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Segment Reporting
 9 Months Ended
Sep. 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 managers 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 September 30, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$91,520 $— $9,883 $101,403 
Residents fees and services— 236,013 — 236,013 
Total revenues91,520 236,013 9,883 337,416 
Expenses:    
Property operating expenses32,386 233,687 — 266,073 
Depreciation and amortization32,142 33,688 2,872 68,702 
General and administrative— — 8,870 8,870 
Acquisition and certain other transaction related costs
— — 3,108 3,108 
Total expenses64,528 267,375 14,850 346,753 
Gain on sale of properties— 200 — 200 
Losses on equity securities, net— — (14,755)(14,755)
Interest and other income— 786 190 976 
Interest expense(6,053)(523)(57,917)(64,493)
Income (loss) from continuing operations before income tax expense
20,939 (30,899)(77,449)(87,409)
Income tax expense— — (595)(595)
Net income (loss)20,939 (30,899)(78,044)(88,004)
Net income attributable to noncontrolling interest(1,339)— — (1,339)
Net income (loss) attributable to common shareholders
$19,600 $(30,899)$(78,044)$(89,343)
 For the Nine Months Ended September 30, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$277,647 $— $28,908 $306,555 
Residents fees and services— 739,926 — 739,926 
Total revenues277,647 739,926 28,908 1,046,481 
Expenses:    
Property operating expenses95,000 723,096 — 818,096 
Depreciation and amortization96,577 97,587 8,579 202,743 
General and administrative— — 25,538 25,538 
Acquisition and certain other transaction related costs
— — 15,179 15,179 
Impairment of assets— (174)— (174)
Total expenses191,577 820,509 49,296 1,061,382 
Gain on sale of properties30,638 200 — 30,838 
Losses on equity securities, net— — (26,943)(26,943)
Interest and other income— 18,967 882 19,849 
Interest expense(17,984)(1,576)(172,681)(192,241)
Loss on early extinguishment of debt— — (2,410)(2,410)
Income (loss) from continuing operations before income tax expense
98,724 (62,992)(221,540)(185,808)
Income tax expense— — (1,024)(1,024)
Net income (loss)98,724 (62,992)(222,564)(186,832)
Net income attributable to noncontrolling interest(4,238)— — (4,238)
Net income (loss) attributable to common shareholders
$94,486 $(62,992)$(222,564)$(191,070)
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 $18,967 and $7,346 as other income with respect to our SHOP segment for the nine months ended September 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 September 30, 2021
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$2,990,711 $2,948,995 $1,126,342 $7,066,048 
 For the Three Months Ended September 30, 2020
 Office PortfolioSHOPNon-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 expense20,400 (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)
 For the Nine Months Ended September 30, 2020
 Office PortfolioSHOP 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 properties2,613 (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 expense70,237 (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)
 As of December 31, 2020
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,092,289 $2,912,570 $471,565 $6,476,424