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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2017
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, 2017June 30, 2016
Land and land improvements$30,440$18,901
Buildings and improvements188,569160,209
Acquired lease intangibles -2,876
Total assets acquired219,009181,986
Accrued expenses and other liabilities (20,855)(1,459)
Total liabilities assumed(20,855)(1,459)
Noncontrolling interests(7,284)-
Non-cash acquisition related activity(1)(54,989)(37,703)
Cash disbursed for acquisitions135,881142,824
Construction in progress additions76,24585,687
Less:Capitalized interest(3,215)(3,771)
Foreign currency translation(3,044)(2,712)
Cash disbursed for construction in progress69,986 79,204
Capital improvements to existing properties15,26914,877
Total cash invested in real property, net of cash acquired$221,136$236,905
(1) For the six months ended June 30, 2017, $54,989,000 is related to the acquisition of assets previously financed as real estate loans receivable. For the six months ended June 30, 2016, $31,014,000 is related to the acquisition of assets previously financed as real estate loans receivable and $6,630,000 is related to the acquisition of assets previously financed as an investment in an unconsolidated entity.

Seniors Housing Operating Activity

Six Months Ended
(In thousands)June 30, 2017June 30, 2016
Land and land improvements$10,590$5,617
Building and improvements69,056128,200
Acquired lease intangibles3,5966,334
Receivables and other assets296894
Total assets acquired(1)83,538141,045
Accrued expenses and other liabilities (8,606)(4,853)
Total liabilities assumed(8,606)(4,853)
Noncontrolling interests(647)(549)
Non-cash acquisition related activity(2)(31,546)(7,659)
Cash disbursed for acquisitions42,739127,984
Construction in progress additions42,787134,019
Less:Capitalized interest(3,804)(2,011)
Foreign currency translation3,060(5,344)
Cash disbursed for construction in progress42,043 126,664
Capital improvements to existing properties60,12947,553
Total cash invested in real property, net of cash acquired$144,911$302,201
(1) Excludes $400,000 and $134,000 of cash acquired during the six months ended June 30, 2017 and 2016, respectively.
(2) Includes $6,349,000 related to the acquisition of assets previously financed as real estate loans receivable during the six months ended June 30, 2017. Includes $25,197,000 and $7,659,000 for the six months ended June 30, 2017 and 2016 related to the acquisition of assets previously financed as an investments in an unconsolidated entity.

Outpatient Medical Activity

Six Months Ended
(In thousands)June 30, 2017June 30, 2016
Land and land improvements$25,060$-
Buildings and improvements62,03832,650
Acquired lease intangibles8,397-
Receivables and other assets118-
Total assets acquired95,613 32,650
Secured debt(25,824)-
Accrued expenses and other liabilities(2,210)(990)
Total liabilities assumed (28,034) (990)
Noncontrolling interests(9,080)-
Non-cash acquisition activity(1)-(15,013)
Cash disbursed for acquisitions58,49916,647
Construction in progress additions31,83050,896
Less:Capitalized interest(1,343)(1,561)
Accruals(2)6,530(5,336)
Cash disbursed for construction in progress37,017 43,999
Capital improvements to existing properties17,40925,099
Total cash invested in real property$112,925$85,745
(1) Represents the acquisition of assets previously financed as real estate loans receivable. Please refer to Note 6 for additional information.
(2) 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.

Construction Activity

Six Months Ended
June 30, 2017June 30, 2016
Development projects:
Triple-net $266,650$-
Seniors housing operating3,634-
Outpatient medical63,03635,363
Total development projects333,32035,363
Expansion projects2,7982,879
Total construction in progress conversions $336,118$38,242