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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Revenues:    
Total revenues $ 386,864 $ 370,776
Expenses:    
Interest expense 57,831 57,576
Depreciation and amortization 68,325 70,133
Net loss (8,986) (86,259)
Reconciliation of segment loss:    
General and administrative (9,000) (7,568)
Acquisition and certain other transaction related costs (24) (86)
Gain (loss) on sale of properties 110,140 (5,874)
Interest and other income 2,099 2,237
Interest expense (57,831) (57,576)
Loss on modification or early extinguishment of debt (29,071) 0
Income tax expense (49) (187)
Equity in net earnings of an investee 1,487 1,898
Net loss (8,986) (86,259)
Rental income    
Revenues:    
Total revenues 58,558 62,650
Residents fees and services    
Revenues:    
Total revenues 328,306 308,126
Operating Segments    
Revenues:    
Total revenues 378,069 362,275
Expenses:    
Senior living labor and benefits 162,404 157,881
Dietary 20,246 20,519
Utilities 23,180 21,663
Real estate taxes 17,904 18,643
Insurance 10,934 11,941
Other operating expenses 79,717 76,666
Interest expense 2,319 290
Depreciation and amortization 65,956 67,662
Other segment items 17,232 16,403
Net loss (21,823) (29,393)
Reconciliation of segment loss:    
Interest expense (2,319) (290)
Net loss (21,823) (29,393)
Operating Segments | Medical Office and Life Science Portfolio    
Revenues:    
Total revenues 49,763 54,149
Expenses:    
Senior living labor and benefits 0 0
Dietary 0 0
Utilities 3,602 3,409
Real estate taxes 5,834 7,180
Insurance 621 734
Other operating expenses 12,850 12,574
Interest expense 2,253 222
Depreciation and amortization 17,321 20,740
Other segment items 26,018 16,403
Net loss (18,736) (7,113)
Reconciliation of segment loss:    
Interest expense (2,253) (222)
Net loss (18,736) (7,113)
Operating Segments | SHOP    
Revenues:    
Total revenues 328,306 308,126
Expenses:    
Senior living labor and benefits 162,404 157,881
Dietary 20,246 20,519
Utilities 19,578 18,254
Real estate taxes 12,070 11,463
Insurance 10,313 11,207
Other operating expenses 66,867 64,092
Interest expense 66 68
Depreciation and amortization 48,635 46,922
Other segment items (8,786) 0
Net loss (3,087) (22,280)
Reconciliation of segment loss:    
Interest expense (66) (68)
Net loss (3,087) (22,280)
Operating Segments | Rental income    
Revenues:    
Total revenues 49,763 54,149
Operating Segments | Rental income | Medical Office and Life Science Portfolio    
Revenues:    
Total revenues 49,763 54,149
Operating Segments | Rental income | SHOP    
Revenues:    
Total revenues 0 0
Operating Segments | Residents fees and services    
Revenues:    
Total revenues 328,306 308,126
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio    
Revenues:    
Total revenues 0 0
Operating Segments | Residents fees and services | SHOP    
Revenues:    
Total revenues 328,306 308,126
All Other    
Revenues:    
Total revenues 8,795 8,501
Expenses:    
Interest expense 55,512 57,286
Reconciliation of segment loss:    
Other income 6,485 5,739
General and administrative (9,000) (7,568)
Acquisition and certain other transaction related costs (24) (86)
Gain (loss) on sale of properties 97,560  
Interest and other income 2,099 2,237
Interest expense (55,512) (57,286)
Loss on modification or early extinguishment of debt (29,071)  
Income tax expense (49) (187)
Equity in net earnings of an investee $ 349 $ 285