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Real Estate Investments - Properties Sold (Details) |  | 1 Months Ended | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | --- | ---
Oct. 01, 2025 USD ($) property item | Oct. 31, 2025 USD ($) property item | Sep. 30, 2025 USD ($) item | Sep. 30, 2024 USD ($) | Mar. 31, 2024 USD ($) | Sep. 30, 2025 USD ($) item property | Sep. 30, 2024 USD ($) property item | Dec. 31, 2024 USD ($)
Disposals and other |  |  |  |  |  |  |  |
Carrying value |  |  | $ 1,169,150,000 |  |  | $ 1,169,150,000 |  | $ 925,848,000
Net gain (loss) |  |  | (738,000) | $ 3,663,000 |  | (235,000) | $ 6,882,000 |
Proceeds from sale of real estate, net |  |  |  |  |  | 5,714,000 | 33,641,000 |
Gross Investment |  |  | $ 1,596,451,000 |  |  | $ 1,596,451,000 |  |
Number of beds/units | item |  |  | 213 |  |  | 213 |  |
Distributions paid to non-controlling interests related to property sale |  |  |  |  |  |  | $ (2,305,000) |
Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 446,527,000 |  |  | $ 446,527,000 |  |
Number of beds/units | item |  |  | 1,577 |  |  | 1,577 |  |
Ohio | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 15,021,000 |  |  | $ 15,021,000 |  |
Number of beds/units | item |  |  | 60 |  |  | 60 |  |
Kentucky | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 39,684,000 |  |  | $ 39,684,000 |  |
Number of beds/units | item |  |  | 158 |  |  | 158 |  |
California | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 48,695,000 |  |  | $ 48,695,000 |  |
Number of beds/units | item |  |  | 133 |  |  | 133 |  |
Wisconsin | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 217,165,000 |  |  | $ 217,165,000 |  |
Number of beds/units | item |  |  | 620 |  |  | 620 |  |
Colorado | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 41,744,000 |  |  | $ 41,744,000 |  |
Number of beds/units | item |  |  | 228 |  |  | 228 |  |
Kansas | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 26,220,000 |  |  | $ 26,220,000 |  |
Number of beds/units | item |  |  | 114 |  |  | 114 |  |
SH |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 984,783,000 |  |  | $ 984,783,000 |  |
SH | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 446,527,000 |  |  | $ 446,527,000 |  |
Number of beds/units | item |  |  | 745 |  |  | 745 |  |
SH | Kentucky | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of beds/units | item |  |  | 158 |  |  | 158 |  |
SH | California | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of beds/units | item |  |  | 67 |  |  | 67 |  |
SH | Wisconsin | Seniors housing operating portfolio segment |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of beds/units | item |  |  | 520 |  |  | 520 |  |
SNF |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Gross Investment |  |  | $ 599,663,000 |  |  | $ 599,663,000 |  |
SNF | Virginia and California | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  | 5 |  |  |  |  |  |
Number of beds or units in property sold | item |  | 656 |  |  |  |  |  |
Sales price |  | $ 79,950,000 |  |  |  |  |  |
Carrying value |  | 42,458,000 |  |  |  |  |  |
Net gain (loss) |  | 52,000,000 |  |  |  |  |  |
Proceeds from sale of real estate, net |  | 78,900,000 |  |  |  |  |  |
Gross Investment |  | $ 71,742,000 |  |  |  |  |  |
SNF | Florida | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  | 2 |  |  |  |  |  |
Number of beds or units in property sold | item |  | 240 |  |  |  |  |  |
Sales price |  | $ 43,000,000 |  |  |  |  |  |
Net gain (loss) |  | 26,000,000 |  |  |  |  |  |
Proceeds from sale of real estate, net |  | $ 41,900,000 |  |  |  |  |  |
SNF | California | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  | 1 |  |  |  |  |  |
SNF | Virginia | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  | 4 |  |  |  |  |  |
Properties sold |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 3 | 10 |
Number of beds or units in property sold | item |  |  |  |  |  | 68 | 458 |
Sales price |  |  |  |  |  | $ 6,350,000 | $ 34,752,000 |
Carrying value |  |  | 5,948,000 | 26,759,000 |  | 5,948,000 | 26,759,000 |
Net gain (loss) |  |  |  |  |  | (235,000) | 6,882,000 |
