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Segment Reporting - Summary Information for Reportable Segments (Detail)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
USD ($)
segment
Oct. 01, 2021
ft²
Building
Jun. 30, 2022
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2022
USD ($)
segment
Jun. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
Segment Reporting [Abstract]              
Number of reportable segments | segment 6       6    
Number of Buildings Acquired | Building   92          
Number of Square Feet of Property Acquired | ft²   4,799,000          
Revenues and grant income:              
Resident fees and services     $ 326,225 $ 276,352 $ 645,199 $ 529,378  
Real estate revenue     51,105 30,642 103,048 60,665  
Grant income     10,969 1,099 16,183 9,328  
Total revenues and grant income     388,299 308,093 764,430 599,371  
Expenses:              
Property operating expenses     296,059 250,426 583,219 495,568  
Rental expenses     14,663 8,119 29,950 16,174  
Segment net operating income     77,577 49,548 151,261 87,629  
Operating Expenses              
General and administrative     10,928 7,343 22,047 14,600  
Business acquisition expenses     1,757 2,750 1,930 3,998  
Depreciation and amortization     39,971 26,357 82,282 52,080  
Other income (expense):              
Interest expense (including amortization of deferred financing costs, debt discount/premium and gain/loss on debt extinguishments)     (20,345) (18,490) (43,670) (38,855)  
Gain in fair value of derivative financial instruments     0 1,775 500 3,596  
(Loss) gain on dispositions of real estate investments     (73) (42) 683 (377)  
Impairment of real estate investments     (17,340) (3,335) (17,340) (3,335)  
Income (loss) from unconsolidated entities     638 (901) 2,024 (2,672)  
Foreign currency (loss) gain     (3,607) 238 (4,994) 653  
Other income     469 191 1,729 463  
Total net other expense     (40,258) (20,564) (61,068) (40,527)  
Loss before income taxes     (15,337) (7,466) (16,066) (23,576)  
Income tax expense     (205) (495) (373) (658)  
Net loss     (15,542) (7,961) (16,439) (24,234)  
Assets by Reportable Segment              
Total assets $ 4,523,900   4,523,900   4,523,900   $ 4,580,339
Goodwill 212,714   212,714   212,714   209,898
Segments, Geographical Areas              
Real estate investments, net 3,491,845   3,491,845   3,491,845   3,514,686
United States [Member]              
Revenues and grant income:              
Total revenues and grant income     387,120 306,786 761,999 596,772  
Segments, Geographical Areas              
Real estate investments, net 3,448,793   3,448,793   3,448,793   3,466,019
International [Member]              
Revenues and grant income:              
Total revenues and grant income     1,179 1,307 2,431 2,599  
Segments, Geographical Areas              
Real estate investments, net 43,052   43,052   43,052   48,667
Integrated Senior Health Campuses [Member]              
Revenues and grant income:              
Resident fees and services     287,582 255,815 568,594 489,041  
Real estate revenue     0 0 0 0  
Grant income     10,969 898 16,065 9,127  
Total revenues and grant income     298,551 256,713 584,659 498,168  
Expenses:              
Property operating expenses     258,934 232,991 512,084 461,630  
Rental expenses     0 0 0 0  
Segment net operating income     39,617 23,722 72,575 36,538  
Assets by Reportable Segment              
Total assets 1,911,026   1,911,026   1,911,026   1,896,608
SHOP              
Revenues and grant income:              
Resident fees and services     38,643 20,537 76,605 40,337  
Real estate revenue     0 0 0 0  
Grant income     0 201 118 201  
Total revenues and grant income     38,643 20,738 76,723 40,538  
Expenses:              
Property operating expenses     37,125 17,435 71,135 33,938  
Rental expenses     0 0 0 0  
Segment net operating income     1,518 3,303 5,588 6,600  
Other income (expense):              
Impairment of real estate investments     (17,340)   (17,340)    
Assets by Reportable Segment              
Total assets 599,528   599,528   599,528   625,164
Medical Office Building [Member]              
Revenues and grant income:              
Resident fees and services     0 0 0 0  
Real estate revenue     36,833 20,635 74,670 40,658  
Grant income     0 0 0 0  
Total revenues and grant income     36,833 20,635 74,670 40,658  
Expenses:              
Property operating expenses     0 0 0 0  
Rental expenses     13,791 7,588 28,104 15,125  
Segment net operating income     23,042 13,047 46,566 25,533  
Assets by Reportable Segment              
Total assets 1,385,279   1,385,279   1,385,279   1,412,247
Senior Housing - Leased              
Revenues and grant income:              
Resident fees and services     0 0 0 0  
Real estate revenue     5,262 3,606 10,560 7,176  
Grant income     0 0 0 0  
Total revenues and grant income     5,262 3,606 10,560 7,176  
Expenses:              
Property operating expenses     0 0 0 0  
Rental expenses     212 30 391 45  
Segment net operating income     5,050 3,576 10,169 7,131  
Assets by Reportable Segment              
Total assets 249,499   249,499   249,499   255,555
Skilled Nursing Facilities              
Revenues and grant income:              
Resident fees and services     0 0 0 0  
Real estate revenue     6,599 3,661 12,992 7,328  
Grant income     0 0 0 0  
Total revenues and grant income     6,599 3,661 12,992 7,328  
Expenses:              
Property operating expenses     0 0 0 0  
Rental expenses     521 375 1,207 744  
Segment net operating income     6,078 3,286 11,785 6,584  
Assets by Reportable Segment              
Total assets 250,019   250,019   250,019   252,869
Hospitals              
Revenues and grant income:              
Resident fees and services     0 0 0 0  
Real estate revenue     2,411 2,740 4,826 5,503  
Grant income     0 0 0 0  
Total revenues and grant income     2,411 2,740 4,826 5,503  
Expenses:              
Property operating expenses     0 0 0 0  
Rental expenses     139 126 248 260  
Segment net operating income     2,272 $ 2,614 4,578 $ 5,243  
Assets by Reportable Segment              
Total assets 107,488   107,488   107,488   109,834
Other Segments [Member]              
Assets by Reportable Segment              
Total assets $ 21,061   $ 21,061   $ 21,061   $ 28,062