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Real Property Acquisitions and Development (Tables)
3 Months Ended
Mar. 31, 2014
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Seniors Housing Triple-net Activity

Three Months Ended
(In thousands)March 31, 2014(1)March 31, 2013
Land and land improvements$ 2,750$ 8,533
Buildings and improvements 30,693 47,993
Total assets acquired 33,443 56,526
Non-cash acquisition related activity (657) -
Cash disbursed for acquisitions 32,786 56,526
Construction in progress additions 24,657 23,946
Less:Capitalized interest (1,170) (1,227)
Foreign currency translation (14) -
Cash disbursed for construction in progress 23,473 22,719
Capital improvements to existing properties 5,877 8,336
Total cash invested in real property, net of cash acquired$ 62,136$ 87,581
(1) Includes acquisitions with an aggregate purchase price of $3,402,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

Three Months Ended
(In thousands)March 31, 2014March 31, 2013
Land and land improvements$ 2,100$ 216,949
Building and improvements 19,069 2,074,770
Acquired lease intangibles 1,331 142,054
Restricted cash - 22,863
Receivables and other assets - 3,225
Total assets acquired(1) 22,500 2,459,861
Secured debt - (138,259)
Accrued expenses and other liabilities (245) (31,302)
Total liabilities assumed (245) (169,561)
Noncontrolling interests - (4,868)
Non-cash acquisition related activity(2) - (555,562)
Cash disbursed for acquisitions 22,255 1,729,870
Construction in progress additions 1,026 235
Less:Capitalized interest (50) (2)
Cash disbursed for construction in progress 976 233
Capital improvements to existing properties 13,998 10,604
Total cash invested in real property, net of cash acquired$ 37,229$ 1,740,707
(1) Excludes $245,000 and $51,083,000 of cash acquired during the three months ended March 31, 2014 and 2013, respectively.
(2) Represents Sunrise loan and noncontrolling interests acquisitions.

Medical Facilities Activity

Three Months Ended
(In thousands)March 31, 2014March 31, 2013
Construction in progress additions$ 38,237$ 35,139
Less:Capitalized interest (385) (377)
Accruals(1) (9,584) (17,661)
Cash disbursed for construction in progress 28,268 17,101
Capital improvements to existing properties 7,531 5,189
Total cash invested in real property$ 35,799$ 22,290
(1) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.
Summary of construction projects placed into service and generating revenues
Three Months Ended
March 31, 2014March 31, 2013
Development projects:
Seniors housing triple-net $ 8,481$ 67,317
Medical facilities 42,799 60,536
Total development projects 51,280 127,853
Expansion projects 9,209 7,631
Total construction in progress conversions $ 60,489$ 135,484