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Real Estate and Other Activities - Schedule of Impairment Charges, Net (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Business Acquisition [Line Items]      
Total revenues $ 995,547 $ 871,799 $ 1,542,851
Real estate and other impairment charges, net (1,825,402) (376,907) (268,375)
(Loss) earnings from equity interests (366,642) 13,967 $ 40,800
Steward Health Care System L L C [Member]      
Business Acquisition [Line Items]      
Total 1,563 714  
Steward Health Care System L L C [Member] | Reserve for unpaid rent and interest and straight-line rent receivables [Member]      
Business Acquisition [Line Items]      
Total revenues 0 413  
Steward Health Care System L L C [Member] | Working capital and other loans [Member]      
Business Acquisition [Line Items]      
Real estate and other impairment charges, net [1] 787 0  
Steward Health Care System L L C [Member] | Investment in Massachusetts partnership [Member]      
Business Acquisition [Line Items]      
(Loss) earnings from equity interests [2] 445 30  
Steward Health Care System L L C [Member] | Real estate [Member]      
Business Acquisition [Line Items]      
Real estate and other impairment charges, net [2] 277 100  
Steward Health Care System L L C [Member] | Equity investment and other [Member]      
Business Acquisition [Line Items]      
Real estate and other impairment charges, net [1] $ 54 $ 171  
[1] For our non-real estate investments in Steward, we compared our carrying value of all such investments to the fair value of the underlying collateral, which was no value after the global settlement and our release of claims against Steward as discussed above.
[2] The three Space Coast properties and certain excess properties previously leased to Steward were deemed held for sale in the 2024 third quarter. We recognized a real estate impairment charge of approximately $180 million to adjust our net book value to align with fair value less cost to sell based on expected proceeds, including from a binding agreement for the Space Coast properties. For the other real estate held for use, we made a comparison of the projected undiscounted future cash flows with the net book value of each asset. For those properties where the carrying value was deemed not recoverable, we recorded an impairment charge to reduce the carrying value to its estimated fair value. For the real estate in the Massachusetts partnership, there was no fair value as we transitioned those properties to the mortgage lender to satisfy the mortgage debt. For the remaining properties (less than 10 in total in 2024 and 2023), we, along with assistance from a third-party, independent valuation firm, estimated fair value using a combination of cost, market, and income approaches using Level 3 inputs. The cost approach used comparable sales to value the land and cost manuals to value the improvements. The value derived from the market approach was based on sale prices of similar properties. For the income approach, we divided the expected operating income (rent revenue less expenses, if any) from the property by a market capitalization rate (range from 8% to 10%).