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Segment Reporting (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
USD ($)
Jun. 30, 2020
USD ($)
Mar. 31, 2020
USD ($)
Sep. 30, 2019
USD ($)
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Sep. 30, 2020
USD ($)
segment
Sep. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Segment reporting                  
Number of operating segments | segment             2    
Revenues:                  
Total revenues $ 394,339     $ 255,827     $ 1,247,117 $ 784,116  
Expenses:                  
Property operating expenses 315,650     125,083     934,150 362,498  
Depreciation and amortization 67,211     73,368     204,466 219,522  
General and administrative 6,988     9,604     23,132 28,287  
Acquisition and certain other transaction related costs 53     2,492     803 11,209  
Impairment of assets 64,202     33,099     106,611 41,518  
Total expenses 454,104     243,646     1,269,162 663,034  
Gain (loss) on sale of properties (211)     4,183     2,403 21,893  
Dividend income 0     0     0 1,846  
Gains (loss) on equity securities, net 12,510     40     14,541 (41,476)  
Interest and other income 134     238     8,008 590  
Interest expense (58,091)     (44,817)     (143,715) (136,840)  
Gain on lease termination 0     0     22,896 0  
Loss on early extinguishment of debt 0     0     (427) (17)  
Income (loss) from continuing operations before income tax expense (105,423)     (28,175)     (118,339) (32,922)  
Income tax expense (benefit) (365)     146     (1,048) 47  
Equity in earnings of an investee 0     83     0 617  
Net income (loss) (105,788) $ (24,742) $ 11,143 (27,946) $ (35,816) $ 31,504 (119,387) (32,258)  
Net income attributable to noncontrolling interest (1,100)     (1,444)     (3,838) (4,279)  
Net income (loss) attributable to common shareholders (106,888)     (29,390)     (123,225) (36,537)  
Total assets 6,535,118           6,535,118   $ 6,653,826
Operating Segments | Office Portfolio                  
Revenues:                  
Total revenues 94,235     100,010     288,515 307,616  
Expenses:                  
Property operating expenses 33,448     34,184     97,047 98,886  
Depreciation and amortization 32,816     33,801     97,213 104,939  
General and administrative 0     0     0 0  
Acquisition and certain other transaction related costs 0     0     0 0  
Impairment of assets 1,334     26,037     8,090 26,133  
Total expenses 67,598     94,022     202,350 229,958  
Gain (loss) on sale of properties (169)     4,183     2,613 6,686  
Dividend income               0  
Gains (loss) on equity securities, net 0     0     0 0  
Interest and other income 0     0     0 0  
Interest expense (6,068)     (6,239)     (18,140) (18,257)  
Gain on lease termination             0    
Loss on early extinguishment of debt             (401) 0  
Income (loss) from continuing operations before income tax expense 20,400     3,932     70,237 66,087  
Income tax expense (benefit) 0     0     0 0  
Equity in earnings of an investee       0       0  
Net income (loss) 20,400     3,932     70,237 66,087  
Net income attributable to noncontrolling interest (1,100)     (1,444)     (3,838) (4,279)  
Net income (loss) attributable to common shareholders 19,300     2,488     66,399 61,808  
Total assets 3,105,760           3,105,760   3,165,577
Operating Segments | SHOP                  
Revenues:                  
Total revenues 290,101     140,554     926,174 430,218  
Expenses:                  
Property operating expenses 282,202     90,899     837,103 263,612  
Depreciation and amortization 31,570     34,901     98,385 100,080  
General and administrative 0     0     0 0  
Acquisition and certain other transaction related costs 0     0     0 0  
Impairment of assets 62,868     718     98,521 9,041  
Total expenses 376,640     126,518     1,034,009 372,733  
Gain (loss) on sale of properties (42)     0     (210) 15,207  
Dividend income               0  
Gains (loss) on equity securities, net 0     0     0 0  
Interest and other income 0     0     7,346 0  
Interest expense (552)     (585)     (1,676) (2,481)  
Gain on lease termination             0    
Loss on early extinguishment of debt             0 (17)  
Income (loss) from continuing operations before income tax expense (87,133)     13,451     (102,375) 70,194  
Income tax expense (benefit) 0     0     0 0  
Equity in earnings of an investee       0       0  
Net income (loss) (87,133)     13,451     (102,375) 70,194  
Net income attributable to noncontrolling interest 0     0     0 0  
Net income (loss) attributable to common shareholders (87,133)     13,451     (102,375) 70,194  
Total assets 2,914,966           2,914,966   3,044,989
Provider Relief Fund, CARES Act 15,459           15,459    
Provider Relief Fund, expected HHS return, CARES Act 8,113           8,113    
Non-Segment                  
Revenues:                  
Total revenues 10,003     15,263     32,428 46,282  
Expenses:                  
Property operating expenses 0     0     0 0  
Depreciation and amortization 2,825     4,666     8,868 14,503  
General and administrative 6,988     9,604     23,132 28,287  
Acquisition and certain other transaction related costs 53     2,492     803 11,209  
Impairment of assets 0     6,344     0 6,344  
Total expenses 9,866     23,106     32,803 60,343  
Gain (loss) on sale of properties 0     0     0 0  
Dividend income               1,846  
Gains (loss) on equity securities, net 12,510     40     14,541 (41,476)  
Interest and other income 134     238     662 590  
Interest expense (51,471)     (37,993)     (123,899) (116,102)  
Gain on lease termination             22,896    
Loss on early extinguishment of debt             (26) 0  
Income (loss) from continuing operations before income tax expense (38,690)     (45,558)     (86,201) (169,203)  
Income tax expense (benefit) (365)     146     (1,048) 47  
Equity in earnings of an investee       83       617  
Net income (loss) (39,055)     (45,329)     (87,249) (168,539)  
Net income attributable to noncontrolling interest 0     0     0 0  
Net income (loss) attributable to common shareholders (39,055)     (45,329)     (87,249) (168,539)  
Total assets 514,392           514,392   $ 443,260
Rental income                  
Revenues:                  
Total revenues 104,238     148,011     320,943 459,349  
Rental income | Operating Segments | Office Portfolio                  
Revenues:                  
Total revenues 94,235     100,010     288,515 307,616  
Rental income | Operating Segments | SHOP                  
Revenues:                  
Total revenues 0     32,738     0 105,451  
Rental income | Non-Segment                  
Revenues:                  
Total revenues 10,003     15,263     32,428 46,282  
Residents fees and services                  
Revenues:                  
Total revenues 290,101     107,816     926,174 324,767  
Residents fees and services | Operating Segments | Office Portfolio                  
Revenues:                  
Total revenues 0     0     0 0  
Residents fees and services | Operating Segments | SHOP                  
Revenues:                  
Total revenues 290,101     107,816     926,174 324,767  
Expenses:                  
Revenue reserve for inadequate documentation 4,005           4,005    
Estimated penalties, compliance costs, and professional fees, net of management fees reimbursable 2,167           2,167    
Residents fees and services | Non-Segment                  
Revenues:                  
Total revenues $ 0     $ 0     $ 0 $ 0