Properties sold | Ohio | 2 Properties obtained from JV |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Sales price |  |  |  |  |  | 1,800,000 |  |
Carrying value |  |  | 1,342,000 |  |  | 1,342,000 |  |
Net gain (loss) |  |  |  |  |  | $ 340,000 |  |
Properties sold | Texas |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 1 |  |
Sales price |  |  |  |  |  | $ 2,880,000 |  |
Carrying value |  |  | 3,266,000 |  |  | 3,266,000 |  |
Net gain (loss) |  |  |  |  |  | $ (715,000) |  |
Properties sold | Location Not Specified |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Net gain (loss) |  |  |  |  |  |  | $ (60,000) |
Properties sold | SH | Ohio |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  |  |  | 39 |  |
Sales price |  |  |  |  |  | $ 1,000,000 |  |
Carrying value |  |  | 670,000 |  |  | 670,000 |  |
Net gain (loss) |  |  |  |  |  | $ 236,000 |  |
Properties sold | SH | Florida |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  |  | 1 |
Number of beds or units in property sold | item |  |  |  |  |  |  | 60 |
Sales price |  |  |  |  |  |  | $ 4,500,000 |
Carrying value |  |  |  | 4,579,000 |  |  | 4,579,000 |
Net gain (loss) |  |  |  |  |  |  | $ (289,000) |
Properties sold | SH | Oklahoma |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  | 1 |  |
Number of beds or units in property sold | item |  |  |  |  |  | 29 |  |
Sales price |  |  |  |  |  | $ 670,000 |  |
Carrying value |  |  | $ 670,000 |  |  | 670,000 |  |
Net gain (loss) |  |  |  |  |  | $ (96,000) |  |
Properties sold | SH | Texas |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  |  | 5 |
Number of beds or units in property sold | item |  |  |  |  |  |  | 208 |
Sales price |  |  |  |  |  |  | $ 1,600,000 |
Carrying value |  |  |  | 1,282,000 |  |  | 1,282,000 |
Net gain (loss) |  |  |  |  |  |  | $ (390,000) |
Properties sold | SH | Texas | 2 Properties obtained from JV |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  |  | 2 |
Sales price |  |  |  |  |  |  | $ 500,000 |
Carrying value |  |  |  | 389,000 |  |  | $ 389,000 |
Properties sold | SH | Texas | 3 Properties obtained from JV |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  |  | 1 |
Number of beds or units in property sold | item |  |  |  |  |  |  | 80 |
Sales price |  |  |  |  |  |  | $ 7,959,000 |
Carrying value |  |  |  | 4,314,000 |  |  | 4,314,000 |
Net gain (loss) |  |  |  |  |  |  | $ 3,635,000 |
Properties sold | SH | Wisconsin |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property |  |  |  |  |  |  | 1 |
Number of beds or units in property sold | item |  |  |  |  |  |  | 110 |
Sales price |  |  |  |  |  |  | $ 20,193,000 |
Carrying value |  |  |  | $ 16,195,000 |  |  | 16,195,000 |
Net gain (loss) |  |  |  |  |  |  | $ 3,986,000 |
Properties sold | ALF | Wisconsin |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Distributions paid to non-controlling interests related to property sale |  |  |  |  | $ 2,305,000 |  |  |
Properties sold | SNF | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property | 7 | 7 |  |  |  |  |  |
Carrying value | $ 42,458 |  |  |  |  |  |  |
Gross Investment | $ 71,742 |  |  |  |  |  |  |
Properties sold | SNF | Virginia and California | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property | 5 |  |  |  |  |  |  |
Sales price | $ 79,950 |  |  |  |  |  |  |
Net gain (loss) | 52,000 |  |  |  |  |  |  |
Proceeds from sale of real estate, net | $ 78,900 |  |  |  |  |  |  |
Number of beds/units | item | 656 |  |  |  |  |  |  |
Properties sold | SNF | Florida | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property | 2 |  |  |  |  |  |  |
Sales price | $ 43,000 |  |  |  |  |  |  |
Carrying value | 16,000 |  |  |  |  |  |  |
Net gain (loss) | 26,000 |  |  |  |  |  |  |
Proceeds from sale of real estate, net | 41,900 |  |  |  |  |  |  |
Gross Investment | $ 23,900 |  |  |  |  |  |  |
Number of beds/units | item | 240 |  |  |  |  |  |  |
Properties sold | SNF | California | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property | 1 |  |  |  |  |  |  |
Properties sold | SNF | Virginia | Subsequent Event |  |  |  |  |  |  |  |
Disposals and other |  |  |  |  |  |  |  |
Number of properties sold | property | 4 |  |  |  |  |  |  |

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