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Real Property Acquisitions and Development - Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Business Acquisition [Line Items] |  |
Land and land improvements | $ 44,137 | $ 27,667
Buildings and improvements | 533,925 | 184,423
Acquired lease intangibles | 48,344 | 1,778
Right of use assets, net | 3,852 | 0
Total net real estate assets | 630,258 | 213,868
Receivables and other assets | 1,630 | 34
Total assets acquired | 631,888 | 213,902
Lease liabilities | (3,852) | 0
Accrued expenses and other liabilities | (4,154) | (8,739)
Total liabilities acquired | (8,006) | (8,739)
Noncontrolling interests | (20,352) | (2,056)
Non-cash acquisition related activity | 2,120 | 0
Cash disbursed for acquisitions | 601,410 | 203,107
Construction in progress additions | 143,805 | 77,783
Less: Capitalized interest | (5,479) | (4,496)
Accruals | (185) | 318
Cash disbursed for construction in progress | 138,141 | 73,605
Capital improvements to existing properties | 90,229 | 28,780
Total cash invested in real property, net of cash acquired | 829,780 | 305,492
Seniors Housing Operating |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 43,897 | 1,240
Buildings and improvements | 402,342 | 3,491
Acquired lease intangibles | 31,366 | 339
Right of use assets, net | 0 | 0
Total net real estate assets | 477,605 | 5,070
Receivables and other assets | 1,630 | 34
Total assets acquired | 479,235 | 5,104
Lease liabilities | 0 | 0
Accrued expenses and other liabilities | (4,154) | 0
Total liabilities acquired | (4,154) | 0
Noncontrolling interests | (20,348) | 0
Non-cash acquisition related activity | 2,120 | 0
Cash disbursed for acquisitions | 452,613 | 5,104
Construction in progress additions | 113,407 | 38,373
Less: Capitalized interest | (4,179) | (2,980)
Accruals | (1,963) | 7
Cash disbursed for construction in progress | 107,265 | 35,400
Capital improvements to existing properties | 68,612 | (3,159)
Total cash invested in real property, net of cash acquired | 628,490 | 37,345
Triple-net |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 0 | 24,154
Buildings and improvements | 171 | 170,362
Acquired lease intangibles | 0 | 0
Right of use assets, net | 0 | 0
Total net real estate assets | 171 | 194,516
Receivables and other assets | 0 | 0
Total assets acquired | 171 | 194,516
Lease liabilities | 0 | 0
Accrued expenses and other liabilities | 0 | (8,703)
Total liabilities acquired | 0 | (8,703)
Noncontrolling interests | (4) | (2,056)
Non-cash acquisition related activity | 0 | 0
Cash disbursed for acquisitions | 167 | 183,757
Construction in progress additions | 20,756 | 31,809
Less: Capitalized interest | (1,089) | (524)
Accruals | 0 | 0
Cash disbursed for construction in progress | 19,667 | 31,285
Capital improvements to existing properties | 8,294 | 25,295
Total cash invested in real property, net of cash acquired | 28,128 | 240,337
Outpatient Medical |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 240 | 2,273
Buildings and improvements | 131,412 | 10,570
Acquired lease intangibles | 16,978 | 1,439
Right of use assets, net | 3,852 | 0
Total net real estate assets | 152,482 | 14,282
Receivables and other assets | 0 | 0
Total assets acquired | 152,482 | 14,282
Lease liabilities | (3,852) | 0
Accrued expenses and other liabilities | 0 | (36)
Total liabilities acquired | (3,852) | (36)
Noncontrolling interests | 0 | 0
Non-cash acquisition related activity | 0 | 0
Cash disbursed for acquisitions | 148,630 | 14,246
Construction in progress additions | 9,642 | 7,601
Less: Capitalized interest | (211) | (992)
Accruals | 1,778 | 311
Cash disbursed for construction in progress | 11,209 | 6,920
Capital improvements to existing properties | 13,323 | 6,644
Total cash invested in real property, net of cash acquired | $ 173,162 | $ 27,810

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- Definition This element represents the fair value of the noncontrolling interest in the acquiree at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (e)(1) -URI http://asc.fasb.org/extlink&oid=123413009&loc=d3e4845-128472 + Details
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- Definition Amount of facility held for productive use including, but not limited to, office, production, storage and distribution facilities, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=123413009&loc=d3e4845-128472 + Details
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- Definition The amount of identifiable intangible assets recognized as of the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 55 -Paragraph 37 -URI http://asc.fasb.org/extlink&oid=123455525&loc=d3e2207-128464 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=123413009&loc=d3e4845-128472 + Details
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- Definition Amount of assets expected to be realized or consumed after one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=123413009&loc=d3e4845-128472 + Details
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- Definition Amount of structure or a modification to a structure under construction. Includes recently completed structures or modifications to structures that have not been placed into service. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 + Details
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- Definition Amount of interest capitalized during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6450988&loc=d3e26243-108391 + Details
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