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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Revenues:        
Total revenues $ 356,524 $ 322,920 $ 1,048,773 $ 946,681
Expenses:        
Property operating expenses 298,432 289,096 870,740 823,904
Depreciation and amortization 67,236 60,407 200,430 175,927
General and administrative 6,954 6,179 20,111 20,671
Acquisition and certain other transaction related costs 3,676 289 9,812 1,826
Impairment of assets 1,156 0 18,380 0
Total expenses 377,454 355,971 1,119,473 1,022,328
(Loss) gain on sale of properties 0 (5,044) 1,233 322,064
Gains and losses on equity securities, net 0 (2,674) 8,126 (21,384)
Interest and other income 3,243 4,099 12,572 6,760
Interest expense (47,758) (46,936) (142,922) (160,042)
Gain (loss) on modification or early extinguishment of debt 0 0 (1,075) (30,043)
Income (loss) before income tax expense and equity in net earnings (losses) of investees (65,445) (83,606) (192,766) 41,708
Income tax expense (189) (13) (379) (845)
Equity in net (losses) earnings of investees (145) 2,127 2,137 8,685
Net (loss) income (65,779) (81,492) (191,008) 49,548
Rental income        
Revenues:        
Total revenues 63,390 63,960 191,201 191,767
Residents fees and services        
Revenues:        
Total revenues 293,134 258,960 857,572 754,914
Operating Segments | Office Portfolio        
Revenues:        
Total revenues 55,058 55,254 165,448 162,861
Expenses:        
Property operating expenses 25,784 24,179 73,237 69,652
Depreciation and amortization 20,175 19,037 63,065 55,424
General and administrative 0 0 0 0
Acquisition and certain other transaction related costs 0 0 0 0
Impairment of assets 427   14,034  
Total expenses 46,386 43,216 150,336 125,076
(Loss) gain on sale of properties   (5,074) 0 321,242
Gains and losses on equity securities, net   0 0 0
Interest and other income 0 0 0 0
Interest expense (119) (217) (344) (798)
Gain (loss) on modification or early extinguishment of debt     0 16
Income (loss) before income tax expense and equity in net earnings (losses) of investees 8,553 6,747 14,768 358,245
Income tax expense 0 0 0 0
Equity in net (losses) earnings of investees (145) 2,127 2,137 8,685
Net (loss) income 8,408 8,874 16,905 366,930
Operating Segments | SHOP        
Revenues:        
Total revenues 293,134 258,960 857,572 754,914
Expenses:        
Property operating expenses 272,445 264,722 796,733 754,057
Depreciation and amortization 44,587 38,484 129,891 111,836
General and administrative 0 0 0 0
Acquisition and certain other transaction related costs 0 0 0 0
Impairment of assets 729   4,346  
Total expenses 317,761 303,206 930,970 865,893
(Loss) gain on sale of properties   30 1,233 822
Gains and losses on equity securities, net   0 0 0
Interest and other income 115 125 1,581 1,084
Interest expense (79) (298) (502) (1,283)
Gain (loss) on modification or early extinguishment of debt     0 0
Income (loss) before income tax expense and equity in net earnings (losses) of investees (24,591) (44,389) (71,086) (110,356)
Income tax expense 0 0 0 0
Equity in net (losses) earnings of investees 0 0 0 0
Net (loss) income (24,591) (44,389) (71,086) (110,356)
Operating Segments | Rental income | Office Portfolio        
Revenues:        
Total revenues 55,058 55,254 165,448 162,861
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 293,134 258,960 857,572 754,914
Non-Segment        
Revenues:        
Total revenues 8,332 8,706 25,753 28,906
Expenses:        
Property operating expenses 203 195 770 195
Depreciation and amortization 2,474 2,886 7,474 8,667
General and administrative 6,954 6,179 20,111 20,671
Acquisition and certain other transaction related costs 3,676 289 9,812 1,826
Impairment of assets 0   0  
Total expenses 13,307 9,549 38,167 31,359
(Loss) gain on sale of properties   0 0 0
Gains and losses on equity securities, net   (2,674) 8,126 (21,384)
Interest and other income 3,128 3,974 10,991 5,676
Interest expense (47,560) (46,421) (142,076) (157,961)
Gain (loss) on modification or early extinguishment of debt     (1,075) (30,059)
Income (loss) before income tax expense and equity in net earnings (losses) of investees (49,407) (45,964) (136,448) (206,181)
Income tax expense (189) (13) (379) (845)
Equity in net (losses) earnings of investees 0 0 0 0
Net (loss) income (49,596) (45,977) (136,827) (207,026)
Non-Segment | Rental income        
Revenues:        
Total revenues 8,332 8,706 25,753 28,906
Non-Segment | Residents fees and services        
Revenues:        
Total revenues $ 0 $ 0 $ 0 $ 0