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Segment Reporting
12 Months Ended
Dec. 31, 2022
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
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 managers to operate the communities.
We also report “non-segment” operations, consisting of triple net leased senior living communities and wellness centers that are leased to third party operators from which we receive rents, 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, 2022
 Office Portfolio
SHOP
Non-SegmentConsolidated
Revenues:    
Rental income$222,390 $— $38,350 $260,740 
Residents fees and services— 1,022,826 — 1,022,826 
Total revenues222,390 1,022,826 38,350 1,283,566 
Expenses:    
Property operating expenses94,299 1,014,100 671 1,109,070 
Depreciation and amortization76,007 151,930 11,343 239,280 
General and administrative— — 26,435 26,435 
Acquisition and certain other transaction related costs— — 2,605 2,605 
Total expenses170,306 1,166,030 41,054 1,377,390 
Gain on sale of properties321,040 822 — 321,862 
Losses on equity securities, net— — (25,660)(25,660)
Interest and other income— 4,327 11,602 15,929 
Interest expense(913)(1,534)(206,936)(209,383)
Gain (loss) on modification or early extinguishment of debt16 — (30,059)(30,043)
Income (loss) from continuing operations before income tax expense and equity in net earnings of investees372,227 (139,589)(253,757)(21,119)
Income tax expense— — (710)(710)
Equity in net earnings of investees6,055 — — 6,055 
Net income (loss)$378,282 $(139,589)$(254,467)$(15,774)
As of December 31, 2022
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$1,967,244 $3,147,785 $887,064 $6,002,093 
 For the Year Ended December 31, 2021
 Office PortfolioSHOPNon-SegmentConsolidated
Revenues:    
Rental income$367,597 $— $40,992 $408,589 
Residents fees and services— 974,623 — 974,623 
Total revenues367,597 974,623 40,992 1,383,212 
Expenses:    
Property operating expenses127,313 964,499 — 1,091,812 
Depreciation and amortization127,632 132,044 11,455 271,131 
General and administrative— — 34,087 34,087 
Acquisition and certain other transaction related costs— — 17,506 17,506 
Impairment of assets— (174)— (174)
Total expenses254,945 1,096,369 63,048 1,414,362 
Gain on sale of properties492,072 200 — 492,272 
Losses on equity securities, net— — (42,232)(42,232)
Interest and other income— 19,554 1,081 20,635 
Interest expense(23,477)(2,089)(230,193)(255,759)
Loss on modification or early extinguishment of debt— — (2,410)(2,410)
Income (loss) from continuing operations before income tax expense581,247 (104,081)(295,810)181,356 
Income tax expense— — (1,430)(1,430)
Net income (loss)581,247 (104,081)(297,240)179,926 
Net income attributable to noncontrolling interest(5,411)— — (5,411)
Net income (loss) attributable to common shareholders$575,836 $(104,081)$(297,240)$174,515 
As of December 31, 2021
Office PortfolioSHOPNon-SegmentConsolidated
Total assets$2,282,652 $2,995,819 $1,345,043 $6,623,514 
 For the Year Ended December 31, 2020
 Office PortfolioSHOPNon-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 modification or 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