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Variable Interest Entities - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Mar. 01, 2024
USD ($)
Mar. 31, 2025
USD ($)
joint_venture
entity
hospital
Dec. 31, 2021
USD ($)
Mar. 31, 2025
USD ($)
joint_venture
entity
hospital
Dec. 31, 2024
USD ($)
joint_venture
entity
Feb. 28, 2025
USD ($)
Variable Interest Entity [Line Items]            
Number of DownREIT LLCs | entity   8   8 8  
Loans receivable, net of reserves of $7,554 and $10,499   $ 698,525   $ 698,525 $ 717,190  
Secured Mortgage Loans            
Variable Interest Entity [Line Items]            
Loans receivable, outstanding balance $ 89,000          
Outpatient medical | Other | Secured Mortgage Loans            
Variable Interest Entity [Line Items]            
Loans receivable, outstanding balance   41,000        
Payments for loans receivable       4,000    
PropTech            
Variable Interest Entity [Line Items]            
Payments to acquire equity investments       1,000 1,000  
Equity investment, aggregate cost   $ 10,000   $ 10,000    
Equity investment, percentage of total fund commitments   5.00%   5.00%    
Equity method investment, amount   $ 2,000   $ 2,000    
Needham Land Parcel JV | Lab Buildings            
Variable Interest Entity [Line Items]            
Investment ownership percentage   38.00% 38.00% 38.00%    
Cash paid     $ 13,000      
Equity method investment, amount   $ 21,157   $ 21,157 $ 21,348  
HQ Point Investment            
Variable Interest Entity [Line Items]            
Equity investment, aggregate cost           $ 50,000
HQ Point Investment | Lab Buildings            
Variable Interest Entity [Line Items]            
Payments to acquire equity investments       $ 21,000    
Unconsolidated Variable Interest Entities | Commercial Mortgage-Backed Securities            
Variable Interest Entity [Line Items]            
Number of hospitals | hospital   3   3    
Ventures V            
Variable Interest Entity [Line Items]            
VIE ownership percentage       51.00%    
MSREI JV            
Variable Interest Entity [Line Items]            
VIE ownership percentage       51.00%    
DownREIT Partnerships            
Variable Interest Entity [Line Items]            
Number of DownREIT LLCs | joint_venture   8   8 8