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Intangible Assets and Goodwill
12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Intangible Assets and Goodwill Intangible Assets and Goodwill
The following is a summary of our real estate intangibles, excluding those related to ground leases or classified as held for sale, as of the dates indicated (dollars in thousands):
December 31, 2024December 31, 2023
Assets:
Gross acquired lease intangibles$2,548,766 $2,166,470 
Accumulated amortization(1,882,822)(1,651,656)
Net book value$665,944 $514,814 
Weighted average amortization period in years5.16.7
Liabilities:
Below market tenant leases$70,364 $70,364 
Accumulated amortization(52,397)(47,939)
Net book value$17,967 $22,425 
Weighted average amortization period in years8.58.4
The following is a summary of real estate intangible amortization income (expense) for the periods presented (in thousands):
 Year Ended December 31,
 202420232022
Rental income related to (above)/below market tenant leases, net$(463)$384 $1,551 
Amortization related to in-place lease intangibles and lease commissions(286,666)(226,663)(217,187)
The future estimated aggregate amortization of intangible assets and liabilities is as follows for the periods presented (in thousands):
 AssetsLiabilities
2025$308,280 $3,521 
2026156,861 2,875 
202740,961 2,272 
202831,035 1,869 
202924,323 1,430 
Thereafter104,484 6,000 
Totals$665,944 $17,967 
Goodwill
The change in the carrying amount of goodwill by reportable segment is as follows (in thousands):
Seniors Housing OperatingOutpatient MedicalTotal
Balance at December 31, 2022$— $68,321 $68,321 
Balance at December 31, 2023$— $68,321 $68,321 
Goodwill acquired$87,192 $— $87,192 
Impact of foreign currency translation(6,288)— (6,288)
Balance at December 31, 2024$80,904 $68,321 $149,225