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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
USD ($)
Mar. 31, 2020
USD ($)
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Jun. 30, 2020
USD ($)
segment
Jun. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Segment reporting              
Number of operating segments | segment         2    
Revenues:              
Total revenues $ 410,311   $ 262,003   $ 852,778 $ 528,289  
Expenses:              
Property operating expenses 301,915   120,193   618,500 237,415  
Depreciation and amortization 68,825   73,924   137,255 146,154  
General and administrative 7,312   8,867   16,144 18,683  
Acquisition and certain other transaction related costs 87   903   750 8,717  
Impairment of assets 31,175   2,213   42,409 8,419  
Total expenses 409,314   206,100   815,058 419,388  
(Loss) gain on sale of properties (168)   17,832   2,614 17,710  
Dividend income 0   923   0 1,846  
Gains (loss) on equity securities, net 11,974   (64,448)   2,031 (41,516)  
Interest and other income 7,736   238   7,874 352  
Interest expense (43,974)   (46,412)   (85,624) (92,023)  
Gain (loss) on termination of lease 0   0   22,896 0  
Gain (loss) on early extinguishment of debt (181)   (17)   (427) (17)  
Income (loss) from continuing operations before income tax expense (23,616)   (35,981)   (12,916) (4,747)  
Income tax expense (benefit) (1,126)   35   (683) (99)  
Equity in earnings of an investee 0   130   0 534  
Net income (loss) (24,742) $ 11,143 (35,816) $ 31,504 (13,599) (4,312)  
Net income attributable to noncontrolling interest (1,330)   (1,413)   (2,738) (2,835)  
Net income (loss) attributable to common shareholders (26,072)   (37,229)   (16,337) (7,147)  
Total assets 6,600,523       6,600,523   $ 6,653,826
Operating Segments | Office Portfolio              
Revenues:              
Total revenues 95,510   104,385   194,280 207,606  
Expenses:              
Property operating expenses 30,893   32,525   63,599 64,702  
Depreciation and amortization 32,234   35,037   64,397 71,138  
General and administrative 0   0   0 0  
Acquisition and certain other transaction related costs 0   0   0 0  
Impairment of assets 538   96   6,756 96  
Total expenses 63,665   67,658   134,752 135,936  
(Loss) gain on sale of properties 0   2,625   2,782 2,503  
Dividend income     0     0  
Gains (loss) on equity securities, net 0   0   0 0  
Interest and other income 0   0   0 0  
Interest expense (6,020)   (5,988)   (12,072) (12,018)  
Gain (loss) on termination of lease         0    
Gain (loss) on early extinguishment of debt (155)   0   (401) 0  
Income (loss) from continuing operations before income tax expense 25,670   33,364   49,837 62,155  
Income tax expense (benefit) 0   0   0 0  
Equity in earnings of an investee     0     0  
Net income (loss) 25,670   33,364   49,837 62,155  
Net income attributable to noncontrolling interest (1,330)   (1,413)   (2,738) (2,835)  
Net income (loss) attributable to common shareholders 24,340   31,951   47,099 59,320  
Total assets 3,119,928       3,119,928   3,165,577
Operating Segments | SHOP              
Revenues:              
Total revenues 304,104   142,306   636,073 289,664  
Expenses:              
Property operating expenses 271,022   87,668   554,901 172,713  
Depreciation and amortization 33,773   34,226   66,815 65,179  
General and administrative 0   0   0 0  
Acquisition and certain other transaction related costs 0   0   0 0  
Impairment of assets 30,637   2,117   35,653 8,323  
Total expenses 335,432   124,011   657,369 246,215  
(Loss) gain on sale of properties (168)   15,207   (168) 15,207  
Dividend income     0     0  
Gains (loss) on equity securities, net 0   0   0 0  
Interest and other income 7,346   0   7,346 0  
Interest expense (560)   (902)   (1,124) (1,896)  
Gain (loss) on termination of lease         0    
Gain (loss) on early extinguishment of debt 0   (17)   0 (17)  
Income (loss) from continuing operations before income tax expense (24,710)   32,583   (15,242) 56,743  
Income tax expense (benefit) 0   0   0 0  
Equity in earnings of an investee     0     0  
Net income (loss) (24,710)   32,583   (15,242) 56,743  
Net income attributable to noncontrolling interest 0   0   0 0  
Net income (loss) attributable to common shareholders (24,710)   32,583   (15,242) 56,743  
Total assets 3,005,164       3,005,164   3,044,989
Provider Relief Fund, CARES Act 10,133       10,133    
Provider Relief Fund, expected HHS return, CARES Act 2,787       2,787    
Non-Segment              
Revenues:              
Total revenues 10,697   15,312   22,425 31,019  
Expenses:              
Property operating expenses 0   0   0 0  
Depreciation and amortization 2,818   4,661   6,043 9,837  
General and administrative 7,312   8,867   16,144 18,683  
Acquisition and certain other transaction related costs 87   903   750 8,717  
Impairment of assets 0   0   0 0  
Total expenses 10,217   14,431   22,937 37,237  
(Loss) gain on sale of properties 0   0   0 0  
Dividend income     923     1,846  
Gains (loss) on equity securities, net 11,974   (64,448)   2,031 (41,516)  
Interest and other income 390   238   528 352  
Interest expense (37,394)   (39,522)   (72,428) (78,109)  
Gain (loss) on termination of lease         22,896    
Gain (loss) on early extinguishment of debt (26)   0   (26) 0  
Income (loss) from continuing operations before income tax expense (24,576)   (101,928)   (47,511) (123,645)  
Income tax expense (benefit) (1,126)   35   (683) (99)  
Equity in earnings of an investee     130     534  
Net income (loss) (25,702)   (101,763)   (48,194) (123,210)  
Net income attributable to noncontrolling interest 0   0   0 0  
Net income (loss) attributable to common shareholders (25,702)   (101,763)   (48,194) (123,210)  
Total assets 475,431       475,431   $ 443,260
Rental income              
Revenues:              
Total revenues 106,207   153,097   216,705 311,338  
Rental income | Operating Segments | Office Portfolio              
Revenues:              
Total revenues 95,510   104,385   194,280 207,606  
Rental income | Operating Segments | SHOP              
Revenues:              
Total revenues 0   33,400   0 72,713  
Rental income | Non-Segment              
Revenues:              
Total revenues 10,697   15,312   22,425 31,019  
Residents fees and services              
Revenues:              
Total revenues 304,104   108,906   636,073 216,951  
Residents fees and services | Operating Segments | Office Portfolio              
Revenues:              
Total revenues 0   0   0 0  
Residents fees and services | Operating Segments | SHOP              
Revenues:              
Total revenues 304,104   108,906   636,073 216,951  
Residents fees and services | Non-Segment              
Revenues:              
Total revenues $ 0   $ 0   $ 0 $ 0