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Segment Reporting
 9 Months Ended
Sep. 30, 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 September 30, 2022
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$55,254 $— $8,706 $63,960 
Residents fees and services— 258,960 — 258,960 
Total revenues55,254 258,960 8,706 322,920 
Expenses:    
Property operating expenses24,179 264,722 195 289,096 
Depreciation and amortization19,037 38,484 2,886 60,407 
General and administrative— — 6,179 6,179 
Acquisition and certain other transaction related costs
— — 289 289 
Total expenses43,216 303,206 9,549 355,971 
(Loss) gain on sale of properties(5,074)30 — (5,044)
Losses on equity securities, net— — (2,674)(2,674)
Interest and other income— 125 3,974 4,099 
Interest expense(217)(298)(46,421)(46,936)
Income (loss) from continuing operations before income tax expense and equity in earnings of investees6,747 (44,389)(45,964)(83,606)
Income tax expense— — (13)(13)
Equity in earnings of investees2,127 — — 2,127 
Net income (loss)$8,874 $(44,389)$(45,977)$(81,492)
 For the Nine Months Ended September 30, 2022
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$162,861 $— $28,906 $191,767 
Residents fees and services— 754,914 — 754,914 
Total revenues162,861 754,914 28,906 946,681 
Expenses:    
Property operating expenses69,652 754,057 195 823,904 
Depreciation and amortization55,424 111,836 8,667 175,927 
General and administrative— — 20,671 20,671 
Acquisition and certain other transaction related costs
— — 1,826 1,826 
Total expenses125,076 865,893 31,359 1,022,328 
Gain on sale of properties321,242 822 — 322,064 
Losses on equity securities, net— — (21,384)(21,384)
Interest and other income— 1,084 5,676 6,760 
Interest expense(798)(1,283)(157,961)(160,042)
Gain (loss) on modification or early extinguishment of debt16 — (30,059)(30,043)
Income (loss) from continuing operations before income tax expense and equity in earnings of investees358,245 (110,356)(206,181)41,708 
Income tax expense— — (845)(845)
Equity in earnings of investees8,685 — — 8,685 
Net income (loss)$366,930 $(110,356)$(207,026)$49,548 
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 $1,084 and $18,967 as other income in our condensed consolidated statements of comprehensive income (loss) with respect to our SHOP segment for the nine months ended September 30, 2022 and 2021, respectively.
 As of September 30, 2022
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$1,969,679 $3,039,210 $1,063,597 $6,072,486 
 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 expense20,939 (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 PortfolioSHOP Non-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 modification or early extinguishment of debt— — (2,410)(2,410)
Income (loss) from continuing operations before income tax expense98,724 (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)
 As of December 31, 2021
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$2,282,652 $2,995,819 $1,345,043 $6,623,514