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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Sep. 30, 2019
USD ($)
segment
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Segment Reporting [Abstract]                  
Number of operating segments | segment             4    
Number of reportable segments | segment             3    
Revenues:                  
Total revenues $ 255,827     $ 278,969     $ 784,116 $ 831,942  
Expenses:                  
Property operating expenses 125,083     115,987     362,498 334,141  
Depreciation and amortization 73,368     71,661     219,522 214,300  
General and administrative 9,604     31,032     28,287 85,228  
Acquisition and certain other transaction related costs 2,492     51     11,209 138  
Impairment of assets 33,099     4,525     41,518 5,073  
Total expenses 243,646     223,256     663,034 638,880  
Gain on sale of properties 4,183     0     21,893 261,916  
Dividend income 0     660     1,846 1,978  
Gains and losses on equity securities, net 40     35,137     (41,476) 85,643  
Interest and other income 238     248     590 362  
Interest expense (44,817)     (45,416)     (136,840) (133,781)  
Loss on early extinguishment of debt 0     108     (17) (22)  
(Loss) income from continuing operations before income tax benefit (expense) and equity in earnings of an investee (28,175)     46,450     (32,922) 409,158  
Income tax benefit (expense) 146     (79)     47 (444)  
Equity in earnings of an investee 83     831     617 882  
Net (loss) income (27,946) $ (35,816) $ 31,504 47,202 $ 124,988 $ 237,405 (32,258) 409,596  
Net income attributable to noncontrolling interest (1,444)     (1,397)     (4,279) (4,181)  
Net income (loss) attributable to common shareholders (29,390)     45,805     (36,537) 405,415  
Assets 6,916,990           6,916,990   $ 7,160,426
MOBs                  
Revenues:                  
Total revenues 100,010     104,492     307,616 309,497  
Expenses:                  
Property operating expenses 34,184     32,652     98,886 94,773  
Depreciation and amortization 33,801     35,223     104,939 105,934  
General and administrative 0     0     0 0  
Acquisition and certain other transaction related costs 0     0     0 0  
Impairment of assets 26,037     0     26,133 0  
Total expenses 94,022     67,875     229,958 200,707  
Gain on sale of properties 4,183           6,686 0  
Dividend income       0     0 0  
Gains and losses on equity securities, net 0     0     0 0  
Interest and other income 0     0     0 0  
Interest expense (6,239)     (6,172)     (18,257) (18,194)  
Loss on early extinguishment of debt       0     0 0  
(Loss) income from continuing operations before income tax benefit (expense) and equity in earnings of an investee 3,932     30,445     66,087 90,596  
Income tax benefit (expense) 0     0     0 0  
Equity in earnings of an investee 0     0     0 0  
Net (loss) income 3,932     30,445     66,087 90,596  
Net income attributable to noncontrolling interest (1,444)     (1,397)     (4,279) (4,181)  
Net income (loss) attributable to common shareholders 2,488     29,048     61,808 86,415  
Assets 3,255,596           3,255,596   3,344,581
Triple Net Leased Senior Living Communities                  
Revenues:                  
Total revenues 43,326     64,538     137,683 198,626  
Expenses:                  
Property operating expenses 0     0     0 0  
Depreciation and amortization 21,976     20,148     62,855 60,529  
General and administrative 0     0     0 0  
Acquisition and certain other transaction related costs 0     0     0 0  
Impairment of assets 7,062     4,525     15,385 5,073  
Total expenses 29,038     24,673     78,240 65,602  
Gain on sale of properties 0           15,207 261,916  
Dividend income       0     0 0  
Gains and losses on equity securities, net 0     0     0 0  
Interest and other income 0     0     0 0  
Interest expense (166)     (327)     (574) (1,463)  
Loss on early extinguishment of debt       76     0 76  
(Loss) income from continuing operations before income tax benefit (expense) and equity in earnings of an investee 14,122     39,614     74,076 393,553  
Income tax benefit (expense) 0     0     0 0  
Equity in earnings of an investee 0     0     0 0  
Net (loss) income 14,122     39,614     74,076 393,553  
