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Real Property Acquisitions and Development - Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities (Details) - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Business Acquisition [Line Items] |  |
Land and land improvements | $ 156,996 | $ 86,220
Buildings and improvements | 1,455,314 | 588,738
Acquired lease intangibles | 104,541 | 16,953
Construction in progress | 108,141 | 0
Right of use assets, net | 4,021 | 0
Total net real estate assets | 1,829,013 | 691,911
Receivables and other assets | 6,351 | 642
Total assets acquired | 1,835,364 | 692,553
Secured debt | (219,067) | 0
Lease liabilities | (3,852) | 0
Accrued expenses and other liabilities | (12,330) | (11,892)
Total liabilities acquired | (235,249) | (11,892)
Noncontrolling interests | (102,553) | (19,376)
Non-cash acquisition related activity | (25,795) | 0
Cash disbursed for acquisitions | 1,471,767 | 661,285
Construction in progress additions | 299,319 | 153,383
Less: Capitalized interest | (11,866) | (9,358)
Accruals | (1,026) | 319
Cash disbursed for construction in progress | 286,427 | 144,344
Capital improvements to existing properties | 200,069 | 94,483
Total cash invested in real property, net of cash acquired | 1,958,263 | 900,112
Cash acquired from acquisition | $ 5,491 | 301
New issues (in shares) | 1,145,000 |
Seniors Housing Operating |  |
Business Acquisition [Line Items] |  |
Land and land improvements | $ 130,282 | 25,636
Buildings and improvements | 1,249,982 | 167,791
Acquired lease intangibles | 77,705 | 10,679
Construction in progress | 108,141 | 0
Right of use assets, net | 169 | 0
Total net real estate assets | 1,566,279 | 204,106
Receivables and other assets | 6,091 | 634
Total assets acquired | 1,572,370 | 204,740
Secured debt | (219,067) | 0
Lease liabilities | 0 | 0
Accrued expenses and other liabilities | (11,937) | (2,923)
Total liabilities acquired | (231,004) | (2,923)
Noncontrolling interests | (101,885) | (2,597)
Non-cash acquisition related activity | (25,795) | 0
Cash disbursed for acquisitions | 1,213,686 | 199,220
Construction in progress additions | 229,044 | 93,108
Less: Capitalized interest | (9,305) | (6,014)
Accruals | (3,479) | 8
Cash disbursed for construction in progress | 216,260 | 87,102
Capital improvements to existing properties | 146,052 | 64,438
Total cash invested in real property, net of cash acquired | 1,575,998 | 350,760
Triple-net |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 0 | 30,849
Buildings and improvements | 171 | 268,210
Acquired lease intangibles | 0 | 0
Construction in progress | 0 | 0
Right of use assets, net | 0 | 0
Total net real estate assets | 171 | 299,059
Receivables and other assets | 0 | 0
Total assets acquired | 171 | 299,059
Secured debt | 0 | 0
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 | 288,300
Construction in progress additions | 45,939 | 46,904
Less: Capitalized interest | (2,031) | (1,238)
Accruals | 0 | 0
Cash disbursed for construction in progress | 43,908 | 45,666
Capital improvements to existing properties | 25,016 | 15,568
Total cash invested in real property, net of cash acquired | 69,091 | 349,534
Outpatient Medical |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 26,714 | 29,735
Buildings and improvements | 205,161 | 152,737
Acquired lease intangibles | 26,836 | 6,274
Construction in progress | 0 | 0
Right of use assets, net | 3,852 | 0
Total net real estate assets | 262,563 | 188,746
Receivables and other assets | 260 | 8
Total assets acquired | 262,823 | 188,754
Secured debt | 0 | 0
Lease liabilities | (3,852) | 0
Accrued expenses and other liabilities | (393) | (266)
Total liabilities acquired | (4,245) | (266)
Noncontrolling interests | (664) | (14,723)
Non-cash acquisition related activity | 0 | 0
Cash disbursed for acquisitions | 257,914 | 173,765
Construction in progress additions | 24,336 | 13,371
Less: Capitalized interest | (530) | (2,106)
Accruals | 2,453 | 311
Cash disbursed for construction in progress | 26,259 | 11,576
Capital improvements to existing properties | 29,001 | 14,477
Total cash invested in real property, net of cash acquired | $ 313,174 | $ 199,818

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