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Segment Reporting
 12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
In connection with the 2020 Restructuring Transaction, we determined to redefine our reportable segments to better reflect our current operating environment. As of December 31, 2021, we operate in, and report financial information for, the following two segments: Office Portfolio and 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. In addition, prior to January 1, 2020, our SHOP segment included triple net leased senior living communities that provided short term and long term residential living and in some instances care and other services for residents and from which we received rents from Five Star. Pursuant to the 2020 Restructuring Transaction, effective January 1, 2020, our previously existing master leases and management and pooling agreements with Five Star were terminated and replaced with new management agreements and a related omnibus agreement, which agreements were later replaced in June 2021. Prior periods have been recast to reflect these reportable segments for all periods presented.
We also report “non-segment” operations, which consists of triple net leased senior living communities, that are leased to third party 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 Year Ended December 31, 2021
 Office Portfolio
SHOP
Non-SegmentConsolidated
Revenues:    
Rental income$367,597 $— $40,992 $408,589 
Residents fees and services— 974,623 — 974,623 
Total revenues367,597 974,623 40,992 1,383,212 
Expenses:    
Property operating expenses127,313 964,499 — 1,091,812 
Depreciation and amortization127,632 132,044 11,455 271,131 
General and administrative— — 34,087 34,087 
Acquisition and certain other transaction related costs— — 17,506 17,506 
Impairment of assets— (174)— (174)
Total expenses254,945 1,096,369 63,048 1,414,362 
Gain on sale of properties492,072 200 — 492,272 
Losses on equity securities, net— — (42,232)(42,232)
Interest and other income— 19,554 1,081 20,635 
Interest expense(23,477)(2,089)(230,193)(255,759)
Loss on early extinguishment of debt— — (2,410)(2,410)
Income (loss) from continuing operations before income tax expense581,247 (104,081)(295,810)181,356 
Income tax expense— — (1,430)(1,430)
Net income (loss)581,247 (104,081)(297,240)179,926 
Net income attributable to noncontrolling interest(5,411)— — (5,411)
Net income (loss) attributable to common shareholders$575,836 $(104,081)$(297,240)$174,515 
As of December 31, 2021
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$2,282,652 $2,995,819 $1,345,043 $6,623,514 
 For the Year Ended December 31, 2020
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$383,365 $— $43,850 $427,215 
Residents fees and services— 1,204,811 — 1,204,811 
Total revenues383,365 1,204,811 43,850 1,632,026 
Expenses:    
Property operating expenses129,756 1,106,601 — 1,236,357 
Depreciation and amortization129,321 129,124 11,702 270,147 
General and administrative— — 30,593 30,593 
Acquisition and certain other transaction related costs— — 814 814 
Impairment of assets8,558 98,414 — 106,972 
Total expenses267,635 1,334,139 43,109 1,644,883 
Gain (loss) on sale of properties2,597 (627)4,517 6,487 
Gains on equity securities, net— — 34,106 34,106 
Interest and other income— 17,485 736 18,221 
Interest expense(24,188)(2,223)(175,072)(201,483)
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 expense93,738 (114,693)(112,102)(133,057)
Income tax expense— — (1,250)(1,250)
Net income (loss)93,738 (114,693)(113,352)(134,307)
Net income attributable to noncontrolling interest(5,146)— — (5,146)
Net income (loss) attributable to common shareholders$88,592 $(114,693)$(113,352)$(139,453)
As of December 31, 2020
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$3,092,289 $2,912,570 $471,565 $6,476,424 
 For the Year Ended December 31, 2019
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$405,016 $137,898 $63,644 $606,558 
Residents fees and services— 433,597 — 433,597 
Total revenues405,016 571,495 63,644 1,040,155 
Expenses:    
Property operating expenses132,348 356,722 — 489,070 
Depreciation and amortization137,611 132,637 18,777 289,025 
General and administrative— — 37,028 37,028 
Acquisition and certain other transaction related costs— — 13,102 13,102 
Impairment of assets43,035 65,822 6,344 115,201 
Total expenses312,994 555,181 75,251 943,426 
Gain on sale of properties6,617 15,207 17,872 39,696 
Dividend income— — 1,846 1,846 
Losses on equity securities, net— — (41,898)(41,898)
Interest and other income— — 941 941 
Interest expense(24,399)(3,058)(152,655)(180,112)
Loss on early extinguishment of debt— (17)(27)(44)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee74,240 28,446 (185,528)(82,842)
Income tax expense— — (436)(436)
Equity in earnings of an investee— — 400 400 
Net income (loss)74,240 28,446 (185,564)(82,878)
Net income attributable to noncontrolling interest(5,356)— — (5,356)
Net income (loss) attributable to common shareholders$68,884 $28,446 $(185,564)$(88,234)
As of December 31, 2019
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$3,165,577 $3,044,989 $443,260 $6,653,826