Net income attributable to noncontrolling interest 0     0     0 0  
Net income (loss) attributable to common shareholders 14,122     39,614     74,076 393,553  
Assets 1,924,780           1,924,780   2,044,939
Managed Senior Living Communities                  
Revenues:                  
Total revenues 107,816     105,321     324,767 309,981  
Expenses:                  
Property operating expenses 90,899     83,335     263,612 239,368  
Depreciation and amortization 16,644     15,341     48,887 44,993  
General and administrative 0     0     0 0  
Acquisition and certain other transaction related costs 0     0     0 0  
Impairment of assets 0     0     0 0  
Total expenses 107,543     98,676     312,499 284,361  
Gain on sale of properties 0           0 0  
Dividend income       0     0 0  
Gains and losses on equity securities, net 0     0     0 0  
Interest and other income 0     0     0 0  
Interest expense (420)     (997)     (1,970) (3,580)  
Loss on early extinguishment of debt       32     (17) (98)  
(Loss) income from continuing operations before income tax benefit (expense) and equity in earnings of an investee (147)     5,680     10,281 21,942  
Income tax benefit (expense) 0     0     0 0  
Equity in earnings of an investee 0     0     0 0  
Net (loss) income (147)     5,680     10,281 21,942  
Net income attributable to noncontrolling interest 0     0     0 0  
Net income (loss) attributable to common shareholders (147)     5,680     10,281 21,942  
Assets 1,455,535           1,455,535   1,395,657
All Other Operations                  
Revenues:                  
Total revenues 4,675     4,618     14,050 13,838  
Expenses:                  
Property operating expenses 0     0     0 0  
Depreciation and amortization 947     949     2,841 2,844  
General and administrative 9,604     31,032     28,287 85,228  
Acquisition and certain other transaction related costs 2,492     51     11,209 138  
Impairment of assets 0     0     0 0  
Total expenses 13,043     32,032     42,337 88,210  
Gain on sale of properties 0           0 0  
Dividend income       660     1,846 1,978  
Gains and losses on equity securities, net 40     35,137     (41,476) 85,643  
Interest and other income 238     248     590 362  
Interest expense (37,992)     (37,920)     (116,039) (110,544)  
Loss on early extinguishment of debt       0     0 0  
(Loss) income from continuing operations before income tax benefit (expense) and equity in earnings of an investee (46,082)     (29,289)     (183,366) (96,933)  
Income tax benefit (expense) 146     (79)     47 (444)  
Equity in earnings of an investee 83     831     617 882  
Net (loss) income (45,853)     (28,537)     (182,702) (96,495)  
Net income attributable to noncontrolling interest 0     0     0 0  
Net income (loss) attributable to common shareholders (45,853)     (28,537)     (182,702) (96,495)  
Assets 281,079           281,079   $ 375,249
Rental income                  
Revenues:                  
Total revenues 148,011     173,648     459,349 521,961  
Rental income | MOBs                  
Revenues:                  
Total revenues 100,010     104,492     307,616 309,497  
Rental income | Triple Net Leased Senior Living Communities                  
Revenues:                  
Total revenues 43,326     64,538     137,683 198,626  
Rental income | Managed Senior Living Communities                  
Revenues:                  
Total revenues 0     0     0 0  
Rental income | All Other Operations                  
Revenues:                  
Total revenues 4,675     4,618     14,050 13,838  
Residents fees and services                  
Revenues:                  
Total revenues 107,816     105,321     324,767 309,981  
Residents fees and services | MOBs                  
Revenues:                  
Total revenues 0     0     0 0  
Residents fees and services | Triple Net Leased Senior Living Communities                  
Revenues:                  
Total revenues 0     0     0 0  
Residents fees and services | Managed Senior Living Communities                  
Revenues:                  
Total revenues 107,816     105,321     324,767 309,981  
Residents fees and services | All Other Operations                  
Revenues:                  
Total revenues $ 0     $ 0     $ 0 $ 0