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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2022
Mar. 31, 2022
Jun. 30, 2021
Mar. 31, 2021
Jun. 30, 2022
Jun. 30, 2021
Revenues:            
Total revenues $ 313,028   $ 346,341   $ 623,761 $ 709,065
Expenses:            
Property operating expenses 266,066   264,632   534,808 552,023
Depreciation and amortization 58,261   67,888   115,520 134,041
General and administrative 7,207   9,126   14,492 16,668
Acquisition and certain other transaction related costs 609   12,071   1,537 12,071
Impairment of assets 0   0   0 (174)
Total expenses 332,143   353,717   666,357 714,629
(Loss) gain on sale of properties (686)   30,760   327,108 30,638
Losses on equity securities, net (10,157)   (3,849)   (18,710) (12,188)
Interest and other income 2,266   16,038   2,661 18,873
Interest expense (55,975)   (67,657)   (113,106) (127,748)
Gain (loss) on modification or early extinguishment of debt (29,560)   (370)   (30,043) (2,410)
Income (loss) from continuing operations before income tax benefit (expense) and equity in earnings of investees (113,227)   (32,454)   125,314 (98,399)
Income tax benefit (expense) (640)   191   832 429
Equity in earnings of investees 3,204       6,558 0
Net (loss) income (109,383) $ 240,423 (32,645) $ (66,183) 131,040 (98,828)
Net income attributable to noncontrolling interest 0   (1,577)   0 (2,899)
Net (loss) income attributable to common shareholders (109,383)   (34,222)   131,040 (101,727)
Rental income            
Revenues:            
Total revenues 62,522   102,394   127,807 205,152
Residents fees and services            
Revenues:            
Total revenues 250,506   243,947   495,954 503,913
Operating Segments | Office Portfolio            
Revenues:            
Total revenues 52,610   92,804   107,607 186,127
Expenses:            
Property operating expenses 22,026   31,321   45,473 62,614
Depreciation and amortization 17,997   32,497   36,387 64,435
General and administrative 0   0   0 0
Acquisition and certain other transaction related costs 0   0   0 0
Impairment of assets           0
Total expenses 40,023   63,818   81,860 127,049
(Loss) gain on sale of properties (1,226)   30,760   326,316 30,638
Losses on equity securities, net 0   0   0 0
Interest and other income 0   0   0 0
Interest expense (216)   (5,992)   (581) (11,931)
Gain (loss) on modification or early extinguishment of debt 16   0   16 0
Income (loss) from continuing operations before income tax benefit (expense) and equity in earnings of investees 11,161   53,754   351,498 77,785
Income tax benefit (expense) 0   0   0 0
Equity in earnings of investees 3,204       6,558  
Net (loss) income 14,365   53,754   358,056 77,785
Net income attributable to noncontrolling interest     (1,577)     (2,899)
Net (loss) income attributable to common shareholders     52,177     74,886
Operating Segments | SHOP            
Revenues:            
Total revenues 250,506   243,947   495,954 503,913
Expenses:            
Property operating expenses 244,040   233,311   489,335 489,409
Depreciation and amortization 37,369   32,538   73,352 63,899
General and administrative 0   0   0 0
Acquisition and certain other transaction related costs 0   0   0 0
Impairment of assets           (174)
Total expenses 281,409   265,849   562,687 553,134
(Loss) gain on sale of properties 540   0   792 0
Losses on equity securities, net 0   0   0 0
Interest and other income 760   15,748   959 18,181
Interest expense (491)   (525)   (985) (1,053)
Gain (loss) on modification or early extinguishment of debt 0   0   0 0
Income (loss) from continuing operations before income tax benefit (expense) and equity in earnings of investees (30,094)   (6,679)   (65,967) (32,093)
Income tax benefit (expense) 0   0   0 0
Equity in earnings of investees 0       0  
Net (loss) income (30,094)   (6,679)   (65,967) (32,093)
Net income attributable to noncontrolling interest     0     0
Net (loss) income attributable to common shareholders     (6,679)     (32,093)
Operating Segments | Rental income | Office Portfolio            
Revenues:            
Total revenues 52,610   92,804   107,607 186,127
Operating Segments | Rental income | SHOP            
Revenues:            
Total revenues 0   0   0 0
Operating Segments | Residents fees and services | Office Portfolio            
Revenues:            
Total revenues 0   0   0 0
Operating Segments | Residents fees and services | SHOP            
Revenues:            
Total revenues 250,506   243,947   495,954 503,913
Non-Segment            
Revenues:            
Total revenues 9,912   9,590   20,200 19,025
Expenses:            
Property operating expenses 0   0   0 0
Depreciation and amortization 2,895   2,853   5,781 5,707
General and administrative 7,207   9,126   14,492 16,668
Acquisition and certain other transaction related costs 609   12,071   1,537 12,071
Impairment of assets           0
Total expenses 10,711   24,050   21,810 34,446
(Loss) gain on sale of properties 0   0   0 0
Losses on equity securities, net (10,157)   (3,849)   (18,710) (12,188)
Interest and other income 1,506   290   1,702 692
Interest expense (55,268)   (61,140)   (111,540) (114,764)
Gain (loss) on modification or early extinguishment of debt (29,576)   (370)   (30,059) (2,410)
Income (loss) from continuing operations before income tax benefit (expense) and equity in earnings of investees (94,294)   (79,529)   (160,217) (144,091)
Income tax benefit (expense) (640)   191   832 429
Equity in earnings of investees 0       0  
Net (loss) income (93,654)   (79,720)   (161,049) (144,520)
Net income attributable to noncontrolling interest     0     0
Net (loss) income attributable to common shareholders     (79,720)     (144,520)
Non-Segment | Rental income            
Revenues:            
Total revenues 9,912   9,590   20,200 19,025
Non-Segment | Residents fees and services            
Revenues:            
Total revenues $ 0   $ 0   $ 0 $ 0