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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Revenues:        
Total revenues $ 346,219 $ 313,028 $ 692,249 $ 623,761
Expenses:        
Property operating expenses 286,228 266,066 572,308 534,808
Depreciation and amortization 68,394 58,261 133,194 115,520
General and administrative 7,284 7,207 13,157 14,492
Acquisition and certain other transaction related costs 6,043 609 6,136 1,537
Impairment of assets 11,299 0 17,224 0
Total expenses 379,248 332,143 742,019 666,357
(Loss) gain on sale of properties 0 (686) 1,233 327,108
Gains and losses on equity securities, net 0 (10,157) 8,126 (18,710)
Interest and other income 5,134 2,266 9,329 2,661
Interest expense (47,384) (55,975) (95,164) (113,106)
Gain (loss) on modification or early extinguishment of debt 0 (29,560) (1,075) (30,043)
Income (loss) before income tax (expense) benefit and equity in net earnings of investees (75,279) (113,227) (127,321) 125,314
Income tax (expense) benefit (221) 640 (190) (832)
Equity in net earnings of investees 2,929 3,204 2,282 6,558
Net (loss) income (72,571) (109,383) (125,229) 131,040
Rental income        
Revenues:        
Total revenues 61,373 62,522 127,811 127,807
Residents fees and services        
Revenues:        
Total revenues 284,846 250,506 564,438 495,954
Operating Segments | Office Portfolio        
Revenues:        
Total revenues 53,368 52,610 110,390 107,607
Expenses:        
Property operating expenses 23,938 22,026 47,453 45,473
Depreciation and amortization 22,855 17,997 42,890 36,387
General and administrative 0 0 0 0
Acquisition and certain other transaction related costs 0 0 0 0
Impairment of assets 11,299   13,607  
Total expenses 58,092 40,023 103,950 81,860
(Loss) gain on sale of properties   (1,226) 0 326,316
Gains and losses on equity securities, net   0 0 0
Interest and other income 0 0 0 0
Interest expense (116) (216) (225) (581)
Gain (loss) on modification or early extinguishment of debt   16 0 16
Income (loss) before income tax (expense) benefit and equity in net earnings of investees (4,840) 11,161 6,215 351,498
Income tax (expense) benefit 0 0 0 0
Equity in net earnings of investees 2,929 3,204 2,282 6,558
Net (loss) income (1,911) 14,365 8,497 358,056
Operating Segments | SHOP        
Revenues:        
Total revenues 284,846 250,506 564,438 495,954
Expenses:        
Property operating expenses 261,959 244,040 524,288 489,335
Depreciation and amortization 43,152 37,369 85,304 73,352
General and administrative 0 0 0 0
Acquisition and certain other transaction related costs 0 0 0 0
Impairment of assets 0   3,617  
Total expenses 305,111 281,409 613,209 562,687
(Loss) gain on sale of properties   540 1,233 792
Gains and losses on equity securities, net   0 0 0
Interest and other income 1,466 760 1,466 959
Interest expense (152) (491) (423) (985)
Gain (loss) on modification or early extinguishment of debt   0 0 0
Income (loss) before income tax (expense) benefit and equity in net earnings of investees (18,951) (30,094) (46,495) (65,967)
Income tax (expense) benefit 0 0 0 0
Equity in net earnings of investees 0 0 0 0
Net (loss) income (18,951) (30,094) (46,495) (65,967)
Operating Segments | Rental income | Office Portfolio        
Revenues:        
Total revenues 53,368 52,610 110,390 107,607
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 284,846 250,506 564,438 495,954
Non-Segment        
Revenues:        
Total revenues 8,005 9,912 17,421 20,200
Expenses:        
Property operating expenses 331 0 567 0
Depreciation and amortization 2,387 2,895 5,000 5,781
General and administrative 7,284 7,207 13,157 14,492
Acquisition and certain other transaction related costs 6,043 609 6,136 1,537
Impairment of assets 0   0  
Total expenses 16,045 10,711 24,860 21,810
(Loss) gain on sale of properties   0 0 0
Gains and losses on equity securities, net   (10,157) 8,126 (18,710)
Interest and other income 3,668 1,506 7,863 1,702
Interest expense (47,116) (55,268) (94,516) (111,540)
Gain (loss) on modification or early extinguishment of debt   (29,576) (1,075) (30,059)
Income (loss) before income tax (expense) benefit and equity in net earnings of investees (51,488) (94,294) (87,041) (160,217)
Income tax (expense) benefit (221) 640 (190) (832)
Equity in net earnings of investees 0 0 0 0
Net (loss) income (51,709) (93,654) (87,231) (161,049)
Non-Segment | Rental income        
Revenues:        
Total revenues 8,005 9,912 17,421 20,200
Non-Segment | Residents fees and services        
Revenues:        
Total revenues $ 0 $ 0 $ 0 $ 0