v3.26.1
Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Mar. 31, 2026
Jun. 30, 2025
Mar. 31, 2025
Jun. 30, 2026
Jun. 30, 2025
Revenues:            
Total segment revenues $ 365,387   $ 382,712   $ 731,858 $ 769,576
Expenses:            
Interest expense 37,083   50,926   74,128 108,757
Depreciation and amortization 62,542   66,266   125,456 134,591
Net loss (37,419) $ (43,275) (91,639) $ (8,986) (80,694) (100,625)
Reconciliation of segment income (loss):            
General and administrative (19,333)   (11,177)   (33,371) (20,177)
Acquisition and certain other transaction related costs (3,086)   (75)   (6,779) (99)
Gain on sale of real estate         (1,836) 102,711
Interest and other income 258   2,982   491 5,081
Interest expense (37,083)   (50,926)   (74,128) (108,757)
Loss on modification or early extinguishment of debt 0   (126)   0 (29,197)
Income tax expense (1,297)   (843)   (1,919) (892)
Equity in net earnings of investees         1,946 4,569
Net loss (37,419) $ (43,275) (91,639) $ (8,986) (80,694) (100,625)
Rental income            
Revenues:            
Total segment revenues 47,466   55,167   96,712 113,725
Residents fees and services            
Revenues:            
Total segment revenues 317,921   327,545   635,146 655,851
Operating Segments            
Revenues:            
Total segment revenues 358,037   375,601   717,157 753,670
Expenses:            
Senior living labor and benefits 150,249   165,260   301,511 327,664
Dietary 19,229   21,285   38,618 41,531
Utilities 18,764   20,148   40,718 43,328
Real estate taxes 15,676   17,946   31,480 35,850
Insurance 10,199   8,621   21,035 19,555
Other operating expenses 66,716   79,239   137,901 158,956
Interest expense 8,854   7,132   17,642 9,451
Depreciation and amortization 60,015   63,901   120,399 129,857
Other segment items (1,220)   35,768   (110) 53,000
Net loss 9,555   (43,699)   7,963 (65,522)
Reconciliation of segment income (loss):            
Interest expense (8,854)   (7,132)   (17,642) (9,451)
Net loss 9,555   (43,699)   7,963 (65,522)
Operating Segments | SHOP            
Revenues:            
Total segment revenues 317,921   327,545   635,146 655,851
Expenses:            
Senior living labor and benefits 150,249   165,260   301,511 327,664
Dietary 19,229   21,285   38,618 41,531
Utilities 16,656   17,360   35,847 36,938
Real estate taxes 10,976   11,974   22,272 24,044
Insurance 9,761   8,019   20,157 18,332
Other operating expenses 57,555   67,032   119,620 133,899
Interest expense 6,602   4,861   13,159 4,927
Depreciation and amortization 46,789   47,726   93,654 96,361
Other segment items (97)   22,443   1,163 13,657
Net loss 201   (38,415)   (10,855) (41,502)
Reconciliation of segment income (loss):            
Interest expense (6,602)   (4,861)   (13,159) (4,927)
Net loss 201   (38,415)   (10,855) (41,502)
Operating Segments | Medical Office and Life Science Portfolio            
Revenues:            
Total segment revenues 40,116   48,056   82,011 97,819
Expenses:            
Senior living labor and benefits 0   0   0 0
Dietary 0   0   0 0
Utilities 2,108   2,788   4,871 6,390
Real estate taxes 4,700   5,972   9,208 11,806
Insurance 438   602   878 1,223
Other operating expenses 9,161   12,207   18,281 25,057
Interest expense 2,252   2,271   4,483 4,524
Depreciation and amortization 13,226   16,175   26,745 33,496
Other segment items (1,123)   13,325   (1,273) 39,343
Net loss 9,354   (5,284)   18,818 (24,020)
Reconciliation of segment income (loss):            
Interest expense (2,252)   (2,271)   (4,483) (4,524)
Net loss 9,354   (5,284)   18,818 (24,020)
Operating Segments | Rental income            
Revenues:            
Total segment revenues 40,116   48,056   82,011 97,819
Operating Segments | Rental income | SHOP            
Revenues:            
Total segment revenues 0   0   0 0
Operating Segments | Rental income | Medical Office and Life Science Portfolio            
Revenues:            
Total segment revenues 40,116   48,056   82,011 97,819
Operating Segments | Residents fees and services            
Revenues:            
Total segment revenues 317,921   327,545   635,146 655,851
Operating Segments | Residents fees and services | SHOP            
Revenues:            
Total segment revenues 317,921   327,545   635,146 655,851
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio            
Revenues:            
Total segment revenues 0   0   0 0
All Other            
Revenues:            
Total segment revenues 7,350   7,111   14,701 15,906
Expenses:            
Interest expense 28,229   43,794   56,486 99,306
Reconciliation of segment income (loss):            
Other income 4,713   4,665   9,407 11,150
General and administrative (19,333)   (11,177)   (33,371) (20,177)
Acquisition and certain other transaction related costs (3,086)   (75)   (6,779) (99)
Gain on sale of real estate         0 97,560
Interest and other income 258   2,982   491 5,081
Interest expense (28,229)   (43,794)   (56,486) (99,306)
Loss on modification or early extinguishment of debt 0   (126)   0 (29,197)
Income tax expense (1,297)   (843)   (1,919) (892)
Equity in net earnings of investees $ 0   $ 428   $ 0 $ 777