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Segment Reporting
 3 Months Ended
Mar. 31, 2022
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, consisting of triple net leased senior living communities and wellness centers that are leased to third party operators from which we receive rents, 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 March 31, 2022
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$54,997 $— $10,288 $65,285 
Residents fees and services— 245,448 — 245,448 
Total revenues54,997 245,448 10,288 310,733 
Expenses:    
Property operating expenses23,447 245,295 — 268,742 
Depreciation and amortization18,390 35,983 2,886 57,259 
General and administrative— — 7,285 7,285 
Acquisition and certain other transaction related costs
— — 928 928 
Total expenses41,837 281,278 11,099 334,214 
Gain on sale of properties327,542 252 — 327,794 
Losses on equity securities, net— — (8,553)(8,553)
Interest and other income— 199 196 395 
Interest expense(365)(494)(56,272)(57,131)
Loss on modification or early extinguishment of debt— — (483)(483)
Income (loss) from continuing operations before income tax expense and equity in earnings of investees340,337 (35,873)(65,923)238,541 
Income tax expense— — (1,472)(1,472)
Equity in earnings of investees3,354 — — 3,354 
Net income (loss)$343,691 $(35,873)$(67,395)$240,423 
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 recognize income from government grants on a systematic and rational basis over the period in which we recognize the related expenses or loss of revenues for which the grants are intended to compensate when there is reasonable assurance that we will comply with the applicable terms and conditions of the grant and there is reasonable assurance that the grant will be received. We have recognized $199 and $2,433 as other income in our condensed consolidated statements of comprehensive income (loss) with respect to our SHOP segment for the three months ended March 31, 2022 and 2021, respectively.
 As of March 31, 2022
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$1,991,516 $2,981,824 $1,802,039 $6,775,379 
 For the Three Months Ended March 31, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$93,323 $— $9,435 $102,758 
Residents fees and services— 259,966 — 259,966 
Total revenues93,323 259,966 9,435 362,724 
Expenses:    
Property operating expenses31,293 256,098 — 287,391 
Depreciation and amortization31,938 31,361 2,854 66,153 
General and administrative— — 7,542 7,542 
Impairment of assets— (174)— (174)
Total expenses63,231 287,285 10,396 360,912 
Loss on sale of properties(122)— — (122)
Losses on equity securities, net— — (8,339)(8,339)
Interest and other income— 2,433 402 2,835 
Interest expense(5,939)(528)(53,624)(60,091)
Loss on modification or early extinguishment of debt— — (2,040)(2,040)
Income (loss) from continuing operations before income tax expense24,031 (25,414)(64,562)(65,945)
Income tax expense— — (238)(238)
Net income (loss)24,031 (25,414)(64,800)(66,183)
Net income attributable to noncontrolling interest
(1,322)— — (1,322)
Net income (loss) attributable to common shareholders
$22,709 $(25,414)$(64,800)$(67,505)
 As of December 31, 2021
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$2,282,652 $2,995,819 $1,345,043 $6,623,514