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Segment Reporting
 6 Months Ended
Jun. 30, 2021
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
We operate in, and report financial information for, the following two segments: Office Portfolio and senior housing operating portfolio, or SHOP. We aggregate each of these two reporting segments based on their similar operating and economic characteristics. Our Office Portfolio segment consists of medical office properties leased to medical providers and other medical related businesses, as well as life science properties leased to biotech laboratories and other similar tenants. Our SHOP segment consists of managed senior living communities that provide short term and long term residential living and in some instances care and other services for residents where we pay fees to a manager to operate the communities.
We also report “non-segment” operations, which consists of triple net leased senior living communities that are leased to operators from which we receive rents, and wellness centers, which we do not consider to be sufficiently material to constitute a separate reporting segment, and any other income or expenses that are not attributable to a specific reporting segment.
 For the Three Months Ended June 30, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$92,804 $— $9,590 $102,394 
Residents fees and services— 243,947 — 243,947 
Total revenues92,804 243,947 9,590 346,341 
Expenses:    
Property operating expenses31,321 233,311 — 264,632 
Depreciation and amortization32,497 32,538 2,853 67,888 
General and administrative— — 9,126 9,126 
Acquisition and certain other transaction related costs
— — 12,071 12,071 
Total expenses63,818 265,849 24,050 353,717 
Gain on sale of properties30,760 — — 30,760 
Losses on equity securities, net— — (3,849)(3,849)
Interest and other income— 15,748 290 16,038 
Interest expense(5,992)(525)(61,140)(67,657)
Loss on early extinguishment of debt— — (370)(370)
Income (loss) from continuing operations before income tax expense
53,754 (6,679)(79,529)(32,454)
Income tax expense— — (191)(191)
Net income (loss)53,754 (6,679)(79,720)(32,645)
Net income attributable to noncontrolling interest(1,577)— — (1,577)
Net income (loss) attributable to common shareholders
$52,177 $(6,679)$(79,720)$(34,222)
 For the Six Months Ended June 30, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$186,127 $— $19,025 $205,152 
Residents fees and services— 503,913 — 503,913 
Total revenues186,127 503,913 19,025 709,065 
Expenses:    
Property operating expenses62,614 489,409 — 552,023 
Depreciation and amortization64,435 63,899 5,707 134,041 
General and administrative— — 16,668 16,668 
Acquisition and certain other transaction related costs
— — 12,071 12,071 
Impairment of assets— (174)— (174)
Total expenses127,049 553,134 34,446 714,629 
Gain on sale of properties30,638 — — 30,638 
Losses on equity securities, net— — (12,188)(12,188)
Interest and other income— 18,181 692 18,873 
Interest expense(11,931)(1,053)(114,764)(127,748)
Loss on early extinguishment of debt— — (2,410)(2,410)
Income (loss) from continuing operations before income tax expense
77,785 (32,093)(144,091)(98,399)
Income tax expense— — (429)(429)
Net income (loss)77,785 (32,093)(144,520)(98,828)
Net income attributable to noncontrolling interest(2,899)— — (2,899)
Net income (loss) attributable to common shareholders
$74,886 $(32,093)$(144,520)$(101,727)
Under the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, the U.S. Department of Health and Human Services, or HHS, established a Provider Relief Fund. Retention and use of the funds received under the CARES Act are subject to certain terms and conditions. The terms and conditions require that the funds be utilized to compensate for lost revenues that are attributable to the COVID-19 pandemic and for eligible costs to prevent, prepare for and respond to the COVID-19 pandemic that are not covered by other sources. Further, fund recipients are required to be participating in Medicare at the time of distribution and are subject to certain other terms and conditions, including quarterly reporting requirements. In addition, fund recipients are required to have billed Medicare during 2019 and to continue to provide care after January 31, 2020 for diagnosis, testing or care for individuals with possible or actual COVID-19 cases. Any funds not used in accordance with the terms and conditions must be returned to HHS. We have recognized $18,181 and $7,346 as other income with respect to our SHOP segment for the six months ended June 30, 2021 and 2020, respectively. We have applied for additional funds that may be available under the CARES Act Provider Relief Fund; however, we may not receive any additional funding.
 As of June 30, 2021
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$2,997,668 $2,949,629 $1,232,555 $7,179,852 
 For the Three Months Ended June 30, 2020
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$95,510 $— $10,697 $106,207 
Residents fees and services— 304,104 — 304,104 
Total revenues95,510 304,104 10,697 410,311 
Expenses:    
Property operating expenses30,893 271,022 — 301,915 
Depreciation and amortization32,234 33,773 2,818 68,825 
General and administrative— — 7,312 7,312 
Acquisition and certain other transaction related costs
— — 87 87 
Impairment of assets538 30,637 — 31,175 
Total expenses63,665 335,432 10,217 409,314 
Loss on sale of properties— (168)— (168)
Gains on equity securities, net— — 11,974 11,974 
Interest and other income— 7,346 390 7,736 
Interest expense(6,020)(560)(37,394)(43,974)
Loss on early extinguishment of debt(155)— (26)(181)
Income (loss) from continuing operations before income tax expense25,670 (24,710)(24,576)(23,616)
Income tax expense— — (1,126)(1,126)
Net income (loss)25,670 (24,710)(25,702)(24,742)
Net income attributable to noncontrolling interest
(1,330)— — (1,330)
Net income (loss) attributable to common shareholders
$24,340 $(24,710)$(25,702)$(26,072)
 For the Six Months Ended June 30, 2020
 Office PortfolioSHOP Non-SegmentConsolidated
Revenues:    
Rental income$194,280 $— $22,425 $216,705 
Residents fees and services— 636,073 — 636,073 
Total revenues194,280 636,073 22,425 852,778 
Expenses:    
Property operating expenses63,599 554,901 — 618,500 
Depreciation and amortization64,397 66,815 6,043 137,255 
General and administrative— — 16,144 16,144 
Acquisition and certain other transaction related costs
— — 750 750 
Impairment of assets6,756 35,653 — 42,409 
Total expenses134,752 657,369 22,937 815,058 
Gain (loss) on sale of properties2,782 (168)— 2,614 
Gains on equity securities, net— — 2,031 2,031 
Interest and other income— 7,346 528 7,874 
Interest expense(12,072)(1,124)(72,428)(85,624)
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 expense49,837 (15,242)(47,511)(12,916)
Income tax expense— — (683)(683)
Net income (loss)49,837 (15,242)(48,194)(13,599)
Net income attributable to noncontrolling interest
(2,738)— — (2,738)
Net income (loss) attributable to common shareholders
$47,099 $(15,242)$(48,194)$(16,337)
 As of December 31, 2020
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,092,289 $2,912,570 $471,565 $6,476,424