 0
Impairment of real estate properties and credit loss reserves (104,362) (84,394) (258,791) (232,450)
Impairment of goodwill 0 0 0 (250,530)
Equity income (loss) from unconsolidated joint ventures 287 208 446 (360)
Interest and other (expense) income, net (2,884) (132) (3,154) (104)
Net loss (58,544) (94,535) (264,076) (555,692)
Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 101,400 108,610 305,473 325,545
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 (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 assets 76,771 39,310 99,678 77,670
Interest expense (52,642) (60,649) (160,800) (184,159)
Loss on extinguishment of debt (286) 0 (286) 0
Impairment of real estate properties and credit loss reserves (104,362) (84,394) (258,791) (232,450)
Impairment of goodwill 0 0 0 (250,530)
Equity income (loss) from unconsolidated joint ventures 287 208 446 (360)
Interest and other (expense) income, net (2,884) (132) (3,154) (104)
Net loss (58,544) (94,535) (264,076) (555,692)
Property taxes | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 28,224 31,366 86,063 96,783
Personnel | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 21,882 23,161 70,483 70,466
Utilities | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals 26,292 27,278 70,432 74,770
Maintenance | Medial Outpatient Properties Segment        
Segment Reporting Information [Line Items]        
Totals $ 25,002 $ 26,805 $ 78,495 $ 83,526