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Real Property Acquisitions and Development (Tables)
3 Months Ended
Mar. 31, 2017
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Triple-net Activity

Three Months Ended
(In thousands)March 31, 2017March 31, 2016
Land and land improvements$4,017$15,331
Buildings and improvements37,241114,235
Acquired lease intangibles -1,623
Total assets acquired41,258131,189
Accrued expenses and other liabilities -(809)
Total liabilities assumed-(809)
Non-cash acquisition related activity(1)-(28,621)
Cash disbursed for acquisitions41,258101,759
Construction in progress additions46,75443,835
Less:Capitalized interest(2,028)(1,684)
Foreign currency translation(164)(583)
Cash disbursed for construction in progress44,562 41,568
Capital improvements to existing properties10,4957,438
Total cash invested in real property, net of cash acquired$96,315$150,765
(1) Includes $25,691,000 related to the acquisition of assets previously financed as real estate loans receivable and $2,871,000 related to the acquisition of assets previously financed as an investment in an unconsolidated entity.

Seniors Housing Operating Activity

Three Months Ended
(In thousands)March 31, 2017March 31, 2016
Land and land improvements$4,304$3,440
Building and improvements44,07548,218
Acquired lease intangibles1,7411,942
Receivables and other assets7436
Total assets acquired(1)50,19453,636
Accrued expenses and other liabilities (2,755)(11)
Total liabilities assumed(2,755)(11)
Noncontrolling interests(647)(549)
Non-cash acquisition related activity(2)(14,148)-
Cash disbursed for acquisitions32,64453,076
Construction in progress additions8,0624,033
Less:Capitalized interest(1,707)(565)
Foreign currency translation691(1,107)
Cash disbursed for construction in progress7,046 2,361
Capital improvements to existing properties24,25416,808
Total cash invested in real property, net of cash acquired$63,944$72,245
(1) Excludes $400,000 and $113,000 of cash acquired during the three months ended March 31, 2017 and 2016, respectively.
(2) Includes $6,349,000 related to the acquisition of assets previously financed as real estate loans receivable and $7,799,000 previously financed as an investment in an unconsolidated entity.

Outpatient Medical Activity

Three Months Ended
(In thousands)March 31, 2017March 31, 2016
Land and land improvements$2,895$-
Buildings and improvements23,31017,637
Acquired lease intangibles3,496-
Receivables and other assets3-
Total assets acquired29,704 17,637
Accrued expenses and other liabilities(1,250)(990)
Total liabilities assumed (1,250) (990)
Cash disbursed for acquisitions28,45416,647
Construction in progress additions14,92128,934
Less:Capitalized interest(717)(788)
Accruals(1)3,522(5,336)
Cash disbursed for construction in progress17,726 22,810
Capital improvements to existing properties7,36610,779
Total cash invested in real property$53,546$50,236
(1) Represents the change in non-cash consideration accruals for amounts to be paid in periods other than the period in which the construction projects converted to operations.
Summary of construction projects placed into service and generating revenues
Three Months Ended
March 31, 2017March 31, 2016
Development projects:
Triple-net $157,460$-
Seniors housing operating3,634-
Outpatient medical25,91035,363
Total development projects187,00435,363
Total construction in progress conversions $187,004$35,363