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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenues:                
Total revenues $ 388,706     $ 373,640     $ 1,158,282 $ 1,115,808
Expenses:                
Interest expense 48,886     59,443     157,643 175,721
Depreciation and amortization 65,324     68,959     199,915 207,449
Net loss (164,040) $ (91,639) $ (8,986) (98,689) $ (97,861) $ (86,259) (264,665) (282,809)
Reconciliation of segment loss:                
General and administrative (12,789)     (13,933)     (32,966) (27,763)
Acquisition and certain other transaction related costs (1,158)     (331)     (1,257) (2,243)
Gain on sale of properties 1,260     111     103,971 (18,976)
Interest expense (48,886)     (59,443)     (157,643) (175,721)
Loss on modification or early extinguishment of debt (11,191)     0     (40,388) (209)
Income tax expense (337)     (148)     (1,229) (505)
Equity in net earnings (losses) of an investee             9,652 (9,882)
Net loss (164,040) $ (91,639) $ (8,986) (98,689) $ (97,861) $ (86,259) (264,665) (282,809)
Rental income                
Revenues:                
Total revenues 55,316     61,635     169,041 187,155
Residents fees and services                
Revenues:                
Total revenues 333,390     312,005     989,241 928,653
Operating Segments                
Revenues:                
Total revenues 381,591     364,906     1,135,261 1,090,258
Expenses:                
Senior living labor and benefits 172,422     157,756     500,086 470,363
Dietary 21,362     21,786     62,893 63,282
Utilities 23,829     23,157     67,157 64,365
Real estate taxes 16,667     15,618     52,517 52,989
Insurance 10,124     11,939     29,679 36,266
Other operating expenses 80,892     79,390     239,848 233,514
Interest expense 9,233     2,373     18,684 3,618
Depreciation and amortization 62,953     66,116     192,810 199,664
Other segment items 91,668     21,213     144,668 78,867
Net loss (107,559)     (34,442)     (173,081) (112,670)
Reconciliation of segment loss:                
Interest expense (9,233)     (2,373)     (18,684) (3,618)
Net loss (107,559)     (34,442)     (173,081) (112,670)
Operating Segments | SHOP                
Revenues:                
Total revenues 333,390     312,005     989,241 928,653
Expenses:                
Senior living labor and benefits 172,422     157,756     500,086 470,363
Dietary 21,362     21,786     62,893 63,282
Utilities 19,839     18,917     56,777 53,726
Real estate taxes 10,944     8,851     34,988 31,983
Insurance 9,385     10,899     27,717 33,446
Other operating expenses 69,818     66,363     203,717 194,726
Interest expense 6,943     54     11,870 183
Depreciation and amortization 47,113     47,343     143,474 141,176
Other segment items 36,130     0     49,787 0
Net loss (60,566)     (19,964)     (102,068) (60,232)
Reconciliation of segment loss:                
Interest expense (6,943)     (54)     (11,870) (183)
Net loss (60,566)     (19,964)     (102,068) (60,232)
Operating Segments | Medical Office and Life Science Portfolio                
Revenues:                
Total revenues 48,201     52,901     146,020 161,605
Expenses:                
Senior living labor and benefits 0     0     0 0
Dietary 0     0     0 0
Utilities 3,990     4,240     10,380 10,639
Real estate taxes 5,723     6,767     17,529 21,006
Insurance 739     1,040     1,962 2,820
Other operating expenses 11,074     13,027     36,131 38,788
Interest expense 2,290     2,319     6,814 3,435
Depreciation and amortization 15,840     18,773     49,336 58,488
Other segment items 55,538     21,213     94,881 78,867
Net loss (46,993)     (14,478)     (71,013) (52,438)
Reconciliation of segment loss:                
Interest expense (2,290)     (2,319)     (6,814) (3,435)
Net loss (46,993)     (14,478)     (71,013) (52,438)
Operating Segments | Rental income                
Revenues:                
Total revenues 48,201     52,901     146,020 161,605
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 48,201     52,901     146,020 161,605
Operating Segments | Residents fees and services                
Revenues:                
Total revenues 333,390     312,005     989,241 928,653
Operating Segments | Residents fees and services | SHOP                
Revenues:                
Total revenues 333,390     312,005     989,241 928,653
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio                
Revenues:                
Total revenues 0     0     0 0
Medical Office and Life Science                
Revenues:                
Total revenues 7,115     8,734     23,021 25,550
Expenses:                
Interest expense 39,653     57,070     138,959 172,103
Reconciliation of segment loss:                
Other income 4,653     5,840     15,803 17,178
General and administrative (12,789)     (13,933)     (32,966) (27,763)
Acquisition and certain other transaction related costs (1,158)     (331)     (1,257) (2,243)
Gain on sale of properties 1,554           99,114  
Interest income and other expenses (774)     2,575     4,307 7,215
Interest expense (39,653)     (57,070)     (138,959) (172,103)
Loss on modification or early extinguishment of debt (11,191)           (40,388) (209)
Income tax expense (337)     (148)     (1,229) (505)
Equity in net earnings (losses) of an investee $ 3,214     $ (1,180)     $ 3,991 $ 8,291