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Real Estate and Other Investments - Impairment Narrative (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
USD ($)
property
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
property
Jun. 30, 2023
USD ($)
Real Estate        
Impairment of assets | $ $ 6,545 $ 11,299 $ 18,687 $ 17,224
Number of properties owned (property) | property 370   370  
Medical Office        
Real Estate        
Impairment of assets | $     $ 18,789  
Number of properties owned (property) | property 3   3