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Segment Reporting
3 Months Ended
Mar. 31, 2023
Segment Reporting [Abstract]  
Segment Reporting Segment ReportingWe operate in, and report financial information for, the following two segments: Office Portfolio and 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, which consists of triple net leased senior living communities that are leased to third party operators from which we receive rents and wellness centers, 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 March 31, 2023
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$57,022 $— $9,416 $66,438 
Residents fees and services— 279,592 — 279,592 
Total revenues57,022 279,592 9,416 346,030 
Expenses:    
Property operating expenses23,515 262,329 236 286,080 
Depreciation and amortization20,035 42,152 2,613 64,800 
General and administrative— — 5,873 5,873 
Acquisition and certain other transaction related costs
— — 93 93 
Impairment of assets2,308 3,617 — 5,925 
Total expenses45,858 308,098 8,815 362,771 
Gain on sale of properties— 1,233 — 1,233 
Gains on equity securities, net— — 8,126 8,126 
Interest and other income— — 4,195 4,195 
Interest expense(109)(271)(47,400)(47,780)
Loss on modification or early extinguishment of debt— — (1,075)(1,075)
Income (loss) before income tax benefit and equity in net losses of investees11,055 (27,544)(35,553)(52,042)
Income tax benefit— — 31 31 
Equity in net losses of investees(647)— — (647)
Net income (loss)$10,408 $(27,544)$(35,522)$(52,658)
 As of March 31, 2023
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$1,954,075 $3,153,704 $558,951 $5,666,730 
 For the Three Months Ended March 31, 2022
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$54,997 $— $10,288 $65,285 
Residents fees and services— 245,448 — 245,448 
Total revenues54,997 245,448 10,288 310,733 
Expenses:    
Property operating expenses23,447 245,295 — 268,742 
Depreciation and amortization18,390 35,983 2,886 57,259 
General and administrative— — 7,285 7,285 
Acquisition and certain other transaction related costs
— — 928 928 
Total expenses41,837 281,278 11,099 334,214 
Gain on sale of properties327,542 252 — 327,794 
Losses on equity securities, net— — (8,553)(8,553)
Interest and other income— 199 196 395 
Interest expense(365)(494)(56,272)(57,131)
Loss on modification or early extinguishment of debt— — (483)(483)
Income (loss) before income tax expense and equity in net earnings of investees340,337 (35,873)(65,923)238,541 
Income tax expense— — (1,472)(1,472)
Equity in net earnings of investees3,354 — — 3,354 
Net income (loss)$343,691 $(35,873)$(67,395)$240,423 
 As of December 31, 2022
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$1,967,244 $3,147,785 $887,064 $6,002,093