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Real Property Acquisitions and Development - Summary of Real Property Investment Activity by Segment (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2023 | Mar. 31, 2022
Business Acquisition [Line Items] |  |
Land and land improvements | $ 70,414 | $ 44,137
Buildings and improvements | 346,429 | 533,925
Acquired lease intangibles | 39,955 | 48,344
Right of use assets, net | 927 | 3,852
Total net real estate assets | 457,725 | 630,258
Receivables and other assets | 592 | 1,630
Total assets acquired | 458,317 | 631,888
Secured debt | (46,454) | 0
Lease liabilities | (953) | (3,852)
Accrued expenses and other liabilities | (8,191) | (4,154)
Total liabilities acquired | (55,598) | (8,006)
Noncontrolling interests | 0 | (20,352)
Non-cash acquisition related activity | 0 | (2,120)
Cash disbursed for acquisitions | 402,719 | 601,410
Construction in progress additions | 238,548 | 143,805
Less: Capitalized interest | (10,335) | (5,479)
Accruals | (1,987) | (185)
Cash disbursed for construction in progress | 226,226 | 138,141
Capital improvements to existing properties | 91,339 | 90,229
Total cash invested in real property, net of cash acquired | 720,284 | 829,780
Seniors Housing Operating |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 2,517 | 43,897
Buildings and improvements | 16,434 | 402,342
Acquired lease intangibles | 865 | 31,366
Right of use assets, net | 0 | 0
Total net real estate assets | 19,816 | 477,605
Receivables and other assets | 234 | 1,630
Total assets acquired | 20,050 | 479,235
Secured debt | (5,501) | 0
Lease liabilities | 0 | 0
Accrued expenses and other liabilities | (120) | (4,154)
Total liabilities acquired | (5,621) | (4,154)
Noncontrolling interests | 0 | (20,348)
Non-cash acquisition related activity | 0 | (2,120)
Cash disbursed for acquisitions | 14,429 | 452,613
Construction in progress additions | 131,944 | 113,407
Less: Capitalized interest | (7,950) | (4,179)
Accruals | 2,303 | (1,963)
Cash disbursed for construction in progress | 126,297 | 107,265
Capital improvements to existing properties | 69,783 | 68,612
Total cash invested in real property, net of cash acquired | 210,509 | 628,490
Triple-net |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 7,370 | 0
Buildings and improvements | 74,289 | 171
Acquired lease intangibles | 0 | 0
Right of use assets, net | 0 | 0
Total net real estate assets | 81,659 | 171
Receivables and other assets | 0 | 0
Total assets acquired | 81,659 | 171
Secured debt | 0 | 0
Lease liabilities | 0 | 0
Accrued expenses and other liabilities | 0 | 0
Total liabilities acquired | 0 | 0
Noncontrolling interests | 0 | (4)
Non-cash acquisition related activity | 0 | 0
Cash disbursed for acquisitions | 81,659 | 167
Construction in progress additions | 4,995 | 20,756
Less: Capitalized interest | (1,248) | (1,089)
Accruals | 0 | 0
Cash disbursed for construction in progress | 3,747 | 19,667
Capital improvements to existing properties | 4,427 | 8,294
Total cash invested in real property, net of cash acquired | 89,833 | 28,128
Outpatient Medical |  |
Business Acquisition [Line Items] |  |
Land and land improvements | 60,527 | 240
Buildings and improvements | 255,706 | 131,412
Acquired lease intangibles | 39,090 | 16,978
Right of use assets, net | 927 | 3,852
Total net real estate assets | 356,250 | 152,482
Receivables and other assets | 358 | 0
Total assets acquired | 356,608 | 152,482
Secured debt | (40,953) | 0
Lease liabilities | (953) | (3,852)
Accrued expenses and other liabilities | (8,071) | 0
Total liabilities acquired | (49,977) | (3,852)
Noncontrolling interests | 0 | 0
Non-cash acquisition related activity | 0 | 0
Cash disbursed for acquisitions | 306,631 | 148,630
Construction in progress additions | 101,609 | 9,642
Less: Capitalized interest | (1,137) | (211)
Accruals | (4,290) | 1,778
Cash disbursed for construction in progress | 96,182 | 11,209
Capital improvements to existing properties | 17,129 | 13,323
Total cash invested in real property, net of cash acquired | $ 419,942 | $ 173,162

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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 https://asc.fasb.org/extlink&oid=128092470&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 https://asc.fasb.org/extlink&oid=128092470&loc=d3e4845-128472 + Details
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