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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment The following tables reconcile the segment activity to consolidated net loss for the years ended December 31, 2021, 2020 and 2019:
Year Ended December 31, 2021
(In thousands)Medical Office BuildingsSeniors Housing — Operating PropertiesConsolidated
Revenue from tenants$122,867 $206,488 $329,355 
Property operating and maintenance34,480 171,333 205,813 
NOI$88,387 $35,155 123,542 
Impairment charges(40,951)
Operating fees to related parties(24,206)
Acquisition and transaction related(2,714)
General and administrative(16,828)
Depreciation and amortization(79,926)
Gain on sale of real estate investments3,648 
Interest expense(47,900)
Interest and other income 61 
Loss on non designated derivatives37 
Income tax expense(203)
Net income attributable to non-controlling interests260 
Allocation for preferred stock(7,762)
Net loss attributable to common stockholders$(92,942)
Year Ended December 31, 2020
(In thousands)Medical Office BuildingsSeniors Housing — Operating PropertiesConsolidated
Revenue from tenants$119,824 $261,788 $381,612 
Property operating and maintenance32,812 210,736 243,548 
NOI87,012 51,052 138,064 
Impairment charges(36,446)
Operating fees to related parties(23,922)
Acquisition and transaction related(173)
General and administrative(21,572)
Depreciation and amortization(81,053)
Interest expense(51,519)
Interest and other income44 
Gain on sale of real estate investments5,230 
Loss on sale of non-designated derivatives(102)
Income tax expense(4,061)
Net loss attributable to non-controlling interests(303)
Allocation for preferred stock(2,968)
Net loss attributable to common stockholders$(78,781)
Year Ended December 31, 2019
(In thousands)Medical Office BuildingsSeniors Housing — Operating PropertiesConsolidated
Revenue from tenants$114,943 $259,971 $374,914 
Property operating and maintenance34,123 200,062 234,185 
NOI80,820 59,909 140,729 
Impairment charges(55,969)
Operating fees to related parties(23,414)
Acquisition and transaction related(362)
General and administrative(20,530)
Depreciation and amortization(81,032)
Gain on sale of real estate investment 8,790 
Interest expense(56,059)
Interest and other income
Loss on non-designated derivatives (68)
Income tax expense(399)
Net loss attributable to non-controlling interests393 
Allocation for preferred stock(173)
Net loss attributable to common stockholders$(88,087)

The following table reconciles the segment activity to consolidated total assets as of the periods presented:
December 31,
(In thousands)20212020
ASSETS
Investments in real estate, net:
Medical office and other healthcare-related buildings$1,149,241 $1,121,898 
Seniors housing — operating properties900,686 987,050 
Total investments in real estate, net
2,049,927 2,108,948 
Cash and cash equivalents59,738 72,357 
Restricted cash25,644 17,989 
Assets held for sale— 90 
Derivative assets, at fair value174 13 
Straight-line rent receivable, net23,858 23,322 
Operating lease right-of-use asset7,914 13,912 
Prepaid expenses and other assets32,564 34,932 
Deferred costs, net14,581 15,332 
Total assets$2,214,400 $2,286,895 
The following table reconciles capital expenditures by reportable business segments, excluding corporate non-real estate expenditures, for the periods presented:
Year Ended December 31,
(In thousands)202120202019
Medical office and other healthcare-related buildings$6,152 $8,561 $5,705 
Seniors housing — operating properties12,919 12,833 11,014 
Total capital expenditures$19,071 $21,394 $16,719