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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Sep. 30, 2022
Sep. 30, 2021
Revenues:                
Total revenues $ 322,920     $ 337,416     $ 946,681 $ 1,046,481
Expenses:                
Property operating expenses 289,096     266,073     823,904 818,096
Depreciation and amortization 60,407     68,702     175,927 202,743
General and administrative 6,179     8,870     20,671 25,538
Acquisition and certain other transaction related costs 289     3,108     1,826 15,179
Impairment of assets 0     0     0 (174)
Total expenses 355,971     346,753     1,022,328 1,061,382
(Loss) gain on sale of properties (5,044)     200     322,064 30,838
Losses on equity securities, net (2,674)     (14,755)     (21,384) (26,943)
Interest and other income 4,099     976     6,760 19,849
Interest expense (46,936)     (64,493)     (160,042) (192,241)
Gain (loss) on modification or early extinguishment of debt 0     0     (30,043) (2,410)
Income (loss) from continuing operations before income tax expense and equity in earnings of investees (83,606)     (87,409)     41,708 (185,808)
Income tax expense (13)     (595)     (845) (1,024)
Equity in earnings of investees 2,127           8,685 0
Net (loss) income (81,492) $ (109,383) $ 240,423 (88,004) $ (32,645) $ (66,183) 49,548 (186,832)
Net income attributable to noncontrolling interest 0     (1,339)     0 (4,238)
Net (loss) income attributable to common shareholders (81,492)     (89,343)     49,548 (191,070)
Rental income                
Revenues:                
Total revenues 63,960     101,403     191,767 306,555
Residents fees and services                
Revenues:                
Total revenues 258,960     236,013     754,914 739,926
Operating Segments | Office Portfolio                
Revenues:                
Total revenues 55,254     91,520     162,861 277,647
Expenses:                
Property operating expenses 24,179     32,386     69,652 95,000
Depreciation and amortization 19,037     32,142     55,424 96,577
General and administrative 0     0     0 0
Acquisition and certain other transaction related costs 0     0     0 0
Impairment of assets               0
Total expenses 43,216     64,528     125,076 191,577
(Loss) gain on sale of properties (5,074)     0     321,242 30,638
Losses on equity securities, net 0     0     0 0
Interest and other income 0     0     0 0
Interest expense (217)     (6,053)     (798) (17,984)
Gain (loss) on modification or early extinguishment of debt             16 0
Income (loss) from continuing operations before income tax expense and equity in earnings of investees 6,747     20,939     358,245 98,724
Income tax expense 0     0     0 0
Equity in earnings of investees 2,127           8,685  
Net (loss) income 8,874     20,939     366,930 98,724
Net income attributable to noncontrolling interest       (1,339)       (4,238)
Net (loss) income attributable to common shareholders       19,600       94,486
Operating Segments | SHOP                
Revenues:                
Total revenues 258,960     236,013     754,914 739,926
Expenses:                
Property operating expenses 264,722     233,687     754,057 723,096
Depreciation and amortization 38,484     33,688     111,836 97,587
General and administrative 0     0     0 0
Acquisition and certain other transaction related costs 0     0     0 0
Impairment of assets               (174)
Total expenses 303,206     267,375     865,893 820,509
(Loss) gain on sale of properties 30     200     822 200
Losses on equity securities, net 0     0     0 0
Interest and other income 125     786     1,084 18,967
Interest expense (298)     (523)     (1,283) (1,576)
Gain (loss) on modification or early extinguishment of debt             0 0
Income (loss) from continuing operations before income tax expense and equity in earnings of investees (44,389)     (30,899)     (110,356) (62,992)
Income tax expense 0     0     0 0
Equity in earnings of investees 0           0  
Net (loss) income (44,389)     (30,899)     (110,356) (62,992)
Net income attributable to noncontrolling interest       0       0
Net (loss) income attributable to common shareholders       (30,899)       (62,992)
Operating Segments | Rental income | Office Portfolio                
Revenues:                
Total revenues 55,254     91,520     162,861 277,647
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 258,960     236,013     754,914 739,926
Non-Segment                
Revenues:                
Total revenues 8,706     9,883     28,906 28,908
Expenses:                
Property operating expenses 195     0     195 0
Depreciation and amortization 2,886     2,872     8,667 8,579
General and administrative 6,179     8,870     20,671 25,538
Acquisition and certain other transaction related costs 289     3,108     1,826 15,179
Impairment of assets               0
Total expenses 9,549     14,850     31,359 49,296
(Loss) gain on sale of properties 0     0     0 0
Losses on equity securities, net (2,674)     (14,755)     (21,384) (26,943)
Interest and other income 3,974     190     5,676 882
Interest expense (46,421)     (57,917)     (157,961) (172,681)
Gain (loss) on modification or early extinguishment of debt             (30,059) (2,410)
Income (loss) from continuing operations before income tax expense and equity in earnings of investees (45,964)     (77,449)     (206,181) (221,540)
Income tax expense (13)     (595)     (845) (1,024)
Equity in earnings of investees 0           0  
Net (loss) income (45,977)     (78,044)     (207,026) (222,564)
Net income attributable to noncontrolling interest       0       0
Net (loss) income attributable to common shareholders       (78,044)       (222,564)
Non-Segment | Rental income                
Revenues:                
Total revenues 8,706     9,883     28,906 28,908
Non-Segment | Residents fees and services                
Revenues:                
Total revenues $ 0     $ 0     $ 0 $ 0