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Real Estate Transactions - Construction, Tenant, and Other Capital Improvements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements $ 759,720 $ 788,895 $ 677,274
Life Science      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements 472,301 573,999 499,956
Medical Office      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements 230,227 173,672 146,466
CCRC      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements 57,192 41,224 0
Other      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements $ 0 $ 0 $ 30,852