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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2025
Jun. 30, 2024
Revenues:            
Total revenues $ 382,712   $ 371,392   $ 769,576 $ 742,168
Expenses:            
Interest expense 50,926   58,702   108,757 116,278
Depreciation and amortization 66,266   68,357   134,591 138,490
Net loss (91,639) $ (8,986) (97,861) $ (86,259) (100,625) (184,120)
Reconciliation of segment loss:            
General and administrative (11,177)   (6,262)   (20,177) (13,830)
Acquisition and certain other transaction related costs (75)   (1,826)   (99) (1,912)
Gain on sale of properties (7,429)   (13,213)   102,711 (19,087)
Interest and other income 2,982   2,403   5,081 4,640
Interest expense (50,926)   (58,702)   (108,757) (116,278)
Loss on modification or early extinguishment of debt (126)   (209)   (29,197) (209)
Income tax expense (843)   (170)   (892) (357)
Equity in net earnings of an investee         4,569 (10,409)
Net loss (91,639) $ (8,986) (97,861) $ (86,259) (100,625) (184,120)
Rental income            
Revenues:            
Total revenues 55,167   62,870   113,725 125,520
Residents fees and services            
Revenues:            
Total revenues 327,545   308,522   655,851 616,648
Operating Segments            
Revenues:            
Total revenues 375,601   363,077   753,670 725,352
Expenses:            
Senior living labor and benefits 165,260   154,726   327,664 312,607
Dietary 21,285   20,977   41,531 41,496
Utilities 20,148   19,545   43,328 41,208
Real estate taxes 17,946   18,728   35,850 37,371
Insurance 8,621   12,386   19,555 24,327
Other operating expenses 79,239   77,458   158,956 154,124
Interest expense 7,132   955   9,451 1,245
Depreciation and amortization 63,901   65,886   129,857 133,548
Other segment items 35,768   41,251   53,000 57,654
Net loss (43,699)   (48,835)   (65,522) (78,228)
Reconciliation of segment loss:            
Interest expense (7,132)   (955)   (9,451) (1,245)
Net loss (43,699)   (48,835)   (65,522) (78,228)
Operating Segments | SHOP            
Revenues:            
Total revenues 327,545   308,522   655,851 616,648
Expenses:            
Senior living labor and benefits 165,260   154,726   327,664 312,607
Dietary 21,285   20,977   41,531 41,496
Utilities 17,360   16,555   36,938 34,809
Real estate taxes 11,974   11,669   24,044 23,132
Insurance 8,019   11,340   18,332 22,547
Other operating expenses 67,032   64,271   133,899 128,363
Interest expense 4,861   61   4,927 129
Depreciation and amortization 47,726   46,911   96,361 93,833
Other segment items 22,443   0   13,657 0
Net loss (38,415)   (17,988)   (41,502) (40,268)
Reconciliation of segment loss:            
Interest expense (4,861)   (61)   (4,927) (129)
Net loss (38,415)   (17,988)   (41,502) (40,268)
Operating Segments | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 48,056   54,555   97,819 108,704
Expenses:            
Senior living labor and benefits 0   0   0 0
Dietary 0   0   0 0
Utilities 2,788   2,990   6,390 6,399
Real estate taxes 5,972   7,059   11,806 14,239
Insurance 602   1,046   1,223 1,780
Other operating expenses 12,207   13,187   25,057 25,761
Interest expense 2,271   894   4,524 1,116
Depreciation and amortization 16,175   18,975   33,496 39,715
Other segment items 13,325   41,251   39,343 57,654
Net loss (5,284)   (30,847)   (24,020) (37,960)
Reconciliation of segment loss:            
Interest expense (2,271)   (894)   (4,524) (1,116)
Net loss (5,284)   (30,847)   (24,020) (37,960)
Operating Segments | Rental income            
Revenues:            
Total revenues 48,056   54,555   97,819 108,704
Operating Segments | Rental income | SHOP            
Revenues:            
Total revenues 0   0   0 0
Operating Segments | Rental income | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 48,056   54,555   97,819 108,704
Operating Segments | Residents fees and services            
Revenues:            
Total revenues 327,545   308,522   655,851 616,648
Operating Segments | Residents fees and services | SHOP            
Revenues:            
Total revenues 327,545   308,522   655,851 616,648
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 0   0   0 0
All Other            
Revenues:            
Total revenues 7,111   8,315   15,906 16,816
Expenses:            
Interest expense 43,794   57,747   99,306 115,033
Reconciliation of segment loss:            
Other income 4,665   5,599   11,150 11,338
General and administrative (11,177)   (6,262)   (20,177) (13,830)
Acquisition and certain other transaction related costs (75)   (1,826)   (99) (1,912)
Gain on sale of properties         97,560  
Interest and other income 2,982   2,403   5,081 4,640
Interest expense (43,794)   (57,747)   (99,306) (115,033)
Loss on modification or early extinguishment of debt (126)   (209)   (29,197) (209)
Income tax expense (843)   (170)   (892) (357)
Equity in net earnings of an investee $ 428   $ 9,186   $ 777 $ 9,471