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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2020
Segment Reporting [Abstract]  
Schedule of segment reporting information
 For the Three Months Ended September 30, 2020
 Office Portfolio
SHOP (1)
Non-SegmentConsolidated
Revenues:    
Rental income$94,235 $— $10,003 $104,238 
Residents fees and services— 290,101 — 290,101 
Total revenues94,235 290,101 10,003 394,339 
Expenses:    
Property operating expenses33,448 282,202 — 315,650 
Depreciation and amortization32,816 31,570 2,825 67,211 
General and administrative— — 6,988 6,988 
Acquisition and certain other transaction related costs
— — 53 53 
Impairment of assets1,334 62,868 — 64,202 
Total expenses67,598 376,640 9,866 454,104 
Loss on sale of properties(169)(42)— (211)
Gains on equity securities, net— — 12,510 12,510 
Interest and other income— — 134 134 
Interest expense(6,068)(552)(51,471)(58,091)
Income (loss) from continuing operations before income tax expense
20,400 (87,133)(38,690)(105,423)
Income tax expense— — (365)(365)
Net income (loss)20,400 (87,133)(39,055)(105,788)
Net income attributable to noncontrolling interest(1,100)— — (1,100)
Net income (loss) attributable to common shareholders
$19,300 $(87,133)$(39,055)$(106,888)
(1)Residents fees and services for the three months ended September 30, 2020 for our SHOP segment is net of a $4,005 reserve for an estimated Medicare refund we expect to pay. Property operating expenses for the three months ended September 30, 2020 for our SHOP segment includes $2,167 of estimated penalties, compliance costs and professional fees, net of management fees reimbursable by Five Star, related to the Medicare refund we expect to pay.
 For the Nine Months Ended September 30, 2020
 Office Portfolio
SHOP (1)
Non-SegmentConsolidated
Revenues:    
Rental income$288,515 $— $32,428 $320,943 
Residents fees and services— 926,174 — 926,174 
Total revenues288,515 926,174 32,428 1,247,117 
Expenses:    
Property operating expenses97,047 837,103 — 934,150 
Depreciation and amortization97,213 98,385 8,868 204,466 
General and administrative— — 23,132 23,132 
Acquisition and certain other transaction related costs
— — 803 803 
Impairment of assets8,090 98,521 — 106,611 
Total expenses202,350 1,034,009 32,803 1,269,162 
Gain (loss) on sale of properties
2,613 (210)— 2,403 
Gains on equity securities, net— — 14,541 14,541 
Interest and other income— 7,346 662 8,008 
Interest expense(18,140)(1,676)(123,899)(143,715)
Gain on lease termination— — 22,896 22,896 
Loss on early extinguishment of debt(401)— (26)(427)
Income (loss) from continuing operations before income tax expense
70,237 (102,375)(86,201)(118,339)
Income tax expense— — (1,048)(1,048)
Net income (loss)70,237 (102,375)(87,249)(119,387)
Net income attributable to noncontrolling interest(3,838)— — (3,838)
Net income (loss) attributable to common shareholders
$66,399 $(102,375)$(87,249)$(123,225)
(1)Residents fees and services for the nine months ended September 30, 2020 for our SHOP segment is net of a $4,005 reserve for an estimated Medicare refund we expect to pay. Property operating expenses for the nine months ended September 30, 2020 for our SHOP segment includes $2,167 of estimated penalties, compliance costs and professional fees, net of management fees reimbursable by Five Star, related to the Medicare refund we expect to pay.
 As of September 30, 2020
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,105,760 $2,914,966 $514,392 $6,535,118 
 For the Three Months Ended September 30, 2019
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$100,010 $32,738 $15,263 $148,011 
Residents fees and services— 107,816 — 107,816 
Total revenues100,010 140,554 15,263 255,827 
Expenses:    
Property operating expenses34,184 90,899 — 125,083 
Depreciation and amortization33,801 34,901 4,666 73,368 
General and administrative— — 9,604 9,604 
Acquisition and certain other transaction related costs
— — 2,492 2,492 
Impairment of assets26,037 718 6,344 33,099 
Total expenses94,022 126,518 23,106 243,646 
Gain on sale of properties4,183 — — 4,183 
Gains on equity securities, net— — 40 40 
Interest and other income— — 238 238 
Interest expense(6,239)(585)(37,993)(44,817)
Income (loss) from continuing operations before income tax benefit and equity in earnings of an investee
3,932 13,451 (45,558)(28,175)
Income tax benefit— — 146 146 
Equity in earnings of an investee— — 83 83 
Net income (loss)3,932 13,451 (45,329)(27,946)
Net income attributable to noncontrolling interest
(1,444)— — (1,444)
Net income (loss) attributable to common shareholders
$2,488 $13,451 $(45,329)$(29,390)
 For the Nine Months Ended September 30, 2019
 Office PortfolioSHOP Non-SegmentConsolidated
Revenues:    
Rental income$307,616 $105,451 $46,282 $459,349 
Residents fees and services— 324,767 — 324,767 
Total revenues307,616 430,218 46,282 784,116 
Expenses:    
Property operating expenses98,886 263,612 — 362,498 
Depreciation and amortization104,939 100,080 14,503 219,522 
General and administrative— — 28,287 28,287 
Acquisition and certain other transaction related costs
— — 11,209 11,209 
Impairment of assets26,133 9,041 6,344 41,518 
Total expenses229,958 372,733 60,343 663,034 
Gain on sale of properties6,686 15,207 — 21,893 
Dividend income— — 1,846 1,846 
Losses on equity securities, net— — (41,476)(41,476)
Interest and other income— — 590 590 
Interest expense(18,257)(2,481)(116,102)(136,840)
Loss on early extinguishment of debt— (17)— (17)
Income (loss) from continuing operations before income tax benefit and equity in earnings of an investee
66,087 70,194 (169,203)(32,922)
Income tax benefit— — 47 47 
Equity in earnings of an investee— — 617 617 
Net income (loss)66,087 70,194 (168,539)(32,258)
Net income attributable to noncontrolling interest
(4,279)— — (4,279)
Net income (loss) attributable to common shareholders
$61,808 $70,194 $(168,539)$(36,537)
 As of December 31, 2019
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,165,577 $3,044,989 $443,260 $6,653,826