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Dispositions of Real Estate and Discontinued Operations (Tables)
 12 Months Ended
Dec. 31, 2020
Discontinued Operations and Disposal Groups [Abstract]  
Summary of Assets and Liabilities Transferred to Qcp at the Spin-off Date
The following summarizes the assets and liabilities classified as discontinued operations at December 31, 2020 and 2019, which are included in assets held for sale and discontinued operations, net and liabilities related to assets held for sale and discontinued operations, net, respectively, on the consolidated balance sheets (in thousands):
December 31,
20202019
ASSETS
Real estate:
Buildings and improvements$2,553,254 $3,626,665 
Development costs and construction in progress21,509 38,728 
Land355,803 467,956 
Accumulated depreciation and amortization(615,708)(861,557)
Net real estate2,314,858 3,271,792 
Investments in and advances to unconsolidated joint ventures5,842 51,134 
Accounts receivable, net of allowance of $5,873 and $4,178
20,500 14,575 
Cash and cash equivalents53,085 63,834 
Restricted cash17,168 27,040 
Intangible assets, net24,541 82,071 
Right-of-use asset, net4,109 5,701 
Other assets, net(1)
103,965 125,502 
Total assets of discontinued operations, net2,544,068 3,641,649 
Total medical office assets held for sale, net(2)
82,238 6,616 
Assets held for sale and discontinued operations, net$2,626,306 $3,648,265 
LIABILITIES
Mortgage debt318,876 296,879 
Lease liability3,189 4,871 
Accounts payable, accrued liabilities, and other liabilities79,411 83,392 
Deferred revenue11,442 18,520 
Total liabilities of discontinued operations, net412,918 403,662 
Total liabilities related to medical office assets held for sale, net2,819 26 
Liabilities related to assets held for sale and discontinued operations, net$415,737 $403,688 
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(1)Includes goodwill of $29 million and $30 million as of December 31, 2020 and 2019, respectively.
(2)Primarily comprised of six MOBs with net real estate assets of $73 million and two MOBs with net real estate assets of $7 million as of December 31, 2020 and 2019, respectively.
Summarized financial information for discontinued operations for the years ended December 31, 2020, 2019, and 2018 is as follows (in thousands):
 Year Ended December 31,
 202020192018
Revenues:
Rental and related revenues$97,877 $152,576 $216,887 
Resident fees and services621,253 583,653 400,557 
Income from direct financing leases— 20,815 37,926 
Total revenues719,130 757,044 655,370 
Costs and expenses:
Interest expense10,538 8,007 5,062 
Depreciation and amortization143,194 224,798 144,819 
Operating550,226 474,126 326,381 
Transaction costs20,426 6,780 9,635 
Impairments and loan loss reserves (recoveries), net201,344 208,229 44,343 
Total costs and expenses925,728 921,940 530,240 
Other income (expense):
Gain (loss) on sales of real estate, net460,144 22,940 94,618 
Other income (expense), net5,475 17,060 (110)
Total other income (expense), net465,619 40,000 94,508 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures259,021 (124,896)219,638 
Income tax benefit (expense)9,913 11,783 13,459 
Equity income (loss) from unconsolidated joint ventures(1,188)(2,295)3,159 
Income (loss) from discontinued operations$267,746 $(115,408)$236,256