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Segment Reporting (Reconciliation of Segment Activity) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Segment Reporting Information [Line Items]    
Revenue from tenants $ 83,650 $ 83,436
Property operating and maintenance 53,090 49,355
Net operating income 30,560 34,081
Impairment charges (10,644) (878)
Operating fees to related parties (6,318) (5,883)
Acquisition and transaction related (579) (132)
General and administrative (4,899) (6,052)
Depreciation and amortization (20,420) (20,102)
Interest expense (11,764) (12,322)
Interest and other income 12 52
Losses on sale of real estate investments (303) (172)
Gains on non-designated derivative instruments 994 14
Income tax expense (39) (48)
Net loss (income) attributable to non-controlling interests 49 (46)
Allocation for preferred stock (3,450) (742)
Net loss attributable to common stockholders (26,801) (12,230)
Medical office buildings    
Segment Reporting Information [Line Items]    
Revenue from tenants 32,348 30,339
Property operating and maintenance 8,689 8,843
Net operating income 23,659 21,496
Seniors housing - operating properties    
Segment Reporting Information [Line Items]    
Revenue from tenants 51,302 53,097
Property operating and maintenance 44,401 40,512
Net operating income $ 6,901 $ 12,585