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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2016
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Triple-net Activity

Six Months Ended
(In thousands)June 30, 2016(1)June 30, 2015
Land and land improvements$18,901$45,268
Buildings and improvements160,209447,229
Acquired lease intangibles 2,8762,817
Restricted cash -6
Receivables and other assets -60
Total assets acquired181,986495,380
Accrued expenses and other liabilities (1,459)(1,845)
Total liabilities assumed(1,459)(1,845)
Non-cash acquisition related activity(2)(37,703)(936)
Cash disbursed for acquisitions142,824492,599
Construction in progress additions85,68774,694
Less:Capitalized interest(3,771)(3,303)
Foreign currency translation(2,712)240
Cash disbursed for construction in progress79,204 71,631
Capital improvements to existing properties14,87719,029
Total cash invested in real property, net of cash acquired$236,905$583,259
(1) Includes acquisitions with an aggregate purchase price of $166,343,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) For the six months ended June 30, 2016, $31,014,000 relates to the acquisition of assets previously financed as real estate loans receivable and $6,630,000 previously financed as equity investments.

Seniors Housing Operating Activity

Six Months Ended
(In thousands)June 30, 2016(1)June 30, 2015
Land and land improvements$5,617$94,294
Building and improvements128,2001,174,465
Acquired lease intangibles6,33471,089
Restricted cash-5,425
Receivables and other assets89423,645
Total assets acquired(2)141,0451,368,918
Secured debt-(208,960)
Accrued expenses and other liabilities (4,853)(19,011)
Total liabilities assumed(4,853)(227,971)
Noncontrolling interests(549)(86,842)
Non-cash acquisition related activity(3)(7,659)-
Cash disbursed for acquisitions127,9841,054,105
Construction in progress additions134,01919,926
Less:Capitalized interest(2,011)(715)
Foreign currency translation(5,344)(40)
Cash disbursed for construction in progress126,664 19,171
Capital improvements to existing properties47,55332,766
Total cash invested in real property, net of cash acquired$302,201$1,106,042
(1) Includes acquisitions with an aggregate purchase price of $117,545,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $134,000 and $3,390,000 of cash acquired during the six months ended June 30, 2016 and 2015, respectively.
(3) Relates to the acquisition of assets previously financed as equity investments.

Outpatient Medical Activity

Six Months Ended
(In thousands)June 30, 2016 (1)June 30, 2015
Land and land improvements$-$737
Buildings and improvements32,650426,130
Acquired lease intangibles-19,372
Total assets acquired(2)32,650 446,239
Secured debt-(112,000)
Accrued expenses and other liabilities(990)(2,743)
Total liabilities assumed (990) (114,743)
Noncontrolling interests-(68,535)
Non-cash acquisition activity(3)(15,013)-
Cash disbursed for acquisitions16,647262,961
Construction in progress additions50,89626,025
Less:Capitalized interest(1,561)(428)
Accruals(4)(5,336)(1,921)
Cash disbursed for construction in progress43,999 23,676
Capital improvements to existing properties25,09915,291
Total cash invested in real property$85,745$301,928
(1) Includes acquisitions with an aggregate purchase price of $32,650,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $0 and $4,372,000 of cash acquired during the six months ended June 30, 2016 and 2015, respectively.
(3) Relates to an acquisition of assets previously financed as a real estate loan. Refer to Note 6 for additional information.
(4) Represents non-cash consideration 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
Six Months Ended
June 30, 2016June 30, 2015
Development projects:
Triple-net $-$72,775
Seniors housing operating-19,869
Outpatient medical35,36316,592
Total development projects35,363109,236
Expansion projects2,87938,808
Total construction in progress conversions $38,242$148,044