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Real Estate Investments - Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Feb. 24, 2025
USD ($)
property
Feb. 25, 2025
USD ($)
property
Jan. 31, 2025
USD ($)
property
Jun. 30, 2022
USD ($)
Jan. 31, 2022
USD ($)
investor
Dec. 31, 2024
USD ($)
property
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Real Estate                  
Impairment of assets           $ 70,734 $ 18,380 $ 0  
Number of properties owned (property) | property           367      
Redemption of senior notes           $ 120,000 250,000 500,000  
Hurricane damage, loss and deductible amount               11,253  
Hurricane damage, loss               7,635  
Proceeds from insurance recoveries           1,698 534 14,466  
Hurricane damage, loss recovered               7,635  
Hurricane damage, deductible amount               3,618  
Hurricane damage, insurance proceeds in excess of loss, liability           1,698 534 3,213  
Proceeds from sale of interest in joint venture, net       $ 108,424   0 0 108,424  
(Loss) gain on sale of properties           (18,938) 1,205 321,862  
Equity in net earnings (losses) of investees           1,597 (20,461) 6,055  
Equity method investment           24,590 0    
Senior Secured Note Due 2026                  
Real Estate                  
Aggregate principal amount of mortgage debt           940,534      
AlerisLife Inc                  
Real Estate                  
Equity method investment, difference between carrying amount and underlying equity           $ 29,500      
Seaport Innovation LLC                  
Real Estate                  
Aggregate property valuation amount                 $ 1,700,000
Aggregate principal amount of mortgage debt                 $ 620,000
Corporate Joint Venture                  
Real Estate                  
Number of properties owned (property) | property           11      
Aggregate property valuation amount         $ 702,500        
Aggregate principal amount of mortgage debt         456,600        
Equity in net earnings (losses) of investees           $ (7,550) $ (20,461) 6,055  
Corporate Joint Venture | Seaport Innovation LLC                  
Real Estate                  
Aggregate principal amount of mortgage debt           $ 620      
Seaport Innovation LLC | Corporate Joint Venture                  
Real Estate                  
Proceeds from sale of interest in joint venture, net       $ 108          
Seaport Innovation LLC | Corporate Joint Venture                  
Real Estate                  
Number of properties owned (property) | property           1      
Equity method investment ownership percentage       20.00%   10.00%      
Additional equity joint venture percentage       10.00%          
AlerisLife Inc                  
Real Estate                  
Equity method investment ownership percentage           34.00%      
Equity in net earnings (losses) of investees           $ 7,919      
AlerisLife Inc | Equity Method Investments                  
Real Estate                  
Amortization           $ 1,228      
Disposal Group, Disposed of by Sale, Not Discontinued Operations                  
Real Estate                  
Number of properties owned (property) | property           5 8    
Sales price           $ 35,675 $ 18,880    
Held for sale                  
Real Estate                  
Number of properties owned (property) | property           32      
Number of real estate properties under agreement | property           26      
Held for sale | Subsequent Event                  
Real Estate                  
Sales price $ 219,580                
Number of real estate properties under agreement | property 26                
Held for sale | Subsequent Event | Senior Secured Note Due 2026                  
Real Estate                  
Number of real estate properties under agreement | property 19                
Redemption of senior notes $ 142,100                
Medical Office Building and Life Science Building                  
Real Estate                  
Impairment of assets           $ 70,734 $ 14,034    
Number of properties impaired | property           6 4    
Number of properties owned (property) | property           98      
Medical Office Building and Life Science Building | Corporate Joint Venture                  
Real Estate                  
Proceeds from sale of interest in joint venture, net         $ 653,300        
Number of third party institutional investors | investor         2        
Medical Office Building and Life Science Building | Diversified Healthcare Trusts | Corporate Joint Venture                  
Real Estate                  
Equity method investment ownership percentage         20.00%        
Medical Office Building and Life Science Building | Diversified Healthcare Trusts | Corporate Joint Venture | Unrelated Investor One                  
Real Estate                  
Equity method investment ownership percentage         41.00%        
Medical Office Building and Life Science Building | Diversified Healthcare Trusts | Corporate Joint Venture | Unrelated Investor Two                  
Real Estate                  
Equity method investment ownership percentage         39.00%        
Medical Office Building and Life Science Building | Seaport Innovation LLC | Corporate Joint Venture                  
Real Estate                  
Equity method investment ownership percentage       10.00%          
Medical Office Building and Life Science Building | Disposal Group, Disposed of by Sale, Not Discontinued Operations                  
Real Estate                  
Number of properties impaired | property           3      
Number of properties owned (property) | property             3    
Medical Office Building and Life Science Building | Held for sale                  
Real Estate                  
Number of properties owned (property) | property           3 1    
Senior Living Communities                  
Real Estate                  
Impairment of assets             $ 4,346    
Number of properties impaired | property             2    
Senior Living Communities | Skilled Nursing Bed License                  
Real Estate                  
(Loss) gain on sale of properties         $ 322,468     $ (1,428)  
Senior Living Communities | Disposal Group, Disposed of by Sale, Not Discontinued Operations                  
Real Estate                  
Number of properties owned (property) | property             1    
Senior Living Communities | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Subsequent Event                  
Real Estate                  
Number of properties owned (property) | property   1              
Sales price   $ 2,900              
Skilled Nursing Bed Licenses                  
Real Estate                  
Gain on transaction             $ 940    
Life Science Property, Debt Redemption | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Subsequent Event                  
Real Estate                  
Number of properties owned (property) | property     3            
Sales price     $ 159,025            
Life Sciences Property And Senior Living Communities, Debt Redemption | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Subsequent Event | Senior Secured Note Due 2026                  
Real Estate                  
Number of properties owned (property) | property     3            
Sales price     $ 159,025            
Life Sciences Property And Senior Living Communities, Debt Redemption | Held for sale                  
Real Estate                  
Number of properties owned (property) | property           3      
Life Science | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Subsequent Event                  
Real Estate                  
Number of properties owned (property) | property     1            
Sales price     $ 16,800