v3.26.1
Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Revenues:    
Total segment revenues $ 366,471 $ 386,864
Expenses:    
Interest expense 37,045 57,831
Depreciation and amortization 62,914 68,325
Net loss (43,275) (8,986)
Reconciliation of segment (loss) income:    
General and administrative (14,038) (9,000)
Acquisition and certain other transaction related costs (3,693) (24)
Gain on sale of real estate (1,207) 110,140
Interest and other income 233 2,099
Interest expense (37,045) (57,831)
Loss on modification or early extinguishment of debt 0 (29,071)
Income tax expense (622) (49)
Equity in net earnings (losses) of an investee 96 1,487
Net loss (43,275) (8,986)
Rental income    
Revenues:    
Total segment revenues 49,246 58,558
Residents fees and services    
Revenues:    
Total segment revenues 317,225 328,306
Operating Segments    
Revenues:    
Total segment revenues 359,120 378,069
Expenses:    
Senior living labor and benefits 151,262 162,404
Dietary 19,389 20,246
Utilities 21,954 23,180
Real estate taxes 15,804 17,904
Insurance 10,836 10,934
Other operating expenses 71,185 79,717
Interest expense 8,788 2,319
Depreciation and amortization 60,384 65,956
Other segment items 1,110 17,232
Net loss (1,592) (21,823)
Reconciliation of segment (loss) income:    
Interest expense (8,788) (2,319)
Net loss (1,592) (21,823)
Operating Segments | SHOP    
Revenues:    
Total segment revenues 317,225 328,306
Expenses:    
Senior living labor and benefits 151,262 162,404
Dietary 19,389 20,246
Utilities 19,191 19,578
Real estate taxes 11,296 12,070
Insurance 10,396 10,313
Other operating expenses 62,065 66,867
Interest expense 6,557 66
Depreciation and amortization 46,865 48,635
Other segment items 1,260 (8,786)
Net loss (11,056) (3,087)
Reconciliation of segment (loss) income:    
Interest expense (6,557) (66)
Net loss (11,056) (3,087)
Operating Segments | Medical Office and Life Science Portfolio    
Revenues:    
Total segment revenues 41,895 49,763
Expenses:    
Senior living labor and benefits 0 0
Dietary 0 0
Utilities 2,763 3,602
Real estate taxes 4,508 5,834
Insurance 440 621
Other operating expenses 9,120 12,850
Interest expense 2,231 2,253
Depreciation and amortization 13,519 17,321
Other segment items (150) 26,018
Net loss 9,464 (18,736)
Reconciliation of segment (loss) income:    
Interest expense (2,231) (2,253)
Net loss 9,464 (18,736)
Operating Segments | Rental income    
Revenues:    
Total segment revenues 41,895 49,763
Operating Segments | Rental income | SHOP    
Revenues:    
Total segment revenues 0 0
Operating Segments | Rental income | Medical Office and Life Science Portfolio    
Revenues:    
Total segment revenues 41,895 49,763
Operating Segments | Residents fees and services    
Revenues:    
Total segment revenues 317,225 328,306
Operating Segments | Residents fees and services | SHOP    
Revenues:    
Total segment revenues 317,225 328,306
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio    
Revenues:    
Total segment revenues 0 0
All Other    
Revenues:    
Total segment revenues 7,351 8,795
Expenses:    
Interest expense 28,257 55,512
Reconciliation of segment (loss) income:    
Other income 4,694 6,485
General and administrative (14,038) (9,000)
Acquisition and certain other transaction related costs (3,693) (24)
Gain on sale of real estate 0 97,560
Interest and other income 233 2,099
Interest expense (28,257) (55,512)
Loss on modification or early extinguishment of debt 0 (29,071)
Income tax expense (622) (49)
Equity in net earnings (losses) of an investee $ 0 $ 349