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Segment Reporting
 12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
In connection with the Restructuring Transaction, we determined to redefine our reportable segments to better reflect our current operating environment. As of December 31, 2020, we 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 the operator to manage the communities for our account. In addition, prior to January 1, 2020, our SHOP segment included triple net leased senior living communities that provided short term and long term residential living and in some instances care and other services for residents and from which we received rents from Five Star. Pursuant to the Restructuring Transaction, effective January 1, 2020, our previously existing master leases and management and pooling agreements with Five Star were terminated and replaced with the Five Star management agreements for all of our senior living communities operated by Five Star. Prior periods have been recast to reflect these reportable segments for all periods presented.
We also report “non-segment” operations, which consists of triple net leased senior living communities, which are leased to operators other than Five Star 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 Year Ended December 31, 2020
 Office Portfolio
SHOP
Non-SegmentConsolidated
Revenues:    
Rental income$383,365 $— $43,850 $427,215 
Residents fees and services— 1,204,811 — 1,204,811 
Total revenues383,365 1,204,811 43,850 1,632,026 
Expenses:    
Property operating expenses129,756 1,106,601 — 1,236,357 
Depreciation and amortization129,321 129,124 11,702 270,147 
General and administrative— — 30,593 30,593 
Acquisition and certain other transaction related costs— — 814 814 
Impairment of assets8,558 98,414 — 106,972 
Total expenses267,635 1,334,139 43,109 1,644,883 
Gain (loss) on sale of properties2,597 (627)4,517 6,487 
Gains on equity securities, net— — 34,106 34,106 
Interest and other income— 17,485 736 18,221 
Interest expense(24,188)(2,223)(175,072)(201,483)
Gain on lease termination— — 22,896 22,896 
Loss on early extinguishment of debt(401)— (26)(427)
Income (loss) from continuing operations before income tax expense93,738 (114,693)(112,102)(133,057)
Income tax expense— — (1,250)(1,250)
Net income (loss)93,738 (114,693)(113,352)(134,307)
Net income attributable to noncontrolling interest(5,146)— — (5,146)
Net income (loss) attributable to common shareholders$88,592 $(114,693)$(113,352)$(139,453)
As of December 31, 2020
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$3,092,289 $2,912,570 $471,565 $6,476,424 
Under the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, the U.S. Department of Health and Human Services, or HHS, established a Provider Relief Fund. Retention and use of the funds received under the CARES Act are subject to certain terms and conditions. The terms and conditions require that the funds be utilized to compensate for lost revenues that are attributable to the COVID-19 pandemic and for eligible costs to prevent, prepare for and respond to the COVID-19 pandemic that are not covered by other sources. Further, fund recipients are required to be participating in Medicare at the time of distribution and are subject to certain other terms and conditions, including quarterly reporting requirements. In addition, fund recipients are required to have billed Medicare during 2019 and to continue to provide care after January 31, 2020 for diagnosis, testing or care for individuals with possible or actual COVID-19 cases. Any funds not used in accordance with the terms and conditions must be returned to HHS. As of December 31, 2020, we had received $19,961 in funds from the Provider Relief Fund to be used to support the operations of our managed senior living communities; we have currently determined that $17,485 of such funds meet the required terms and conditions. We have recognized $17,485 as other income with respect to our SHOP segment for the year ended December 31, 2020. We currently expect to return the remaining $2,476 of such funds to HHS in 2021 unless and to the extent we determine that such funds meet the required terms and conditions and have therefore included that amount in other liabilities in our consolidated financial statements as of December 31, 2020. We have applied for additional funds that may be available under the CARES Act Provider Relief Fund; however, we may not receive any additional funding.
 For the Year Ended December 31, 2019
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$405,016 $137,898 $63,644 $606,558 
Residents fees and services— 433,597 — 433,597 
Total revenues405,016 571,495 63,644 1,040,155 
Expenses:    
Property operating expenses132,348 356,722 — 489,070 
Depreciation and amortization137,611 132,637 18,777 289,025 
General and administrative— — 37,028 37,028 
Acquisition and certain other transaction related costs— — 13,102 13,102 
Impairment of assets43,035 65,822 6,344 115,201 
Total expenses312,994 555,181 75,251 943,426 
Gain on sale of properties6,617 15,207 17,872 39,696 
Dividend income— — 1,846 1,846 
Losses on equity securities, net— — (41,898)(41,898)
Interest and other income— — 941 941 
Interest expense(24,399)(3,058)(152,655)(180,112)
Loss on early extinguishment of debt— (17)(27)(44)
Income (loss) from continuing operations before income tax expense and equity in earnings of an investee74,240 28,446 (185,528)(82,842)
Income tax expense— — (436)(436)
Equity in earnings of an investee— — 400 400 
Net income (loss)74,240 28,446 (185,564)(82,878)
Net income attributable to noncontrolling interest(5,356)— — (5,356)
Net income (loss) attributable to common shareholders$68,884 $28,446 $(185,564)$(88,234)
As of December 31, 2019
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$3,165,577 $3,044,989 $443,260 $6,653,826 
 For the Year Ended December 31, 2018
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$412,813 $212,622 $75,206 $700,641 
Residents fees and services— 416,523 — 416,523 
Total revenues412,813 629,145 75,206 1,117,164 
Expenses:    
Property operating expenses127,732 323,849 — 451,581 
Depreciation and amortization141,477 121,303 23,455 286,235 
General and administrative— — 85,885 85,885 
Acquisition and certain other transaction related costs— — 194 194 
Impairment of assets46,797 — 19,549 66,346 
Total expenses316,006 445,152 129,083 890,241 
Gain on sale of properties— 3,699 258,217 261,916 
Dividend income— — 2,901 2,901 
Losses on equity securities, net— — (20,724)(20,724)
Interest and other income— — 667 667 
Interest expense(24,360)(5,214)(149,713)(179,287)
(Loss) gain on early extinguishment of debt— (98)76 (22)
Income from continuing operations before income tax expense and equity in earnings of an investee72,447 182,380 37,547 292,374 
Income tax expense— — (476)(476)
Equity in earnings of an investee— — 516 516 
Net income72,447 182,380 37,587 292,414 
Net income attributable to noncontrolling interest(5,542)— — (5,542)
Net income attributable to common shareholders$66,905 $182,380 $37,587 $286,872 
As of December 31, 2018
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$3,344,581 $2,984,333 $831,512 $7,160,426