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Segment Reporting - Income Statements (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Revenues:            
Total revenues $ 371,392   $ 346,219   $ 742,168 $ 692,249
Expenses:            
Property operating expenses 304,065   286,228   611,669 572,308
Depreciation and amortization 68,357   68,394   138,490 133,194
General and administrative 6,262   7,284   13,830 13,157
Acquisition and certain other transaction related costs 1,826   6,043   1,912 6,136
Impairment of assets 6,545   11,299   18,687 17,224
Total expenses 387,055   379,248   784,588 742,019
Loss on sale of properties (13,213)   0   (19,087) 1,233
Gains on equity securities, net 0   0   0 8,126
Interest and other income 2,403   5,134   4,640 9,329
Interest expense (58,702)   (47,384)   (116,278) (95,164)
Loss on modification or early extinguishment of debt (209)   0   (209) (1,075)
Income (loss) before income tax expense and equity in net earnings of investees (85,384)   (75,279)   (173,354) (127,321)
Income tax expense (170)   (221)   (357) (190)
Equity in net (losses) earnings of investees (12,307)   2,929   (10,409) 2,282
Net loss (97,861) $ (86,259) (72,571) $ (52,658) (184,120) (125,229)
Rental income            
Revenues:            
Total revenues 62,870   61,373   125,520 127,811
Residents fees and services            
Revenues:            
Total revenues 308,522   284,846   616,648 564,438
Operating Segments | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 54,555   53,368   108,704 110,390
Expenses:            
Property operating expenses 24,282   23,938   48,179 47,453
Depreciation and amortization 18,975   22,855   39,715 42,890
General and administrative 0   0   0 0
Acquisition and certain other transaction related costs 0   0   0 0
Impairment of assets 6,545   11,299   18,687 13,607
Total expenses 49,802   58,092   106,581 103,950
Loss on sale of properties (13,213)       (19,087) 0
Gains on equity securities, net           0
Interest and other income 0   0   0 0
Interest expense (894)   (116)   (1,116) (225)
Loss on modification or early extinguishment of debt 0       0 0
Income (loss) before income tax expense and equity in net earnings of investees (9,354)   (4,840)   (18,080) 6,215
Income tax expense 0   0   0 0
Equity in net (losses) earnings of investees (21,493)   2,929   (19,880) 2,282
Net loss (30,847)   (1,911)   (37,960) 8,497
Operating Segments | SHOP            
Revenues:            
Total revenues 308,522   284,846   616,648 564,438
Expenses:            
Property operating expenses 279,538   261,959   562,954 524,288
Depreciation and amortization 46,911   43,152   93,833 85,304
General and administrative 0   0   0 0
Acquisition and certain other transaction related costs 0   0   0 0
Impairment of assets 0   0   0 3,617
Total expenses 326,449   305,111   656,787 613,209
Loss on sale of properties 0       0 1,233
Gains on equity securities, net           0
Interest and other income 0   1,466   0 1,466
Interest expense (61)   (152)   (129) (423)
Loss on modification or early extinguishment of debt 0       0 0
Income (loss) before income tax expense and equity in net earnings of investees (17,988)   (18,951)   (40,268) (46,495)
Income tax expense 0   0   0 0
Equity in net (losses) earnings of investees 0   0   0 0
Net loss (17,988)   (18,951)   (40,268) (46,495)
Operating Segments | Rental income | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 54,555   53,368   108,704 110,390
Operating Segments | Rental income | SHOP            
Revenues:            
Total revenues 0   0   0 0
Operating Segments | Residents fees and services | Medical Office and Life Science Portfolio            
Revenues:            
Total revenues 0   0   0 0
Operating Segments | Residents fees and services | SHOP            
Revenues:            
Total revenues 308,522   284,846   616,648 564,438
Non-Segment            
Revenues:            
Total revenues 8,315   8,005   16,816 17,421
Expenses:            
Property operating expenses 245   331   536 567
Depreciation and amortization 2,471   2,387   4,942 5,000
General and administrative 6,262   7,284   13,830 13,157
Acquisition and certain other transaction related costs 1,826   6,043   1,912 6,136
Impairment of assets 0   0   0 0
Total expenses 10,804   16,045   21,220 24,860
Loss on sale of properties 0       0 0
Gains on equity securities, net           8,126
Interest and other income 2,403   3,668   4,640 7,863
Interest expense (57,747)   (47,116)   (115,033) (94,516)
Loss on modification or early extinguishment of debt (209)       (209) (1,075)
Income (loss) before income tax expense and equity in net earnings of investees (58,042)   (51,488)   (115,006) (87,041)
Income tax expense (170)   (221)   (357) (190)
Equity in net (losses) earnings of investees 9,186   0   9,471 0
Net loss (49,026)   (51,709)   (105,892) (87,231)
Non-Segment | Rental income            
Revenues:            
Total revenues 8,315   8,005   16,816 17,421
Non-Segment | Residents fees and services            
Revenues:            
Total revenues $ 0   $ 0   $ 0 $ 0