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Segment Reporting
3 Months Ended
Mar. 31, 2021
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
We operate in, and report financial information for, the following two segments: Office Portfolio and senior housing operating portfolio, or 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.
We also report “non-segment” operations, which consists of triple net leased senior living communities that are leased to 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, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$93,323 $— $9,435 $102,758 
Residents fees and services— 259,966 — 259,966 
Total revenues93,323 259,966 9,435 362,724 
Expenses:    
Property operating expenses31,293 256,098 — 287,391 
Depreciation and amortization31,938 31,361 2,854 66,153 
General and administrative— — 7,542 7,542 
Impairment of assets— (174)— (174)
Total expenses63,231 287,285 10,396 360,912 
Loss on sale of properties(122)— — (122)
Losses on equity securities, net— — (8,339)(8,339)
Interest and other income— 2,433 402 2,835 
Interest expense(5,939)(528)(53,624)(60,091)
Loss on early extinguishment of debt— — (2,040)(2,040)
Income (loss) from continuing operations before income tax expense
24,031 (25,414)(64,562)(65,945)
Income tax expense— — (238)(238)
Net income (loss)24,031 (25,414)(64,800)(66,183)
Net income attributable to noncontrolling interest(1,322)— — (1,322)
Net income (loss) attributable to common shareholders
$22,709 $(25,414)$(64,800)$(67,505)
 As of March 31, 2021
 Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,072,160 $2,908,334 $1,562,212 $7,542,706 
 For the Three Months Ended March 31, 2020
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$98,770 $— $11,728 $110,498 
Residents fees and services— 331,969 — 331,969 
Total revenues98,770 331,969 11,728 442,467 
Expenses:    
Property operating expenses32,706 283,879 — 316,585 
Depreciation and amortization32,163 33,042 3,225 68,430 
General and administrative— — 8,832 8,832 
Acquisition and certain other transaction related costs
— — 663 663 
Impairment of assets6,218 5,016 — 11,234 
Total expenses71,087 321,937 12,720 405,744 
Gain on sale of properties2,782 — — 2,782 
Losses on equity securities, net— — (9,943)(9,943)
Interest and other income— — 138 138 
Interest expense(6,052)(564)(35,034)(41,650)
Gain on lease termination— — 22,896 22,896 
Loss on early extinguishment of debt(246)— — (246)
Income (loss) from continuing operations before income tax benefit24,167 9,468 (22,935)10,700 
Income tax benefit— — 443 443 
Net income (loss)24,167 9,468 (22,492)11,143 
Net income attributable to noncontrolling interest
(1,408)— — (1,408)
Net income (loss) attributable to common shareholders
$22,759 $9,468 $(22,492)$9,735 
 As of December 31, 2020
Office PortfolioSHOP Non-SegmentConsolidated
Total assets$3,092,289 $2,912,570 $471,565 $6,476,424